Embrace Life With a Stronger Heart
About 5.7 million Americans live with heart failure. You're not alone. It's also one of the top reasons people over 65 are hospitalized.
While there’s no current cure for heart failure, it is possible to reverse heart failure damage.
With the right treatments — including heart transplant, medications, and lifestyle changes — you can live fully with a heart failure diagnosis. We’re here to help you achieve just that.
Known for Sharing Our Strength
You want to do more than just cope. You want to embrace life wholeheartedly. That’s why we’re determined to help you lead your best life with a heart failure diagnosis and feel whole in body, mind and spirit.
Our board-certified cardiologists and cardiovascular surgeons perform the latest lifesaving diagnostic and treatment procedures to help you heal with the best possible outcomes.
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Heart Success Centers
Learning to live with heart failure has its challenges. With a shared goal to keep you healthy and out of the hospital, our Heart Success Centers provides safe transition and recovery support with effective, whole-person care.
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Pioneers in Cardiac Research
Always working to improve your whole heart means being at the forefront of cardiovascular research. That’s why our physicians and clinicians participate in clinical trials each year.
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#1 Heart Transplant Program in the Southeast
We're connected to the AdventHealth Transplant Institute, located in Orlando, which performs more heart transplants than any other transplant center in the Southeast region.
Types of Heart Failure We Treat
- Congestive heart failure
- Left-Sided heart failure
- Right-Sided heart failure
Explore Your Treatment Options
Heart failure treatment usually involves combining medications, healthy lifestyle changes and adjustments to improve your daily life.
- Rehab
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Cardiac rehab provides exercise training, education in heart-healthy living, and counseling to lower stress. It can stabilize, slow and sometimes reverse heart failure progression.
- Lifestyle
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If you’re diagnosed with heart failure, your doctor may recommend:
- Avoiding alcohol and caffeine
- Avoiding tight socks or stockings
- Being physically active
- Developing a social support system
- Eating a low-sodium, low-fat diet
- Getting appropriate vaccinations (like flu or pneumonia)
- Getting sufficient rest
- Maintaining a healthy weight
- Managing stress
- Monitoring blood pressure
- Quitting smoking
- Tracking daily fluid intake
- Medications
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Depending on your needs, your doctor might prescribe:
- Angiotensin-Converting Enzyme (ACE) Inhibitor: Lowers blood pressure and decreases the heart’s workload
- Angiotensin Receptor Blocker: Lowers blood pressure
- Angiotensin-Receptor Neprilysin Inhibitor (ARNI): Improves artery opening and blood flow, reduces sodium retention and decreases strain on the heart
- Beta-Blockers: Lower blood pressure and slow your heart rate
- Digoxin: Helps your heart pump better
- Diuretics: Help rid the body of extra water and sodium
- Vasodilator: Lowers blood pressure by relaxing blood vessels, allowing them to open
- Angiotensin-Converting Enzyme (ACE) Inhibitor: Lowers blood pressure and decreases the heart’s workload
- Procedures
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We offer many procedures for heart failure, including minimally invasive, traditional surgeries and heart transplants.
Minimally Invasive Heart Procedures
If we can avoid open-heart surgery, we do. We continuously seek new, less-invasive heart surgery technologies. Many minimally invasive procedures, like MitraClip and TAVR, require only a small incision, leading to less scarring and a quicker recovery.
MitraClip®
MitraClip may be an option if you have a leaky heart valve (mitral regurgitation) and aren’t suitable for traditional surgery. This procedure usually involves a catheter inserted through a large groin vein. It is much less invasive than open-heart surgery, causing less scarring and a shorter recovery.
Transcatheter Aortic Valve Replacement (TAVR)
Your doctor may recommend TAVR if your aortic valve is damaged or diseased. This procedure lets your valve be replaced rather than removed, offering a safe option if surgery isn’t right for you.
Percutaneous Interventions
Percutaneous interventions are nonsurgical procedures on a beating heart. Instead of open-heart surgery, special tools go through a small groin opening. Advanced heart failure patients unsuited for surgery may benefit from a percutaneous procedure.
Surgical Procedures
Cardiac Resynchronization Therapy (CRT)
CRT uses a pacemaker to regulate heart contractions. It’s recommended when your heart’s electrical signals are disrupted.
CardioMEMS™ HF System
The CardioMEMS HF System is an implanted device that lets a cardiologist monitor your pressure readings remotely to help prevent heart failure episodes and hospitalizations. The pressure sensor is placed in the pulmonary artery during an outpatient procedure, which is covered by most insurance plans.
Heart Transplant*
You may be a heart transplant candidate if other heart failure treatments haven’t succeeded. In a heart transplant, surgeons remove your diseased heart and replace it with a healthy donor heart after all other treatment options have been explored. This procedure can restore hope for an active, independent life.
We’ll work with the AdventHealth Transplant Institute during your evaluation for eligibility. If you qualify, a transplant team decides and informs your coordinator and doctor. Once insurance approves, you’re placed on a national organ donor waitlist. When a matching donor is found, you’ll be contacted to prepare for transplant.
*This specialty care is currently available in Florida only.
- Devices
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Implantable Cardioverter-Defibrillator (ICD)
If you have serious arrhythmias, a defibrillator is implanted to restore a normal heart rhythm when needed.
Left Ventricular Assist Device (LVAD)
If you’re awaiting a transplant, your doctor may recommend an LVAD. This portable, implantable device temporarily helps weakened ventricles pump blood.
Pacemaker
Advanced heart failure can delay right and left ventricular contractions.
Heart Surgeons Who Ease Your Mind
When surgery is necessary to keep your heart beating strong, you want the most experienced and compassionate surgeons at your side — and that’s what you can expect here. Our surgeons put your comfort and safety first, answering your questions and explaining your options, so you can feel comfortable and confident.
The Ultimate Gift: John's Heart Transplant Story
After suffering a massive heart attack on the road to Tampa, Florida, John Allen was airlifted to AdventHealth, where he received a new heart. Hear John's story of healing and gratitude.
Expert, Award-Winning Care
National Leader in Heart Failure Care
AdventHealth Orlando is recognized by U.S. News & World Report as one of America’s best hospitals for heart failure treatment.
Open-Heart Surgery Frequently Asked Questions
Let us help ease your mind by answering common questions about open-heart surgery.
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Q:Question: Who’s at risk for heart failure?
A:Answer:Risk factors for developing heart failure include:
- Aging, especially over 65
- A current or past heart condition
- Being obese
- Coronary artery disease
- Excessive alcohol or drug use
- Having had a heart attack before
- Having thyroid issues
- High blood pressure
- Metabolic syndrome
- Smoking
- Those living sedentary lifestyles
- Type 2 diabetes
Talk to your doctor about your health history to know your heart failure risk. Our cardiologists work with you and a multidisciplinary team to care for your heart.
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Q:Question: What are the warning signs for heart failure?
A:Answer:Warning signs of heart failure include:
- Confusion and impaired thinking
- Fatigue
- Increased heart rate
- Lack of appetite
- Nausea
- Persistent coughing or wheezing
- Shortness of breath
- Sudden weight changes
- Swelling in the feet, ankles, legs, fingers, stomach and other tissues
Continue ReadingCollapse AnswerEarly heart failure signs are subtle and often mistaken for other issues. The Heart Failure Society of America uses the FACE acronym to help patients and doctors spot early heart failure:
F – Fatigue
A – Activity limitation
C – Congestion
E – Edema, or swelling in the extremities
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Q:Question: What is the difference between congestive heart failure, left-sided heart failure and right-sided heart failure?
A:Answer:Heart failure is a chronic condition that prevents your heart from pumping enough oxygenated blood to your cells. As a result, your heart’s chambers enlarge to compensate, causing it to pump faster, while your blood vessels narrow and your blood pressure rises. Your body directs blood to your heart and brain, away from less important organs.
Continue ReadingCollapse AnswerThere are three main types of heart failure:
Congestive Heart Failure
Congestive heart failure happens when your body can’t manage the pressure or volume in your heart or lungs, resulting in fluid buildup in your lungs.
Left-Sided Heart Failure
There are two scenarios you can experience with left-sided heart failure. In some cases, the left ventricle doesn’t contract normally, which means the heart can’t propel blood to the body (systolic failure). Other times, the left ventricle can’t relax, so the heart can’t fill with enough blood between beats (diastolic failure).
Right-Sided Heart Failure
Often caused by left-sided heart failure, right-sided heart failure causes increased fluid pressure that circulates back to your lungs. This damages your heart’s right side and can cause blood to back up in the body’s veins, causing swelling in your legs, ankles or abdomen.
In addition to congestive, left-sided and right-sided heart failure, there is also advanced heart failure, which is the most serious. When heart failure is advanced, traditional treatments might no longer work. Approximately 10% of the 6 million Americans with heart failure have advanced heart failure.
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Q:Question: How do doctors decide whether I need medication, an LVAD or a heart transplant?
A:Answer:To decide whether you need medication, a left ventricular assist device (LVAD) or a heart transplant, your doctor evaluates the severity of your heart failure, other medical conditions you have and your overall health.
Continue ReadingCollapse AnswerMedications
If you’re in the early or moderate stage of your heart failure diagnosis, your doctor may recommend medications, including ACE inhibitors, beta-blockers and diuretics to help manage your symptoms. However, if your heart begins struggling to pump adequately, they may suggest intravenous (IV) medications for stronger support.
LVAD
A left ventricular assist device serves as a mechanical pump for patients with end-stage heart failure. This surgically implanted device is either used to keep your heart functioning while waiting for a transplant or as your recommended treatment if you aren’t a candidate for a heart transplant.
Heart Transplant
If you’re in end-stage heart failure, a heart transplant remains the gold standard treatment if all other options have failed. If you’re eligible for a heart transplant, you’ll be placed on our waiting list. While we can’t provide an exact answer to how long you’ll have to wait for a new heart, what we can tell you is that our median wait time is 44.9 days. Your transplant coordinator will keep you informed from the second your name goes on the list to the moment we find the right heart for you.
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Q:Question: What lifestyle changes can help me manage heart failure and stay out of the hospital?
A:Answer:There are certain lifestyle changes that you can make that may help to manage your heart failure and keep you out of the hospital, including:
- Avoiding or limiting alcohol consumption
- Being physically active
- Eating a heart-healthy diet
- Getting enough sleep
- Lowering your sodium intake
- Managing your stress
- Monitoring your blood pressure
- Monitoring your weight
- Quitting smoking
- Tracking your daily fluid intake
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Q:Question: How can tests like an echocardiogram or ejection fraction help show signs of heart failure?
A:Answer:An echocardiogram creates images of your beating heart using sound waves and is a crucial test for detecting heart failure. This test can detect structural abnormalities, such as your heart muscle being too thick, determine your heart valve function and visualize how the walls of your heart move as it beats.
Continue ReadingCollapse AnswerEjection fractions (EF) are a type of measurement that’s calculated during an echocardiogram. It calculates what percentage of the blood pumped out of your heart came from the main chamber (left ventricle) with every beat. A normal EF score is between 50 and 70%.
Find Heart Failure Care Near You
If you’ve been diagnosed with heart failure, you aren’t alone. You’ll find leading-edge options and uncommon compassion from our surgeons within our AdventHealth Cardiovascular Institute network. Our experienced teams excel in open-heart surgery, off-pump surgery and the latest minimally invasive procedures for faster healing — all coordinated through a trusted national network. Explore our locations or let our team guide you to the one that’s right for you.