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“Stable” Asystole in a Patient with Left Ventricular Assist Device

DOI: 10.46998/IJCMCR.2021.12.000284 Background Left Ventricular Assist Devices (LVADs) for mechanical circulatory support are rapidly increasing with more than 25,000 LVADs implanted over the past decade [1]. Indications for use are patients with end-stage heart failure as a bridge-to-transplant, bridge-to-decision or as Destination Therapy (DT) for those not deemed transplant candidates [2,3]. LVAD therapy changed the landscape of advanced heart failure management; however, they are not without complications such as gastrointestinal bleeding, pump thrombosis, stroke, infection and right heart failure. One area of interest is arrhythmia in the LVAD supported patient. Although presentation and consequences of Ventricular Arrhythmias (VA) in LVAD supported patients are well described and often stabilized by the mechanical support, presence of asystole in LVAD patients is less commonly reported.