Youre welcome,it was a nice chat
Can you tell me what kind of supplements youre wife`s taking?
Do you know her EF fraction?
I promise you some information about D-Ribose,so,
D-Ribose improves diastolic function and quality of life in congestive heart failure patients: a prospective feasibility study.Omran H, Illien S, MacCarter D, St Cyr J, Luderitz B.
Department of Medicine-Cardiology, University of Bonn, Sigmund-Freud-Street 25, D-53105, Bonn, Germany. firstname.lastname@example.org
Patients with chronic coronary heart disease often suffer from congestive heart failure (CHF) despite multiple drug therapies. D-Ribose has been shown in animal models to improve cardiac energy metabolism and function following ischaemia. This was a prospective, double blind, randomized, crossover design study, to assess the effect of oral D-ribose supplementation on cardiac hemodynamics and quality of life in 15 patients with chronic coronary artery disease and CHF. The study consisted of two treatment periods of 3 weeks, during which either oral D-ribose or placebo was administered followed by a 1-week wash out period, and then administration of the other supplement. Assessment of myocardial functional parameters by echocardiography, quality of life using the SF-36 questionnaire and functional capacity using cycle ergometer testing was performed. The administration of D-ribose resulted in an enhancement of atrial contribution to left ventricular filling (40+/-11 vs. 45+/-9%, P=0.02), a smaller left atrial dimension (54+/-20 vs. 47+/-18 ml, P=0.02) and a shortened E wave deceleration (235+/-64 vs. 196+/-42, P=0.002) by echocardiography. Further, D-ribose also demonstrated a significant improvement of the patient's quality of life (417+/-118 vs. 467+/-128, P< or =0.01). In comparison, placebo did not result in any significant echocardiographic changes or in quality of life. This feasibility study in patients with coronary artery disease in CHF revealed the beneficial effects of D-ribose by improving diastolic functional parameters and enhancing quality of life.
http://www.ncbi.nlm.nih.gov/entrez/quer ... med_docsum
http://www.ncbi.nlm.nih.gov/entrez/quer ... med_docsum
This one is for you Praveen
Blood pressure is a measurement of the force exerted by blood as it flows through the arteries. High blood pressure occurs when there is an increase of force against the arterial wall, with potentially damaging consequences. Among adults, a normal blood pressure measure is considered to be below 120/80 mm Hg. Any blood pressure reading higher than this reflects elevated blood pressure.
The force of blood pressure is measured in two stages: when the heart is contracting (systolic pressure) and relaxing (diastolic pressure). Blood pressure is always expressed in pressure units of millimeters of mercury (mm Hg), and written as systolic over diastolic pressure. For example, a blood pressure reading of 120/80 mm Hg would mean a systolic pressure of 120 mm Hg and a diastolic pressure of 80 mm Hg.
Table 1 gives the four blood pressure classifications according to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure:
Table 1. General Blood Pressure Guidelines for Individuals With No Other Known Disease
Blood Pressure Classification
Systolic (mm Hg)
Diastolic (mm Hg)
Less than 120
Less than 80
120 – 139
80 – 89
Stage 1 hypertension
140 – 159
90 – 99
Stage 2 hypertension
More than 159
More than 99
Source: Chobanian AV et al 2003
People with high blood pressure should not drink alcohol. While studies have demonstrated that low levels of alcohol intake can have protective effects for the heart, and can possibly reduce the risk of developing high blood pressure 1, research has also clearly demonstrated that consuming alcohol in the setting of exisiting high blood pressure is unhealthy 2.
Alcohol directly raises blood pressure, and further acts to damage the walls of blood vessels, which can elevate the blood pressure further and make it more difficult to treat, while simultaneously increasing the risk of complications.
In some people, eating too much salt can make high blood pressure much worse. In others, the same salt consumption may have no effect. The problem is that no doctor or scientist can tell which is the case for an individual patient until it is too late.
This, combined with the fact that too much salt is bad for the heart regardless of blood pressure status, means that reduced sodium is a strongly recommended part of a healthy diet. These recommendations are especially important in the setting of secondary high blood pressure due to kidney problems.
Saturated fats, especially trans-fats, are bad for both the heart and blood vessels. Because the circulatory system is already under a lot of stress in the setting of high blood pressure, extra strain can be devastating.
The balanced high blood pressure diet should include sparse amounts of saturated and trans-fats (red meat, fast food), and moderate amounts of other fats (olives, canola oil).
Those with high blood pressure who are seeking to modify their diet habits are at an advantage, since most of the advised eating guidelines are so similar to the healthy dietary advice with which most people are already familiar. Namely
lots of natural fruits and vegetables
moderate consumption of red meat
moderate consumption ofsweets
1) Whole Grains
Whole grain foods such as
natural oat products
are very good for you. They are a powerful source of complex carbohydrates (a great long term energy source) and can help to control cholesterol and balance secretion of hormones like insulin.
These hormone balancing effects can help decrease appetite and lower body weight, which is another important facet of high blood pressure control.
2) Fruits & Vegetables
Probably the most familiar piece of dietary advice: eat lots of fruits and vegetables. They are a good source of stable energy, low in calories, help curb appetite, and work to regulate blood sugar and cholesterol. They are also a great source of vitamins and minerals.
The easiest rule of thumb to remember is to eat at least three different colors of vegetables with each meal. So, a few pieces of carrot, two cherry tomatoes, and a serving of green, leafy vegetables would do the trick. Remember too that when in comes to cooking fruits and vegetables steamed is better than boiled, and raw is the best.