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Metformin Acute Chf

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What is HEART FAILURE? What does HEART FAILURE mean? HEART FAILURE meaning & explanation. Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature. Chest pain, including angina, does not typically occur due to heart failure. Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on whether the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease. The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine with a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures. Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 610%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.

Diabetes Treatments And Risk Of Heart Failure, Cardiovascular Disease, And All Cause Mortality: Cohort Study In Primary Care

Diabetes treatments and risk of heart failure, cardiovascular disease, and all cause mortality: cohort study in primary care Diabetes treatments and risk of heart failure, cardiovascular disease, and all cause mortality: cohort study in primary care BMJ 2016; 354 doi: (Published 13 July 2016) Cite this as: BMJ 2016;354:i3477 Julia Hippisley-Cox, professor of clinical epidemiology and general practice, Carol Coupland, professor of medical statistics in primary care Division of Primary Care, University Park, University of Nottingham, Nottingham NG2 7RD, UK Correspondence to: J Hippisley-Cox Julia.hippisley-cox{at}nottingham.ac.uk ObjectiveTo assess associations between risks of cardiovascular disease, heart failure, and all cause mortality and different diabetes drugs in people with type 2 diabetes, particularly newer agents, including gliptins and thiazolidinediones (glitazones). Setting1243 general practices contributing data to the QResearch database in England. Participants469 688 people with type 2 diabetes aged 25-84 years between 1 April 2007 and 31 January 2015. ExposuresDiabetes drugs (glitazones, gliptins, metformin, sulphonylureas, insulin, other) alone and in combination Continue reading >>

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  1. PeaceHealthLife

    I have read both that a keto diet is not recommended for people with high blood pressure and I have also read that it is recommended. What is your opinion? I am interested in a Keto Diet because I think my body would respond well, but do have high blood pressure. I know a lot of what I would be eating (cheese, some meats) can be high in sodium. My cholesterol and blood sugar are good. Going to the doctor in two week and will ask her, but wanted to get some opinions.

  2. amusedmonkey

    In general, keto does lower blood pressure if you are a sodium responder, but could raise it if you are a high responder for stress and are not finding the diet pleasant. If you are on medications it's highly recommended to always have the ability to contact your doctor. Keto hugely affects electrolytes which could cause uncontrollable dramatic drops in blood pressure if you are on meds for it, and may require a dose adjustment along the way. Try it and see how it does for you, but keep your doctor on board.

  3. Gallowmere1984

    Also, if you go the carnivore route, most meats and oils are very low in sodium anyway, so long as you stay far away from canned stuff.

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Congestive Heart Failure - congestive heart failure - Explained - MADE EASY end of life- end of life Symptoms, Causes, and Treatment Subscribe My Channel to Stay Updated What is congestive heart failure? Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn't pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart coronary artery disease or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently. What is left sided Congestive Heart Failure - congestive heart failure - end of life? Left-side heart failure occurs when the left ventricle does not pump efficiently, and your body does not receive enough oxygen-rich blood. The blood instead backs up into your lungs, causing shortness of breath and fluid accumulation. What is a left ventricular failure? Systolic failure: The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation. Diastolic failure also called diastolic dysfunction: The left ventricle loses its ability to relax normally because the muscle has become stiff What is left ventricular systolic dysfunction? Systolic and diastolic. Similarly, a distinction is frequently made between systolic and diastolic heart failure. This is somewhat arbitrary and many patients with heart failure have evidence of both. Left ventricular systolic dysfunction is usually defined as an LV ejection fraction (_)40% on echocardiography. Heart failure affects nearly 6 million Americans. Roughly 670,000 people are diagnosed with heart failure each year. It is the leading cause of hospitalization in people older than age 65. What Is Heart Failure? Heart failure does not mean the heart has stopped working. Rather, it means that the heart's pumping power is weaker than normal. With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart may respond by stretching to hold more blood to pump through the body or by becoming stiff and thickened. This helps to keep the blood moving, but the heart muscle walls may eventually weaken and become unable to pump as efficiently. As a result, the kidneys may respond by causing the body to retain fluid and salt. If fluid builds up in the arms, legs, ankles, feet, lungs, or other organs, the body becomes congested, and congestive heart failure is the term used to describe the condition. What Causes Congestive Heart Failure - congestive heart failure - end of life? Heart failure is caused by many conditions that damage the heart muscle, including: Coronary artery disease. Coronary artery disease, a disease of the arteries that supply blood and oxygen to the heart, causes decreased blood flow to the heart muscle. If the arteries become blocked or severely narrowed, the heart becomes starved for oxygen and nutrients. Heart attack. A heart attack occurs when a coronary artery becomes suddenly blocked, stopping the flow of blood to the heart muscle. A heart attack damages the heart muscle, resulting in a scarred area that does not function properly. Cardiomyopathy. Damage to the heart muscle from causes other than artery or blood flow problems, such as from infections or alcohol or drug abuse. Conditions that overwork the heart. Conditions including high blood pressure, valve disease, thyroid disease, kidney disease, diabetes, or heart defects present at birth can all cause heart failure. In addition, heart failure can occur when several diseases or conditions are present at once. Congestive Heart Failure - congestive h In an effort to prevent further heart damage: Stop smoking or chewing tobacco. Reach and maintain your healthy weight. Control high blood pressure, cholesterol levels, and diabetes. Exercise regularly. Do not drink alcohol. Have surgery or other procedures to treat your heart failure as recommended. What Medications Should I Avoid if I Have Heart Failure? There are several different types of medications that are best avoided in those with heart failure including: Nonsteroidal anti-inflammatory medications such as Motrin or Aleve. For relief of aches, pains, or fever take Tylenol instead. Some antiarrhythmic agents Most calcium channel blockers if you have systolic heart failure If you are taking any of these drugs, discuss them with your doctor. It is important to know the names of your medications, what they are used for, and how often and at what times you take them. Subscribe my Channel Here to get more videos daily https://www.youtube.com/channel/UCf40... Facebook Page https://www.facebook.com/oceanofvideos Website http://www.oceanofentertainment.blogs... Google + https://plus.google.com/u/0/102343539... Twitter @malikakmal70086

Metformin May Reduce All-cause Mortality In Patients With Congestive Heart Failure

A systematic review of 17 observational studies found that metformin was associated with a reduction in all-cause mortality in patients with type 2 diabetes and chronic kidney disease, congestive heart failure or chronic liver disease with hepatic impairment. Metformin was also associated with fewer heart failure readmissions in patients with chronic kidney disease or congestive heart failure. Lead researcher Matthew J. Crowley, MD, MHS, of Duke University and the Durham Veterans Affairs Medical Center in North Carolina, and colleagues published their results online Jan. 2 in the Annals of Internal Medicine. The U.S. Department of Veterans Affairs funded the study. When the FDA approved metformin in 1994, the drug became the initial treatment option for many people with type 2 diabetes in the U.S., according to the researchers. However, the FDA required a label warning against using metformin in patients with chronic kidney disease and recommended caution for patients with congestive heart failure and chronic liver disease. The researchers noted that the FDA in 2006 removed congestive heart failure as a contraindication to metformin use, although the agency still cautions against t Continue reading >>

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  1. jjcj

    I keep reading about these strips but not sure where to get them or what to ask for. I am in Canada if that makes a difference.
    Thanks in advance for any and all help.

  2. Lekker

    Hi jjcj,
    I'm in Canada too, but I haven't found the strips...although I haven't looked very hard, I just browsed a couple drug stores, then gave up. I'm sure they're out there though - I heard that diabetics used to use them(?). So maybe if you explain at the drugstore to the pharmecist, they might know what you're talking about. Maybe they keep them behind the coutner. Froufy might be your best bet, though, for knowing what they might be called up here.
    To be honest, I can find nothing in Canada except for Splenda, so I've pretty much given up many of those things. Although maybe because I'm in Quebec it's a bit tougher to find some of these things??

  3. StarPrincess

    I'm assuming you're talking about the ketone testing strips? They come under lots of names and I've seen them range from $11 - $17 here in the states. There's frequently auctions on ebay for them.
    I personally don't use them anymore. They were fun for just "checking in" to see how I was doing, but I've since learned that I'm doing just fine and don't need to risk peeing on my hand to find out

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health and science videos After heart attack - recent studies 2016 - heart failure - heart failure causes 1 in 4 survivors develops this serious condition within 4 years, study finds Risk of heart failure appears high within a few years of a first heart attack, a new study finds. "Heart failure is a major medical problem with a high chance of hospitalization and death," said study author Dr. Johannes Gho, a cardiology resident at the University Medical Center Utrecht in the Netherlands. Heart failure means the heart can't pump blood efficiently enough to meet the body's demands. Improved heart attack treatment has led to higher survival rates, leaving more patients susceptible to later heart failure, Gho said in a European Society of Cardiology news release. For the study, researchers analyzed data from nearly 25,000 people in the United Kingdom who suffered a first heart attack. Nearly 25 percent of these patients developed heart failure within four years, the investigators found. Certain risk factors increased the risk of heart failure after a first heart attack, Gho and his colleagues said. For example, every 10-year rise in age was associated with a 45 percent higher risk, and the poorest patients had a 27 percent increased risk. Atrial fibrillation -- a condition characterized by an abnormal heartbeat -- and diabetes also significantly increased the risk of heart failure, by 63 percent and 44 percent, respectively. Other health conditions associated with a higher risk of heart failure after a first heart attack included: peripheral arterial disease, chronic obstructive pulmonary disease (COPD), high blood pressure, and a type of heart attack known as STEMI (ST elevation myocardial infarction). "Patients with ischemic heart disease are at the highest risk [for heart failure]. This includes those who have had a myocardial infarction, also called heart attack," Gho said. "Research studying incidence of heart failure following [heart attack] is limited and mainly stems from the thrombolytic era, when drugs were used to dissolve blood clots," he explained. Today, stenting is the preferred treatment for heart attack, where a small mesh tube is used to open the blocked artery, he said. On the one hand, stenting has improved treatment for heart attack, so the risk of heart failure would be expected to decrease, Gho said. "On the other hand, because treatment has improved, more patients are alive after a heart attack to subsequently get heart failure," he added. "Finding which heart attack patients are most likely to get heart failure would help us target preventive therapies," he said. The findings were scheduled for presentation Tuesday at a meeting of the European Society of Cardiology's Heart Failure Association in Florence, Italy. Research presented at meetings is considered preliminary until published in a peer-reviewed medical journal. SOURCE: European Society of Cardiology, news release, May 24, 2016 Subscribe my channel watch more health and science videos: https://www.youtube.com/channel/UCCh-... heart stint, congestive heart after heart attack recent studies heart failure heart failure causes heart disease congestive heart failure stages heart pain what is heart disease heart conditions attack heart disease failure

Metformin And Heart Failure: Never Say Never Again

Metformin represents the cornerstone of treatment for type 2 diabetes mellitus. Traditionally, heart failure (HF) was considered a contraindication to its use. However, more recent evidence has shown that this should no longer be the case. Indeed, studies have demonstrated that metformin may even reduce the risk of incident HF and mortality in diabetic patients, while improving up to 2-year survival rates in those with HF. In addition, it appears to exert cardioprotective actions. Although longer follow-up data and more explicit information about the situation in patients with very advanced HF are needed, the cardiac safety of metformin has profound clinical implications and may be anticipated to further encourage its widespread use. 1. Introduction Metformin has long been established as the mainstay of treatment for type 2 diabetes mellitus (T2DM) [1,2] Nathan DM, Buse JB, Davidson MB, Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2009;32:193-203 Papanas N, Maltezos E, Mikhaili Continue reading >>

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  1. music_rox84120

    Expired Blood Ketone Test Strips

    Hi @music_rox84120 , I don't have experience with expired blood ketone strips. But we have used expired glucose test strips that were about 6-9 months past expiration, given by friends who had changed meters. When we tested them they were right on the money, within the regular noise parameter of the measurement.

    From what our CDE told us, the environmental conditions they are subject to counts for a lot. If they were exposed to extreme conditions they may not age as well.

  2. XDrip+

    582

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