UMC Health System - Physician Notes

Fall 2016

Physician Notes is a magazine published by UMC Health System in Lubbock Texas

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A FTER HE STARTED habitually waking up at night short of breath, he went for testing and was referred to UMCHealth System. Romero suffered his first heart attack in 2000 at the age of 38. By 2016, his heart was failing and he either needed to move away from his hometown of Lubbock and wait for a heart transplant or stay local and receive the first left ventricular assist device (LVAD) from the heart failure program at UMC. When Romero visited Nandini Nair,M.D., Ph.D., director of Advanced Heart Failure Services, professor of medicine, Texas Tech Physicians Center for Cardiovascular Health, he brought his previous echocardiography results — and reports of his symptoms with him. After he and Dr. Nair discussed his condition, Dr. Nair ran an angiogram to look for blood vessel blockages and found complications with the left ventricle of his heart. "After we realized his left ventricle functioning was poor and the areas in the heart muscle weren't working due to myocardial disease, we looked at his options and ruled out coronary artery bypass because he wasn't a candidate," Dr. Nair said. "We decided he needed an assist device to survive. e LVAD is a battery-operated mechanical heart pump that helps the left ventricle pump blood to the rest of the body. We use it as a bridge to transplant and recovery as well as a destination therapy." LVAD TO THE RESCUE In the meantime, temporary therapies included blood pressure management and diuretics. He participated in cardiac rehabilitation prior to his surgery, which helped him build up his strength for the procedure. During this stage, Romero's ADVANCED HEART CARE AVAILABLE LOCALLY WHEN 54-YEAR-OLD MIKE ROMERO, A RETIRED MECHANICAL ENGINEER, STARTED FEELING OUT OF BREATH AND FATIGUED AFTER COMPLETING SIMPLE TASKS, HE THOUGHT HE WAS JUST OUT OF SHAPE AND NEEDED TO WORK ON HIS FITNESS. 4 PHYSICIAN NOTES /// FALL 2016

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