Penn Cardiac Care Newsletter
 

December 2003

End-stage Heart Failure
Latest techniques benefit heart patients
Heart Healthy Recipe: Chocolate Macaroons

Penn Cardiac Care doctors offer hope to patients with end-stage heart failure

Heart failure, the leading cause of hospital admissions in the country, is a condition, which poses a serious threat to a patients’ quality of life and their life expectancy. 400,000 new patients are diagnosed with heart failure each year and as the population continues to age, more cases of heart failure, particularly chronic heart failure, are expected, increasing the burden on an already limited heart transplant donor list.

Mariell L. Jessup, MD, medical director of the Heart Failure and Transplantation Program at the Hospital of the University of Pennsylvania, notes, "We are a huge program and though we performed more heart transplants in 2003 than any other hospital in the region and are recognized among the top five heart transplant programs in the country, we are much more proud of the fact that we can help many patients avoid transplant."

Steady improvements in artificial cardiac support technology such as ventricular assist devices (VADs) have enabled patients with end-stage heart failure to remain at home for more than a year until a heart becomes available. Unfortunately, there are not enough donor hearts available to meet the demand and in some cases, a match may not occur.

Fortunately, recent studies showed that the quality of life and survival rates of patients not eligible for transplantation were significantly improved at one and two years with VADs in comparison to medical therapy alone. As a result the Federal Drug Administration is considering that these VADs be approved for patients with end-stage heart failure.

Rohinton J. Morris, MD, a Penn Cardiac Care surgeon states, "We are proud to offer a full array of treatment options and new hope to patients suffering from end-stage heart failure, severe mitral valve insufficiency or a major heart attack." LVADs (left ventricular assist devices) enable patients to regain their independence and resume their lifestyles and often eliminate the need for lifelong medication. Our patients are more comfortable and enjoy the opportunity to spend more time with their family and friends in the comfort of their own home."

Penn Cardiac Care offers:

  • VADs: These devices are implanted inside the body and help the heart function to pump blood throughout the body; patients are able to take low-level blood thinners with aspirin
  • Heart jacket: This mesh-like jacket is sewn around the patient's heart. As the heart loses its ability to function, it has to work harder to pump blood throughout the body, and as a result, grows larger. This jacket inhibits the growth in size, easing the heart's workload.

The Penn Cardiac Care Heart Failure and Heart Transplantation Program provides patients access to a multidisciplinary team of experts, including surgeons, cardiologists, nurses, transplant and VAD coordinators, social workers, cardiac rehabilitation specialists and even a financial counselor. Each member of our staff is highly skilled in utilizing the most advanced technology and medical management approaches to treat patients with heart failure.

 


 

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