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ARTICLE IN PRESSJournal of Cardiac Failure Vol.00 No.00 2023The International Society for Heart and LungTransplantation/Heart Failure Society of America Guidelineon Acute Mechanical Circulatory SupportALEXANDER M.BERNHARDT,MD,1 HANNAH COPELAND,MD,2#ANITA DESWAL,MD,MPH,3.JASON GLUCK,DO,4.ANDMICHAEL M.GIVERTZ,MD 5.WHamburg,Germany;Fort Wayne,Indiana;Houston,Texas;Hartford,Connecticut and Boston,MassachusettsTask Force 1:Aburjania,MD;Jean M.Connors,MD;Jasmin S.Chairs:Alexander M.Bernhardt,MD;Jason Gluck,Hanke,MD;Elrina Joubert-Huebner,MD;Gal Levy,DO.Co-Chairs:Arthur Reshad Garan,MD,MS;ShelleyMD;Ann E.Woolley,MD,MPHHall,MD;Awori Hayanga,MD;lvan Knezevic,MD;Task Force 3:Federico Pappalardo;MD;Joyce Wald,DO.Contribut-Chair:Hannah Copeland,MD.Co-Chairs:David L.ing Writers:Cristiano Amarelli,MD;William L Baker,S.Morales,MD:Amanda Vest,MBBS,MPH.Contrib-PharmD;David Baran,MD;Daniel Dilling,MD;Airlieuting Writers:Francisco A.Arabia,MD,MBA;Hogan,RN;Anna L.Meyer,MD;Ivan Netuka,MD;Michael Carrier,MD,MBA;Christopher T.Salerno,Minoru Ono,MD;Federico Pappalardo,MD;GustavoMD;Benedikt Schrage,MDParrilla,MD;Duc Thin Pham,MD;Scott Silvestry,MD;Task Force 4:Christy Smith,MD;Koji Takeda,MD;Sunu S.Thomas,Chair:Anita Deswal,MD,MPH.Co-Chair:SavitriMD,MSc Esther Vorovich,MD,MSCEFedson,MD,MA.Contributing Writers:Larry A.Task Force 2:Allen,MD,MHS;Cynthia J.Bither,CRNP;ShannonChair:Michael M.Givertz,MD.Co-Chair:Jo EllenDunlay,MD,MS;Paola Morejon,MD;Kay Kendall,Rodgers,PharmD.Contributing Writers:NanaMSW,LISWList of abbreviations:ACT,activated clotting time;aPTT,activated partial thromboplastin time;ACHD,adult congenital heart disease;ADHF,acute decompensated heart failure;AHA,American Heart Association;Al,aortic insufficiency;AMl,acute myocardial infarction;ARDS,acute respiratory distress syndrome;BiV,biventricular;BMI,body mass index;C difficile,Clostridium difficile infection;CrCl,creati-nine clearance;CS,cardiogenic shock;CO,cardiac output;CPB,cardiopulmonary bypass;CXR,chest radiograph;CT,computerized tomog-raphy;CVP,central venous pressure;DCCV,DC cardioversion;ESC,European Society of Cardiology;ECG,electrocardiogram;ECMOextracorporeal membrane oxygenation;eCPR,extracorporeal cardiopulmonary resuscitation;ECLS,extracorporeal life support;ELSO,Extracorporeal Life Support Organization;EN,enteral nutrition;FAC,fractional area change;GP,glycoprotein;HF,heart failure;IABP,intra-aortic balloon pump;ICH,intracranial hemorrhage;INTERMACS,Interagency Registry for Mechanically Assisted Circulatory Support;INR,international normalized ratio;IV,intravenous;LMWH,low-molecular weight heparin;LAP,left atrial pressure;LV,left ventricular;LVAD,left ventricular assist device;LVEDP,left ventricular end diastolic pressure;LVEF,left ventricular ejection fraction;MAP,mean arte-rial pressure;MCS,mechanical circulatory support;MS,mitral stenosis;MR,mitral regurgitation;MV,mitral valve;NIS,Nationwide Inpa-tient Sample;NSTEMI,non-ST elevation myocardial infarction;PAC,pulmonary artery catheter;PA
