It is important to know that ‘heart failure’ does not mean that the heart has already failed, but instead it describes a spectrum of weakening of the heart muscle that can span from very mild to very advanced. Although not always the case, in the majority of patients this weakening can take months or years to progress, not days or weeks. This is also related to the treatment, which can range from medications and/or surgery at the mild to moderate stages to consideration of an artificial heart device or heart transplant at the most advanced stages. Not every patient’s heart function will continue to worsen to the advanced stages. Understanding your individual outlook for heart failure is best addressed by discussing the strength of your heart’s function with your doctor, and by asking about the treatment options available to you at each stage.
Jonathan E. Yager, MD
- internal medicine
Location and Office HoursCardiac Care Associates PC
Fairfax, VA 22031
- Anthem Healthkeepers (BC/BS)
- Coventry Health Care
- Kaiser Permanente Health Plans
- MDIPA/MAMSI (UnitedHealthcare)
- United Healthcare
- Inova Fairfax Hospital
- Inova Loudoun Hospital Center
- Reston Hospital Center
- What is the outlook for heart failure?
How do I prepare for a carotid ultrasound?
Johns Hopkins Medicine answered
A carotid ultrasound is a non-invasive, painless test that uses high-frequency soundwaves to create images of the neck arteries. It is helpful in diagnosing artherosclerosis (also called carotid stenosis), or blockages in the carotid arteries which can interfere with blood flow to the brain. As the artery narrows, the velocity of the blood flow increases. A carotid ultrasound allows the doctor to measure the speed of blood flow to estimate the degree of blockage.
There is no special preparation required for this procedure. You may be asked to put on a gown so that the transparent acoustic gel doesn't get on your clothing.
What is arterial bypass surgery?
NewYork-Presbyterian Hospital answered
To surgically correct decreased blood flow through an artery, doctors place a bypass graft made of synthetic material or a natural vein taken from another part of the body. During the procedure, the surgeon will make an incision to expose the diseased segment of the artery, and then attach one end of a bypass graft to a point above the blockage and the other end to a point below it. The blood supply is then diverted through the graft, around the blockage, to bypass the diseased section of the artery. The diseased artery is left in place.
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