The systematic assessment of cardiac recovery or the status of the left ventricle
after ventricular assist device (VAD) support is difficult; however, and as Ferrari
and colleagues
1
appropriately identified in a recent issue of this Journal, it is tantamount to adopting
strategies for targeting patients for “bridge to recovery.” The methods employed by
Ferrari and colleagues to demonstrate cardiac recovery are by no means less arduous
than others methods,
2
,
3
,
4
but their approach is laudable given that it attempts to address intrinsic contractility
or the so-called “load-independent” cardiac function via end-systolic pressure–volume
relationships (ESPVRs) at the time of VAD implantation and at explant. We have some
comments with regard to their intriguing report.
1
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Article info
Publication history
Published online: January 06, 2006
Identification
Copyright
© 2006 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.