Timely patient identification and evaluation for advanced heart failure therapies are critical
Without an LVAD or transplant, advanced heart failure patients would not be expected to survive beyond 9 months.2,3*
Timely Referral for Therapy "Rule of 3"4
When one or more of the following signs of heart failure progression are present, initiate a referral to a heart failure specialist to explore advanced treatment options, including mechanical circulatory support or transplant.
Repetitive hospitalizations for heart failure (two or more per year)
Escalating diuretic requirements over time to maintain clinical stability†
Progressive intolerance to neurohormonal therapy with onset of cardio-renal perturbation
Left Ventricular Assist Devices: A primer for the general cardiologist
Inotropes can help heart failure symptoms in the short term but are not a life-saving therapy3
For patients with advanced heart failure, the likelihood of long-term survival without an LVAD or a heart transplant is extremely low.3
Due to poor outcomes associated with long-term inotrope use when a transplant or LVAD is an option, the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Failure Society of America (HFSA) have issued a 3 Harm recommendation. This indicates that the risks of long-term inotrope therapy far outweigh the benefits if a transplant or LVAD if available.2
Patients on long-term inotrope support have a median survival of under a year1
Learn how the HeartMate 3™ LVAD has advanced the field of LVAD therapy with innovation and exceptional clinical outcomes.
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Clinics are listed in order of geographic proximity from the information entered in the locator. Abbott does not endorse any of the clinics on this locator, but merely provides them as a courtesy to patients. Nor does Abbott represent that this is a full list of clinics in a particular location. Though Abbott attempts to regularly update the locator, the locator may not have the latest information regarding the clinic or provider, or availability of product. The clinics are included in the locator because they are certified as a HeartMate LVAD implanting center, have ordered at least one HeartMate LVAD in the last 12 months, and have all HeartMate LVAD device-related equipment required for patient management. The number of orders has been validated; the number of implants has not been validated. This locator includes US clinics only. No clinics or healthcare professionals (HCPs) have paid or received a fee to be listed, but some HCPs within the clinics on this locator may purchase products from Abbott, provide consulting services to Abbott, and/or may have a financial relationship with Abbott. The locator is not meant to be an endorsement for any particular clinic, nor does it represent the qualifications of the HCPs at the clinic. Note that Abbott is a medical device manufacturer and cannot provide medical advice.
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Patient Education for Heart Failure
A resource to help patients learn more about heart failure and understand how LVAD therapy can save their life.
*Patients on inotropes who did not receive a transplant or left ventricular assist device.
**Key adverse events include pump thrombosis, stroke and gastrointestinal (GI) bleeding.
†For example, an increase in oral loop diuretic therapy by 50% in the past 6 months.
References
- Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. September 8, 2022. doi:10.1001/jama.2022.16197
- Writing Committee Members; ACC/AHA Joint Committee Members. 2022 AHA/ACC/HFSA guideline for the management of heart failure. J Card Fail. 2022;28(5):e1-e167
- Hashim T, Sanam K, Revilla-Martinez M, et al. Clinical Characteristics and Outcomes of Intravenous Inotropic Therapy in Advanced Heart Failure. Circ Heart Fail. 2015;8(5):880-886
- Mehra MR, Gustafsson F. Left ventricular assist devices at the crossroad of innovation in advanced heart failure. J Card Fail. 2021;27(11):1291-1294. doi:10.1016/j.cardfail.2021.06.003
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