ToolsCalculators
EUROMACS-RHF Score for Right Heart Failure after LVAD
Predicts early right heart failure after LVAD implantation.
EUROMACS-RHF Score for Right Heart Failure after LVAD
RA/PCWP ratio > 0.54
Hemoglobin <= 10 g/dL
Multiple IV inotropes
INTERMACS class 1-3
Severe RV dysfunction on echocardiography
Result0.0 points
Estimated early right heart failure risk about 11% (low risk).
- Early RHF risk
- about 11%
- Risk category
- low
When to use
- Preoperative estimation of early right heart failure risk before continuous-flow LVAD implantation.
Formula
RA/PCWP >0.54: 2; hemoglobin <=10 g/dL: 1; multiple IV inotropes: 2.5; INTERMACS 1-3: 2; severe RV dysfunction: 2. Range 0-9.5 (low <=2, intermediate 2.5-4, high >=4.5).
Pearls and pitfalls
- Higher scores correlate with both post-LVAD RHF and mortality.
- RHF percentages are approximate figures from the derivation cohort.