About Heart Disease

Heart Disease

Most of the people in the world suffer from heart disease. In the past couple of decades the number of heart patients have increased tremendously. Th heart is a part of the cardiovascular system and is the most important part of the human body. It is the heart which supply blood to all parts of body cells. The blood pumped by heart carries oxygen which the cells and required. Before knowing about heart disease one must know how people get heart disease. Heart disease is not like a flu or cold which can transfer from one person to another by touching. Many people does not realize that they suffer heart disease unless any major thing happens. Want to know more about heart disease check put the various types of heart disease like Hypertensive heart disease, Cardiovascular disease, Valvular heart disease, Cardiomyopathy, Inflammatory heart disease, Coronary heart disease and Heart failure.

Hypertensive heart disease is a common type of heart disease that most of the people suffer from. This type of heart disease is caused because of high blood pressure. Cardiovascular disease effect the blood vessels and the heart. This heart disease mostly effect arteries and veins. The men who suffers from this type of heart disease their heart muscles are mostly effected but in women it effects the blood vessels. Valvular heart disease as the name suggests is mostly related to the heart valves. This heart disease effect aortic valve stenosis and mitral; valve polapse. Cardiomyopathy is also the most common type of heart disease. Cardiomyopathy means heart muscle disease. This heart disease effects the function of myocardium. The people who suffer from this kind of heart disease are at a risk of having sudden cardiac death. Inflammatory heart disease is also very dangerous in which the patient suffer from the inflammation of the heart muscle. Accumulation of atheromatous plaque within the walls of the arteries can cause Coronary heart disease. The heart disease which is caused from any functional cardiac disorder can cause heart failure. From all thee one must have got fair idea about heart disease.

Many people fail to realize they have a heart disease until they face some major problem. The symptoms of heart disease are chest pain, stroke and heart attack. If you find these kind of problems it is suggested to consult the doctor immediately. Get yourself diagnosed properly before opting for any medicine. Some of the common test to be done are If it's not an emergency and a doctor suspects the person could have cardiovascular disease, the doctor can do some tests to find out more about how the heart and blood vessels are working. Some of the tests done for heart disease are Electrocardiogram, Carotid, Echocardiogram, Catheterization and Stress test. All these tests are necessary to do if you want to know about the heart disease. Today maximum number of people are getting effected by the heart disease. In order to avoid all complications of heart disease one must also pay attention to their daily diet.

Ischemic heart disease

Ischemic heart disease

Most of the people in the world suffer from heart disease. In the past couple of decades the number of heart patients have increased tremendously. Th heart is a part of the cardiovascular system and is the most important part of the human body. It is the heart which supply blood to all parts of body cells. The blood pumped by heart carries oxygen which the cells and required. Before knowing about heart disease one must know how people get heart disease. Heart disease is not like a flu or cold which can transfer from one person to another by touching. Many people does not realize that they suffer heart disease unless any major thing happens. Want to know more about heart disease check put the various types of heart disease like Hypertensive heart disease, Cardiovascular disease, Valvular heart disease, Cardiomyopathy, Inflammatory heart disease, Coronary heart disease and Heart failure.

Hypertensive heart disease is a common type of heart disease that most of the people suffer from. This type of heart disease is caused because of high blood pressure. Cardiovascular disease effect the blood vessels and the heart. This heart disease mostly effect arteries and veins. The men who suffers from this type of heart disease their heart muscles are mostly effected but in women it effects the blood vessels. Valvular heart disease as the name suggests is mostly related to the heart valves. This heart disease effect aortic valve stenosis and Mitral Valve prolapse. Cardiomyopathy is also the most common type of heart disease. Cardiomyopathy means heart muscle disease. This heart disease effects the function of myocardium. The people who suffer from this kind of heart disease are at a risk of having sudden cardiac death. Inflammatory heart disease is also very dangerous in which the patient suffer from the inflammation of the heart muscle. Accumulation of atheromatous plaque within the walls of the arteries can cause Coronary heart disease. The heart disease which is caused from any functional cardiac disorder can cause heart failure. From all thee one must have got fair idea about heart disease.

Many people fail to realize they have a heart disease until they face some major problem. The symptoms of heart disease are chest pain, stroke and heart attack. If you find these kind of problems it is suggested to consult the doctor immediately. Get yourself diagnosed properly before opting for any medicine. Some of the common test to be done are If it's not an emergency and a doctor suspects the person could have cardiovascular disease, the doctor can do some tests to find out more about how the heart and blood vessels are working. Some of the tests done for heart disease are Electrocardiogram, Carotid, Echo-cardiogram, Catheterization and Stress test. All these tests are necessary to do if you want to know about the heart disease. Today maximum number of people are getting effected by the heart disease. In order to avoid all complications of heart disease one must also pay attention to their daily diet.

Alcoholic Cardiomyopathy

Alcoholic Cardiomyopathy

Large number of people are falling victim to heart disease. One of the main reasons of the increase in the number of heart patient is the changing lifestyle. Various types of heart disease are effecting people in large number. The symptoms of each type of heart disease is different. One of the most common types of heart disease is Alcoholic Cardiomyopathy. It is a disease of the heart muscle. This is caused when the heart muscle becomes weak. Cardiomyopathy or heart muscle disease is a major public health problem. There are 3 million people in United States currently living with cardiomyopathy. Almost 400,000 people are diagnosed with heart disease each year. This disease has become a prime factor in contributing quarter million deaths in the world. In the past few years the incidence of cardiomyopathy is increasing like anything. Many complications of the disease can be overcome if the patient understand their disease. The patient suffering from Alcoholic Cardiomyopathy must take active participation in treating the disease. The heart muscle become very weak in most cases of alcoholic cardiomyopathy.

There are many disorders which cause numerous types of cardiomyopathy. But whatever may be the type ultimately the same thing happen which is the inefficiency of the heart muscle. It reduces the capacity of the heart to meet the needs of the body. The heart failure happens when the heart can no longer pump enough blood. The cases of Alcoholic Cardiomyopathy is increasing day by day. The main cause of cardiomyopathy is the coronary artery disease. The damage to the heart can be on the region of the heart muscles. One must get themselves diagnosed properly. Go for a proper diet and god exercise which can help the patient to avoid certain complications. As alcoholic cardiomyopathy is caused by excessive consumption of alcohol for long time. It is caused by the direct toxic effects of alcohol. In that case the heart become inefficient and the heart become unable to pump the blood. Not only heart is effected by the Alcoholic Cardiomyopathy but other body parts can also be effected by this. The symptoms of alcoholic cardiomyopathy are decreased alertness or concentration, Shortness of breath, decreased urine output, loss of appetite; ankle, feet, and leg swelling; cough containing mucus, irregular or rapid pulse, breathing difficulty while lying down, overall swelling, weakness, fatigue, faintness, etc. The moment patient is experiencing these symptoms it become necessary to take him to the hospital.

One of the most important treatment for alcoholic cardiomyopathy is to improve the lifestyle and take care of the diet. Stop consuming alcohol. The commonly used medications must be used daily like beta blockers, diuretics and ACE inhibitors. The patient who are suffering from congestive heart failure must o for a surgical insertion. The patients of alcoholic cardiomyopathy must frequently consult the doctor and must continue with the medications. With latest drugs and technology coming up now one can easily diagonise the alcoholic cardiomyopathy.

Ischemic heart disease

Ischemic heart disease arises when a patient has an obstruction in the arteries feeding their heart (coronary artery disease).  The older you become and if you smoke, have high blood pressure, diabetes or high cholesterol, your risk of IHD increases.  Ischemic heart disease is the leading killer among adults in the United States.

Ischemic heart disease can cause angina (chest pain during exercise) and can bring on a myocardial infarction, otherwise known as a heart attack.  Ischemia may be caused by a high fat diets and little or no exercise, which may also lead to angina.

Angina

The major indication of Angina is pain over the mid chest that sometimes radiates down the left arm, to the jaw or back.  The existence of episodes of angina is in essence diagnostic of Ischemic Heart Disease.  The symptoms of angina pectoris can commonly be controlled by beta-blockers, nitrates and calcium-channel blockers.  Beta blockers have also proven to decrease the risk of troubling cardiac events in patients with angina.



Heart Attack

Most heart attacks are caused by Coronary Artery Disease (CAD), a plaque that has built up on the walls inside your coronary arteries.  These are the arteries that oxygen and blood to your heart.  This plaque can break off and cause a blood clot which can block your artery to which no blood or oxygen can flow, thus causing a Heart Attack or Myocardial Infarction.



So, please be sure to take care of your self by eating healthy and exercising frequently.  Get regular checkups and if you have any question that you may be having angina or a heart attack please seek medical attention right away.

Congestive heart failure diet

Congestive heart failure diet should be focused on avoiding salt, lipids (especially animal fats) and alcohol. Enjoying the food we eat is very important, but in time, patients with congestive heart failure will learn to like foods with lower amounts of salt. Salt is one of the most feared “enemies” for patients with heart disease, because it favors water retention and increases heart labor, edema (water retention in the tissues) and worsens heart failure symptoms.

Why is it so important to know and respect  the congestive heart failure diet?

Congestive heart failure diet is important to be respected in order to increase quality of life and slow down the disease evolution. Everyone who reads the sentence above may wonder how can congestive heart failure diet increase the quality of life, when we suppose to give up on so many daily “pleasures”. It is hard to imagine that after a so called “normal” life, when we could eat everything we wanted, one day we have to change our life and eating style completely with a congestive heart failure diet plan . Many patients are tempted to skip these rules, thinking that their physician wouldn’t notice or that a few exceptions from time to time wouldn’t harm anyone.
A congestive heart failure diet that includes avoiding lipids is a fact well known by everyone, but also by few respected. We read in many articles that there are good and bad fats and that fats will increase body weight, however, many patients with heart disease don’t respect congestive heart failure diet and gain weight even after their physician recommended they should lose weight. Once the patients become overweight, the risk of developing diabetes, atherosclerosis and therefore hypertension, coronary disease (which determines chest pain, a very often symptom among patients with coronary disease), heart attacks or strokes increases. Good fats are a source of omega-3 fatty acids, found mostly in cold-water fish, nuts, oils and seeds, and also in dark leafy greens, flaxseed oils and some vegetable oils. Omega-3 fatty acid is an “essential fatty acid,” which cannot be synthesized by our bodies, the only source for this is food. Congestive heart failure diet should contain Omega-3 fatty acids, because these essential acids can lower blood pressure, combat LDL (bad) cholesterol, also it is thought to play a role in brain protection.
Congestive heart failure diet should definitely exclude alcohol, although this is not a type of food it is often used for different, most of them groundless reasons, like routine, entourage acceptance, digestion, pain relieve. Chronic alcohol consumption can determine a type of dilated cardiomyopathy which in time will lead to congestive heart failure. However, small amounts of wine it is considered to have a favorable impact, due to its antioxidant features.
A correct congestive heart failure diet should also contain limited amounts of foods rich in sugar or carbohydrates (the main source of energy for the body, transformed into blood sugar, mostly glucose, the body’s basic fuel and also the main source of calories) like: cookies, chocolate, candies, biscuits, sweet fruits like banana, pears, strawberries, sugar as such, honey, milk, popcorn, green peas, sweet potatoes etc.

Please consult your medic about a congestive heart failure diet, and don’t eat random.

Normal heart sounds

Normal heart sounds are produced by heart valves movements during cardiac cycle (events that take place during a heartbeat). There are two  normal heart sounds which are usually heard during heart auscultation: sound 1 and 2. Before we go farther with explanations, it is better to clarify a few elementary terms in order to understand the rest of the description.
Our heart has four chambers called ventricle and atrium, atrium are the heart chambers located in the upper part, while ventricles are located in the lower part:

• there is a right atrium connected to the right ventricle, in this part of the heart there is blood with carbon dioxide, brought by cava veins from tissues; then blood from right atrium flows through tricuspid valve ( it is like a door between the right chambers of the heart, which is open only in specific moments of the cardiac cycle) into right ventricle,
• the left part of the heart has also two chambers-atrium and ventricle, they are separated by mitral valve and contain blood with oxygen, brought from lungs.

So-called right and left heart are separated by a wall called septum, in abnormal situation this wall can be interrupted letting blood to flow from one part of the heart to the other and this situation can also generate ab normal heart sounds, a murmur that we hear during auscultations.
When we listen heartbeats with a stethoscope we can hear the two normal heart sounds 1 and 2, followed by a pause. Next, we will explain a few terms about cardiac cycle: every cardiac cycle has two phases-the contraction called systole and a pause caused diastole. Why are these two phases of the cardiac cycle so important? The atrium contraction will make blood to flow into the ventricle, while ventricle contraction will „throw” the blood into the main arteries, aorta (this artery with its branches supplies with blood and oxygen all the tissues of the body) and pulmonary artery (the blood with carbon dioxide resulted from cell metabolism is brought to lungs to be oxygenated). The pause we hear is nothing else but the time that hearts needs to relax in order to fill the chambers with blood; in this pause heart muscle also receives blood, because as any organ its function depends on the oxygen supply. All these „events” happen very fast and the indirect prove for these are  the normal heart sounds we hear in the auscultation.

Normal heart sounds description

Finally, we get to the point where we can define the meaning of the normal heart sounds 1 and 2. Sound 1 is a low frequency sound heard at the beginning of the ventricular contraction (also called heart systole), and results from mitral and tricuspid valve closure. Once these valves are closed, the ventricle contraction starts, also the pressure in this chamber increases and the blood will flow into the main arteries. Another normal heart sound is sound 2, a high frequency sound, resulted from aortic and pulmonary arteries valve closure, and signifies the beginning of the heart diastole (the pause that follows heart contraction).
Other sounds we may detect in heart auscultation are sound 3 and 4; these are not considered normal heart sounds, with a few exceptions. Sound 3 is heard in the first part of the diastole (heart pause) and may be the result of tachycardia, heart failure etc. Sound 4 appears in the last part of the heart relaxation, in patients with hypertension, myocarditis (heart muscle dysfunction) or mitral valve narrowing
Normal heart sounds are heard in specific areas of the chest called auscultation areas. Another aspect we have to mention is that normal heart sounds can be more intense in younger persons, due to a thinner thoracic wall or in conditions of stress or in effort, because the blood speed increases.
Normal heart sounds indicate a healthy heart?
 Normal heart sounds are not necessary associated with a normal heart function, that’s why, beside this basic examination, doctors look for other signs, investigations, medical history and symptoms.

Please let the doctor decide if you have normal heart sounds, and never try to treat yourself.

Symptoms of congestive heart failure

 
 









Symptoms of congestive heart failure have a great impact on a person’s life, considering this is a progressive and eventually fatal medical condition. Nowadays, in the economic well developed countries, people die because of the heart problems, more then they do from any other cause. It is important to know that symptoms of congestive heart failure have a fluctuating evolution: there are episodes with severe symptoms, followed by long periods of time when the situation is stable, nevertheless, even if people recover from the acute phase, they can’t return to the previous level of functionality. Also, it is very important to mention that is difficult to predict how much time is left to live once the diagnosis is established, because sudden death isn’t uncommon in these patients. Heart failure is not just a disease of an one individual, but a disease that affects the entire family.

What do you know about symptoms of congestive heart failure?

If you are one of the patients suffering from congestive heart failure, you should be informed about the symptoms of congestive heart failure and when to sick medical help. Every readmission to the hospital will increase mortality; there are medical articles that suggest a 20-30% increase of this risk with every readmission. You may experience shortness of breath during effort (exertion dyspnea), during night (nocturnal paroxysmal dyspnea) or even when you rest( in the advanced stages of the congestive heart failure). At the beginning, shortness of breath occurs only during great effort, but in time, daily activities that once were performed very easily, like dressing, shaving, eating etc, can produce shortness of breath and force the patient to give up on his/her social life and depend on other person’s help. Another form of rest dyspnea is orthopnea, meaning that you can’t breathe while lying in the bed and you require elevation of the head with pillows.
Other symptoms of congestive heart failure are palpitations, rapid heart beats, fatigue, fainting, blue coloring of the lips or limb extremities, accumulation of water in the limbs tissues (this  condition is called edema) lungs, pleural and abdominal cavities, heart murmurs.
Because heart can’t deliver enough blood to muscles, patients will experience weakness and heaviness in the limbs. A low blood flow to the kidneys will determine oliguria (diminished amount of urine), this condition appears in advanced stages, when the cardiac output is severely reduced.
Cerebral manifestations of low cardiac output are also symptoms of congestive heart failure: headaches, insomnia, confusion, memory impairment, anxiety or nightmares. In more severe cases, patients experience other symptoms of congestive heart failure that require special medical care: hallucinations, delirium, disorientation.
In the end, we will present a list with a few symptoms of congestive heart failure, which may guide patients to require medical help (they were published in a guide for caregivers, by The Washington Home Center for Palliative Care Studies):

• gain of 3 pounds or more within a few days or a week,
• increased swelling in hands, ankles or feet,
• difficulty breathing at any time or coughing at night,
• decreased urination,
• confusion, dizziness, or faintness,
• nausea or vomiting,
• increased fatigue,
• muscle cramps or weakness,
• any distressing symptom.

For more info on symptoms of congestive heart failure check with your doctor.

Irregular heartbeat causes

Irregular heartbeat causes are very diversified, beginning with heart disease and continuing with electrolyte imbalance or other medical conditions unrelated to heart pathology. Many times we wonder what is the meaning of the palpitations: Is it something wrong? Do I need to see a doctor?
In some cases, irregular heartbeat causes remain uncovered, persons with “healthy” hearts experience palpitations (also called arrhythmia in medical practice). However, each person with these complaints should have a medical examination, in order to exclude a disorder that may cause these symptoms, as we will see next.
A normal heart rate is 60 to 90 beats per minute; if heart rate is under 60 beats/minute, then we have a bradycardia and over 90 beats/minute a tachycardia. Arrhythmia occurs with a normal heart rate, but also with a low or rapid heart rate.
In order to understand the next medical terms, some specifications are necessary: sinus node, atrioventricular node and Purkinje fibers are the heart system (the heart pacemakers) which normally conducts impulse to muscle cells and make the contraction possible; a pacemaker is a group of cells capable of generating electrical impulse and heart contraction;
How many types of irregular heartbeat causes exist in medical practice?

• sinus node dysfunction (one of the pacemakers, located in the atrium is no longer working properly): e.g. sinus bradycardia, sinus node stops, sinus node blocks,
• supraventricular extrasystoles (irregular heart beats generated in the sinus node or atrioventricular node, they occur faster then a normally heart beat and are followed by a pause)
• sinus tachycardia, supraventricular tachycardia (rapid heart rate generated above the ventricular tissue)
• atrial fibrillation and flutter (irregular heart beats generated by multiple atrial pacemakers, others then the normal heart pacemakers)
• ventricular tachycardia (rapid heart beats generated in ventricles), extrasystoles (a premature heart contraction generated by a ventricle pacemaker) and ventricular fibrillation (rapid heart rate, incompatible with life, this is a heart rate that determines cardiac arrest)
• atrioventricular blocks (cardiac impulse is delayed or blocked in the atrioventricular node, and will be received by ventricles later or at all)
• torsade of points (a form of ventricular tachycardia that occurs when there is a potassium deficit)

What are the irregular heartbeat causes?

There are different disorders that can be a cause of irregular heartbeat causes including:

• Coronary artery disease ( coronary vessels that supply heart tissues with blood are blocked, usually by atheroma, the consequence of this blockage will be heart ischemia-the oxygen deprivation of heart tissues- and this can be one of the irregular heartbeat causes),

Atheroma is a swelling of the artery walls determined by an accumulation of lipidis.

• A heart attack it is common among  irregular heartbeat causes,
• Electrolyte imbalances (such as sodium, magnesium or potassium): e.g. a high level of potassium can result in cardiac arrest,
• Heart muscle changes (fibrosis-a conjunctive tissue deposit in the heart muscle- can also affect cells responsible for electrical impulse generation- the pacemakers),
• Healing process after heart surgery,
• Heart failure it is also one of the  irregular heartbeat causes, because in this condition one of the mechanism that heart uses to compensate for its diminished function is sinus tachycardia (if it can’t pump a proper amount of blood, it tries to pump a smaller amount but faster),
• Infection or fever is one of the irregular heartbeat causes, many times associated with sinus tachycardia,
• Anemia, in severe cases produces sinus tachycardia, the heart tries to pump the blood faster, in order to compensate for the lack of red blood cells and hemoglobin, the oxygen carrier,
• Thyroid disease-e.g. hyperthyroidism is associated with rapid heart beats, while hypothyroidism with low heart rate,
• Emotional stress produces irregular heartbeats, specially in people suffering from heart diseases,
• Usage of caffeine, tobacco, and alcohol are related with irregular heartbeat causes.

The usage of drugs is an important problem of the nowadays society, also with a great impact on our body: many times the usage of drugs was mentioned as one of irregular heartbeat causes and there were cases when cocaine consumption determined heart attacks and death.

If you think you have irregular heartbeat causes please see your physician.

Decompensated heart failure

Decompensated heart failure is the term used to define heart incapacity of pumping enough blood in the main arteries, according to the organism needs. What distinguishes decompensated heart failure from a compensated heart failure is the fact that defensive mechanisms are not efficient anymore and the blood amount delivered to the tissues is no longer sufficient, which determines a variety of symptoms as we are going to reveal next.
How do you know you have a decompensated heart failure and if u need to go to the hospital? Decompensated heart failure has different manifestations, as following:

•  when the left heart is inefficient, blood will stagnate into the heart chambers forcing them to enlarge or increase the number of muscle fibers in order to increase cardiac force; this is a defensive mechanism, which will compensate for a while the inefficient function of the heart. Once this mechanism is no longer able to control the situation, blood will stagnate in the lungs, increasing the pressure in the pulmonary vessels and from this point on, pulmonary edema (accumulation of water in the lungs) and pulmonary hypertension may occur. All these manifestations are a sign that the heart can no longer compensate its diminished function, so we are facing a decompensated heart failure.
•  in right heart insufficiency, cardiac muscle won’t be able to pump blood into the pulmonary arteries, so the blood will flow back in the venous system, determining accumulation of water in different tissues (lower limbs, abdomen-ascites, pleural space).

In clinical practice, people with decompensated heart failure will experience important shortness of breath, being unable to breathe while lying (a condition known as orthopnoea), blue color of the lips and limbs extremities, fatigue, palpitations or rapid heart beats, incapacity of performing daily activities. In more advanced cases, hypotension, fainting, ischemia of lower limbs, stroke or renal failure may occur, these manifestations being the consequence of the low blood flow in the arteries that feed the brain, kidney, or limbs.

What is the cause for decompensated heart failure?

There are many causes for decompensated heart failure, the most important ones are the following:

•  hypertension-if patients don’t follow the treatment, high blood pressure will increase the labor of an already weak heart, making it impossible to accomplish body needs,
•  salt intake-will favor water accumulation in the body, increasing blood volume and requesting a higher cardiac labor,
• infections: respiratory infections, heart wall infections like myocarditis,
• heart attacks, arrhythmia,
• weight gain is common cause of decompensated heart failure,
• patients that no longer respect their heart medication,
• patients that continue to smoke, drink alcohol, with high levels of blood lipids etc.

What are the steps to follow in decompensated heart failure ? People in this condition must be admitted to hospital, carefully watched, investigated for different conditions that might have provoked decompensated heart failure and follow a well established therapy (diuretics and cardiotonic medication will be needed in order to eliminate the overload of water and increase cardiac muscle force).
People with heart failure will have a different number of hospital admissions, followed by „free” periods of time, when the symptoms will be stable. However, the compliance to medical recommendations will determine how fast this disease will evolve, together with the other conditions we enumerated above. Despite the correct treatment and compliance of the patient, heart failure will progress until the only option left is cardiac transplant, but the speed of this evolution can be controlled by avoiding the conditions that favor heart failure to decompensate.

Please call your doctor to find out mode about decompensated heart failure.

Heart palpitations anxiety

What is heart palpitations anxiety?

Anxiety and stress are maybe the “third millennium disorders” and it has “no age” as doctors from all medical specialties have to deal patients suffering from these conditions, both young and old. In some point of our life we all suffered or will suffer from stress or anxiety and many of us deal these conditions by themselves for a long time before they finally decide to sick medical help. Those words are so often used today that it may seem they are part of our life and we must accept them as a normal reaction. But this is not how it really is, because anxiety can change our lives dramatically and make us feel sick, unable to perform our daily duties or even things that used to give us pleasure. Many times when we speak of this disorder we think of heart palpitations anxiety, as it is a frequent symptom in people suffering from anxiety. Next we will find out what anxiety and heart palpitations anxiety really mean and how to deal it.
Anxiety is a medical condition defined as a psychological and physiological state characterized by  feelings of fear, worry, dread, psychological tension or stress that can determine emotional, cognitive, somatic and behavioral changes. This disorder can determine multiple symptoms and among them heart palpitations anxiety are more frequently.
How it feels to suffer from heart palpitations anxiety? Living with heart palpitations anxiety is definitely not easy or comfortable. During heart palpitations anxiety u may feel that your heart beats are too fast or irregular, or that your heart stops for a small period. U may feel dizzy or experience shortness of breath (or suffocation sensation) or even faint. In people that already suffer from heart disease, abnormal heart beats can affect the oxygen supply of the heart muscle and determine chest pain or even a heart attack.
Next we will present the case of a 34 years old women suffering from heart palpitations anxiety:
A 34-year-old female presented with a history of anxiety for the past 20 years. When she was 14, her teacher used to embarrass her in front of the class by making her to stand-up until her face turned red and all the class would laugh. In time she becomes very nervous and fearful about social situation and activities that could draw attention to her. In the highschool she had panic attacks everytime she supposed to make presentation and communicate in peers. She describes she experienced profuse sweetening, heart palpitation and rapid heartbeats, burning in the stomach and the need to get away. These symptoms persisted during university and at the age of 25 she finally sought for professional help. The clinical psychologist diagnosed the patient with social phobia, panic disorder, and mild agoraphobia. She underwent  once- or twice-weekly sessions of psychological therapy with great improvement, slowly she could integrate into the social activities and seemed to be “cured”, convincing her therapist to stop the therapy. After 3 years as she attended the medical school, symptoms reappeared, and they were even worse then the first time and she had to seek the help of a psychiatrist and follow a medical treatment.

In conclusion, heart palpitations anxiety together with other manifestations of anxiety are not easy to deal and live with, but medical help will allow patients suffering from this condition to have a better life.

Heart murmurs in adults

What are heart murmurs in adults?

We all read or heard talking about heart murmurs in adults, and many of us are curious to find out if  they have this dysfunction. A few know the true meaning of this condition, that’s why when our physician tells us we have  heart murmurs either we think we suffer from a devastating disease, either we ignore it, but none of this reaction is normal.  Next we will clarify the meaning and the cause for heart murmurs, in order to prepare people that might be diagnosed with this disorder to understand and deal their condition properly.
Heart murmurs in adults refer to the abnormal sounds heard by doctors when they listen to the heartbeats with a stethoscope. In medical practice, hearing  heart murmurs in adults raises the suspicion of heart valve pathology, but sometimes these abnormal heart sounds can occur in other conditions like a defect in the heart wall, anemia, fever etc. When there is no heart modification that can explain the murmurs, they are called functional. Because this condition can occur in other pathologies beside hear disorder, everytime we suspect a heart murmurs in adults we should check its presence with an echocardiography examination.
Heart murmurs affect both children and adults and are recognized as the “noise” heard between the two normal heart sounds. If the murmur occurs after the first heart sound is called systolic, which means it occurs during heart contraction, and if it occurs after the second heart sound is called diastolic and this means it occurs while heart is in its relaxation period. The classification into systolic and diastolic is important because it indicates whether we are facing a valve stenosis (narrowing of the heart valve) or insufficiency (the valves fail to close properly, letting blood to flow back into the heart chambers). There are other classifications for heart murmurs in adults, but those medical terms are more important for the specialists.

 Why do heart murmurs in adults occur and how we deal with them?

 As we explained above, in most of the cases heart murmurs in adults occur when there is a heart pathology:

• heart valve narrowing or closure impairment, in this case the blood flow becomes turbulent and makes a noise that we call it murmur,
• a defect in heart wall-a congenital defect that occurs in children, allowing blood to flow from one side of the heart to the other, determining blood with oxygen and blood with carbone dioxide to mix. Sometimes this condition can remain undiagnosed until late adulthood, because it is a small defect and doesn’t cause symptoms, but in many cases is diagnosed soon after birth, being recognized as a prolonged murmur (noise) heard during heart auscultation and needs surgical correction. Another type of heart murmur heard in children is the one determined by the ductus arteriosus persistence (a connection between aorta and pulmonary artery in the uterine life).
• other condition like anemia or fever can determine heart murmurs in adults, because they determine turbulent blood flow, but this murmur disappears once the condition is treated.

How do we  with deal heart murmurs in adults ? In patients suffering from valve pathology periodically monitoring is important because in time they can lead to heart failure, in order to prevent this, surgical replacement of the valves can be performed. Heart wall defect can also be repaired providing a normal life for these patients, while the causes for functional heart murmurs in adults once treated determine these abnormal heart sounds to disappear.

Heart murmurs in adults are a serious medical condition,  if you think you have it call your doctor.