At Home Christian Jessen 2014 - 69

| cardiac care|

Your beating heart
One in 5,000 people - that's
0.02% - in the UK develop
hypertrophic cardiomyopathy,
a disease that affects the heart
muscle. It most commonly develops
in early adulthood but is sometimes
even present at birth.

Cardiomyopathy

This is a disease of the heart muscle and there are
four types - hypertrophic (where the heart muscle
becomes thickened), arrhythmogenic right ventricular
cardiomyopathy (a rare type which mainly affects the
right side of the heart), dilated (when the heart enlarges)
and restrictive (where the heart muscle cannot relax
properly between heartbeats). With this condition the
muscular walls of the heart become stretched, the heart
larger and the heart muscle weaker, making it unable to
pump as well as it should. The muscle walls also become
thicker, damaged or stiffened, which can affect how much
and how efficiently blood is pumped around the body.
What caUses it? cardiomyopathy can occur for
many different reasons, including coronary heart disease,
high blood pressure, viral infection, high alcohol intake
and thyroid disease. it can also be caused by scarring
(fibrosis) of the heart muscle. Sometimes it is inherited.
treatment Medication may be used to control the
symptoms of heart failure (which can be triggered by
cardiomyopathy), to treat and prevent arrhythmias, and
to lessen the risk of blood clots forming. People with
hypertrophic cardiomyopathy are sometimes offered
surgery to remove parts of the thickened heart muscle.
When symptoms aren't controlled by medication and
quality of life is greatly affected, heart transplantation is
considered. The operations are usually performed on
people with severe heart failure caused by cardiomyopathy
or coronary heart disease, as well as patients with severe
abnormalities of the heart valves, congenital heart
defects or an uncontrollable, fast heart beat.
during surgery, the heart is stopped and a machine
takes over its function. The diseased heart is removed
and the donor organ sewn in and connected to the main
blood vessels. Between 50% and 60% of heart transplant
patients are alive after 10 years. at present, around 300
heart transplants are carried out in the UK every year.

heart rhythm disorders

also referred to as arrhythmias, heart rhythm disorders
are problems that affect the electrical system or 'wiring' of
the heart muscle. They are very common and millions
of people will experience an abnormal heart rhythm at
some time during their lives. When it causes a noticeable
change in the sound of a beat it is often called a heart
murmur. It also includes the condition atrial fibrillation
(aF) when the heart beats quickly and irregularly. dr
Oliver Segal, a heart specialist from The Heart Hospital,
University College London, explains: 'Atrial fibrilation,
the most common heart rhythm disorder in the world,
will affect one in four people in their lifetime.'
What caUses it? Heart rhythm disorders can affect
anyone, regardless of age, gender or physical fitness, but
lifestyle factors can increase the risk. These include
smoking, drinking excess alcohol, leading a sedentary
lifestyle, obesity, eating an unhealthy diet and too much
salt. Other causes are stress, caffeine and cold medicines.
treatment drugs such as beta-blockers and
Verapamil, the calcium channel blocker, are often used
to bring the heart rate back to normal. amiodarone is
used mainly for aF (when the heart beats quickly and
irregularly). anticoagulant drugs such as heparin and
warfarin help prevent blood clots from forming, while
dabigatran and apixaban are newer alternatives.
cardioversion is a treatment which delivers a small,
controlled electrical shock to your heart to interrupt an
arrhythmia so the normal electrical pathway of your
heart starts again. An artificial pacemaker may be
needed for irregular heart rhythms. electrical impulses
are conducted through the pacemaker's pulse generator
and electrode to the heart, stimulating heartbeats.
An implantable cardioverter defibrillator (ICD) gives
the heart electrical shocks. This device is placed under the
collar bone in people who've had a life-threatening
abnormal heart rhythm and are at risk of another.
www.athomemagazine.co.uk JULY 2014 | 069


http://www.athomemagazine.co.uk

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