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Treatment of HeartMate II Short-to-Shield Patients With an

Treatment of HeartMate II Short-to-Shield Patients With an 2026

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The document is a consultation form for referring patients to the University of Kentucky Heart Transplant and Ventricular Assist Device program. It outlines the necessary information and documentation required for the referral, including patient demographics, medical history, and previous test results. The form also provides contact details for the transplant center and instructions for submission.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Patient Information section. Enter the patient's last name, first name, middle initial, and date of birth in the designated fields.
Provide the mailing address, social security number, city, state, zip code, and sex of the patient. Ensure all information is accurate for proper processing.
In the Reason for Consultation section, select either 'Heart Failure' or 'Heart Transplant/Ventricular Assist Device' as applicable.
Complete the Referring Physician Information section with the physician's name, contact name, phone number, NPI number, email address, and fax number.
Finally, review all entered information for accuracy before submitting. You can easily save or print your completed form directly from our platform.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the restrictions for LVAD patients?

Individuals supported by CF-LVADs typically do not have a physiological pulse.

Can you do CPR on someone with a mechanical heart valve?

Patients with mechanical devices in ventricular tachycardia or ventricular fibrillation may still have a perfusing rhythm and be conscious; these patients should not receive CPR. Patients with total artificial hearts do not respond to CPR and should not receive medications or CPR.

Do patients with LVAD need anticoagulation?

Patients with left ventricular assist devices (LVADs) are at a high risk of both bleeding and thrombotic complications. Patients must be on therapeutic anticoagulation to prevent pump thrombosis, but many develop acquired von Willebrand disease from the shear stress.

Do you do compressions on a patient with an LVAD?

Generally, even if the LVAD is functional, if the patient is unresponsive with signs of impaired perfusion with MAP 50 mmHg, end tidal 20 mmHg, decreased mentation, or abnormal cardiac contractility, external chest compressions should be initiated and ACLS protocols should be followed, including the administration

What type of LVAD can exhibit a short to shield condition?

The short-to-shield (STS) phenomenon is a specific type of LVAD driveline dysfunction observed in Heartmate II patients due to damage to driveline wiring insulation that results in pump stoppage when connected to a grounded power base.

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Can you do CPR on a patient with an impella?

In general, the only activity restrictions are no swimming and no contact sports. Your physician can discuss exercise goals and guidelines with you. You will also need to increase your fluid intake because the LVAD is circulating your blood at a steady rate.

Treatment of HeartMate II Short-to-Shield Patients With an 2026

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How to use or fill out Treatment of HeartMate II Short-to-Shield Patients With an

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Got questions?

What are the restrictions for LVAD patients?

Can you do CPR on someone with a mechanical heart valve?

Do patients with LVAD need anticoagulation?

Do you do compressions on a patient with an LVAD?

What type of LVAD can exhibit a short to shield condition?

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Complete this form in 5 minutes or less

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Can you do CPR on a patient with an impella?

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