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How to Help a Family Member with Heart Disease E-mail
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heart diseaseWhen someone we love is hurting, it's only natural to want to help them in every way possible. If a family member is dealing with a cardiac disease, our ability to help can be hindered by a number of factors. But with a little effort, we can overcome these challenges and provide the right kind of support.

"When doctors send our patients home, we often assume that everything we say and suggest and prescribe is going to be followed up on," admits Dr. Cam Patterson, chief of cardiology at the University of North Carolina Hospitals in Chapel Hill. "But there are all kinds of ways an excellent clinical plan can be derailed."

To keep that from happening, Patterson suggests that family members do the following:

  • Understand the illness. The most common obstacle is not having enough information on the condition. Start by consulting with the cardiologist about your role in rehabilitation and recovery. It's also a good idea to talk to your loved one about how much she or he is willing to share with you, and by gauging how well she or he understands the condition.

  • Manage medications and follow-up appointment. With new routines and medications, patients can get frustrated. This is where family members can be a huge help. Make sure you understand the purpose, dosage and side-effects of each medication, and that you are aware of all appointments for doctor visits and cardiac rehab sessions.

  • Get active. Activity levels will be limited for most patients, but it's important for family members to help them get on with their lives. Reintroduce your parent or spouse to what they do on a day to day basis, like going back to church or working on a hobby - the things that make life fulfilling.

  • Participate in lifestyle changes. Most cardiac patients have to make significant changes in exercise and diet. Success rates skyrocket when a family member or friend participates. For instance, the American Heart Association reports that people are 76 percent more likely to stay on their walking program if someone else is counting on them.

  • Watch for emotional responses. It's not uncommon for cardiac patients to become depressed or go into denial. If your loved one becomes angry or withdrawn, or if you notice other major changes in his or her personality, talk about it together. And if you're really concerned talk to the cardiologist, nurses or any primary care provider. Even clergy members can help.

  • Help yourself. Since heart disease has a genetic component, it's important for children and siblings to know their heart health status by making an appointment with a physician. For spouses, it's important to make sure you have your own support system - family, friends, clergy, support groups, etc. - to help you manage the emotions you may encounter in caring for a loved one. You can't help if you're not healthy yourself!

"It's important to realize that your family's going to have to make adjustments because of this severe illness, but you can't let it get in the way of being a family," Patterson says.

Patients with serious conditions like heart disease often feel alone or don't want to be burdens on their families. Following these steps can help you support your loved one on the road back to a full and meaningful life.

About Cardiovascular Disease

Cardiovascular disease is a broad term that includes several more specific cardiovascular conditions. Cardiovascular disease is the leading killer in the US. 

Common heart conditions include: 
  • Arrhythmias. Irregular, or abnormally fast or slow, beating of the heart. The heart beat is controlled by electrical impulses. When the timing or frequency of these electrical impulses are disrupted, arrhythmias develop. Some arrhythmias are quite serious. An example is ventricular fibrillation, a severely abnormal heart rhythm that causes death unless treated right away by providing an electrical shock to the heart (called defibrillation). Others are less severe but can develop into more serious conditions over time. A particular concern is atrial fibrillation. Atrial fibrillation is rapid, irregular beating of the upper chambers of the heart. The chambers can quiver instead of beating in a regular pattern. Blood is not fully pumped out of them and may pool and clot.

  • Cardiomyopathy. A weakening of the heart muscle or a change in heart muscle structure. It often results in inadequate heart pumping or other heart function abnormalities. These can result from various causes, including prior heart attacks, viral or bacterial infections, and others.

  • Congenital Heart Disease. Malformations of heart structures, present during pregnancy or at birth. These may be caused by genetic factors or by adverse exposures during pregnancy. Examples include holes in the walls that divide the heart chambers, abnormal heart valves, and others. Congenital heart defects can disrupt the normal flow of blood through the heart. Congenital heart defects are the most common type of major birth defect.

  • Coronary Heart Disease (CHD). CHD is the most common type of heart disease. CHD occurs when the coronary arteries, that supply blood to the heart muscle, become hardened and narrowed due to the plaque buildup. The plaque buildup and the narrowing and hardening of the arteries is called atherosclerosis. Plaques are a mixture of fatty substances including cholesterol and other lipids. Blood flow and oxygen supply to the heart can be reduced or even fully blocked with a growing plaque. Plaques may also rupture and cause blood clots that block arteries. CHD can lead to a heart attack. Angina, the most common symptom of CHD can also occur. Angina is chest pain or discomfort that occurs when the heart muscle is not getting enough blood. Irregular heart beats, called arrhythmias, can develop.Over time, CHD can weaken the heart muscle and lead to heart failure, a serious problem where the heart cannot pump blood the way that it should.

  • Heart Attack. A heart attack , also called a myocardial infarction may occur when blood supply to the heart is severely reduced or completely blocked. When blood flow is restricted the heart muscle cells do not receive enough oxygen and begin to die. The more time that passes without treatment to restore blood flow, the greater the damage to the heart. This damage can cause irregular heart rhythms or even sudden cardiac arrest or stopping of the heart beat. Death can result. Coronary artery disease is the chief underlying cause of a heart attack. A less common cause of a heart attack is a severe spasm of a coronary artery that reduces the blood supply to the heart.

  • Heart Failure. This may also be called congestive heart failure or chronic heart failure. Heart failure is a condition where the heart cannot pump enough blood and oxygen to meet the needs of other body organs. Heart failure does not mean that the heart has stopped, but that it cannot pump blood the way that it should. Heart failure is a serious condition. There is no cure for heart failure at this time, except a heart transplant. Once diagnosed, medicines are needed for the rest of the person's life.

  • Peripheral Arterial Disease (PAD). Hardening of the arteries that supply blood to the arms and legs. PAD is usually the result of atherosclerosis, the buildup of plaque and narrowing of the arteries. Blood flow and oxygen to the muscles in the arms and legs can be reduced or even fully blocked. Painful leg muscles, numbness, swelling in the ankles and feet, and weak pulse in the feet are some of the signs and symptoms of PAD.

  • Rheumatic Heart Disease.This condition is damage to the heart valves and other heart structures due to inflammation and scarring caused by rheumatic fever, which occurs from streptococcal infection.Heart disease is an umbrella term for a number of different diseases affecting the heart.Heart disease is a number of abnormal conditions affecting the heart and the blood vessels in the heart.

 

 
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