Publish in this journal
Journal Information
Vol. 70. Issue 6.
Pages 498 (June 2017)
Image in cardiology
DOI: 10.1016/j.rec.2016.08.008
Full text access
A Three-in-one Snapshot of the Modern Management of Heart Failure
Tratamiento actual de insuficiencia cardiaca en una imagen
David Dobarroa,
Corresponding author

Corresponding author:
, Salvatore di Stefanob, Luis de la Fuentea
a Unidad de Insuficiencia Cardiaca y Trasplante, Instituto de Ciencias del Corazón (ICICOR), Hospital Clínico Universitario, Valladolid, Spain
b Servicio de Cirugía Cardiaca, Hospital Clínico Universitario, Valladolid, Spain
This item has received
(Daily data update)
Article information
Full Text
Download PDF
Figures (1)
Full Text

A 57-year-old man with a diagnosis of idiopathic dilated cardiomyopathy was admitted for elective implantation of the HeartWare HVAD left ventricular assist device as a bridge to transplant. He was referred to our heart failure service in 2010 because of severe left ventricular dysfunction. Medical treatment with beta-blockers, an angiotensin-converting enzyme inhibitor, and aldosterone antagonists was optimized at that time. Due to severe functional mitral regurgitation and clinical worsening, the patient underwent MitraClip implantation (Figure, arrow) in March 2012 with excellent clinical response. An implantable cardioverter-defibrillator with cardiac resynchronization therapy (Figure, asterisk) was implanted in January 2015 after he developed complete left bundle branch block. He remained in New York Heart Association class II until February 2016 when he was admitted because of worsening heart failure. The patient was assessed for transplant and entered on the waiting list. Despite several admissions for levosimendan infusions, he remained in functional class IIIB and INTERMACS 4 profile level with a slow and progressive clinical decline. For that reason, a ventricular assist device (Figure, plus sign) was implanted as a bridge to transplant in June 2016. The following image shows these 3 devices in 1 patient, as a picture of how technology is changing the management of advanced heart failure.

Copyright © 2016. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.