Heart failure is considered advanced when conventional treatments stop working and heart failure symptoms are experienced with minimal or no activity. In addition, people with advanced heart failure are often repeatedly hospitalized and may have evidence of other organ damage.
Our Approach to Treating Advanced Heart Failure
Through our Advanced Heart Failure Program, our team of experts evaluate, diagnose and treat advanced-stage heart failure. We work to identify the underlying cause, level of disease severity and most effective treatment options — tailoring our assessments to your specific condition and unique circumstances.
To avoid or delay the need for heart replacement, our specialists continuously explore the innovative options that can stabilize your heart.
We also work with experts from other specialties to offer any procedures or devices that can further help your heart.
Expertise Providing Options for End-Stage Heart Failure
If end-stage heart failure is reached and heart replacement is needed, the team at Houston Methodist has a remarkable track record performing numerous heart transplants. In fact, we’re a leading transplant site in the U.S., performing more than 1,000 heart transplants since 1968. This often allows our experts to provide hope to people with complex conditions who otherwise would have no options.
We also have one of the largest left ventricular assist device (LVAD) programs nationwide. These heart pumps can extend the lives of those who do not qualify for heart transplant or are waiting for transplant.
Comprehensive Care for Advanced Heart Failure
To ensure you receive the most effective care tailored to your specific condition and unique lifestyle needs, our advanced heart failure team includes:
Cardiologists
Cardiothoracic surgeons
Specialized nurse coordinators
Immunologists
Social workers
Psychiatrists
Critical care specialists
About Advanced Heart Failure
Heart failure is typically considered advanced after:
Conventional treatments stop working
Symptoms occur with minimal or no activity
Repeated hospitalizations
Evidence of other organ damage due to heart failure
Inability to handle recommended heart failure medications
Heart disease without other medical or surgical intervention options
A person does not have to be sick in the hospital with heart failure for it to be considered advanced heart failure. In fact, many times individuals are not hospitalized, but instead are struggling at home.
Advanced heart failure symptoms include:
Progressive breathlessness occurring either at rest, while eating, taking a shower or talking on the phone
Worsening fatigue
Reduced blood pressure
Inability to tolerate standard heart failure medicines
Persistent angina, without any options to improve blood flow to the heart’s arteries
Heart failure can have many causes, including:
Restrictive cardiomyopathy – when the ventricles become rigid and restrict filling
Dilated cardiomyopathy – when the heart muscle becomes abnormally enlarged, thickened or stiff because of a variety of diseases
Cardiac amyloidosis – when there are deposits of abnormal proteins (amyloids) in the heart tissue
Hemochromatosis – a genetic condition that causes an iron overload that poisons organs, including the heart
Sarcoidosis – in which there is growth of inflammatory cells in different parts of the body, including the heart
Ischemic cardiomyopathy – weakening of the heart muscle that can occur as a result of coronary artery disease
Heart valve disease – when one or more of your heart’s valves, which facilitate blood flow, fail to open or close properly
Arrhythmia – an irregular heartbeat, particularly one that is hard to control
If your doctor suspects heart failure, he or she may use the following tests to determine a diagnosis:
Supportive palliative care, which provides relief from symptoms, pain and the mental and physical stress associated with a serious illness
Hospice care
A Program Dedicated to Treating Advanced Heart Failure
When heart failure is advanced or difficult to manage, it’s best treated by a team of specialists that understands both the challenges of your condition as well as your unique needs.
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