Manage Heart Failure With Lifestyle
Having heart failure can leave you feeling out control. But through diet, exercise, and self-monitoring you can make a real difference in both your symptoms and your outlook.
Exercising Regularly continued...
However, Bennett cautions we still need more data from large studies before we can be sure of the types and amounts of exercise to recommend for heart failure. She also points out the benefits of exercise have been shown only in patients who were medically stable, so it may not be safe for everyone.
"I think that exercise may play an important role in treatment," says Bertram Pitt, MD, internal medicine professor at the University of Michigan. Although he cautions that we don't know all of the answers yet, he is optimistic about a new study of exercise in heart failure patients that has just begun.
Getting a good night's sleep is, not surprisingly, good for people with heart failure -- just as it is for anybody. But for people who sleep less than eight hours a night, a recent study suggested that the less you sleep, the higher your risk of developing heart disease. The reasons aren't entirely clear, but it is known that during sleep, the pulse, blood pressure, and levels of certain hormones are lowered, allowing the body to rest.
Unfortunately, some medications used to treat heart failure may make it hard to sleep soundly. For instance, people taking diuretics often wake up several times a night to go to the bathroom; talk to your doctor about scheduling your doses to help lessen or prevent this problem.
A particular concern for people with heart failure is a connection between this heart problem and sleep apnea, a disorder in which a person temporarily stops breathing for ten seconds or more while asleep. Sleep apnea -- usually caused by a physical obstruction in the airway -- is seen in about a third of people with heart failure. Treatment involves surgery or wearing a breathing mask during the night. A recent study showed that treatment with the breathing mask -- called CPAP -- improved symptoms of both heart failure and sleep apnea.
Staying in Control
There are a number of other ways that people with heart failure can take control of their disease. The most important is to see your doctor regularly and to establish an effective partnership with medical professionals. Good management of your condition improves your prognosis, reduces the chances of being hospitalized, and improves your quality of life, according to Bennett.