article thumbnail

Abstract 4144084: Enhanced External Counterpulsation as a Novel Treatment for Heart Transplant Candidates with Ischemic Heart Failure with Reduced Ejection Fraction

Circulation

EECP can improve exercise tolerance, reduce anginal symptoms, and enhance endothelial function, offering a potential alternative for patients with ischemic HFrEF awaiting heart transplantation.Description of a Case:A 58-year-old Hispanic female with a history of severe CAD, type II DM, hyperlipidemia, and CVA.

article thumbnail

Preventive catheter ablation for ventricular arrhythmias in patients with end‐stage heart failure referred for heart transplantation evaluation: Rationale for and design of the CASTLE‐VT trial

European Journal of Heart Failure

Aims Timely referrals for transplantation and left ventricular assist device (LVAD) play a key role in favourable outcomes in patients with advanced heart failure (HF). Cardiovascular mortality, driven by sudden cardiac death, is the main reason for dying while waiting for heart transplantation (HTx).

article thumbnail

Gut microbiota: a potential new regulator of hypertension

Frontiers in Cardiovascular Medicine

Finally, we review various regimens for better-controlling hypertension from the diet, exercise, drugs, antibiotics, probiotics, and fecal transplantation perspectives. We then delve into the mechanism of gut microbiota and its metabolites involved in the occurrence and development of hypertension.

article thumbnail

Abstract Sa1109: Aerobic Capacity of Adults with Fontan Palliation: Disease-specific Reference Values and Relationship to Outcomes

Circulation

The purpose of this study was to determine the expected aerobic capacity of adults with Fontan palliation.Method:Adults with Fontan palliation who underwent cardiopulmonary exercise test at Mayo Clinic (2003-2023) were stratified into quartiles based on the predicted peak VO2. 15.2 - 23.9) 1.69, p<0.001).Conclusions:The

article thumbnail

Heart failure patients with improved ejection fraction: Insights from the MECKI score database

European Journal of Heart Failure

CV mortality is the composite endpoint for CV mortality + urgent transplant + left ventricular assist device implantation. However, data on clinical characteristics, exercise performance and prognosis in HF patients who improved ejection fraction (HFimpEF) are scarce. ml/min, peak oxygen uptake 62.2

article thumbnail

Understanding an Enlarged Heart (Cardiomegaly): Causes, Symptoms, and Treatment

MIBHS

Heart Transplant may be considered in severe cases where other treatments have failed. Exercise regularly to keep the heart strong and healthy. Left Ventricular Assist Device (LVAD) , a mechanical pump that helps the heart pump blood more effectively. Implantable Cardioverter-Defibrillator (ICD) to help manage dangerous heart rhythms.

article thumbnail

What is new in Heart failure management ? Ultrasonic cardiac re-synchronization : The WiSE -CRT device

Dr. S. Venkatesan MD

This has made the whole concept of RV-LV synchronization a futile exercise in many. Only few lucky patients end up getting heart transplantation, the ultimate treatment. The primary reason is, the LV epicardial lead pacing site was pre-selected by the coronary sinus anatomy. What is new in CRT ?