Biventricular Pacing/Cardiac Resynchronization Therapy (CRT): A biventricular pacemaker may be included as part of the implantable cardioverter defibrillator or as a separate device. It is a small device similar to a regular pacemaker. It is implanted under the skin of your upper chest, and helps correct and restore your heart’s rhythm.
Implantable defibrillator: An implantable cardioverter defibrillator (ICD) is an electronic, battery-powered device that is surgically placed beneath your skin. Wires are inserted through the veins, positioned in your heart, and then connected to the ICD. This allows information to travel between your heart and the ICD, and helps the ICD monitor your heart rhythm problem. If your heart beats too slowly, an electrical impulse stimulates your heartbeat. A specific type of ICD, known as CRT-D, may also be necessary to help coordinate the pumping action of the heart muscles. This treatment is called cardiac resynchronization therapy (CRT).
Heart Transplantation/Left Ventricular Assist Device: Patients with advanced heart failure who have not responded to standard treatment may be referred for heart transplantation. Patients may also be considered for advanced therapy with a ventricular assist device (VAD). This is a mechanical pump device that helps a weak heart pump blood through the body. This may be an option for patients with end stage heart failure. A VAD may used as a “bridge-to-transplant,” which means it is used temporarily until heart transplantation can be performed, or it may be considered as an alternative to heart transplant.
Ultrafiltration: This therapy involves removing blood from your body and passing it through a special filter. The filter removes the excess fluid from your blood. The filtered blood is returned to you.