America's Silent Epidemic What you should know about heart failure
The number of people in the United States with heart failure is expected to double during the next few decades.
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The number of people in the United States with heart failure is expected to double during the next few decades. More than half a million people will be diagnosed this year alone. That's in addition to the 4.8 million who already have the disease. However, there is good news. New treatments can be very effective in slowing and stopping the progression of the disease and in some cases can even reverse the process. The key is early diagnosis and treatment.
If allowed to progress without treatment, heart failure has a great impact on quality of life and can shorten life expectancy. In the United States, it is the single most frequent cause of hospitalization for people over age 65, and more people die from heart failure than from all forms of cancer combined. In its advanced stages, it limits a person's ability to do even simple everyday tasks.
Heart failure also places an enormous economic burden on the healthcare system. In 2004, an estimated $28.8 billion will be spent on treating heart failure.
Although the word heart failure has an ominous ring, it does not mean that the heart has stopped or is about to stop suddenly. Heart failure means that the heart is not pumping blood as well as it should through its chambers to the rest of the body.
Heart failure is a common condition that usually develops slowly as the heart muscle weakens and needs to work harder to keep blood flowing through the body. This can be caused by a heart attack, long-term high blood pressure, a heart valve abnormality, a viral infection of the heart or a genetic condition that runs in families. Sometimes the exact cause of heart failure is not known. Although it tends to develop later in life heart failure can also occur in younger people.
Heart failure is sometimes referred to as congestive heart failure. Congestive heart failure happens when fluid seeps into the lungs because the heart's pumping action weakens and blood backs up into the blood vessels around the heart.
As a result, the body holds more water and salt which in turn causes edema (ankle or abdomen swelling) and difficulty breathing.
But as is often the case in medicine, early recognition and treatment of heart failure is the key to prevent progression. Even though a person with heart failure may not feel bad, they should still see a doctor regularly and get treatment.
People with risk factors such as high blood pressure, blockages in their coronary arteries, damaged heart valves, family history or diabetes should ask their doctor about their risk of developing heart failure.
No matter the initial cause, the effect tends to be the same. The weakened heart must work harder to keep up with the demands of the body and this is why people with heart failure often complain of feeling tired and why they develop symptoms of congestion.
Other symptoms of heart failure include:
*Shortness of breath which can happen even during mild activity
*Swelling in the feet and legs from fluid retention (results in weight gain)
*Cough with frothy sputum
*Difficulty breathing when lying down which may waken you from sleep at night
Although heart failure can be a serious and progressive disease, individuals with heart failure can live active and fulfilling lives with intervention and treatment. Once diagnosed, it's important to work with a doctor to develop a treatment plan and to follow it. Proper medications in the right doses, careful monitoring and self-care are the basis of effectively managing heart failure.
Better understanding of the disease has led to development of new treatments and management strategies - from medication to surgery.
In addition to taking medicines exactly as directed,persons with heart failure should:
*Weigh themselves every day
*Follow a low-sodium (salt) diet
*Get regular physical activity
*Quit smoking
*Avoid alcohol or drink sparingly
*Control body weight
*Monitor symptoms and learn when to consult a doctor or nurse
Friends and family members can help by learning about heart failure and the patient's treatment plan.
Because education plays such an important role in helping patients manage their care successfully, the Heart Failure Society of America has taken the lead in developing a series of modules on heart failure. Patients and others can learn more about following low-sodium diets, exercise, managing their emotional stress and how to evaluate claims about new treatments and cures.
All educational materials developed by the Heart Failure Society of America (HFSA) for patients, families, and individuals at risk can be found on the HFSA web site: www.abouthf.org. Copies can be downloaded, or a complimentary hard copy can be ordered.
The Heart Failure Society of America is a nonprofit organization of health care professionals and researchers who are dedicated to enhancing quality and duration of life for patients with heart failure and preventing the condition in those at risk.
Courtesy of ARA Content
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