Tag: Blood Clots

How do Physicians Treat Congestive Heart Failure?

Congestive heart failure is precisely what it sounds like; it is a failure of the heart to properly function, and its effects on the body can be devastating. Physicians do their best to treat the symptoms and give the patient the best prognosis possible; however, no true cure for congestive heart failure currently exists.

Heart failure occurs when the heart is unable to properly pump blood throughout the body; as a result, rather than distributing nutrients and oxygen to the tissues and then excreting the excess fluid into the urine the blood pools. This results in either a systemic or localized edema as fluid builds up in the veins and organs, causing swelling of the extremities as well as the organs themselves (this fluid accumulation is responsible for an excessive amount of stress on the heart as fluid accumulates in the pleural cavity as well as the dyspnea, or difficulty breathing, often symptomatic of heart failure). The swelling and lack of oxygen and nutrients will result in permanent damage to the organs if left untreated, providing a very poor prognosis for the patient.

The first stage of treatment generally consists of the administration of extra oxygen to attempt to return the oxygen levels in the tissues to normal. Once oxygen has been administered and a pulse oximeter reveals blood oxygen levels to be acceptable the focus will shift to attempting to treat the fluid build-up in the body. Diuretics will be administered to assist the excess fluid on its path out of the body via the urinary tract, and nitrates are administered to cause the vessels to dilate, allowing blood to flow more freely without the heart having to work quite as hard. Treatment with diuretics is often accompanied by supplemental potassium, as the body will excrete potassium in the urine and long term hypokalemia may result in muscle weakness or paralysis, as well as an increased risk of fatal cardiac arrhythmia.

Patients will often be sent home from the hospital with diuretics, as well as a medication known as an ACE inhibitor (an angiotensin-converting enzyme inhibitor) which prevents the body from creating angiotensin, a substance which raises blood pressure and causes the blood vessels to constrict. An angiotensin II receptor blocker may also be administered if the patient continues to produce angiotensin. Patients may also be treated with vasodilators other than ACE inhibitors, particularly if they have responded poorly to treatments with ACE inhibitors in the past. Nitroglycerin is a common example of this type of medication.

Digitalis, or Digoxin, may be prescribed to strengthen the force of the heart’s contractions, aiding it to push blood throughout the body. Treatment with a beta blocker is also beneficial in cases of heart failure, preventing the heart from beating more rapidly in an attempt to compensate for the poor movement of the blood in the body and placing more stress on the weakened muscle.

Blood thinners are used to prevent the formation of clots in the body that may be caused by the decreased movement of the blood in the vessels. Coumadin and heparin are the most commonly prescribed blood thinners in use today; however, due to an increased risk of bleeding patients taking these medications should undergo coagulation testing regularly.

Lifestyle changes are just as important as medications in the long term treatment of heart failure. Patients should consult with their doctor to establish an appropriate (low sodium) diet and exercise program, and should do at least some moderate exercise daily. Equally important is taking sufficient time to rest every day. The heart pumps more easily when the body is at rest, which is vital to an already overstressed muscle. The nicotine from cigarettes causes an increase in heart rate, blood pressure, and the tendency for clumping in the blood vessels; patients with heart failure should abstain from smoking. Flu or pneumonia can be very difficult for hearts that are failing as they attempt to compensate for the lack of oxygen in the bloodstream being carried to the organs. It is very important that patients receive an annual influenza vaccine, as well as a dose of the pneumococcal vaccine, which will protect them from the pneumococcal bacteria that cause over eighty percent of cases of bacterial pneumonia. Wearing non-constrictive clothing will assist in preventing blood clots and facilitating blood flow to the extremeties, and in cases of extremely warm or extremely cold temperatures it is important that the patient take all precautions necessary to keep the body at an appropriate temperature..

Researchers are still seeking to find a cure for congestive heart failure; however, until that day comes it is extremely important that patients suffering from heart failure follow the treatment plan outlined by their physician. With careful attention to maintaining their condition, the prognosis associated with heart failure increases dramatically.

Help With Quitting Smoking

Enhancing the quality and length of your life by quitting smoking is a worthwhile effort. It is definitely not an easy task, but it can be accomplished with time and patience. To quit smoking successfully, finding out what your options are. Knowing where to go for help is a wise first step. Quitting smoking is the best move that you can make for your health and the health of all of those around you. Just about everyone knows by now that smoking causes diseases that shorten your life or those that may even end it. Diseases such as lung cancer, throat, esophagus, bladder, and kidney, and pancreas cancers are some horrible things caused by smoking for a start. Not to mention some leukemia, stomach, and cervix cancers, and newly added by the Surgeon General is pneumonia. People who smoke are more than three times as likely to die due to heart attack as non smokers. Smoking is a major risk factor for a disease that narrow the blood vessels that transport blood to the limbs and muscles called peripheral vascular disease as well as the disease that causes some strokes.

If thats not enough to convince you to stop smoking, lets look at your appearance. Premature wrinkling of skin, chronic bad breath, discolored fingernails and hair, and an increase risk of macular degeneration a leading cause of blindness in the elderly. Smoking over the age of thirty-five if you are a woman can put you in a high risk group for stroke, heart attack, and blood clots of the legs, low birth weight of babies and miscarriages. But the hopeful portion of this message is that if you decide to quite regardless of how long youve smoked or how much, quitting will help you to live longer. In as little as twenty minutes after quitting smoking the heart rate and blood pressure drops and in one to nine months following quitting smoking, circulation in your hands extremities and lung function increases. Shortness of breath decreases and your lungs begin to function properly, cleaning the lungs and removing mucus that causes infection. Fifteen years of non smoking and your risk of heart disease is that of non smoking persons. These benefits can be obtained from quitting smoking even if you are suffering from a smoking related illness already. Smoking is less socially accepted now more than ever. Smoking bans have been placed in just about every workplace in the nation along with airports, public buildings. Even friends may insist that you not smoke in their houses or cars. Some people may even find dating more difficult because of a bad smoking habit. So the social impacts of not smoking will probably change your life for the better if you quit.

If you have a family, that is another great motivation to quit smoking. The main reason is that the secondhand smoke could pose serious health problems for others who do not deserve such things. You should also consider what kind of role model you are being to any small children that you live with, whether they are your own kids, siblings, nieces and nephews, or any other relation. You may be living with kids who look up to you as an authority figure, and if you teach them that smoking is alright you will feel very guilty later in life.

Some of the many new products used to help an individual to stop smoking are really very effective. Counseling services, reading materials, medicines, and patches are all widely available and have produced some amazing results. Educational materials alone may be the best beginning start to an attempt to quit because once you know what kind of damage you are doing to your body the prudent and reasonable person will definitely see that it is the very best thing to do. However, it has been documented and researched that the highest success rates occur when a combination of methods are used simultaneously. Take the time and do it for yourself and your loved ones, quit for life.