CONGESTIVE HEART FAILURE- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Congestive heart failure is a condition in which the heart can’t pump enough blood to meet the body’s needs.

• SIGNS AND SYMPTOMS OF CONGESTIVE HEART FAILURE 
• CAUSES OF CONGESTIVE HEART FAILURE 
• PATHOPHYSIOLOGY OF CONGESTIVE HEART FAILURE 
• DIAGNOSIS OF CONGESTIVE HEART FAILURE 
• TREATMENTS FOR CONGESTIVE HEART FAILURE 
• PROGNOSIS OF CONGESTIVE HEART FAILURE 
• COMPLICATIONS OF CONGESTIVE HEART FAILURE 
• CONGESTIVE HEART FAILURE   AND AYURVEDA
• NIDANA- AYURVEDIC CAUSES OF CONGESTIVE HEART FAILURE 
• PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CONGESTIVE HEART FAILURE 
• SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CONGESTIVE HEART FAILURE 
• LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CONGESTIVE HEART FAILURE 
• AYURVEDIC PROGNOSIS OF CONGESTIVE HEART FAILURE 
• CHIKITSA- AYURVEDIC TREATMENT FOR CONGESTIVE HEART FAILURE 
• AYURVEDIC SAMANA TREATMENT FOR CONGESTIVE HEART FAILURE 
• COMMONLY USED AYURVEDIC MEDICINES FOR CONGESTIVE HEART FAILURE 
• HOME REMEDIES FOR CONGESTIVE HEART FAILURE 
• DIET AND BEHAVIOUR FOR CONGESTIVE HEART FAILURE 
• YOGA FOR CONGESTIVE HEART FAILURE 
• RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF CONGESTIVE HEART FAILURE

SIGNS AND SYMPTOMS OF CONGESTIVE HEART FAILURE 

• Pain in the chest
• Palpitations
• Increased heart rate
• Shortness of breath
• Persistent cough
• Lowered ability to exercise
• Swollen legs
• Water retention
• Weight gain
• Fatigue

CAUSES OF CONGESTIVE HEART FAILURE 

Risk factors for developing congestive heart failure are;

• Coronary artery disease
• Family history of heart disease
• High blood pressure
• High cholesterol
• Uncontrolled diabetes
• Obesity
• Smoking
•  Sedentary lifestyle
• High stress

PATHOPHYSIOLOGY OF CONGESTIVE HEART FAILURE 

• Ventricular overload and decreased ventricular contraction cause decreased cardiac output and decreased renal perfusion. Increased sodium retention and increased water reabsorption lead to fluid overload and oedema.
• In the case of a coronary artery, disease plaque builds up in the wall of coronary arteries. Plaque is made up of cholesterol deposits. Plaque buildup causes narrowing of coronary arteries (atherosclerosis) and leads to the blockage of blood supply to the heart muscle.

DIAGNOSIS OF CONGESTIVE HEART FAILURE 

1. EXAMINATIONS

Auscultation – listening to the chest with a stethoscope.

• INVESTIGATIONS

• X – rays
• Cardiac CT scan
• MRI
• Electrocardiogram
• Echocardiogram
• Exercise stress test
• Coronary angiogram

TREATMENTS FOR CONGESTIVE HEART FAILURE 

• Treatment for underlying pathology
• Surgical procedures to restore the blood flow to the heart
• Medications
• Lifestyle changes

PROGNOSIS OF CONGESTIVE HEART FAILURE 

• Congestive heart failure is a treatable disease but can’t be cured.

COMPLICATIONS OF CONGESTIVE HEART FAILURE    

• Heart attack
• Arrhythmias
• Kidney failure
• Liver damage

CONGESTIVE HEART FAILURE AND AYURVEDA

• In Ayurveda, congestive heart failure is interpreted as hridroga.
• Ayurveda has several formulations to treat this condition as an add on therapy and is in practice with proven efficacy.

NIDANA- AYURVEDIC CAUSES OF CONGESTIVE HEART FAILURE 

• Improper food and regimens – virudha ahara and vihara
• Rakta Dhatu dushti
• Rasa dhatu dushti
• Agnimandya
• Sthoulya
• Prameha

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CONGESTIVE HEART FAILURE 

• Fatigue
• Shortness of breath on exertion

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CONGESTIVE HEART FAILURE 

• Agnimandya leads to the formation of ama and dhatu agni mandya leads to impaired dhatu parinama and rasadhushti causes upalepatwa and sanga (obstruction) in the arteries which hamper vyana vayu leading to hridroga.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CONGESTIVE HEART FAILURE 

• Shortness of breath on exertion – swasa rodha
• Fatigue – klama
• Palpitation – hridrava
• Pain in the chest-  vedana in uras
• Sweating – sweda udgama
• Sopha – oedema

AYURVEDIC PROGNOSIS OF CONGESTIVE HEART FAILURE 

• Yapya roga – symptoms are manageable in most the cases

CHIKITSA- AYURVEDIC TREATMENT FOR CONGESTIVE HEART FAILURE 

AYURVEDIC SAMANA TREATMENT FOR CONGESTIVE HEART FAILURE 

The following treatments are adopted:

• Treatment of agnimandya
• Treatment of vyanavata dushti
• Treatment of hridroga
• Treatment of prameha
• Treatment of sthoulya

COMMONLY USED AYURVEDIC MEDICINES FOR CONGESTIVE HEART FAILURE 

Internal administration

• Lasuna erandadi kashaya
• Lasuna ksheera paka
• Arjunarishtam
• Prabhakara vati
• Hridayarnava rasa
• Mashadarvadi kashayam

HOME REMEDIES FOR CONGESTIVE HEART FAILURE 

• Practice mild daily exercises
• Proper rest

DIET AND BEHAVIOUR FOR CONGESTIVE HEART FAILURE 

• Avoid food items that produce dosha imbalance like cold, sweet and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
• Consume easily digestible food items
• Avoid heavy exercises

YOGA FOR CONGESTIVE HEART FAILURE 

• Nadi Shuddi Pranayam    – relieves mental stress

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.                             

RESEARCH WORKS ON AYURVEDIC MANAGEMENT OF CONGESTIVE HEART FAILURE

1. Integrative management of Congestive Cardiac Failure (Hrudrog) with Ayurveda and Modern Medicine: A Case Report

https://www.jaims.in/jaims/article/view/1285

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