Doctor insights on:
Acute Onset Chf
45yo female w/ history of chf/peripartum cardiomyopathy presents with sudden onset of very irregular heartbeat & tingly feeling in left arm. Serious?
Cardiomyopathy: If your function is low you are more susceptible to rhythm problems. Some can be dangerous get it checked out with your cardiologist now. ...Read more
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Yes: In theory "mild chf" as a syndrome is virtually always reversible. The more important question is what is the trigger for the heart failure, i.e. Is it high bp, is it muscle injury from an old heart attack, is it poor kidney function etc. The exact cause of the heart failure is the most important bit of information to know. ...Read more
Don't count on it: These are "supplements"...Not medicines...Don't count on theses as treatment for your condition...In fact, don't even try them without checking with your doc first...If he or she is ok with them, then it's ok to use them...They probably won't hurt if used appropriately as directed by your doc, but they probably won't help a lot. Check with your doc and get appropriate treatment.. ...Read more
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF?
Medicine vs. Poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
Can u please recommend a diet or product that helps lose weight 4 acute mild chf/type 2 diabetes dats not too restrictive & not 2 slow?
Whole foods: Simple sugars and processed carbs should be avoided or limited. This includes any flour product. The fine grind makes absorption quick, and spikes your blood sugar which increases Insulin and promotes weight gain. Good fats such as olive oil and coconut oil are fine. Eat a rainbow of organic vegetables and 3-4 oz protein with each meal 5 hours apart. Consider coq10 and l-carnitine for chf. ...Read more
Optimal medications depend on the specific cause. Considerations to help mild CHF can include metoprolol xl (toprol), Carvedilol (coreg), and Lisinopril (zestril). Furosemide (lasix (furosemide)) is often used to help remove excess fluid.
A typical regimen can include a low dose Carvedilol plus Lisinopril with intermittent lasix (furosemide). These can be helpful; additionally, they have gone generic from the cost side. ...Read more
I'm wondering why are congestive heart failure (chf) and acute myocardial infarction (ami) core measures?
Remote in history: Long long ago patients were noted to develop swelling and shortness of breath. It was called "hydrops" and was treated with mercurial diuretics in the past before they were found to be toxic due to murcury content giving way to the new diuretics like acetazolamide, thiazides, and loop diuretics. ...Read more
Multiple ways: Treatment can focus on 1) improving symptoms (using medications such as diuretics) or 2) treating the underlying problem (such as surgically repairing a valve) or 3) improving the function of the heart (such as a biventricular pacemaker). Factors that aggravate heart failure such as anemia or hyperthyroidism can be corrected. ...Read more
No: I have never heard the abbreviation sfr related to the heart. When I googled it I vound 54 verified definitions and 165 nonverified, none of which had anything to do with the heart. What do you think it stands for? ...Read more
Many ways: Patients with CHF have no energy level i.e. May not be able to do grocery since walking in the store will bring about shortness of breath. Sexual function is certainly deteriorated and general mood to. Families have to stick together and support the patient who may need oxygen supply and will certainly need no salt diet and control of fluid intake along with taking meds appropriately. ...Read more
Weakness of heart.: CHF is primarily caused by an issue in the heart that prevents it from being able to supply your body with the oxygen it needs. This can be caused by weakness of the heart muscle, insufficiency of a valve in the heart or a rhythm disturbance that disrupts the forward flow of blood from the heart. ...Read more
CHF symptoms: If well treated and patient very compliant symptoms can certainly be minimized and get worse when in periods of less effective control. Usually the underlying cause for CHF doesn't go away though for some lucky patients it does. ...Read more
Many: There are many drugs used to treat CHF but everyone with CHF should be given an angiotensin converting enzyme inhibitor and a beta blocker as a minimum unless contraindicated or allergic. Other helpful drugs are a diuretic, an aldosterone antagonist, and a statin. Aspirin too if coronary disease is present. ...Read more
Unknown: However, the diagnosis of CHF provides for a shorter life span and increased mortality as you are alluding. The degree of severity of chf, adequacy of management, and patient's adherence to therapy are the factors that modify prognosis. Very severe forms provide for limited longevity of 6 to 12 months, whereas, very mild forms may not be associated with significant mortality. ...Read more
Yes: Survival as a measure by itself and event-free, meaningful survival as a whole have improved through research and evidence-based practice of cardiology. Over the past 10 years or so, our better understanding of the disease, better medication regimen, and device therapy have made patient's survival longer and their quality of life better. ...Read more
Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more