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Irregular heart beat leads poor physical execution in senior people

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NEW YORK – A new study has found that older people who develop irregular heartbeat are likely to have more age-related declines in walking speed, strength, balance and other aspects of physical performance.

The findings showed that the elderly who are suffering from atrial fibrillation — the most common type of irregular heartbeat — are especially vulnerable to losing strength, balance, gait speed and coordination.

“Particularly in older adults, we need to be mindful that the effects of atrial fibrillation (AFib or AF) go beyond increasing the risk of heart failure and stroke,” said led researcher Jared W. Magnani, assistant professor at Boston University in the US.

In atrial fibrillation, the heart’s two small upper chambers (atria) beat irregularly and too fast, this may increase the risk of stroke, heart failure and other conditions.

The results, published in journal Circulation: Arrhythmia and Electrophysiology, revealed that overall participants’ physical performance declined with age.

The excess decline in physical performance in people with AFib was equivalent to an extra four years of aging.

The participants diagnosed with AFib had a significantly greater decline in physical performance tests of balance, grip strength, how far a person could walk in two minutes, and the time needed to walk 400 metres.

“Small declines in physical performance in older adults may have big consequences. The declines that we observed in participants with AFib are associated with increased frailty, which can result in loss of independence, decreased mobility, poorer quality of life, institutionalisation and death,” Magnani pointed out.

There may also be other factors, such as inflammation or accelerated muscle loss that contribute to both increased risk of AFib and declining physical performance, the researchers added.

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The researchers examined physical performance at ages 70, 74, 78, and 82 in 2,753 participants (52 percent women, 41 percent African American).

The results may not apply to older adults with greater cognitive or physical limitations, as the study enrolled adults who were living independently.

In addition, these results do not prove a direct cause-and-effect link between AFib and declining physical performance, the researchers maintained.

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HOTC sees remarkable success rate on kidney transplant

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HOTC sees remarkable success rate on kidney transplant

BHAKTAPUR — Shahid Dharmabhakta National Human Organ Transplant Centre (HOTC), Bhaktapur has successfully undertaken transplant of over 400 kidneys.

Hospital’s Executive Director Dr Pukar Chandra Shrestha, at a press conference organised here on Friday, informed that the Centre has so far successfully transplanted kidneys on 404 patients.

The Centre had initiated the kidney transplant service on January 19, 2013.

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The inflow of patients has alarmingly increased at the facility with the start of additional medical services such as urology, gastro surgery, cardio therapy, stone removal surgery along with other surgeries, besides kidney transplant, said Prof Dr Rakesh Verma.

However, the patients are compelled to wait for the transplant for long due to limited building space and availability of beds.

Right now, around 400 patients are waiting their turns for kidney transplant and more than this number are waiting to avail of dialysis service.

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