Tag Archives: Cardiovascular Disease

Understanding the nature of alcohol and drinking

Understanding the nature of alcohol and drinking: What is alcohol?

Understanding the nature of alcohol and drinking

Understanding the nature of alcohol and drinking is a perfect opportunity for people not to make dangerous mistakes that can affect them and their generations to come

The better way of understanding the nature of alcohol and drinking can be found in the clear definition of the substance. In simple terms alcohol is a drug by all standards. It is derived from the fermentation of sugar by yeast. It is important to appreciate that the main psychoactive ingredient in alcoholic drinks is the ethanol, or ethyl alcohol. Therefore on consumption of alcohol, the ethanol element dissolves quickly in water and is absorbed into the blood streams. Up on the dissolution in just a short term and in smaller doses, it acts on the receptors of the brain to make users feel uninhibited and provides and provides a general sense of well-being. From the experts point of view when an individual drinking becomes more often, with time alcohol will starts to affect the general balance and the speech center of the brain. This therefore means that if you drink regularly, the brain’s receptors adapt to the alcohol and prompting the need for higher doses to cause the same effect. This is what then causes one to be addicted to the substance according to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury MD and the founder of the establishment. Doctor Akoury says that it is important to appreciate that alcohol is a depressant and instead of acting as a stimulant, it is likely to have the opposite effects on the individual abusers of the substance.

Understanding the nature of alcohol and drinking: What happens when you drink alcohol?

Alcohol is quickly soaked up through the lining of the stomach and the upper part of the gut (intestine) and into your blood stream. The higher the concentration of alcohol, the faster it will be absorbed like for instance elements like whisky will be faster than beer. From there the journey continues to the liver and then to other organs of the body tissues. However the brain will be affected specifically by the flow of alcohol which acts on the central nervous system to alter your physical coordination and mental judgments.

Understanding the nature of alcohol and drinking: What happens to the liver if you drink too much?

It is important to note that the function of the liver is not to store alcohol. Its role is to metabolize (processes) about 90% of the alcohol you drink to eliminate it from your body. It then breaks down the alcohol into water, gas (carbon dioxide) and fat. However with the central nervous system the liver becomes the biggest casualty from alcohol consumption. This is because the liver can only handle up to a certain amount of alcohol in any given time (one unit an hour). Meaning that if you are drinking quickly, your liver cells will have to work overtime to process the alcohol. When this is more than the liver can handle, the excess is transported to the rest of your organs. And for this to be done, the liver will need water to be effective in its delivery. Nonetheless, since alcohol acts as a diuretic, it dehydrates the body thereby forcing the liver to divert water from other sources.

Remember that when the liver is processing alcohol, it produces a substance called acetaldehyde. This has a toxic effect on the liver itself, as well as the brain and stomach lining. This is what causes your hangover. Acetaldehyde is subsequently broken down into chemical called acetate, which is broken down further into carbon dioxide and water outside the liver. Therefore the heavy drinkers can strain or disrupt this process which is likely to cause some live infections.

Understanding the nature of alcohol and drinking: What are the recommended safe limits of alcohol drinking?

Even though alcohol is not good for your health, people will always consume this substance. Therefore to put some ceilings scientific research has established that consumption of alcohol is very much different in terms of gender as follows:

Men should drink no more than 21 units of alcohol per week (and no more than four units in any one day).

Women should drink no more than 14 units of alcohol per week (and no more than three units in any one day).

Pregnant women – There is no known safety consumption of alcohol when it comes to pregnant women. Therefore doctor Akoury’s advice is that pregnant women and those planning to become pregnant should not drink at all. If you do choose to drink when you are pregnant then limit it to one or two units, once or twice a week however it would be healthy for you and your baby if you abstain from drinking completely.

In general, the more you drink above the safe limits, the more harmful alcohol is likely to be. And remember, binge drinking can be harmful even though the weekly total may not seem too high. For example, if you only drink once or twice a week, but when you do you drink 4-5 pints of beer each time, or a bottle of wine each time, then this is a risk to your health. Also, even one or two units can be dangerous if you drive, operate machinery, or take some types of medication.

Finally we know that the effects of alcohol can be very devastating, and we also know that once you have started drinking, stopping can be very difficult. These are known facts and if they are your point of concern, then you are justified. The good news about all these concerns is that, they are doable. If you or any one you know is struggling with alcohol abuse, then this is the right place to be for the commencement of your recovery treatment. All that stands between you and your total recovery is that one phone call to doctor Dalal Akoury. Call her today to schedule for an appointment and you will never regret it all the days of your life.

Understanding the nature of alcohol and drinking: What is alcohol?

 

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Health risks of chronic heavy alcohol drinking

Health risks of chronic heavy alcohol drinking: The reality about alcohol drinking problem

Health risks of chronic heavy alcohol drinking

The truth is that Health risks of chronic heavy alcohol drinking are generating real suffering to users of alcohol in today’ societies.

Health risks of alcohol are many are chronic in nature. What is surprising is that, despite them being known, users of alcohol are still into it in full scale. The gift of life can only be good health and today it is no secret that alcohol consumption can cause major health problems, including cirrhosis of the liver and injuries sustained in automobile accidents. However, if you think that liver disease and car crashes are the only health risks posed by drinking then you’ve got to re-think again. In fact experts researching on the possible links of alcohol consumption were able to establish that there are more than 60 diseases that are associated with alcohol consumption. That is why our focus of this discussion is going to be on the health risks of chronic heavy alcohol drinking so that we can take decisive action in good time. Doctor Dalal Akoury is going to take us through this worthy discussion to impact on us positively. Therefore if you or anyone you know is struggling with alcoholism, then this is an opportunity for you to start it all again by scheduling for an appointment with her today for the commencement of your recovery journey.

Alcohol does all kinds of things in the body, and we’re not fully aware of all its effects says doctor Dalal Akoury, MD, and founder of AWAREmed Health and Wellness Resource Center. For sure alcohol is a pretty complicated little molecule. The following are some of the conditions that are closely associated with chronic heavy drinking:

Anemia

Due to the ability of heavy alcohol drinking to cause a number of oxygen-carrying red blood cells to be abnormally low a condition known as anemia, it is equally capable of triggering a host of symptoms, including fatigue, shortness of breath and unsteadiness.

Cancer

Habitual drinking increases the risk of cancer. Scientists believe the increased risk comes when the body converts alcohol into acetaldehyde, a potent carcinogen. Cancer sites linked to alcohol use include the mouth, pharynx (throat), larynx (voice box), esophagus, liver, breast, and colorectal region. Cancer risk rises even higher in heavy drinkers who also use tobacco.

Health risks of chronic heavy alcohol drinking: Cardiovascular disease

Heavy drinking, especially bingeing makes platelets more likely to clump together into blood clots, which can lead to heart attack or stroke. According to one of the landmark studies published in 2005, Harvard researchers found that binge drinking doubled the risk of death among people who initially survived a heart attack. Remember that excessive drinking can also cause cardiomyopathy which is potentially deadly condition in which the heart muscle weakens and eventually fails, as well as heart rhythm abnormalities such as atrial and ventricular fibrillation. Atrial fibrillation, in which the heart’s upper chambers (atria) twitch chaotically rather than constrict rhythmically, can cause blood clots that can trigger a stroke. Ventricular fibrillation causes chaotic twitching in the heart’s main pumping chambers (ventricles). It causes rapid loss of consciousness and, in the absence of immediate treatment it can be very fatal triggering sudden death.

Cirrhosis

Alcohol is toxic to liver cells, and many heavy drinkers develop cirrhosis, a sometimes-lethal condition in which the liver is so heavily scarred that it is unable to function. But it’s hard to predict which drinkers will develop cirrhosis. Some people who drink huge amounts never get cirrhosis, and some who don’t drink very much do get it with women being the most vulnerable group.

Dementia

As people age their brains shrink, on average, at a rate of about 1.9% per decade. That’s considered normal. But heavy drinking speeds the shrinkage of certain key regions in the brain, resulting in memory loss and other symptoms of dementia.

Heavy drinking can also lead to subtle but potentially debilitating deficits in the ability to plan, make judgments, solve problems, and perform other aspects of executive function which are the higher-order abilities that allow us to maximize our function as human beings. Besides that the nonspecific dementia that stems from brain atrophy, heavy drinking can cause nutritional deficiencies so severe that they trigger other forms of dementia.

Health risks of chronic heavy alcohol drinking: Depression

Depression has been overtime been associated with alcoholism; nonetheless the question that many are asking is that between depression and alcohol drinking, which one actually comes fast? Several theories had been made and one of them states that depressed people turned to alcohol in an attempt to self-medicate and to ease their emotional pain. But some further studies have established that it was probably the other way around that is, heavy drinking that led to depression.

Seizures

Heavy drinking can cause epilepsy and can trigger seizures even in people who don’t have epilepsy. It can also interfere with the action of the medications used to treat convulsions.

Health risks of chronic heavy alcohol drinking: High blood pressure

Alcohol can disrupt the sympathetic nervous system, which, among other things, controls the constriction and dilation of blood vessels in response to stress, temperature, exertion, etc. Heavy drinking and bingeing, in particular can cause blood pressure to rise. Over time, this effect can become chronic. High blood pressure can lead to many other health problems, including kidney disease, heart disease, and stroke.

Infectious disease

Heavy drinking suppresses the immune system, providing a toehold for infections, including tuberculosis, pneumonia, HIV/AIDS, and other sexually transmitted diseases (including some that cause infertility). People who drink heavily also are more likely to engage in risky sex. Heavy drinking is associated with a three-fold increase in the risk of contracting a sexually transmitted disease.

Pancreatitis

In addition to causing stomach irritation (gastritis), drinking can inflame the pancreas. Chronic pancreatitis interferes with the digestive process, causing severe abdominal pain and persistent diarrhea which is not fixable. Some cases of chronic pancreatitis are triggered by gallstones, but up to 60% stem from alcohol consumption. Finally these are not very good conditions to associate with. Therefore if you or anyone you know, then you can schedule for an appointment with the experts today.

Health risks of chronic heavy alcohol drinking: The reality about alcohol drinking problem

 

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Effective treatment of Alcohol Withdrawal syndrome

Effective treatment of alcohol withdrawal syndrome: Incorporating precautionary elucidations

Effective treatment of Alcohol Withdrawal syndrome

Effective treatment of Alcohol Withdrawal syndrome when done professionally will lead into the victim being completely healed to become addiction free

It is not going to be the first time we are talking about effective treatment of alcohol withdrawal syndrome on this link and certainly it is not going to be the last time either. For the purpose of winning the war against drug addiction from our societies, this has become necessary and as experts from AWAREmed Health and Wellness Resource Center we have made a resolve to work from the front in this journey of kicking out all manner of addictions from our societies. With the able leadership of doctor Dalal Akoury MD and also the founder of this facility, we have made inroads by creating awareness about drug addiction using this platform and the result is encouraging from the humbling feed backs we get. Ours is to do all it takes including the incorporation of all preventive precautionary elucidations to ensure that life is saved and lived to the fullest by everyone. We may not know what you are going through, but if you are reading this article today and it is addressing any of your conditions or that of any one you know, then scheduling for an appointment with doctor Dalal Akoury will be the starting point towards getting your life back in the most professional way. Doctor Akoury is passionately involved in the direct treatment of victims of substance abuse an exercise she has been doing for more than two decades now and each time she attends to a patients, all we get is results, health, life and appreciation from totally recovered addicts. This is one experience you do not want to miss. Therefore if this communicates something to you then make that call today and join the family of AWAREmed Health and Wellness Resource Center celebration club of success in addiction recovery.

Effective treatment of alcohol withdrawal syndrome: Real treatment approaches

Whereas prevention is the best in all health conditions, we are often not able to walk the talk effectively and therefore we still find ourselves being victims of various health conditions which we would have ordinarily prevented. Since this has come, the only noble thing to do is to administer treatment to the victims and put more emphasis in exercising preventive measures for the future. Therefore in our case of effective treatment of alcohol withdrawal syndrome doctor Akoury is reporting that if you have a mild or moderate withdrawal symptoms, treatment should be done immediately. When you visit your clinic, it is possible that your doctor may recommend an outpatient treatment setting particularly when you have supportive family and friends. This setting (outpatient detoxification) is safe, effective and pocket friendly in relation to inpatient detoxifications at a hospital or any other health facility offering the same. Nevertheless even though many may prefer outpatient because of it cost effectiveness and the closeness with the family, the doctor may also opt for inpatient treatment if you don’t have a reliable social network, you are pregnant or have a history of any of severe withdrawal symptoms, withdrawal seizures or DTs, multiple previous detoxifications and certain medical or psychiatric illnesses. And remember that the goals of treatment are threefold, that is to say reducing immediate withdrawal symptoms, preventing complications and beginning long-term therapy to promote alcohol abstinence.

Effective treatment of Alcohol Withdrawal syndrome: Prescription drugs of choice

In most cases during treatment of withdrawal syndrome many doctors will prefer certain prescription drugs of choice which may include benzodiazepines, such as diazepam (Valium), chlordiazepoxide (Librium), lorazepam (Ativan), and oxazepam (Serax). Doctor Akoury says that such medications will help you in controlling the symptoms of alcohol withdrawal syndrome like shakiness, anxiety and confusion and reduces the risk of withdrawal seizures and DTs. In patients with mild to moderate symptoms, the anticonvulsant drug carbamazepine (Tegretol) may be an effective alternative to benzodiazepines, because it is not sedating and has low potential for abuse. To help manage withdrawal complications, says doctor Akoury at this point your doctor may consider adding other drugs to a benzodiazepine regimen which may include the following:

  • An antipsychotic drug, which can help relieve agitation and hallucinations
  • A beta-blocker, which may help curb a fast heart rate and elevated blood pressure related to withdrawal and reduce the strain of alcohol withdrawal in people with coronary artery disease
  • Clonidine (Catapres), another blood pressure drug
  • Phenytoin (Dilantin), an anticonvulsant which doesn’t treat withdrawal seizures but may be useful in people with an underlying seizure disorder

Effective treatment of Alcohol Withdrawal syndrome: The Future of Integrative Addiction

As we progress into the discussion, it is important to note that doctor Akoury’s effort in the elimination of drug addiction is not just targeting the direct victims, but also to the professionals attending to them. In this regard AWAREmed Health and Wellness Resource Center, one of the leading pioneers in natural and holistic addiction treatment, will be conducting the first Educational, Functional and Integrative Addiction conference for doctors, counselors, nurses and addiction therapists. The conference is schedule for August 23-25 in Myrtle Beach, South Carolina. This new frontier in Addiction Medicine will be conducted by the most influential group of leading visionaries specializing in the latest advances in natural and integrative addiction medicine, under the theme The Future of Integrative Addiction”. The key note speech will be delivered by doctor Dalal Akoury MD whose discussion will be focusing on the hijacked mind, how does it get there and how does is leave? Sean Devlin, DO, HMD, will be focusing on “How to Recognize Addiction: Emergency care room and Addiction. Preliminary diagnostics and coping with life-saving measures when patients have overdose on substances of abuse/alcohol and drugs. That is just the brief of what you will be expecting and for more information you can log in www.integrativeaddiction2015.com Or call the Event Planner on Tel: 954 540 1896 you can as well send email to sharon@integrativeaddiction2015.com

Effective treatment of Alcohol Withdrawal syndrome: Assessment of Alcohol Withdrawal Syndrome

If alcohol withdrawal syndrome is suspected, your doctor will take a complete medical history and ask how much you drink, how long you’ve been drinking, and how much time has elapsed since your last drink. He or she also will want to know if you have a history of alcohol withdrawal, if you abuse any other substances, and if you have any medical or psychiatric conditions. During a physical exam, your doctor will identify alcohol withdrawal symptoms and any potential complicating medical conditions such as irregular heartbeats, congestive heart failure, coronary artery disease, gastrointestinal bleeding, infections, liver disease, nervous system impairment, and pancreatitis. He or she also may order blood tests to measure complete blood count, alcohol and electrolyte levels, liver function, and a urine screen to identify drug use. The results of the medical history and physical exam will help your doctor decide if you have alcohol withdrawal syndrome and, if so, its severity. With this information, your doctor will be able to address your precise condition and deliver your health back. You may also want to talk to us at AWAREmed Health and Wellness Resource Center for a much more and elaborate professional advice about anything you may not have understood from this article.

Effective treatment of Alcohol Withdrawal syndrome: Incorporating precautionary elucidations

 

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Stem Cells Acting as “Little Doctors”

Stem Cells as “Little Doctors”

A stem cell can be defined as an undifferentiated cell of a multi-cellular organism that is capable of giving rise to indefinitely more cells of the same type and from which other kinds of cell arise by differentiation. They are mother cells that have the potential to become any type of cell in the body. One of the main characteristics of stem cells is their ability to self-renew or multiply while maintaining the potential to develop into other types of cells. They can become cells of the blood, heart, bones, skin, muscles, brain etc. There are different sources of stem cells but all types of stem cells have the same capacity to develop into multiple types of cells.

Commonly, stem cells come from two main sources:

  • Embryos formed during the blastocyst phase of embryological development (embryonic stem cells) and
  • Tissue (adult stem cells).

Since stem cells have remarkable potential to develop into many different cell types in the body during early life and growth, this unique characteristic that give them their very essence of internal repair systems. They are described as little doctors due to their microscopic sizes and their repair functions.

Therefore, we may ask ourselves, how then does this come about?

stem cells

What Are The Potential Uses Of Human Stem Cells?

There are many ways in which human stem cells can be used in research and the clinic. Studies of human embryonic stem cells will yield information about the complex events that occur during human development. A primary goal of this work is to identify how undifferentiated stem cells become the differentiated cells that form the tissues and organs. Scientists know that turning genes on and off is central to this process.

Some of the most serious medical conditions, such as cancer and birth defects, are due to abnormal cell division and differentiation. A more complete understanding of the genetic and molecular controls of these processes may yield information about how such diseases arise and suggest new strategies for therapy.

Human stem cells are currently being used to test new drugs. New medications are tested for safety on differentiated cells generated from human multicellular cell lines. Other kinds of cell lines have a long history of being used in this way. Cancer cell lines, for example, are used to screen potential anti-tumor drugs. The availability of multicellular stem cells would allow drug testing in a wider range of cell types. However, to screen drugs effectively, the conditions must be identical when comparing different drugs

Perhaps the most important potential application of human stem cells is the generation of cells and tissues that could be used for cell-based therapies. Today, donated organs and tissues are often used to replace ailing or destroyed tissue, but the need for transplantable tissues and organs far outweighs the available supply. Stem cells, directed to differentiate into specific cell types, offer the possibility of a renewable source of replacement cells and tissues to treat diseases including macular degeneration, spinal cord injury, stroke, burns, heart disease, diabetes, osteoarthritis, and rheumatoid arthritis.

A few small studies have also been carried out in humans, usually in patients who are undergoing open-heart surgery. Several of these have demonstrated that stem cells that are injected into the circulation or directly into the injured heart tissue appear to improve cardiac function and/or induce the formation of new capillaries.

Cardiovascular disease (CVD), which includes hypertension, coronary heart disease, stroke, and congestive heart failure are some of the heart diseases that can are under study by scientists to be treated using the stem cells replication idea.

In people who suffer from type 1 diabetes, the cells of the pancreas that normally produce insulin are destroyed by the patient’s own immune system. New studies indicate that it may be possible to direct the differentiation of human embryonic stem cells in cell culture to form insulin-producing cells that eventually could be used in transplantation therapy for persons with diabetes.

http://www.integrativeaddiction2015.com/

Stem cells serve as internal repair systems to living organisms as they replenish through cell division essentially without limit as long as the person or animal is alive. This cause the damaged cells are disposed while news one is created.

The stem cells have also been found to be capable to treat eye defects. This has been one of the breakthroughs of using the stem cells as new medicine.

The following is a list of steps in successful cell-based treatments that scientists will have to learn to control to bring such treatments to the clinic. To be useful for transplant purposes, stem cells must be reproducibly made to:

  • Proliferate extensively and generate sufficient quantities of cells for making tissue.
  • Differentiate into the desired cell type(s).
  • Survive in the recipient after transplant.
  • Integrate into the surrounding tissue after transplant.
  • Function appropriately for the duration of the recipient’s life.
  • Avoid harming the recipient in any way.

Also, to avoid the problem of immune rejection, researchers are experimenting with different research strategies to generate tissues that will not be rejected.

To summarize, stem cells offer exciting promise for future therapies. For more information about this topic and others visit www.awaremednetwork.com. Dr Dalal. Akoury is an expert in integrative medicine. While at it, visit http://www.integrativeaddiction2015.com for information about the integrative addiction conference 2015 that she be holding, the conference will provide information on holistic approaches to issues of addiction and how to deal with patients of addiction.

Stem Cells Acting as “Little Doctors”

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Clinical Trials For Heart Failure

What’s Heart Failure?

Heart failure is an intricate clinical condition of symptoms and signs that suggest malfunction of the heart. This is often caused by structural and or functional defects of the heart. A good number of patients have heart failures as a result of left ventricular systolic dysfunction (LVSD).

“More often than not, LVSD is associated with reduced left ventricular blood ejection fraction. Some patients have heart failure as a result of a preserved ejection fraction (HFPEF). Whereas the most popular cause of heart failure in the United States (US) is coronary artery disease, many patients have had a myocardial infarction,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

Heart failure and or related diseases often increase steadily with age, a typical age at first diagnosis being at 76 years. Prevalence of heart failure is even expected to rise in the near future as a result of an increased ageing population. Improved survival of people with heart disease and more effective treatments of the same are more reasons for such increased prevalence.

“Heart failure has a poor prognosis: 30–40% of persons diagnosed with the condition die within a year, after which the mortality rate is less than 10% for every succeeding year. However, there has been better prognosis in the past 10 years. The 6-month mortality rate further decreased from 26% in 1995 to 14% in 2005 and even further now,” Petersen S, Rayner M, and Wolstenholme J. (2002).

“Heart failure accounts for over a million inpatient bed-days 2% of all NHS inpatient bed-days in the US and 5% of all emergency medical admissions to hospital. The admissions because of the heart condition are even projected to rise by 50% over the next two decades, largely as a result of the ageing population,” Hobbs FD, Roalfe AK, and Davis R.C., et al. (2007).

This article provides acceptable and standard practices on adults with heart failures, especially those with chronic heart failures. Such trials entail diagnosis, treatment, and rehabilitation.

Heart Failure

Clinical Trials For Heart Failure

Clinical trials as well as therapeutic care should take into account the patients’ needs and preferences. A patient with acute heart failure for instance should be able to make or rather should be given an opportunity to make an informed decision about his/her therapeutic care together with the healthcare professionals.

If the patient does not have the ability to make reliable decision about his/her the trials and or therapeutic care, the healthcare professional should follow established guidelines set by the Department of Health on consent and the professional code of practice as set out in the Mental Capacity Act.

Also important is good communication between the patient and the professional. These may be in different forms but a recommended practice involves a written document that suits the patient’s unique clinic diagnosis and can also act as evidence. Clinical trials and therapeutic care given and information communicated to the patients should be appropriate to the latter’s medical history and culture.

Such information should be accessible to people with special needs such as physical, sensory, learning disabilities, and or to those who neither speak nor read English. Family members, guardians and or care-takers should also have an opportunity to contribute in the decisions about the trials and care.

“During clinical examinations, it is important to refer patients with supposed heart failures and or previous myocardial infarction (MI) urgently to have transthoracic Doppler 2D echocardiography and specialist assessment within 2 weeks,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

“Clinical trials on treatment should measure serum natriuretic peptides (B-type natriuretic peptide [BNP] or N-terminal pro-B type natriuretic peptide [NTproBNP]) in patients with suspected heart failure without previous MI. Because very high levels of serum natriuretic peptides carry a poor prognosis, refer patients with suspected heart failure and a BNP level above 400 pg/ml (116 pmol/litre) or an NTproBNP level above 2000 pg/ml (236 pmol/litre) urgently, to have the 2D echocardiography and assessment within 2 weeks,” Owan TE, Hodge D.O., Herges R.M, et al. (2006).

Heart Failure

Trials on treatment involve offering both angiotensin-converting enzyme (ACE) inhibitors and beta-blockers licensed for heart failure to all patients with heart failure due to left ventricular systolic dysfunction. It is also advisable to use clinical judgments when deciding which drug to use first.

Offer only beta-blockers licensed for heart failure to all patients with the heart condition due to left ventricular systolic dysfunction, including: adults and those patients with other vascular diseases, erectile dysfunction, diabetes mellitus, interstitial pulmonary disease, and or chronic obstructive pulmonary disease (COPD) without reversibility.

Professionals are also advised to seek specialist guidance to offer one of the following alternatives if the patient fails to respond to treatment despite optimum therapy with an ACE inhibitor and a beta-blocker. They may include: an aldosterone antagonist licensed to handle heart failure patients and an angiotensin II receptor antagonist (ARB) licensed for heart failure.

Clinical trials about rehabilitation should involve a supervised exercise-based rehabilitation program designed for patients with heart failure in groups. While at it, it is advisable to ensure the patient is stable and does not have a condition or device that would immaturely conclude the rehabilitation program.

During the program, you could also include a psychological and or educational component. The program may be incorporated within an existing exercise-based or other cardiac rehabilitation program.

“It should be noted patients with chronic heart failure require monitoring. This monitoring should include; a clinical assessment of functional capacity, fluid status, cardiac rhythm, nutritional status, cognitive status and a review of medication; including need for changes and possible side effects, serum urea, electrolytes, and creatinine. Also, when a patient is admitted to hospital because of heart failure, the professional should seek advice on their management plan from a specialist in heart failure,” Petersen S, Rayner M, and Wolstenholme J. (2002).

Lastly, patients with this kind of heart condition should generally be discharged from hospital only when their clinical condition is stable and the management plan is optimized. The timing should take into account patient and career wishes, and the level of community care and support.

integrative addiction conference 2015

Dr. Dalal Akoury, M.D., M.P.H. is a family physician with a wealth of knowledge and years of experience in integrative medicine. She will highly be of assistance.

Also, don’t miss an opportunity to learn and interact with professionals during this year’s Integrative Addiction Conference 2015. For more information, visit http://www.integrativeaddiction2015.com. The conference will also deliver unique approaches to telling symptoms of addiction and how to assist patients of addiction.

Clinical Trials For Heart Failure

 

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