What New Therapies for Treatment of Congestive
Heart Failure?
Heart disease is one of the deadliest killers in the world to date. Congestive
heart failure, a condition found secondary to many major cardiac diseases,
possesses its own high mortality rate. Fifty percent of those diagnosed
with congestive heart failure will die within the five following years.
Scientists and researchers are struggling to understand the exact mechanisms
of the disease, and to find a cure.
Congestive heart failure results as the cells in the heart die or become
non-functioning due to an event such as a myocardial infarction (a heart
attack) or ischemic heart disease. Whatever the cause, the heart is subsequently
unable to pump blood adequately throughout the body, resulting in the
blood pooling in the organs and fluid building up in and around the lungs
as sodium is unable to be properly excreted, causing the dyspnea that
is the classic symptom of congestive heart failure.
Clinical research is targeted at both the treatment of the disease and
the possibility of repairing the damaged cells in the heart. Current research
is underway to test new medications that would assist in vasodilation,
as well as a calcium inhibitor that would not result in the higher incidence
of cardiac arrhythmia seen with the medications currently on the market.
In the age of natural medicine, the power of the mind has been invoked
in clinical trials to use meditation and relaxation techniques to combat
the stress on the heart that can be the breaking point for patients with
heart failure. Stress has been shown to negatively affect the body's blood
pressure, forcing the heart to work harder and placing an undue amount
of pressure on an already weakened muscle. The theory lies in the belief
that by learning to maintain a low level of mental stress the heart will
be less stressed and therefore less likely to fail completely, and the
patient can be given a better prognosis.
Alongside the return to natural, holistic methods of treatment is an incredible
advancement in clinical technology that was not available twenty or thirty
years ago. Scientists claim to have identified a set of altered genes
that can make an individual more disposed to suffer from congestive heart
failure and are using their current knowledge of genes and the benefits
of gene therapy to attempt to reverse the effect. In addition, medications
to tamp down on the genes' activities, such as beta blockers and alpha-2
agonists are already available and being used in treatment programs.
Also being explored is the possibility of using stem cells, the body's
pluripotent progenitors, to assist in reparation of the damaged heart
tissue. Clinical trials showed that patients suffering from congestive
heart failure responded very favorably to an injection of their own stem
cells into the heart, although the exact means by which this causes improvement
is as yet unknown. It is suspected that these cells either facilitate
the growth of new vessels in the heart or act as beacon, attracting the
body's own healing cells to the site of the damage and stimulating repair.
The possibility of actually growing healthy tissue from embryonic stem
cells to be transplanted is also being explored, although the controversial
nature of the use of embryonic stem cells due to the necessary destruction
of the embryo makes this questionable in the foreseeable future. Scientists
have determined that adult stem cells simply cannot provide an adequate
number of new cells to meet the needs of patients who have suffered heart
failure.
Heart failure is incredibly dangerous because the body cannot reproduce
the dead tissue cells in the heart; however, with modern advancements
it is the great hope of researchers everywhere to one day find a cure.
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