Thursday, June 8, 2023

Can Stress Cause Congestive Heart Failure

What Is The Treatment For Congestive Heart Failure

Congestive Heart Failure: Symptoms, Causes, and Treatment Options – St. Mark’s Hospital

The treatment of heart failure depends on the exact cause, but it can usually be treated effectively. The overall goals are to correct underlying causes, to relieve symptoms, and to prevent worsening of the condition. Symptoms are relieved by removing excess fluid from the body, improving blood flow, improving heart muscle function, and increasing delivery of oxygen to the body tissues. This can be done by the various congestive heart failure treatments listed in this sections.

If the underlying cause of heart failure is not correctable by surgery or catheterization procedures, medical treatment is composed of lifestyle changes and medications.

If I Am Diagnosed With Broken Heart Syndrome What Treatment Should I Receive

It is important to follow up with a cardiologist who is familiar with this syndrome and who can tell you when your heart muscle has fully recovered. Early on, the cardiologist may want to treat you with standard medications for heart muscle weakness, but this will depend on several factors including your heart rate and blood pressure.

Your doctor may suggest an exercise program including cardiac rehabilitation. Avoiding stressful situations if possible is always recommended, and interventions to reduce stress such as biofeedback, meditation, yoga, physical rehabilitation and exercise can be very helpful to some patients with this syndrome.

What If Sleep Problems Are Contributing To My Stress

If you cannot sleep and it’s causing you stress or making it worse, try these tips:

  • Establish a regular sleep schedule. Go to bed and get up at the same time every day.
  • Make sure your bed and surroundings are comfortable. Arrange the pillows so you can maintain a comfortable position.
  • Keep your bedroom dark and quiet.
  • Use your bedroom for sleeping only don’t work or watch TV in your bedroom.
  • Avoid napping too much during the day. At the same time, remember to balance activity with rest during recovery.
  • If you feel nervous or anxious, talk to your spouse, partner, or a trusted friend. Get your troubles off your mind.
  • Listen to relaxing music.
  • Talk to your doctor before taking any sleeping aid.
  • Take diuretics or “water pills” earlier, if possible, so you don’t have to get up in the middle of the night to use the bathroom.
  • If you can’t sleep, get up and do something relaxing until you feel tired. Don’t stay in bed worrying about when you’re going to fall asleep.
  • Don’t exercise within two to three hours of bedtime.

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Anxiety In Cardiovascular Patients

Anxiety has shown to be prevalent in patients who have already been diagnosed with cardiovascular disease, especially if they have experienced a heart attack. Surviving a heart attack can be a very traumatic event that can cause anxiety that is similar to PTSD. In some cases, anxiety is also prevalent in patients who have been diagnosed with cardiovascular disease and are at risk for an acute cardiac event. This is a double-edged sword because fear of suffering from a stroke or heart failure could have negative effects on a patients heart, but could also prompt them to engage in positive health-seeking behaviors.

American Heart Association News Stories

Stress And Heart Disease Mayo Clinic

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Mahendra Explains That Divorced Hard Work And Rheumatic Fever Have All Contributed To His Ill Health

So you think one of the things that had to do with your heart condition was your personal problems?Apart from your personal domestic problems at the time do you have any idea of anything else that could have caused your heart problems?But did you have rheumatic fever, for instance, when you were younger?

What Mental Health Disorders Are Related To Heart Disease

Some of the most commonly studied mental health disorders associated with heart disease or related risk factors include the following:*

Mood Disorders: People living with mood disorders, such as major depression or bipolar disorder, find that their mood affects both psychological and mental well-being nearly every day for most of the day.

Anxiety Disorders: People respond to certain objects or situations with fear, dread, or terror. Anxiety disorders include generalized anxiety, social anxiety, panic disorders, and phobias.

Post-Traumatic Stress Disorder : People can experience PTSD after undergoing a traumatic life experience, such as war, natural disaster, or any other serious incident.

Chronic Stress: People are in a state of uncomfortable emotional stressaccompanied by predictable biochemical, physiological, and behavioral changesthat is constant and persists over an extended period of time.

*There may be other behavioral health disorders, such as substance use disorders, that are connected to heart disease.

Read Also: How To Manage Post Traumatic Stress Disorder

Medications Used To Treat Heart Failure Include:

  • Beta Blockers Beta Blockers are medications that can both reduce high blood pressure and correct abnormal heart rhythms. High blood pressure and abnormal heart rhythms can both causes and result from heart failure, so treating them with Beta Blockers can be beneficial.
  • ACE Inhibitors ACE inhibitors are medications that can widen blood vessels. Widening blood vessels can improve the flow of blood within blood vessels, making it easier for the heart to pump blood through them.
  • Diuretics Diuretics are medications that help the body to eliminate fluid. Because heart failure is characterized by the excessive buildup of fluid throughout the body, diuretics can prove very helpful in treating CHF.
  • Angiotensin II Receptor Blockers Angiotensin II Receptor Blockers work in much the same way as ACE inhibitors, widening blood vessels and improving the flow of blood through them.
  • Inotropes Inotropes are intravenous medications that are used to individuals who are hospitalized with severe heart failure.
  • Aldosterone Antagonists Aldosterone Antagonists work like diuretics, helping the body to rid itself of excess fluid. Unlike many diuretics, Aldosterone Antagonists do not affect levels of Potassium in the blood. This means that, in addition to helping rid the body of excess fluid, they also can help the heart to contract more strongly.
  • Digoxin Sometimes also called Digitalis, Digoxin is a medication that causes failing heart muscles to contract more strongly.

What Treatments Are Available For Patients With Depression

Congestive Heart Failure

There are many treatments used for patients with depression. A healthy lifestyle that includes regular exercise, a well-balanced diet, adequate sleep, and relaxation and stress management techniques can help you manage the condition.

If you have major depressive disorder, you may need to take an antidepressant medication, see a counselor/therapist for psychotherapy, or a combination of both.

There are safe antidepressant medication options for patients with heart failure. Psychotherapy can offer you more social support and help you think in a more positive way.

The support and involvement of family and friends can be crucial in helping someone who is depressed. Living with a depressed person can be very difficult and stressful on family members and friends. If this stress becomes too much, they may want to talk to a doctor or counselor/therapist.

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What Can A Stress Test Diagnose

Stress tests are used to diagnose and evaluate heart problems such as ischemic heart disease, heart valve disease, and heart failure by measuring blood pressure and heart rate. The purpose of this test is to determine whether you have symptoms of a heart problem, such as shortness of breath, chest pain, dizziness, and rapid heartbeats.

How Can My Emotions Affect Heart Failure

Unmanaged stress can lead to high blood pressure, damage to your arteries, irregular heart rhythms and a weakened immune system.

Depression in patients with heart failure increases the risk of hospitalization cardiac events, such as chest pain and heart attack and death.

You may feel depressed because you dont know what to expect or because you cant do simple tasks without becoming overly tired. Other factors can contribute to depression, such as:

  • Your family history, physical health and state of mind and environment
  • Life transitions, losses and high levels of stress
  • Imbalances in chemicals your body uses to control your mood

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What Groups Have Higher Rates Of Heart Disease From Mental Health Disorders

Specific populations, such as the following, show higher rates of heart disease as a result of pre-existing mental health disorders:

Veterans. Studies found that veterans are at a higher risk for heart disease, mainly due to PTSD as a result of combat.22-26

Women. Studies exclusively focused on women found that PTSD and depression may have damaging effects on physical health, particularly with increased risk for coronary heart disease related morbidity and mortality.27,28

Couples with someone who has PTSD. Comparative studies found that couples where one or both partners had PTSD experienced more severe conflict, greater anger, and increased cardiovascular reactivity to conflict discussions than couples where neither partner had PTSD. Anger and physiological stress responses to couple discord might contribute to CHD and heart disease risk within these relationships.29,30

Racial and ethnic minorities. Lastly, studies focused on racial or ethnic minority groups found that depression, stress, and anxiety due to disparities in social determinants of health,31 adverse childhood experiences,32 and racism/discrimination33-35 could place certain subpopulations at a higher risk for hypertension,32,33,35,36 cardiovascular reactivity,35 heart disease,31,34 and poor heart health outcomes.37

Diuretics And Vasodilator Drugs For Congestive Heart Failure

Heart failure diagnostics, treatment and symptoms

Medications help control both the underlying causes of heart failure and the symptoms. Medications are the most critical part of therapy for heart failure. Usually, several types of medications are required to address as many of the physiologic imbalances as possible.

People with heart failure usually take several different medications that work in different ways to lessen heart failure symptoms, to prevent worsening of the underlying disease, and to prolong life.

Diuretics : The buildup of fluid is usually treated with a diuretic.

Vasodilators: These medications enlarge the small arteries or arterioles, which relieve the systolic workload of the left ventricle. Therefore, the heart has to work less to pump blood through the arteries. This also generally lowers blood pressure. Just as importantly, they reduce the levels of certain deleterious hormones and signals that can worsen heart failure.

  • Angiotensin II receptor blockers work by preventing the effect of angiotensin II at the tissue level. Examples of ARB medications include candesartan , irbesartan , olmesartan , losartan , valsartan , telmisartan , and eprosartan . These medications are usually prescribed for people who cannot take ACE inhibitors because of side effects. Both are effective, but ACE inhibitors have been used longer with a greater number of clinical trial data and patient information.
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    Anxiety And The Development Of Heart Disease

    Its my view and my personal clinical experience that anxiety disorders can play a major role in heart disease, says McCann. I believe that a really careful look at anxiety would reveal the ways it can severely impact heart disease, both as a contributing factor and as an obstacle in recovery.

    A natural reaction to a sudden heart attack can be similar to post-traumatic stress disorder:

    • Youre likely to be shocked by your near-death experience and extremely hesitant to do the things you used to do.
    • You might constantly relive the life-threatening event, and avoid the activity or place associated with the heart attack.
    • Recurring anxious thoughts may impede your ability to get regular sleep.
    • Your thoughts about what lies ahead may be extremely negative and cause a drastically foreshortened outlook of the future.

    Causes Of Congestive Heart Failure

    The cause of congestive heart failure is usually related to damage to the heart muscle. The possibility of pre-existing impairments in the heart or other conditions that directly affect the pumping action of the heart pose as risk factors for CHF. While in adults the symptoms are most commonly a result of hypertension and coronary artery disease, in children, CHF is caused majorly by cardiomyopathy and congenital heart disease. Below is a list of all general causes and potential risk factors of congestive heart failure adults.

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    Stress And Your Heart

    The real connection between stress and heart disease, and what to do if you’re under too much pressure.

    You’re stuck in traffic, late to an important appointment. Your breath quickens. Your heart races. Your muscles tense. As your anxiety builds, you might even feel like you’re on the verge of having a heart attack.

    What you’re experiencing is the phenomenon Harvard physiologist Walter Cannon once termed the “fight-or-flight” response. In a stressful situation, your body releases a flood of chemicals such as cortisol and epinephrine , which prepare your body for action. If the car in front of you were to burst into flames, you’d be ready to leap from your car and flee. But the reaction is counterproductive when you’re just waiting in traffic.

    Chronic stresswhether from a traffic-choked daily commute, unhappy marriage, or overbearing bosshas been linked to a wide range of harmful health effects. It can interfere with your mood, sleep, and appetite. But can stress cause heart disease?

    Symptoms Of Congestive Heart Failure

    Congestive Heart Failure: Left-sided vs Right-sided, Systolic vs Diastolic, Animation.

    The symptoms of congestive heart failure are also associated with other diseases and ailments.

    In the early stages of congestive heart failure, there is a possibility that you might not feel any changes or symptoms. But as the disease progresses, symptoms appear.

    Following symptoms would indicate a person has congestive heart failure:

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    Stress Cardiomyopathy Diagnosis And Treatment

    Medina de Chazal H, Del Buono MG, Keyser-Marcus L, et al.
    Stress Cardiomyopathy Diagnosis and Treatment: JACC State-of-the-Art Review. J Am Coll Cardiol 2018 72:1955-1971.

    The following are summary points to remember from this state-of-the-art review of stress cardiomyopathy:

  • Stress cardiomyopathy is a clinical syndrome characterized by an acute and transient left ventricular systolic dysfunction often related to an emotional or physical stressful event, most often identified in the preceding days .
  • The exact pathophysiology of stress cardiomyopathy remains unclear, but the link between the brain and heart has long been known. An increase in cerebral blood flow in the hippocampus, brainstem, and basal ganglia has been shown in the acute phases. There is a complex neocortical and limbic integration in response to stress through an activation of brainstem noradrenergic neurons and stress-related neuropeptides . In a predisposed individual, who may have enrichment in NPY/norepinephrine granules and risk factors for endothelial dysfunction, an intense stimulation for an adrenergic stimulation may be sufficient to trigger stress cardiomyopathy in response to emotional or physical stress.
  • Clinical Topics:Acute Coronary Syndromes, Arrhythmias and Clinical EP, Heart Failure and Cardiomyopathies, Prevention, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Acute Heart Failure, Stress

    What Are The Causes Of Congestive Heart Failure

    Congestive heart failure is a life threatening condition in which your heart muscles fail to pump blood to different parts of your body. CHF develops when fluid builds up in and around your heart and the ventricles cannot pump sufficient blood to rest of your body. Eventually, fluid and blood back up inside the lungs, liver, abdomen and lower parts of the body. CHF is commonly characterized by fatigue, shortness of breath, as well as swelling in the feet, ankles and legs. Read this oneHOWTO article to know what are the causes of congestive heart failure. In doing so, you can help avoid them and improve your chances of avoiding this debilitating condition.

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    The Truth Behind Anxiety Disorders

    Anxiety is a normal reaction to stress that can often prompt us to be more cautious and keep us out of danger. While anxiety, stress, and nervousness can be a normal part of life, chronic and persistent anxiety that begins to affect normal daily functions is defined as a mental illness, known as anxiety disorder. Anxiety disorder is a chronic condition characterized by disproportionate and persistent anxiety. The five major types include generalized anxiety disorder, obsessive-compulsive disorder , panic disorder, post-traumatic stress disorder and social anxiety disorder.

    While there have been multiple studies that link depression to heart disease, the relationship between anxiety and cardiovascular disease seems to be a little more complex. Due to the high prevalence of anxiety in cardiovascular patients, researchers are further investigating if anxiety is a direct cause of heart disease or simply a correlation.

    He Believes His Heart Attack Was Caused By Emotional Stress Rather Than High Cholesterol

    Heart Failure: Causes and Risk Factors

    People defined stress in different ways for instance one man said he relished the stress of his challenging job but that some of the hassle of everyday life such as running out of petrol or forgetting to collect his wife’s dry cleaning could be stressful enough to bring on palpitations.

    People also talked about feeling extremely anxious about themselves and their illness, . One man felt so anxious about being ill at night that he was reluctant to be alone. Someone else said that worrying about things beyond her control could ‘eat away’ at her.

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