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Understanding Cardiovascular Hemodynamics

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Ventricular-Assist Devices and Kidney Disease

Abstract

Understanding heart failure, left ventricular assist devices (LVAD), and the associated cardiorenal syndrome requires an understanding of cardiovascular hemodynamics. This chapter explores the assessment of cardiovascular hemodynamics and how this assessment can be used to guide management. Special attention is given to the assessment and management of advanced heart failure and left ventricular assist devices.

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Abbreviations

cfLVAD:

Continuous flow left ventricular assist device

CVP:

Central venous pressure

EKG:

Electrocardiogram

HF:

Heart failure

JVD:

Jugular venous distention

LV:

Left ventricle

LVAD:

Left ventricular assist device

LVEDP:

Left ventricular end diastolic pressure

PA:

Pulmonary artery

PAC:

Pulmonary artery catheter

PCWP:

Pulmonary capillary wedge pressure

PH:

Pulmonary hypertension

PVR:

Pulmonary vascular resistance

RA:

Right atrium

RV:

Right ventricle

RVAD:

Right ventricular assist device

TPG:

Transpulmonary gradient

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Authors and Affiliations

  1. Advanced Heart Failure and Transplant Cardiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA

    Mugurel Bazavan & Gregory P. Macaluso

  2. University of Illinois at Chicago, Chicago, IL, USA

    Gregory P. Macaluso & Sunil Pauwaa

  3. Heart Care Centers of Illinois, Palos Park, IL, USA

    Gregory P. Macaluso

  4. Advanced Heart Failure and Transplant Cardiology, Advocate Christ Medical Center/Advocate Heart Institute, Oak Lawn, IL, USA

    Sunil Pauwaa

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  1. Mugurel Bazavan
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  2. Gregory P. Macaluso
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  3. Sunil Pauwaa
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Correspondence to Sunil Pauwaa .

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Editors and Affiliations

  1. Director, Nephrology, Solid Organ Transplantation and Advanced Heart Failure Therapies, Advocate Christ Medical Center, University of Illinois, Oak Lawn, Illinois, USA

    Chaitanya Desai

  2. Clinical Associate Professor of Medicine University of Illinois, Clinical Director, Heart Transplantation and Mechanical Assistance, Advocate Christ Medical Center, Oak Lawn, Illinois, USA

    William G. Cotts

  3. Clinical Professor of Medicine, Section of Nephrology, University of Illinois at Chicago, College of Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois, USA

    Edgar V. Lerma

  4. Associate Professor of Medicine, Division of Nephrology, Department of Medicine, Penn Presbyterian Medical Cente, Perleman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Michael R. Rudnick

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Bazavan, M., Macaluso, G.P., Pauwaa, S. (2018). Understanding Cardiovascular Hemodynamics. In: Desai, C., Cotts, W., Lerma, E., Rudnick, M. (eds) Ventricular-Assist Devices and Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-74657-9_2

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