Heart Girdle: Preventing Heart Failure

A girdle-shaped device that helps reshape the heart is predicted to become a major new treatment for heart failure.

Around half of the 1 million heart failure patients in Britain suffer from mitral valve regurgitation. This is a condition in which the mitral valve, at the entrance to the heart's main pumping chamber, becomes twisted out of shape.

This allows blood to leak back from the heart toward the lungs with potentially lethal consequences.

Drugs and surgery have been used to treat the condition, but until now, have not always been effective.

However, the new device, which is stitched in place around the heart valve during open-heart surgery, pulls the walls of the mitral valve back into shape.

This means that the flaps that open and close to control the flow of blood fit the shape of the valve again, stopping leakages.

At the same time, the device lifts the whole pumping chamber -- the left ventricle. This changes the size and shape of the heart from an oval shape to a round shape, helping it to contract and pump blood better.

Results from the first 25 patients to have the treatment, which has now been approved for use in Britain, show that all had great improvements after the device was implanted because blood was able to flow through the heart more efficiently with no leakage problems. ...

As the population grows older, the number of patients is increasing. It is estimated that one in five people currently aged over 40 will go on to develop the condition.Mitral valve regurgitation is a chronic, often long-term condition in which the heart is no longer able to pump enough blood to meet the needs of the body.Symptoms can include breathlessness and swollen ankles and feet. Patients may also suffer from extreme tiredness.Causes include damage from a previous heart attack, high blood pressure and infection. There may also be heart valve or rhythm abnormalities.The new treatment, called a heart ring, was developed by heart surgeons in the United States and Italy.There is a ring or girdle of titanium wrapped in silicon and covered with a synthetic fabric.Surgeons are able to sew stitches through the fabric to secure it to the heart tissue."Initial studies have shown that after six months, the patient's left ventricle is reformed and reshaped, and that can help in congestive heart failure," says Barry Liden, director of global communications for the maker, Edwards LifeSciences, which is based in California.
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Source: Health & Wellness

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