Cardiovascular Medicine
Our Cardiovascular Medicine Department provides heart care and heart health services from simple to complex.
Advanced Heart Failure and Cardiomyopathy Program
Appointments
Specialized Heart Treatments
The cardiologists at Lahey Hospital & Medical Center (LHMC) are skilled in diagnosing and treating advanced heart failure, a condition in which the heart is no longer able to pump enough blood to meet the demands of the body’s vital organs. We offer a broad spectrum of treatments and services to treat heart failure.
The team also has specialized expertise in diagnosing and treating various types of cardiomyopathy, which are abnormalities of the heart muscle. The program is involved in a large number of clinical research trials, allowing patients access to novel treatments of heart failure.
Diagnosis
Our advanced heart failure team is experienced in the diagnosis and treatment of all types of heart failure and can determine the specialized heart tests you need.
We offer specialized tests for heart failure or cardiomyopathy, including:
- Echocardiogram (cardiac ultrasound)
- Cardiac MRI
- Radionuclide (“nuclear”) imaging, including PET scans and TTR amyloid scans
- Advanced stress testing with imaging
- Cardiopulmonary exercise testing with metabolic analysis
- Cardiac catheterization and coronary angiogram
- Right heart catheterization and pulmonary hypertension testing
- Endomyocardial cardiac biopsy
- Advanced electrophysiology testing for arrhythmias
- Fat pad biopsy for amyloidosis
Special Treatment Programs
At LHMC, we have specialized programs to treat the following conditions related to heart failure:
Other Treatments & Services
Disease Management at the Lahey Heart Failure Clinic
The Lahey Heart Failure Clinic provides medication adjustments, education, dietary supervision, emotional support and other consultations. Our advanced practitioners and pharmacists specialize in heart failure and work closely with board-certified advanced heart failure cardiologists.
Our goals are to increase patients’ functional capacity, their sense of well-being and to reduce readmissions for heart failure.
The Heart Failure Clinic services include:
- Evaluations by a cardiac advanced practitioner specializing in heart failure management
- Multidisciplinary team approach to meet each patient’s unique needs
- Personalized pharmacologic treatments
- Intensive education about heart failure, proper diet, exercise, and other non-medication treatments
- Assessment of eligibility for clinical research trials that study new treatments for heart failure
Heart Failure Pharmacotherapy Clinic
A pharmacist specializing in heart failure medical therapy will meet with patients to help adjust dosages of medications and monitor for side effects.
Cardiovascular Genetics Program
Some types of heart failure are related to a genetic disease. Dr. Usman Tahir is a cardiovascular geneticist who can provide genetic counseling and testing for patients and their family members.
Cardiac Resynchronization Therapy (CRT)
Some patients may benefit from the insertion of special (biventricular) pacemakers to improve their symptoms and exercise tolerance. LHMC has been a leading center in this treatment in the region.
CardioMEMS Sensor
The CardioMEMS sensor is an implantable device that remotely monitors the pulmonary artery pressure (pressure in the lungs), and provides this information to heart failure clinicians on a daily basis. The implant procedure is done as a same-day outpatient procedure.
Heart Transplantation and Left Ventricular Assist Devices (LVAD)
We offer evaluation for both heart transplantation and left ventricular assist devices (LVAD) for patients with severe heart failure who meet the established eligibility criteria. If an LVAD is considered appropriate, we will coordinate a referral to Beth Israel Deaconess Medical Center (BIDMC) or another appropriate center. If a patient is a candidate for transplantation, they will meet with caregivers from the Beth Israel Lahey Health Heart Transplant Program at BIDMC. The team works closely with the LHMC Advanced Heart Failure and Cardiomyopathy Program. Following surgery and recovery, patients may still receive most of their testing and care locally at LHMC.
Heart Failure & Cardiomyopathy Tests
We offer specialized tests for heart failure or cardiomyopathy, including:
- Advanced electrophysiology testing for arrhythmias
- Advanced stress testing with imaging
- Cardiac MRI
- Cardiac catheterization and coronary angiogram
- Cardiopulmonary exercise testing with metabolic analysis
- Echocardiogram (cardiac ultrasound)
- Endomyocardial cardiac biopsy
- Fat pad biopsy for amyloidosis
- Radionuclide (“nuclear”) imaging, including PET & TTR amyloid scans
- Right heart catheterization & pulmonary hypertension testing
