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Previous Volume 339:1522-1533 November 19, 1998 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Congestive heart failure affects about 1 percent of adults in the United States¹ and is a contributing factor in over 250,000 deaths annually.² It is diagnosed in 400,000 Americans each year³ and is the primary diagnosis for over 900,000 hospitalizations per year.⁴

In 1990 the age-adjusted death rate from congestive heart failure was 106.4 per 100,000,⁵ more than that from breast cancer and the acquired immunodeficiency syndrome combined.^6,7 The median survival after diagnosis is 1.7 years in men and 3.2 years in women, with a 5-year survival rate of less than 50 percent.⁸ Even though medical therapies have improved survival . . . [Full Text of this Article]

Ventricular Assist Devices

A Historical Perspective

Wearable Left Ventricular Assist Devices

Left Ventricular Assist Devices as a Bridge to Transplantation

Selection of Patients

Cardiac Factors Affecting Selection

            Valvular Heart Disease

            Coronary Artery Disease

            Arrhythmias

            Congenital Defects

Extracardiac Factors Affecting Selection

            Interactions between the Patient and the Device

            Patients' Adaptation to the Device

Complications

Bleeding

Right-Sided Heart Failure

Thromboembolism

Infection

Device Malfunction

Other Complications

Future Directions

Source Information

From the Department of Surgery, Division of Cardiothoracic Surgery, Columbia–Presbyterian Medical Center, College of Physicians and Surgeons, Columbia University, New York.

Address reprint requests to Dr. Rose at the Department of Surgery, Milstein Hospital, 177 Fort Washington Ave., New York, NY 10032.

References

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