Treatment options for advanced heart failure

Sometimes people with CHF need extra help managing their condition. These treatments and devices may help improve heart function — and quality of life.

Doctor using stethoscope on man

What does “advanced” heart failure mean? 

Heart failure is considered advanced when symptoms continue to worsen even with standard medical treatment. This is when your doctor may recommend newer options.  

Implanted devices 

These devices, which are placed inside the body, can help manage abnormal heart rhythms.  They also improve how the heart’s four chambers work together. 

One example: an implantable cardioverter-defibrillator (ICD). An ICD can detect a dangerous heart rhythm and deliver a small shock to restore a normal heartbeat. 

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Mechanical pumps 

Another device that may help is a left ventricular assist device (LVAD). An LVAD helps move blood from the heart to the rest of the body. That pumping assistance may reduce symptoms and make daily activities easier.  

Surgery and/or transplantation 

If other treatment options aren’t working, surgery may be an option. Some procedures treat blocked arteries or repair damaged heart valves. In very serious cases, your physician may recommend considering a heart transplant.  

A transplant can improve symptoms and quality of life. However, it requires lifelong medical care and additional medication. 

Shared decision making 

Treatment decisions are personal. Talk with your Provider about your symptoms, your daily life, and your goals. Together, you can create a care plan that fits your needs.