HFSA/SAEM/ISHLT clinical expert consensus document on the emergency management of patients with ventricular assist devices

UMMS Affiliation

Department of Emergency Medicine

Publication Date


Document Type



Emergency Medicine


Mechanical circulatory support is now widely accepted as a viable long-term treatment option for patients with end-stage heart failure (HF). As the range of indications for the implantation of ventricular assist devices grows, so does the number of patients living in the community with durable support. Because of their underlying disease and comorbidities, in addition to the presence of mechanical support, these patients are at a high risk for medical urgencies and emergencies (Table 1). Thus, it is the responsibility of clinicians to understand the basics of their emergency care. This consensus document represents a collaborative effort by the Heart Failure Society of America, the Society for Academic Emergency Medicine, and the International Society for Heart and Lung Transplantation (ISHLT) to educate practicing clinicians about the emergency management of patients with ventricular assist devices. The target audience includes HF specialists and emergency medicine physicians, as well as general cardiologists and community-based providers.


mechanical circulatory support, ventricular assist device, heart failure, emergency medicine, destination therapy

DOI of Published Version



J Heart Lung Transplant. 2019 Jul;38(7):677-698. doi: 10.1016/j.healun.2019.05.004. Link to article on publisher's site

Journal/Book/Conference Title

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation


This article has been co-published in the Journal of Cardiac Failure.

Related Resources

Link to Article in PubMed

PubMed ID