♪Music playing♪
Hi welcome
I'm here to talk to you about Congestive heart failure.
I know it sounds like a terminal illness
It sounds like you’re dying but I'm here to tell you today
we have patients who live a long time with a quality of life.
so what is congestive heart failure some people describe it as
if you think of your body as the car and your heart is the engine well its the
engine is weak
and as a result of that fluid backs into lungs and you feel like you're drowning
or suffocating.
it's our job to determine what caused the engine to fail we get asked a lot is
how to deal with the craving to want to eat more salt because we limit your salt intake
to 2,000 mil a day again
that's barely a teaspoon well we ask you to use as a substitute or actually use
herbs and spices if not just use the garlic or time red pepper and black pepper any one
of these herbs or spices
if not just use garlic or tymeor red pepper or black pepper anyone of these herbs or
spices will take the place of your craving for salt.
I promise you if you give it 4 weeks you will not miss the salt at all, in fact, the
next time you go out to someone's house or a
restaurant
you almost went to split the food out because then you will notice and taste every morsel
of that sodium.
Lastly how to deal with your craving to want to drink.
we asked you to limit it to 64 ounces a day we recommend that you chew gum
or candy, sugarless if your diabetic.
Unless you chit's really going to get that saliva going help you deal with that
craving some of our patients recommend to freeze grapes.
if you ever tried it it's pretty good but it really
helped deal with your Cravings to want to drink
so freeze whatever fruit you like grapes were really well or freeze that water bottle that
you drinking.
That 16 ounces or 20 oz bottle instead of just drinking it straight freeze it and then
you, you can step on it for several hours.
so those are just some of the tricks we want you to do to deal with those craving.
In addition to those Lifestyle Changes in medication
is our job to determine what caused the engine to fail or to weekend and they can
be a number thing some of the most common thing is bad plumbing.
Are the arteries clogged up, how we fix that, we do a procedure called heart catheterization.
Where we looking and see if you have blockages.
we can remedy that by sometimes surgery bypass surgery that's when the surgeons
I have to do a bypass or we can
open up the artery with a balloon and leave a device still call a stent
will keep that artery popped open it acts as scaffold.
In addition to the bad Plumbing it can be a
leaky valve or tight valve with the opening is very small
so not enough blood to go through that opening and so it's very easy for fluid to
back up in the lungs and make you feel like you're drowning.
Uncontrolled blood pressure alcohol sleep apnea we're finding more and more people
actually, have sleep apnea including myself.
Okay, so what is sleep apnea.
well that for example if you have obstructive sleep
apnea and you have a big tongue for example
when you lay down that tongue blocks your breathing tube and when it blocks your
breathing tube
not enough of the normal oxygen that enters actually goes down the lungs and your lungs
collapse and you stop breathing.
Okay, so, fortunately, God made it so for the brain that wakes us up when it's been
since we're not breathing and so you wake up almost like in the panic
and as a result of that, you don't get your good deep REM sleep because you don't
sleep well at night
when you don't get your REM sleep you're extremely fatigued for the rest of the
day and you may still have problems with your
memory you may wake up with a headache.
You may notice uncontrolled blood pressure you may notice the rapid heartbeat.
Those are some of the signs and symptoms related to untreated
sleep apnea and eventually congestive heart failure.
We try to treat that a lot of patients wear a mask called the CPAP device
and what it does is it allows the normal oxygen that enters and it creates and
vacuum around
your mouth and nose that will force literally the oxygen down the lungs
under pressure keeps those lungs open
so you don't stop breathing you don't wake up in the middle of the night you
get a good deep sleep.
And in and we can prevent those unfortunate side effect for complications
that we spoke of and more specifically congestive heart failure.
If you getting short of breath especially when you lay down and you have to sit up
to breath, that's most likely congestive heart failure.
or you get on that scale in the morning and you gained 3 lb of unexplained weight
gain.
generally, that means the fluid is back and you had to much salt or water.
So what we expect you to do is go ahead and double up on those water pills,
instead of taking one in the morning or one in the evening we don't mean that
you double up by taking two at the same time and if that doesn't work then that's when
we want you to call us.
Obviously, if you're very short of breath even sitting up we want you to call 911.
So when you double up we want you to go ahead and do that for two to three days
until you lose those 3 pounds of extra fluid
and again if it doesn't work please give us a call because we may instruct you to
triple up or quadruple up
and then we'll have to see you in the office because you can lose too much
electrolytes.
For example potassium.
Then you start getting that cramping and that a painful
feeling.
So we also don't want you to wait till you gain 5 to 10 lb because again these
water pills may not work when you double up
and again we may have to triple up or quadruple up.
Okay so now that's how you recognize when you have too much fluid we also want you
to recognize when maybe you taking too much water pills.
So most people if you drink 2 liters or 64 oz is a day and you're taking your
water pill that kind of keeps your fluids status even.
You don't have too much and you don't have too little but you can have too little if
you doing what we ask but in addition to that you have diarrhea.
For some reason or you working out in that sun in your sweater does that means
you may be putting out more than you're taking in
and you will experience lightheadedness or dizziness.
Okay, Feeling like you want to pass out.
okay or you may start to see that your urine instead of being clear yellow urine
looks pretty dark.
If that's the case that may be a sign that you're not drinking enough water.
We asked you to go ahead to drink an additional 8 ounces of water that day
Or maybe you decide to hold off on your fluid pill that day or the following day
okay
so but if you have any questions about whether or not if you have too much fluid
or perhaps dehydrated
just give us a call.
We'll help too, help you figure that out as well.
Otherwise, thank you for your attention please don't hesitate to call us if you have any
questions about anything we talked about today.
Thank you.