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Heart Failure Association of India About Us The Heart Failure Association of India represents an effort by the heart failure experts across the country to provide a forum for all those interested in this field, be it research or patient care. Heart failure is a debilitating syndrome with a mortality rate similar to that of some cancers. It is often misdiagnosed and under-diagnosed and many heart failure patients, who are often elderly, also suffer from other complicating co-morbidities. The idea for the Heart Failure Association of India was seeded in response to the issues that the management of heart failure presents. Board of Governers Dr. Naresh Trehan Dr. I.S. Anand Dr. D.B. Pahlajani Dr. B. Somaraju Dr. G. Vijayaraghavan President Dr. V.K. Chopra Vice President Dr. Ajay Chaurasia Secretary Dr. Balbir Singh Joint Secretary Dr. B.K.S. Sastry Treasurer Dr. Vishal Rastogi Executive Council Dr. Sanjay Mittal Dr. C. Narasimhan Dr. Uday M. Jadhav Dr. S. Satheesh Dr. Satyendra Tewari Dr. G.S. Wander Dr. B. Raguraman Our Mission The mission of Heart Failure Association of India is to: Promote research related to all aspects of heart failure and to provide a forum for presentation of basic, clinical and population-based research. Educate health care professionals through programs, publications and other media in the areas of basic science, clinical medicine, patient management and social, ethical and economic issues to enable them to diagnose and treat heart failure and concomitant medical conditions more effectively. Encourage primary and secondary preventive measures to reduce the incidence of heart failure, to serve as a resource for government, private industry and health care providers to facilitate the establishment of programs and policies that will better serve the patient. Enhance quality and duration of life in those with heart failure. Promote and facilitate the formal training of physicians, scientists and allied health care providers in the field of heart failure. As per the information Training Opportunities provided by the association. Events and News Heart Failure Registry Membership (For doctors) Membership categories and guidelines: Association will offer two categories of life memberships Fellow & Associate. Fellow Members: To be entitled for a Fellow membership the person should be DM Cardiology/Mch. Cardiac Surgery/DNB Cardiology or Cardiac Surgery. However, membership maybe offered by the Executive Council to any other person without the above qualifications if such person has made a significant contribution in the field of Heart Failure with approval from the Board of Governors. Associate Members: Doctors undergoing training for DM Cardiology/Mch. Cardiac Surgery/DNB Cardiology or Cardiac Surgery will be entitled for Associate Membership. All members shall be lifetime members. The one time membership charges shall be; Fellow Members: Rs. 5000/Associate Members: Rs. 2000/An associate member upon attaining required qualification can be elevated as a Fellow Member by paying Rs. 3000/-. The executive council may revise membership fees. The fee may be waived off by the President of the HFAI for a prospective member who holds outstanding academic and professional record. Privileges of Membership: The members shall have the privileges to attend and take part in all general meetings, conferences, lectures, discussions and demonstrations. They shall be also receive a copy of the Association’s journal/newsletter. Based upon vacancies in the Executive council, only members shall be eligible to contest for various posts. Membership form (Fields marked with (*) are mandatory) Name * : Address * : City : State : Pin Code : Country * : Phone : Mobile No. * : Fax No. : E-mail * : Date of Birth * : Qualifications : Universities : Year : Training course in Cardiology * : Institution * : Type of Training / Course : Experience : Present Appointment : Membership of other Societies (specify) : Membership type applied for ⃝ Fellow member ⃝ Associate member Contact us: Dr. V.K. Chopra Dr. Balbir Singh eMail: [email protected] eMail: [email protected] USE NEW EMAIL ID Heart Failure Association of India (WITH DOC’S NAMES, MEDANTA ADDRESS) Flat No. 20-A, Plot No.9, S/F, Karol Bagh, Pusa Road New Delhi 1ST CONFERENCE OF HFAI ON FEB 7TH & 8TH, NEW DELHI Patient’s Corner: Testimonials What you need to know about heart failure? INTRODUCTION If you or a loved one has been told by your doctor that you have heart failure, it is understandable to feel frightened or confused. Heart failure is a common but serious and possibly progressive condition that frequently has no cure. However, by understanding your condition, following your treatment plan as recommended by Heart Failure Association of India doctor and making simple lifestyle changes, you can live longer, feel better and do more. WHAT IS HEART FAILURE? Heart failure is a serious medical condition where the heart does not pump blood around the body as well as it should. This means that your blood can not deliver enough oxygen and nourishment to your body to allow it to work normally. This, for example, may cause you to feel tired or fatigued. It also means that you cannot eliminate waste products properly - leading to a build up of fluid in your lungs and other parts of your body, such as your legs and abdomen. Heart failure often develops because you have (or had) a medical condition, such as coronary artery disease, a heart attack or high blood pressure, which has damaged or put extra workload on your heart. Heart failure can develop at any age but clearly becomes more common with increasing age. Around 1% of people under 65 years of age have heart failure, but 7% of 75-84 year olds have heart failure and this increases to 15% in people older than 85. It is the most common cause of hospitalisation in patients over 65 years of age. Although it is called heart 'failure', this doesn't mean that your heart is about to stop working. It does mean that your heart is having difficulty working to meet the needs of your body (especially during activity). WHAT ARE THE DIFFERENT TYPES OF HEART FAILURE? Heart failure is different in every patient - the parts of the heart affected and the symptoms can vary widely. For this reason, your doctor may use several different terms for describing your heart failure. The two main types of heart failure are chronic heart failure and acute heart failure. Chronic heart failure is more common and symptoms appear slowly over time and worsen gradually. Acute heart failure develops suddenly and symptoms are initially severe. Acute heart failure either follows a heart attack that has caused damage to an area of your heart or, more frequently, is caused by a sudden lack of ability by the body to compensate for chronic heart failure. If you develop acute heart failure, it may be severe initially but may only last for a brief time and improve rapidly. It usually requires therapy and administration of medication by injection (intravenously). There is another type of heart failure: Heart failure of the right ventricle. Heart failure usually results from damage to the main pumping chamber, the left ventricle, which supplies the body with blood. This may be due to muscle injury such as a heart attack or damage to the valves in the left side of the heart. This causes congestion in the lungs and shortness of breath. Sometimes, heart failure mainly affects the right ventricle which pumps blood to the lungs. This may be due to muscle injury, such as a heart attack localised to the right ventricle or damage to the valves in the right side of the heart. This may cause congestion in the liver, intestines and fluid accumulation in the lower limbs. Heart failure on both sides of the heart may be caused or worsened by irregular heart rhythms such as atrial fibrillation, which is usually a rapid and irregular heart rate that may prevent proper filling of the ventricles. SYMPTOMS OF HEART FAILURE Heart failure symptoms can vary widely from person to person, depending on the type of heart failure you have. Therefore, you may experience all of the symptoms described here or just a few of them. In the early stage, you are unlikely to notice any symptoms, but if your heart failure progresses you are likely to experience symptoms, which become more severe. The main symptoms of heart failure are caused by fluid accumulation or congestion and poor blood flow to the body. This section will explain these symptoms and provide tips on how to improve them. SYMPTOMS CAUSED BY FLUID ACCUMULATION OR CONGESTION Shortness of breath Coughing/wheezing Weight gain Swollen ankles SYMPTOMS RELATED TO THE REDUCED BLOOD FLOW TO PARTS OF THE BODY. Tiredness/fatigue Dizziness Rapid heart rate OTHER SYMPTOMS OF HEART FAILURE Loss of appetite Need to urinate at night In addition to the physical symptoms of heart failure, some people can be affected by the seriousness and severity of heart failure and may experience emotional symptoms, such as depression and anxiety. However many of these symptoms you experience, it is important to monitor them on a daily basis. If you notice something new or a symptom suddenly gets worse, you should tell your doctor or nurse without delay. WHAT CAUSES HEART FAILURE? Heart failure can be caused by current or past medical conditions, which either damage or add extra workload to the heart. If you have (or had) more than one of these conditions your risk of heart failure is substantially increased. Your doctor should be able to tell you what may have caused your heart failure. This section lists the different conditions that can cause or trigger heart failure, explaining what each condition is and how it can cause heart failure. Some of the more common causes of heart failure include: Past heart attacks Coronary artery disease High blood pressure Heart valve disease Heart muscle disease or inflammation of the heart Congenital heart defects Lung conditions Alcohol / drug abuse Less commonly, someone whose body is compensating well for his/her heart failure may develop symptoms if their heart is temporarily unable to keep up with their body's needs. Conditions that can trigger this type of heart failure include: Infection Kidney disease / poor kidney function Anaemia Abnormal heart rhythm Overactive thyroid gland If these triggers are treated the heart failure can often get better. Other conditions, such as diabetes, may aggravate heart failure. In addition people with heart failure frequently become symptomatic if they stop taking their medicines or do not follow their treatment plan properly. Here at the association, you can learn more tips on managing your medicines and following your treatment plan. For some people the cause of their heart failure is unknown and they do not have any of the conditions listed above. If you are unsure of the cause of your heart failure you should visit Heart Failure Association of India and discuss it with our experts. WHAT ARE THE CURRENT TREATMENT OPTIONS? Once you have been diagnosed with heart failure, your doctor and nurse will explain what heart failure is and talk with you about the different options to help manage your condition. Heart failure is a serious condition for which there is usually no cure. However, by following your doctor's advice and making simple lifestyle changes, you can feel better and do more. In addition, your doctor will discuss which treatments are most suitable for you. You do need to remember, though, that it is important for you to understand the different types of treatment. This way you will know how they work and what side effects they might have. 1. HEART FAILURE MEDICINES 2. IMPLANTABLE DEVICES o Pacemakers o Cardiac Resynchronisation Therapy (CRT) o Implantable Cardioverter Defibrillators (ICDs) o Left Ventricular Assist Devices (LVAD) 3. SURGERY o Coronary artery bypasses grafting (CABG) o Valve surgery o Heart transplantation 4. OTHER PROCEDURES o Angiography o Percutaneous Coronary Intervention (PCI) o Stenting (We can have interactive animated videos for each) 5. Lifestyle Modifications (To be added from the small book)