What are the two primary goals of mechanical circulatory support?

The two primary goals of mechanical circulatory support are to restore adequate end organ perfusion and achieve ventricular unloading.

Restoring adequate end organ perfusion is essential in critically ill patients, particularly in cases of heart failure or shock, as this ensures that vital organs receive enough blood flow and oxygen to function properly. Mechanical circulatory support devices, such as ventricular assist devices or ECMO, are designed to temporarily take over the heart's pumping function, allowing blood to flow to organs effectively.

Ventricular unloading refers to the reduction of the workload on the heart. When the heart is stressed or failing, it can become overworked, leading to further damage and decreased efficiency. Mechanical support aids in unloading the ventricle by facilitating blood flow in a way that reduces the pressure and volume the heart must handle, allowing it to rest and potentially recover.

The other choices address aspects of support and stabilization but do not capture the primary objectives of mechanical circulatory support as effectively as the restoration of organ perfusion and ventricular unloading.