Cardiac Contractility Modulation

in Daytona Beach, FL

For patients who fall in the middle ground of not severe enough heart failure for devices, but are still symptomatic, hope is here. Impulse Dynamic's cardiac contractility modulation can help strengthen your heart and reduce symptoms. 26 Million world wide have heart failure - we're determined to do something about it.


No one plans on having heart problems, but if you do you need to find a doctor you can trust. At Complete Cardiology Care we staff Cardiologists and Electrophysiologists that treat patients with cardiac contractility modulation in Daytona Beach, Ormond Beach, Palm Coast, Deltona, Deland, and the surrounding areas.

CCM in daytona beach and titusville

Heart Failure affects at least 5.7 million in the US

CCM in daytona beach and titusville

Increase your energy

Improve cardiac function

CCM in daytona beach and titusville

Start living the life you once had

optimizer smart mini

What is Cardiac Contractility Modulation (CCM)?

Cardiac Contractility Modulation is a therapy which is intended for the treatment of patients with moderate to severe heart failure (NYHA class II–IV) with symptoms despite optimal medical therapy who can benefit from an improvement in cardiac output. The short- and long-term use of this therapy enhances the strength of ventricular contraction and therefore the heart's pumping capacity by modulating (adjusting) the myocardial contractility. This is provided by a pacemaker-like device that applies non-excitatory electrical signals adjusted to and synchronized with the electrical action in the cardiac cycle

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The Optimizer® Smart system

The Optimizer® Smart is a minimally invasive implantable device that treats patients experiencing symptoms of moderate to severe CHF even after appropriate medical treatment. The device operates by delivering precisely timed electric pulses called CCMTM (Cardiac Contractility Modulation) therapy.


As a result, patients experience a higher quality of life through the reduction of CHF symptoms such as overwhelming shortness of breath and fatigue.



The Optimizer® Smart System, which delivers CCM™ therapy, is indicated to improve 6-minute hall walk distance, quality of life and functional status of NYHA Class III heart failure patients who remain symptomatic despite guideline directed medical therapy, who are in normal sinus rhythm, are not indicated for CRT, and have an LVEF ranging from 25% to 45%.


The Optimizer® Smart system delivers non-excitatory CCM™ signals to the heart and has no pacemaker or ICD functions.



how optimizer smart works

  • What is Heart Failure?

    Chronic heart failure (CHF) occurs when your heart is unable to pump sufficient blood to meet the needs of your body due to weakened heart pumping strength. Measured by ejection fraction (EF), a normal EF is greater than 55%. In patients with CHF, this value can fall to 25%, or even lower.


    Heart failure is often caused by damage to the heart muscle due to a heart attack, untreated coronary artery disease, or persistent high blood pressure. The symptoms of heart failure include, but are not limited to:


    • Dyspnea or shortness of breath during movement or while resting
    • Fatigue and general weakness
    • Edema or swelling in your legs, ankles, and feet
    • Fast or irregular heartbeat
    • Swelling of your abdomen
    • Nausea and lack of appetite
    • Chest pain

    You may also notice that tasks such as grocery shopping or climbing stairs are increasingly difficult for you due to fatigue and shortness of breath.

  • Who is intended for Cardiac Contractility Modulation?



    Cardiac Contractility Modulation is a therapy which is intended for the treatment of patients with moderate to severe chronic heart failure (NYHA class III–IV), LVEF 25-45% and QRS <130ms with symptoms despite optimal medical therapy. The short and long-term use of this therapy may enhance the strength of ventricular contraction and therefore the heart’s pumping capacity by modulating (adjusting) the myocardial contractility.

  • How does Cardiac Contractility Modulation work?

    The Optimizer®Smart is a minimally invasive implantable device that delivers precisely timed electrical pulses to the heart cells during a special period of the beating cycle (called the absolute refractory period, or the period just after the heart contracts). In doing so, it strengthens and helps the heart contract more forcibly, thereby delivering more blood and oxygen to the body. Studies have shown CCM therapy to improve 6-minute hall walk distance, quality of life and functional status among patients who are candidates for the device.

  • What is the Optimizer Smart device?

    The Optimizer® Smart Implantable Pulse Generator (IPG) unit is a rechargeable device that senses the heart’s electrical activity and delivers Cardiac Contractility Modulation signals during the absolute refractory period (just after the heart contracts) via two electrodes placed in the heart’s right ventricle. There is also a lead placed in the right atrium to assist with the therapy timing cycle. The IPG is about the size of a pacemaker IPG.

  • What should I expect from the Optimizer® Smart System?

    The Optimizer® Smart System includes an implantable stimulation device (similar in size to a pacemaker) and  an external charging station. The device is implanted in a small pocket under the skin of the upper chest, along with commercially available pacemaker leads that are placed in the heart’s right ventricular septum, while the patient is under light sedation. After implantation, the physician custom-programs and activates the device for the patient. The Optimizer® Smart then begins sending electrical pulses to the heart muscle for a total of 5 to 7 hours a day, in one-hour treatments separated by regular intervals. The patient charges the device one hour per week  using the external charger. The Optimizer® Smart device is expected to last at least 15 years without replacement.


    The implant procedure doesn’t require open-heart surgery and most patients can return home soon after the implant is complete. Plus, most patients are able to return to everyday activities shortly after the procedure.

Stop coping with your chest pains and get treated today

If you are curious how we can help you with heart failure symptoms with cardiac contractility modulation in Daytona Beach, FL please reach out to us. We are currently accepting new patients. Complete Cardiology Care staffs Cardiologists and Electrophysiologist that serve patients in Ormond Beach, Daytona Beach, New Smyrna Beach, Port Orange, Deltona, Deland, and the surround areas.


Our Cardiologists and Electrophysiologist take nearly all insurances. We accept Aetna, AARP Medicare Complete, Blue Cross / Blue Shield, Cigna, Florida Healthcare, Florida Hospital Care Advantage, Freedom Health, Health First Health, Humana PPO - out of network benefits apply, Medicare, Optimum Healthcare, Railroad Medicare, Tricare, United Healthcare, VHN, Wellcare.


​We are also a partner with the VA and are proud to serve those who have served our country!


Self Pay Cardiology services are available too! Call and ask for our price list.