Analysis of Patients With Ventricular Assist Devices Presenting to an Urban Emergency Department

Ryan P. McKillip, MD; Anand Gopalsami, MD; Magdeline Montoya, MD; Gene Kim, MD; James J. Walter, MD; Colleen Juricek, MS; Eric Shappell, MD MHPE


Western J Emerg Med. 2018;19(6):907-911. 

In This Article


This is the largest study known to the investigators to report the rate of ED presentations of patients with LVADs and provide analysis of device-specific presentations. In patients that do have device-specific ED presentations, pump thrombosis is a common diagnosis and can present without device alarms. Specialized LVAD education and preparation initiatives for ED providers should emphasize the recognition and management of the most common and critical conditions for this patient population, which have been identified as bleeding, infection, heart failure, and pump thrombosis.