Carolinas HealthCare System

Heart Failure

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Call us at: 704-512-2785

Sanger Heart & Vascular Institute's Heart Failure Clinic emphasizes early diagnosis and treatment of heart failure so that further deterioration may be prevented. The multidisciplinary team meets regularly to ensure the care patients receive is based on the collective knowledge of our experts.

What is Heart Failure?

Heart failure is a chronic disease that occurs over time as the pumping action in the heart grows weaker. The leading causes of heart failure include coronary heart disease, diabetes and high blood pressure. More than 5 million adults have heart failure in the United States, and there is no cure.

However, experts like the ones at Sanger Heart & Vascular Institute, can provide personalized management plans, including lifestyle changes, medicines, interventions and surgery, if needed, to help patients prolong and improve quality of life.

Heart Success Program

Hypertensive Heart Diagram
About 75% of heart failure cases start with high blood pressure issues. In a hypertensive heart, muscles thicken to make up for increased blood pressure, which can ultimately lead to end-stage heart failure.

Meet Sanjeev Gulati, MD, Advanced Heart Failure and Transplantation Cardiologist

The Heart Success program, a Carolinas HealthCare System initiative, standardizes and optimizes care for long-term heart failure patients and is made up of a diverse team of caregivers, including a dietitian, pharmacist, patient navigator, social worker and specially trained nurse, as well as staff for TeleHealth and remote diagnostic monitoring.

This team-based approach allows Sanger to:

  • Treat complex cases
  • Engage patients and their families so they adhere to physician directions
  • Identify better ways to manage high-risk patients
  • Utilize virtual technology so advanced care is available to patients who live farther away

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Advanced Heart Failure

For most heart failure patients, standard medical therapy and device therapy is sufficient to improve quality of life. For patients who do not respond to standard medical treatment, Sanger has advanced therapies available.

Primary care physicians and cardiologists can refer patients into Sanger's long-term heart failure clinic for continued disease management. With three physicians board certified in advanced heart failure and heart transplant, and a specially trained staff, we are regional leaders in the care for advanced heart failure.

Pulmonary Hypertension

Sanger is the only facility in the region to provide specialized care to patients with pulmonary hypertension. Our multidisciplinary team utilizes a range of therapies, from oral medications to continuous intravenous infusions.


The specialized cardio-oncology clinic at Sanger treats oncology patients who have pre-existent heart disease or who develop congestive heart failure or cardiotoxicity as a result of cancer treatment. Our cardiology and oncology teams' integrated approach allows patients to have access to specialists in both fields who collaborate to determine the best course for treatment.

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