Heart Failure/Cardiac Transplant
With improvement in medical care and the growing elderly population, patients are increasingly surviving long enough for heart failure to develop. In that sense, the epidemic is really a shift in causes of death.
About 4.9 million Americans have heart failure, and a million of them are under the age of 60. Every year, 500,000 new cases are diagnosed, and the condition leads to more than 1 million hospital stays, including many repeat visits. Congestive heart failure is the leading cause of hospitalization in the elderly, and hospital bills accounted for almost half of the $39 billion currently spent on the disease. Health experts say the problem is getting worse. Physicians in the Congestive Heart Failure Fellowship/Cardiac Transplant Fellowship program have an opportunity to play a key role in advancing our knowledge about heart failure, its diagnosis, treatment and prevention.
During this one-year fellowship fellows will become adept with the management of patients with acute and chronic congestive heart failure, evaluation for advanced therapies, such as mechanical support (short and long term), and pre- and post-cardiac transplant care. Fellows will participate in endomyocardial biopsies, placement of Swan-Ganz catheters and other procedures. Candidates will have completed, or be in the process of completing a formal 3 year CV fellowship and must have a valid Ohio Medical License and ACLS certification.The primary training hospital will be The Ohio State University Medical Center. After satisfactory completion of the fellowship, candidates will be issued a certificate.
- Participate in the inpatient care of patients on the CHF/Cardiac Transplant service
- Participate in the outpatient CHF and cardiac transplant clinics
- Evaluate patients referred for cardiac transplantation and determine candidacy
- Participate in CHF satellite clinics
- Determine candidacy for cardiac resynchronization and defibrillator therapies including interpreting device interrogation
- Participate in procedures, including endomyocardial biopsies, Swan-Ganz catheter placement and device-based therapies for CHF
- Participate in/coordinate perioperative care of cardiac transplant patients including pre-operative orders, line placement, etc.
- Participate in post-operative and outpatient management of patients with mechanical circulatory support
- Evaluate inpatient referrals for cardiac transplantation and mechanical circulatory support
- Take call for the heart failure service
- Participate in research protocols in CHF/transplant
- Work closely with the nurse coordinators and the Physician’s assistant
- Attend and participate in Cardiac Transplant/Ventricular Assist Device Patient Selection Conference
- Attend all mandatory fellowship conferences as outlined in the cardiology fellowship curriculum
- Participate in clinical trial enrollment and evaluation to become adept at clinical trial design, determining appropriate outcomes to assess, and interpretation of statistics to obtain results
- Become proficient in the diagnosis and management of patients with advanced heart failure and patients who have undergone cardiac transplantation or ventricular assist device
- Learn the nuances of outpatient and inpatient care of these patients in terms of medications and their side effects.
- Learn when and how to work up a patient for cardiac transplantation, short vs. long term mechanical circulatory support.
- Learn about post-transplant immunosuppression and management of these medications and their side effects, and comorbidities associated with cardiac transplant.
- Learn when and how to enroll patients in CHF clinical trials and the benefits of clinical trial research
- Develop skill in device-based therapies for CHF.
Evaluation will be carried out by the CHF program faculty. Evidence of progress will be discussed with the fellow on a continuing basis.
Dr. Ayesha Hasan
Director, Heart Failure/Transplant Fellowship Training Program
The Ohio State University Medical Center