* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Can I have Heart Failure with a Normal Heart Function?
Survey
Document related concepts
Baker Heart and Diabetes Institute wikipedia , lookup
Remote ischemic conditioning wikipedia , lookup
Saturated fat and cardiovascular disease wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Cardiovascular disease wikipedia , lookup
Rheumatic fever wikipedia , lookup
Cardiac contractility modulation wikipedia , lookup
Electrocardiography wikipedia , lookup
Heart failure wikipedia , lookup
Coronary artery disease wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Antihypertensive drug wikipedia , lookup
Atrial fibrillation wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
Transcript
S P E CI A L P O IN T S OF I N T E R- E ST : Heart Failure The Beat V O L U M E Tips Green Beans St. Jude ICD Battery Recall INSIDE THIS ISSUE: Front Story 1 Tip of the Month 1 Recipe 2 Quote of the Month 2 Did you Know 2 Our Info 3 This article is property of 5 I S S U E Author: Kacy S. Jones, MSN, ACNP 6 O C T O B E R 1 5 , 2 0 1 6 Can I have Heart Failure with a Normal Heart Function? Can I have heart failure with a normal heart function? Yes. This may have a couple terms. One is called Diastolic Dysfunction. The other is called HFPEF or Heart Failure with Preserved Ejection Fraction. Typically when we think of someone with heart failure, we automatically think of someone with a “weak” heart. But there is a growing number of people that have heart failure symptoms but with a normal heart function. In fact, nearly half of all people with heart failure have a normal heart function. So how do we know if the heart function is normal? The ter m we use to describe the heart function is an EF or ejection fraction. A normal EF is greater than 55 percent. An EF can be measured with multiple test including an echocardiogram, a nuclear stress test, a MUGA scan, A cardiac MRI, and a cardiac catheterization. What are the symptoms of HFPEF? Symptoms ar e similar to regular heart failure. They may include shortness of breath, swelling in the legs or abdomen, fatigue, chest pressure, and decreased ability to exercise or exert due to feeling tired or short of breath. What are the risk factors for HFPEF? High blood pressure is prevalent in 80-90 percent of people with this type of heart failure. Other risk factors include advanced age, female sex, obesity, abnormal kidney function, and metabolic syndrome. How is HFPFEF diagnosed? HFPEF may be a difficult diagnosis because its diagnosis is still being defined. However, many people agree on a few things. Heart failure symptoms must be present. The EF or ejection fraction must be 50 percent or greater. There must be evidence of cardiac dysfunction. This can be evident in many different ways such as atrial fibrillation, diastolic dysfunction, or an elevated BNP. An echocardiogram is usually needed to aid in this diagnosis and in some instances an invasive test may be needed. What is the treatment for HFPEF? The tr eatment for HFPEF is still being researched. So far, clinical trials have not yet proved any effective treatments. Continued….page 3. (3). Tip of the Month Heart Failure Tips: 1. Weigh Daily. A rapid increase of weight (3 or more lbs.) may indicate fluid build up. 2. Monitor heart rate and blood pressure regularly. 3. Stay on a low sodium diet, less than 2000mg per day. 4. Don’t run out of your medicines or miss taking them. Sometimes missing 1 or 2 doses of medications can cause fluid to build back up or other problems with your heart. 5. Exercise regularly. Cardiac rehab is a great option. Walking is another good option for most people. HeartHelp, LLC all rights reserved. It may not be reproduced without the written consent of HeartHelp, LLC. PAGE 2 Recipe from “Breaking the Salt Habit” by Erik Williams. (5). The Easiest Green Beans Ingredients: Directions: 1lb Fresh Green Beans 1. 2 Garlic Cloves, minced 2 Slices of Low Sodium Bacon 1\3 cup Onion, chopped 1\4 cup Water 1\2 tsp. Basil Black Pepper to taste Nutrition Info Cut ends of green beans Yields 6 servings and place in a medium pan 1 Serving = 1\2 cup and add remaining Calories: 36 ingredients. Total Fat: 1g Sat Fat: 1g 2. Simmer on low heat for Cholesterol: 3mg 25-30 minutes. Potassium: 135mg Carbohydrates: 5g Protein: 2g Fiber: 2g Sugar: 0g Sodium: 36mg Quote of the Month: deeper roots.” Dolly Parton “Storms make trees take Did you Know? Did you know the company St. Jude placed a warning out this week that some of its defibrillators may have a battery problem. The warning is for some devices that were manufactured before May 23, 2015. The devices involved include the Fortify, Fortify Assura, Quadra Assura, Unify, Unify Assura, and Unify Quadra. So what is the problem? Normally when a defibrillator gets close to the end of battery life, there is a setting called ERI or elective replacement indicator that the devices changes to. From the ERI date, there is normally a 90 day window where the device will still safely function until it can be replaced. In these devices, when the battery hits this indicator, the battery may deplete very rapidly not allowing for the 90 day window. THE BEAT AUTHOR: This article is property of KACY S. JONES, MSN, This may pose a risk for certain individuals if they should need a shock during this time or if they are dependent on the pacemaker part of the device. At this time the recommendations are not to remove all the devices prematurely. However, the device needs to be immediately replaced when it does reach ERI. There may be some individuals who are higher risk that may need their device replaced before it reaches ERI but this will be left up to your healthcare provider. St. Jude is recommending everyone be enrolled in the home monitoring program. Also, if you feel a vibratory sensation in the chest, this is an alert that the device could be at ERI so contact your cardiologist. Last, to find out if your device is involved or not, call St. Jude at 1-800-550-1648 or go to their website. (1,2). ACNP HeartHelp, LLC all rights reserved. It may not be reproduced without the written consent of HeartHelp, LLC. Because fluid build up is common, a low sodium diet is strongly recommended. Exercise has been shown to help improve exercise tolerance and quality of life. These two lifestyle modifications are the mainstay of treatment currently. However, medications have their place in the treatment of HFPEF as well. Medical therapy currently is aimed at keeping blood pressure down and keeping the fluid off. So diuretics are used commonly in this patient population. Some common diuretics may include Lasix, Demadex, HCTZ, Chlorthalidone, and Aldactone. Various blood pressure medications may also be used which can include ACE-Inhibitors, ARBs, Calcium Channel blockers, and Beta Blockers to name a few. Because atrial fibrillation is a common arrhythmia that occurs in this patient population, medications used to control the rhythm or heart rate are also common. These medications can include drugs like Sotalol, Tikosyn, Multaq, Amiodarone, Metoprolol, Cardizem, or Coreg. Controlling other risk factors including diabetes, sleep apnea, high cholesterol and obesity are critical in the treatment of HFPEF. Because there is no one medication that will cure this disease process, diet and exercise are vital. To sum up, HFPEF as a disease process is still being learned and the pathophysiology of it is still being discovered. For now, it is a common problem that will have to be treated with a multidisciplinary approach. (4,6). Have an a Fabulous Outstanding February October October is here. The fresh cool air always gives me a little bounce in my step. S’mores, bonfires, and pumpkins. So fun. We are approaching the end of the year. For me it is a good time to evaluate where I am for the year and where I need to be. I start feeling a crunch to get things finished and completed before the holidays get here. Clean out that garage or closet. Organize your medicines and throw out any old ones. Most drugs are good for a year. Review your medical expenses for the year so you know what kind of plan you need next year. Organizing decreases stress and clears your mind. Your body will thank you. I hope this version of “The Beat” was informative. References: 1.St.Jude Medical. 2016. Premature Battery Depletion. Retrieved online at https:// www.sjm.com/en/patients/arrhythmias/resources-support/battery-advisory 2.FDA. 2016. Premature Battery Depletion of St. Jude Medical ICD and CRT-D devices: FDA Safety Communication. Retrieved online at http://www.fda.gov/ MedicalDevices/Safety/AlertsandNotices/ucm524666.htm 3. Mayo clinic.. Heart Failure with Preserved Ejection Fraction (HFPEF): More than just diastolic dysfunction. Retrieved online http://www.mayoclinic.org/medicalprofessionals/clinical-updates/cardiovascular/heart-failure-with-preserved-ejectionfraction-hfpef-more-than-diastolic-dysfunction on October 15, 2016. Sincerely, 4.Bhuiyan, T., Maurer, M. (2011). Heart Failure with Preserved Ejection Fraction” Persistent Diagnosis, Therapeutic Enigma. Curr Cardiovasc Risk Rep. 2011 October; 5(5) 440-449. Kacy Jones and the HeartHelp Team 5. Williams, Erik. 2011. Breaking the Salt Habit. Unknown Publisher. 6.Libby, Bonow, Mann, Zipes 2008. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia, PA: Saunders Elsevier. Volume 1. As always, thanks for letting us “Keep you in Rhythm.” This article is property of HeartHelp, LLC all rights reserved. It may not b e reproduced without the written consent of HeartHelp, LLC.