New device can slow, reverse heart failure

A new, implantable device to control heart failure is showing promising results in the first trial to determine safety and effectiveness in patients, scientists say.
"Heart failure is one of the fastest growing forms of heart disease and it's one of the most common reasons people are hospitalised," said Dr William Abraham, director of the Division of Cardiovascular Medicine at Ohio State's Wexner Medical Center.
"The optimal drug therapies we have today often aren't enough to manage this disease for some patients, so we are always looking for new types of therapies," Abraham said.
Abraham and other cardiovascular researchers at seven US centers examined an extra-aortic counterpulsation system called C-Pulse, made by Sunshine Heart Inc.

It's a cuff that wraps around the aorta and syncs with the patient's heartbeat, rapidly inflating and deflating a small balloon to help squeeze blood through the aorta to circulate throughout the body.
It's powered through a wire that exits the abdomen and connects to an external driver worn by the patient. The driver can be plugged in or battery-powered.

In the pilot study, 20 patients with New York Heart Association (NYHA) functional class III or ambulatory functional class IV heart failure were implanted with the device. Patients were evaluated at six months and one year.
At both times, 16 of the patients showed significant improvements in NYHA functional class.

"At the one year mark, three of the patients had mild or no symptoms of heart failure. They went from class III or IV down to a functional class I, effectively reversing their heart failure," Abraham said.
Additionally, patients were able to walk an average 100 feet farther during standardised measures and average quality of life scores improved nearly 30 points.
"Drug and device therapies that are currently available for heart failure improve that same quality of life score by only five or 10 points. So, this is truly a significant improvement," Abraham said.
The most common adverse effect during the trial was infection of the exit site, experienced by 8 out of 20 participants.

Researchers noted that stricter guidelines for exit site management, wound care and antibiotic therapy could reduce that risk in future studies.
The study is published in the Journal of American College of Cardiology Heart Failure.