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Ambulatory and Community Mechanical Circulatory Support

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Diagnosis Table 1. Recommended Diagnostics for Assessment of Patients on Mechanical Circulatory Support Chemistries CBC Urine analysis LDH PT/INR ECG Chest x-ray Consider pacemaker interrogation Table 2. Stroke in Patients With a VAD Evaluation of Stroke Assessment Purpose PT/PTT, INR Guide management of anticoagulation Head CT scan Assess severity and type of stroke (hemorrhagic vs. ischemic) Doppler blood pressure Manage hypertension CTA of the neck and/or carotid Doppler (if not completed before LVAD insertion) Assess for alternative causes of stroke CT of the chest and CXR Assess device positioning (look for kinking of cannula or device obstruction) Neurolog y and/or neurosurgical consultation Make recommendations for stroke management (BP guidelines, surgical intervention if hemorrhagic, etc.)

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