Can I Continue Working
If you’re well enough, you can keep working for as long as you feel able. With the right support, staying in work can make you feel better and give you financial security.
Talk to your employer as soon as you feel your heart failure is affecting your ability to do your job so you can find a solution that suits both of you. For example, it may be possible for you to work part-time.
The Disability Discrimination Act 1995 requires employers to make reasonable adjustments to working practices or premises to help a person with a disability.
Where possible, this might include changing or modifying tasks, altering work patterns, installing special equipment, allowing time off to attend appointments, or helping with travel to work.
Mechanisms Related To Alcohols Positive And Adverse Effects On Cv Conditions
Many of the CV conditions outlined above share the pathophysiologic process of atherosclerosis and inflammation. Therefore, alcohol may exert its protective or enhancing effects on these conditions by modifying three broad categories of mechanisms: risk factors , hemostatic factors , and inflammation. In addition, and specific to CHD, alcohol consumption may modulate ischemiaâreperfusion mechanisms as blood flow is restored to tissues after oxygen deprivation. Several of these potential mechanisms are briefly reviewed below.
How To Take Care Of Myself And Manage My Symptoms
The most important thing you can do to help yourself if you have alcoholic cardiomyopathy is to quit alcohol if at all possible. If you can’t quit, the next best thing is to reduce your drinking to moderate or light levels, and the less alcohol you drink, the better. Moderate drinking means no more than 14 drinks a week for men or 7 drinks a week for women.
You should also follow your doctors guidance and advice on any treatments you receive. This includes taking your medication as instructed and eating a healthy diet. If you have any questions about how to do either of these, your healthcare provider can answer them and offer you help and resources along the way.
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Heart Failure And Alcoholic Cardiomyopathy
The pumping action of a heart functioning normally is forceful enough to perfuse all the bodys tissues with the amount of oxygen required to meet its metabolic needs. In patients with HF, the efficiency and strength of the hearts pumping action are reduced this reduced cardiac output affects the hearts ability to meet the bodys requirement for oxygenated blood . As a result, a range of clinical symptoms can occur that have a major impact on health and quality of life.
Government figures show that 26% of adult men and 17% of adult women in England drink more than the recommended daily amount of alcohol excess alcohol consumption is associated with 21-36% of diagnoses of non-ischaemic cardiomyopathy a common cause of heart failure worldwide . Alcoholic cardiomyopathy is a form of HF caused by long-term misuse of alcohol, in which alcohol toxicity weakens the heart muscle . In 2014 there were 99 out of 8680 alcohol-related deaths in the UK due to ACM .
In ACM, the left ventricle dilates and its mass increases along with the left ventricular wall thinning this usually occurs in people who have had a high alcohol intake over a sustained period .
Gender differences have also been noted, with several studies showing that women are affected by ACM after consuming smaller amounts alcohol than men and doing so over a shorter period of time .
Congestive Heart Failure And Eecp: The Natural Bypass
EECP or Enhanced External Counter Pulsation is emerging as an alternative to conventional bypass surgery. Here, the patient lies down, while blood-pressure like cuffs are fixed to the thighs and calf muscles.
When the heart rests between beats, the pressure cuffs inflate in sync, pushing blood back to the heart, creating fine collateral arteries to open up. The end result, usually after 35 sessions is that your heart suddenly has new arteries supplying fresh blood to it.
It is covered by insurance in several states in the U.S. and eecp.com can help you locate a therapy center near you and also determine if you are a fit candidate to receive the therapy. Even if you had to pay the $5,000 dollars out of pocket, says Dr. Cowan, in his book, it is certainly far safer than having your chest cracked open.
Recommended Reading: What Are Signs Of Heart Attack
Tips For Limiting Fluid Intake
In addition to limiting sodium, a doctor may also recommend limiting fluids. This helps to keep the heart from being overloaded with fluids throughout the day.
While the amount of fluid restriction varies from person to person, doctors often recommend people with CHF aim for 2,000 milliliters of fluid a day. This is the equivalent of 2 quarts of fluid.
When it comes to restricting fluid, make sure to account for anything thats a fluid at room temperature. This includes things like soups, gelatin, and ice cream.
Foods To Avoid With Congestive Heart Failure
If you have heart failure, youâll quickly learn that to feel your best, the food and beverages you donât consume may be as important as those you do.
âYour organs arenât getting the proper nourishment and oxygen that they need,â says Leslie Beck, a registered dietitian in Toronto. You may find that you tire more easily or that you get short of breath.
Also, âwhen your heart is having more difficulty pumping blood, the body has trouble getting rid of that extra fluid and water.â If that happens, you may notice that your legs and ankles look and feel more swollen, she says.
Along with taking your medications and getting regular exercise, avoiding or cutting back on some types of food and drink can help guard against that uncomfortable swelling, says Barry Greenberg, MD, who directs the advanced heart failure treatment program at the University of California San Diego Health.
âThey are really important in improving long-term outcomes,â he says. âThe payoff can be substantial, and itâs absolutely worth doing.â
Congestive Heart Failure And One Glass Of Wine
Guest over a year ago
so, my name is Charlotte and I am 47 years old. I never was a healthy, but I was fine. the only problem that I was diagnosed with recently is a congestive heart failure but I am dealing with it good so far. but, whenever I drink just one, ONE glass of wine, I start to have this chest pain that really bothers me and scares me. why does this happen? why do I have a chest pain whenever I drink a glass of wine and I can say that I am not drinking wine that often? any idea? I believed that wine is good…
Guest over a year ago
hi there. have you visited your cardiologist lately for some new tests? because, if you have heart issues, I think that you should do that at least once a year. chest pain after drinking alcohol can be a sign that there are more things to worry about. that is why you should visit your doctor. sure, you can live with this failure, but you should live healthily or at least, as much as this is possible. if you have heard that glass of wine is good and that it can’t make a damage, well, in this case, it can. consult your doctor about this once again, but if you feel pain, you should quit alcohol totally.
hearty rub over a year ago
god of elm222 over a year ago
Guest over a year ago
fearsome good-bye over a year ago
over a year ago
How Should I Change My Diet If I Have This Condition
Completely abstaining from alcohol is the key recommendation if you have alcoholic cardiomyopathy. Your healthcare provider will likely recommend that you also focus on improving your diet in ways that help your heart. This usually involves limiting your sodium and cholesterol intake and ensuring you are getting a diet that provides all essential nutrients. Thats because vitamin and mineral deficiencies are more common in individuals who are chronic heavy drinkers. Consider a heart-healthy diet, such as the Mediterranean diet or the DASH diet.
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Tips For Reducing Sodium Consumption
Your body is constantly trying to strike the perfect balance between electrolytes, including sodium, and water. When you consume a lot of sodium, your body hangs on to extra water to balance it. For most people, this just results in some bloating and mild discomfort.
However, people with CHF already have extra fluid in their bodies, which makes fluid retention a more serious health concern. Doctors generally recommend that people with CHF limit their sodium intake to about 2,000 milligrams per day. This is slightly less than 1 teaspoon of salt.
While this might seem like a hard amount to limit yourself to, there are several easy steps you can take to eliminate extra salt from your diet without sacrificing flavor.
How Much Alcohol Is Too Much
Whether or not moderate drinking is good for your heart is open to debate. However, for most people, it doesnt appear to be harmful to the heart but the key word is moderate.
Moderate drinking is defined as an average of one drink per day for women and one or two for men. A drink might be less than you think: 12 ounces of beer, 4 ounces of wine or 1.5 ounces of 80-proof spirits.
Some people should avoid even that much and not drink at all if they have certain heart rhythm abnormalities or have heart failure.
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Congestive Heart Failure Drugs
There are several medications that can be used to treat CHF, including ACE inhibitors, beta-blockers, and more.
Angiotensin-converting enzyme inhibitors open up narrowed blood vessels to improve blood flow. Vasodilators are another option if you cant tolerate ACE inhibitors.
You may be prescribed one of the following:
voluntary recall of 5 lots of the drug Accupril due to the presence of nitrosamine. Nitrosamine, a known carcinogen with the potential to cause cancer, was found to exist in the drug at levels greater than the Acceptable Daily Intake as determined by the FDA. This recall is specific only to a handful of lot numbers and does not affect all Accupril tablets made by Pfizer. If you take Accupril tablets, talk with your pharmacist or doctor and they will help you determine if your medication has been impacted by the recall.
ACE inhibitors shouldnt be taken with the following medications without consulting a doctor, because they may cause an adverse reaction:
- Potassium-sparing diuretics and potassium supplements. These diuretics can cause potassium buildup in the blood, which may lead to abnormal heart rhythms. Examples include: riamterene , eplerenone , and spironolactone .
- Nonsteroidal anti-inflammatory drugs .NSAIDs such as ibuprofen, aspirin, and naproxen, can cause sodium and water retention. This may reduce the ACE inhibitors effect on your blood pressure.
This may be achieved with:
Your doctor may recommend:
Alcohol And Heart Failure
Several studies and meta-analyses have been conducted to determine the relationship between alcohol consumption and the risk of developing heart failure in healthy subjects, as well as in those with a history of MI or CHD. Heart failure is a syndrome that often results from an MI or CHD. Studies also have examined the âsafetyâ of alcoholic beverage consumption in subjects with heart failure.
In a meta-analysis of prospective studies of healthy people ages 21â81, Larsson and colleagues reported that, compared with nondrinkers, the risk for heart failure across different levels of alcohol consumption was greatest for those consuming 12 drinks per week, intermediate for those consuming 3 drinks/week as well as for those consuming 14 drinks/week, and least for those consuming 7 drinks/week. Based on doseâresponse analysis, consumption of 7 drinks/week was associated with a 17 percent lower risk of developing heart failure.
Thus, low levels of alcohol consumption in patients with heart failure may not exacerbate the condition, especially in those with heart failure attributable to ischemic CHD. Because heart failure patients usually are older and often are prescribed numerous medications, both the effects of age and of medication use should be carefully considered by patients, clinicians, and researchers.
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Congestive Heart Failure: Symptoms
Symptoms of Congestive Heart Failure are divided by doctors based on which side of the heart is affected the right or the left. However, since both sides of the heart eventually affect the functioning of the other side, it is simpler to look at all the symptoms that could occur with Congestive Heart Failure:
- Shortness of breath upon lying down or physical activity or even at rest, rapid, shallow breathing, cough that is persistent, excess phlegm formation
- Heaviness of heart, fast heart rate, missing beats or arrhythmias
- Swelling In the legs especially the ankles, in the chest, around the lungs, in the abdomen, around the liver and spleen
- Overall Tiredness, fatigue, muscle pain, loss of appetite, feeling restless, weight gain
- Brain fog, confusion, loss of memory
- Excess urination, especially at night
- Chest pain, abdomen pain and leg pain, with the swelling that puts pressure on these areas.
Congestive Heart Failure: Forgotten Ways To Improve Prognosis And Life Expectancy
What can you do? The very first thing is to improve the obvious lifestyle factors quit smoking, reduce alcohol consumption, get some exercise, eat healthier, etc. But that, you already know.
Could there be something fundamentally wrong with the way heart disease and its ultimate chronic result, Congestive Heart Failure is currently seen and treated?
According to an increasing band of M.D.s who are leading the charge to help people address the root cause, the answer is a resounding Yes!
New Methods For Analyzing Alcohol Consumption And Stroke
Investigators are using new methods to examine the relationship between alcohol consumption and CV outcomes. One such method includes Mendelian randomization, an epidemiologic study design that incorporates genetic information into traditional epidemiologic methods. Mendelian randomization offers an opportunity to test the relationship between a causal factor and a specific outcome . Holmes and colleagues used Mendelian randomization to determine if a relationship exists between drinkers with a certain variant in the alcohol dehydrogenase ADH1B gene , which is associated with reduced alcohol consumption, and the likelihood of having fatal or nonfatal CHD and stroke. The investigators found that individuals with the A allele variant ADH1Brs1229984 consumed less alcohol and had a reduced risk of CHD and ischemic stroke compared with noncarriers. This implies that lower alcohol consumption, even in light-to-moderate drinkers, was beneficial for CV health. These results challenge the findings from several of the studies mentioned earlier that support a cardioprotective effect of low-to-moderate alcohol consumption. They also suggest that traditional epidemiologic studies may not capture important nuances related to selection bias or other errors that can affect study results .
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Easy Scallops With Chimichurri
Dishes like these make for great heart-healthy dinners. Not only can the scallops be used as a replacement for fattier meat, but they can also provide you with a helpful dose of omega-3 fatty acids, which are known to be good for your heart health.6254a4d1642c605c54bf1cab17d50f1e
Get our recipe for Chimichurri Scallops.
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How Is Chf Diagnosed
After reporting your symptoms to your doctor, they may refer you to a heart specialist, or cardiologist.
The cardiologist will perform a physical exam, which will involve listening to your heart with a stethoscope to detect abnormal heart rhythms.
To confirm an initial diagnosis, a cardiologist might order certain diagnostic tests to examine your hearts valves, blood vessels, and chambers.
There are a variety of tests used to diagnose heart conditions. Because these tests measure different things, your doctor may recommend a few to get a full picture of your current condition.
Also Check: How Do You Feel After A Heart Attack
Find Alternative Thirst Quenchers
Its tempting to guzzle a bunch of water when youre thirsty. But sometimes, just moistening your mouth can do the trick.
The next time youre tempted to gulp down some water, try these alternatives.
- Swish water around your mouth and spit it out.
- Suck on sugar-free candy or chew sugar-free gum.
- Roll a small ice cube around the inside of your mouth.
Drink The Right Amount Of Fluids
When your heart failure is not very bad, your health care provider may not place you on a fluid restriction. As your heart failure becomes worse, your health care provider may limit your fluids to 6-9 cups a day. Having other conditions like kidney disease may factor into their decision, too. If you are not sure how much you should drink per day, ask your health care provider.
Most of your hydration should come from water .
Other examples of fluids are:
- Sparkling water
- Tea and coffee
- Soft drinks
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Portion Out Your Fluids
Try to distribute your fluid consumption throughout your day. If you wake up and drink a bunch of coffee and water, you might not have much room for other fluids throughout the day.
Budget the 2,000 mL throughout your day. For example, have 500 mL for breakfast, lunch, and dinner. This leaves with room for two 250 mL drinks between meals.
Work with your doctor to determine how much you need to restrict your fluid intake.
When To Call The Doctor
- You are tired or weak.
- You feel short of breath when you are active or when you are at rest.
- You feel short of breath when you lie down, or an hour or two after falling asleep.
- You are wheezing and having trouble breathing.
- You have a cough that does not go away. It may be dry and hacking, or it may sound wet and bring up pink, foamy spit.
- You have swelling in your feet, ankles, or legs.
- You have to urinate a lot, particularly at night.
- You have gained or lost weight.
- You have pain and tenderness in your belly.
- You have symptoms that you think might be from your medicines.
- Your pulse, or heartbeat, gets very slow or very fast, or it is not steady.
Recommended Reading: What Is A Normal Resting Heart Rate For Adults Over The Age 18