Cardiology
EUROMACS-RHF Score for Right Heart Failure after LVAD
Predicts severe right heart failure (RHF) requiring short-term mechanical circulatory support after LVAD implantation.
Score interpretation
Low Risk (0–2) 0–2
Severe right heart failure after LVAD in about 11 %.
→ Standard LVAD planning.
Intermediate Risk (2.5–4) 2.5–4
Intermediate risk of severe right heart failure.
→ Optimise RV function pre-implant; heart-team review.
High Risk (> 4) 4.5–9.5
Severe right heart failure after LVAD in about 43 %.
→ Heart-team review; consider planned RV support or alternatives.
Interpretation bands for the EUROMACS-RHF. Apply clinical judgement and local guidance.
References
- Soliman OI et al. Derivation and validation of a novel right-sided heart failure model after implantation of continuous flow left ventricular assist devices: the EUROMACS right-sided heart failure risk score. Circulation. 2018;137(9):891–906.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.