What does Intermacs mean?
Background—INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support) profiles provide important prognostic information for patients with advanced heart failure (HF) receiving mechanical support.
What is Intermacs classification?
The INTERMACS classification is a key classification system used by heart failure clinicians. It came out of a need to improve the characterization of patients with advanced heart failure, patients who were previously classified as having NYHA class 3 or 4 symptoms.
Are there stages to heart failure?
There are four heart failure stages (Stage A, B, C and D). The stages range from “high risk of developing heart failure” to “advanced heart failure.”
Who qualifies for LVAD?
Who is a candidate for an LVAD? LVADs are for people with heart failure who meet certain criteria. Generally, these are people with advanced heart failure who are considered Class III or IV by the New York Heart Association classification system (see below).
What is Forrester classification?
A third approach, primarily based on invasive hemodynamic assessment, has employed the cardiac index (CI) and the pulmonary capillary wedge pressure for categorization of patients with a MI, and is known as the Forrester classification.
What is intermacs?
It was established in 2005 at the University of Alabama at Birmingham as a joint effort among the National Heart, Lung, and Blood Institute, the Food and Drug Administration, the Centers for Medicare & Medicaid Services, and others. The Intermacs Database includes longitudinal data for the life of a patient with an MCS device.
What is profile 1 of the intermacs classification?
Unlike in the usual types of classifications, in the INTERMACS classification, profile 1 is the most severe. It is critical cardiogenic shock with life threatening hypotension despite escalating inotropic support, with critical organ hypoperfusion. This is associated with worsening acidosis and/or lactate levels.
What is the intermacs classification of shock?
Unlike in the usual types of classifications, in the INTERMACS classification, profile 1 is the most severe. It is critical cardiogenic shock with life threatening hypotension despite escalating inotropic support, with critical organ hypoperfusion.
What data is included in the intermacs database?
The Intermacs Database includes longitudinal data for the life of a patient with an MCS device. Approximately 36,000 patients currently are enrolled at more than 200 sites.