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November 14, 2008, 12:57 am PST
The four essential steps, that I've taken, that help me live with Heart Failure
I
am near 70 and have had Congestive Heart Failure, Persistant Atrial
Fibrillation, Chronic Tachycardia, Chronically High Blood Pressure,
Immune System Dysfunction, Insulin Resistance, Pre-Diabetes and Asthma
for over twenty years.
I have learned four essential steps for lowering my blood pressure down
to very healthy levels, reducing my heart rhythm problems, improving my
heart failure, improving my Immune System/Neurohormonal System
problems, and at the same time improving my general health. I have no
medical training or education, so I don't know how much these four
essential steps would help others, but I'll document them here anyway.
The four essential steps are:
- Being on a healthy diet. I
prefer frequent, small portion, high fiber, low calorie meals, based on
the Glycemic Index, but other healthy diets might work well for others.Because
of the profound improvement in my health, I intend to stay on this
small, frequent, high fiber diet the rest of my life. I love it!
- Finding out, and avoiding, the things (triggers) that cause over-activation of the Immune System and the Nervous System. Heart
Failure, and other heart problems, result in over-active Hormonal
Systems, that attempt to increase the pumping ability of the heart by
pouring out excess "helpful" hormones. Immune System Triggers and
Nervous System Triggers cause even additional hormones to be produced,
causing unhealthy stress to our systems, and resulting in a worsening
of heart failure, high blood pressure, heart rhythm problems, and many
other health problems.These "helpful"
chemicals (hormones,cytokines) are not so helpful when they are
over-produced and are constantly circulating in the body. The
over-production and over-circulation of hormones, cytokines, etc., can
cause damage to organs, glands, joints and nerves, and make you feel
sick as a dog, with fatigue, anxiety, mental confusion, headaches,
etc.. Medicines, like Ace Inhibitors, Calcium
Channel Blockers, Beta Blockers, Renin Blockers all attempt to block,
or inhibit, the overproduction of hormones. The
more "triggers" of the Immune System, or the NeuroHormonal System, that
can be avoided, the less medication that is required. Make sense? For
instance, if you can avoid triggers that cause even more
over-activation of the adrenal glands, you might thusly require lower
dosages of medication that attempt to block the Adrenal Glands, like
Beta Blockers.
- Exercise, exercise, exercise!Exercise is important, but
until my health got better through proper diet and avoiding triggers
that cause Heart Failure to get progressively worse, I could only do
very limited exercise. Very slowly and gradually I was able to increase
physical activity and exercise. Many times I would overdo it and suffer
from difficult breathing, chest pains, over-sweating, increased heart
rhythm problems and fatigue.My current
exercise schedule, spread throughout the day, is about fifty pushups a
day, 300 lifts with 10 pound weights per day per arm, 450 steps per
day, per leg, on my stepper; and power walking one hour per day in two
30 minute sessions. Not bad for a elderly guy suffering from Heart
Failure for over 20 years, huh? One benefit that I didn't expect to see is a significant improvement in my varicose veins. Who'd of thunk!
- Taking the correct meds on the correct schedule.
Finding out which medicines work best, and what is the best
time to take them, is complex and extremely difficult. I've taken, and
suffered with, many different heart/blood pressure medications before I
figured out what works best for me. I
currently take 6.25mg Coreg twice a day; .25mg Digoxin once a day;
Warfarin 2.5mg once a day, Flovent and Flonase. You have to admit, that
is a very low level of medication for treating all of my chronic
diseases.
Heart Failure is a progressive disease. That means that it usually gets
worse with time, not better. I was limited prior to age 60, but I felt
that I was holding my own. Entering my 60's, my health got much worse,
with worsening fatigue and weakness, constant chest pains, mental
confusion and constant problems breathing, especially when lying down.
I was forced to sleep sitting up to limit my breathing and heart rhythm
problems.
Now..... close to my 70's, my health is quite good, although I am still
limited by my disease(s). My heart is damaged, and while improved, my
heart will always be compromised. The most important lesson, I've
learned, has been that, even during one's 60's, heart failure does not
necessarily have to lead to death and morbidity.
When my symptoms worsened, back in 1998, I started taking my blood
pressure many times per day. It wasn't until 2004, when I incorporated
all four essential steps, that my blood pressure, and health, started
the long journey back towards better health.
At that time, I did not really know if I would continue to improve, or
continue to get worsening heart failure.
These were my annual "average" blood pressure readings from 1998 through 2008.
- 1998: 152/97, readings=1016; Standard Deviation= Systolic of 15 and Diastolic of 9An average of 152/97 for the ENTIRE YEAR! Is it any wonder why I was getting worse!?
- 1999 : 146/92, readings=3599; Standard Deviation= Systolic of 14 and Diastolic of 9An average of 146/92, each and every day, for the entire year. Better than 1998, but still a serious health problem!
- 2000 : 145/92, readings=3322; Standard Deviation= Systolic of 12 and Diastolic of 8
- 2001 : 147/92, readings=2375; Standard Deviation= Systolic of 12 and Diastolic of 7
- 2002 : 150/96, readings=1423; Standard Deviation= Systolic of 13 and Diastolic of 8
- 2003 : 151/96, readings=1032; Standard Deviation= Systolic of 13 and Diastolic of 8
- 2004 : 146/90, readings=2065; Standard Deviation= Systolic of 14 and Diastolic of 8
- 2005 : 139/86, readings=2526; Standard Deviation= Systolic of 12 and Diastolic of 8
- 2006 : 136/79, readings=3269; Standard Deviation= Systolic of 12 and Diastolic of 7
- 2007 : 126/74, readings=2720; Standard Deviation= Systolic of 12 and Diastolic of 7An average of 126/74 for the entire year. There is hope that I can survive these nasty diseases!

- 2008 : 121/72, readings=1902; Standard Deviation= Systolic of 12 and Diastolic of 7
My Cholesterol Numbers are also great, without ever having to take statins!
- Total Cholesterol: around 160
- HDL: around 60
- LDL: around 90
- Trig: around 60
- Ratio: < 3
As long as I adhere to the four essential steps, I don't have to worry
about my blood pressure. My health is also slowly improving day by day.
I feel younger, stronger, more alert, and with more energy, although I
never expect my heart to fully recover. But...... not meaning to
sugarcoat my story, if I did not, or could not, continue to live this
very healthy and limiting lifestyle, I would definitely get
progressively worse and die from my diseases. I long for the days when
I could live a normal life, but I will never see those days again.
Hopefully, my ongoing battle to survive Heart Failure will be a much
longer and healthier one! 
__________________
20+ years of CHF, AFib, HBP, Immune Dysfunction, Insulin Resistance;
all much better due to diet, exercise, and avoiding
NeuroHormonal/Immune System Triggers. I love COREG!!!
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