Tag Archives: Heart

LMC to Offer Transcatheter Aortic Valve Replacement

This year, Lexington Medical Heart Center will begin offering transcatheter aortic valve replacement, known as TAVR. This state-of-the-art cardiovascular technology allows doctors to replace the aortic valve without open heart surgery.

Dr. Robert Leonardi of Lexington Cardiology

Dr. Robert Leonardi of Lexington Cardiology

“TAVR is the single most important advance in interventional cardiology since coronary angioplasty,” said Dr. Robert Leonardi of Lexington Cardiology, a Lexington Medical Center physician practice.

He will perform TAVR procedures as part of a highly skilled cardiac care team that includes Dr. Robert Malanuk of Lexington Cardiology and Dr. Jeffrey Travis of Lexington Cardiovascular Surgery, a Lexington Medical Center physician practice, as well as nurses, technicians and a cardiovascular anesthesiologist.

Currently, TAVR is for patients with severe aortic stenosis who are not candidates for open heart surgery because of their age, history of heart disease, or other health issues.

Patients with severe aortic stenosis have a narrowed aortic valve that does not allow blood to flow efficiently. As the heart works harder to pump enough blood through the smaller opening in the valve, the heart eventually becomes weak. Over time, that can lead to life-threatening heart problems.


TAVR offers a less invasive option than open heart surgery. To replace the diseased aortic valve, the new aortic valve is compressed into a tube-like device called a delivery catheter that’s slightly wider than a pencil. Doctors insert the delivery catheter and the new aortic valve into an artery and thread the catheter through the body to the inside of the diseased aortic valve. Then, doctors deploy the new valve from the delivery catheter inside the diseased aortic valve, which becomes the anchor for the new valve. The new valve is functional immediately and normal blood flow is restored.

Lexington Medical Heart Center will use the Edwards SAPIEN Transcatheter Heart Valve. It’s made of bovine tissue with a stainless steel frame. The TAVR procedure takes less than two hours.

“The main benefit is that patients feel better and live longer,” Dr. Leonardi said.

Studies show that TAVR reduces the mortality rate in patients by 20% in the first year after the procedure.

“Patients often want to know if there’s something we can do to make them feel better,” he added. “TAVR allows that to happen.”

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For more information on Lexington Medical Center’s complete cardiac care program, visit LexMed.com.

The Sleepy Heart

heart and EKGDid you know that 1/3 of your life is spent sleeping? Sleep is not just “time out” from your daily life. It’s a time for the entire body to rest and repair itself.

Not getting a good night of sleep can lead to drowsiness during our daily activities. But that’s not all. Some sleep problems can also harm our hearts.

Sleep and waking have direct impacts on our hearts. Any time we wake from sleep, our blood pressure and heart rates increase – and our hearts have to work harder.

Some sleep-related breathing disorders also impact the heart. In Obstructive Sleep Apnea (OSA), the upper air passage is blocked, preventing oxygen from getting into the lungs and resulting in low blood oxygen levels. In Central Sleep Apnea (CSA), the air passage remains open, but the person fails to make an effort to breathe.

People with sleep-related breathing disorders are more likely to have high blood pressure and are more at risk for heart disease and stroke. The drop in oxygen from not breathing and the increase in heart rate and blood pressure caused by waking up put stress on the heart. The continued fluctuations in blood pressure eventually lead to increases in blood pressure even during the day.

Studies have shown that OSA increases the risk of death from coronary artery disease. And, an estimated 40% of people with congestive heart failure also have CSA.

The good news is that treating sleep-related disorders can actually decrease a person’s chance of developing cardiovascular disease.

Lexington Sleep Solutions, a Lexington Medical Center physician practice, offers many types of treatment for sleep disorders.

Sleep disorders are treatable and appropriate treatment can lead to a healthier heart. Visit LexingtonSleepSolutions.com.