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Confirmed
Learn about the rare signs of heart failure that can occur as early as your 30s. Additionally, he reveals five important details about left atrial ventricular device (LAVD) heart transplantation.
Cardiovascular disease (CVD) A growing body of research is shedding light on the prevalence, risk factors and management of these diseases, which pose significant health challenges in India.by Indian Council of Medical Research (ICMR), CVD accounts for a significant portion of the country’s disease burden and contributes to a significant number of premature deaths. Furthermore, CVD accounts for 45% of deaths in the age group 69 years and older. Moreover, India accounts for about 60% of the global heart disease burden. heart failure It is one of the cardiovascular diseases of great concern as cases of heart failure have been and are still on the rise in India. Heart failure results in approximately 1.8 million hospitalizations annually, representing 2% to 3% of the world’s population.according to world heart federation, Heart failure is the leading cause of hospitalization worldwide, affecting more than 64 million people worldwide. A deeper understanding of the complexity of the condition has become important.
In an exclusive interview with TheHealthSite.com, Dr. Anil Bhan, Head of Cardiac Surgery, Heart Institute, Medanta, GurugramHe emphasized the urgency of the fight against heart disease in India. He presented his own views on preventive measures and shared insights on how to prevent these symptoms from becoming life-threatening.
Understanding heart failure and treatment options
Heart failure is a chronic disease that occurs when the heart is unable to pump enough blood to meet the metabolic demands of the body’s tissues. When the heart is weak, the blood supply to the cells is insufficient, causing fatigue, shortness of breath, irregular heartbeat, loss of appetite, and swelling of the legs, ankles, feet, and abdomen. It is primarily caused by the buildup of fatty deposits on the walls of the arteries. Heart failure usually occurs in adults due to smoking, high blood pressure, diabetes, coronary artery disease, or defective heart valves. Even stress is a risk factor, as it increases cortisol levels, further increasing obesity, and disrupts blood sugar levels, leading to coronary artery disease. This condition can cause difficulty with daily activities such as walking, climbing stairs, carrying groceries, and can even lead to death.
There are various stages of heart failure, from asymptomatic to bedridden. Treatment for heart failure depends on the stage of the patient’s disease. In the asymptomatic stages (stages A and B), treatment is primarily through drug therapy. The treatment recommended by the American Heart Association is a four-drug combination therapy that includes diuretics (increases urine output), beta blockers, ACE inhibitors, and SGLT inhibitors. All of these drugs have been shown to extend the lifespan of heart failure patients when prescribed according to goal-directed medical management guidelines. During the symptomatic stage (C&D stage), patients with heart rhythm problems may require devices such as CRT-Ds and ICDs, and these devices reduce the chance of sudden death in heart failure patients. It has been shown that Refractory or end-stage heart failure requires surgical treatment, such as a heart transplant or a mechanically assisted LVAD device.
Understanding heart transplantation
Heart transplantation is a cutting-edge surgery that replaces a patient’s diseased heart with a donor’s healthy heart. The donor was a brain-dead man with normal heart function, and his family decided to donate his organs. Organ donation rates in India are so low that patients must be placed on a waiting list for organs based on their blood type, weight and severity of symptoms. After the transplant, patients need to take drugs to weaken their immune system to prevent rejection, and are also given drugs to prevent infections. Patients do well after transplantation if they take their medications regularly, follow follow-up schedules, and prevent exposure to infections.
Understanding LVADs
LVAD stands for left ventricular assist device. This is a mechanical pump that is surgically implanted into a person’s chest to help the heart pump blood. The left ventricle of the heart is responsible for pumping oxygenated blood to other parts of the body, and an LVAD can help with this process when the heart is not functioning effectively. A person with severe heart failure or other heart disease may benefit from an LVAD if other treatments have failed. This device is typically used as a bridge to transplantation and helps support patients waiting for a heart transplant. In some cases, LVADs may be used as a targeted therapy to provide a long-term solution for patients who are not candidates for heart transplantation.
Little-known facts about LVADs you should know
The top five facts listed below will help you better understand heart failure and LVADs.
Heart failure is indeed a serious health problem. However, people suffering from this disease can live long lives as long as they take medication, follow a healthy lifestyle, and use advanced technology such as LVADs.
- Heart failure patients with LVADs should: Make lifestyle modifications and adjustments. These include medication compliance, frequent follow-up and monitoring, and awareness of potential complications to avoid serious consequences.
- LVADs are primarily considered for patients with advanced heart failure who have failed other treatments.
- LVADs provide long-term support for individuals who are not eligible for a heart transplant.
- LVADs are a safer and more accessible option for patients with advanced heart failure. Due to persistent donor shortages and other challenges in undergoing heart transplantation, LVADs have been used as a bridge to heart transplantation. LVADs require fewer post-treatment visits compared to heart transplants.
- LVAD devices help patients lead more active lives. It will be a new lifestyle, a “new normal.” Although it may take some time to get used to the LVAD, it also improves a patient’s strength, allowing them to participate in activities they were previously unable to do.
As the number of heart failure cases is increasing, it has become very important to use advanced options to treat heart failure. This is where medical devices such as LVADs play an important role. Additionally, patients must lead an active and fulfilling life. Taking an active role in managing your symptoms, along with the right support, can help keep your heart under control. Making positive lifestyle changes in areas such as diet and exercise can help manage symptoms, prevent progression, and improve quality of life.
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