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Article Category: PeopleCare

PatCare

Dancing Queen Returns to the Floor after Optimizer Heart Failure Surgery

Published on January 24, 2024

Last updated 03:21 PM January 24, 2024

Thanks to a team of heart failure doctors and the Optimizer Heart Mini, Pat's back to dancing the Carolina shag again.

Pat Gelisse has been dancing for 30 years. She even taught the Carolina shag for a while. It’s a partner dance, sometimes compared to Swing dancing to beach music.

But severe heart failure downgraded Pat’s dancing queen status for close to 10 years.

“I went from feeling happy to feeling like a nothing,” she remembered of that time in her life.

With a team of Wellstar heart specialists working together for her, Pat found hope and new life on the dance floor.

Heart failure masquerades as acid reflux

It started more than a decade ago when Pat lived in central Georgia. She scheduled a doctor’s appointment for what she thought was acid reflux. She popped in on a quick break from her marketing job, assuming it wouldn’t take long.

Blood work and an EKG got Pat a ticket straight to the hospital and a quadruple bypass. 

“My heart got worse; it wasn’t pumping blood,” Pat said.

She was in acute heart failure, a life-threatening condition where the heart doesn’t pump well enough to deliver the necessary amount of oxygen to her body. Pat’s ejection fraction (EF)—the percentage measurement of the blood that leaves the heart each time it pumps—was only 10%. The normal range is 50 to 70%.

It was a scary time, and with a family history of heart problems, Pat was worried. She’d lost both parents to heart failure, as well as other family members.

“I just knew for sure I was going to be next,” said Pat.

Doctors from various academic institutions discussed serious treatments ranging from LVAD to transplant, but because the pumping performance of her heart improved, she was no longer a candidate for those procedures. Instead, Pat spent close to nine years managing her heart failure with a pacemaker and various medications—treatments that failed to get her back on the dance floor.

In clinical trials for Optimizer, patients felt better. They were able to walk longer distances without getting out of breath.

- Dr. Brian Howard

Advanced heart failure specialist

Holding on to hope

Pat eventually moved to Canton to be closer to family and began to see Dr. David Fishman, an interventional cardiologist at Wellstar Kennestone Regional Medical Center. She’d finally found a doctor she connected with. 

“I absolutely love Dr. Fishman. He’s like a big brother,” Pat said. “He never gave up hope on me.”

She shared with him that living in her sister’s basement was a struggle—particularly because it was hard to breathe after taking 17 steps up and down.

“I couldn’t do it without being completely worn out,” Pat explained.

That’s when he asked Pat to visit an advanced heart failure specialist.

“Dr. Fishman was astute enough to realize that maybe there was something more for this patient,” said Dr. Brian Howard, an advanced heart failure specialist at Wellstar.

Once he reviewed her medical history and ran some tests, Dr. Howard believed Pat would benefit from a relatively new implantable device. The Optimizer Smart Mini delivers precisely timed electric pulses. As a result, it improves the quality of life in people with a moderately reduced ejection fraction (in the 25 to 45% range). Pat qualified because hers was now up to 40%.

“In clinical trials for Optimizer, patients felt better,” Dr. Howard said. “They were able to walk longer distances without getting out of breath.”

Wellstar became an early adopter, expanding treatment options for patients with heart failure.

“I feel privileged to direct patients with this nasty disease to the therapy that I think will be best for them,” Dr. Howard said.

Saying ‘yes’ to Optimizer for heart failure treatment

Pat went in for surgery in May 2023. Dr. Bryan Piedad, a Wellstar cardiac electrophysiologist, implanted the Optimizer.

Patients who get the Optimizer device typically go home the same day because it is implanted through a minimally invasive procedure.

“There was no pain or scarring—I got a Band-Aid on it really,” Pat said. 

While the surgery itself exceeded her expectations, Pat doubted it was a success at first. 

“She was frustrated in the beginning because she wanted to wake up from the surgery and be dancing all night long,” Dr. Howard said, explaining recovery can take a couple of months. “But now she’s back to doing what she did 10 years ago. It makes me feel warm to the soul.”

Pat credits her team of subspecialists working together at Wellstar with her success. The way she sees it, she would never have connected with Dr. Howard and Dr. Piedad if it wasn’t for Dr. Fishman.

“To treat advanced heart failure, you need multiple subspecialists talking to each other and working together to make sure the patient gets the best outcomes,” Dr. Howard said. 
 

The dance floor is calling

After she began to feel better, Pat not only took the steps up to her sister’s house with a lighter step, but she began caring for her toddler niece daily. She keeps up with her active little charge, picks her up and walks up and down the stairs with her in arms.

Plus, Pat is once again showing off what she can do on the dance floor.

“So many people came out to dance with me,” she glowed, speaking of a recent reunion with her old shag club friends. “It was awesome!”


Learn more about advanced heart failure care at Wellstar.

Tags

Bryan Thomas Piedad Brian Gaston Howard Kennestone Regional Medical Center
PeopleCare Heart Care
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