heart disease
Understanding some of the frequently used terms
- Cardiovascular – conditions that affect the heart and/or the blood vessels 8
- Hypertension – high blood pressure. 2
- Coronary artery disease – a condition affecting the blood vessels supplying the heart muscle, where it becomes clogged with fatty substances. 2
- Congenital heart disease – birth defects that causes the heart to not develop and function as normally expected. 2
- Valvular heart disease – a condition affecting the heart valves that opens and closes to move blood inside the heart. 1
- Atrial fibrillation – when the rhythm of the heart changes. 2
Can you have Heart Failure without being aware of it?
Yes, it is possible. Although there are some key symptoms that point to Heart Failure, the damage to the heart could already be present without any symptoms. 7
When we look at the stages of Heart Failure, you are already defined to be at the first stage if you have a high risk for Heart Failure based on your medical conditions and lifestyle. 7
Can Heart Failure be cured?
Unfortunately, in most cases, Heart Failure can never truly be reversed, but the symptoms can be controlled, and with proper management, you can delay the condition becoming more severe. 2
In rare situations such as a damaged heart valve, replacing the valve may resolve the Heart Failure. 2
Will I need to take medication for the rest of my life?
You are likely to require medication for your Heart Failure for the rest of your life. They can help to keep your symptoms under control and improve your quality of life. 2
Can I use natural remedies or other supplements to help manage Heart Failure?
Some studies done on the herbal ingredients such as Ginseng, Ginkgo biloba, Ganoderma lucidum (a type of mushroom), and Gynostemma pentaphyllum (a climbing vine), show some benefits, but the side effects from these remedies may cause more harm than good. 13
It is always recommended to discuss the use of any complementary of traditional medicine with your doctor, as it may affect the efficacy of your medication prescribed for your Heart Failure and/or other medication.
Can I still have sex?
Most people with Heart Failure can continue to enjoy sexual relations once their symptoms are under control. Just as with any other activity, you shouldn’t have sex if you are feeling ill, are very short of breath, or are experiencing chest pains. You may feel more comfortable and confident when trying the following: 14
- Choose a time for sex when you are rested, relaxed and not pressured
- Avoid having sex immediately (approx. 1 hour) after eating a big meal, or drinking alcohol
- Have sex in a comfortable, familiar room that is not too hot or too cold and where you will not be interrupted
- Use foreplay as a warm-up period to help your body get used to the increased activity level of intercourse
- Have sex in less strenuous positions, such as lying on the bottom, or with you and your partner lying side by side. If at any time, you start to feel uncomfortable, breathless, or tired during intercourse, stop and rest for a short while.
- Try mutual forms of sexual stimulation other than intercourse.
- Consider other ways to show affection, such as non-sexual affection and communication with your spouse or partner.
Is it safe for me to fly?
Air travel is not usually a problem for people with Heart Failure, however, some people may sometimes need supplemental oxygen during the flight. Generally, if your Heart Failure is well controlled and stable, you should not have any difficulties with mild reductions in oxygen levels in a plane. If you have new or worsening symptoms – such as increasing shortness of breath or recent weight gain – you should discuss your travel plans with your doctor. 15
Some precautions during air travel include restricting intake of salt, alcohol and coffee to prevent dehydration, keep a list of your medications close by, as well as extra medications and store them in carry-on luggage 15
Is it save to have vaccinations?
Caring for yourself when you have Heart Failure is mainly about staying as well and as healthy as possible. One way to stay well is to minimise the risk of getting respiratory infections like influenza (flu) or pneumonia, as respiratory problems can worsen Heart Failure. Vaccines can provide immunity against flu and pneumonia, but you should discuss having these vaccines with your doctor, who will be able to advise you in more detail about them. 7
When travelling, your travel agent will advise you on the immunisations or medications needed. Discuss these immunisations and medication with your doctor (e.g., malaria tablets), that may be required for your destination.
As a caregiver or partner, how do I support my loved-one with Heart Failure?
Heart Failure is a life-long condition. However, helping someone with heart failure manage their condition can lead to a much better outcomes.
Here are some tips for caring for someone with Heart Failure:
- Make sure they have a strong support network around them
- Encourage them to track and manage symptoms regularly
- Make sure they keep an honest, open dialogue with their doctor around disease progression
- Encourage them to keep doing the ‘normal’ things as best they can: hobbies, hikes, etc.
- Be there for them – Make sure there is always an ear to listen – heart failure can have many ups and downs.
- Be there for you – It is important to keep a close eye on your own emotions, too. This is also your struggle, and you may benefit from talking to other carers or people living with Heart Failure. Keep your health as a priority and if you begin to feel stressed, overwhelmed or depressed, talk to someone.