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Safeguarding Your Heart From Shingles and RSV


Infections can affect anyone, regardless of age or health status. However, those with underlying health conditions such as heart disease, or young children and the elderly, are often more vulnerable to severe complications.

Two common infections, Shingles and Respiratory Syncytial Virus (RSV), are viruses that may seem harmless at first. However, for people with heart conditions, they can lead to serious health issues.

It is crucial to understand the risks of common infections and take steps to
prevent them.

Shingles: More Than Just a Rash

Shingles is caused by the same virus that causes chickenpox. After you recover from
chickenpox, the virus can stay in your body for years. It usually hides in the nerve cells.
When your immune system weakens, the virus can reactivate. This causes shingles.

Who is at higher risk?
Older adults aged 50 and above
People with weakened immunity
Those who are under stress
Those with chronic illnesses, including heart disease

How shingles looks and feels
A painful, blistering rash on one side of the body or face
Rashes which usually scab over in 7-10 days and heal within 2-4 weeks

Possible complications

Shingles is more than just experiencing pain. It can cause long-term issues, such as:
Post-herpetic neuralgia (long-lasting
nerve pain)
Bacterial skin infections
Hearing loss
Brain inflammation
Increased risk of heart attack and stroke

What to do if you have shingles

If you suspect you have shingles, see a doctor promptly. Early treatment helps
minimise pain and complications.

DO
Wash hands regularly
Keep the rash clean and covered
Seek medical advice immediately

DO NOT
Pop the blisters
Scratch the rash

Respiratory Syncytial Virus (RSV): Not Just a Children’s Virus

RSV is a highly contagious virus that infects the airways, leading to symptoms like
those of the flu. It spreads easily through:
Coughs and sneezes
Saliva or mucus
Touching contaminated surfaces

People with RSV are contagious for 3 to 8 days or more. One person can infect
several others.

Who is at higher risk?
Young children
Older adults aged 60 and above
People with chronic illnesses and
weakened immune systems
People with heart disease

Common symptoms
RSV can feel like the flu. Symptoms include:
Fever
Sore throat
Cough
Body aches
Fatigue

In more severe cases, it can cause difficulty breathing, which may require hospitalisation. Older adults with RSV are at a higher risk of requiring oxygen support or admission to the intensive care unit. Those with heart disease may face an increased risk of heart-related
complications during hospitalisation.

Prevention is essential. Here are simple steps you can take:

For Shingles
Talk to your doctor about shingles vaccination
Manage stress
Keep chronic conditions under control
Maintain a healthy lifestyle
For RSV
Wash hands regularly
Avoid close contact with sick people
Disinfect commonly touched surfaces
Stay home when unwell

Shingles and RSV may seem common. But for people with heart disease, they can be dangerous. By staying informed about these infections and taking proactive steps to prevent them, you can help protect your heart and overall health.

Remember, always consult your healthcare provider if you have concerns or need more information on how to safeguard yourself from these infections.

The article is contributed by Dr Wee Xue Ting, Cardiology Specialist Pharmacist at iRx Clinical Pharmacy and Vivian Tan, NUS Doctor of Pharmacy Candidate, registered pharmacist at the Singapore General Hospital.

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