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<p><b><span style='font-family:Arial'>Congestive Heart Failure</span></b></p>
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<p><span style='color:red'>Congestive Heart </span> <br>
<a href="index.html">Home</a></p>
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<p><span style='font-size:11.0pt;font-family:Arial'><i><b>Caution</b>: A number of readers have written to tell me that they feel that this page is discouraging. Read it carefully and you will see that there are many positive alternatives for persons dealing with CHF to consider.
However, congestive heart failure is a serious problem and this website does not take any disease lightly. </i>
<p>
<p><span style='font-size:11.0pt;font-family:Arial'>In an average lifetime, your
heart will beat two and a half BILLION times. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Congestive heart failure
(CHF) is the end product of any of a number of cardiovascular diseases that
can degrade the heart’s ability to pump blood efficiently. Much has been
written on diagnosing congestive heart failure but rather less is known about
treating it. This is because broken hearts are tough to fix. A
diagnosis of CHF means that it is too late for nutritional <b>prevention</b>. The
horse is long gone by the time many people decide to shut the stable door.
But nutritional <b>intervention</b> can still greatly help even a damaged heart.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>In the past, drugs such
as digitalis or one of its ilk were often given to strengthen and to some
extent regulate heartbeat. Vasodilators (blood vessel opening drugs) are
given to improve cardiac output and relieve backed-up blood from blood
vessels throughout the body, especially in the lungs. Fluid buildup (edema)
is commonly treated with diuretic drugs. </span><span style='font-size:
11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>It may be possible to naturally
augment, or perhaps substitute for, these pharmaceutical drugs.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Vitamin E</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>One of the body’s
most powerful defenses against free radical damage is the antioxidant vitamin
E. The natural form, d-alpha tocopherol, can also be cautiously used to
strengthen and regulate heartbeat. An initial dose of vitamin E would be only
about 50 International Units (I.U.) daily. This is roughly equivalent to
50 milligrams (mg). To avoid any possible risks of an asymmetric heart
contraction, patients with congestive heart failure need to start small with
vitamin E. Doses may be gradually increased under medical supervision.
For additional information, it is most worthwhile read any books by Drs.
Wilfrid or Evan Shute</span><span style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>( </span><span
style='font-size:11.0pt'><a
href="http://www.doctoryourself.com/biblio_shute.html"><span
style='font-family:Arial'>http://www.doctoryourself.com/biblio_shute.html</span></a></span><span
style='font-size:11.0pt;font-family:Arial'> ). If their books are hard to
find, try an interlibrary loan at any public library.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Thiamin</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Some congestive heart
failure is actually caused by thiamin (vitamin B-1) deficiency. 25 to 50
mg with each meal might be worth a therapeutic trial. I think a
thiamin-containing 50 mg "balanced B-complex" tablet each meal
would be even better.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Common Sense</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>No added salt.
No alcohol. No smoking. If overweight, lose it. No kidding.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Herbal Diuretics</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>It may be possible to
use herbal medicines to reduce swelling due to retained fluids. There
are no fewer than 180 herbs with diuretic properties listed just on pages
53-54 of John Lust’s <i>The Herb Book</i>. (NY:Bantam. 1974. ISBN 0-553-13082-X).
I am not suggesting that you take 180 herbs. I am suggesting that you
read up on your options before committing yourself only to drugs.</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Selenium</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Selenium deficiency
can cause a congestive heart disease called Keshan disease. 100 to 300 micrograms
(mcg) of selenium daily would insure against this. In addition, selenium
works to help your body recharge and efficiently reuse its vitamin E. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Magnesium</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>The role of magnesium
in normal heart function is tremendous. Profound magnesium deficiency
causes muscles to underfunction, malfunction or not function at all. Several
hundred of your body’s most important biochemical reactions depend on this
mineral. "The synthesis of all proteins, vital cell nuclear
materials such as nucleic acids and nucleotides, lipids, and carbohydrates
require ionized magnesium (Mg ++)." (Williams, SR <i>Nutrition and Diet
Therapy</i>, Seventh Ed, St. Louis: Mosby, 1993, pp 230-233) Even most,
ah, "healthy" adults fail to get the US RDA of magnesium, which
ranges from 280 to 400 mg for adults. These figures are elemental weights:
just the corn, not the can. Most magnesium supplements are compounds of
magnesium with something else. The weight of the "something
else" is often obscured in dosage recommendations. That is why
Melvyn Werbach, M.D. cites studies that advocate daily dosages of 2,000 mg of
magnesium per day for CHF. (<i>Textbook of Nutritional Medicine</i>. <st1:place
w:st="on"><st1:City w:st="on">Tarzana</st1:City>, <st1:State w:st="on">CA</st1:State></st1:place>:Third
Line Press, 1999, pp 273 and 275.) The elemental quantity is
significantly lower than that. Green vegetables and whole grains contain
quite a bit of magnesium. Pinto beans, almonds, and especially figs are
oustanding food sources.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Of the oral supplements,
magnesium aspartate or magnesium orotate may have the best chance of getting
into cardiac muscle cells. These forms of magnesium are rarely found on store
shelves. Your doctor may be able to have them compounded for you by a
cooperative pharmacist, or you might find them with an internet search. Intravenous
administration of magnesium may be necessary in more serious cases of
congestive heart failure. Have a test ordered to check serum magnesium.
Most doctors don’t. It is even better to check myocardial magnesium (<i>Textbook</i>,
p 275). This is because the amount of magnesium in the heart muscle cells may
be considerably lower than in the blood.</span><span style='font-size:11.0pt'>
<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>A great deal of
information about magnesium will be found at </span><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'> </span><span
style='font-size:11.0pt'><a href="http://www.mgwater.com/"><span
style='font-family:Arial'>http://www.mgwater.com</span></a></span><span
style='font-size:11.0pt;font-family:Arial'> and in the work of Dr. Hans
Nieper, M.D. </span><span style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>(listed at </span><span
style='font-size:11.0pt'><a
href="http://www.doctoryourself.com/biblio_nieper.html"><span
style='font-family:Arial'>http://www.doctoryourself.com/biblio_nieper.html</span></a></span><span
style='font-size:11.0pt;font-family:Arial'> ).</span><span style='font-size:
11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Potassium</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>Potassium deficiency
is associated with congestive heart failure, and is connected with magnesium
deficiency, mentioned above. Low potassium can cause erratic heartbeat
(heart arrhythmia). A non-technical way of increasing dietary potassium is to
eat lots of easy to digest fruits, and juiced vegetables. They are
loaded with potassium. Nuts, whole grains and legumes (beans) are good,
too. 4 ounces of almonds contains a whopping 800 mg. <st1:country-region
w:st="on"><st1:place w:st="on">Brazil</st1:place></st1:country-region> nuts
have almost as much. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Co-Enzyme Q10. This is
very important. </span></b><span style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>One of the best
things about Co-Enzyme Q 10 is that it is harmless, having no negative side
effects or contraindications of any kind. No physician or hospital can
make a case against taking it. The down side is that it is
pricey. But then, so are heart transplants. Clinical studies and
patient reports that show success with Co Q 10 usually use somewhere around
400 mg a day, divided into several doses. 35mg/day or 50 mg/day simply will
not work.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><i><span style='font-size:11.0pt;font-family:Arial'>"I have had
patients with such severe CHF that they were waiting for a heart transplant.
After taking CoQ10, they no longer needed a transplant."</span></i><span
style='font-size:11.0pt;font-family:Arial'> Jullian Whitaker, M.D. (<i>Health
& Healing,</i> December 1997. </span><span style='font-size:11.0pt'><a
href="http://www.drwhitaker.com/"><span style='font-family:Arial'>http://www.drwhitaker.com</span></a></span><span
style='font-size:11.0pt;font-family:Arial'> ) </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>If there is higher praise
than this, I have not yet seen it.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Amino Acids</span></b><span
style='font-size:11.0pt'> <br>
</span><span style='font-size:11.0pt;font-family:Arial'>As a rule, I am in
favor of getting amino acids from protein foods in ones diet. With
really sick people, a case can be made for amino acid supplementation. In
Werbach's <i>Textbook of Nutritional Medicine</i>, the case is indeed well
made.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Dr. Werbach recommends <b>L-Arginine</b>
at a daily dose somewhere between 5,600 and 12,600 mg because it "causes
peripheral vasodilation and improves cardiac output." (p 273). The
benefit to patients was an increase in "the distance they could walk in
6 minutes, and the rate of blood flow during exercise." Arginine is
normally considered by dieticians to be a "semiessential" amino acid,
necessary only for growth. It is possible that growth includes regrowth,
strengthening, and repair of cardiac muscle. Eggs, cheese, whole grains, and
legumes (beans) are good food sources. Peanuts are absolutely loaded
with arginine, containing three times as much as meat does. You’d need
to consume roughly a twelve-ounce can of peanuts a day to get in the middle
of the dose mentioned above. Chew nuts well for best absorption. That, or
consider supplements. Or do both.</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><b><span style='font-size:11.0pt;font-family:Arial'>Taurine</span></b><span
style='font-size:11.0pt;font-family:Arial'> is an amino acid normally made in
your body from another amino acid, methionine. Methionine is found in eggs,
cheese, beans, nuts, and whole grains. Brazil nuts have over twice as
much methionine as meat, ounce for ounce. Extreme stresses to the body
(hospital food, perhaps?) can cause taurine deficiency. (Desai TK et al.
Taurine deficiency after intensive chemotherapy and/or radiation. <i>American
Journal of Clinical Nutrition</i>. 55:708, 1991.) Taurine appears to
help regulate heartbeat. Dr. Werbach mentions a doseage of 4,000 to
6,000 mg/day. </span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>The amino acid <b>L-Carnitine</b>
is also made in your body IF (and, to quote Ed Sullivan, this is a
"really big" IF) you consume plenty of methionine, lysine, vitamin
B-6 (pyridoxine), niacin, and vitamin C. (Iron is also necessary; adult
men do not need to seek after iron.) Most people, especially the elderly
with chronic illness, do not get nearly enough of those three vitamins. This
study recommends 2,000 mg of L-carnitine daily, specifically for CHF: Ghidini
O, Azzurro M, Vita A, Sartori G. (1988) Evaluation of the therapeutic
efficacy of L-carnitine in congestive heart failure. <i>International Journal
of Clinical Pharmacology, Therapy and Toxicology</i> 26: 217-220. </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Large amounts of
supplemental <b>Creatine</b>, still another amino acid that your body
normally produces, may help strengthen heartbeat. As creatine phosphate, it
is involved in supplying energy to power muscle tissue, especially cardiac
muscle. Dr.Werbach cites studies that indicate that persons with CHF have a
deficiency of creatine in the heart muscle itself, and that daily doses of
20,000 mg/day "improve cardiac function… physical strength and
endurance." (<i>Textbook of Nutritional Medicine</i>, p 276)</span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>All quantities mentioned
above should be divided up into several smaller doses throughout the day. I
would add <b>vitamin C</b>, about 4,000 to 10,000/day (or to bowel tolerance)
both because of its antioxidant properties and also because of its role in
amino acid synthesis. I also suspect that since the heart prefers fatty
acids for fuel, a long-standing deficiency of essential fatty acids causes
deterioration of heart muscle. Lecithin, fish, and primrose oil are
sources of essential fatty acids. </span><span style='font-size:11.0pt'><a
href="http://www.doctoryourself.com/lecithin.html"><span style='font-family:
Arial'>http://www.doctoryourself.com/lecithin.html</span></a> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>If these natural options
do not speak strongly enough to you, bear in mind that </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>1) There is no drug cure
for congestive heart failure; and </span><span style='font-size:11.0pt'>
<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>2) The pharmaceutical
drugs given in an attempt to cope with the condition have many side effects;
and</span><span style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>3) The excerpt (below)
from an article by the US National Institutes of Health is admittedly quite
depressing. When you’ve finished reading it, I recommend that you then <b>read this entire webpage again, from the top.</b> </span><span
style='font-size:11.0pt'> <o:p></o:p></span></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>National Heart, Lung, and Blood Institute</span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <br>
</span></i><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>National Institutes of Health Data Fact Sheet:</span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <br>
</span></i><i><span style='font-size:11.0pt;font-family:Arial;mso-bidi-font-weight:
bold'>Congestive Heart Failure in the <st1:country-region w:st="on"><st1:place
w:st="on">United States</st1:place></st1:country-region>: A New Epidemic</span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>An estimated 4.8 million Americans have congestive heart
failure (CHF). Each year, there are an estimated 400,000 new cases. </span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>CHF is the… most common diagnosis in hospital patients age
65 years and older. In that age group, one fifth of all hospitalizations have
a primary or secondary diagnosis of heart failure. </span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'> Incidence of CHF is equally frequent in men and women, and
annual incidence approaches 10 per 1,000 population after 65 years of age.
Incidence is twice as common in persons with hypertension compared with
normotensive persons and five times greater in persons who have had a heart
attack compared to persons who have not… </span></i><i style='mso-bidi-font-style:
normal'><span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>Survival following diagnosis of congestive heart failure
is worse in men than women, but even in women, only about 20 percent survive
much longer than 8 to 12 years. The outlook is not much better than for most
forms of cancer. The fatality rate for CHF is high, with one in five persons
dying within 1 year… CHF remains a highly lethal condition. With the use of
angiotensin-converting enzyme (ACE) inhibitors as a possible exception,
advances in the treatment of hypertension, myocardial ischemia, and valvular
heart disease have not resulted in substantial improvements in survival once
CHF ensues. </span></i><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>The death rate for congestive heart failure increased most
years between 1968 and 1993. These increases are in contrast to
mortality declines for most heart and blood vessel diseases. In 1993, there
were 42,000 deaths where CHF was identified as the primary cause of death and
another 219,000 deaths where it was listed as a secondary cause on the death
certificate. The death rate for CHF in 1993 was nearly 1.5 times higher in
black men and women than in white men and women). </span></i><i
style='mso-bidi-font-style:normal'><span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'>(An ideal) drug (to cure CHF) might improve the heart's
pumping ability, open clogged arteries, and prevent tissue damage from free
radicals, a byproduct of the body's metabolic processes. Free radicals are
thought to contribute to the development of atherosclerosis.)
<span style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'></span></i><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt'> <o:p></o:p></span></i></p>
<p><span style='font-size:11.0pt;font-family:Arial'></span><span style='font-size:
11.0pt'> <o:p></o:p></span></p>
<p><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'> </span></i><i style='mso-bidi-font-style:
normal'><span style='font-size:11.0pt'>
</span></i><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'</span></i><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt'>
</span></i><i style='mso-bidi-font-style:normal'><span style='font-size:11.0pt;
font-family:Arial'> </span></i><i style='mso-bidi-font-style:normal'><span
style='font-size:11.0pt'>
</span></i>
<span style='font-size:11.0pt;font-family:Arial'>(end of NIH excerpt)
<p>
</span><span style='font-size:11.0pt;font-family:Arial'>Given this, it can be all the more clearly seen why people really need to investigate natural treatments for congestive heart
failure. Typically, doctors offer patients very little reason to believe that there are serious options for dealing with CHF. <o:p></o:p></span></p>
<p><span style='font-size:11.0pt'><span style='mso-spacerun:yes'> </span>
</span><span style='font-size:11.0pt;font-family:Arial'>But there <b>are </b>alternatives, and they are well worth your serious consideration.
Back to the top of the page?</span><span style='font-size:11.0pt'> <br>
<o:p></o:p></span></p>
<p><span style='font-size:11.0pt;font-family:Arial'>Copyright 2003 and prior
years by Andrew W. Saul.<o:p></o:p></span></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
font-family:Arial'>Andrew Saul is the <span class=grame>author of the books <i>FIRE</i></span><i>
YOUR DOCTOR!</i> How <i>to be Independently Healthy </i>(reader reviews at<i>
</i><a href="http://www.doctoryourself.com/review.html">http://www.doctoryourself.com/review.html</a>
) and <i>DOCTOR YOURSELF: Natural Healing that Works.</i> (reviewed at <a
href="http://www.doctoryourself.com/saulbooks.html">http://www.doctoryourself.com/saulbooks.html</a>
) </span><o:p></o:p></b></p>
<p><b style='mso-bidi-font-weight:normal'><span style='font-size:10.0pt;
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