The Advanced Heart Failure and Transplantation program at UK HealthCare offers a comprehensive and multidisciplinary approach to the treatment of heart disease. Our program combines highly trained and renowned physicians and state-of-the-art technology. We bring together a team of experts from all areas of cardiology who focus on the diagnosis and treatment of heart failure.
We know the term “heart failure” can be frightening, so our doctors and staff work together to create a treatment program that best suits each individual patient’s needs – from the proper medication, lifestyle modification, ventricular assist support devices or, if necessary, a heart transplant.
Our goal is to provide every patient with exceptionally compassionate care in the safest and most appropriate manner possible based on the best evidence and the latest technological advances.
UK Albert B. Chandler Hospital - Pavilion GGill Heart & Vascular Institute800 Rose St.
Lexington KY 40536Fax 859-257-8699
UK Transplant & Specialty ClinicSuite 150Medical Plaza East3 Audubon Plaza Drive
Louisville KY 40217
Services available: Heart, Lung, Liver, Kidney, Pancreas, Living Donor
- Hardesty, Peggy, ARNP, HF Transition Coach
- Mark Bradley, RN, VAD coordinator
- Donna Dennis, RN, Heart Transplant coordinator
- Thomas Tribble, ECMO and VAD coordinator
- Summer Davies, MS, Transplant and VAD social worker
When the heart is unable to pump enough blood to meet the body’s demands, blood pressure within the heart is elevated, which can lead to heart failure. Measuring pulmonary artery pressure is an early indicator that heart failure is getting worse. Directly measuring pressure through a right-heart catheterization is a standard-of-care practice for patients who have been hospitalized. However, since heart failure is a chronic disease, most days are spent outside the hospital.
In recent years health professionals have found that self and in-clinic monitoring options, which are limited by poor sensitivity to detecting subtle heart failure changes, have resulted in increased admissions to the hospital. To help patients better monitor pulmonary artery pressure, cardiologists at the UK Gill Heart & Vascular Institute are the first in Kentucky to adopt a new diagnostic device, the CardioMEMS™ Heart Failure System.
The CardioMEMS™ Heart Failure System uses a miniaturized, wireless monitoring sensor that is implanted in the pulmonary artery during a minimally invasive procedure. The system allows patients to transmit pulmonary artery pressure data from their homes to clinicians at the Gill Heart & Vascular Institute, allowing for personalized and proactive management to reduce the likelihood of hospitalization.
Heart failure, also called congestive heart failure, is a condition where the heart cannot pump enough oxygenated blood to meet the needs of the body's other organs. A failing heart keeps pumping, but not as efficiently as a healthy heart. Usually, the heart's diminished capacity to pump reflects a progressive, underlying condition. Heart failure is a condition in which the heart cannot pump out all of the blood that enters it, causing blood to collect in the vessels and fluid to accumulate in body tissues. Nearly 5 million Americans are living with heart failure, and 400,000 to 700,000 new cases are diagnosed each year.
Common risk factors for heart failure are:
- Advancing age
- African-American heritage
- Poorly controlled high blood pressure
- Family history of congestive heart failure
- History of alcohol abuse
Common signs and symptoms of heart failure
The most common signs of congestive heart failure are shortness of breath, fatigue, and swollen ankles or legs. Another symptom is weight gain due to the buildup of fluid in the body.
What causes heart failure?
Heart failure is usually the result of another condition that makes the heart weak or stiff. Common causes include:
- Coronary artery disease or previous heart attack (myocardial infarction)
- Disease of the heart muscle (cardiomyopathy)
- Heart valve disorder
- Severe high blood pressure (hypertension)
How is heart failure diagnosed?
In addition to a complete medical history and physical examination, diagnostic procedures for heart failure may include any, or a combination, of the following:
- Chest X-ray. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
- Echocardiogram (also called echo). A non-invasive test that uses sound waves to evaluate the motion of the heart's chambers and valves. The echo sound waves create an image on the monitor as ultrasound equipment is passed over the heart.
- Electrocardiogram (ECG or EKG). A test that records the electrical activity of the heart, shows abnormal rhythms (arrhythmias or dysrhythmias) and can sometimes detect heart muscle damage.
Heart failure is a chronic disease, but it can be managed successfully with medications and lifestyle changes such as weight loss and exercise. Several medications are available that have been shown to improve symptoms and outcomes in heart failure.
If heart failure is due to severe high blood pressure (hypertension), proper treatment of this can improve symptoms. In a few instances, heart failure can be cured through surgical methods. For example, if heart failure is due to a leaky or narrowed heart valve, surgical repair or replacement of the valve can fix the problem. Devices such as defibrillators and cardiac resynchronization therapy can also help improve symptoms.
Routine medical follow-up is recommended in patients with heart failure. This allows the medical provider to adjust medication as necessary and monitor the patient’s condition. If heart failure worsens to the point that routine daily activities are difficult to perform, advanced treatment options such as heart transplantation or placement of a ventricular assist device may be considered.
Heart to Heart support group
Heart to Heart is a patient support group for patients and families who have undergone a heart transplant or implantation of an artificial heart or ventricular assist device. Our goal is to provide holistic care for each patient (and caregivers) to meet their physical, emotional and spiritual needs in all phases of their care.
The support group, which meets each month, includes cardiothoracic surgeons, transplant cardiologists, heart transplant coordinators, a chaplain, social worker, dietician and nurses who provide care to these patients every day.
UK HealthCare Cardiothoracic Transplant / VAD Support Group
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