Heart Transplant Program: Diagnosis & Treatment of Heart Failure

Overview

Heart failure is a chronic, progressive condition that results in restricted blood flow to the heart. The condition sometimes requires heart transplantation or other surgeries.

The Heart, Vascular & Thoracic Institute’s physicians are highly experienced in advanced medical care for heart failure. Caregivers include surgeons trained in heart transplantation, as well as implantation and management of artificial pumps. The Heart Transplant Program at Cleveland Clinic Abu Dhabi consists of a multidisciplinary team who address the prevention, diagnosis, and management of all stages of heart failure.

Cleveland Clinic Abu Dhabi provides innovative transplantation services to patients from across the region. Our program was the UAE’s first and only multi-organ transplant facility and has performed 386 transplants since its launch in 2017.

UAE’s First Heart Transplant
Implantable Durable LVAD (Left Ventricular Assist Device) Program for Bridge to Heart Transplant or Destination Therapy using the latest technologies
Innovative Transplantation Services to Patients Across the Region
1st in UAE to Perform Complex Multi-Organ Transplants

What We Treat

Heart failure, also known as cardiomyopathy, is a chronic, progressive condition in which the heart muscle is unable to pump enough blood to meet the body’s needs for oxygen. It is a long-term condition that worsens over time and can be affected by both genetic and lifestyle factors. Heart failure can have many underlying causes, such as:

High blood pressure
Coronary artery disease
Diabetes
Tobacco use
Sleep apnea
Congenital heart defects
Viral infections
Alcohol use
Heart rhythm abnormalities (arrhythmia)
Obesity
Heart valve disease
Family history and genetics

Correct management of heart failure can improve both quality and length of life. Treatment ranges from non-surgical, such as lifestyle changes or medication, to advanced surgical procedures.

Diagnosis & Treatment

Diagnosis of Heart Failure

Patients with heart failure typically experience decreased tolerance of exercise, decreased ability to participate in activity, and shortness of breath. They do not necessarily experience chest pain.

Diagnosis starts with questions about the patient’s medical history and symptoms, and a physical examination.

Physicians use several tests during the diagnosis and management of heart failure. Most tests are noninvasive, such as:

Electrocardiogram (ECG): A recording of the electrical activity of the heart, used to detect heart abnormalities.

X-ray: Detailed images of the heart and the inside of the chest.

Echocardiogram: A test that uses sound waves to reveal the size, shape, and functioning of the heart.

Occasionally, diagnosis may require the use of invasive tests, such as cardiac catheterization, in which a catheter is placed in the heart to observe blood flow and blood pressure.

Treatment of Heart Failure

The The Heart Transplant Program provides a full range of treatment options that can be tailored to each patient’s needs. Treatment aims to reduce the heart’s workload. Non-surgical treatment options include prescription medication or lifestyle changes, such as improvements in diet and exercise. In addition, the program offers a range of surgical procedures, including heart transplantation.

As much as possible, the program aims to keep patients out of the hospital and maintain their lifestyle and independence. Some patients will be admitted to the hospital for initial diagnosis and treatment, with regular follow-up appointments required in the outpatient Heart Failure Clinic after discharge. For less severe cases, outpatient-only treatment is an option.

In certain cases, devices such as pacemakers and defibrillators may be needed if symptoms persist. Advanced cases are evaluated to determine suitability for artificial heart pumps or heart transplantation.

In all stages of heart failure, patients and their families receive extensive information and education.