Your Good Health: Underlying conditions of heart failure should be treated

Dear Dr. Roach: A friend of mine has been diagnosed with “stiff heart” and has kind of given up because there is no treatment. With all the advances in medicine, isn’t there something that can be done?It’s not always easy to guess what a medical diagnosis might be from a simplified description like this, but my best guess is that your friend has a type of heart condition called “heart failure with preserved ejection fraction” .

Whenever possible, the underlying conditions should be treated. Specific treatment for HFpEF can be frustrating, but medical advances are catching up. New classes of medicines have been shown to improve symptoms. In people who are obese with HFpEF, the use of semaglutide has been shown to improve their exercise ability and quality of life, and it has just received an indication by the Food and Drug Administration to protect the heart in this situation.

Dear Dr. Roach: I am just getting over the horrible shingles. I thought I had chicken pox when I was younger, but I got shingles anyway two months ago. It is horrible and debilitating with nerve pain and rash pain after the blisters start to disappear. Once this miserable thing passes , should I get the new and improved shingles vaccine at some point, or am I good to go for a while? I’m 77 and still in basically good health.

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