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Heart failure and diet Heart failure and diet Prepared by Samira Abu Jyap Supervisor Baker M .Zabut Anatomy of the Human Heart The Right Atrium Right Ventricle Pulmonary Arteries Pulmonary Veins Left Atrium Left Ventricle. Aorta What is heart failure? "heart failure" simply means that your heart isn't pumping blood as well as it should. Heart failure doesn't mean your heart has stopped working or that you are having a heart attack (but, people with heart failure often have had a heart attack in the past). Heart failure is also called congestive heart failure, or CHF What causes heart failure? 1. Coronary artery disease (narrowing of the blood vessels to the heart) 2. Problems with the heart muscle itself (known as cardiomyopathy) 3. High blood pressure (also known as hypertension) 4. Problems with any of the heart valves 5. Abnormal heart rhythms (also called arrythmias) 6. Toxic substances (such as alcohol abuse) 7. Congenital heart disease (a heart problem you were born with) 8. Diabetes 9. Thyroid problems What are the symptoms of heart failure? Shortness of breath (perhaps when walking or climbing stairs) Shortness of breath when lying down flat in bed Waking up in the night, suddenly breathless General tiredness or weakness Swelling of the legs (usually just the feet or ankles) Rapid weight gain (1 or 2 pounds a day for 3 days in a row) Chronic cough What tests will need? Blood tests Urine tests Chest x-ray Electrocardiogram (also called EKG or ECG) Echocardiography Classification There are many different ways to categorize heart failure, including: the side of the heart involved, (left heart failure versus right heart failure) whether the abnormality is due to contraction or relaxation of the heart (systolic dysfunction vs. diastolic dysfunction) whether the abnormality is due to low cardiac output or high systemic vascular resistance (low-output heart failure vs. high-output heart failure) the degree of functional impairment conferred by the abnormality (as in the NYHA functional classification) What treatment will need? Diet: You may be told to reduce the amount of salt you eat. You doctor may also tell you to eat a diet low in fat and cholesterol. Alcohol: You will be advised to drink less alcohol. Exercise: Most people with heart failure can still exercise, but your doctor will help you decide how much and what kind of exercise you can do. Weight: Your doctor will tell you if you need to lose weight. Family support: Your family can be a big help to you, so involve them when possible. Other sources of support: Your doctor can give you information about support groups. It sometimes helps to talk with other people who have similar problems What medicines will I need to take? ACE inhibitors. Diuretics Beta-blockers. Digoxin. Exercise Exercise can be fun and will help you to feel better, more alert and more able to do everyday tasks. Ø Walking Ø Cycling Smoking Smoking is a major risk factor, for heart failure and other serious conditions. Smoking causes the arteries to become blocked and makes it more difficult for the heart to pump blood around the body. The heart has to work twice as a result, putting an enormous strain upon it. Stress Be aware of your stress levels Get plenty of sleep Keep some time for yourself Eat a balanced diet Exercise regularly Use simple relaxation techniques Make time to relax with family and friends Food/diet Avoid fatty foods, eat starchy foods instead (bread, pasta, potatoes, rice, cereals) Cut right down on saturated fats and substitute them with small amounts of polyunsaturated and monounsaturated fats. Saturated fats are found in butter, hard cheese, lard, dripping, coconut oil and palm oil. Polyunsaturated fats are found in cornflower oil, sunflower oil, soya oil and fish oil. Some margarines and spreads are made from polyunsaturated fats. Monounsaturated fats are found in olive oil, walnut oil and rapeseed oil, and in some margarines and spreads. Avoid food with high salt (sodium) levels. Eat plenty of vegetables and fruit (you should aim to eat 5 portions a day) Eat a balanced and moderate diet Don’t overeat! You do not necessarily have to cut out all your favourite things and ‘live off a lettuce leaf’, but you should make efforts to improve the way you eat. There are simple things that you can do which will make a difference: Grill foods like meat/fish rather than fry them Don’t put butter on vegetables Don’t put salt on your food for extra seasoning Try to eat more salad Eat oily fish, such as sardines or mackerel, twice a week, it is a very good source of protein and ‘healthy’ oils Have cereal for breakfast rather than a fried breakfast Do not eat too much chocolate, crisps or sweets – you can treat yourself occasionally but try to cut down on these things نباتات لعالج أمراض القلب .1أمراض القلب :الكزبرة -زيت القرطم ( تصلب الشرايين )-الكرات -الثوم -زيت الذرة -زيت السمسم الشعير -الخلة البلدي ..2تنشيط القلب والدورة الدموية :إكليل الجبل -جنزبيل -بصل -حناء -كافور -هندباء -قرفة -عسل نحل -هليون . .3ضد ارتفاع ضغط الدم العالي :بلح -حناء -كركديه -جزر -ترمس -دوم -البصل -جينسنج - عرقسوس -الكمثرى -ينسون -الثوم -لب القرع ( اللب األبيض ) -البردقوش -لب البطيخ -الخرشوف زيت الذرة -الشعير -الفاصوليا ..4الذبحة الصدرية :ثوم -بصل -هليون -شواشي الذرة -عسل النحل -الزعتر -الخلة البلدي -ست الحسن -التوت -العنصل . .5ارتفاع الكوليسترول في الدم :الحلبة -زيت القرطم -زيت الزيتون -الثوم -فول الصويا -زيت الذرة - الخرشوف ( يذيب الكوليسترول ) -خوخ -عسل نحل . .6هبوط ضغط الدم وضعف القلب :الكزبرة -حصا لبان -الميلسيا -الريحان -العنصل -البصل ( يقوي ضربات القلب ) -الملوخية ( ترفع الضغط المنخفض ) -الشيح ( ينظم ضربات القلب ) . أفضل عالج للقلب *يؤكد جميع العلماء على أن السبب األول للوفاة هو اضطراب نظم عمل القلب ،وأن أفضل طريقة للعالج هو العمل على استقرار هذه القلوب ،وقد ثبُت أن بعض الترددات الصوتية تؤثر في عمل القلب وتساعد على استقراره ،وهل هناك أفضل من صوت القرآن؟ ولذلك قال تعالى: (الَّذ َ وب) [الرعد.]28 : اّلل أ َ َِب ِب ِذ ْك ِر َّ ِ ِين آَ َمنُوا َوتَ ْط َم ِئ ُّن قُلُوبُ ُه ْم ِب ِذ ْك ِر َّ ِ اّلل تَ ْط َم ِئ ُّن ا ْلقُلُ ُ وقد وجد بالتجربة أن تالوة هذه اآلية سبع مرات صباحا ً ومسا ًء تؤدي إلى استقرار كبير في عمل القلب ،وهللا أعلم. *وأخيرا ً نسأل هللا تعالى أن يثبت قلوبنا على اإليمان ،ونتذكر أكثر دعاء النبي( :يا مقلّب القلوب ثبّت قلبي على دينك) ،وندعو بدعاء المؤمنينَ ( :ربَّنَا َِب ت ُ ِز ْغ قُلُوبَنَا بَ ْعدَ ِإ ْذ اب) [آل عمران.]8 : َهدَ ْيتَنَا َو َه ْب لَنَا ِم ْن لَدُ ْن َك َر ْح َمةً ِإنَّ َك أ َ ْنتَ ا ْل َو َّه ُ