What are the treatment options for advanced heart failure?

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Multiple conditions can cause advanced heart failure, including arrhythmias, cardiomyopathy, hypertension and more. Heart failure may develop slowly over time or abruptly. World-renowned University of Chicago Medicine cardiologist Nir Uriel, MD, weighed in about the latest management techniques for heart failure.

What are the treatment options for heart failure?

Treatment may require medical therapy combined with lifestyle changes, including physical activity and dietary restrictions. Some patients will need a pacemaker and implantation of a defibrillator. Today, heart failure can be monitored through an implanted chip that transmits information daily to a patient’s care team. If the disease progresses to advanced heart failure, we will work with the patient toward heart transplantation or a left ventricular assist device (LVAD).

What are LVADs?

An LVAD is an implanted pump that supports the heart by moving blood from the heart’s main chamber, the left ventricle, and into the main artery of the body, the aorta. This technology can provide excellent quality of life and longevity to patients with advanced heart failure, both temporarily until a heart transplant is available or as the main therapy for as long as is needed.

How do you decide which treatment to recommend?

Every patient is unique and requires attention from multiple providers, including surgeons, cardiologists, social workers, nutritionists, pharmacists and nurses. Our multidisciplinary team meets regularly to tailor the precise medical or surgical therapy for each patient’s condition. As such, our patients are given more holistic and integrated care.

Nir Uriel, MD

Nir Uriel, MD

Nir Uriel, MD, is a leader in the field of heart failure, mechanical circulatory support and heart transplantation. He specializes in caring for patients who require mechanical circulatory support, including ventricular assist devices (VADs).

Learn more about Dr. Uriel

Heart Failure

Heart failure is a serious and often complex condition, affecting more than 5 million Americans with 825,000 new cases are diagnosed each year.

Learn more about how we treat heart failure