Doctor insights on:
Do People With Congestive Heart Failure Generally Have Hypertension Or Hypotension
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
All of the above: There is no direct relationship until late in the disease. People with CHF can have normal or high blood pressure. When the heart is very weak, the BP tends to be low. The waters are muddied by the fact that nearly every treatment we use for CHF lowers BP as a side effect. ...Read more
Likely Hypertension: Untreated hypertension is the most common cause of heart failure. Over the years, the heart gets enlarged and eventually does not have the strength to pump well against the htn. Eventually this results in retention of fluids in the lungs and lower extremities and the patient then because short of breath and unable to walk. The take home message is treat htn! ...Read more
Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?
Cv words: These all refer to cardiovascular particulars. Pectoris = Chest. Atherosclerosis = vascular wall scarring from cholesterol deposit. Coronary artery disease = narrowing and atherosclerosis of heart arteries. Dilate = expand diameter. Hypertension = high blood pressure (within arterial network). Myocardial = heart. Angina pectoris = pain of chest from coronary artery disease, lack of oxygen to heart ...Read more
Is it dangerous to stop taking a diuretic if you have congestive heart failure and high blood pressure and edema in legs?
Stop diuretic?: Why would one want to stop a diuretic with edema? The person in question should discuss the idea of stopping diuretics with the physician who ordered them and have the physician explain to that person why that is not a good idea. Apart from the fact that the edema will not resolve off diuretics, the person's BP will likely worsen off diuretic therapy. ...Read more
One canlead to other: Hypertension can cause changes in the heart like overgrowth of the heart muscle or weakening of the muscle through plaque build up in the arteries that feed the heart or degradation of the heart valves. These changes can then cause the pump to fail, and when it doesn't pump well, fluid tends to build up in places like the lungs and we call that congestive heart failure. ...Read more
Need medications: Supplements are of little or no help to treat congestive heart failure and hypertension. However, there are many medications and diet interventions that are very effective in treating the symptoms and improving quality of life and survival. See your primary doctor and/or cardiologist to get on an optimum medical regimen. ...Read more
Closely: Impaired left heart function leads to elevated filling pressure of the left heart and this pressure is transmitted to the right heart creating pulmonary htn, this is the most common cause of pulmonary htn. When the right heart is the primary heart disease it reuslts in the right heart enlarging and pushing into the left heart. This will impair the forward flow of blood by the heart. ...Read more
Heart wall weakens.: High blood pressure increases the load against which the heart has to pump. The heart compensates by thickening its walls, a phenomenon called left ventricular hypertrophy. Over time, this impairs heart function by decreasing its ability to relax and fill between beats. To add insult to injury, the kidneys add to the volume of blood to support blood flow, exacerbating the problem. ...Read more
My 96yr old aunt is stage 4 renal failure. Congestive heart failure, hypertension, no dialysis. How long does she have?
Life expectancy: You ask a difficult question. Stage 4 chronic kidney disease (ckd) is far advanced stage of ckd. The life expectancy (l) of a 96 year old female in the us is 3.18 years. That is the l without ckd. Patients with CKD live shorter than those without it. Your question is a difficult one to answer and I hope this helps. ...Read more
Can you tell me about congestive heart failure and pulmonary hypertension develop. Which of the following congenital defects may be the cause of these findings?
Too broad: Sorry, this question hasn't been answered because it's too broad - do you have specific concern we can address in 400 characters? Thanks! ...Read more
I just read your response regarding Lasix/congestive heart failure. I have a family member with CHF & pulmonary hypertension who is also Bi-polar. She was taken off Lithium due to the Lasix & we can't seem to find anything other med that works as well as
Bad prognosis?: Low blood pressure in a pt. With CHF is a sign of bad prognosis and may be because the diuretics and ace inhibitors or other medications used to control hypertension before? If pt has too much fluid and the BP is low there is not much room to increase the dosis of the diuretics without causing collapse. ...Read more
Renal functions. Patient has extemely low blood pressure caused by congestive heart failure; what causes this?
Renal function CHF: With congestive heart failure, the cardiac output or amount of blood the heart pumps is reduced. The kidneys are now also receiving less blood and it affects them. But! Do not forget that all of the factors that caused CHF in the first place have also affected the kidneys (high blood pressure, diabetes, cholesterol...Etc). ...Read more
Nocturia: Yes. The fluid shifts in the body when one is laying down versus being up and about can be quite significant and this can lead to frequent need to urinate at night. ...Read more
For someone with congestive heart failure due to high blood pressure and obesity (no plaque buildup), what's a healthy and safe rate to lose weight?
Safe weight loss: Most weight loss in the first days after treatment of congestive heart failure is water weight and may result in several pounds per day. Once your doctor determines you are at normal body water, you can begin to lose fat weight, and most recommendations limit this weight loss to 1-2 pounds per week to avoid vitamin and mineral deficiencies. ...Read more
Is congestive heart failure due to high blood pressure and obesity reversible? Heart is enlarged and stiff, but there's no plaque buildup in arteries.
What is the standard treatment for someone with pfo, tricuspid valve leaking severely, congestive heart failure with high blood pressure & is nursing?
Closure: Patients with severe tricuspid regurgitation may develop cyanosis and dyspnea because of the direction of tricuspid regurgitation across the pfo. Device closure may be clinically beneficial. ...Read more
What are some preventive health screening needed for a female 48 years old. I currently have high blood pressure, diabetes, anemia low hemoglobin, heart mumor, arthritis, diagnosed a high risk of congestive heart failure, high cholesterol, morbid obessed
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with. Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read more
Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?
CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read more
My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?
Consultants: He should be evaluated by both a cadiologist and a pulmonolgist, preferably in a hospital setting. ...Read more
Hypotension is defined as "low blood pressure". Blood pressure is measured as two numbers and expressed as systolic blood pressure (sbp) / diastolic blood pressure (dbp). The sbp is the pressure that is generated when the heart squeezes. Dbp occurs when the heart relaxes. 120/70 is considered normal in adults. Less than 100/60 (of either number) can ...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
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