Living with an LVAD
Everyday care and safety basics for life with a left ventricular assist device.
What an LVAD Does
A left ventricular assist device (LVAD) is a mechanical pump that helps a weakened heart circulate blood. It may be used as a bridge while waiting for transplant, or as a longer-term therapy. A cable called the driveline runs from the internal pump through the skin to an external controller and batteries you carry with you.
Driveline Site Care
The driveline exit site needs regular dressing changes and careful cleaning, following your VAD coordinator's exact protocol - this is one of the most important daily habits, since it's a direct path for infection. Keep the site dry, avoid tugging on the line, and secure it with an abdominal binder or garment as instructed so it doesn't get pulled.
Equipment and Power
Always know your battery levels and keep charged spares with you.
Keep a backup controller and emergency supply bag accessible at all times, including while traveling.
Learn your device's alarms and what each one means so you can respond quickly.
Avoid submerging the equipment in water - ask your team about approved bathing methods.
Carry medical identification noting you have an LVAD, in case of an emergency.
Daily Monitoring
Many LVAD teams ask recipients to check and log device readings, weight, and blood pressure daily, since changes can be an early sign something needs attention. Anti-coagulant (blood thinner) medication is also common with an LVAD, which means watching for unusual bruising or bleeding and keeping regular lab appointments.
When to Call Your Team
Redness, drainage, odor, or pain at the driveline site
Any device alarm you don't understand or can't resolve
Fever, unusual bleeding or bruising, or sudden weight change
Dizziness, chest pain, or shortness of breath
Living Your Life
Many LVAD recipients travel, work, and stay active with their team's guidance. Planning ahead - for travel, for power outages, for emergencies - and staying connected with your VAD coordinator and a support network can make day-to-day life feel much more manageable.
Have questions about how this applies to you? Contact your transplant team or care coordinator - they know your specific history and treatment plan.