Abbreviations
ACCF, American College of Cardiology Foundation; ADHERE, Acute Decompensated
Heart Failure National Registry; AHA, American Heart Association; AST, aspartate
aminotransferase; BMI, body mass index; BTD, bridge to decision; BTR, bridge to recovery;
BTT, bridge to transplantation; BUN, blood urea nitrogen; CART, classification regression
tree; CO, cardiac output; COPD, chronic obstructive pulmonary disease; COR, Classification
of Recommendation; CPB, cardiopulmonary bypass; CRP, C-reactive peptide; CRT, cardiac
resynchronization therapy; DT, destination therapy; ECMO, extracorporeal membrane
oxygenation; ESC, European Society of Cardiology; FDA, Food and Drug Administration;
HCT, hematocrit; HF, heart failure; HFSA, Heart Failure Society of America; IABP, intraaortic
balloon pump; IM, INTERMACS level; INR, international normalized ratio; INTERMACS,
Interagency Registry for Mechanically Assisted Circulatory Support; IVAD, implantable
ventricular assist device; L, left; LVAD, left ventricular assist device; LVEF, left ventricular
ejection fraction; MCS, mechanical circulatory support; NA, not applicable; NYHA, New
York Heart Association; OHTx, orthotopic heart transplantation; OMT, optimal maximal
therapy; PAP, pulmonary artery pressure; PCWP, pulmonary capillary wedge pressure; pMCS,
percutaneous mechanical circulatory support; pVAD, paracorporeal ventricular assist device; R,
right; RAP, right atrial pressure; RV, right ventricle; RVEF, right ventricular ejection fraction;
SBP, systolic blood pressure; TAH, total artificial heart; VAD, ventricular assist device
Source
Perua JL, Colvin-Adams M, Francis GS, et al. Recommendations for the use of mechanical
circulatory support: device strategies and patient selection: a scientific statement from the
American Heart Association. Circulation. 2012;126:2648-2667. Epub 2012 Oct 29.
Disclaimer
This Guideline attempts to define principles of practice that should produce high-quality patient care.
It focuses on the needs of primary care practice, but also is applicable to providers at all levels. This
Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining
the same results. The ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician after consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated with
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