Saturday 6 July 2013

Heart failure and cancer


Heart failure is a thoroughly depressing and frustrating form of heart disease in which the heart muscle simply, well, fails: it gets gradually weaker and weaker so that eventually any effort at all is too much effort – no capacity to do anything – and ultimately, ends in death.

The average time from diagnosis to death with heart failure used to be under 5 years although we’ve developed better treatments and we’ve begun to be able to diagnose it earlier (which allows earlier intervention) so that that prognosis is not quite as bad as it used to be, but it’s mostly still a relentless, progressive and terminal illness.

Not good, in other words.

But hey, if that isn’t enough to persuade you to work on keeping heart healthy, here’s yet another reason to minimize your risk of heart failure: apparently heart failure patients are being increasingly diagnosed with cancer, as well.
This is according to a review in the Journal of the American College of Cardiology.

Now it could just be that heart failure patients are being monitored more closely than in the past, and a consequence of better monitoring is a greater likelihood in finding a malignancy.

It could also just be that the unfortunate consequence of keeping heart failure patients alive longer is that they also then are alive longer to come down with cancer – advancing age is the largest risk factor for most cancers.

Or it could also be that some of those treatments are increasing the risk of cancer.

Bottom line: stay heart healthy and this won’t be a worry for you.