HEART FAILURE
Advanced Heart Failure
Guideline-Directed Management & Device Therapy
Heart failure management has been transformed over the past decade. With four pillars of guideline-directed medical therapy (GDMT), device support, and remote monitoring, most patients with heart failure — regardless of phenotype — can achieve significant improvement in symptoms, quality of life, and survival. Dr. Sanam manages both HFrEF and HFpEF, including complex cardiomyopathy evaluation and cardiogenic shock stabilization.
Who Should See Us
- Newly diagnosed heart failure — HFrEF (reduced EF) or HFpEF (preserved EF)
- Heart failure with persistent symptoms despite initial therapy
- Frequent hospitalizations for fluid overload or decompensation
- Reduced ejection fraction below 35% — device therapy evaluation
- Cardiomyopathy of unclear etiology requiring advanced workup
- Post-myocarditis or post-partum cardiomyopathy under surveillance
Procedures & Tests Offered
- 01Medication optimization — four-pillar GDMT for HFrEF; phenotype-guided therapy for HFpEF
- 02SGLT-2 inhibitors and GLP-1 agonists — cardiometabolic risk reduction
- 03Impella mechanical circulatory support — cardiogenic shock stabilization and high-risk PCI
- 04CardioMEMS remote pulmonary artery pressure monitoring — early congestion detection
- 05Cardiac resynchronization therapy (CRT) — coordination with electrophysiology
- 06ICD evaluation and management — sudden cardiac death prevention
- 07Advanced cardiomyopathy workup — ischemic vs. non-ischemic differentiation
- 08Cardiac MRI coordination — tissue characterization and viability assessment
Dr. Sanam will review your history, imaging, and test results to determine the most appropriate approach for your situation.
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