The management of heart failure patients with continuous-flow left ventricular assist device (LVAD) patients is challenging. While one third of these patients are recipients of cardiac implantable electronic devices (CIEDs), the risk for atrial and ventricular arrhythmias may coexist. The lack of large datasets and dedicated randomized controlled trials (RCTs) focusing on LVAD and CIED implantation and management has brought medical centres to develop their own protocols and guidelines. This clinical consensus statement of the Heart Failure Association and the European Heart Rhythm Association of the ESC is a joint effort to summarize the current literature and provide advice on patient management within this field.

CAHAL Center for Congenital Heart Disease Amsterdam Leiden Leiden University Medical Center Leiden The Netherlands

Cardiac Pacing Unit Cardiology Department University Hospital of Geneva Geneva Switzerland

Center for Translational and Experimental Cardiology Department of Cardiology University Hospital Zurich University of Zurich Zurich Switzerland

Chair of Pharmacology Department of Human Sciences and Promotion of Quality of Life San Raffaele University of Rome Rome Italy

Department of Cardiology Aarhus University Hospital and Department of Clinical Medicine Aarhus University Aarhus Denmark

Department of Cardiology Heart Center Dresden University Hospital Technischen Universität Dresden Dresden Germany

Department of Cardiology Leiden University Medical Center Leiden The Netherlands

Department of Cardiology Rigshospitalet University of Copenhagen København Denmark

Department of Cardiology San Raffaele Cassino Hospital Cassino Italy

Department of Cardiology University Heart Center University Hospital Zurich and University of Zurich Zurich Switzerland

Department of Cardiology University Rennes Rennes France

Division of Cardiology Department of Medicine Duke University Durham NC USA

Duke Clinical Research Institute Durham NC USA

Heart Failure Heart Transplant Mechanical Circulatory Support Unit Onassis Cardiac Surgery Center Athens Greece

Heart Institute Hadassah University Medical Center and Faculty of Medicine Hebrew University Jerusalem Israel

Institut del Cor Germans Trias i Pujol CIBERCV Barcelona Spain

Institute for Clinical and Experimental Medicine Prague Czech Republic

Institute of Cardiology ASST Spedali Civili Department of Medical and Surgical Specialties Radiological Sciences and Public Health University of Brescia Brescia Italy

PG Dip Cardiology GPSI Cardiology Liverpool Heart and Chest Hospital Liverpool UK

University of Zagreb School of Medicine Department of Cardiovascular Diseases University Hospital Center Zagreb Zagreb Croatia

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