MDCalc

EUROMACS-RHF Score

Determines risk of right ventricular HF in patients after LVAD implantation.

RA/PCWP >0.54

Hemoglobin ≤10 g/dL

Multiple intravenous inotropes

INTERMACS class 1–3

See Evidence for details.

Severe RV dysfunction

Semiquantitative assessment of RV systolic function on echocardiography.

Result:

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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.