YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20

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YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
yLife
                                      Issue 22/Summer 2020

                                      Our impact in 2019        12
                                      Brexit advice             16
The magazine for people affected by
cardiomyopathy and myocarditis        Legacy of love            20

   ‘I was petrified I wouldn’t
   see my daughter grow up’
                                                      Page 18

the heart muscle charity
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
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Contact us
If you would like more
information on our services,
                                         Welcome
                                                                  W
please get in touch                                                       elcome to this edition
                                                                          of My Life.
Call or write to us                                                Despite the challenges for
                                                                   many of you trying to cope
                                                                   with heart disease, common
      Unit 10, Chiltern Court,                                     illnesses and the threat of a
      Asheridge Road,                                              coronavirus epidemic, work at
      Chesham, Bucks HP5 2PX
                                                                   Cardiomyopathy UK continues
      01494 791224                                                 at speed.
                                                                I hope by the time you read
      Helpline                           this, it will have stopped raining too!
                                         This issue features highlights from our 2019 Impact
      0800 018 1024
                                         Report and some of the things we achieved last year.
      (free from a UK landline)
      8.30am-4.30pm, Monday-Friday       Our board of trustees (turn to Page 12 to meet our
                                         latest members) decides the charity’s strategy, but
                                         we are delighted with the impact our volunteers –
Find us online                           supported by our staff – make to those affected by
                                         cardiomyopathy and myocarditis.

      www.cardiomyopathy.org
                                         For some, their place is supporting other patients in
                                         face-to-face, telephone, or Facebook conversations.
      contact@cardiomyopathy.org         For others, their role is focused on raising awareness
                                         or fundraising.

         Live chat                       On Page 14, read about how we are creating a new
                                         role for volunteers, by building a national network
      www.cardiomyopathy.org             of patient/supporter representatives, who can work
      8.30am-4.30pm, Monday-Friday
                                         alongside us to influence health policy and local
                                         delivery.
Social media                             Our aim is to support clinicians in providing the type
                                         of services that we need, such as one-stop specialist
      /cardiomyopathyuk                  clinics.
                                         While some services need more resources, much
      @cardiomyopathy
                                         can be done by developing people in different
      @cardiomyopathyuk                  ways and sharing best practice.
                                         Keep well,
Cardiomyopathy UK is a charitable
incorporated organisation (CIO) with a
registered charity no 1164263                                                   Alison Fielding, Chair

This magazine and its plastic wrapper
is 100% recyclable                       Front page photo: Holly Aldridge and daughter Megan
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
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               Contents
4. Restrictive cardiomyopathy   12. How we make a difference

6. Charley’s RCM story          16. Post-Brexit advice

10. Readers’ questions          18. Peripartum cardiomyopathy

|           MyLife
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|4

Guide to restrictive
cardiomyopathy
     W     hat is restrictive
           cardiomyopath (RCM)?
                                          the following:
                                          • shortness of breath;
     Restrictive cardiomyopathy is a      • fatigue;
     rare form of cardiomyopathy in
     which the heart’s ventricles (the    • swelling in the abdomen and
     lower chambers) become stiff         ankles;
     and lack the flexibility to expand   • weight gain;
     as they are filled with blood.
                                          • loss of appetite;
     This poor filling function means
     that the ventricles receive less     • palpitations;
     blood than normal, and so            • nausea and
     blood flow around the body
     and the heart is reduced.            • fainting.
     Also, blood gets ‘backed up’
     as it cannot enter the heart as
     normal, which causes a build-
                                          W     hat causes RCM?
                                                Although the cause of
                                          RCM is often unknown, it can
     up of pressure. This can cause
                                          be genetic and run in families. It
     the atria (top chambers of the
                                          can also develop owing to other
     heart) to enlarge.
                                          conditions, such as:

     W     hat are the symptoms
           of RCM?
                                          • scar tissue in the heart;
                                          • amyloidosis – a condition
     Some people have no symptoms         where there is too much of
     of RCM, or very mild symptoms.       an abnormal protein (called
     But over time, the restricted        amyloid) in the body, and it
     function of the heart can lead       builds up in the heart muscle;
     to heart failure (where the heart    • haemochromatosis – a
     fails to pump enough blood, at       condition where too much iron
     the right pressure, to meet the      from the diet is absorbed and it
     body’s needs).                       builds up in the organs, including
     This can cause symptoms that         the heart, and
     develop as the heart’s function      • following some treatments for
     reduces. Symptoms can include        cancer, such as radiation therapy.

                                                                   Medical |
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                                                                     › Heart with restrictive
                                                                     cardiomyopathy
                                                                     where the ventricle
                                                                     walls stiffen and lose
                                                                     flexibility

             › A normal heart

W     ho gets RCM?
      RCM is relatively rare
                                  muscle) is done to determine
                                  the cause of RCM.
compared to other types of
cardiomyopathy.                   W    hat is the treatment?
                                       Although RCM cannot
                                  be cured, treatment aims to
It is most often diagnosed in
children (rather than adults)     reduce and control symptoms.
at five to six years of age,      Some treatments may not be
although it can develop at any    suitable, depending on the
age.                              underlying cause of the RCM.

H    ow is RCM diagnosed?
    As symptoms can be
                                  Doctors many recommend
                                  lifestyle changes, which might
subtle to start with, diagnosis   include a healthy diet and
may be difficult.                 exercise.
A diagnosis is based on           They may also discuss using
medical history, a physical       medications to treat heart
exam and tests such as an         failure, including beta-blockers
electrocardiograph (ECG) and      and ACE inhibitors.
an echocardiogram (ECHO).         In severe cases, people with
Occasionally, a myocardial        RCM may require a heart
biopsy (biopsy of the heart       transplant.

 |                 MyLife
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
|6

 Charley’s
 story

   Charley is a
  member of our     C    harley Maunder, 22, has
                         never known what it’s
                    like living without a heart
                                                     heart transplant.
                                                     However, the supermarket
CYP&YA Panel that                                    worker from Poole, Dorset
                    condition.                       says she felt “completely
  meets regularly
                    Born with a heart defect, she    normal” as a child.
to discuss how to
 improve services   had closed-heart surgery at      “I wasn’t aware of any difference
                    six days’ old and open-heart     as my parents tried very hard
for young people
                    surgery at four months.          to treat me exactly the same
   affected by
                    And since being diagnosed with   as my brother and sister,” she
 cardiomyopathy
                    restrictive cardiomyopathy       says.
 and myocarditis.
                    (RCM) aged 11, she has been      “But growing older, as my RCM
                    assessed three times for a       got progressively worse and I got

                                                                         Case Study |
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more symptoms, I started to            about the condition, I’m living
notice how different I was and         a much more full life and
throughout the years, it has           there is so much support from
affected every area of my life,”       Cardiomyopathy UK for people
she admits.                            and carers in exactly the same
                                       position as me.”
“As a schoolgirl, I had to stop
trampolining and gymnastics.           Charley is currently managing
Later, I had to give up training       her condition with medication,
to be a beautician because it          despite knowing her RCM will
was too physically demanding.”         continue to deteriorate and
                                       she’ll need a heart transplant.
Today, Charley says her RCM
affects 50 per cent of her             “I was on the transplant list
lifestyle.                             from 2017 to 2018, but then I
                                       was taken off and I felt a huge
“I’ve worked hard to find a
                                       sense of freedom.
good work/life balance so my
days feel full, but I don’t feel ill   “Although I don’t know what
by the end of the day.                 the future holds, it’s hard
                                       knowing I will probably need a
“This has been particularly hard
                                       transplant at some stage.
because I’m unable to work
full time or pursue my dream           “But I’m putting it to the back
of a career in health care as it       of my mind while I try to
would be too strenuous,” she           get physically and mentally
adds.                                  stronger,” she insists.
“I worked in a lovely cafe as a        The good news is that Charley
waitress, but again, this got too      is now well enough to go
much and I had to give it up.          on her first solo holiday to
                                       Thailand in October.
“But then I found a sympathetic
employer at a supermarket              “My condition has always been
with a strong disability policy        noticeable when I go away
where I work part-time doing           because I can’t keep up with
short shifts. I also volunteer in      my family or friends and we
a charity shop twice a week,           have to make adjustments, or I
which gives me a routine.”             don’t join in with what they’re
                                       doing.
Although there have been
many difficult times, Charley          “My brother and sister have
is grateful to Cardiomyopathy          both had the chance to travel,
UK for helping her understand          so I was so excited when I
more about RCM and giving her          booked my first two-week
a voice to speak out and raise         trip on my own. I’m looking
awareness.                             forward to seeing the world
                                       and being just like any other
“As I get older and learn more         tourist!”

 |                   MyLife
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
|8

Get cooking and support Cardiomyopathy UK with our

                                                               2020 foodie
                                                                fundraiser

› Chocolate cake with
raspberries. This cake
recipe is also available
with vegan-friendly
ingredients

                                       › Lemon and poppy
                                       seed drizzle cake.
                                       This cake has been
                                       made with 20% less
                                       sugar and spelt flour

                           O    ur gourmet chef Ian             and are even more enjoyable
                                Human has created               when surrounded by friends and
                           a delicious 2020 foodie              family.
                           fundraiser to help families          Ian has created two recipes for
                           affected by cardiomyopathy.          you to try – a chocolate cake
                                                                with raspberries and a lemon
                           Fundraising events are so much       cake, made with alternative
                           fun to organise and take part in,    ingredients to reduce sugar and

                                                                                      Services |
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
9|

dairy content. Ian has worked        between, the event is all about
hard on changing the                 having fun and raising money
ingredients to create cakes we       and awareness.
guarantee your guests will love!
                                     To request your foodie
Organising your coffee and           fundraiser recipe cards and
heart-shaped cake event              fundraising pack, go to https://
couldn’t be simpler.                 www.cardiomyopathy.org/
                                     fundraise-for-us/fundraise-
Whether you host it in the
                                     for-us
comfort of your living room
with a few friends, organise it      Or contact our community
as a large social event with your    fundraiser Jaye at jaye.
support group, or anything in        chassebi@cardiomyopathy.org

Charity raffle is back with a bang
                                       You can also visit our online
                                       shop to buy tickets at https://
                                       www.cardiomyopathy.org/shop/
                                       shop/product/raffle-ticket--
                                       single
                                       Our goal this year is to sell

O    ur annual Summer Raffle
     is back for 2020 with
more amazing cash prizes to
                                       5,500 raffle tickets.
                                       The closing date is August 31
                                       and only tickets purchased
win.                                   online and received in the post
With tickets on sale for just £1       by the end of the day on August
each and prizes worth £500,            31, will be counted. The draw
£250 and £100, why not try             will take place on September 1.
your luck and enter?
                                       Each £1 ticket helps support our
Use the raffle ticket booklet          vital work and enables us to be
inside this My Life to buy tickets     there for families who need us.
for yourself and sell to your
family and friends, then simply        To find out more information,
send the booklets back to us.          contact our community
(Please recycle any unused             fundraiser Jaye on jaye.
tickets).                              chassebi@cardiomyopathy.org

 |                 MyLife
YLife - 'I was petrified I wouldn't see my daughter grow up' 12 16 20
| 10

           Q&A
          with t
                 he Services
                               Team
                                          If you have a question for our
                                         experts to answer, please email
                                          contact@cardiomyopathy.org

                          Q: Why am I feeling so             channel blockers – which
                          fatigued?                          work by reducing the
› Ali Thompson
                                                             workload or slowing down
                          Support nurse Jayne                your heart.
                          Partridge says: “Fatigue is
                          feeling unusually tired and        “Some diuretics, such as
                          weak.                              furosemide, can make you
                                                             feel fatigued by eliminating
                          “It isn’t the same as feeling      some electrolytes.
                          drowsy or sleepy and can’t
                          be remedied by sleep or            “These effects may wear off
                          taking a rest.                     once your body adjusts to
› Jayne Partridge                                            the new medication or dose
                          “Being sleepy may be a             increase. However, if you are
                          symptom of fatigue, but it’s       concerned, see your GP or
                          not the same thing.                cardiologist.”
                          “When you are fatigued,
                                                             Q: What are some
                          you have no motivation or
                                                             developmental concerns
                          energy. Fatigue can be owing
                          to health conditions such
                                                             associated with having
                          as cardiomyopathy and can          cardiomyopathy as a child?
› Emma Greenslade         also be as a result of stress,     Support nurse Emma
                          bereavement or anxiety.            Greenslade says: “The
                          “It can be caused by your          way a child deals with
                          muscles not getting enough         stress depends on age
                          oxygen and can also be             and developmental level,
                          caused by insufficient sleep.      temperament, and family
                                                             situation.
                          “Some medications can
                          cause fatigue – beta               “Information provided to
› Caryl Evans             blockers, ACEs (angiotensin-       children should be tailored
                          converting-enzyme                  to their maturity level, health
                          inhibitors) and calcium            literacy, needs, and readiness

                                                                                  Services
11 |

to understand their cardiac        cardiogram last week at
condition.                         my routine cardiologist
“Children often exhibit an         appointment that said my
increased readiness to learn at    EF was 40%. I then received
key points in development, so      a letter a few days after
watch for teachable moments        from another doctor, stating
and provide education and          systolic function from the
counselling at your child’s        MRI showed the EF is 30%
maturity level.                    with systolic function still
“Encourage them to take an         severely impaired. Why the
active role in managing their      difference?
cardiomyopathy. Talking about      Support nurse Caryl Evans
it by participating in taking      says: “MRI is gold standard
medication and interacting         imaging for cardiomyopathy
with their paediatric              for assessing and evaluating
cardiologist at appointments       the quantity of the heart’s
can help.                          function including volume,
“Anxiety is the most common        and of course, ejection
psychological symptom              fraction (EF).
experienced by children            “Echocardiography is the
with cardiomyopathies,             most widely used imaging
and therefore, they may            in practice as it is more
experience a greater need for      widely available and less time
affirmation from friends and       consuming. However, any
family and counselling if the      technician or cardiologist
family feel they are not able to   carrying out a transthoracic
cope.                              echocardiogram (Echo)
“Signs that a child is having      follows set standards and
difficulties adjusting to living   protocol when evaluating
with a medical condition           and estimating the size and
include constant feelings of       function of the heart.
being sick ie: tummy pains         “Each professional has a
(leading to school absences),      slightly different way, but
social isolation, or avoidance     in essence, this margin of
behaviours.                        difference is very small.
“Always seek help and don’t        “Clinical research into this has
try to deal with the worries       shown cardiac MRI is more
yourself. Other family             sensitive in distinguishing wall
members can help, as well          motion abnormalities and
as paediatric counselling          essentially a more accurate
therapy.”                          evaluation.
Q: I had a cardiac MRI             “If there is a discrepancy, you
scan three weeks ago,              should go with the results of
and a transthoracic echo-          the MRI.”

 |                 MyLife
| 12

  Our impact in 2019
                                                                                 we support has increased
                               2  019 was another great
                                  year for the charity and
                               I’m especially pleased that
                                                                                 greatly since our early days,
                                                                                 we still remain rooted in the
                                                                                 community that we support
                               we were able to reach out                         and have kept true to our core
                               to more people and make a                         belief that everyone affected
                               deeper and longer-lasting                         by cardiomyopathy should lead
                               impact on their lives.                            long and fulfilling lives.

                               In our 30th anniversary year, it                  Take a look (facing page) at a
By Joel Rose
Chief Executive of             was amazing to think how far                      few of our service highlights
Cardiomyopathy UK              we had grown and I’m proud                        included in our 2019 Impact
                               that while the range of our                       Report, which will be available
                               work and the number of people                     soon.

   We’re delighted to introduce three new volunteer members onto our board of
   trustees, which has overall responsibility for the work of Cardiomyopathy UK

  Tootie Bueser is the lead cardiac         Elis Power, 26, was diagnosed with     Alyson Smith reached out to the
  genetic nurse for Inherited Cardiac       Hypertrophic Cardiomyopathy,           charity more than 25 years ago
  Conditions (ICC) services at King’s       four years ago. HCM was found          to source information on HCM as
  College Hospital and Guy’s and St         to be in his family after his          her husband had been recently
  Thomas’ Hospital. She is currently        father passed away suddenly.           diagnosed. The telephone support
  completing a PhD on improving the         Elis is a founding member of the       and screening information was
  care of patients with ICCs and will       charity’s 14-25 Young People’s         invaluable to the family. In 2019, the
  soon join St Bartholomew’s Hospital       Panel and also runs the Bridgend       gene was identified in the family,
  as the Associate Director for Clinical    Cardiomyopathy Support Group           with one of her grown-up children
  Research, where she hopes to              with his mother and fiancée. Elis      identified as a carrier. With a career
  continue her research focusing on         says he hopes by working with          in corporate social responsibility
  ICC patients and their families. Tootie   the board of trustees, he can          and 18 years’ experience as a
  is a member of the Clinical Expert        continue working towards his goal      fundraising manager, Alyson says
  Advisory Group for Cardiomyopathy         of supporting those who struggle       she is passionate to see the charity
  UK and also volunteers for the patient    with their diagnosis at a younger      grow and increase awareness in the
  support line.                             age.                                   community.

                                                                                                                 News |
13 |

› We welcomed an                           › Clinicians told us that attending our clinical
unprecedented 235                          education event had...
attendees to our
2019 conference in
London with the aim
— as always with our
conferences — for
people to leave more
knowledgeable, more
confident, and a little
more hopeful for the
future...

› We are delighted with the
impact our Helpline made
last year to people with the
following conditions...

› People who attended our support groups
told us it helped them...
                                           › The charity worked hard to ensure anyone
                                           entitled to welfare benefits was given the
                                           help they needed...

 |                 MyLife
| 14

           ‘Local volunteers
             will be crucial’
         Charity launches new Advocacy Project

›The ideal
treatment            Quick                             Genetics           Long-term
                                       Specialist
pathway, which
                   diagnosis                           & family             care &
is experienced                         treatment
by only nine per                                        testing            support
cent of people
we surveyed

                                    of people with cardiomyopathy are
                                    receiving the ideal care and treatment

                      I  n 2019, the charity
                         undertook its own
                       research project looking at
                                                         about their family; or offered
                                                         genetic testing. The charity
                                                         has been working to address
                       the experience of people          this issue through our clinical
                       with cardiomyopathy in            education programme and our
                                                         work with other charities and
                       being diagnosed, treated
                                                         organisations within the heart
                       and accessing screening           failure community.
                       and genetic testing.
                                                         This has had some impact, but
                       Our work showed that only         clearly there is much more that
                       a small proportion of people      needs to be done.
                       received the ideal care and       This year, we will be launching
                       treatment and highlighted         a new project aimed at
                       real problems with securing       identifying and addressing
                       a diagnosis and receiving         problems in the care and
                       specialist care and long-term     treatment pathway.
                       support.
                                                         The project will bring together
                       It was especially worrying to     volunteers, who are service
                       see that far too many people      users and clinicians, to form
                       are not being told about the      local teams that identify the
                       potentially genetic nature        improvements that can be
                       of cardiomyopathy; asked          made in their area and create a

                                                                                  News
15 |

“local action plan.” Each            Local volunteers who are service
plan will be based on an             users are crucial to this project.
understanding of local
                                     This is because the organisations
shortcomings against best
                                     that commission and deliver
practice and NICE guidelines
                                     local service are required to
and map out specific goals,
                                     have patient representation
timescales and the actions to be
                                     and are expected to respond to
undertaken, to improve care and
                                     patient input.
treatment.
                                     So a focused attempted to
While it is important that we
                                     highlight deficiencies in a
make our voice heard and are
                                     regional by service users is
clear about what needs to be
                                     likely to have a positive impact
improved, we do see our role
                                     especially where this can be
as a source of support; bring
                                     supported by local healthcare
people together and facilitating
                                     professionals and the charity.
change.
                                     Later this year, we will
By working in this way and on
                                     be starting the volunteer
a local basis, we believe that
                                     recruitment and training process
we can make the best use of
                                     so please look out for more
our volunteers and clinical
                                     information.
networks and have a better
chance of making changes             While this project gets
that will impact positively on       underway, we will continue
people’s lives.                      our work on a national level
This is an ambitious project         alongside other charities,
and we will need a team of           medical associations and
well-trained and dedicated           stakeholders in the heart failure
volunteers to work in their local    community, making the case for
areas in order to help us shape      better support and treatment for
our strategy across the UK.          people with cardiomyopathy.

                               New to the team
                             A big welcome to two new staff
                             members – community fundraiser
                             Jaye Chassebi and Karen Gregory,
                             challenge events fundraiser
                             (maternity cover).
                             With so many ways to raise funds
                             – from bake sales, to abseils and
                             skydives – Jaye and Karen have done
                             all sorts of events and can help you
                             with ideas for yours, so please give
› Jaye Chassebi              them a call on 01494 791224.                › Karen Gregory

 |                 MyLife
| 16

                                                  What you
                                                  need to know
                                                  post-Brexit
                            W    e take a look at the
                                 implications for
                            travel and healthcare
                                                                insurance that covers your
                                                                specific needs, including
                                                                medical conditions.
                            within the European                 You can also speak to your
                            Union (EU), which may be            travel insurer about any
                            a worry for some people             specific cover for the post-
                            with cardiomyopathy.                Brexit period.
                                                                A link to travel insurance
                                                                information can be found
By Jayne Partridge             Advice for Travellers            on our website https://
Cardiomyopathy UK
                            Both the UK Government and          www.cardiomyopathy.org/
Support Nurse
                            the EU say UK citizens will still   insurance/travel-insurance
                            be able to travel to and from
FIND OUT MORE               the EU following Brexit.
If you would like further
                                                                          Passports
                            Despite the UK leaving the
information, please
                            EU on January 31, everything        Newly-issued British passports
contact the support
nurses on our Helpline      will remain the same. This          will be blue and gold and lose
0800 019 1024 or            is because there is now a           all references to the European
via supportnurse@                                               Union, but existing passports
cardiomyopathy.org
                            transition period until the
                            end of 2020, while the UK           can still be used to travel to
                            and EU negotiate additional         and within the EU, until they
                            arrangements.                       expire.
                            Flights will continue as normal     You do not need to have six
                            between the UK and EU, as will      months left on your passport
                            ferries and cruise ships, which     to travel to the EU.
                            operate under international         The UK Government has
                            rules rather than EU rules.         published an online tool to
                            A travel visa won’t be required     help you check the validity
                            to travel to the EU, as long as     of your passport at https://
                            travel is up to 90 days within a    www.passport.service.gov.uk/
                            180-day period.                     check-a-passport.
                            It is important that whenever       Remember that your passport
                            and wherever you travel, that       must be valid for for the whole
                            you have adequate travel            of your trip.

                                                                                       News |
17 |

European Health Insurance
 Card and travel Insurance
The European Health
Insurance Card (EHIC) allows
any EU citizen to access
state medical care when they
are travelling in another EU
country.
Therefore, UK registered EHIC
will remain valid post Brexit
and during the transition
period.
ABTA advises holidaymakers            Driving Licences
and business travellers to      As long as you have a full
also make sure that they have   UK driving licence, you don’t
appropriate travel insurance,   currently need an additional
whether they have an EHIC       licence to drive in the EU.
card or not, as there are
                                Depending on your destination
limitations to EHIC.
                                and the length of your stay,
When travelling to the EU,      UK licence holders looking to
it is important you take out    drive in the EU will not need an
travel insurance and check      international driving permit.
that it covers your current
                                If required, driving permits are
circumstances.
                                available from the post office
                                at a cost of £5.50.
     The new rules for          Green Cards for car insurance
      living, working,          won’t be required as although
       travelling and           the UK has left the EU, the
      doing business            withdrawal agreement is in
       in the UK and            place.
         EU will start
        from January
       1, 2021. Go to                   Data roaming
        https://www.            Under EU rules, the cost of
     gov.uk/ for more           making calls sending messages
         information.           or using the internet on your
                                phone in the EU is the same as
                                in the UK.
If you have an annual policy,
make sure that you check        For a complete breakdown of
the terms and conditions        roaming charges, we advise
and contact your insurance      checking with you network
provider if you are not sure.   provider before you travel.

 |                MyLife
| 18

                               ‘I couldn’t believe
                               I had heart failure’
                               N   ine weeks after giving
                                   birth, Holly Aldridge, then
                               33, started to get palpitations
                                                                    one night, the couple realised
                                                                    Holly was so ill they needed to
                                                                    call an ambulance.
                               that “would stop me in my            Holly was taken to Nevill
                               tracks and I’d need to sit           Hospital in Abergavenny
                               down afterwards.”                    and after hours of tests, she
                               Holly, from Powys, Wales, had        was told she had peripartum
                               always been fit and healthy,         cardiomyopathy (PPCM)– news
                               with no history of heart             that changed her world.
                               problems in her family.              “When the doctors said I had
                               The hospital administrator           heart failure, I couldn’t believe
                               had a normal, uncomplicated          it,” she admits. “Then, when
                               pregnancy and a straightforward      it sunk in, I felt numb and
                               birth. However, she felt             petrified that I wouldn’t live to
                               constantly exhausted after her       see my daughter grow up.”
                               daughter Megan was born on           Holly was transferred to the
                               October 29, 2012.                    University Hospital Wales, where
                               “I was overjoyed with relief and     a week after her admission,
› Above: Holly and Megan,
who is ‘especially precious‘   happiness, but also felt utterly     she she reacted badly to her
as Holly has been advised      exhausted,” she recalls.             medication and crashed.
not to have any more
children                                                            Semi-conscious, Holly only
                               “I discounted this as the ‘normal’
                                                                    remembers being surrounded
                               feeling of a new parent and
                                                                    by doctors working on her and
                               assumed my palpitations
                                                                    when she quizzed her heart
                               were owing to the stress of
                                                                    failure nurse in clinic a couple
                               parenthood, but I began to
                                                                    of years later, she confirmed
                               struggle with my breathing and
                                                                    that they had expected Holly to
                               had to prop myself up with
                                                                    die at that point.
                               pillows at night.”
                                                                    She was then transferred to
                               Before long, Holly had to            the Queen Elizabeth Hospital
                               muster every ounce of energy         in Birmingham, which is the
                               to breastfeed her baby and           transplant centre for Wales,
                               husband Mike even had to hold        and initiated on a heart
                               Megan so Holly could feed her.       transplant assessment.
                               Things came to a head when           “Through it all, my will to fight

                                                                                        Case Study |
19 |

and refusal to accept defeat        fitter and stronger and more        Peripartum
never left me,” she insists.        able,” she says.                    cardiomyopathy
                                                                        (PPCM) is a rare
Over time, Holly began to feel      By the end of the six-week
                                                                        cause of heart
stronger and her body began to      programme, Holly says she felt
                                                                        failure with onset
accept the drugs. And despite       like “a new person”.
                                                                        usually in the
her appalling medical profile,
                                    She was no longer too scared        first month after
she baffled technicians by
                                    to try and do anything more         delivery, but
passing the final tests of her
                                    than a quick walk, but also         may occur in the
transplant assessment and was
                                    mindful that on tired days, she     last month of
sent home “with a huge bag of
                                    needed to go easy on herself.       pregnancy and
pills”.
                                    “Today, I’m living a virtually      up to five months
A week after her discharge,
                                    normal lifestyle,” she says.        after giving birth.
Holly was determined to get
back her independence and           “I work five days a week and
                                                                        In PPCM ,the
learnt how to pace herself.         attend the same fitness class
                                    that I did before I got pregnant.   woman’s heart
Although her heart function                                             becomes enlarged
improved, she was fitted with       “I have even walked up Pen-         and its pumping
an ICD and gradually, began to      y-Fan – what an achievement         action weakened
get stronger.                       and something I thought would       and less able to
                                    never be possible!                  pump blood than
“I had regular check-ups with
the heart failure nurses, who       “But thanks to my physiotherapist   normal.
very slowly and carefully           believing in me and all of the
titrated up my medicine, aiming     NHS staff involved in my care       It can be difficult
for maximum dosage,” she            and recovery, I did it.”            to diagnose PPCM
explains. “I reached a massive                                          as many of the
milestone on Megan’s first                                              signs are similar
birthday – a day I thought I’d                                          to symptoms that
never see.”                                                             can also happen in
In 2014, Holly was referred                                             pregnancy, such
to her local cardiac rehab                                              as swelling in the
programme, which she says                                               feet and legs, and
changed her life.                                                       some shortness of
“When I started the rehab
                                                                        breath.
programme, I must admit, I did
wonder how much benefit I                                               Around 70% of
would get from it, as I was the                                         women recover
youngest by at least 20 years!                                          one year following
                                                                        diagnosis (based
“But because of the way the
                                                                        on their ejection
fitness part of the programme
                                                                        fraction, rather
was devised with circuit
                                                                        than their
exercises that could be tailored
                                                                        symptoms).
to each individual’s own level, I
quickly found that I was getting

 |                MyLife
| 20

  Legacy
  of love

                                       David was a racing champion,
       W      hen David Brooks died
              last year, aged 83, he
       left a wonderful gift in his
                                       until one day, his life changed
                                       forever after he was knocked
                                       off his bicycle in a hit-and-
       will to Cardiomyopathy UK       run accident.
       – given in memory of his
       beloved wife Kay, who had       He was admitted to Stoke
       the condition.                  Mandeville Spinal Hospital

                                                  Fundraising stories |
21 |

in Bucks, where during his
rehabilitation and adjustment
to being a paraplegic, he met
Kay, who was his occupational
therapist.
They fell in love, got married
and set up home in Chesham,
Bucks.
After his Royal Air Force service
in electronics, David took a job
repairing televisions until he
obtained a job with IBM and
he remained with them for 30
years.
During that time, he rose to
become the chief executive
of his section, contributing
many good ideas and practices
that saved the company many
thousands of pounds.
David also supported a number
of charities and helped establish
a fishing club for the disabled,
taking part in many international
competitions and on one             donation.                         If you would
memorable occasion, the
                                    Ron told us: “‘David regarded     like to discuss
House of Lords.
                                    his accident positively as he     leaving a gift
David and Kay were together         always said that it had brought   in your will to
for an amazing 47 happy years       him to Kay.                       help future
until Kay sadly died in 2007 and                                      generations,
eventually, David moved into        “They were totally devoted        please contact
a residential care home after       to each other and David was       Sheila Nardone,
suffering a stroke in 2017.         always concerned for her          our Head of
                                    heart health as a result of her   Fundraising, at
The charity first met David’s       cardiomyopathy.                   Sheila.nardone@
brother Ron, when he came
                                    “That’s why he left a gift to     cardiomyopathy.
to visit our office having raised
                                    Cardiomyopathy UK, because        org
£648 at David’s funeral through
his MuchLoved tribute page.         he wanted to help other people
                                    with the condition.”
Then a few months later, he
returned with a cheque for          Cardiomyopathy UK is most
£5,000 to Cardiomyopathy UK,        grateful to Ron and David for
including his own generous          their support.

 |                MyLife
| 22

                  Walks and treks
                                                                       May-December
                                                                       There are a great choice of
                                                                       amazing walks and treks
                                                                       to choose from – from the
                                                                       Brecon Beacons trek with
                                                                       two distance choices; to
                                                                       Ultra Walking Events (from
                                                                       23km to 100km) in the Isle of
                                                                       Wight, London to Brighton,
                                                                       Cotswolds, South Coast or
                                                                       Thames Path; to climbing
                                                                       the National Three Peaks
                                                                       or Yorkshire Three Peaks –
                                                                       check dates on our website.

   30 Day Challenge                         W    hy not make 2020 the year when
                                                 you take on a challenge for
                                            yourself and for Cardiomyopathy UK?
                                            Notice your skills and confidence grow and
                                            experience a great sense of achievement
                                            while raising vital funds for our charity.
                                            From skydiving to a 30 Day Challenge at
                                            home, there really is an event for everyone.
                                            n To take part in any of the events listed, visit our
                                            website https://www.cardiomyopathy.org/events/
                                            events or email fundraising@cariomyopathy.org
                                            or call 01494 791224.

                                                        Marathon
The 30 Day Challenge is your choice
- maybe you want to give up snacking
                                                      achievements
on sweets, read a book every day, help
a neighbour, practise an instrument, or     On April 26, our #teamcardio of 50 runners
start an exercise programme?                ran the Virgin London Marathon 2020
                                            (watch out for highlights in our next edition
Memory experts say it takes a minimum       of My Life).
of repeating something 21 times for it to
become a new skill, so what new skills do   Congratulations and huge thanks to Dougie
you want to acquire?                        Paton and Pete Rutherford for running the
                                            Marathon des Sables from April 3-13 and
Simply decide on your challenge, sign up    raising (at the time of going to press) an
for our free 30 Day Challenge pack via      amazing $16,000.
our website, and then ask your friends,
family and colleagues to sponsor you for    Thank you, Dougie and Pete. To help them
each of the days on your challenge chart.   reach their target of $20,000, donations
                                            came be made on their Just Giving page:
Whatever change you want to make, the       https://www.justgiving.com/fundraising/
30 Day Challenge is for you.
                                            petedougmds

                                                                                    #teamcardio
23 |

        Join #teamcardio
    Skydive
    June 27, 2020

    Have the experience of a lifetime by
    skydiving over the beautiful countryside
    of Salisbury in June.

    The skydive is an unforgettable way to
    raise money and help people affected by
    Cardiomyopathy.

    Attached to a professional instructor,
    you’ll jump from up to 10,000ft,
    experiencing exhilarating freefall before
    the instructor deploys the parachute
    and then you drift gently to earth, taking
    in the beautiful views. All the training
    takes place on the day, and if you raise
    £450 you jump for free!

    https://www.cardiomyopathy.org/
    skydive/skydive-home

                                     To apply
                                     for one of
                                                     Running   If you’re a runner, or an
                                                               aspiring runner, there’s a

                                     our charity      events   great choice of runs from
                                                               fun runs to 10k to Half
                                     places in the             Marathons.
                                     2021 Virgin
                                     London                    Sign up for a 10k in
                                     Marathon,                 London, Bournemouth
                                     please                    or Leeds or enter
                                                               a half-marathon in
                                     register via
                                                               Bournemouth, Cardiff,
                                     our website
                                                               Edinburgh, London
                                     from May.                 Hackney or Royal Parks
                                                               London

                                                               Maybe there’s a fun
                                                               run near you that you
                                                               could enter and run for
                                                               Cardiomyopathy UK?

|                    MyLife
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