Adult Services, Cardiovascular

Reducing heart patient readmissions with intentional follow-up care

Using scheduled, intentional touch points for follow-up care, Norton Heart & Vascular Institute is aiming to drive down the readmission rate for heart failure patients and those who’ve had open heart surgery. Mindful that heart failure readmissions typically happen in the first two weeks after discharge, all three touch points take place in that time…

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Cardiovascular, Pediatric Services

Asymptomatic pediatric cardiomyopathy makes family history important

Pediatric cardiomyopathy is progressive and may be asymptomatic up to sudden death, making family history an important tool in deciding when to refer patients, according to a cardiologist at Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. Anyone who has a first-degree relative who was diagnosed with a cardiomyopathy or who had…

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Cardiovascular, Pediatric Services

Delwyn E. McOmber, M.D., joins Norton Children’s Heart Institute

Pediatric cardiologist Delwyn E. McOmber, M.D., has joined Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, as part of the Pediatric HeartCare Partners integration with Norton Children’s. In addition to practicing pediatric cardiology, Dr. McOmber also will serve as medical director of the Norton Children’s Medical Group pediatric exercise lab and University…

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Cardiovascular, Case Study, Pediatric Services

Dysplastic pulmonary valve complicates HLHS palliation

The patient Newborn with hypoplastic left heart syndrome (HLHS) with a dysplastic pulmonary valve and progressive pulmonary valve stenosis The challenge The dysplastic pulmonary valve makes it unsuitable to proceed with the typical first stage of single ventricle palliation for hypoplastic left heart syndrome (HLHS) — the Norwood procedure, which would transition the pulmonary valve…

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Adult Services, Cardiovascular

Watchman FLX advances over previous version improve safety, efficiency

For patients with atrial fibrillation (A-fib) not caused by a heart valve issue, with at least moderate risk of stroke and issues taking long-term blood thinners, the Watchman device offers an alternative. The left atrial appendage (LAA) closure device significantly lowers stroke risk and can reduce or eliminate the need for long-term anticoagulation. Patients with…

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Adult Services, Cardiovascular

American Heart Association sets standards for heart attack care

If someone is having chest pain, it’s time to get to the best hospital for heart attack treatment. But aren’t all hospitals equipped to treat a heart attack? Yes, and getting treatment right away is the most important thing, so call 911. Some hospitals have better outcomes than others and are able to reach those…

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Cardiovascular, Pediatric Services

Norton Children’s Heart Institute earns accreditation from the Adult Congenital Heart Association

The only accredited program in Kentucky and Indiana, Norton Children’s Heart Institute is recognized for collaborative work to treat adults and children living with lifelong congenital heart disease. In recognition of its expertise in serving individuals with adult congenital heart disease (ACHD), a structural heart condition present at birth, Norton Children’s Heart Institute, affiliated with the UofL School…

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Adult Services, Cardiovascular

Screening and diagnosis of abdominal aortic aneurysm

According to the Society for Vascular Surgery (SVS), 200,000 adults in the U.S. are diagnosed with abdominal aortic aneurysm (AAA) every year. It is the 10th-leading cause of death for American men over the age of 55, and a ruptured AAA is the 15th-leading cause of death in the U.S. Symptoms Abdominal aortic aneurysm often…

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Adult Services, Cardiovascular, Case Study

Hybrid ablation case study: Left ventricular function normalized, medication reduced

The patient A woman presented to Norton Audubon Hospital with shortness of breath and dizziness and was noted to be in new-onset atrial fibrillation (A-fib). She underwent immediate cardioversion but had recurrent A-fib and then was placed on flecainide with a repeat successful cardioversion. Her echocardiogram showed normal left ventricular function. The providers Kent E….

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Cardiovascular, Pediatric Services

Pediatric aortic and mitral valve repair versus replacement

Repairing the aortic and mitral valves of children is not as common as replacement with mechanical or tissue valves, but it has distinct advantages. If we can keep the child’s own tissue and have good function of the valve, we don’t have to deal with the risk of clotting or bleeding that comes with a…

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Cardiovascular, Pediatric Services

Focusing quality pediatric heart care on what can be done better

Traditionally, quality improvement for surgeons focuses on cases that did not go as planned. These cases are dissected at weekly morbidity and mortality meetings. A little more than a year ago, Norton Children’s Heart Institute, affiliated with the UofL School of Medicine, completely revamped the classic morbidity and mortality process. We’re looking at trends, rather…

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Adult Services, Cardiovascular

Fenestrated endovascular aneurysm repair

While endovascular aneurysm repair (EVAR) of aortic aneurysm has expanded over the last 20 years, there are still cases where this minimally invasive procedure has limitations. Using a new type of endograft called fenestrated endografts, surgeons at Norton Heart & Vascular Institute are repairing abdominal aortic aneurysms (AAAs) that are close to the renal or…

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