Diagnosis Fortgeschrittene Herzinsuffizienz / Kurt-Josef M. (66) at 10 years …

03.09.2024 – 12:06

Abbott GmbH

Wiesbaden (not available)

Interview with Professor Dr. med. Jan D. Schmitto, specialist for Herzurgery and Bereichsleiter Herzunterstützungssysteme of Klinik for Herz, Thorax, Transplanten en Gefäßsurgery at the Medizinische Hochschule Hannover (MHH) and implanter of the most common HeartMate 3 LVADs. Ein LVAD – Left Ventricular Assist Device bzw. Links Ventricular Restoration System – should be set up, if the pump control of the brain is no longer out of sight, a better solution with oxygen-free blood can be provided.

In Germany, more than 2 Millionen Menschen lead a Herzinsuffizienz, Tendenz increasing (1). More than 500,000 of those affected have been discussed several times in the past in their health care station (2). Refreshment is not feasible, but this information can still be requested. Dennoch has suffered from a transplant or the implantation of a mechanical Kreislaufunterstützungssystems bzw in the case of the strengthening functions of the brain in manchen. a herzpompeunausweichlich.

I interview Professor Schmitto, who has such a re-pump, explains, for example, the HeartMate 3 LVAD from Abbott, the way in a “new”, self-testing manner that can be used and where a real alternative to heart transplantation is.

In 2014, Professor Schmitto had one of the first experiences of MHH with a patient implanted with the HeartMate 3 Heart Support System from Abbott. Kurt-Josef M. (66) thought it was a normal life.

Professor Schmitto, what was the indication for the care of a patient/a patient with a re-pump?

The indication is best when the pumping function of the heart is carried out by Ausreizen all medical therapies and the heart function is no longer clear, an examination with Blut, and follows with Sauerstoff and life-weight substances with versorgen.

Who monitors the implantation of LVADs?

When implanting an LVAD-Systems, it acts as a re-surgery procedure. The operations are standardized and can be continued for years. This would be invasive, even for the cleaner operating methods of patients.

Who has long been on the Healing Prozess? Do you want to know what the possibilities are?

The patients notice that they get a positive statement in the situation soon after the operation. Taxes, as they are planned before the Operation, will change their policy, while they then verringert the Zeit. The patients come with more patients and without tax return.

LVADs with Abbotts HeartMate 3 have long been seen as a transition solution to a new brain transplant. In some cases it would no longer be the case, where would it not be?

Yes, that’s right. Here are the results of the years that positive results have been achieved. The patients notice that it is a problem and that it could be that they end up in their situation, that is one of the few heart surgery interventions that are possibly performed.

Why is an LVAD with HeartMate 3 a sinful alternative to a retransplantation?

The clinical treatment with LVAD systems, which the HeartMate 3 enables, can be used for years. When the existing organ transplants with long-term care for patients are provided, the LVAD system can refine all the time. A hereditary revocation that was implanted almost a while ago, could be quite a job.

Have you done any research on the effectiveness and quality of HeartMate 3? What was the purpose of the future of LVADs?

International studies, with the MOMENTUM 3 study and the ELEVATE study, have long-term studied patients with a re-inflatable middle-wall. While patients with a high heart failure without an LVAD system often only have 1-2 years of lifespan, patients with an LVAD system can live longer. The first patient, who had a HeartMate 3 system implanted 10 years after the MHH, still cannot get into his intestines.

In fact, having an LVAD is a “normal” lifestyle. what kind of single-handedness gibt es?

Because the LVAD system has the natural pumping function of the brain system, all organ systems – such as the kidneys, liver and lungs – were supplied with blood, sauers and life-saving substances, and can be used. Ensure that the disease burden and the quality of life of the patient are nachweislich. The pump is supplied with energy during a driveline and battery, so that these patients come fully into view of swimming, bathing and sauna.

For 10 years he has received 56 patients Kurt-Josef M. as patient welfare of HeartMate 3. In what Verfassung can the patient suffer from his illness and his struggle with these losses?

Herr M. has given his opinion on a very critical assessment. There are powerful medical devices and a working time that is not as good as the end. The separation of the historical Meilenstein-Eingriff is a different choice than that of an Eingriff, which is an alternative gab. It was all a matter of time and of the direction of the eingriffs.

Who thinks Kurt-Josef M. can keep the Eingriff afloat and what it is like?

Mr. M. has seen the Eingriff damals that are about the operation tomorrow and how quickly the heart and lung function operation will take place.

I am such that surgery is an optimal solution. Who sees the fall of the patient when he gets sick?

Yes, in the Tat, the Nachsorge is essential. Make sure that the department of specialized VAD coordinators and coordinators are guided. These are very hereditary and highly specialized in the treatment, which are as medically as technically and psychologically intensive, can help our LVAD patients and form a larger group before they follow the programs.

Was it a fact that Kurt-Josef M. could have led a normal life?

It is a multifunctional package: safe operation, a reliable LVAD system, very good care for a patient, so that all safety regulations are strictly followed and followed.

A click in the Zukunft: Könnensystem with HeartMate 3 Transplantation is a piece of cake? What kind of mechanical support systems should be used for this?

The regeneration in this area is becoming firmer. A quantity of fluid for this therapeutic form, which is connected to the control cable, the driveline that is displayed, is made possible. We repeat the analysis of the sensor and battery technology that supports the software algorithms. If you want to achieve one of your most common experiences and innovations, the entire life of the patient will be very useful.

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Sources

(1) Herzbericht 2020 Deutscher Herzbericht 2020 (herzstiftung.de)

(2) https://herzmedizin.de/fuer-patienten-und-interessierte/herzkrankheiten/herzinsuffizienz-ursachen-symptome-therapie.html

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