Heart failure

More people trust us for heart failure care. See what makes Ascension St. Vincent's in Jacksonville and South Georgia a regional leader in heart care.

Heart failure care in Jacksonville

More people trust us for heart failure care. See what makes Ascension St. Vincent's in Jacksonville and South Georgia a regional leader in heart care.

Why choose us

When you choose Ascension St. Vincent’s for your heart failure care, you get cardiologists and surgeons trained in the latest heart care testing, treatment and procedures. As part of a national team, your doctors share best practices and research, delivering advanced heart care close to home.

About heart failure

The heart is a muscle that pumps oxygen-rich blood to all parts of the body. When you have heart failure, the heart can’t pump as well as it should. Or the heart muscle can’t relax and fill the pumping chamber with blood. Blood and fluid may back up into the lungs. This causes heart failure. And it causes pulmonary edema. Some parts of the body also don’t get enough oxygen-rich blood. This means they can't work well. These problems lead to the symptoms of heart failure.

Symptoms of heart failure

Common symptoms heart failure include:

  • Cough that doesn’t go away. It can cause blood-tinged or frothy sputum.
  • Severe tiredness (fatigue) and weakness
  • Loss of appetite, nausea, and belly pain
  • Shortness of breath while resting, exercising, or lying flat
  • Weight gain from water retention
  • Visible swelling of the legs, ankles, and feet from fluid buildup (sometimes the belly may swell)

How we diagnose heart failure

B-type natriuretic peptide (BNP) is a hormone released from the ventricles that occurs with heart failure. BNP levels are useful in the quick assessment of heart failure. The higher the BNP levels, the worse the heart failure. BNP is measured from a blood sample.

This test uses a magnetic field to make images of the heart and its nearby tissues. It can assess how the heart muscle and valves are working.

This test makes images of internal tissues, bones, and organs on film. This test shows the size and shape of your heart. Fluid in the lungs will also show up on X-ray.

This test is also called an echo. It uses sound waves to assess the motion of the heart’s chambers and valves. The sound waves make an image on the screen as an ultrasound transducer is passed over the heart. This shows how well the heart pumps and relaxes. It also shows the thickness of the heart walls, and if the heart is enlarged. It can assess heart valve function and blood flow as well. It is one of the most useful tests because it shows a lot of information about the heart’s function. And it can help guide treatment choices.

This test records the electrical activity of the heart. It shows abnormal rhythms. It can sometimes find heart muscle damage.

How we treat heart failure

Treatment for heart failure may include medication, therapy or surgery.

In some cases, the diseased heart must be replaced with a healthy one from a donor.

In some cases, medicines can’t help heart failure caused by heart valves that are narrowed (stenosed) or leak (regurgitant). The heart valve can be repaired or replaced. This can be done as an open-heart procedure. Or it can be done by going through a small tube (catheter) that is put into an artery or vein.

When the heart muscle is damaged, dangerous heart circuits can form in the heart muscle. This leads to heart rhythms that can cause death. An ICD is implanted in the body to sense and treat these cardiac arrest rhythms. It does this by overdrive pacing the heart rhythm. Or it sends an energy shock to the heart.

If your heart failure has also damaged your heart’s electrical wiring system, a pacemaker can be implanted. This is done to restore normal heart rate and regularity. A cardiac resynchronizing pacemaker is used when one of the natural heart wires is damaged. This is often the wire located in the left ventricle. These pacemakers use implanted left and right sided wires to restore normal timing of the heart contraction in order to improve heart function.

This device is put in the chest during a surgery. It connects to an outside motor. The motor helps pump blood from the heart to the rest of the body. VADs can allow people with advanced heart failure to improve their overall symptoms and to walk more. This can be used as a long-term treatment. Or it can be used while someone waits for a donor heart for a transplant.

How to get care

stethoscope

To make an appointment, a referral should be made by your primary care doctor or another specialist. Once the referral is received and reviewed, you will be contacted to schedule an appointment with a cardiologist.

Get a second opinion from a heart specialist

Decisions about your heart care are important. Getting a second opinion not only provides more information about your condition, but it can help you feel more confident in the doctor and the care plan you choose. Consider getting a second opinion if:

  • Your diagnosis or prognosis is unclear
  • You’ve been told you have a rare or life-threatening condition
  • You would like to explore other treatment options
  • Your treatment options are costly or risky
  • You want to hear an opinion from another specialist
  • Your insurance requires a second opinion
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If you are experiencing a life-threatening emergency, go directly to the ER or call 911.

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