Congestive Heart Failure

Sign/Symptoms
Ankle Swelling (Ankle Oedema) Breath Shortness (Dyspnoea) Cough Cough Productive Fainting (Syncope) Fatigue Fluid Collection in Abdominal Cavity (Ascites) loss of appetite Nausea Oedema Peripheral Poor Exercise Tolerance Scrotal Swelling Swelling (Oedema, Edema) Urine Output Decreased (Oliguria) Vomiting Weight Gain (Body Mass Index Raised)

Drugs
Indapamide Metoprolol Reteplase Sodium nitroprusside Spironolactone

Treatments
Alternative Medicine Thuja (Eastern White Cedar, Thuja Occidentalis) No Recommendation Very Low Evidence

Attributes
Commonality is uncommon

Further Tests
2,3 Diphosphoglycerate (2,3-DPG) Concentration 2,3 Diphosphoglycerate (2,3-DPG) (Increased) Aldosterone Concentration Test Aldosterone (Increased) Blood Urea Nitrogen Tests Blood Urea Nitrogen (Increased) Blood Uric Acid Concentration Test Uric Acid, Blood (Increased) Chloride Concentration (Blood) Chloride (Blood, Cl) (Decreased) Creatine Kinase Concentration Creatine Kinase2 (CK-MB) Isoenzyme (Increased) Creatinine Clearance (CrCl) Creatinine Clearance Rate (Decreased) Creatinine Concentration (Blood, Serum Creatinine) Creatinine (Blood) (Increased) D-Dimer Blood Test D-Dimer (Increased) erythrocyte Sedimentation Rate (ESR) Erythrocyte Sedimentation Rate (Decreased) Fibrinogen Concentration test Fibrinogen (Increased) Gamma-Glutamyltransferase (GGT) Concentration Gamma-Glutamyltransferase (GGT) (Increased) Homocysteine Concentration (HCY, Blood) Homocysteine (Increased) Intracranial Prassure Monitoring (CSF Pressure) Intracranial Pressure (Cerebrospinal Fluid Pressure, CSF Pressure) (Increased) Lactate Dehydrogenase Concentration Lactate Dehydrogenase (LDH) (Increased) Lactic Acid Concentration Lactic Acid (Venous Blood) (Increased) Lymphocytes Count Lymphocytes (Decreased) Osmolality, Blood (Serum Osmolality) Osmolality, Blood (Serum Osmolality) (Decreased) Partial Pressure of Arterial Carbon Dioxide (PCO2, PaCO2) Partial Pressure of Arterial Carbon Dioxide (PaCO2) (Increased) Platelet Count Platelets (Increased) Prothrombin Time (PT) Prothrombin Time (Increased) Sodium Concentration (Na, Blood) Sodium (Na, Blood) (Decreased) Urine Chloride Concentration Urine Chloride (Decreased) Urine Hyaline Cast Concentration Urine Hyaline Casts (Increased) Urine Osmolality Urine Osmolality (Increased) Urine Sodium Quantitative (24hr) Urine Sodium (Decreased) Urine Specific Gravity (SG) Urine Specific Gravity (SG) (Increased) Urine Volume Vitamin B12 (VB12) Concentration Vitamin B12 (VB12) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Thuja (Eastern White Cedar, Thuja Occidentalis) [1, 2, 3, 4]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present. Little is known about the full effects of Thuja, so it is not recommended for medicinal use. Thuja can be poisonous if ingested in large amounts.

Recommendation: no recommendation (There is insufficient evidence to support claims that Thuja helps to treat congestive heart failure)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.nlm.nih.gov/medlineplus/ency/article/002769.htm

3. http://plants.usda.gov/plantguide/pdf/cs_thoc2.pdf

4. http://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v%3Aproject=medlineplus&query=thuja&x=0&y=0

5. http://www.ncbi.nlm.nih.gov/pubmed/835934

6. http://www.nlm.nih.gov/medlineplus/tutorials/congestiveheartfailure/htm/index.htm

7. http://www.nlm.nih.gov/medlineplus/ency/article/000158.htm

8. http://www.medicinenet.com/congestive_heart_failure/page2.htm#3whatare

9. http://www.emedicinehealth.com/congestive_heart_failure/page3_em.htm#Congestive Heart Failure Symptoms

10. http://www.cardiologychannel.com/chf/index.shtml

11. http://www.texasheart.org/hic/topics/cond/CHF.cfm

12. http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-7133

13. http://www.healthscout.com/ency/68/164/main.html

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