Treating Her ‘Angry Fat’ and Diastolic Heart Murmur | Lipoedema and Me
One in every ten women are affected, no amount of dieting can help and most don’t know it exists… In this episode we talk to a patient diagnosed with Lipoedema and take a listen to her fascinating heart murmur at both rest and during exercise.
Lipoedema is a condition that mainly affects women and is characterised by symmetrical swelling in the legs, thighs, buttocks and sometimes arms. It is due to the way fat is deposited under the skin in an uneven manner instead of in a regular pattern. It can be extremely painful and the areas that are affected have a tendency to bruise easily. Lipoedema can result in fluid retention in the affected areas leading to a condition known as lymphoedema. It is thought to have a genetic basis, however, the cause of the condition is not yet fully understood.
As we hear in this interview, lipoedema can have a number of effects on the body from having a limited ability to do physical exercise to other medical conditions. As you’ll hear, our patient was incidentally found to have a murmur caused by diastolic dysfunction which is where the heart has trouble relaxing between beats. This means that with each contraction, less blood is pumped from the left ventricle and so the heart has to work harder to make up for this shortfall. This, if not monitored regularly, can lead to conditions such as high blood pressure and even heart failure. We take a listen to the murmur over both the aortic and pulmonary valve during rest and exercise and it’s truly amazing.
Treatment of lipoedema is multi-dimensional and involves psychological support, healthy eating and exercise, skin care, compression therapy and management of pain amongst others. It is often managed through a multidisciplinary team of doctors and therapists.
If you or someone is affected with lipoedema please see your General Practitioner for further assessment and management. There are also a number of useful support groups available.
Contact Cinnamon: https://instagram.com/carry_it_well_
Better Health Channel: https://www.betterhealth.vic.gov.au/health/ConditionsAndTreatments/Lipoedema
Lipoedema Australia: https://www.lipoedemaaustralia.com.au/
Heart Sounds of a Female: https://youtu.be/vxXJ67vPDaI
Heart Sounds of a Male: https://youtu.be/Av-syKLbFfI
Digital Littmann Stethoscope: https://youtu.be/zl7FVhXMbtI
How to Listen to The Heart: https://youtu.be/c96kqgW0aUg
Thanks for watching and if you have any questions please don’t hesitate to leave me a comment in the comments section below or pop by and see me in clinic.
Take care and stay healthy.
Dr Nora 💉
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