Essentials For Older People
Older people are at particular risk of side effects due to antiarrhythmic drugs. Older people are likely to have several health problems and take several drugs, and these drug combinations may put them at risk of side effects. In older people, the kidneys are less effective at filtering drugs from the blood, which contributes to the risk of side effects. Some older people may even need a pacemaker before they can take antiarrhythmic drugs.
Can Anemia Cause Heart Failure
It must be said that deaths from iron-deficiency anemia are rare in places like the United States, according to the Centers for Disease Control and Prevention.
But left unchecked, anemia could lead to other health conditions that, left untreated, could be deadly. Again, if your heart has to work overtime its going to put some major stress on it, which could lead to things like heart attacks or an enlarged heart. According to some studies, people with anemia are at a 41% higher risk of heart attacks.
What Can I Do To Prevent Palpitations
Depending on the cause of your palpitations, these tips can help you have them less often:
- Reduce your stress level or biofeedback techniques.
- Avoid or limit the amount of alcohol you drink.
- Avoid or limit the amount of caffeine in your diet.
- Do not smoke or use tobacco/nicotine products
- Exercise on a regular basis .
- Avoid foods and activities that trigger palpitations.
- Control your blood pressure and cholesterol levels.
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When To See A Doctor
Make an appointment with your doctor if you think you have symptoms of IDA. It is never a good idea to diagnose or treat anemia on your own. Overloading with iron can be dangerous because too much iron or iron toxicity can damage the liver and cause other problems.
If your doctor suspects you have anemia, you may undergo tests to check for several properties in your blood.
Blood work might include:
- Complete blood count to evaluate red blood cell size and color: With IDA, red blood cells are smaller and paler in color.
- Hematocrit testing to check the percentage of blood volume: According to the American Red Cross, normal levels of hematocrit for men are 41%51%, while normal levels for women are 36%48%.
- Hemoglobin testing to check levels of hemoglobin: Low hemoglobin indicates anemia. Normal hemoglobin ranges in grams per deciliter for men are 13.5 g/dL17.5 g/dL and for women are 12.0 g/dL15.5 g/dL.
- Ferritin level testing to evaluate levels of this blood protein: Low quantities of ferritin indicate low levels of stored iron.
Your doctor may order additional testing to determine an underlying cause of the iron deficiency. Additional testing is usually considered if treatment with iron supplementation has not been helpful.
Who Can Help Treat My Anemia
Fortunately, anemia is treatable under proper medical supervision. If youre experiencing some of these symptoms and think that you might be anemic, the medical team at Texas Medical Institute can help.
If you have any questions about our clinic or would like to schedule an appointment, contact us today by calling 615-8633, or request an appointment now via our online form. We look forward to helping you enjoy ultimate health and wellness!
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Other Causes Of Palpitations
In addition to anxiety, there are several other causes of heart palpitations. Palpitations can be brought on by:
- Alcohol. Having one or two too many drinks in a night can get your heart racing. People who rarely drink to excess, but do so at the occasional party may feel a fluttering in their chest later. This is sometimes called holiday heart.
- Caffeine. Each persons caffeine sensitivity is unique. You might drink three cups of coffee every morning and feel fine. A co-worker might try that and develop palpitations, headache, and other side effects. With the popularity of high-caffeine beverages, such as specialty coffees and canned energy drinks, researchers are learning more about how high levels of caffeine can lead to heart rhythm disturbances, high blood pressure, and other problems.
- Chocolate. Palpitations can develop from eating too much at one sitting. Overdoing your food intake at a dinner or other event can lead to a version of holiday heart. Chocolate is particularly associated with palpitations.
- Medications. Cold medicines that contain pseudoephedrine may trigger heart palpitations and jittery feelings.
For some people, palpitations are signs of an arrhythmia, a problem with the hearts electrical system that controls your heartbeats. A normal, resting heart rate is between 60 and 100 beats per minute. There are several types of arrhythmias. Each type produces unique symptoms, including an irregular heart rate. Among them are:
Signs That You Might Have Anemia
More than 3 million people in the U.S. are living with anemia, a common blood disorder that develops when a persons red blood cell count is low or when red blood cells do not have enough hemoglobin. This is something we see here at Westchester Health but if diagnosed properly and treated promptly, anemia in most cases can be successfully reversed.
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Iron Deficiency And Heart Rate
Iron deficiency occurs in two stages. During the first stage, your body gradually depletes stored iron. During the second stage, not enough iron is available for the production of red blood cells, so you become anemic. Red blood cells use iron to ferry oxygen around the body. When red blood cells become deficient in iron, your heart must pump more frequently to make up for the reduced oxygen “cargo” carried by red blood cells.
Your heart normally beats 60 to 100 times per minute when you are at rest. Mayo Clinic physical medicine and rehabilitation specialist Dr. Edward Laskowski says athletes often have lower resting heart rates — about 40 beats per minute. When you become iron deficient, your heart rate typically increases. However, the broad range of “normal” heart rates and the many factors that influence your heart rate at any given time — such as physical exertion, emotional state and whether you’re standing or sitting — makes it difficult to diagnose increased heart rate due to iron deficiency. In some cases, you or your doctor may recognize an increase from your previous baseline.
Treatment For Iron Deficiency Anaemia
Once the reason you have anaemia has been found the GP will recommend treatment.
If the blood test shows your red blood cell count is low, youll be prescribed iron tablets to replace the iron thats missing from your body.
The prescribed tablets are stronger than the supplements you can buy in pharmacies and supermarkets.
Youll need to take them for about 6 months. Drinking orange juice after youve taken a tablet may help your body absorb the iron.
Follow the GPs advice about how to take iron tablets.
Some people get side effects when taking iron tablets like:
- constipation or diarrhoea
Try taking the tablets with or soon after food to reduce the chance of side effects.
Its important to keep taking the tablets, even if you get side effects.
Your GP may carry out repeat blood tests over the next few months to check that your iron level is getting back to normal.
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Anemia Is Frequently Encountered And Related To Disease Severity And Immune Activation
Anemia was found in 357 patients : 41 patients without CAD , 155 patients with chronic CAD and 161 patients with ACS . Grading of anemic patients showed that most patients presented with a mild anemia , while 68 patients had a moderate and only one patient a severe anemia. The prevalence of anemia tended to be higher in women than in men yet, in patients under the age of 55 years significantly more women were anemic .
Anemia was related to a more progressed CAD, higher CCS and NYHA classes, a significantly higher mean PAP and PCWP, and a significantly lower systolic BP, diastolic BP, eGFR and LV-EF. Anemic patients also had significantly higher neopterin, hsCRP, IL-6, IL-12, fibrinogen and serum amyloid A levels, as well as a higher neopterin/eGFR ratio compared to non-anemic patients independent of sex and age . Accordingly, hemoglobin levels correlated with neopterin, hsCRP, IL-6, IL-12, fibrinogen and SAA levels as well as with the neopterin/eGFR ratio independent of sex and age in patients with chronic CAD and ACS .
Table 2. Spearman-rank correlations with hemoglobin.
Figure 2. Boxplots of neopterin , hsCRP , IL-6 and IL-12 levels in men and women according to anemia severity. Men with mild or moderate anemia had significantly higher IL-6 levels compared to women with mild or moderate anemia . ***p< 0.001, **p< 0.01, *p< 0.05.
What Are The Symptoms Of Anemia In A Child
Most symptoms of anemia are due to the lack of oxygen in the cells. Many of the symptoms do not occur with mild anemia.
These are the most common symptoms:
Increased heart rate
Slow or delayed growth and development
Poor wound and tissue healing
The symptoms of anemia may look like other blood problems or health conditions. Anemia is often a symptom of another disease. Be sure to report any symptoms to your childs doctor. Always see your child’s doctor for a diagnosis.
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How Is Anemia In A Child Treated
Treatment will depend on your childs symptoms, age, and general health. It will also depend on how severe the condition is.
The treatment for anemia depends on the cause. Some types do not require treatment. Some types may require medicine, blood transfusions, surgery, or stem cell transplants. Your child’s healthcare provider may refer you to a hematologist. This is a specialist in treating blood disorders. Treatment may include:
Vitamin and mineral drops or pills
Changing your child’s diet
Stem cell transplants
How Hemoglobin And The Heart Are Connected
Before we get too deep, lets have a quick refresher on the importance of hemoglobin.
Hemoglobin is a protein found in our red blood cells that helps transport oxygen to different parts of your body. So if red blood cells are a car making an oxygen delivery to, lets say, your legs during a morning jog, then hemoglobin is a roof rack that allows the oxygen molecules to come along for the ride.
Our body makes new hemoglobin with the help of dietary iron. When our iron levels are low, so is our hemoglobin and that means our body cant get oxygen to where its needed in a timely manner.
So how does our heart play in all this? Lets use the car example again, only this time lets pretend your heart is a pizzeria and the oxygen molecules are pizza pies .
When we do any level of physical activity, our body says I need oxygen to do this. Your heart hears that call and sends a car out for delivery, only the car doesnt have a trunk, roof rack, or anything else to keep the pizzas secure for the ride. No delivery.
Time passes and the pizza still hasnt arrived, and your bodys still calling wondering where its pie is. OK, well send another car. Only the same problem keeps happening, putting the pizzeria under some serious stress. Eventually the pies will get there, but the pizzeria had to send five cars instead of just one to get the job done.
- Rapid or irregular heartbeat
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Your Extremities Are Cold
Cold hands and feet? When your body doesnt get or absorb enough iron, your blood tries to send the best oxygenated blood to your most important body parts, i.e., your essential organs, such as your brain, heart, kidneys, liver, and lungs. That means less blood flows to your fingers and toes, and, therefore, they feel colder.
What Can I Do To Prevent Anemia In My Child
Some types of anemia are inherited and cant be prevented. Iron deficiency anemia, a common form of anemia, may be prevented by making sure your child gets enough iron in his or her diet. To do this:
Breastfeed your baby if possible. He or she will get enough iron from the breastmilk.
Give formula with iron. If your child is on formula, use formula with added iron.
Don’t give cows milk until after age 1. Cows milk does not have enough iron. It should not be given to babies until after 1 year of age, when he or she is eating enough other food.
Feed your child iron-rich foods. When your child eats solid foods, choose foods that are good sources of iron. These include iron-enriched grains and cereals, egg yolks, red meats, potatoes, tomatoes, and raisins.
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Other Symptoms Caused By Leukaemia
Anaemia is responsible for a diverse range of symptoms, many of which are also commonly associated with leukaemia. For this reason, it is extremely rare for heart palpitations to occur as a symptom on their own. One reason for the relative rarity of palpitations presenting as a symptom is that they only occur in very severe anaemia symptoms such as fatigue, shortness of breath and loss of concentration are likely to proceed this symptom as they develop sooner when anaemia is not as serious.
Weakness and Fatigue Cells in the body use the oxygen to fuel the combustion of sugar and fat, which produces the bodys energy. Without oxygen, the body cannot function properly, and this leads to the feelings of extreme tiredness, known as cancer-related fatigue.
Breathlessness Your body will automatically try and compensate for the lack of oxygen by breathing more heavily to replenish oxygen levels from the air.
Pale skin When oxygen binds to haemoglobin on the red blood cells, it forms a bright red substance known as oxyhaemoglobin, causing the blood to become bright red. Skin that is paler than a persons usual complexion may occur due to the reduced amount of oxyhaemoglobin in the vessels supplying the skin.
Keeping an eye out for these other symptoms of anaemia and connecting the dots between them may be crucial in spotting leukaemia early. Since anaemia is usually diagnosed using a full blood count, leukaemia can also be picked up at this stage.
Are You At Risk For Anemia
These risk factors increase the likelihood of developing anemia, according to the Mayo Clinic:
- Family history of anemia or other blood disorders
- Diet lacking in iron, folate, and vitamin B12
- Age: the older you get, the more likely youll develop the blood disorder
- Loss of blood following surgery or injury, or blood loss from heavy menstruation
- Pregnancy if you are not taking a multivitamin with folic acid and iron
- Chronic illness, including diabetes, cancer, HIV/AIDS, inflammatory bowel disease, thyroid problems, and kidney disease
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What Is The Association Between Anemia And Heart Failure
When heart failure happens, fluid gets trapped in the lungs. Fluid also gets backed up in the feet and legs, causing swelling, or edema.
Because your heart cant pump enough blood around your body, your organs dont get enough oxygen. As a result, one complication of heart failure is chronic kidney disease . In this condition, the blood vessels in the kidneys are damaged. The kidneys cant get enough oxygen, making it difficult for them to filter blood.
CKD also lowers the amount of erythropoietin the kidneys make. EPO is a type of protein that helps make red blood cells. Low levels of EPO can cause anemia.
High Oxygen Partial Pressure Decreases Anemia
John R. Feiner, Heather E. Finlay-Morreale, Pearl Toy, Jeremy A. Lieberman, Maurene K. Viele, Harriet W. Hopf, Richard B. Weiskopf High Oxygen Partial Pressure Decreases Anemia-induced Heart Rate Increase Equivalent to Transfusion. Anesthesiology 2011 115:492498 doi:
Anemia is associated with morbidity and mortality and frequently leads to transfusion of erythrocytes. The authors sought to directly compare the effect of high inspired oxygen fraction versus transfusion of erythrocytes on the anemia-induced increased heart rate in humans undergoing experimental acute isovolemic anemia.
The authors combined HR data from healthy subjects undergoing experimental isovolemic anemia in seven studies performed by the group. HR changes associated with breathing 100% oxygen by nonrebreathing facemask versus transfusion of erythrocytes at their nadir hemoglobin concentration of 5 g/dl were examined. Data were analyzed using a mixed-effects model.
High arterial oxygen partial pressure reverses the heart rate response to anemia, probably because of its usability rather than its effect on total oxygen content. The benefit of high arterial oxygen partial pressure has significant potential clinical implications for the acute treatment of anemia and results of transfusion trials.
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Symptoms Of Anemia You Shouldnt Ignore
Anemia is a common blood disorder affecting more than 1.6 billion people worldwide. It occurs when the number of healthy red blood cells that carry oxygen through the body drops to an abnormal level, or if the cells dont contain enough hemoglobin.
The majority of the approximately 3.5 million Americans with anemia become anemic over time through inadequate iron or low vitamin B-12 levels . Both of these, along with folate , is necessary for the production of healthy red blood cells.
Those who are most susceptible to anemia are children, females with menorrhagia , and pregnant women. People who suffer chronic diseases like ulcers, or people who have recently undergone surgery, may also become anemic. People with African ancestry are especially susceptible to sickle cell anemia, in which the red blood cells are curved like sickles.