ABSTRACT
The world is full of diseases. Everyone around us is having something which can be a simple skin allergy or a deadly autoimmune condition. The situations can be inherited as well or may occur due to our own faults. But do we care, NO! We do not. Humans of this generation have a tendency to ignore their health. Actually some are ignoring and some are being too possessive. The one who doesn't care has given themselves a title we accept the way we are but if you are doing something wrong how can you accept yourself in a wrong way. Being the owner of the body you possess, it's your soul duty to take care of that and correct what’s wrong. You might think that the article is about what exactly? Then let's clear the confusion. The article is on Arrhythmogenic right ventricular cardiomyopathy. This is an inherited type of rare heart condition. The article has full details about Arrhythmogenic right ventricular cardiomyopathy (both that is according to allopathic medicine and Ayurvedic texts) and how it can be managed through the help of Ayurveda.
So, let’s proceed further to gain more knowledge about the topic.
INTRODUCTION
Arrhythmogenic right ventricular cardiomyopathy, as mentioned before, is a rare type of inherited condition which results in death at a young age. This condition appears in early adulthood. Arrhythmogenic right ventricular cardiomyopathy is a condition of myocardium. Myocardium is basically the muscular wall of the heart. The condition is responsible for breaking down the myocardium over time. This in turn increases the risk of an abnormal heartbeat called arrhythmia and can result in death as well. At the early stage of Arrhythmogenic right ventricular cardiomyopathy
It may not show any type of symptoms but the individual is at the risk of death. A death which is sudden and quick. The risk increases when the affected individual is doing strenuous exercises. When the symptoms of the condition occur it mostly includes fluttering and pounding in the chest which is understood as palpitations, lightheadedness along with syncope or fainting. Over time this condition can cause breathlessness or shortness of breath along with swelling of abdomen and legs. If there is excessive damage to the myocardium then sudden heart failure will be noticed. Arrhythmogenic right ventricular cardiomyopathy is estimated to occur in 1 out of 1,000 to 1 in 1,250 human beings. The patients can be under diagnosed if they are with mild or no symptoms.
CAUSES OF ARVC
The Causes of Arrhythmogenic right ventricular cardiomyopathy according to modern science is as follows:
Mutation
The mutation which can occur in at least 13 genes. Many of these genes are called desmosomal genes. They are named so because they provide information for the making of cell components which are called desmosomes. Desmosomes are known to attach heart muscles to each other thus are responsible to provide strength to the myocardium. Now we understand mutation in the desmosomes making genes directly impact the quality of myocardium. Much of the quality of myocardium is affected when the person is doing strenuous exercises or vigorous exercises. These changes generally affect the myocardium surrounding the ventricle of the right side. Ventricles are the two lower chambers of the heart where damaged myocardium is gradually replaced by fat and scar tissue. Due to this abnormal tissue build up, the walls of the right ventricle stretches out and prevents the heart from pumping the blood. Thus the changes result in the electrical signal disruption which are responsible for controlling the heartbeat. This finally leads to arrhythmia.
Very less commonly there is a chance for mutation of a non desmosomal gene thus causing Arrhythmogenic right ventricular cardiomyopathy.
On the other hand the Arrhythmogenic right ventricular cardiomyopathy is kept under the category of haridra roga and harid roga due to the imbalance of dosha. The three dosha of the body are vata, pitta and kapha which are potent to cause heart conditions.
The causes of the dosha aggravation are as follows:
- Ati ushan - Consumption of hot food articles
- Ati guru - Eating heavy food
- Ati amla - Consuming of sour foods and taste
- Ati kashaya - Astringent food articles
- Ati tikta - Bitter food articles
- Ati shrama - Increased physical exhaustion
- Abhighata - Mental or physical trauma
- Adhyashana - Excessive consumptions of food articles
- Ati prasanga - Increased sexual activities
- Sanchintana - Stress, thinking in excess along with over anxiety
- Vega vidharana sandhaarana - Forcibly holding the natural urges
- Vyamaya - Increased physical exercise
- Tikshana or ati virechana - Administration of very strong purgation therapy
INHERITANCE OF ARVC
Up to half of all cases of Arrhythmogenic right ventricular cardiomyopathy tends to run in families. The most familiar cases of this disease have an autosomal dominant pattern. Autosomal dominant pattern means one copy of altered gene in each cell is sufficient to cause the disorder. Rarely, ARVC follows an autosomal recessive pattern of inheritance. The recessive pattern means when both copies of the altered gene in each cell have mutations.
SYMPTOMS OF ARVC
Symptoms of Arrhythmogenic right ventricular cardiomyopathy are as follows:
- Arrhythmias - This is the abnormality in the timing pattern of a heart beat. This involves racing heart beat, palpitations or fluttering sensation.
- Premature ventricular contractions - Irregular and extra heart beats occur due to the disturbance in the electric signals in the lower chamber of the heart that is ventricle.
- Ventricular tachycardia - This is a series of rapid heart beats which are originating in the ventricle. This may last for only a few beats or can last for longer creating a life threatening condition. The ventricular tachycardia is potent to cause weakness, nausea, vomiting and lightheadedness. This May also cause feelings of racing or skipping heart beat.
- Syncope - This as maximum of the readers already know refers to sudden loss of consciousness and fainting.
- Heart failure - In rare cases the patient shows symptoms of right heart failure and includes weakness, swelling over ankle and foot that is peripheral edema, built up of fluid in the abdominal cavity. The patient also suffers from arrhythmic symptoms as well.
- Sudden cardiac arrest - This is a condition where the heart stops working. Here the beating and pumping both of the functions have stopped and can cause death if not treated in minutes.
On the other hand, Ayurveda explains the symptoms according to the dosha type. Like for vata dominant heart disorders pain is of stretching and pricking type. If severe then it can be of crushing type as well. The crushing type of pain is called nimarthana. The safotan or tearing pain is a characteristic of vata dominant heart conditions.
The heart conditions with pitta dosha dominance have features like polydipsia that is excessive thirst, increased body heat or daha that is burning along with chosha which is needling sensation. Haridya kalam is also a very important feature. Haridya kalam means fatigue of cardiac muscles along with mouth dryness.
Likewise in case of kapha dosha dominant heart conditions irregular heart beats are the commonest along with heaviness and anorexia. Fever, cough and drowsiness along with mukkha madhurya (sweet taste in mouth) are the commonest.
In case of Arrhythmogenic right ventricular cardiomyopathy there is involvement of all three dosha and hence we get a mixture of symptoms of vata, pitta and kapha dominance heart conditions or heart disorders.
DIAGNOSING ARVC
The definitive diagnosis of Arrhythmogenic right ventricular cardiomyopathy are done through:
- A combination of non-invasive ECG and imaging evaluations
- Cardiac MRI can also be done to rule out the anatomy of heart and motion of walls
- Angiography with catheterization to visualise heart vessels and chambers
- Electrophysiology studies are done to further analyse the heart rhythm
TREATMENT OF ARVC
The treatment of Arrhythmogenic right ventricular cardiomyopathy includes the following:
- Medicine to control your heartbeat and rhythms like beta blockers
- Antiarrhythmics are also given to control abnormal heart rhythms
- Diuretics are also given to reduce water accumulation in the body
- The ACE inhibitors are given to decrease the workload of the heart
- Some blood thinners or anticoagulants are prescribed to prevent blood clots
In Ayurveda, there are many herbal, mineral and herbo mineral preparations given to the patients in order to support normal and healthy functioning of the heart. But the chikitsa sidhanta of the heart conditions starts as follows:
- First of all, all the causative factors are to be avoided. This is called nidaan parivarjan.
- Then complete mental and physical rest is to be provided to the patient
- The patient should follow a healthy diet and lifestyle
- According to dosha dominance the formulations are guided to the patient
- In case of three dosha involvement (sannipataj haridya roga) the first and foremost step is to guide the patient for the fasting
- Tridosha pacifying diet is usually guided. Like old red rice, meat of wild animals, yellow lentils, soup of horsegram, errand oil, saindhav lavan, draksha, shunthi, kanji, honey, shweta kutaj and many others are to be administered to the patient.
The formulations which can be used in this condition are generally prepared using pushkarmool, arjun, palash, munnaka, rasana, go ghrita and certain minerals like parad, gandhak, tamra bhasma, swarana bhasma, loha bhasma, shilajit, rajat bhasma and many others. These all help in the pacification of dosha and help in the regeneration recovery of myocardium.
The tablet formulations which are generally used in heart conditions are haridra arnav rasa, hridayi chintamani ras, chintamani ras, visheshwar rasa, kalyan sundar rasa, prabhakar vatt and trinetra ras. These are to be taken along with warm water.
The powder formulations which are mostly prescribed are pushkarmool churna, haritakyadi churna and pippali churna. The kwath/ arishta formulations are pushkaradi kwath, partharishtam, shunti kwath and many others. Some ghrita preparations are also used in this case like arjun ghrit, triyushanadi ghrit, punarnavadi tail etc.
HERBAL REMEDIES FOR ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY
Planet Ayurveda is a herbal product manufacturing company who is dealing with a wide range of products and also supplies to many exclusive outlets outside India. The company manufactures products in the form of tablets, liquids, capsules, powders and calx. Herbal, mineral and herbo minerals of all types of formulation are being prepared by Planet ayurveda. The company prescribes its products under the guidance of expert doctors as Planet Ayurveda has its own team of doctors, which is the best part about the company. Moreover, we have certifications from various authorities. The products of Planet Ayurveda are being registered in various countries as well. In case of Arrhythmogenic right ventricular cardiomyopathy planet ayurveda offers following products:
PRODUCTS LIST
- Arjuna Capsules
- Arjun Tea
- Total Heart Support
- Brahmi Vati
- Hridayarnava Rasa
PRODUCT DESCRIPTION
1. Arjuna Capsules
Arjuna Capsule is a patent formulation of Planet Ayurveda. The arjun capsules have only arjun (Terminalia arjuna) as an ingredient. Arjun is known to have an impressive impact on heart and heart muscles from ages. It is a very famous herb in Ayurveda and has many benefits. It has the capacity to eliminate the causative factors as well. In this the aggravation of tridosha is noticed and Arjun helps in balancing the three doshas and provides very good results. The capsules also help in maintaining the good amounts of good lipids in the body and thus removes accumulated toxins from the blood circulation.
Dosage - One capsule twice a day after meals with lukewarm water.
2. Arjun Tea
Arjun Tea is very impressive and one of the oldest products of Planet Ayurveda. The formulation contains not only arjun (Terminalia arjuna) but other ingredients as well. Other ingredients in arjun tea are punarnava (Boerhavia diffusa), Pipal twak (Ficus religiosa), dalchini (Cinnamomum zeylanicum) and choti elaichi (Elettaria cardamomum). All these ingredients not just maintain the health of the heart but also help in the eliminating water accumulated in the body causing edema. The presence of choti elaichi and dalchini helps in maintaining gut health and eases digestion as well. So this is a complete blend of effective and useful herbs in a cup.
Dosage - One cups twice a day. Take half teaspoon of arjun tea in a cup of water and bring it to boil. Now, filter and allow it to cool a bit then have it.
3. Total Heart Support
Total heart support is a poly herbal formulation that has a total of four ingredients. The ingredients of this formulation are arjuna (Terminalia arjuna), ashwagandha (Withania somnifera), brahmi (Bacopa monnieri) and shankhpushpi (Convolvulus pluricaulis). This product is prepared with the standardised extract of all above mentioned herbs. Total heart support is a great formulation which gives really good and effective results in regulating normal functioning of the heart. As its name suggests the formulation supports the heart totally, by enhancing circulatory function and enhances the stimulus to heart muscles from the brain. The formulation has very impressive results in various types of heart conditions.
Dosage - Two capsule twice a day after meals with lukewarm water.
4. Brahmi Vati
Brahmi vati is one of the most impressive formulations mentioned in classics for the anulomana of aggravated vata dosha. The brahmi vati has only brahmi (Bacopa monnieri) as its ingredient. Brahmi is one of the four medhya herbs mentioned in the charak samhita. The herb is known to work by pacifying vata dosha and also improves communication between heart muscles and brain. Moreover, it helps in myocardium functioning and also stabilises motor functioning. The Formulation stimulates brain cells and increases cognitive functioning. It also increases mental capabilities enormously. Brahmi vati is prepared with 100% natural and effective brahmi plant thus gives desirable results.
Dosage - Two tablet twice a day after meals with lukewarm water.
5. Hridayarnava Rasa
The formulation is mentioned in the classics and is mineral preparation. Hridayarnava rasa is a formulation that has a total of three ingredients. These are shuddha parad (Purified mercury), shuddha gandhak (Purified sulphur) and tamra (calx of copper). These are processed with juices of kakamachi (Solanum nigrum), haritaki (Terminalia chebula), vibhitaki (Terminalia bellerica) and amalaki (Emblica officinalis). The formulation is used in various types of cardiac disorders and also during chest heaviness of the chest along with difficulty in breathing. The formulation helps in the pacification of kapha dosha thus reduces kleda in the body and opens blocked channels as well. That’s the beauty of this ancient rasayanik formulation. This also helps in the regeneration of cardiac cells and hence improves myocardium health.
Dosage - One tablet twice a day, to be chewed after meals with lukewarm water.
Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214040
CONCLUSION
Arrhythmogenic right ventricular cardiomyopathy is becoming common these days. Many youngsters have died at a young age due to cardiac arrest and they never know that they have something like this going on inside them. That’s why family history is of great importance in medical science. But if a person does not ignore their condition and get themselves tested early then such things like sudden deaths can be avoided. In all this scenario planet Ayurveda herbal products are of great importance as they help in the maintenance of healthy heart functions and support myocardium as well. In case of any query kindly visit www.PlanetAyurveda.com
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