Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) Treatment in Ayurveda

Abstract

Lifestyle in today’s world has extremely changed from what it was some centuries ago. Due to globalisation and advancement of the techniques that have eased the life of a man has also given a blow to the health of an individual. Reduction in physical activities and faulty dietary habits have added to the problems of an ordinary person. As the food is contaminated with chemicals and pesticides and water gets contaminated from a number of contaminants, people are falling sick and further dietary habits with bad fats have given a sharp rise in cases of heart diseases. And stress and depression have also added to the number of heart patients. Heart is an important organ of our body that pumps blood throughout the body. Normally the heart pumps the blood at regular pace and time and in diseased condition this rhythm and pace is distorted which give rise to a number of discomforting conditions. Arrhythmogenic right ventricular cardiomyopathy (ARVC) is familial disorder characterised by the irregular beating of the right ventricle. In this section below, we shall see this condition in a little detail. And we shall also discuss its management in the contemporary system of medicine as well as its management in the traditional system of Ayurvedic life science.

Introduction

Arrhythmogenic right ventricular cardiomyopathy is an uncommon disorder that may cause ventricular tachycardia and sudden death in young and healthy persons. Arrhythmogenic right ventricular cardiomyopathy is caused by genetic defects of the parts of the heart muscles which are known as desmosomes, which links the cells together. These are composed of some proteins and some of these proteins can possess harmful mutations.

Causes

Genetic

It is a disorder inherited in an autosomal dominant pattern that expresses variation.

Exercise-Induced

Studies have found that long term sports activity is also a cause of Arrhythmogenic right ventricular cardiomyopathy. This might result from very high and intensive training.

Signs and Symptoms

• Arrhythmias include an abnormal timing and pattern of the heartbeat such as racing heartbeat, skipping heartbeat, fluttering sensation or palpitations.
• Premature ventricular contractions such as irregular and extra heartbeats that happen when electrical signals start in the lower chamber of the heart.
• Ventricular tachycardia is continuous and rapid heart beats which originate in the ventricle. This usually lasts only a few beats. It can cause nausea, weakness, lightheadedness, vomiting and a feeling of skipping the heart.
• Syncope is a sudden loss of consciousness that can occur in some cases.
• Sudden cardiac arrest is the first sign of Arrhythmogenic right ventricular cardiomyopathy in some patients when the heart stops beating. This can prove fatal if not treated timely.
  Patients’ first symptoms rarely associate with right heart failure such as weakness, peripheral edema, ascites and arrhythmia symptoms.

Diagnosis

• Electrocardiogram
• Signal averaged electrocardiogram
• Exercise stress test
• Echocardiogram
• Twenty-four hour Holter monitor
• Cardiac magnetic resonance imaging
• Genetic testing
• Cardiac computed tomography
• Right ventricular angiogram
• Electrophysiology study
• Cardiac biopsy

Management

• Sotalol which is a beta blocker and antiarrhythmic agent.
• Amiodarone and metoprolol.
• Angiotensin converting enzyme inhibitors.
• Warfarin to prevent thrombus formation and pulmonary embolism.
• Catheter ablation is used to manage intractable ventricular tachycardia.
• Implantable cardioverter defibrillators are best in preventing sudden cardiac death.
• Heart transplant.

Ayurvedic Aspect and Management

• Ayurveda is a life science that deals with herbal, mineral and herbomineral remedies and also emphasises on the dietary habits. In Ayurveda, heart disorders are referred to as ‘hridroga’.
• Sadhak pitta, avlambaka kapha and vyana vayu stay in the cardiac area and are responsible for the normal functioning of the heart. Any kind of vitiation in the above mentioned dosha leads to the development of heart diseases or hridroga. Consumption of excessively hot and dry food, excessive work, stress, holding urges that should not be withheld, heavy food, excessive fasting, injuries and old age etc are some of the main causes of hridroga as mentioned in ayurvedic texts.
• As fainting and irregular heartbeat are the typical symptoms of Arrhythmogenic right ventricular cardiomyopathy which makes correlation with vataja and kaphaja hridroga quite clear. Hence the correlation of this condition can be well established with vataja and kaphaja hridroga.
• Management in Ayurveda depends on treating the dosha vitiation which eventually ends the associated symptoms of that disease.
• Nagarjun rasa, hridayarnava rasa, chintamani rasa, vishveshwar rasa, trinetra rasa, kalyanasundara rasa, akik bhasma, mukta pishti, makardhwaja, prabhakar vati, shankar vati, pippali churna, pushkarmool churna, haritakyadi churna, shunthi kwath, arjuna ghrita, baladya ghrita, chyawanprash, vasavaleha, shilajit rasayan, hridayeshwar rasa, panchskar churna, dashmoolarishta are some of the ayurvedic formulations that are beneficial in managing the heart conditions (hridroga) including Arrhythmogenic right ventricular cardiomyopathy.
• Padmasana, savasana, surya namaskara etc should be performed on a daily basis. It helps keep the heart healthy.

Herbal Remedies for Arrhythmogenic Right Ventricular Cardiomyopathy by Planet Ayurveda

Planet Ayurveda is an eminent GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adheres to the objective of manufacturing quality Ayurvedic products as mentioned in a number of ancient texts of Ayurveda. Formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which can have a number of side effects on the human body. Products manufactured at Planet Ayurveda are pure and devoid of any kind of adulteration. The products are purely organic and vegetarian and gluten free and halal certified. Planet Ayurveda presents its product that effectively manages the condition of Arrhythmogenic right ventricular cardiomyopathy.

Products Lists

1. Arjuna Capsules
2. Arjun Tea
3. Total Heart Support
4. Hridayarnava Rasa
5. Brahmi Vati (Plain)

Product Description

1. Arjuna Capsules

Arjuna Capsules are loaded with extract of Arjuna (Terminalia arjuna). Arjuna is a well known herb to enhance and boost cardiac activity. It is a best known heart rejuvenator. It promotes heart health and maintains cardiac circulation. It is cardioprotective and a natural blood thinner. Arjuna is helpful in all kinds of circulatory problems. Arjuna is loaded with a variety of other vitamins and antioxidants.Arjuna strengthens the cardiac muscle and also coordinates its contractions. Arjuna makes the heart beats more regular and well timely. Therefore, Arjuna capsules are an important medicine that benefits the persons with Arrhythmogenic right ventricular cardiomyopathy.
Dosage: Two capsules twice a day with plain water.

2. Arjun Tea

As the name indicates, Arjuna tea contains Arjuna powder. It helps to strengthen the heart muscles and acts as a cardiac toner. It is sweet and promotes a fresh mood. It is also a mood enhancer and appetiser. It is also effective in supporting healthy blood vessels and the circulatory system. By its cardiac muscle strengthening properties, it is useful in Arrhythmogenic right ventricular cardiomyopathy. It further sets the cardiac contractions in a regular trend or pace.

Dosage: one cup twice a day

3. Total Heart Support

Total heart support are the capsules filled with the goodness of Arjuna (Terminalia arjuna), Ashwagandha (Withania somniferum), Brahmi (Bacopa monnieri) and Shankhapushpi (Convolvulus pluricaulis). Total heart support is a combination of extracts of these herbs. These herbs in combination are best to relieve stress, pacify insomnia and increase the ejection fraction of the heart valves. Also heart support capsules help to strengthen the muscles of the heart. The total heart support capsules of Planet Ayurveda are useful in all the problems associated with the heart including Arrhythmogenic right ventricular cardiomyopathy as it strengthens and tone up the cardiac muscles and hence is vital in the above said condition as it sets the heart contractions at a normal pace.

Dosage: Two capsules twice a day with plain water.

4. Hridayarnava Rasa

Hridayarnava Rasa, as its name indicates, protects the heart from a number of conditions. The formulation contains shuddha parad (purified mercury), shudha gandhak (purified sulphur), tamra bhasma (cooper calx) triphala kwath (decoction of amalaki, bibhitaki and haritaki) , makoi swaras (Solanum nigrum). It protects the heart by strengthening its muscles and also makes it functioning well. By strengthening the cardiac muscles you help in a number of heart diseases as there are t diseases that cause symptoms due improper contraction and relaxation of the heart muscles. Therefore, Hridayarnava Rasa is a great formulation that regulates the beating of the heart and hence helps in Arrhythmogenic right ventricular cardiomyopathy.

Dosage: One tablet twice a day to be chewed.

5. Brahmi Vati (Plain)

Brahmi vati (plain) is a classical ayurvedic formulation. Brahmi vati is composed of brahmi (Bacopa monnieri), shankhapushpi (Convolvulus pluricaulis), vacha (Acorus calamus), maricha (Piper nigrum), gojihva (Onosma bracteatum), swarna makshika bhasma, ras sindoor (Purified Mercury and Sulphur). The tablets help in calming but strengthening the cardiovascular system. Brahmi vati helps in regulating the irregular rhythm of the heart. It helps in palpitations. With its cardiac muscle strengthening property regulating the heart rhythm, brahmi vati provides good results in the condition of Arrhythmogenic right ventricular cardiomyopathy.

Dosage: One tablet twice a day

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 9915-593-604

Conclusion

Heart diseases are on the rise at an exponential rate. Dietary habits and stress and some hereditary factors are some of the main reasons behind these heart conditions. As the heart is a vital organ in our body so it becomes quite important to take good care of it. Arrhythmogenic right ventricular cardiomyopathy is a rare disorder of the heart which is characterised by irregular heartbeat accompanied by nausea, weakness, lightheadedness, vomiting etc. This condition can prove fatal if proper care is not provided at the earliest. In Ayurveda, this condition is compared with hridroga as mentioned in traditional texts. Arjuna is a herb of choice that acts marvellously in all types of heart conditions. The products mentioned above are of great help in managing the condition of Arrhythmogenic right ventricular cardiomyopathy.