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Myocardial recovery common with LVADs

Reuters Health - 02/11/2020 - Myocardial recovery is common when left-ventricular-assist devices (LVADs) are combined with aggressive pharmacological management, according to results from the RESTAGE-HF trial. "Patients with advanced chronic heart failure resistant to usual medical therapies with deteriorating heart function receiving mechanical support as a bridge to transplant (BTT) or as destination therapy (DT) can recover the heart function enough to have the pump removed, freeing up the precious donor heart for another individual," Dr. Emma J. Birks of the University of Kentucky, in Lexington, and Dr. Stavros Drakos of the University of Utah, in Salt Lake City, told Reuters Health in a joint email. LVADs, increasingly used to treat patients with advanced heart failure, provide significant hemodynamic unloading that can result in structural reverse remodeling and improved cardiac function. How often this allows pump removal remains unclear. Dr. Birks and...

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