EUROMACS-RHF Score
Determines risk of right ventricular HF in patients after LVAD implantation.
Advice
- Combine score results with a thorough clinical evaluation; always interpret in conjunction with expert clinical judgment.
- Results may be incorporated into:
- The informed consent process.
- Multidisciplinary team discussions regarding the decision process and preoperative preparations.
- A high-risk score may prompt:
- Closer postoperative hemodynamic monitoring.
- Optimization of right ventricular (RV) support (e.g., aggressive diuresis, pulmonary vasodilators, RV mechanical support).
- The use of a biventricular assist device.
- Total heart support.