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This device would not benefit Mr Foster as of now.  It appears that the Amiodarone has helped his V-Fib and A-Fib however his heart rate seems to on the lower side.  I would say he would benefit more from a pacemaker to help control his heartbeat.  Along with the continued Amiodarone since he has improved SOB and feeling of his heart racing. He would also be a candidate for routine visits and heart monitoring.

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How do changes in heart rate, hypertension, and hypotension affects the device:

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How do changes in heart rate, hypertension, and hypotension affects the device:

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This device is not effected by heart rate, hypertension and hypotension.  It works by pumping how your heart should work (programmed), not by how it is.

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VADs are preload dependent and afterload sensitive

requires anticoagulation to prevent pump or intra-cardiac thrombosis

cardioversion is safe

CPR can be performed (controversial)

perioperative antibiotic prophylaxis is use following insterion (e.g. vancomycin and ceftazidime)

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-For the first four weeks following surgery you will have once a week appointments with your doctor to check how well your device is working and for any complications.
-Cardiac rehabilitation program is customized for you to help improve your health and heart strength with diet, exercise, and stress management.
-Depending on condition you may be able to return to daily life activities.
-The majority of devices are just used short-term and removed with-in 4-6 weeks.

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Blood Clots
Bleeding
Infection
Device malfunctions

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Difference from Left Ventricular Assist Device (LVAD)?

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Difference from Left Ventricular Assist Device (LVAD)?

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Both have a small tube that carries blood out of the heart into a pump then blood is pumped back into the aorta (LVAD) or pulmonary artery (RVAD).
Flow:
LVAD-LV to aorta
RVAD-RA or RV to pulomonary artery

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-Metastatic cancer
-Irreversible liver or kidney failure due to poor cardiac output.
-Spinal injury with neurological deficits.
-Active coagulopathy
-Refractory tachyarrhythmia
-Active infection
-Mechanical cardiac valves
-Severe valvular regurgitation (especially aortic)

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-Bridge to recovery--Used temporarily to optimize ventricular function while awaiting ventricular function to return.
-Bridge to heart transplant
-Bridge to decision--measure to decide what can and should be done.
-Therapy if not eligible for heart transplant.
-Your heart's function can become normal again.

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It is a long video but has a lot of great information.

http://search.myway.com/search/video.jhtml?searchfor=placement+of+a+right+ventricular+assist+device&n=782b667c&p2=%5EJS%5Exdm020%5ETTAB02%5Eus&ptb=23FA2B79-230F-4CA6-8596-2FA7C536461B&qs=&si=245051_TB-G-US-Main&ss=sub&st=tab&trs=wtt&tpr=sbt&ts=1495678412228

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What are the reasons for a RVAD implantation?

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What are the reasons for a RVAD implantation?

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A ventricular assist device stabilizes your heart function after injury, such as a heart attack. It's also used if you have severe heart failure that does not improve with medicines. It can also keep your heart working while you wait for a heart transplant. For most people, an RVAD is temporary. Your surgeon usually places it after implanting a left-ventricular assist device (LVAD) or doing another type of heart surgery. Your doctor also uses an RVAD to stabilize your condition during an emergency, while you are evaluated and the best treatment is decided on.

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The device is implanted to pump close to your heart. The power source is located outside of your body. It is connected to the pump through a small hole in your abdomen. Both the pump and the power source of some devices are located outside of your body. Tubes then connect the pump to your heart through the small holes in your abdomen.  The device is placed during open-heart surgery. During this procedure, the major arteries that take blood in and out of your heart, to the pump. The pump, in turn, pushes the blood through your heart and out to the rest of your body.

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What is right ventricular assist device (RVAD)?

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What is right ventricular assist device (RVAD)?

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Also known as a "heart pump", is a ventricular assist device helps your heart pump blood when the pumping muscle has become weak. A right ventricular assist device (RVAD) pumps blood from your right ventricle or right atrium into your pulmonary artery and to the lungs.

A ventricular assist device has 3 parts:

A pump. The pump weighs 1 to 2 pounds. It is placed inside or outside of your belly.

An electronic controller. The controller is like a small computer that controls how the pump works.

Batteries. The batteries are carried outside your body. They are connected to the pump with a cable that goes into your belly.

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https://www.saintlukeshealthsystem.org/health-library/right-ventricular-assist-device-implantation

https://www.nhlbi.nih.gov/health/health-topics/topics/vad

http://www.mayoclinic.org/tests-procedures/ventricular-assist-device/details/why-its-done/icc-20167077

https://lifeinthefastlane.com/ccc/ventricular-assist-device/