Patient presented to ed after consultation with left ventricular assist device (lvad) coordinator due to low flows.He was alert and oriented on my assessment.Pale, fatigued, and nauseated.Intermittently pulsatile.Non-invasive blood pressure mean arterial pressure 84.Wife at bedside.Lvad actively alarming low flow.Connected to monitor.Flow shows abrupt drop in last 12-16 hours, now 0.3.Power now 2.9.Wife states low flows have been present since last preventative maintenance (pm), did not improve with fluids.She did not look at flow value last pm.Patient with history of suspected inlet thrombus 8 months ago.Last in clinic one month ago.Power (w): 4.7 4.9 / 3.6 - 5.5.Of note, controller time and date set to 7 months ago.Unclear why.Wife states no controller exchange.Updated time/date to correct.Sent urgent log file analysis to medtronic.Physicians at bed side at bedside.Suspect recurrence of inlet thrombus.Manufacturer response for lvad pump, (brand not provided) (per site reporter).Unknown.Urgent log file was sent to medtronic.
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