Dr. Teuteberg's Heartmate II LVAD Adjustment Testing

Basic HMII Echos
RPM adjustment  (Echo protocol)

Baseline TESTING

VIEWS: List RPM

  • Apical 4

  • Parasternal Long with M-Mode

  • Parasternal Short With M-Mode

VIEWS For LV Size

  • Aortic Opening

  • Septal Flattening / shift

Increase speed and repeat

 

 

 List RPMS for each view (Echo protocol)

Autospeed Testing

Similar views

Find Lowest RPM

  • Decrease RPM 200

  • Measure

    • LV diameter

    • Aortic opening

    • Septal flattening

  • Repeat until symptoms

Find highest RPM

  • Increase RPM 200
  • As Above until "suckdown"