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Author Topic: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)  (Read 1191 times)

Lorenzo

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Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« on: February 13, 2012, 12:25:44 PM »
For patients with CHF (Chronic Heart Failure), the medications to be given are:

1) Diuretics (specifically LOOP DIURETICS eg, Furosemide (Lasix))
2) ACE-inhibitors/ARBs
3) Beta-Blockers
4) Potassium-sparing diuretics


Note: Beta-Blockers can be given in cases of COMPENSATED CHF; Beta-Blockers are CONTRAINDICATED in DECOMPENSATED CHF



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chicogon

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Re: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« Reply #1 on: February 13, 2012, 12:42:37 PM »
Good warning for users Bran... wa jud mi hanaw nga ani diay ni



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Lorenzo

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Re: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« Reply #2 on: February 13, 2012, 01:19:17 PM »
Yes, Father, I just attended a meeting some time ago on this topic (Hypertension control). Several years ago, it was considered okay to give beta blockers sa mga chf patients kai cardioprotective lagi, pero, ang problema kai ang result of beta blockers kai maka slow down sa kasingkasing.

So, it is now advised that og naay patients with chf (nondecompensated; dili stable ilang heart), ajaw na lang ihatag beta blockers.

Daghan tawo sa una namatay kai wa gi implement ni. I hope that doctors in Pinas have implemented this as well.

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Lorenzo

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Re: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« Reply #3 on: February 13, 2012, 01:20:36 PM »
Bibo kaayo among meeting kai naay veteran doctors nga ning debate sa mga "newer" "younger" docs. :P

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chicogon

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Re: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« Reply #4 on: February 13, 2012, 02:10:17 PM »
Yes, Father, I just attended a meeting some time ago on this topic (Hypertension control). Several years ago, it was considered okay to give beta blockers sa mga chf patients kai cardioprotective lagi, pero, ang problema kai ang result of beta blockers kai maka slow down sa kasingkasing.

So, it is now advised that og naay patients with chf (nondecompensated; dili stable ilang heart), ajaw na lang ihatag beta blockers.

Daghan tawo sa una namatay kai wa gi implement ni. I hope that doctors in Pinas have implemented this as well.

What about BYSTOLIC... are you familiar with this med? I take them in addition to Deltiez (I forgot the spelling) and Avapro. Then the cardiologist told me to cut it (Bystolic in half) kay makabaga daw sa lining sa heart? After the angioplasty I decided to stop it but continued on with Avapro and Deltiezem. Plus I have now Flavix and Aspirin 325 mg. Hehehehe.... puros na lang ta ani medicine. Mo yayay samot ani atong kidney!!!  ???

Wala pay labot ani ang sa thyroid problem, diabetes and calcium acetate for the other stuff, bwahahaha!!!  ;D



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Lorenzo

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Re: Beware in taking Beta Blockers for Chronic Heart Failure (CHF)
« Reply #5 on: February 13, 2012, 02:31:26 PM »
What about BYSTOLIC... are you familiar with this med? I take them in addition to Deltiez (I forgot the spelling) and Avapro. Then the cardiologist told me to cut it (Bystolic in half) kay makabaga daw sa lining sa heart? After the angioplasty I decided to stop it but continued on with Avapro and Deltiezem. Plus I have now Flavix and Aspirin 325 mg. Hehehehe.... puros na lang ta ani medicine. Mo yayay samot ani atong kidney!!!  ???

Wala pay labot ani ang sa thyroid problem, diabetes and calcium acetate for the other stuff, bwahahaha!!!  ;D



Bystolic is the trade name, it's drug name is Nebivolol. Most Beta-Blockers have the suffix "-olol" eg) Labetolol, Cardividolol, Metaprolol, Timolol, Propranol, Pindolol. The drug you are taking called Diltiazem is a Calcium Channel Blocker , it is a Class IV Anti-arrhythmic drug (same class with Nifedipine, and verapamil). Diltiazem is used to treat hypertension, angina and also arrhthmias. The drug you are taking called AVAPRO (its drug name is called Irbesartan, which is an ARB = Angiotensin Receptor Blocker) is used to treat Hypertension. Bystolic, Diltiazem and Avapro is prescribed for you to control your hypertension. Pero your cardiologist is correct in that there are some specific side effects of Nebivolol (Bystolic) in that it can increase the intimal lining of the heart. The combination of AVAPRO and DILTIAZEM is enough to treat your hypertension.

Father, since you are taking  AVAPRO, there is a possiblity that you might have hyperkalemia (increased potassium), it is important to make sure that these levels are monitored so that it does not get too high. Ask your cardiologist if he can switch you from Bystolic to Metaprolol because it does not have the side effect of increasing heart lining size.

It is important that you monitor your blood pressure, your sugar level, the thyroid level etc. It is fine that you are taking these medications, just make sure you are religious in taking the drugs so it can keep your body in balance.

Since the angiogram and the stent was performed, your heart is now receiving the amount of blood it is required, so, there is less oxygen demand on the heart. Having the stent performed through angiogram was a blessing in disguise, Father.

Maintain your medicine intake, and daily exercise of even 30 minutes walking a day will do good.

I hope that i was able to explain some issues.

Always,
Bran





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