Treatment of Heart Disease

Treatment of Heart Disease

Treatment for heart disease depends on a series of factors. The treatments may include medication or a change in lifestyle. Change in lifestyle include following a heart-healthy diet, quitting smoking and exercising. These are critical to managing heart disease. There are some general guidelines that are prescribed to the patients for the prevention and Treatment of Heart Disease. The primary stages are: knowing the names, side effects and dosage of your medications and how also the way they work. You should also keep a track of the medicines taken every day. You should also keep a medicine calendar. You should not decrease your medication dosage to save money; consult your doctor brefore talikng drugs, such as antacids, salt substitutes, ot taking any over-the-counter drugs or herbal therapies unless you ask your doctor first, nonsteroidal or antihistamines, anti-inflammatory agents can worsen heart failure symptoms; before any surgery, telling the doctor or what medications you are taking.

ACE Inhibitors are medications that are used widely for the Treatment of Heart Disease. You can enlarge your blood vessels to improve the amount of blood your heart pumps and lower blood pressure. ACE inhibitors also increase blood flow and helps to decrease the quatity of work your heart has to do. You may be prescribed ACE inhibitors for the treatment of heart failure, high blood pressure, diabetes, myocardial infarction, heart disease prevention. Pregnant women are advised of not taking ACE inhibitors.

Antiarrhythmics are used for the Treatment of Heart Disease like abnormal heart rhythms. There are many types of antiarrhythmics, as well as other types of heart medications that can be used to treat arrhythmias, including Calcium channel blockers and Beta-blockers. As these medications do not cure arrhythmias,but control them, you may have to take these medicines for your whole life.

Antiplatelet Drugs prevent the formation of blood clots. Aspirin is the most common antiplatelet drug. Antiplatelets may be ordered for patients with coronary artery disease, angina, heart attack, stroke, peripheral artery disease.They may also be used after angioplasty, stent placement, transient ischemic attacks, heart bypass surgery, and to prevent the formation of blood clots in people with atrial fibrillation. There are also ceratin therapy that are used to improve the condition of the heart. They are not recommended for any particular disease but are simply used to improve its condition. Beta-Blocker is one such therapy.

This therapy decreases the production of harmful substances produced by the body in response to heart failure, improves the heart's ability to relax, and lowers down the heart rate. Calcium Channel Blockers affect the movement of calcium in the cells of the heart and blood vessels. Digoxin helps to strengthen the force of the heart muscle's contractions. It also slows down the heart rate, and also improves blood circulation. It is usually prescribed for the Treatment of critical Heart Disease like heart failure and atrial fibrillation.

Ischemic heart disease

Ischemic heart disease arises when a patient has an obstruction in the arteries feeding their heart (coronary artery disease).  The older you become and if you smoke, have high blood pressure, diabetes or high cholesterol, your risk of IHD increases.  Ischemic heart disease is the leading killer among adults in the United States.

Ischemic heart disease can cause angina (chest pain during exercise) and can bring on a myocardial infarction, otherwise known as a heart attack.  Ischemia may be caused by a high fat diets and little or no exercise, which may also lead to angina.

Angina

The major indication of Angina is pain over the mid chest that sometimes radiates down the left arm, to the jaw or back.  The existence of episodes of angina is in essence diagnostic of Ischemic Heart Disease.  The symptoms of angina pectoris can commonly be controlled by beta-blockers, nitrates and calcium-channel blockers.  Beta blockers have also proven to decrease the risk of troubling cardiac events in patients with angina.



Heart Attack

Most heart attacks are caused by Coronary Artery Disease (CAD), a plaque that has built up on the walls inside your coronary arteries.  These are the arteries that oxygen and blood to your heart.  This plaque can break off and cause a blood clot which can block your artery to which no blood or oxygen can flow, thus causing a Heart Attack or Myocardial Infarction.



So, please be sure to take care of your self by eating healthy and exercising frequently.  Get regular checkups and if you have any question that you may be having angina or a heart attack please seek medical attention right away.

Decompensated heart failure

Decompensated heart failure is the term used to define heart incapacity of pumping enough blood in the main arteries, according to the organism needs. What distinguishes decompensated heart failure from a compensated heart failure is the fact that defensive mechanisms are not efficient anymore and the blood amount delivered to the tissues is no longer sufficient, which determines a variety of symptoms as we are going to reveal next.
How do you know you have a decompensated heart failure and if u need to go to the hospital? Decompensated heart failure has different manifestations, as following:

•  when the left heart is inefficient, blood will stagnate into the heart chambers forcing them to enlarge or increase the number of muscle fibers in order to increase cardiac force; this is a defensive mechanism, which will compensate for a while the inefficient function of the heart. Once this mechanism is no longer able to control the situation, blood will stagnate in the lungs, increasing the pressure in the pulmonary vessels and from this point on, pulmonary edema (accumulation of water in the lungs) and pulmonary hypertension may occur. All these manifestations are a sign that the heart can no longer compensate its diminished function, so we are facing a decompensated heart failure.
•  in right heart insufficiency, cardiac muscle won’t be able to pump blood into the pulmonary arteries, so the blood will flow back in the venous system, determining accumulation of water in different tissues (lower limbs, abdomen-ascites, pleural space).

In clinical practice, people with decompensated heart failure will experience important shortness of breath, being unable to breathe while lying (a condition known as orthopnoea), blue color of the lips and limbs extremities, fatigue, palpitations or rapid heart beats, incapacity of performing daily activities. In more advanced cases, hypotension, fainting, ischemia of lower limbs, stroke or renal failure may occur, these manifestations being the consequence of the low blood flow in the arteries that feed the brain, kidney, or limbs.

What is the cause for decompensated heart failure?

There are many causes for decompensated heart failure, the most important ones are the following:

•  hypertension-if patients don’t follow the treatment, high blood pressure will increase the labor of an already weak heart, making it impossible to accomplish body needs,
•  salt intake-will favor water accumulation in the body, increasing blood volume and requesting a higher cardiac labor,
• infections: respiratory infections, heart wall infections like myocarditis,
• heart attacks, arrhythmia,
• weight gain is common cause of decompensated heart failure,
• patients that no longer respect their heart medication,
• patients that continue to smoke, drink alcohol, with high levels of blood lipids etc.

What are the steps to follow in decompensated heart failure ? People in this condition must be admitted to hospital, carefully watched, investigated for different conditions that might have provoked decompensated heart failure and follow a well established therapy (diuretics and cardiotonic medication will be needed in order to eliminate the overload of water and increase cardiac muscle force).
People with heart failure will have a different number of hospital admissions, followed by „free” periods of time, when the symptoms will be stable. However, the compliance to medical recommendations will determine how fast this disease will evolve, together with the other conditions we enumerated above. Despite the correct treatment and compliance of the patient, heart failure will progress until the only option left is cardiac transplant, but the speed of this evolution can be controlled by avoiding the conditions that favor heart failure to decompensate.

Please call your doctor to find out mode about decompensated heart failure.

Flu symptoms in adults

Flu symptoms in adults- different faces of the same disease

In the last years more and more people complain from flu symptoms and every year new vaccines are elaborated. People started to be very worried about flu symptoms in adults especially after the outbreaks of avian flu and AH1N1 virus, even if the “common” flu virus could cause death too. Because of the large number of people vaccinated, contradictory opinions about the efficiency and possible complications coming from the vaccination began to appear  and the result was that many people refused the vaccine.
People also searched for ways to strengthen the immunity system and they choose to use different types of medication based on plants. In clinical practice, because of the large number of patients that died even if they had no risk factors associated, doctors started to treat pneumonia with antiviral and antibiotic medication. But the more the antiviral medication is used, the more the risk of developing resistance to this treatment increases.

Next we will talk about flu symptoms in adults and its complication.

Why are we so concerned about flu symptoms in adults? For many of us, flu is just a common disease; we all had it at some point and as some use to say it lasts 7 days if you treated or one week if you don’t. But are flu symptoms in adults so insignificant that doesn’t worth talking about? This is a false idea among us that flu symptoms in adults are common manifestations. The truth is that in some people flu symptoms in adults can be as devastating as cancer or heart disease.
The main flu symptoms in adults:

• fever-some wrongly believe that fever is determined only by bacterial infection. It is a wrong idea, both viruses and bacteria can determine high fever and they can disseminate to other organs through blood,
• shivers- the feeling of body shaking
• sweating-the body tries to lose some water in order to decrease the temperature,
• headaches
• rhinorhea-water discharge from the nose as we call it
• cough-first it can start as a dry cough, but  in a few days expectoration can appear, considering that even viral infection can determine a secondary bacterial infection,
• sore throat with pains that increase while trying to swallow
• severe aches and pains in muscle and joints
• generalized weakness and fatigue, feeling the need of lying down,
• being unable to eat,
• nausea and vomiting.

Flu symptoms in adults usually last a few days (about a week), but in some cases other complication can occur:

• pneumonia- a flu symptom in adults that seems simple to deal, can  get complicated with a lower respiratory tract infection like pneumonia. In patient with reduced immunity as are those suffering from AIDS, these infections can be fatal, even if for many of us it can be a common disorder.
• invasion of the virus in other organs through blood flow, which leads to a condition called septicemia, one of the worst flu symptoms in adults and an important threat to patient’s life,
• meningitis-if the viruses reach the nervous system, they can determine meningitis, which is an infection of the tissues layers that cover the brain and are called meninges.
• shortness of breath or fast breathing, bluish skin color (the blood hasn’t enough oxygen)
• neurologic symptoms: dizziness, drowsiness, confusion
• fulminant myocarditis
• pulmonary embolism (blood clots in the pulmonary arteries) seems to be linked to the infection determined by AH1N1 virus,

Complications are more common in people suffering from respiratory, cardiac disease obesity and of course, those with diminished immunity (like patients with AIDS).
As we saw, flu symptoms in adults can be common or can be very serious, depending of the aggressiveness of the virus, the immunity system of the host, the risk factors associated, but it is important to remember that it can be fatal (about 40.000 people died every year, in USA, in the past 20 years, because of the flu).