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1. NIH News Release--NHLBI’s Framingham Heart Study Finds Strong Link Between Overweight/Obesity And Risk For Heart Failure--7/31/2002
- www.nih.gov
- Overweight/Obesity And Risk For Heart Failure.
- While extreme obesity has been associated with heart failure, until now, data have been limited regarding the influence of overweight and lesser degrees of obesity on the risk of this disease. According to a new study supported by the National Heart, Lung, and Blood Institute (NHLBI), excess body weight is strongly and independently associated with an increased risk of heart failure. ...
- The large, community-based study investigated the relations between body mass index (BMI), a measure of excess weight for height, and the risk of heart failure in over 5,000 participants in the NHLBI’s Framingham Heart Study, a landmark epidemiological study that began in 1948. ...
- “While the death rate from heart disease has decreased by 60 percent over the last 40 years, the death rate from heart failure has not declined. This study suggests that obesity is an important risk factor for heart failure in both women and men. Promoting optimal body weight may help reduce the burden of heart failure we’re seeing,” he added. ...
- have heart failure, a condition in which the heart cannot pump enough blood through the body. ...
- “It was unclear from the scientific literature whether lesser degrees of obesity predispose an individual for heart failure, as most of the existing studies were limited to people who were severely obese (BMIs over 40),” said Dr. ... The researchers looked for the occurrence of a first episode of heart failure. ...
- After adjustment for known risk factors, there was an increase in the risk of heart failure of 5 percent for men and 7 percent for women for each increment of 1 in the body-mass index. As compared with normal weight individuals, obese women had a doubling of the risk of heart failure and obese men had a 90 percent increase in the risk of heart failure. ... The effect of BMI on heart failure risk did not vary with age, sex, smoking status, alcohol consumption or the presence or absence of valve disease or diabetes. ...
- For example, they increase the risk of high blood pressure and diabetes, both key risk factors for heart failure,” said study co-author Dr. ... “We found that even after accounting for these other risk factors, obesity was independently associated with the risk of heart failure,” he added. ...
- Daniel Levy, director of the Framingham Heart Study and co-author of the study, noted that the obesity trend in young Americans may affect future rates of heart failure. ...
2. UMMC - What is Congestive Heart Failure?
- www.med.umich.edu
- Congestive Heart Failure.
- What is Congestive Heart Failure?.
- What is congestive heart failure?.
- Congestive heart failure (CHF) occurs when the heart fails to work effectively and is unable to supply the body with enough blood. ...
- Congestion in the lungs results in breathlessness, the main symptom of left-sided heart failure. Symptoms of right-sided heart failure include fatigue, swelling of the ankles and legs, enlargement of the liver, and indigestion. ...
- What causes congestive heart failure?.
- Causes of left-sided heart failure include: coronary artery disease, valvular heart disease, high blood pressure, anemia, congenital heart defects and irregular heartbeat. Right-sided heart failure may be caused by: left-sided failure lung diseases such as bronchitis or emphysema, a defective valve, or congenital heart defect. ...
- What should I do if I have symptoms of congestive heart failure?.
- Congestive heart failure can be fatal if untreated. ...
- Treating Congestive Heart Failure.
- Alternative Treatment Research for Congestive Heart Failure.
3. Mott Health Topics: Congestive Heart Failure
- www.med.umich.edu
- Congesitve Heart Failure.
- What is Congestive Heart Failure?.
- What are the Signs and Symptoms of Congestive Heart Failure?.
- What is Congestive Heart Failure? .
- Children born with certain types of heart problems are at risk for developing congestive heart failure (CHF). Not all children with heart defects will have congestive heart failure. Congestive heart failure occurs when the heart must work harder to meet the demands of the body. ...
- In congestive heart failure the chambers of the heart can swell or become thicker. ...
- Congestive heart failure occurs gradually. If your child has congestive heart failure, you will notice some signs and symptoms that happen over a period of time. ...
- Signs and Symptoms of Congestive Heart Failure.
- Sometimes this is difficult for parents to tell if these symptoms are related to congestive heart failure or a respiratory illness. ...
- Treatment of Congestive Heart Failure.
- Congestive heart failure is treated by finding and removing the cause, if possible, or by giving medicines to help the heart work more easily. ...
4. Whitaker News: New device may decrease risk of heart failure, offer patients more mobility
- www.whitaker.org
- failure, offer patients more mobility .
- , April 4, 2001 – A new device similar to a pacemaker that employs more control over the heart’s rhythm may soon greatly reduce the fatigue and other symptoms endured by millions of Americans with chronic heart failure. ...
- She presented preliminary findings at the conference indicating that this new technology not only resynchronizes the heart, but can also support slow heart beats, detect abnormal beats before they become a significant problem, help heart failure physicians manage medications, and even prevent sudden death. ...
- Congestive, or chronic, heart failure is a progressive cardiovascular disease affecting more than 5 million Americans. Heart failure differs from a heart attack. ...
- "These devices relieve symptoms, such as shortness of breath, fatigue and fluid retention, and positively affect the lives of advanced heart failure patients, who, at this time, have few alternatives," says Teresa De Marco, M. ...
- Only half of patients with mild to moderate heart failure survive for five years and only half of patients with severe failure survive for one year, researchers have reported. Experts estimate that by 2005, heart failure will be the No. ...
- On average, oxygen uptake increased, and significantly fewer patients were hospitalized for heart failure. ...
5. Minnesota Living With Heart Failure Questionnaire
- www.mlhfq.org
- 27 - 52 Heart Failure Links .
- Heart Failure Questionnaire.
- The Minnesota Living With Heart Failure Questionnaire (MLHFQ) is a measure of the patients' perceptions of the effects of congestive heart failure on their lives. This 21-item, self-administered questionnaire comprehensively covers physical, socioeconomic and pyschologic impairments that patients often relate to their heart failure. ... This patient self-assessment may provide an important perspective on congestive heart failure and the efficacy of medical therapy. ...
- Minnesota Living With Heart Failure Questionnaire.
6. Congestive Heart Failure
- www.americanheart.org
- Congestive Heart Failure Congestive heart failure (CHF), or heart failure, is a condition in which the heart can't pump enough blood to the body's other organs. ...
- People with heart failure can't exert themselves because they become short of breath and tired.
- Heart failure also affects the kidneys' ability to dispose of sodium and water. ...
- How do you diagnose and treat congestive heart failure?.
- The most common signs of congestive heart failure are swollen legs or ankles or difficulty breathing. ...
- Various drugs are used to treat congestive heart failure. ...
- When a specific cause of congestive heart failure is discovered, it should be treated or, if possible, corrected. For example, some cases congestive heart failure can be treated by treating high blood pressure. If the heart failure is caused by an abnormal heart valve, the valve can be surgically replaced.
- Most people with mild and moderate congestive heart failure can be treated. ...
- Take Heart With Heart Failure .
- Living With Congestive Heart Failure .
- "What Is Congestive Heart Failure?" and "How Can I Live With Heart Failure?" in Answers By Heart kit .
- Take Heart With Heart Failure.
7. Prevalence of Depression in Hospitalized Patients With Congestive Heart Failure -- Freedland et al. 65 (1): 119 -- Psychosomatic Medicine
- www.psychosomaticmedicine.org
- Prevalence of Depression in Hospitalized Patients With Congestive Heart Failure .
- OBJECTIVE: Prevalence estimates of depression in hospitalized patients with congestive heart failure (CHF) differ considerably across studies. ...
- However, the prevalence of major depression differed significantly between strata defined by the functional severity of heart failure, age, gender, employment status, dependence in activities of daily living, and past history of major depression. For example, the prevalence ranged from as low as 8% among patients in New York Heart Association class I failure to as high as 40% among patients in class IV. ...
- However, it is considerably higher in certain subgroups, such as patients with class III or IV heart failure. ...
- Key Words: comorbidity depression depressive disorder heart failure congestive prevalence.
- Abbreviations: ADLs = activities of daily living; BDI = Beck Depression Inventory; CES-D = Center for Epidemiological Studies Depression Scale; CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; DIS = Diagnostic Interview Schedule; DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, fourth edition; HRDS = Hamilton Rating Scale for Depression; LVEF = left ventricular ejection fraction; MI = myocardial infarction; NYHA = New York Heart Association.
- Localized Cerebral Blood Flow Reductions in Patients With Heart Failure: A Study Using 99mTc-HMPAO SPECT.
- Depression in Patients with Congestive Heart Failure.
8. Inspiratory muscle load and capacity in chronic heart failure -- Hart et al. 59 (6): 477 -- Thorax
- www.thoraxjnl.com
- Inspiratory muscle load and capacity in chronic heart failure .
- Background: Although breathlessness is common in chronic heart failure (CHF), the role of inspiratory muscle dysfunction remains unclear. ...
- Conclusions: Although a marked reduction in endurance time was observed in CHF, much of this reduction was explained by the increased inspiratory muscle load to capacity ratio, suggesting that the major contributor to task failure was a maladaptive breathing pattern rather than impaired inspiratory muscle endurance. ...
- Keywords: inspiratory muscle endurance; respiratory muscles; chronic heart failure.
- Abbreviations: BMI, body mass index; CHF, chronic heart failure; CLdyn, dynamic lung compliance; FEV1, forced expiratory volume in 1 second; FRC, functional residual capacity; FVC, forced vital capacity; LVEDD, left ventricular end diastolic dimension; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association functional class; Poes, oesophageal pressure; Poesexp, peak expiratory oesophageal pressure; Poesmax, maximum negative oesophageal pressure during an inspiratory manoeuvre; Poespeak/TTPoespeak, inspiratory muscle contraction rate; PTPoes per cycle, inspiratory oesophageal pressure time product per breath; PTPoes per cycle/Poesmax, inspiratory muscle load to capacity ratio; RR, respiratory rate; RV, residual volume; TLC, total lung capacity; Te, expiratory time; Ti, inspiratory time; Ti/Ttot, duty cycle; Tlim, endurance time; VE, minute ventilation; VT, tidal volume.
- Inspiratory muscle load and capacity in chronic heart failure.
9. Pharmacotherapy for Heart Failure in Patients with Renal Insufficiency -- Shlipak 138 (11): 917 -- Annals of Internal Medicine
- www.annals.org
- Pharmacotherapy for Heart Failure in Patients with Renal Insufficiency .
- Clinical trials have demonstrated that angiotensin-converting enzyme (ACE) inhibitors, ß-blockers, and spironolactone improve survival in patients with heart failure. Because patients with heart failure and renal insufficiency have been underrepresented in these trials, little evidence is available to guide clinicians in the optimal management of patients with both conditions. Approximately one third to one half of patients with heart failure have renal insufficiency (estimated glomerular filtration rate GFR <60 mL/min per 1. 73 m2), and renal insufficiency is among the strongest predictors of mortality in patients with heart failure. ... ß-Blockers improve survival in patients with heart failure, and their beneficial effect is unlikely to differ according to renal function. Spironolactone improves outcomes in patients with advanced heart failure, but renal insufficiency appears to increase risk for hyperkalemia and limits the use of the drug in patients with severe renal insufficiency. Future clinical trials in heart failure should include a representative number of patients with renal insufficiency to improve the evidence base and outcomes in this vulnerable population. ...
- Use of Angiotensin-Converting Enzyme Inhibitors in Heart Failure and Renal Insufficiency Ali Ahmed.
- Use of Angiotensin-Converting Enzyme Inhibitors in Heart Failure and Renal Insufficiency Michael G. ...
- Renal Insufficiency and Heart Failure Therapy Aaron Spital.
- Renal Insufficiency and Heart Failure Therapy Michael G. ...
- Renal Function, Digoxin Therapy, and Heart Failure Outcomes: Evidence from the Digoxin Intervention Group Trial.
- Use of Angiotensin-Converting Enzyme Inhibitors in Heart Failure and Renal Insufficiency.
- Renal Insufficiency and Heart Failure Therapy.
- Renal Insufficiency and Heart Failure: Prognostic and Therapeutic Implications From a Prospective Cohort Study.
10. ACE Inhibition Versus Angiotensin-II Antagonism in Heart Failure -- Kumar et al. 8 (2): 195 -- Asian Cardiovascular & Thoracic Annals
- asianannals.ctsnetjournals.org
- ACE Inhibition Versus Angiotensin-II Antagonism in Heart Failure .
- Heart failure is becoming increasingly frequent. ... Angiotensin-converting enzyme inhibitors are the only agents shown to reduce mortality in heart failure. All angiotensin-converting enzyme inhibitors appear to have similar clinical benefits in heart failure. ... Although angiotensin-I receptor antagonists provide more complete inhibition of angiotensin-II effects, they have not been found to be superior to long-acting angiotensin-converting enzyme inhibitors in reducing morbidity and mortality in heart failure. ... The combined use of angiotensin-converting enzyme inhibitors and angiotensin-II antagonists is not currently recommended in the treatment of heart failure. ...
- Losartan in the Therapy of Heart Failure Patients.
11. MayoClinic.com - Congestive heart failure
- www.mayoclinic.com
- Heart failure .
- Congestive heart failure .
- A diagnosis of heart failure sounds scary, as if your heart could stop at any moment. But the underlying heart conditions that commonly cause heart failure, such as coronary artery disease or high blood pressure, typically develop slowly over many years. The development of heart failure usually means that your heart's ability to pump blood has weakened, so it can't circulate enough blood to meet your body's needs. ... When fluid builds up, heart failure is called congestive. Sometimes the heart becomes too stiff to fill properly, and that also can lead to heart failure.
- About five million Americans are living with heart failure, and between 400,000 and 700,000 new cases are diagnosed every year. Heart failure is serious and can be life-threatening. About 250,000 people die annually of heart failure.
- Your best defense against heart failure is to prevent or control risk factors that lead to coronary artery disease, such as high blood pressure, high cholesterol levels, diabetes, smoking, alcohol abuse, inactivity and obesity.
12. Heart Failure Information and Education
- www.abouthf.org
- Heart Failure Society of America Kicks Off 2005 National Heart Failure Awareness Campaign.
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