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Heart failure: New procedure improves quality of life

Heart failure: New procedure improves quality of life


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Novel minimally invasive procedure against diastolic heart failure

Heart failure, which experts call heart failure, is one of the most common diseases in western countries. In Germany alone, almost two million people are affected. The disease can be divided into different forms, one of which is the so-called "diastolic heart failure". There is now a new, minimally invasive procedure against this, which ensures a better quality of life.

Heart failure (heart failure) grows into a widespread disease. As the UKM (University Hospital Münster) explains in a communication, half of the sufferers are diastolic heart failure, which was hardly recognized until a few years ago. Affected people drag themselves through everyday life with complaints such as shortness of breath and water retention - so far there has been no drug therapy. However, a new minimally invasive procedure now gives hope to patients: The UKM (University Hospital Münster) is one of only ten centers worldwide that is now carrying out this procedure, which has now been approved, as part of an observational study.

Almost two million Germans suffer from heart failure

"An estimated 1.8 million people with heart failure currently live in Germany," wrote the German Heart Foundation on its website. More than 26 million people are affected worldwide. One of them is Ralf Mondorf from Sendenhorst in North Rhine-Westphalia. He only had complaints of heart failure last October.

“On a return flight from vacation I suddenly felt bad. It was as if all my strength had suddenly left me, ”recalls the 65-year-old. A series of visits to the doctor followed in the Münsterland, because Ralf Mondorf could hardly move away from the sofa at home. "I hardly got any air and could only walk a few steps around the apartment," he explains in retrospect.

Finally, his cardiologist made the correct diagnosis: diastolic heart failure. In contrast to systolic heart failure, the heart can no longer fill properly with blood. As the UKM explains, the left ventricle is stiffened and has lost its elasticity - it reacts like a worn rubber band.

Successful intervention

The resident cardiologist referred the patient to the UKM because of his severe complaints and significantly reduced quality of life, with the request that he try a new, minimally invasive procedure. "Mr. Mondorf was actually the first patient in our study," says study leader Dr. Rudin Pistulli from the Clinic for Cardiology I: Coronary Heart Disease, Heart Failure at the UKM. "With a catheter procedure, we take the pressure out of the upper left ventricle," explains the doctor.

He goes on to explain: “We insert an implant, which can be thought of as an umbrella, between the two atria after we pierce a small hole in the cardiac septum. But instead of closing an unwanted opening or hole in the atrial septum, as is common with similar procedures, this implant keeps the “desired” hole open because it contains an integrated channel. ”In this way, the implant ensures that blood flows from left to right Atrium arises and thus the pressure in the first decreases. It therefore acts similarly to a pressure relief valve. According to the information, the umbrella is guided through a groin vein to the heart via a cardiac catheter - the procedure is therefore minimally invasive and only takes about an hour.

Ralf Mondorf was able to leave the hospital two days after the catheter procedure. Since then, things have been slowly going uphill for him: “I become more resilient in small steps. My quality of life is slowly coming back, ”says the 65-year-old. (ad)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.



Video: Congestive Heart Failure CHF Explained - MADE EASY (November 2022).