Las Vegas Review-Journal

Herbs, heart medication might not mix

- DR. ROIZEN HEALTH ADVICE Email questions for Mike Roizen to youdocsdai­ly@ sharecare.com.

Heart failure — the inability of the heart to pump blood well enough to consistent­ly supply your body with needed blood flow — is a long-term condition that can damage vital organs. It often develops slowly as a result of atheroscle­rosis, a heart attack, diabetes, high blood pressure, obesity, deposits of an abnormal protein (amyloid) in heart tissue or heart valve disease.

Its symptoms include shortness of breath; difficulty breathing when lying down; swollen feet/ ankles/legs or stomach; and fatigue. In its earliest stages, it’s treated with a combinatio­n of regular exercise, LDL cholestero­l- and blood-pressure-lowering medication­s, and abstaining from alcohol, tobacco and recreation­al drugs. As it progresses, it may be necessary to implant a pacemaker or cardiac defibrilla­tor.

According to a new American Heart Associatio­n Scientific Statement, up to 30 percent of those diagnosed with heart failure also take dangerous or ineffectiv­e supplement­s and herbs. Blue cohosh, for example, can cause a rapid heartbeat and elevate blood pressure. Lily of the valley — if taken with a common heart failure medication, digoxin — can cause an irregular heartbeat, confusion and low potassium levels.

So, if you have heart failure, ask your cardiologi­st about the safety of supplement­s and herbs BEFORE you take them.

Risks after COVID

A new study in JAMA Network Open reveals that having any type of surgery up to 13 months after your COVID-19 infection puts you at a significan­t risk of post-op problems, compared with folks who haven’t had the virus.

Previously, researcher­s thought that the window for Covid-19-related post-op difficulti­es closed at around three to six months; now it is more than a year.

Researcher­s at Vanderbilt University have found that if you have surgery in the first 30 days after having COVID-19, there is an 18 percent increased risk of deep venous thrombosis (a blood clot), pulmonary embolism (a clot in the lungs), cerebrovas­cular accident (a stroke in the brain), myocardial injury (heart attack or heart damage), acute kidney injury and death. By day 100 post-infection, the increased risks drop to 10 percent and then decrease to about 8 percent 400 days POST-COVID-19.

Clearly, if you have had COVID-19 and are scheduled for an operation afterward, you should discuss the increased post-op risks with your doctor.

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