Tag: disease

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Heart failure, as well as all the risks that accompany it, can be a terrifying prospect for any man, woman or child. The impact of a heart, the body’s central tool for survival, no longer functioning may seem like the beginning of the end. The good news is, by establishing an effective treatment plan with your cardiologist the prognosis, and the chances for you to lead a normal life, increase exponentially.

Heart failure occurs when the heart can no longer efficiently pump blood throughout the body. The blood pools, and while organs are deprived of vital, life giving oxygen and nutrients the excess sodium that would normally be excreted in the urine builds up in the tissues, resulting in fluid retention that leads to organ stress and the dyspnea that is so common in cases of congestive heart failure. Left untreated, the oxygen deprived organs will eventually cease to function and the patient will die.

Fortunately, there are now many ways to combat the mortality factor associated with heart failure. Doctors can prescribe medications to facilitate the flow of blood through the body and take some of the pressure off the heart; blood thinners can decrease the chances of clots forming in the veins. Aside from medicinal means, there are many factors that may be altered in your lifestyle to impact the prognosis of your disease.

It is essential that the body be given sufficient time to rest in a day. While at rest the heart can more easily pump blood throughout the body; just as you would rest an injured leg when it began to pain you, you should rest your heart as well. On the flip side, it is important to establish a daily exercise routine. It doesn’t have to be three hours of aerobics; a half hour walk every day would have a greater impact on your physical being than nothing. Consult with your physician to find the plan that works best for your individual circumstances.

Along with an exercise plan you should work with your doctor to find the best diet plan for you. In most cases a low sodium diet is recommended to help reduce fluid retention. Diuretics can greatly affect the levels of potassium in the body causing hypokalemia, which can lead to muscle weakness, paralysis and a fatal cardiac arrhythmia; therefore, very often if you have been given a diuretic to take daily a potassium supplement will also be prescribed.

Nicotine can create a serious problem for patients with heart failure. It increases the heart rate and blood pressure while having a negative impact on the oxygen level in the blood. All of these things cause the heart to work harder. It is strongly recommended that if you have been diagnosed with heart failure you quit smoking completely.

Hand in hand with smoking are the inherent dangers associated with contracting a case of pneumonia or flu. If you are able you should receive an annual flu shot, as well as the one time dose of pneumococcal vaccine. This will provide some level of protection against pneumococci bacteria, the major cause of bacterial pneumonia. Pneumonia is a problem for the same reasons as smoking; the decreased oxygen levels in the blood cause the heart to work harder in an attempt to compensate and get oxygen to the organs and tissues. If possible, avoid crowded areas during cold and flu season, and stay away from people you know are sick.

Amazingly, something as simple as the clothes you wear can impact your condition if you have suffered heart failure. Tight clothing can cause blood clots and restrict blood flow to the extremities. In addition, in cases of extreme temperature your clothes should be weather appropriate; if the body has to work to maintain its temperature the heart will have to work that much harder.

Sexual relations can usually be continued as before; however, they should occur in as peaceful an environment as possible to prevent undue stress. If your condition is severe it is important that you discuss this with your physician; it may be necessary to forego sexual relations for a time in favor of other, less stressful shows of affection.

Each of these steps will help you continue to live much as you did before being diagnosed. Heart failure will inevitably impact your life; it is entirely up to you how much.

How to Find Current Research on Congestive Heart Failure

Medical research is a never ending fount of information, and its sources are vast. Unfortunately, it may be very difficult for a layman not associated with the medical field to find up to date information pertaining to his disease and treatment options. While doctors are constantly attending conferences as part of their continuing education curriculum, the average Joe is left to sort through a variety of sources in an attempt to find information that is not obsolete. The best choice for this patient is to continue his research in one of the many scientific research journals published.

While a specific journal pertaining solely to the topic of congestive heart failure may not be available, there are a seemingly infinite number of research journals being published that pertain to medical issues (there are research journals published for any field in which there is someone doing research). These are available in both a virtual format or in a hard copy. If a research source is found that a patient particularly favors they can purchase a subscription, which will allow them to receive new issues of the journal as they are released. When researching a specific topic or disease purchasing a subscription to just one source may not be the action of choice. Often a variety of articles pertaining to a specific topic can be found in multiple journals, and it is often more beneficial to read more than one. Libraries will often carry a subscription to several periodicals, and many will publish an edition over the internet. A portion of the journals that can be found online allow readers full access without a subscription.

Scientific journals publish cutting edge research, giving the average person a chance to read about advances in medicine and technology that are occurring in every field. Is was a scientific journal that first published the information about stem cell research that sparked a controversy across the nation, and these same stem cells are now considered one of the best chances for providing long term relief for patients suffering from heart failure. Through scientific journals the reader is taken through laboratories around the world and exposed to ideas and theories of some of the planet’s greatest minds.

When searching for a research journal from which to learn it is important to ascertain that it is, in fact, a reputable source. Research journals publish both theory and fact, and it is essential that the two be differentiated. A publication with a reputation of publishing theories as facts should be avoided. If a patient is unfamiliar with the world of science it would probably be helpful for them to seek the aid of their physician in finding a factual source of information which publishes only peer reviewed articles and up to date research.

It is important to remember that the articles written in scientific journals are written by health professionals for health professionals, and may be very difficult for a person uneducated in anatomy and medical terminology to understand; however, when armed with a dictionary and a physician to consult with scientific journals are an endless source of information.

My Rude Introduction to Arthritis and how I am Coping

My Rude Introduction to Arthritis and how I am Coping with It
Jimmie Newell

Let me begin by stating upfront that I realize that a great many people suffer from much more serious arthritic conditions than I. This article is not to trivialize their conditions in any way. My intent is to explain how this disease manifested itself in me and the treatment that I have undertaken.Being an avid golfer, I like many other men can hardly wait for spring to arrive. In 2004 spring came early. My first round I walked 18 holes with a push cart as I usually do. I did not feel any abnormal pain at this point. The next day I went to the driving range to work some of the kinks out of my swing, and hit a large bucket of balls. Later that evening my left knee was in so much pain that I could not stand with any pressure on it, walking was very painful. This persisted for 2-3 weeks, it did finally start to get better, but only marginally, golf had been degraded to using a power cart, there was just no way I could walk 9 holes, let alone 18. Making any full swing was painful from the pressure put on my left knee.I finally went to an Orthopedist, and after x-rays of both knees and a range of motion exam, was told that I had Osteoarthritis. The doctor showed me the small space left between the bones of my left knee, and told me that the meniscus (a pad of cartilage that cushions the joint and prevents bone to bone contact) was thinning and was in all likelihood torn. He told me that a few years ago, the standard treatment was to surgically repair the meniscus . however this type of repair was only effective at relieving pain about 50% of the time.The more accepted treatment now, was to prescribe a series of exercises designed to strengthen the muscles around the knee joint, and a pain reliever to control the pain, so that I could exercise. He also suggested that I investigate and take glucosamine which is a natural healing product not regulated by the FDA. He stated that recent large scale studies had shown that glucosamine was effective in slowing down the loss of cartilage and may even contribute to regeneration of damaged cartilage.Because I had previously had problems using Ibuprofen, he prescribed “Bextra” (a cox 2 inhibitor drug) that seemed very effective. Of course 2 weeks later came the scare about “Vioxx” also a cox 2 inhibitor drug, and I stopped taking “Bextra”, which is now not prescribed by many doctors. I started taking Ibuprofen again, however only in great moderation, I have had no ill effects. I continued with the exercises, some gradual improvement was noticed. I also continued taking glucosamine.All of these measures have contributed to effective pain relief, however even more relief was noticed after losing about 10 lbs. This reinforces the notion that excess weight plays a large role in knee pain.As of now (going into spring of 2005) the pain seems to be under control, my activity with the possible exception of running, is not restricted in any way. And my golf swing, once again needs work!Resources for more information:Arthritis and Glucosamine Information Center – http://www.glucosamine-arthritis.org/Flexicose HomepageArthritis FoundationNational Institute of Arthritis and Musculoskeletal and Skin DiseasesJohns Hopkins Arthritis Center Arthritis National Research FoundationCenters for Disease Control and Prevention Arthritis InsightTo Your Health,Jim Newell About the Author
Jimmie Newell is the webmaster for http://www.ToYourHealth101.com, a health & wellness website, featuring editorials, tips, information and links addressing many of the health issues of today.

How CHF Patients can Take Advantage of Translational Research?

In nature every action spawns a separate and equal reaction. In the field of medicine, the reaction may not always be equal to the action. The performance of a particular treatment in the lab on test animals may not be the same as would be seen in a human subject; this is where the field of translational research comes in.

Translational research takes research from the laboratory to the patient’s bedside. This can be done in several forms. In its earliest stages a treatment will undergo controlled clinical trials with a voluntary group of test subjects. If these small, controlled tests meet the acceptable range of success the treatment is then taken to research hospitals such as St. Jude’s or Children’s Hospital of Boston. Here patients are given the opportunity to experience new methods of control and treatment of a disease with the understanding that it is still considered highly experimental; however, for many these treatments represent a chance for a cure that previously as out of reach for them as the moon.

Congestive heart failure is, at the moment, an incurable event, occurring when for whatever reason the cells of the heart muscle are destroyed and the heart can no longer adequately pump blood throughout the body. Once the cells in the heart tissue are non-functional the body is unable to replace them, making it impossible for the heart to regain full heart function on its own. The current mortality rate is high, and over fifty percent of patients with congestive heart failure will die within five years of being diagnosed. There are many treatment options currently being considered for congestive heart failure, however, and a number of new technologies being tested daily. For example, Montefiore Medical Center in New York City is currently doing clinical trials on a drug known as Lovosimendan, a calcium sensitizer that does not trigger cardiac arrhythmia, and research into the possibility of using stem cells to regrow cardiac tissue is ongoing.

For a patient to take advantage of these options they should discuss the possibility of being a subject for clinical testing with their physician to see if they would be a good candidate, then allow the physician to make a recommendation on a course of action from there. It may be suggested that the patient contact a research facility, or the physician may suggest their name for a clinical trial they know is occurring soon. If the patient lives in an area with a research hospital nearby, chances are there will be an opportunity for them to benefit from the hospital’s policy on translational research.

It should be understood that translational research is precisely what it sounds like; research. Scientists and doctors are often still learning about the treatment and its effect on the human body, and there is always a possibility that it will be unsuccessful or carry with it many hazardous side effects. These courses of treatments are unknowns to physician and researcher alike. For patients who have run out of options, however, even the possibility of a negative effect cannot stifle what the opportunity to be part of a translational research project provides: hope.