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Medications Many different medications are used in the treatment of heart failure. They include: Angiotensin-converting enzyme (ACE) inhibitors Angiotensin-receptor blockers (ARBs) Beta blockers Diuretics Aldosterone blockers Digitalis Hydralazine and nitrates Statins Aspirin and warfarin ACE Inhibitors Angiotensin-converting enzyme (ACE) inhibitors are among the most important drugs for treating patients with heart failure. ACE inhibitors open blood vessels and decrease the workload of the heart. They are used to treat high blood pressure but can also help improve heart and lung muscle function. ACE inhibitors are particularly important for patients with diabetes, because they also help slow progression of kidney disease. Brands and Indications . ACE inhibitors are used to treat Stage A high-risk conditions such as high blood pressure, heart disease, and diabetic nerve disorders (neuropathy). They are also used to treat Stage B patients who have had a heart attack or who have left ventricular syst...
Not really. In fact, heart failure is newly diagnosed in more than half a million Americans per year and may be somewhat different for men and women. Most of the time, a physician can make the diagnosis on the basis of symptoms given by the patient. On some occasions, however, it is more difficult to make this diagnosis if there are other problems such as lung disease (asthma, emphysema) present. First, the symptoms: • Fatigue • Shortness of breath on exertion • Diminished capacity to exercise • Heavy, swollen legs Second, the signs: • Abnormal heart sounds or heart rhythms • Abnormal lung sounds • Evidence for fluid in the ankles
Last night as I was sleeping
I dreamt—marvelous error!—
that I had a beehive
here inside my heart.
And the golden bees
were making white combs
and sweet honey
from my old failures .
-Anthony Machado, “Last Night as I Was Sleeping”
Sweetness and honey: two words that might elevate bloodsugars of diabetics everywhere just by imagining them. Yet I love this poem and these lines in particular. Because even though the old failures are there (and always will be), there’s comfort there, too.
Machado’s bees remind me that this is how we learn. We learn to change not by getting it right all the time, but by getting it wrong. More often than not, we learn what to do by learning what not to do (reason enough to read this and other SharePosts ). Of course, I can’t help but look at Machado’s poem through the eyes of a diabetic…a diabetic who has gotten it wrong as many times as she’s gotten it right.
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