Panic Attacks While Sleeping

The panic attack is a condition where a person suddenly feels short periods of intense anxiety, fear, physiological arousal, body tremors and irregular heartbeat and strike without warning. Millions of people suffer from panic attacks that occur suddenly and leave totally shocked and sad person. Panic attacks while sleeping are the worst because they do not allow a person to have a restful sleep.

Causes and Symptoms

Panic attacks occur when the body is at rest. The occurrence of panic attacks while sleeping is the result of extreme stress during the day. Many times, a person can not find a way out of their pain, and as a result, has horrific dreams. It also occurs when a person faces separation anxiety or a change in certain lifestyle due to the loss of a loved one.

The symptoms are very similar to the symptoms of a panic attack regularly. Panic attacks do not harm a person physically, but mentally. The person who goes through a panic attack during sleep can wake to sleep half with a totally terrifying feeling and tremendous anxiety symptoms without any specific reason. Anxiety is often related to stress pain, headache, muscle aches, shoulder pain and back pain, irregular heartbeats and hasty, nausea, vomiting sensation and excessive sweating.

Symptoms of panic attack during the night also vary from person to person. Some people begin to feel that they are about to die, stop breathing and feel they have a fatal disease. Some people suddenly wake up from a deep sleep, with tremendous concern. They can not sleep with the constant fear of recurrent panic attacks that disrupt your sleep pattern and make them vulnerable to insomnia.

Treatment

Since a person suffering from these attacks is very scared and stressed, is very important to avoid the fear of falling asleep as well as provide proper therapy. Psychotherapy, particularly cognitive behavioral therapy is the best treatment suggested, along with the attempt to maintain mental health. There are certain medications that are prescribed by the doctor according to symptoms. Meditate, listen to music, indulging himself in a fascinating hobby, learn relaxation techniques like yoga and stress management, join a recreation center, spend more time with family and friends in the gym are great relievers that reduce stress.

In many cases, people become afraid to sleep and as a result, begins to suffer from insomnia. In such cases, get rid of insomnia is equally important, as it can lead to stress and eventually to panic attacks and many unpleasant health conditions. Following a healthy diet, light exercise, with small and light dinner, avoid smoking and drinking alcohol are some of the things that a person suffering from panic attacks should practice.

Panic attacks are the main symptoms of a huge upset in the lifestyle that a person needs to know and evade as soon as possible. Keep locked problems itself, it has never helped anyone, talk about their problems and find solutions rather than waiting. Dealing with stress during the day is one of the best ways to get a great night sleep and get rid of panic attacks while sleeping. Be careful!

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Palpitations and tachycardia in pregnancy

A pregnancy that has been supposed to be a blessing for every woman. But, it’s not so easy to go through this phase. She has to take care a lot in order to stay healthy.

To meet the needs of growth and feeding the baby, the blood volume increases the mother 's body during pregnancy. This increased blood flow creating some typical pregnancy symptoms, the most common are a headache, the dreaded hemorrhoids, swelling of hands and feet, generalized fatigue and sometimes also possible palpitations, tachycardia, and even fainting

Know more about Palpitations via Dr. Ritwick Raj Bhuyan 

Is it normal to notice palpitations during pregnancy?

Yes, it is normal. Feel palpitations usual, that is to note that the heart is a thousand per hour or to be out of my chest, especially after making some effort or lying face up being. It is normal to notice palpitations from the first quarter and may become more pronounced in the second.

Despite being normal physiological symptoms among pregnant women, if they occur often or very strong it can be an alarm signal. In this case, you should consult with your doctor, it's who can assess whether they are within normal limits or require some additional test.

Why the heart goes faster during pregnancy?

During pregnancy, the body increases blood volume to meet the needs of baby growth and nutrition. The heart must work at full capacity to pump the extra blood. Pump reaches up to 50% more blood than in normal conditions, so it is logical that also increases heart rate, that is, they occur more beats per minute and the heart contract more forcefully. Because of this increased blood flow, some typical discomforts of pregnancy such as palpitations and tachycardia occur.

How can tachycardia avoid during pregnancy?

When palpitations occur, it is best to relax and take a deep breath until they pass. To prevent the occurrence of palpitations are advised not to put on weight too, do moderate exercise, practice relaxation techniques (yoga, for example), sleeping on your side (not face up), getting enough rest, take care of food and lead a quiet life, as far as possible.

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Cardiovascular Disease

The heart is the only part of our body that works persistently before birth to death. It begins to beat by 21-28 days after conception and beats throughout life and is the strongest muscle in the body.

The average heart beats about 100,000 times a day AND 70-80 times a minute. This rate may double during the year or at the time of emotion. With every beat, the heart pumps blood through the blood vessels or the arteries to all parts of the body.

The cardiovascular system

The blood travels from the heart on the left side of the heart and is rich in oxygen. Travels via the arteries of size continuing to fall until it reaches the narrowest arteries capillaries calls in all organs and body parts. Delivering oxygen and nutrients and collecting debris, blood is brought back to the right side of the heart through the veins system progressively magnifying. This is called the circulatory system or the cardiovascular system and is vital for life. The Cardiovascular literally means "cardio" or heart and "vascular" or a system or a network of blood vessels. 

How many people cardiovascular disease affect?

Diseases of the disorders of this system are defined a cardiovascular disease. Cardiovascular diseases kill each year 17 million people estimated worldwide. The Most of these are due to heart attacks and strokes.

The consumption of tobacco and smoking remains the biggest risk factor for cardiovascular disease worldwide. It raises the risk of stroke as well.

Story of some cardiovascular diseases patient - http://cardiacsurgeryonline.com/patient-stories/ 

The Physical inactivity and unhealthy diet that lead to obesity are other important risk factors that increase the various risks to cardiovascular disease.

Types of cardiovascular diseases

coronary artery disease

This is due to the illness or limitation of blood vessels that supply the heart muscle. These blood vessels are called the coronary blood vessels. The Atherosclerosis is the most common cause which happens due to hardening and a limiting of the heart coronary arteries by the formation of plaques and plugs.

The coronary artery disease can be caused due to risk factors such as hypertension, high blood cholesterol, tobacco use, obesity, unhealthy diet, physical inactivity, diabetes, advancing age, inherited assignment.

Congenital heart disease

This is due to malformation or abnormal formation of the heart structures at birth. This may be inherited or due to other factors. This includes the holes in the heart, abnormal valves, abnormal heart chambers Etc. It generates the capture of drugs, alcohol, mothers with infections such as rubella or mothers with difficult diets deficient of vital nutrients are at risk of giving birth to babies with congenital heart defects.

Stroke or stroke (CVA)

This is caused when the blood supply to part of the brain is obstructed. This can be caused by blockage or rupture of a blood vessel in the brain. Those at risk include those with hypertension, heart rhythm disorders, high blood cholesterol, tobacco use, diabetes and age of advancement.

congestive heart attack

This is caused when the heart muscles become progressively unable to pump blood in the blood vessels. Those at risk include those with hypertension, heart rhythm disorders, heart attack, obesity Etc.

Peripheral arterial disease or peripheral vascular disease

This will affect the arteries that supply the arms and sides. The risks are similar as those for coronary artery disease.

Deep venous thrombosis (DVT) and pulmonary embolism

In DVT, blood clots are formed in the side strands that cause severe pain and disability. These clots can move, and move to the heart and lungs that lead to dangerous complications. I Risk factors include the surgery along, trauma, obesity, cancers, recent childbirth, oral contraceptive use and hormone replacement therapy Etc.

Rheumatic heart disease

This is caused due to damage of the heart muscle and heart valves from rheumatic fever. This is caused due to infection with streptococcal bacteria.

Other cardiovascular diseases

This includes heart tumors, cancers of the blood vessel or the ballooning (aneurysms) of the blood vessels of the brain, the cardiomyopathy, the heart valve diseases, disorders of the lining of the heart or of the pericarditis, aortic Etc.

Taking the Pulse and Heart Rate measurement

Here you can get the simplest way to know your heart rate easily at home.

Did you know that checking the pulse is something we should do more or less regularly in our normal life, in the same way that we take-for example blood pressure? The explanation is simple: any deviation in measurement could be a symptom of suffering cardiovascular disease, but may also be caused by an infection or dehydration.

Heart rate is the number of times your heart contracts to pump blood throughout the body; as a result, the heart can function properly. The number of heart rate is calculated by a number of beats per minute and serves as an indicator of how it is working our heart.

How to take the pulse easily?

There are different ways to take a pulse. On the one hand, for example, we may use an electronic device known as cardiac frequency meter, although it is also popularly known by the name heart rate monitor. This device consists of a tape that stands up to the chest, and in turn is connected to a clock that measures the heart rate.

In a case of not having an electrical device, we can take the pulse manually. To do this, we must place the index and middle fingers on one part of our body where an artery pass very close to the skin:

•         Carotid Pulse neck.
•         Radial pulse: on the wrist.
•         femoral pulse: in the groin.
•         Temporal pulse in the temple.
•         ulnar pulse: on the inside of the elbow.
•         Popliteal pulse: on the back of the knee.
•         pulse means: on the inner side of the foot.

Once you locate the pulse in one of these areas we must press gently with your fingers, and we count how many beats a minute.

When is a normal heartbeat?

Note: Please note that, heart rate lies within a few scales, which are adequate in relation to our physical condition and our age.

For example, after 20 years it is considered normal to have a resting heart rate between 50 and 100 beats per minute. Thus, when the heart rate is below 50 is considered as bradycardia, and if is above 100 tachycardia.

Both conditions must be checked by a medical specialist if there is no logical explanation for it, and in turn these measurements are maintained over time.

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Yoga And Health Benefits

 In today’s world of IT along with the hectic schedule, it’s not possible for all people to meet the requirements for physical activity in order to promote health and prevent heart disease. But, like others, this problem also has some solution. And that one is Yoga since it effectively can fulfill this gap of physical activity in our life. Also, it has been proved that it is same as beneficial as aerobic and another exercise.

The benefits of yoga

Ancient Indian tradition teaches us that the practice of yoga is based on the belief that the body is one with the mind. Combines physical exercise (through postures) and breathing right meditation. Therefore, not only to improve physical health by promoting the strength, stability, and flexibility but also it reduces stress and calms the spirit.
The beauty of yoga lies in the fact that you can do anytime, anywhere, by anyone. Even the elderly and people with limited physical abilities can practice some form of yoga and benefit from it. One can make simple to more challenging postures while standing, sitting, lying down or in a headstand position. However, health experts do not have yoga exercises in compliance with the requirements of physical activity, which consist of moderate-intensity aerobic activity (150 minutes per week).

A review of several European and American studies, however, show that compared with no exercise, yoga is a prevention strategy low cost effective against the cardiovascular disease. In addition, the review also found that benefits are comparable to practice in the prevention or reversal of heart disease.

The researchers reviewed 37 randomized controlled trials involving nearly 3,000 participants also found that yoga practice can have the same benefits in reducing risk factors for heart disease as conventional exercises such as brisk walking or riding a bicycle. They believe this is a significant finding, especially for people who can not or prefer not to make the most strenuous aerobic exercise for health.

The meta-analysis found that compared to no exercise, yoga practice was associated with improvements in:

• Cholesterol
• Heart rate
• (LDL), the bad cholesterol levels
• Systolic blood pressure
• Body mass index (BMI), a measure of body fat
• Good (HDL) cholesterol levels

Participants who practice yoga, in addition to taking medications for cardiovascular disease also experienced significant improvement in their risk factors. However, scientists found no differences in benefits in terms of reducing sugar levels in the blood, a risk factor involved in diabetes.

Yoga Versus Aerobic Exercise

Researchers reviewed the results of several international studies on yoga also found that compared with aerobic exercise, yoga has similar benefits in cardiac risk factors. They noted that this could be due to an impact of yoga on stress reduction, which has a positive impact on metabolic and neuroendocrine heart function. Their finding suggests that yoga may have similar mechanisms as aerobic exercise in achieving the health benefits, including relaxation and stress-reducing effects.

According to Professor Myriam Hunink, lead author of the study, it is still unclear how yoga exercises its benefits on cardiovascular health, but the evidence is growing, which shows that the relative costs and benefits of yoga are comparable with exercise and medication. In addition, yoga is acceptable as an alternative treatment, especially for patients who have little tolerance for physical activity, such as the elderly.

Yoga and heart health

Although the practice of yoga does not count as aerobic exercise, what to do at least 150 minutes per week for general health, experts like M. Mala Cunningham, Ph.D., founder of Heart Yoga believe that yoga can help prevent or even reverse heart disease. When practiced in combination with a lifestyle and healthy, traditional yoga can promote physical, emotional, and mental happiness. It has been found that yoga can help:

• improve muscle tone
• low blood pressure
• increase lung capacity
• improve respiratory function
• reduce stress
• improve heart rate
• increase strength
• increase circulation

One study, which included more than 15,000 participants, showed that the practice of yoga can help people lose excess weight. Besides burning calories, yoga also promotes attention, reinforcing healthy habits that include proper eating habits.

Healthy people can benefit greatly by combining a healthy lifestyle consisting of a balanced diet and regular exercise, and yoga to achieve physical, mental, and emotional health. However, for people who cannot participate in moderate or vigorous physical exercise, yoga offers an alternative form of therapy that can still help increase physical strength, flexibility, and stability, while promoting respiratory function and cardiovascular.

For people who have suffered a cardiac event like a heart attack or cardiac arrest, emotional stress can have adverse effects on the heart. Patients who have undergone bypass surgery may also have anxiety, depression, and pain, which are common in people with chronic diseases. In these cases, yoga can help calm these emotions, promote relaxation, and improve blood pressure levels and cholesterol patient. When practiced regularly, yoga can lead to improved long-term health and overall functionality.

Cunningham advises patients who are obese, diabetic or suffering from heart disease, consult a doctor before starting a yoga program and seek help from a qualified instructor who is trained in heart yoga. Patients can contact their local cardiac rehabilitation center for more information on how to practice yoga for heart health.

Open Heart Surgery

General Information

There are various types of heart disease and a variety of symptoms associated with each of them. Therapeutic methods currently used in various diseases of the heart, include medication to help fight the disease or delay its development, and surgical treatment, implying various operations. 

Open heart surgery - an operation on the heart, which is a unique surgical procedure that allows the heart surgeon to deal with a number of heart disease, especially when other treatments are not suitable or does not help. In many cases, it is a life-saving operation that is performed when the situation is urgent.

What is open-heart surgery?

Open-heart surgery begins with the opening of the chest and expose the heart. This is a very complex operation, so it is executed very heart surgeons who specialize in this area. During the operation, activity of the heart is stopped, and the patient is connected to a heart-lung machine (the machine "heart - lung"). That this operation is different from other heart surgery, during which the heart continues to beat normally. Open heart surgery can serve several purposes. This may be a heart transplant, bypass surgery , surgery to remove congenital defects in the heart and blood vessels, or surgery for valve replacement .

How is the operation?

As already mentioned, during open-heart surgery heart activity ceases, which allows the most successfully and without any interruption to perform various surgical procedures. Termination of cardiac function is made possible by connecting the patient to a heart-lung machine "heart - lung", imitating the work of the heart and lungs. Apparatus "heart - lung" includes two connections, one of which is responsible for the collection of blood from a vein, while the second compound is directly connected to the aorta, is responsible for pumping blood into the body. This unit, which works throughout the operation, allows you to remove waste from the blood and re-saturate it with oxygen, pumping back into the patient's body.

When connecting the patient to the machine "heart - lung" heart activity ceases gradually until it becomes obvious that the machine "heart - lung" is working properly. The first stage device helps cool the blood, to reduce the metabolic rate and heart rate without damage to the heart muscle. In the next step of the heart completely ceases operation with a special solution. After stopping of the heart to perform the required surgical procedure - coronary artery bypass grafting, valve replacement or correction of existing defects. When the operation is a normal activity of the heart is reduced, and the work unit "heart - lung" is stopped gradually, until it becomes obvious that the heart is working properly.

Other solutions in the treatment of heart problems

With the advanced technology, and also to avoid complex invasive procedures for treating various heart diseases, which in the past been impossible to avoid open heart surgery, currently used, and other solutions. Cardiac surgery, performed through a small incision, allows to cope with some heart disease minimally invasive methods, while achieving a high level of results. Such operations are, for example, help to overcome problems with the heart valves through small holes, caused by the ribs and chest wall. Through these holes the camera is introduced, helping to perform various manipulations. The advantage of this minimally invasive procedure generally is no need to perform the incision of the chest 30 cm, considered one of the most painful and difficult stages of open-heart surgery. This advantage significantly reduces recovery time and significantly reduces the period of hospitalization compared to open heart surgery. In addition, this type of surgical scars are practically invisible, and the prospects for the emergence of post-operative complications is very small.

To know more about cardiac surgery or open heart surgery, visit 
http://cardiacsurgeryonline.com

Heart Disease | Brief Discussion

Heart Disease - The heart is the center of the circulatory system or cardiovascular system. The heart pumps blood to all cells of the body through blood vessels. The blood carries oxygen that cells need. Cardiovascular disease is a group of disorders that occur when the heart and blood vessels are not working as they should.

These are some of the problems associated with cardiovascular disease:

Arteriosclerosis and Atherosclerosis: also known as hardening of the arteries. Arteriosclerosis in the arteries become thickened and lose flexibility. People with atherosclerosis have an accumulation of cholesterol and fat that causes the arteries narrower, so that the amount of blood flowing is smaller. Deposits known as plaque.

• Angina : People with angina feel chest pain, this means that the heart does not receive enough blood.
• Stroke or stroke : When part of the brain does not get enough blood due to a blood clot or a ruptured blood vessel.
• Heart attack : when a blood clot or other blockage cuts off the blood flow to part of the heart.

How heart disease develops 

Heart disease is not contagious - you can not contract like the flu or a cold. Rather, there are certain things that increase the chances of a person developing cardiovascular disease. Doctors call these risk factors. Some of these risk factors, such as being an older person or have relatives with the same problems, can not be counteracted. But there are certain risk factors that you can control. Smoking, high blood pressure, overweight and do not exercise can increase the risk of developing cardiovascular disease.

Signs of heart disease

Many people do not realize they suffer from cardiovascular disease until they have chest pain, a heart attack or stroke. These types of problems often require immediate attention and the person needs to go to the emergency room of a hospital. If not an emergency and the doctor suspects the person could have cardiovascular disease, you can perform tests to determine how they are working the heart and blood vessels. These tests include:

Electrocardiogram: This test records the electrical activity of the heart. The physician connects the patient to a monitor and observe the machine to see the heartbeat and determine if it is normal.

Echocardiogram : This test uses sound waves to diagnose heart problems. The waves bounce off the parts of the heart and create an image thereof is displayed on a monitor.

Stress test : For this test, the person exercises while the doctor watches the electrocardiogram machine to see how it reacts to the heart muscle.

Catheterization : This test uses a long, thin tube that is inserted into the patient 's body to inject a special dye. It can locate narrowed arteries due to the buildup of plaque and other problems detect areas.

Carotid artery scan : This test uses sound waves to detect the presence of blockages in the carotid artery, a large blood vessel in the neck that supplies blood to the brain.

If the physician determines that a patient has cardiovascular disease, talk with the patient about how it can help quitting smoking, losing weight, eating a healthy diet and exercise. It could also be necessary for the person to take drugs, you do surgery, or both.

There are different types of surgery for heart and blood vessels. Some of them are :

Angioplasty : the blocked blood vessel using a like a balloon at the narrowest point of an artery device opens. The doctor may also insert a stent ( stent ), which is a tiny stainless steel tube that keeps the vessel open and ensures that remain free of blockage.

Atherectomy : This involves removing plaque from an artery, for blood to flow freely.

Coronary Bypass Surgery : This involves taking part of an artery or vein from another part of the body (arm or leg) and use it to channel the passage of blood around a blocked artery in an area.

Pacemaker : A pacemaker is a small electronic device that is placed inside the body to regulate the heartbeat.

Valve replacement : The surgeon can replace a damaged heart valve or malfunctioning.

Carotid endarterectomy: During this procedure, the surgeon removes plaque deposits in the carotid artery to prevent stroke.

If someone you know is going to be subjected to one of these operations you may feel restless. The good news is that these surgeries can help prevent heart attacks, strokes and other disorders. The amount of time that the person will need to pass in the hospital will vary, depending on the operation and health. The person may feel tired and exhausted after surgery, but you can help making a card that says "Get Well" and visit her.

Can children develop heart disease?

Generally, children do not have symptoms of heart problems or blood vessels while they are young. But if they start to develop healthy heart habits now, children can reduce the likelihood of having to worry about the future of cardiovascular disease. So what should you do? For starters, do not smoke. And be sure to eat healthily, exercising and maintaining a healthy weight. Your heart and blood vessels will thank you later!

What is heart failure? A Brief Knowledge

Heart Failure - It happens when the heart is unable to pump enough blood to the body. Several diseases can cause it: valvular disease, arrhythmias ...

What is heart failure?

The heart failure usually happens when any imbalance happens between the heart's ability in order to pump blood and the needs of the body.

Causes of heart failure

The heart may fail due to a problem itself or because its responsiveness reaches not satisfy what the organism will demand.

Failure heart from heart disease

Heart failure is a syndrome characterized by the presence of symptoms (shortness of breath, tiredness, difficulty breathing, lying, etc.) and signs that the heart does not work well (expels bad blood) and accumulates in the legs, abdomen, etc. Many of heart disease just this. Possible causes that can cause heart failure are:

IHD

It occurs when the coronary arteries that distribute blood to the heart suffer narrowings reduce or prevent blood flow, and therefore oxygen supply. In some patients, it is a slow and progressive process. In others, it consists of a clot or thrombus which produces fast and complete blockage of the blood vessel. The latter is what is known as a heart attack, and can cause a death of heart muscle loses its blood.

Heart muscle disease ( cardiomyopathy )

They are diseases that affect the heart muscle:

• Hypertensive cardiomyopathy (produced by uncontrolled hypertension)
• Idiopathic dilated cardiomyopathy  (when the origin is unknown)
• Myocarditis (inflammation of heart muscle)
• Restrictive cardiomyopathy
• Diabetic cardiomyopathy (caused by diabetes)
• Hypertrophic cardiomyopathy
• Alcoholic cardiomyopathy (by abuse alcohol consumption)

Usually, these diseases cause dilation and significant loss of core strength. Some, such as alcohol cardiomyopathy or myocarditis, may be reversible with treatment.

Valvulopatías

They appear when the valves do not work properly and the heart muscle is not able to compensate for the malfunction of these increased force or number of beats.

Arrhythmias

Both fast and slow arrhythmias can cause heart failure.

Heart Failure by increasing demand

Anemia, generalized body infection, thyroid disease, arteriovenous fistulas or increased blood pressure lead to increased demand for blood body sometimes a healthy heart is not able to attend. Therefore, treatment of these patients should focus on the disease causing the failure rather than the heart itself.

Symptoms of heart failure

The heart failure can be a disease that has no symptoms for a long time throughout life (called asymptomatic phase). When they appear, the predominant symptoms are:

• Abnormal fatigue by efforts before caused not. Blood does not adequately reach the muscles and muscle fatigue situation is caused.
• Feeling of fullness in the abdomen, anorexia (lack of appetite).
• Labored breathing stagnant fluid in the alveoli of the lungs. If a choking sensation forcing sleep sitting up and lying down is presented.
• Reduced blood flow to the brain can cause feelings of dizziness, confusion, mind blank and brief loss of consciousness. If these figures related to low voltage episodes occur it is advisable to sit or lie down.
• Sometimes it can appear a dry and persistent cough motivated by fluid retention in the lungs or treatment with angiotensin converting enzyme. It is the latter case, the specialist can assess a change in treatment.
• Shortness of breath (dyspnea) with exertion and poor exercise tolerance fatigue.
• The failure can cause the blood flow to the kidneys is not enough, and fluid retention occurs due to decreased urination. This swelling usually located on the legs, ankles or abdomen. And sometimes urinating more at night than during the day (nocturia).

Diagnosis of heart failure

The specialist performs a detailed medical history:

• Cardiovascular risk factors in the patient
• Recent infections
• Symptoms related to exercise tolerance
• History of ischemic heart disease
• Heart rhythm disturbances
• Physical examination to check blood pressure and heart rate
• Cardiac auscultation and pulmonary
• Abdominal exploration
• Hypertension or diabetes
• Family history of cardiomyopathy or valvular disease
• Swelling

In some cases, additional tests necessary echocardiogram or stress test will be, as X-rays.

Prognosis of heart failure

Although the word failure suggests a benign process, heart failure, left untreated, it has a worse prognosis than many cancers. With treatment, the prognosis differs greatly from the cause that motivates it. For this reason, it is so important to prevent its occurrence and proper monitoring of indications and controls.

Treatment of heart failure

There are effective treatments to slow the progression of heart failure, improve the quality of life, exercise capacity and prolong survival. They are:

• Treat the cause that produces it (revascularization with angioplasty or bypass if for lack of watering, stop drinking if alcohol, etc.).
• Hygiene measures: weight control, low-salt diet, controlling your fluid intake, get the normal weight.
• Diuretics improve congestive symptoms and lower the swelling or lung congestion.
• Vasodilator drugs (such as nitrates or angiotensin converting enzyme inhibitors and receptor ACE inhibitors and ARBs ) reduce the load with which the heart must work, increase performance and lower the blood pressure. The latter are essential if heart function is impaired.
• Beta-blockers reduce the heart rate and improve the prognosis (they are essential if the function of the heart is decreased).
• Digoxin is indicated in patients with atrial fibrillation.
• Aldosterone inhibitors are also necessary, as they improve survival in patients with impaired function and symptoms despite treatment with beta-blockers and ACE inhibitors or ARBs heart.
• Ivabradine is a drug which reduces the heart rate only and may be beneficial in some types of heart failure.
• In other cases it is necessary to implant devices to patients despite appropriate treatment (weight loss, proper diet, etc.) continue to have symptoms, have some alterations in the ECG-determined and heart function decreased (<35% ). These devices in patients with a life expectancy appropriate can improve symptoms (TRC) or decrease the probability of dying suddenly (DAI).
• If the patient does not improve with all previous treatments, it could pose (depending on age and the presence of other diseases or complications) the heart transplant.