SWCVA is thrilled to welcome Dr. Rodrigo Chan to our esteemed team of cardiovascular specialists.
Renowned for his expertise in electrophysiology, Dr. Chan has made significant contributions to advancing heart disease treatment. 

CCM Therapy & The CCM Optimizer Device

CCM Therapy, also known as Cardiac Contractility Modulation, is a treatment option for people with heart failure. It involves the implantation of a device called a CCM Optimizer, which delivers precisely timed electrical pulses to the heart's ventricles. This helps to synchronize the contractions of the heart's chambers, which can improve heart function and reduce symptoms.

What is CCM Therapy?

Heart failure is a complex condition where the heart's ability to pump blood efficiently becomes compromised. This can lead to symptoms such as fatigue, shortness of breath, and reduced exercise capacity. CCM Therapy offers a novel approach to addressing heart failure by targeting the heart's contractility – its ability to contract and relax rhythmically.

The CCM Optimizer device works by delivering electrical signals during the absolute refractory period of the heart's cycle, which is when the heart is least sensitive to additional stimulation. These signals are painless and non-disruptive, helping the heart contract more effectively and improving blood circulation throughout the body. The therapy aims to enhance cardiac output, reduce heart failure symptoms, and ultimately improve the patient's overall well-being.

Risks & Benefits of CCM Therapy

Cardiac Contractility Modulation (CCM) Therapy, delivered through the Optimizer device, offers a promising avenue for individuals with heart failure to achieve improved heart function and an enhanced quality of life. While every medical procedure involves some level of risk, the potential benefits of CCM Therapy often outweigh these risks for eligible patients. Here's how the benefits of CCM Therapy tip the scales in favor of pursuing this innovative treatment:

Benefits of CCM Therapy

  • Improved heart function
    CCM Therapy can help to improve the pumping efficiency of the heart, which can lead to a reduction in symptoms such as shortness of breath and fatigue.
  • Enhanced quality of life
    Many patients who undergo CCM Therapy report a significant improvement in their quality of life. Reduced symptoms such as fatigue, shortness of breath, and exercise intolerance can lead to a more active and fulfilling lifestyle.
  • Non-invasive approach
    CCM Therapy is a non-invasive treatment option, involving the placement of the Optimizer device under the skin. This minimally invasive approach reduces the risks associated with traditional surgical interventions.
  • Complementary treatment
    CCM Therapy can be used in conjunction with other heart failure treatments, including medications and other devices, to create a comprehensive and personalized treatment plan.
  • Clinically proven
    CCM Therapy has undergone rigorous clinical trials to assess its effectiveness and safety. These trials have demonstrated the therapy's potential to positively impact heart function and symptom relief in eligible patients.

Risks of CCM Therapy

  • Device-related risks
    As with any implanted device, there are potential risks associated with the placement of the Optimizer device. These risks include infection, bleeding, and device-related discomfort.
  • Electrical stimulation effects
    The electrical signals delivered by the Optimizer device are painless and non-disruptive. However, individual responses to electrical stimulation can vary, and some patients may experience temporary discomfort or sensations.
  • Treatment response
    While many patients benefit from CCM Therapy, individual responses can vary. It's important to understand that not everyone may experience the same level of improvement in heart function or symptoms.
  • Long-term efficacy
    CCM Therapy is a relatively new treatment, and its long-term efficacy and durability are still being studied. It's important to have realistic expectations about the potential duration of benefits.

What to Expect Before, During, and After CCM Therapy

CCM Therapy is performed under local anesthesia. A small incision is made below your collarbone to implant an Optimizer device that delivers heart-modulating signals. The procedure takes about 1-2 hours. You may experience some mild discomfort at the incision site after the procedure. You will typically be able to return home the same day. Regular follow-up appointments will be scheduled to monitor the device's performance and make necessary adjustments.

It is important to adhere to your healthcare provider's instructions for post-procedure care. This may include taking pain medication, avoiding strenuous activity, and monitoring the incision site for signs of infection. Here are additional things to keep in mind post-procedure:

  • You must rest and avoid strenuous activity. Your healthcare provider will give you specific instructions about how much activity you can do after the procedure.
  • You must have your device checked regularly. Your healthcare provider will schedule regular follow-up appointments to check your device and make sure it is functioning properly.
  • You must be aware of your symptoms. If you experience any changes in your symptoms, such as shortness of breath, fatigue, or chest pain, contact your healthcare provider immediately.

Am I a Candidate for CCM Therapy?

CCM Therapy is typically recommended for people with moderate to severe heart failure who have not responded well to other treatments, such as medication and lifestyle changes. It has been shown to be effective in improving heart function and reducing symptoms in people with heart failure. In some cases, it can even lead to a reduction in the number of hospitalizations. Here are some of the factors that your healthcare provider will consider when determining if you are a candidate for CCM Therapy:

  • Symptoms
    You are more likely to be a candidate for CCM Therapy if you are experiencing significant heart failure symptoms, such as shortness of breath, fatigue, and exercise intolerance.
  • Ejection fraction
    Your ejection fraction is a measure of how well your heart pumps blood. A reduced ejection fraction is a common sign of heart failure.
  • Response to other treatments
    If you have not responded well to other treatments for heart failure, such as medication and lifestyle changes, you may be a candidate for CCM Therapy.
  • Other medical conditions
    If you have other medical conditions, such as diabetes or kidney disease, your healthcare provider will need to consider how these conditions may affect your eligibility for CCM Therapy.



Strengthen Your Heart with CCM Therapy

If you have mild to moderate heart failure but are not a candidate for devices like CRT pacemakers, innovative CCM therapy could help strengthen your heart and alleviate symptoms. This breakthrough treatment uses a mini implant to deliver cardiac contractility modulation signals that enhance heart muscle function. Request an appointment with our cardiac electrophysiology specialists to learn more about CCM therapy and find out if it’s right for you.

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