Congestive Heart Failure 2 types: Systolic heart failure: pump weakens, ejection fraction (EF) less than 55% Causes: heart attack, valvular heart disease, obstructive sleep apnea, viral, high blood pressure, excessive alcohol use Symptoms: shortness of breath with activity, difficulty breathing when lying flat at night, swelling in the legs and fluid retention Evaluation: clinical exam, stress test, echocardiogram, blood tests, chest xray Treatment: medications include ACEi/ARB’s, beta-blockers, diuretics Lifestyle changes: exercise, low salt diet, daily weights Heart failure with preserved ejection fraction or diastolic dysfunction (poor relaxation): Causes: age, hypertension, obstructive sleep apnea Symptoms: swelling in legs, shortness of breath Treatment: similar to above with focus on diuretics Health Pearl: Rainbow Stir Fry from Run Fast, Cook Fast, Eat Slow https://runfasteatslow.com/pages/books Ingredients: Two 8 or 12 oz packs of Extra Firm Tofu 2 Tbs Soy Sauce 1 Tbs Lime Juice 1 Tbs Honey 1 Tbs Minced Garlic 2 Tbs Sesame Oil 3 Cups chopped carrots, celery, broccoli 2 Cups sliced bell pepper, mushrooms, snow peas 1. Marinate sliced, dried tofu with soy sauce, lime juice, honey, and garlic in ziploc bag. 2. Saute carrots, celery, broccoli in sesame oil on high heat, stirring frequently, for about 5 minutes 3. Reduce heat to medium-high. Add pepper, mushrooms, snow peas. Saute 2 minutes 4. Add tofu with marinade. Saute, stirring occasionally. About 5 minutes 5. Serve over brown rice or quinoa. Serves 4-6. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1