Tag: hypertension

What is Congestive Heart Failure?

It’s a terrifying moment for many patients: the moment when the doctor enters their hospital room and informs them they are suffering from congestive heart failure. Many people do not know what congestive heart failure is or what it means for their life, and they ask themselves, “Is congestive heart failure the end of my world as I know it?”

Congestive heart failure occurs when for whatever reason the heart is unable to effectively pump the blood through the body. This usually occurs when the heart muscle is weak due to disease or stressed beyond its ability to function. Congestive heart failure is usually a secondary disease following another cardiac condition, primarily either coronary artery disease, cardiomyopathies, myocarditis, valvular disease, or cardiac arrhythmias, with coronary artery disease carrying the poorest prognosis. It may also follow a myocardial infarction, renal failure, sepsis or severe anemia.

Each side of the heart has a different function, and therefore will have a slightly different effect on the body when it is unable to fulfill that function. If it is the left side of the heart that has failed accumulation of fluid in and around the lungs will cause the patient to experience difficulty breathing, and the kidneys will respond to the reduced blood in the circulation by retaining fluid as well. If it is the right side that fails the excess fluid accumulates in the venous system, giving the patient a generalized edema that becomes more severe as their condition deteriorates.

Dyspnea is the prevalent presenting symptom in congestive heart failure, although the severity will vary from patient to patient. Some will possess perfectly normal pulmonary function until under exertion, such as while exercising, walking up stairs or mowing their lawn; others will have so much fluid accumulated that simply rising from bed in the morning will prove difficult. These patients will also usually become easily fatigued due to a lack of oxygen to the tissues. Heart failure will also cause a condition known as pitting edema, in which the body retains fluid to the point that when pressure is applied to specific spot on the body the indentation remains (non-pitting edema is not caused by heart failure).

Treatment of congestive heart failure consists primarily of treating the symptoms. Vital signs should be taken regularly, and often diuretics will be prescribed to facilitate expulsion of accumulated fluid from the body. While in the hospital fluid intake and output will be measured very carefully. Patients will probably be placed in an upright position to assist in moving fluid from around the heart and lungs, given potassium supplements and prescribed bed rest for a period of time. BUN levels and serum creatinine, potassium, sodium, chloride and bicarbonate levels are monitered frequently by a physician.

There are several factors that contribute to congestive heart failure and, if diagnosed, should be treated and maintained. These include hypertension, anemia or poycythemia, endocrine disorders, malnutrition, drug or alcohol use and obesity. Therefore, it is very important that patients suffering from congestive heart failure pay particular attention to maintaining a healthy lifestyle. A doctor can aid in establishing the best diet and exercise plan with each individual to prevent placing undue stress on the heart and lungs.

While no said cure exists for congestive heart failure and the prognosis varies from case to case, by following a strict diet and exercise program, taking all prescribed medications regularly and maintaining a close relationship with their physicians many patients who suffer from heart failure can continue to lead a fairly normal life.

Heart Failure

Whenever cardiac conditions develop these conditions, weaken or damage your heart, which leads to heart failure. In a weakened condition, the heart over time can no longer keep up with even the normal demands placed on it. The ventricles may become stiff and not fill properly between beats. The heart ventricles stretch (dilate) to the point that the heart cannot pump blood efficiently throughout your body. The failing pump causes blood and fluid to back up throughout your circulatory system. The circulatory system consists of your lungs, legs, feet and ankles. The kidneys retain excess water and sodium. All this builds up is the congestive part of your heart failure. The lung congestion occurs only with left-sided heart failure with fluid backing up into the lungs. The most common cause of right sided heart failure is left sided heart failure.

When the fluid fills up the left side of the heart the pressure in the lungs passes to the right side of the heart, which then fails. The fluid then collects in the abdomen and lower extremities which all leads up to heart failure. Heart Failure develops quickly after a heart attack. The heart failure can also develop after years of high blood pressure or coronary artery disease. A defective valve may cause heart failure. A heart valve replacement in this case will prevent heart failure. A specialist normally does the surgical part, which is a cardiologist.

Many times people think that such things cause heart failure as smoking, being overweight or eating foods high in cholesterol and fat but there is a condition known as idiopathic dilated cardiomyopathy were the heart weakens without explanation. This condition will also cause you congestive heart failure if not properly taken seriously.

You might be suffering from if you have heart failure several conditions. These conditions can weaken your heart over time and be present without you being aware that you have the problem. The follow is a brief description of some conditions that affect the heart:

– The most common cause of heart failure is Coronary artery disease. A process called atherosclerosis, which is a build up of fatty deposits in the arteries. This fatty build up causes the blood to narrow a process called plaque, which leaves chronically deprived of oxygen-rich blood pump less vigorously. A heart attack occurs if an unstable plaque not function well it will cause a blood clot in turn completely blocks the blood flow to an area of the heart muscle. This is one of the most common causes of heart failure.

– There are several other reasons that might cause heart failure but we shall discuss the next highest reason for now. High Blood Pressure (hypertension) is the force of blood pumped by your heart through your arteries. When your blood pressure is high then your heart has to work harder causing failure.

Take your cardiologists advice watch your weight and exercise your on the way to a heart healthy way of life.

Understanding Your Blood Pressure Numbers

Are you concerned about your blood pressure? If so, you can easily start monitoring it in your own time in your own home. You still want to have it checked regularly by your doctor. The best way to monitor your blood pressure is by understanding the numbers first.

There is a top and bottom number for your blood pressure reading. The top number is your systolic pressure. Systolic pressure is the force of blood in your arteries as your heart is beating.

The bottom number is your diastolic pressure. Diastolic pressure is the force of blood in your arteries as your heart relaxes between each beat.

There are four different categories your blood pressure reading can fall under. The first is a normal blood pressure reading. Normal blood pressure is when your systolic pressure is below 120 and your diastolic pressure is below 80. This would read 120/80. You can keep this blood pressure number by maintaining a healthy lifestyle.

The second category is ‘prehypertension.’ This is where your systolic pressure reads 120-139. Your diastolic pressure would be between 80 and 89. This would read as 121/81 or 139/89. If you have prehypertension just maintain a healthy lifestyle to keep your blood pressure from increasing.

The third category is called Stage 1 hypertension. This is where your systolic pressure is between 140 and 159 and your diastolic pressure is between 90 and 99. If you have a reading like this try to adopt a healthier lifestyle. If you cannot lower your blood pressure on your own talk with your doctor about medication.

The fourth category is called Stage 2 hypertension. This is where your systolic pressure is 160 or higher and your diastolic pressure is 100 or higher. If you have this high of blood pressure consider adapting a healthier lifestyle and talk with your doctor about taking medication to help lower it.

While you can easily watch your diet and weight and get plenty of exercise to help maintain or lower your blood pressure, that may not be enough. Blood pressure medication might be prescribed by your doctor and you might even have to take two.

If this happens be sure you tell your doctor of any other medication you might be taking. Some medications including antidepressants, cold medicines, nasal decongestants and even oral contraceptives can raise your blood pressure.

Like usual, talk with your doctor about any concerns you might have and if you have any questions about your blood pressure. There are many available ways to treat high blood pressure and you want to be sure to find the right option best suited for you.

By taking control of your blood pressure you can take control of your health and have a longer healthier life. If you smoke, try to quit, try to limit your alcohol consumption and eat lots of fruit and vegetables.

If you have a dog, take a walk with them everyday. Get yourself at least thirty minutes of physical activity. You will be thankful you did when you realize how much better you feel.

Understanding Your Blood Pressure

What is blood pressure? Blood pressure is the force of your blood against the walls of your arteries. Blood pressure consists of two number; a top and bottom number. The top number is the systolic pressure. The bottom number is the diastolic pressure.

Systolic blood pressure is the force of blood in your arteries as your heart beats. If your systolic number is higher than one hundred and forty you have high blood pressure. Even if your diastolic number is not high you can still have ‘isolated systolic hypertension.’ This means only your systolic number is high.

This is more common for older Americans. This pressure usually increases with age whereas diastolic pressure decreases after fifty-five. You might not know if you have isolated systolic hypertension so ask your doctor if you are concerned.

Diastolic blood pressure is the force of blood in your arteries when your heart relaxes between beats. For younger people this is a very important number. The higher this pressure is the more you are at risk. This blood pressure lowers as you get older and your systolic increases. Therefore diastolic is more important in younger people and systolic in older.

Normal blood pressure is less than one hundred and twenty over less than eighty. If your pressure is between the normal numbers and one hundred and thirty-nine over eighty-nine, you have what is called prehypertension. This puts you at risk to develop high blood pressure in the future but it easily preventable.

Hypertension is a name for high blood pressure. Having high blood pressure puts you at risk for heart disease or even strokes. High blood pressure makes your heart work harder than it should and can lead to blindness, kidney disease and even congestive heart failure.

According to statistics high blood pressure killed over fifty-four thousand people in 2004. Statistics also show that twenty-eight percent of people have high blood pressure and aren’t even aware of it. Are you one of them?

You should be aware of the risks of high blood pressure so you can avoid them as best as you can. High blood pressure is a risk for stroke and heart disease. While some risks can be altered or fixed, some cannot. For instance if you use tobacco or are overweight you are at risk for high blood pressure.

You can easily fix this by trying to quit using tobacco and watching your diet to help lose weight. If you have trouble doing either of these on your own, consult your physician. They may be able to prescribe you something or give you useful information to help.

High blood pressure can affect certain parts of your body as well. You might suffer from a stroke. This happens because the high blood pressure can break a weak blood vessel leaving it to bleed into the brain. Also if you have a blood clot blocking a narrow artery, you can also experience a stroke.

Sometimes impaired vision or blindness can occur from high blood pressure. It might eventually cause your blood vessels in your eye to bleed or burst leaving you with blurred or impaired vision.

Your arteries harden as you age, even more so for those in your heart, brain and kidneys. These harder arteries are associated with high blood pressure. When this happens your kidneys and heart have to work harder.

If you have any questions or concerns about your blood pressure ask your doctor. They can answer any questions you might have and find a solution if you do in fact have high blood pressure or might be prone to it. It’s never too late to take care of your body, including your blood pressure.