BETTER HEART FAILURE MANAGEMENT FROM THE COMFORT OF YOUR HOME

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BETTER HEART FAILURE MANAGEMENT FROM THE COMFORT OF YOUR HOME Staying Ahead of Heart Failure with the CardioMEMS HF System

The CardioMEMS HF System A UNIQUE APPROACH TO HEART FAILURE MANAGEMENT THAT CAN MAKE A WORLD OF DIFFERENCE In living a better life By reducing your chance of a heart failure hospitalization 1 For a healthier future CLASSES OF HEART FAILURE* CLASS I CLASS II CLASS III CLASS IV Heart failure but no symptoms or limitations to physical activity. Slight limitations of physical activity. Comfortable at rest. Ordinary physical activity results in feeling tired and shortness of breath. Significant limitations in even mild physical activity such as walking causing shortness of breath and exhaustion. Comfortable only at rest. Unable to carry on any physical activity without discomfort. Tired and short of breath even at rest. * New York Heart Association (NYHA) Classes of Heart Failure, 2016.

WHAT IS HEART FAILURE? When the heart weakens Heart failure is a long-term condition in which the heart muscle can t pump enough oxygen-rich blood to meet the body s needs. Signs and symptoms of heart failure can include swelling of the feet, ankles and legs, shortness of breath, weight gain and an overly tired feeling. A challenging condition to treat Heart failure is a serious condition. It is also progressive: the heart gets weaker over time, even though you may not notice the signs of worsening disease. This silent progression is what can make heart failure so difficult to manage and for your healthcare provider to treat. Getting ahead of the progression Now there is a way for your healthcare provider to identify the silent symptoms of advancing heart failure, and take steps to control it before it gets worse so you can have the highest possible quality of life and reduced chance of being hospitalized for heart failure. Heart Failure in the United States 2 ABOUT 5.7 MILLION ADULTS IN THE U.S. HAVE HEART FAILURE. ONE IN 9 DEATHS IN 2009 INCLUDED HEART FAILURE AS CONTRIBUTING CAUSE. About half of people who develop heart failure die within 5 years of diagnosis. EARLY TREATMENT IS ESSENTIAL The CardioMEMS HF System enables earlier and more proactive treatment and reduces the risk of rehospitalization. Signs and symptoms appear (swelling, weight gain, shortness of breath) Hospitalization Pressure changes notify healthcare provider about change in status Worsening heart failure Increased fluid levels DAY 1 DAYS TO HOSPITALIZATION DAY 30 EARLY AND PROACTIVE LATE AND REACTIVE YOUR HEART FAILURE IS STABLE AND YOUR SYMPTOMS ARE CONTROLLED YOUR HEART IS BECOMING OVERWORKED YOUR HEART IS FAILING AND EVERYDAY ACTIVITIES BECOME VERY DIFFICULT

HOW YOUR HEART AND LUNGS WORK TOGETHER Clues to advancing heart failure TO UPPER BODY Important clues about the progression of heart failure FROM UPPER BODY lie in your pulmonary artery, a passageway that carries blood from your heart to the lungs. When your heart is too weak 8 TO LUNGS THROUGH PULMONARY ARTERY (heart failure with reduced ejection fraction) or stiff (heart 4 failure with preserved ejection fraction) to pump effectively, fluid builds up and causes pressure increases in your pulmonary artery and lungs. 1 3 LEFT ATRIUM 5 FROM LUNGS By using the CardioMEMS HF System to measure RIGHT ATRIUM 6 pressure increases in your pulmonary artery, your 7 healthcare provider will know that your heart failure is getting worse, often before you do. That means that they 2 RIGHT VENTRICLE LEFT VENTRICLE can recommend lifestyle and medication changes earlier, to keep you feeling well and FROM LOWER BODY 1 4 FROM THE BODY TO THE LUNGS reduce your chance of a heart 5 8 failure hospitalization. FROM THE LUNGS TO THE BODY

STAYING AHEAD OF HEART FAILURE AT HOME How the CardioMEMS HF System works The CardioMEMS HF system includes a tiny pressure-sensing device that is inserted into your pulmonary artery. It also has a home unit about the size of a queen-size pillow that allows you to wirelessly send your pulmonary artery pressure readings directly to your heart failure medical team for regular review. Taking a reading is a simple process that only takes a few minutes each day You just lie down on the provided home unit and press a button to start Better heart failure management from the comfort of your home. PA sensor is shown at actual size. The information is sent to a secure website that your medical team can access Your healthcare provider regularly reviews the information and contacts you if changes to your medications or treatment plan are necessary Regular monitoring from your home allows you and your heart failure medical team to get ahead of heart failure before it progresses Sensor is inserted using a common procedure. You simply take a daily measurement of the sensor from the comfort of your home. Your healthcare provider reviews your information and contacts you when necessary.

INSERTION OF THE CARDIOMEMS PA SENSOR A proven and commonly performed procedure You will not feel the sensor in your pulmonary artery The sensor is no bigger than a paperclip and has no batteries or wires The sensor will not interfere with daily activities or other implanted devices such as pacemakers or defibrillators Implant risks As with any medical procedure, there are risks associated with implanting the device, although complications are very rare. 1 Some of the risks include: abnormal heartbeat, bleeding, infection, device embolization, hematoma, blood clot, stroke, heart attack and death. See your healthcare provider for more information and to find out if the CardioMEMS HF System is right for you. The CardioMEMS HF System sensor is inserted in the pulmonary artery through a common procedure.

THE CARDIOMEMS HF SYSTEM Quick and convenient heart failure monitoring from the comfort of your home Supports more timely management of your condition, before it gets worse 3 Effective in both types of heart failure 1 heart failure with preserved ejection fraction or reduced ejection fraction If you are interested in learning more about the CardioMEMS HF System and whether it might be right for you, please talk to your healthcare provider or visit ShowUpForLife.com. In a clinical study of heart failure patients, ** the CardioMEMS HF System led to a: SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE 1 INCREASE IN 6-MINUTE WALK DISTANCE 4 REDUCTION IN HEART FAILURE HOSPITALIZATIONS 1 Being able to know that someone is watching and helping me to maintain my levels to keep the pressures off of my heart is what makes the biggest difference. Iris CardioMEMS HF System patient

*New York Heart Association (NYHA) Classes of Heart Failure, 2016. * * In the CHAMPION clinical trial (CardioMEMS Heart Sensor Allows Monitoring of Pressures to Improve Outcomes in NYHA Class III Heart Failure Patients), patients with moderate (NYHA Class III) heart failure for at least three months, irrespective of left ventricular ejection fraction, and a heart failure hospitalization within the past 12 months were included in the study. 1. Abraham, W. T., Stevenson, L. W., Bourge, R. C., Lindenfeld, J. A., Bauman, J. G., & Adamson, P. B., for the CHAMPION Trial Study Group. (2016). Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomised trial. The Lancet, 387 (10017), 453-461. 2. Mozzafarian D, Benjamin EJ, Go AS, et al. on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics 2016 update: a report from the American Heart Association. Circulation. 2016;133:e38-e360. 3. Adamson, P. B. (2009). Pathophysiology of the transition from chronic compensated and acute decompensated heart failure: new insights from continuous monitoring devices. Current Heart Failure Reports, 6, 287-292. 4. Alam, A., Jermyn, R., Joseph, M., Patel, S., Jorde, U., & Saeed, O. (2016, April). Improved quality of life scores and exercise capacity with remote pulmonary pressure monitoring in patients with chronic heart failure. Presentation 903-06. American College of Cardiology 2016 Scientific Sessions, Chicago. Abbott One St. Jude Medical Dr., St. Paul, MN 55117 USA, Tel: 1 651 756 2000 Rx Only Brief Summary: Prior to using these devices, please review the User s Manual for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use. Indications and Usage: The CardioMEMS HF System is indicated for wirelessly measuring and monitoring pulmonary artery (PA) pressure and heart rate in New York Heart Association (NYHA) Class III heart failure patients who have been hospitalized for heart failure in the previous year. The hemodynamic data are used by physicians for heart failure management and with the goal of reducing heart failure hospitalizations. Contraindications: The CardioMEMS HF System is contraindicated for patients with an inability to take dual antiplatelet or anticoagulants for one month post implant. Potential Adverse Events: Potential adverse events associated with the implantation procedure include, but are not limited to the following: Infection, Arrhythmias, Bleeding, Hematoma, Thrombus, Myocardial infarction, Transient ischemic attack, Stroke, Death and Device embolization. Refer to the User s Manual for detailed indications, contraindications, warnings, precautions and potential adverse events. Indicates a trademark of the Abbott group of companies. 2017 Abbott. All Rights Reserved. 21814-SJM-MEM-1214-0067(2) Item approved for U.S. use only.