Performance of Risk Scores in Predicting Right Ventricular Failure After LVAD Implantation - PubMed
3 hours ago
- #risk prediction
- #mechanical circulatory support
- #heart failure
- Continuous-flow left ventricular assist devices (CF-LVADs) can lead to right ventricular failure (RVF) in up to 40% of patients, increasing morbidity and mortality.
- A single-center retrospective study of 205 CF-LVAD recipients found that 39.5% developed post-LVAD RVF.
- Comparison of risk scores showed EUROMACS had the highest predictive value (C-statistic 0.670), followed by CRITT (0.653), Penn (0.616), and Michigan (0.606).
- Overall discrimination of existing RVF scores was modest, highlighting a need for refined models with contemporary metrics and external validation.