"Keep It Pumping"

Don’t fail your heart, or it may fail you

Jul 04, 2018

We are all familiar with the sound of our own heartbeat, steady as you walk and sleep, fast as you run. When you have heart failure however, your ability to do simple, everyday activities such as walking up stairs is severely affected, having detrimental effects on patients’ day-to-day lives1. The #KeepItPumping campaign, an initiative by Novartis Corporation (Malaysia) Sdn Bhd, strives to empower both patients and the public to take an active role in protecting our nation’s hearts and break free from the debilitating, limiting symptoms of heart failure.

It is estimated that one in five people over the age of 40 will develop heart failure, a debilitating and potentially life-threatening condition where the heart is not able to pump enough blood around the body due to the weakening of heart muscles over time2,3. This means that your blood cannot deliver enough oxygen and nourishment to your body to allow it to work normally and may cause you to feel tired or fatigued4. Symptoms may also include severe breathlessness, swollen ankles, rapid weight gain and difficulty in movement5.

Heart failure impacts more than 60 million people worldwide6.  Studies revealed that the hearts of Malaysians may be at greater risk than other parts of the world compared with Western counterparts7. Heart failure in South East Asian patients occurs at a younger age and is characterised by more severe clinical features, with vascular risk factors such as hypertension, obesity and diabetes2.  Asian patients with stable heart failure have been shown to be at least a decade younger than European patients, often impacting individuals at the peak of their economical productivity.

Together with prescribed medication, exercise is a crucial component of optimal disease management for patients with heart failure, helping to reduce the progression of symptoms and encouraging them to adopt a more active lifestyle8. Exercise-based rehabilitation amongst heart failure patients, in conjunction with treatment adherence, has been shown to reduce related hospital admissions, improve patient quality of life and reduce mortality rates in the long term9. Furthermore, regular exercise is associated with the reduction of risk factors such as hypertension and obesity which may help to prevent heart failure occurring and protect the hearts of the general population10.

This year’s #KeepItPumping campaign, a group of heart failure rehabilitation patients from the Cardiac Rehabilitation Centre, Universiti Malaya Medical Centre, performed an eye-opening aerobic dance showcase. The patients, each with their own unique journey of heart failure – brought to life the benefits of holistic management, empowering other patients in the knowledge that they too can live a full and normal life.

By enhancing our understanding of heart failure and taking a proactive role in our health, we can all help to protect our nation’s hearts. Physical activity can help to reduce your risk of heart failure by decreasing the burden and the severity of associated risk factors10. Taking small steps towards better heart health will go a long way in making sure your body’s most important muscle keeps on pumping.


  1. WGCR 2001.Working Group on Cardiac Rehabilitation and Exercise. Physiology and Working Group on Heart Failure of the European Society of Cardiology. Recommendations for exercise training in chronic heart failure patients. European Heart Journal. 2011;22:125–35.
  2. Lloyd-Jones DM et al. (2002). Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation. 106:3068–72.
  3. Go, A. et al. (2014). Heart Disease and Stroke Statistics−−2014 Update: A Report From the American Heart Association. Circulation. 4;129:e28-e292.
  4. What is Heart Failure? Heart Failure Matters. Last accessed 4 April 2017. Available from http://www.heartfailurematters.org/en_GB/Understanding-heart-failure/Wha...
  5. RTNS UK Limited, March 2014. Survey of 11,000 members of the public aged 50+ years old in Europe, funded by Novartis.
  6. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386(9995):743-800.
  7. Carolyn S.P. Lam. (2016). Regional and ethnic differences among patients with heart failure in Asia: the Asian sudden cardiac death in heart failure registry. European Heart Journal. 2016; 37: 3141–3153.
  8. Conraads, V. et al. (2012). Adherence of heart failure patients to exercise: barriers and possible solutions. European Journal of Heart Failure, 14(5), pp.451-458.
  9. Taylor, R.S. et al. (2017). Exercise-based rehabilitation for heart failure. Review). Cochrane Database of Systematic Reviews. Issue 4.
  10. Nayor, M. & Vasan, R.S. (2015). Preventing heart failure. Curr Opin Cardiol. 30:543–550.