Patients with reduced ejection fraction.
The incidence of sudden death in heart failure patients with reduced ejection fraction has declined significantly over the past 20 years according to a recent study published in the New England Journal of Medicine lead by John McMurray (University of Glasgow)that may impact inclination to recommend implantable cardioverter-defibrillators (ICDs) for them.
The lead author suggested that physicians, "take time to get medical therapy right and only put an ICD in if the patient's LVEF [left ventricular ejection fraction] remains persistently low despite this treatment,". "Many patients will have an improvement in LVEF above 35% and not need an ICD," he added. "There is no need to rush. Early implantation may mean use of an expensive and unnecessary device with only the harms and without the benefits."
A group of heart failure clinical trialists analyzed patient-level data from over 40,000 people who suffered from heart failure with reduced ejection fraction and who participated in large clinical trials between 1994 and 2015. The rate of sudden death dropped over that time period by 44%. The authors stated that the decline paralleled the increasing use of evidence-based pharmacotherapies that are known to reduce the incidence of sudden death.
The American Heart Association predicts that more than 40% of the the US population will have cardiovascular disease by 2030 whether it is hypertension, left ventricle pumping issues or atrial fibrillation.
How much does cardiovascular disease cost us? Direct costs are projected to increase from 273 billion to 818 billion and indirect costs are 172 billion to 276 billion.
What are the best nutraceuticals for your heart?
My top picks would be Xymogen's Cardio Essentials, CoQmax Ubiquinol or CoQmax 100 ME, L-Carnitine, Magnesium, Methyl Protect and ATP Ignite. For lower blood pressure - AngiNox and N.O.max ER. Need to get your lipids back in line - NiaVasc 750 in conjunction with an overhauled diet and exercise.
- CoQenzyme 10 is an antioxidant that is in heart muscle and is critical for cardiac energy production. It increases ejection fraction in the left ventricle. The Q-SYMBIO study showed that CoQ10 reduced cardiovascular mortality and hospital stays in patients with heart failure.
- L-Carnitine shuttles fatty acids to the mitochondria. A meta-analysis of 3629 participants showed that L-Carnitine reduced all cause mortality by 27%, ventricular arrhythmias by 65% and angina by 40%.
- Magnesium, a critical co-factor, in several biochemical processes is the second most abundant intracellular cation next to potassium in the human body. Magnesium controls the heart's electrical and contractile functions of the heart.
If you have high homocysteine then Methyl Protect is the nutraceutical of choice as it corrects your genetic differences to bring homocysteine levels down.
ATP Ignite is a combination of electrolytes, trace minerals, B-vitamins, amino acids and antioxidants that support mitochondrial function to create usable energy.
I recommend Taurine, an amino acid, because it protects the heart against stress hormones and high blood pressure. We offer it in injectable form.
If you have high cholesterol and don't want to start taking statins then I recommend Cardiac Essentials and NiaVasc 750.
I highly recommend I.V. Ozone therapy with additional specialized injectable medicines for your case. Ozone chelation is fantastic for addressing elevated lead that causes cardiovascular disease.
We all need good cardiac support!
Diabetes and Cardiovascular Health
