Advanced Training: Congestive Heart Failure

The Congestive Heart Failure/LVAD/Transplant Fellowship offers experience in the management of patients with advanced heart failure. Fellows work closely with the six heart failure specialists in the Division of Cardiology. Fellows become proficient in the evaluation of patients with advanced heart failure, including candidacy for heart transplantation and LVADs; perioperative management of heart transplant and LVAD recipients; assessment of acute and chronic rejection; and management of immunosuppressive therapy and patients following both LVAD implantation and heart transplantation.

Procedurally, fellows acquire skills in cardiopulmonary stress testing, endomyocardial biopsy, and diagnostic right heart catheterization. Heart failure experience emphasizes the appropriate use of evidence-based treatment strategies, extensive experience with acute decompensated heart failure, and an introduction to investigational therapies.

In consultation with the Pulmonary Hypertension service, fellows become aware of contemporary and investigational therapies for primary and secondary pulmonary hypertension. Fellows also participate in primary research projects.

This dedicated year will fulfill the requirements for new ABIM certification in advanced heart failure.