The coronary arteries supply the heart with oxygen-enriched blood and nutrients. If these arteries become damaged or diseased; they could cause Coronary artery disease or CAD. Plaque deposits on the walls of the arteries are the most common cause of this disease. This plaque is usually the result of high cholesterol levels. As the plaque builds up, the passage of blood flow is reduced. This reduces the amount of blood that reaches the heart. In cases of a complete blockage, CAD can even cause a heart attack. Because of its slow progression, this disease is often not diagnosed until it reaches a dangerous stage. However, it can be prevented and treated if diagnosed in time.

In the early stages of CAD, symptoms are not very noticeable. Symptoms become visible only when blood flow to the heart reduces and the heart has to pump harder than normal. The most common symptoms experienced include:

Chest Pain: This is also referred to as angina. It may feel like a tightening of the chest or pressure on the chest as though someone is pressing against it. This type of chest pain may be triggered by emotional or physical stress. It is usually relieved within a few minutes of stopping the activity. Women may experience this pain as a sharp, fleeting pain in the back, arm or neck.
Breathlessness: When the heart does not receive enough blood, it has to work harder to pump blood through the body. This may be translated to breathlessness of shortness of breath when performing any type of physical activity. It can also cause extreme fatigue.
Heart Attack: A heart attack is the most severe symptom of coronary artery disease. This is caused by the complete blockage of a coronary artery. A heart attack can occur without any symptoms or be preceded by slight symptoms. The signs of an impending heart attack include pain in the chest and shoulder, shortness of breath and extreme sweating. The chest pain may also travel to the lower jaw. These symptoms are more pronounced in men as compared to women. Women have a higher tendency of experiencing atypical signs such as extreme fatigue.
Other symptoms that might indicate coronary artery disease are dizziness, nausea and an irregular heartbeat. The good news is that this disease can be prevented. Staying physically active, maintaining a healthy weight, reducing stress and eating a low fat and low salt diet can help reduce the risk of CAD.

Coronary Artery Disease (CAD) - What Are The Symptoms?

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.

What is ECMO?
ECMO is a life support device that is put in place when a patient's heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.

Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.

How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.

How long a patient can be on ECMO?
After seven days of being put on ECMO,there are chances of patient getting an infection.
In case the patient contracts an infection, it is recommended to take the patient off ECMO support.

All About ECMO - Extracorporeal Membrane Oxygenation 

If you are concerned about your heart s health, it is important for you to make some dietary modifications. Simple changes in your everyday diet may offer benefits, which help in preventing future heart problems. If you suffer from high blood pressure or high cholesterol or have atrial fibrillation.

Here are some tips regarding the best diet for protecting your heart:

Believe in the food hype: Having healthy meals is certainly beneficial and makes a big difference to your heart health. Consuming meals which contain vegetables, grains, low fat dairy and lean meat will allow you to live a longer and healthier life.
Avoid crash diets: A crash diet may be effective, if you want to fit in a dress within one month. However, for improving your heart health, undertaking different fad diets is not useful. Meals in which a certain type of nutrients such as carbohydrates or fats are ruled out are not beneficial as well. You should have a sensible approach towards your diet and focus on food products such as vegetables, whole grains and lean meat.
Do not overeat: Overeating will lead to weight gain and commonly, many people get heart attack after taking a big meal.
Eat less salt: You should consume less amount of salt in your diet and do not eat more than one teaspoon of salt a day. Avoid any food item which contains high amounts of sodium. Salt is responsible for increasing blood pressure.
Limit your intake of alcohol and caffeine: In case you suffer from atrial fibrillation, you should avoid caffeine and any other stimulant as they tend to trigger the symptoms. You must drink moderately as consuming more than one drink a day increases your risks of having heart problems.
Choose meat wisely: You should avoid red meat, which contains large amount of saturated fats as these are not good for the heart. You should choose the leanest cuts of meats and trim all fat from it. You should opt for cuts such as flank, rump roast, tenderloin and sirloin. Pork tenderloin, chicken and turkey breast are other alternatives.
Add fish to your diet: Fish is essential for improving your heart health. Try to avoid having deep fried fish and choose grilled fish or roasted fish, which are rich in Omega-3 fatty acids. Consume fishes like tuna, salmon, trout and sardines.
You should also add whole grains to your diet. They are effective in controlling blood sugar and lower the chances of diabetes. Hence, the risks of heart diseases are less if you do not have diabetes. Whole grains also help with weight loss, which is beneficial for the heart.

7 Tips for a Healthy Heart

Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

Shortness of breath: This may occur while you are exercising or performing activities which are mildly exerting.
Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
Angina or chest pain: You may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
Heart attack: Heart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.
Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.

Coronary Artery Disease -  Know the Primary Signs!

The lungs take in oxygen and leave out carbon dioxide through breathing. It often does not get noticed but is the most vital function. When a person is not able to breathe properly, then the overall physical ability of a person is reduced. Even walking a few steps or doing simple chores can seem daunting tasks. Therefore, shortness of breath can be very limiting and may alter the quality of life of the patient.

The medical term being dyspnea, it can be short or long-term, acute or chronic. Any problem in the heart or lungs can cause shortness of breath.

Shortness of breath can be caused by various conditions including:

Asthma
Lung infections
Heart conditions including congestion and failure
Allergies
Fever
Any systemic illness or infection
Chronic obstructive pulmonary disease
Pneumonia
Bronchitis
Given that shortness of breath is caused by almost any ill health condition, especially in people with chronic conditions, it is best that the lungs are empowered to improve their function and do not cause shortness of breath. The idea is to delay the onset of shortness of breath and also to reduce the severity.

Some techniques to reduce shortness of breath are:

Breathe by reducing the rate of respiration. This reduces shallow breathing, which often happens, and so improves the amount of oxygen that reaches the system with each breath.
The patient should learn to relax, sit, and pace around without exertion.
Become aware of air movement during respiration   controlled breathing and active cycle of breathing techniques.
Postural drainage   Depending on the area of the lung that is causing shortness of breath, the person is made to lie prone and turn to a side that will allow the fluid in that region to drain out.
Overall relaxation techniques to improve airflow and control short of breath.
Avoid bending down, as it can induce shortness of breath.
Over-eating at one go in one meal should be avoided.
Weight needs to be maintained, especially if not under control. This can lead to shortness of breath without any associated medical condition either.
The patient should learn to push objects instead of pulling them.
Heavy objects should not be lifted but moved down at ground level.
Avoid extreme hot or cold showers.
Quit smoking as it causes various lung problems.
Help physiotherapy provides for people who are short of breath:

Improve exercise tolerance
Calms the person
Allows the person to control symptoms
Improve the quality of life
Provide manual treatment

Can Physiotherapy Cure Shortness Of Breath?

Blood pressure is the measure of the resistance to the natural flow of blood in the blood vessels. The major, minor and few smaller blood vessels themselves have a thin muscular lining that keeps the vessel supple and aids the flow of nutritious blood within its tube-like structure. The vessel walls resist the free flow causing a reverse pressure that is referred to as Blood Pressure. This pressure strains the heart muscles (Left Ventricle more) to contract strongly to push the nutritious blood into the body circulation system.

Due to numerous factors, there is an increase of resistance within the blood vessels that leads to an increase in blood pressure. At a later stage, this results in lack of adequate blood flow to the end tissues and an accumulation of fluids in the various tissues/organs and a mismanagement of the nutrition-detoxification rhythmic cycle of the body. This takes a long time to develop and unless the last stage hampers body functions, it is not detected. Hence, blood pressure is known as a silent disease.

Systolic and diastolic are the two rhythms corresponding to the expansion and contraction of the heart chambers during pumping of blood into the body. This rhythm creates two distinct pressures within the blood vessels. Systolic is when the heart ventricular chamber contract to pump blood into the body, so the pressure is higher. This indicated the force or strain on the heart to push blood into the circulatory system. Hence, this count is considered significant in evaluating health parameters.

High BP as a disease is declared when three or more readings taken at different times of a day or on consecutive days shows increase in BP. Higher the BP, more strain is exerted by the heart. Since the heart is essentially a muscular organ, the muscles of the heart get affected. Sometimes, the heart muscles increase in mass and size making the heart chambers smaller in volume. This further deteriorates the circulation capability leading to numerous diseases. The strain of pumping nutrition to different body organs is also felt by the heart itself. Lack of nutrition can lead to death of cardiac tissue leading to heart failure. High blood pressure makes the heart walls thicken and becomes stiffer which makes it even more difficult to pump blood. Thickening of the heart muscles is also known as left ventricular hypertrophy and cause heart failure.

A systolic blood pressure reading that is higher than 140 mm Hg or a diastolic blood pressure higher than 90 mm Hg characterizes by high blood pressure. High blood pressure is said to be responsible for 50% of the recorded cases of ischemic strokes and also increases the risk of hemorrhagic strokes.

When heart cannot pump with enough force, there is a mismanagement in the intra-cellular and tissue fluid restoration. This puts a great strain on the kidney function. In due course of time, numerous organs of the body suffer and depending on the body constitution, immunity for rejuvenation and restoration of order, the person suffer from numerous diseases.

Diabetes worsens the situation of BP and adds to the deterioration of heart health, blood vessel health. Poor heart functioning leads to different symptoms like:

Shortness of breath
Swollen ankles or feet
Difficulty lying flat on your back
Bloating and nausea
Irregular pulse
Frequent urge to urinate at night
Fatigue
Due to disturbances in BP and other factors leading to lacking of nutrition to the heart tissue. Heart Disease complications are commonly seen with symptoms as follows:

Radiating or dull pain, especially in the chest, radiating in the arms, especially left arm, neck, back and in the stomach especially in women.

Shortness of breath; change in breathing patterns and heaviness in chest
Dizziness and fainting sometimes
Irregular pulse and palpitations
Sudden onset of excessive sweating
Unexplained fatigue, weakness and depression
Heart Disease can be treated with natural ayurvedic medicaments successfully in more than 80% of patients. Numerous ayurvedic medicines have been clinically evaluated to show positive changes supported with clinical investigation. Since ayurvedic medicines are targeted to reaching the root cause of the disturbances and to reduce the burden of the disease they go beyond the relief of symptoms.

Natural Ayurvedic medicines also participate in the rejuvenation of the heart muscles, the blood vessels, the detoxification of the body and re-balancing of health parameters, Ayurvedic treatment options are gaining great relevance and patient opt for such treatment in greater numbers from all over the world. These treatments are non-invasive and very cost effective. They are good to be taken from prevention to after angioplasty, stent or bye-pass to treat the cause of disease.

Ayurveda is a health science that takes into consideration lifestyle modifications, adequate detoxification, re-balancing body element and strengthening the system from all aspects. Ayurvedic medicines have proved useful in the treatment of Blood Pressure, Diabetes, Vascular disease (leading to atherosclerosis, blockages, wear-tear of blood vessels) and Heart disease. Today, these treatment options are gaining importance and acceptance in our society.

Link Between Heart Diseases and High Blood Pressure

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