Early care makes a difference. Talk with our nationally recognized advanced heart failure cardiologists.
If you’ve been diagnosed with heart failure, you’re not alone. One of five adults aged 40 and older will develop the condition in their lifetime. Although heart failure can be serious, it is highly treatable when addressed early by experienced experts. While care is available at any stage, seeking treatment sooner can significantly improve results compared to waiting.
Proven Leaders in Advanced Heart Failure Care
MedStar Health isn’t just treating heart failure—we’re helping define what’s possible.
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Nationally recognized, high-volume program
One of the busiest heart failure programs in the country, delivering expert care at every stage.
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Advanced therapies and specialized programs
Access to breakthrough treatments like mavacamten for hypertrophic cardiomyopathy (HCM), a nationally recognized Sarcoidosis Center of Excellence, and emerging therapies for transthyretin cardiac amyloidosis (ATTR-CA).
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Global leaders in VAD innovation
Among the nation’s busiest ventricular assist device (VAD) programs, with decades of experience helping develop and refine this life-saving technology.
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Pioneers in mechanical circulatory support
Implanting LVADs since 1988—among the first programs in the world—and continuing to advance surgical techniques and device design.
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First-in-region and national milestones
First in the U.S. to implant a HeartWare LVAD and first in Washington, D.C., to perform a heart transplant.
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Expert transplant care
More than 250 heart transplants performed, with ongoing innovation to improve outcomes and quality of life.
Expanded access to advanced heart failure care-closer to home across Maryland, Washington, D.C., and Reston, V.A.
Haven’t been diagnosed yet?
If you haven’t been diagnosed with heart failure but would like to learn more about this condition and its potential risk factors, visit our general cardiology page by clicking here.
Conditions we treat
Our experienced specialists are nationally recognized for successfully treating a variety of advanced heart failure conditions. Below are some of the conditions we treat and when you would see our advanced heart failure team.
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Congestive heart failure (CHF)
When your symptoms have become advanced, you will notice you may not be improving much with standard treatments anymore. You will know it is advanced when you notice your symptoms happen more often and are more severe. You may feel short of breath even when sitting or lying down. The swelling in the legs, feet, or stomach can be more noticeable, and you may feel very tired and have trouble doing normal tasks compared to before.
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Left-sided heart failure
The left side of your heart-the part that pumps oxygen-rich blood to your whole body—becomes very weak and does not work well, even with treatment. When the left side main pump doesn’t work properly, blood can back up into the lungs. It has become advanced when regular treatments may not be enough to control symptoms at this point. You may feel short of breath even at rest or when lying down and you may wake up at night feeling like you can’t breathe. You feel very tired and weak doing simple activities.
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Right-sided heart failure
The right side of your heart—the part that sends blood to your lungs—is very weak and not working well, even with treatment. When the right side doesn’t work properly, blood can back up in the body. It has become advanced when regular treatments may not be enough to control symptoms anymore and symptoms become more frequent and severe. Swelling and fluid buildup are harder to control and you may feel unwell even at rest. This condition can affect organs like the liver and kidneys.
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Biventricular heart failure
This is a combination of left and right-sided heart failure. Both pumps of the heart are struggling to pump blood-so fluid is backing up everywhere and the body isn’t getting the blood it needs.
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Cardiomyopathy
This is a disease of the heart muscle that makes it harder for our heart to pump blood throughout our body and as it worsens and the heart becomes weaker, maintaining a normal electrical rhythm lessens.
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Amyloidosis (ATTR-CM)
This is a serious condition where abnormal proteins (called amyloid) build up in the body’s organs—like the heart, kidneys, or liver—and start to interfere with how those organs work. It can lead to a type of heart failure because the heart becomes stiff (can’t fill properly) and it is less able to pump blood effectively.
Heart failure treatments
When you are no longer responding well from medication and have exhausted most avenues of interventions, and your heart failure if worsening, it is time to see an advanced heart failure specialist. These specialists have additional training and expertise to work with you to decide which treatment program will be best for you.
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Inotropic therapy
Inotropic therapy is an IV medication that can relieve symptoms and abnormal heart rhythms.
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CardioMEMS™ remote patient monitoring
CardioMEMS™ provides pulmonary artery pressure remote monitoring using a small sensor.
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Barostim™ heart assist device
A FDA-approved heart failure device that uses neuromodulation – the power of the brain and nervous system-to improve systems of patients with systolic heart failure.
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Interventional heart failure treatment
Brings together heart failure and interventional cardiology, drawing expertise from both fields of practice. Many heart failure patients have aortic, mitral, and tricuspid heart valve defects, or develop it as a result.
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Ventricular assist devices (VADs)
A ventricular assist device (VAD), also known as a mechanical circulatory support device, helps the heart pump blood more effectively during end-stage heart failure.
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Cardiac Contractility Modulation
Cardiac Contractility Modulation (CCM) therapy is a new approach to improve the pumping of the heart in people living with heart failure. CCM is especially helpful for people whose heart failure symptoms such as fatigue, shortness of breath, or leg swelling continue despite heart medications or are worsening over time.
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Other heart failure treatment options
Treatments for heart failure such as medications, remote patient monitoring, mechanical devices, such as defibrillators and pacemakers, heart valve interventions, and surgery may vary based on the cause and severity of your condition.
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Heart failure specialty treatment programs
- Amyloidosis (ATTR-CM)
- Dilated, hypertrophic, peripartum cardiomyopathy
- Pulmonary Hypertension
- Sarcoidosis (Cardiac)
Our Advanced Heart Failure Specialists by Location
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MedStar Health Advanced Heart Failure Program at Annapolis
2002 Medical Parkway
Suite 500
Annapolis, MD 21401 -
MedStar Union Memorial Hospital
3300 North Calvert St.
Second Flr.
Ste. B
Baltimore, MD 21218 -
MedStar Franklin Square Medical Center
9105 Franklin Square Dr.
Ste. 209
Baltimore, MD 21237 -
MedStar Health at Frederick
163 Thomas Johnson Dr.,
Ste. E
Frederick, MD 21702 -
MedStar Health: Cardiology at Bel Air
12 MedStar Blvd.
Suite 170
Baltimore, MD 21225 -
MedStar Health Advanced Heart Failure Program at Bethesda
6410 Rocklege Dr.
Suite 401
Bethesda, MD 20817 -
MedStar Southern Maryland Hospital Center
7503 Surratts Rd.,
Suite 304
Clinton, MD 20735 -
MedStar Health Advanced Heart Failure Program at Salisbury
400 Eastern Shore Dr.
Salisbury, MD 21804
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MedStar Health Advanced Heart Failure at Reston
1830 Town Center Dr.
Suite 405
Reston, VA 20190
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MedStar Health: Cardiology at MedStar Washington Hospital Center
110 Irving Street, NW
First Floor, North Addition
Washington, DC 20010 -
MedStar Georgetown University Hospital
2002 Medical Parkway
Suite 500
Annapolis, MD 21401
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A Team That Stays With You
At MedStar Health, you’re never navigating heart failure alone. Our coordinated care team supports you throughout the management of your heart care.
You’ll have access to:
- Nurse navigators and care coordinators
- Nutrition and lifestyle counseling
- Cardiac rehabilitation
- Remote monitoring and follow-up care
- Financial counselors
Recognized quality and outcomes
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5%
Top 5% of cardiac surgery programs in the U.S.
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National Rankings
Cardiology and heart surgery
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High-performing ratings
Heart failure care
Fiscal year 2025 data
Frequently asked questions about heart failure
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When should I see an advanced heart failure cardiologist?
There is a “Golden Window of Opportunity” when heart failure patients should be referred for advanced care before it is too late (American Heart Association scientific statement October 2021). The clinical signs and symptoms that indicate when a patient should be referred for advanced heart failure care are:
- Inability to tolerate guideline directed medical therapy
- Frequent hospitalizations
- Recurrent heart rhythm issues or ICD shocks
- Worsening kidney function
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Is there a cure for heart failure?
Heart failure caused by damage to the heart cannot be cured, but it can be treated. Since heart failure is a progressive disease where the symptoms become more severe over time, it is especially important that people receive medical treatment early in this disease process. Heart failure can be successfully treated to improve the patient’s quality of life and slow the progression of the disease.
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How will I know if my heart failure is getting worse?
Heart failure symptoms may remain stable for months or even years before worsening. Symptoms can also rapidly become worse after a cardiac event, such as a heart attack. Weight gain, new symptoms and frequent hospitalizations are some of the warning signs that your heart failure is progressing and becoming worse.
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When will I need advanced heart failure care?
When a heart failure patient is no longer responding to guideline directed medical therapy and their medical condition is worsening, the recommendation is for the patient to be referred to a Heart Failure and Transplantation cardiologist who can provide advanced heart failure care.
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What lifestyle changes can I make to improve my heart failure?
The goal of any lifestyle modification is to both improve your general health and prevent heart failure from progressing. The American Heart Association has endorsed these recommendations including daily weight monitoring to help your physician to adjust medications or your treatment plan, quit smoking, be physically active to help strengthen your heart, get enough rest and relaxation to give your which heart a chance to pump more easily, manage stress and anxiety to avoid making your heart work harder, avoid or limit alcohol, eating for a healthy heart, and monitoring your blood pressure to help control high blood pressure.
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Will I still be able to work and travel?
Most often heart failure can be treated and managed, allowing people to continue to work and travel. Each person’s situation is different so you should have a discussion with your physician about your ability to work and travel.
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How long can I live with heart failure?
Heart failure symptoms may remain stable for months or even years before worsening. Life expectancy with congestive heart failure varies depending on the severity of the condition, genetics, age, and other factors. According to the Centers for Disease Control and Prevention (CDC), around one-half of all people diagnosed with congestive heart failure will survive beyond five years.
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Will I need to take medicines the rest of my life?
Heart failure patients are normally prescribed numerous medications to keep their symptoms under control and improve their quality of life. Some of these medications do have side effects, but the benefits of normally greatly outweigh problems. It is important that you work closely with your physician to carefully manage medications to maximize the benefits of these drugs.
Want to know more?
Get an in-depth look at our advanced treatments, cutting-edge research, and positive patient outcomes. Learn more
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Blogs
- Valvular Disease with Dr. Gower - A major cause of heart failure
- Study Shows Increased Genetic Burden in Advanced Dilated Cardiomyopathy and Heart Failure Risk to Families
- Research: LVAD and Support Offer Patients with Advanced Heart Failure Another Chance for Transplant with Dr. Gupta
- Leveraging the Autonomic Nervous System to Give Patients with Heart Failure a New Option with Dr. Gupta
- New Cardiac Amyloidosis Treatments Improve Quality and Length of Life with Dr. Sheikh
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