Left ventricular assist device (LVAD) use has revolutionized the care of patients with advanced heart failure, allowing for more patients to survive until heart transplant and providing improved quality for patients unable to undergo transplantation. Despite these benefits, LVADs are associated with neurological complications despite an improvement in device technology and better clinical care and experience. This review provides information on the incidence, risk factors, and management of neurological complications among LVAD patients. While scant guidelines exist for the evaluation and management of neurological complications in LVAD patients, a high index of suspicion can prompt early detection of neurological complications which may improve overall neurological outcomes. A better understanding of the implications of continuous circulatory flow on systemic and cerebral vasculature is necessary to reduce the common occurrence of neurological complications in this population.

We examined the neurological symptoms of patients treated in intensive care for COVID-19 in this study. We obtained the study data retrospectively from data records of 1,699 patients treated in the COVID-19 clinics of a training and research hospital. The study is a descriptive and cross-sectional study. Sociodemographic and Disease Information Form were used for data collection. Statistical Packed for the Social Sciences 25.0 IBM was used in Data analysis. It was observed that 37% of the COVID-19 patients were between the ages of 66-80 years and 55.6% of the COVID-19 patients were male. The most common neurological symptoms in the disease process and their rates were as follows: insomnia 74.6%, taste loss 74%, smell loss 75.6%, muscle pain 83.2%, headache 45.1%, dizziness 32.2%, weakness 20.2%, and agitation 34.7%. Assessment of neurological symptoms of patients followed up for COVID-19 is of great importance. We suggest that neurological problems should be tried to be cured with appropriate treatment protocols and therapy support before they progress further and the neurological prognosis progresses.

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Sofia
Journal Co-ordinator
Journal of Medical Research and Health Education