At the Ephraim McDowell Heart & Vascular Institute, what we treat are a variety of cardiovascular conditions, including: abdominal aortic aneurysms, angina (chest pain), atherosclerosis (hardening of the arteries), arrhythmia (irregular heartbeats), congestive heart failure, coronary artery disease, heart valve conditions, high blood pressure, neuropathy (numbness in your limbs), peripheral artery disease, and syncope (fainting).
Heart failure is one of the more common conditions of what we treat. We were only the third hospital in the state to offer the leading-edge CardioMEMS HF System, where a sensor is placed in a patient’s pulmonary artery during a minimally-invasive procedure. The sensor causes the patient no pain and lasts the patient’s lifetime, and monitors the patient’s pulmonary artery pressure on a daily basis and transmits the readings to their health care provider. This allows the provider to offer personalized, proactive management of the disease, possibly before the patient may have even realized his or her weight or blood pressure has increased.
Other heart-related services we provide include: diagnostic services, EKG, echocardiogram, stress testing and nuclear medicine, holter and event monitoring, cardiac catheterization and coronary intervention/stenting, pacemaker evaluation and implant, and structural heart disease management.
Peripheral Artery Disease
Another common condition of what we treat is Peripheral Artery Disease (PAD). This occurs when patients experience problems with their veins and arteries in their limbs. Oftentimes, these blood vessels become narrowed or even blocked due to a build-up of plaque (known as atherosclerosis, or hardening of the arteries) and cause numbness. While this mostly happens in the legs, it can occur in other areas in the body. No matter where it occurs, it can be treated.
Our PAD treatments include a cutting-edge procedure, the Ocelot Optical Coherence Tomography (OCT), which allows physicians to visually navigate inside the blocked arteries using a catheter with a camera-like device inside. This can help PAD patients keep from losing a limb or undergoing more invasive bypass surgery, especially when detected early.
Other peripheral artery issues treated include: aortic aneurysm evaluation and management, venous disease including varicose veins management, carotid surgery and interventions and carotid ultrasound.
Dr. Shawn Flynn, an interventional cardiologist on our staff, performs TAVR as a visiting physician at the University of Kentucky Chandler Medical Center. TAVR is a transcatheter aortic valve replacement. The minimally-invasive procedure benefits patients who have been diagnosed with aortic valve stenosis. This is where the aortic valve narrows and fails to open properly.
Limb Preservation Program
Our vascular care specialists play an important role in other aspects of what we treat, including working to preserve limbs that are affected by wounds that won’t heal. The Limb Preservation Program care team includes a wound care specialist, vascular specialists, a podiatrist, a plastic surgeon, an endocrinologist, general surgeons and radiologists. Other members of the care team include a dietitian, pharmacist and physical and occupational therapists. They work together to manage all medical conditions that impact the ability to maintain the health of the limb.
Treatment options include wound care/hyperbaric oxygen therapy, revascularization through minimally invasive procedures, reconstructive surgical intervention, wound debridement, bioengineered tissue and substitutes, negative pressure wound therapy, growth factor therapies, advanced dressing and wraps, and pressure off-loading strategies.
Referrals to the Limb Preservation Program can be made by physicians or patients by calling (859) 239-1470 when any of the following apply:
- Diabetic foot ulcers
- Venous stasis ulcers
- Pressure ulcers
- Skin tears
- Post-surgical incisions
- Radiation wounds
- Traumatic injuries
- Any wound that has not shown signs of improvement in 30 days
Our Cardiac Rehabilitation program is dedicated to providing exceptional care for our cardiac patients. Services are currently provided at Ephraim McDowell James B. Haggin Hospital in Harrodsburg, which also offers a Pulmonary Rehabilitation program. Our outstanding team of professionals provides monitored exercise, education and support customized to meet a patient’s individual needs to assist with:
- Recovery after a heart attack or heart surgery and congestive heart failure
- Prevention of future hospital stays, heart issues and death related to heart problems
- Reducing risk factors that lead to coronary heart disease and other coronary challenges
- Promotion of healthy lifestyle changes that improve health and quality of life
Patients are referred to the program by their physician, who will be kept informed on a patient’s progress throughout their participation. Generally, the program consists of 36 total visits over the course of 12 weeks, and patients use a combination of exercise bicycles, treadmills, arm ergometers, recumbent steppers and weights. While patients exercise, our highly-trained staff will use telemetry monitors to track their heart rhythm, heart rate, blood pressure, and oxygen saturation levels.
The program also includes individualized healthy lifestyle education including information on health risk factors, conserving your body’s energy, medication and stress reduction techniques.
For more information, please call (859) 239-3752 for services.