UofL Health offering first-in-state procedure for heart failure patients
UofL Health offering first-in-state procedure for heart failure patients
UofL Health is the first in Kentucky to offer a new procedure for heart failure patients who don’t respond to medications or other therapies. Dr. Nachiket Apte explains how the Barostim device can improve shortness of breath, stamina and increase mobility.
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Content
1.701 -> Heart failure is known to impact
patients starting from their 40's
6.573 -> on an average, and it continues to affect
them till the later years of their life.
11.611 -> A lot of patients, despite medical therapy
14.581 -> and despite doing all the right things,
16.683 -> it is not just medicines,
but things like losing weight
19.386 -> or stopping smoking or,
you know , trying to be more active.
22.389 -> Exercise addressing sleep apnea,
25.225 -> you know, in spite of that, continue
to have symptoms.
29.062 -> We have a robust amount of medications
and procedures
32.565 -> that aim to improve heart function
35.135 -> and when patients do not do good
in spite of all this,
39.272 -> as they continue to have symptoms,
that is when these devices come into place.
45.645 -> The device's name is Barostim.
47.714 -> It's a nice word,
it just means baro receptor stimulation.
50.65 -> UofL Health was the first to actually
place the device in the state of Kentucky.
55.021 -> it's supposed to lead to improved
walking distance for some patients
59.826 -> or improve symptoms so patients are
able to actually walk better
62.862 -> and can do simple tasks through through the day
with more energy.
70.136 -> When we assess these patients prior to a procedure.
73.64 -> We actually do some testing
to see how much they're able to walk
78.144 -> and whether their oxygen numbers
are optimal
81.981 -> and then we compare it by doing
a similar evaluation after the procedure.
87.02 -> From weeks to months
is where you would expect a difference
90.156 -> in terms of performance
91.424 -> it is just like a pacemaker
where at some point
94.727 -> when the charge on that gets low,
we just replace it
97.464 -> as you would replace a car battery,
for example.
99.499 -> We are a great team when you have
cardiac surgeons or
103.703 -> cardiologists, heart failure physicians,
who are all on board
108.074 -> constantly engaging with them,
with each other and also with patients,
112.412 -> then you know you,
you can make a difference.
543.309 -> So they are the
544.71 -> commonly range from, you know, feeling
short of breath, especially with exertion
549.181 -> or feeling fatigued and tired.
553.986 -> These symptoms commonly happen
when patients are doing
557.49 -> routine activities.
559.025 -> And when it's progressive,
they strongly notice a difference,
563.496 -> a decrease in the activities
that they would do. So,
568.768 -> you know, it's commonly described
as being able to do maybe like walk
572.905 -> a mile initially, which is, you know,
which is usually Woody.
575.875 -> But over time
they start coming down on that.
579.378 -> They may feel short of breath,
580.446 -> especially at night
when they are sleeping,
582.715 -> and they would certainly have some of them
actually describe
585.151 -> a feeling of breathlessness or,
you know, as if they are being suffocated.
590.156 -> A lot of patients notice
a fluid build up on themselves,
593.826 -> starting hiding from the legs
and slowly building upwards.
596.829 -> Or they may develop repeated bouts
of cough or shortness of breath,
602.168 -> which
603.569 -> sometimes
makes them lined up in the hospital.
606.973 -> I would say on an average, most patients
when they are not really,
611.11 -> you know, crashing would experience
just fatigue, just fatigue
615.481 -> on exertion.
619.785 -> But thank you so much, Doctor, for.
Source: https://www.youtube.com/watch?v=na-CHygSrFg