Our Hospital: Powai Thane

Heart Failure Clinic

Sr. No. Name Department Qualification Designation

Overview

What is Heart failure?

Heart failure is a serious condition in which the heart is unable to pump efficiently enough blood to meet the needs of the body. Contrary to its name, heart failure does not mean the heart has failed completely. It is a term used to describe a heart that cannot keep up with its workload due to which the body may not get the oxygen that it need.

 

Symptoms

  • Palpitations
  • Breathlessness
  • Swollen limbs
  • Chronic lack of energy
  • Difficulty in sleeping at night due to breathing issues
  • Tender abdomen with loss of appetite
  • Confusion and impaired memory

 

What are the causes of heart failure?

There are many possible causes of heart failure, more likely to happen as we age .but anyone can develop heart failure, which is a serious, long term chronic condition.

In majority cases this is due to the heart muscle being damaged because it is getting a poor blood supply. This can happen when there has been a heart attack, or other underlying co - morbidities.This could be prevented if patients with these illnesses were identified & treated appropriately at an earlier stage.

The heart is a remarkably adaptable organ. To cope with problems that increases the demands placed on it.The heart muscle is able to remodel itself to maintain output in the short term. However remodeling continues in the long term, it can lead to abnormalities and eventually to heart failure.

 

Why need a Heart failure clinic?

  • Multi-modality consultation
  • Counseling
  • Protocol based medical therapy
  • Routine follow up
  • Device therapies
  • Query redressal
  • Bridge to heart transplant

 

Why Choose Us?

Ample consultation time, as all our heart failure patients need to be heard & given time.

Multi- disciplinary team consultation which comprises of 3 cardiologist, 1 CVTS surgeon, clinical co-ordinator, Psychologist , Cardiac rehabilitation who consult as a team & decide about the treatment plan, helping to make patient’s day -to- day work easy.

Frequent follow up, with holistic integrated approach which insures well being of the patient along with continuity of care.

 

What happens at the Heart failure clinic?

First visit

As the patient arrives at heart failure clinic prior appointment, he / she is assessed by the nursing staff where in vitals are taken & a new case file is maintained for the same.

The nursing staff will then guide the patient towards the clinical co-ordinator, who will assess the patient thoroughly, review your medicines, old reports etc., accompanied by complete examination.

Multi-disciplinary team consultation including Cardiologist, CVTS surgeon, Clinical co- ordinator, Psychologist , Cardiac rehabilitation will review the case in brief & as per the plan investigations will be advised.

A Psychologist will counsel the patient.

The first visit includes a thorough medical & nursing assessment, hence takes time.

It is advisable for the patient to carry along all routine medicines, old medical records during the first visit.

It is advisable that the patient should be accompanied by the family members, caregiver who has been involved in the care of the patient so it becomes easy to develop an individualised care plan.

 

Follow - up visit

You will be reviewed along with all the advised investigations, in the respective cardiologist OPD.

In case of need of multi-disciplinary team meet again as per the individual case the same would be co-ordinated.

At the end of the follow up visit consultation the patient will receive a written plan of action, recommendations & prescription.

 

How can Heart failure be prevented?

This is particularly important for groups at high risk of developing this condition; many people have existing illnesses that place them at risk of heart failure. Healthcare professionals treating such patients should adopt a broad approach that reduces the risk of heart failure and prescribing preventive therapies as appropriate. Patients receiving long- term therapies should be assessed regularly.

Self-care triad

  • Maintenance
  • Management
  • Monitoring

 

Heart failure management

Before suggesting a heart transplant, the cardiac team will attempt to medically manage heart failure in patients with the latest available medication to control progression of the condition. Also the cardiac rehabilitation team will counsel the patients, and their family member on diet and other lifestyle modification to participate in daily routines.

Lifestyle modifications

  • Weight reduction and weight monitoring
  • Restricted salt intake
  • Restricted water intake / fluid restriction
  • Moderate physical activity
  • Bed rest (if symptoms are severe)

 

Pharmacological management

  • Diuretics
  • Angiotensin receptor antagonist
  • Beta blockers
  • Inotropes
  • Digoxin
  • Dobutamine
  • Milrinone

 

Improving public awareness of heart failure

Large number of premature deaths occur through ignorance of the causes and symptoms of heart failure. There is immense need for public awareness programmes that define heart failure in simple and accessible language, explain how to recognize the symptoms and emphasize the need for urgent medical attention the other important messages are that most types of heart failure are preventable and a healthy lifestyle can reduce risk.

 

Location: 3rd floor, Cardiac OPD.

Days & Time: Tuesday and Fridays: 11 am to 1 pm

For appointments contact: 022 25763595 / 25763298

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Your query will be answered within 24 hours of time, in case of urgency one can email us on [email protected]
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