>>13419404Wild guess: it doesn't, at least not very much. This is all still in the experimental phase and those with it have to accept certain limitations. If it ever became as mainstream as something like a hip replacement, there would be some sort of feedback loop where it noticed a drop on blood oxygen and increased the flow rate to compensate. Maybe something to stimulate the breathing rate would be needed too.
In the really long run, it's possible such heart replacements could be banned for those in athletic competitions as they could theoretically provide superior results to a natural heart.