Supplements that may be helpful in Heart Failure or
Heart Disease
There are quite a number of herbs and supplements that could have a
beneficial effect on heart disease. I have listed some below. You may click on
each one for more information but ultimately the use of supplements has to be
done with the knowledge of your health care provider.
Cutting calories may slow
age-related changes in the heart's genes that lead to chronic disease.
Reduce caffeine from coffee, tea, and
guarana. Avoid stimulants of any
sort.
CoQ10 may be beneficial in heart failure.
You can find
CoQ10-50mg
here.
Carnitine
is potentially helpful since the heart uses
Carnitine
for energy production
Folic acid, vitamin B12 and vitamin B6
can help prevent reoccurrence of blocked arteries in patients who have undergone
coronary angioplasty.
Hawthorn
is vasodilatory,
increases coronary flow, acts as an inotrope (stimulates heart contraction), decreases
peripheral resistance, and has ACE-inhibitor-like effect. Daily dosage 3 to 5g or 160 to 900 mg
extract for a few weeks.
Appears to be useful in mild heart failure.
Psyllium reduces cardiac risk
Cutting calories may slow
age-related changes in the heart's genes that lead to chronic disease.
Reduce caffeine from coffee, tea, and guarana. Avoid stimulants of any
sort.
CoQ10 Helpful in heart failure
CoQ10 supplements appear to be helpful in strengthening the heart. Dr. Romualdo
Belardinelli, of Lancisi Heart Institute in Italy studied 23
patients, average age 59 years, with moderate to severe heart failure.
They were assigned to four weeks each of CoQ10 supplements or
placebo pills, with or without supervised exercise training. The dosage of
CoQ10 was 100 mg three times a day. Those taking CoQ10 had improvement in peak
exercise capacity. There was an improvement in cardiac function with CoQ10
treatment. Combining exercise training with CoQ10 produced more marked
improvements than CoQ10 alone.
The researchers conclude that the use of CoQ10 improves several aspects of
heart failure without any side effects.
Those who have heart failure should discuss with their
doctor the use of CoQ10 supplements. Keep the amount of CoQ10, at least initially, to 30 mg
or 50 mg once or twice a day. CoQ10 can be taken with breakfast and or
lunch. The study went on only for one month, and even though the
researchers did not observe side effects on 100 mg three times a day, it
is possible that prolonged use of 300 mg a day over several weeks or
months could lead to adverse events. We also don't have a good
understanding how CoQ10 supplements interact with heart medicines.
Magnesium Good for Heart Patients
Patients with heart disease are
often placed on several medicines including beta-blockers and nitrates, but
doctors rarely think about suggesting mineral supplements. In a study published
in the American Journal of Cardiology, researchers enrolled 187 patients with
heart disease to try oral magnesium and compare the results with those on
placebo pills. The dose of magnesium was about 200 mg twice daily and it was in
the form of magnesium citrate. At the beginning of the study, blood magnesium
levels were similar in both groups, but increased significantly in those who
took the magnesium supplements. After six months of treatment, those taking
magnesium were found to have a significant improvement in the amount of time
they could exercise without chest pain, but there were no changes in cholesterol
levels between the two groups.
Comments: In patients who are already taking heart medicines and
still have not had the best results possible, it seems that magnesium is a safe,
cheap, and effective natural mineral to add to the regimen. The ideal dose of
magnesium is not known, but it would seem reasonable to take 100 to 200 mg twice
daily.
Psyllium
An article published in the American Journal of Clinical Nutrition reports
that supplementing the diet with psyllium fiber has positive effects on blood lipids while potentially
cardiovascular risk. Sixty-eight adults with high cholesterol consumed a
high-fiber and a control diet for 1 month each in a randomized crossover study.
The high-fiber diet
included 4 servings per day of foods containing psyllium that delivered 8 g per
day of soluble fiber than did similar, unsupplemented foods in the control diet.
Fasting blood samples and blood pressure readings were obtained at baseline and
weeks 2 and 4, and the subjects' weight was monitored weekly. Compared with the
control diet, the high-fiber diet reduced total cholesterol levels. Applying the
Framingham cardiovascular disease risk equation to the data confirmed a
reduction in risk of 4 percent. Small reductions in blood pressure were found
after both diets. The subjects reported no significant differences in
palatability or gastrointestinal symptoms between the diets.
Comments:
Even though the reduction of cholesterol was small, it was nevertheless a
positive response. Adding psyllium to the diet, for instance about a teaspoon in
a glass of water two or three times a day with meals will help reduce
cholesterol and also helps regulate bowel movements.
Magnesium mineral is helpful
Signs and symptoms of heart
disease
The clinical syndrome of heart failure manifests when cellular respiration
becomes impaired because the heart cannot pump enough blood to support the metabolic
demands of the body, or when normal cellular respiration can only be maintained with an
elevated left ventricular filling pressure. Symptoms and signs include shortness of
breath, weakness, and fluid accumulation in the legs and feet.
Causes of Heart Disease
The following are heart disease causes: coronary artery
disease, previous heart attack, hypertension, cardiomyopathy, valvular heart disease,
arrhythmia, drugs, alcohol,
aortic stenosis, mitral or aortic regurgitation, pulmonary
hypertension.
The risk of
developing heart failure increases with a person's weight: rising slightly in those who
are only slightly overweight, and eventually doubling in those who are obese.
The medical treatment of heart
failure is
often effective
and includes:
Salt restriction
Aspirin is a more cost-effective way to treat
patients at risk of having a second heart attack or stroke than the new drug Plavix
(clopidogrel), but may lead to more hospitalizations. Perhaps a lesser dose
should be tried.
Angiotension-converting enzyme (ACE) inhibitors
Angiotensin II receptor blockers
Beta blockers
Predicting Death from Heart
Failure
A simple points system may guide treatment of elderly
heart failure patients.
Researchers at Washington University School of Medicine in St. Louis found that
by counting how many of seven easy-to-obtain health factors a patient has,
physicians can estimate the patient's risk of dying. The seven factors that most
affect patient survival in heart failure are:
advanced age is a strong predictor for heart failure
a history of dementia (contributes to a host of conditions related to the
inability to properly care for oneself)
coronary artery disease (arteries that supply blood to the heart muscle are
hardened and narrowed)
peripheral vascular disease (similar to coronary artery disease but involving
blood vessels outside of the heart and brain)
low sodium in the blood (an indication of neurohormonal imbalance)
high urea in the blood (a reflection of poor cardiac output that affects
kidney function)
low blood pressure (a result of weakened heart function) is a good predictor
for heart failure.
Heart Failure Questions
Q. was doing some research about fish oil the other day , and i was
surprised to see something on Wikipedia that i think should be considered by
everyone, i know that many people take fish oil, well, i do, and a lot of them
have health problems, and one may not know that he or she has congestive heart
failure, and taking fish oil can cause death, im sure you will be interested in
reading the article below. Omega-3 fatty acid, from Wikipedia, the free
encyclopedia. Warning for persons with congestive heart failure: Persons with
congestive heart failure, chronic recurrent angina or evidence that their heart
is receiving insufficient blood flow are advised to talk to their doctor before
taking omega-3 fatty acids. It may be prudent for such persons to avoid taking
omega-3 fatty acids or eating foods that contain them. In a congestive heart
failure, cells that are only barely receiving enough blood flow become
hyperexcitable. This, in turn, can lead to an increased risk of irregular
heartbeats, which, in turn, can cause sudden cardiac death. Omega-3 fatty acids
stabilize the rhythm of the heart by effectively removing these hyper-excitable
cells from functioning, thereby reducing the likelihood of irregular heartbeats
and sudden cardiac death. For most people, this is a very good thing and
accounts for most of the large reduction in the likelihood of sudden cardiac
death. However, for persons with congestive heart failure, the heart is barely
pumping blood well enough to keep them alive. Omega-3 fatty acids may eliminate
enough of these pumping cells that the heart is no longer able to pump
sufficient blood to live, causing an increased risk of cardiac death.
A. Just because something is mentioned on Wikipedia does not make
it correct. We have seen no studies regarding the benefits and side effects of
fish oils in congestive heart failure. Therefore the above report is premature.
Perhaps in severe cases of heart failure using high doses of fish oils may cause
a problem, but until human trials are done we would not know. It is also unwise
to make a statement that people should not eat fish if they have congestive
heart failure. In congestive heart failure blood clotting is possible, hence one
benefit of fish oils is that it can thin the blood and improve circulation. The
jury is still out and no definite statements can be made at this time regarding
the use of a fish oil supplements and heart failure.
Q. I was in the
hospital for heart failure
and the modern drugs that the doctors gave me helped me a lot. I do believe in
natural supplements but I also think drugs are very helpful.
A. We agree. Both can be used together is many cases.
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