Heart attack, also known as myocardial infarction, is a severe condition where death of the heart muscle occurs because of the loss of blood supply. The blood loss usually happens because of the blockage of a coronary artery. Due to electrical instability, ventricular fibrillation is caused. Heart attacks may result in permanent brain damage or even death.

Symptoms of heart attack
There are many early symptoms and signs of heart attack, which should be recognized. Symptoms of heart attack vary from person to person. Here is a list of the primary heart attack symptoms:

Chest pain and discomfort:
Chest pain is the basic symptom of a heart attack and occurs in different forms. The chest pain has a pressure, fullness and squeezing sensation and starts from the center of the chest. The pain may go away and re-occur and may spread down to other limbs of the body.
Headache, toothache:
The chest pain occurring due to a heart attack spreads all over the body and the jaw. Even the back and head are affected. Sometimes pain in these regions is present while chest pain is absent.
Shortness of breath:
A gasping sensation or feeling shortness of breath is another common sign of a heart attack. Such breathing difficulty is called dyspnea. The shortness of breath occurs before or during the chest pain.
Nausea and vomiting:
The feeling of nausea or sickness in the stomach is another possible symptom. It is accompanied by belching or burping and sometimes, the heart attack is associated with a feeling of indigestion. Nausea is more common in women. Vomiting also occurs alongside nausea.
General epigastric discomfort:
In several cases, patients describe the pain of a heart attack as stomach pain. The pain is heavy and uncomfortable and persists for several minutes.
Sweating:
Perspiration or sweating occurs during a heart attack and the patient experiences cold sweat in avid amounts.

Emergency treatment for heart attack-
A person who has a heart attack should be rushed to a hospital.
Several tests are carried out to detect the cause of the attack. A 12 lead ekg is carried out to supervise electrical activity within the heart and detect the damaged areas.
Blood tests are undertaken to check enzymes and in certain cases, cardiac catheterization is required where pictures of the blood vessels are examined.
Emergency medicines are given to the patient to stop the formation of blood clots and include aspirin, heparin and other drugs. Other medicines are given for thrombolytic therapy, which dissolve already formed blood clots. They work to reduce the heart damage. Nitrates are also used.

A heart attack is a severe condition and must be attended to immediately. Emergency treatment procedures are essential to save the life of an affected person.

Heart Attack - Signs, Symptoms and Emergency Treatment

Congestive heart failure is a chronic progressive condition that affects the pumping power of your heart muscles. Simply referred to as heart failure, congestive heart failure can be life-threatening. It does not mean that the heart has stopped working. Rather, it means that the heart pumping power is weaker than normal. As a result, the heart cannot pump enough oxygen and nutrients to meet the body s needs. Over a period of time, the reduced ability of the heart causes the organs to receive less amount of oxygenated blood.

Signs and symptoms of congestive heart failure: In the early stages of congestive heart failure, you most likely won t notice any changes in your health. If your condition progresses, you will experience gradual changes in your body. The hallmark and the most common symptom of congestive heart failure is shortness of breath and it may occur while you are at rest, doing any activity that exerts your body, when you are lying flat or while getting up from sleep. Some of the other most common symptoms of congestive heart failure include a persistent and unexplained cough, swelling in the legs, ankles, abdomen, or hands, tiredness, changes in thinking and memory, nausea, rapid heart rate, and dizziness or light-headedness.

Causes of congestive heart failure: Congestive heart failure is most likely to occur in people who have other conditions that weaken the heart. The risk also increases by several lifestyle factors that are bad for the heart. Risk factors for congestive heart failure include congenital heart defects, high blood pressure or cholesterol, obesity, asthma, chronic pulmonary disease, coronary heart disease, heart infection, reduced kidney function, a history of heart attack, irregular heart rhythms, abuse of alcohol and drugs, smoking, and old age. Though there are over a hundred other less common causes of heart failure, the exact cause of congestive heart failure is often idiopathic or unknown. Congestive heart failure might also exacerbate by unhealthy lifestyle habits. Specific habits such as smoking, excessive use of alcohol, obesity, lack of exercise, high salt intake, noncompliance with medications, and other therapies may increase the risk of congestive heart failure.

Diagnosis of congestive heart failure: A doctor or cardiologist will perform a physical exam. This may involve listening to the heart for abnormal heart rhythm. Some common tests that are done to help with the diagnosis of congestive heart failure include an electrocardiogram, chest X-ray, series of blood tests, echocardiography, stress test, magnetic resonance imaging (MRI) and cardiac catheterization.

Treatment of congestive heart failure: The goal of treatment for congestive heart failure is to have the heart beat more efficiently so that it can meet the energy needs of the body. Specific treatment depends upon the underlying cause of heart failure. You and your doctor may consider different treatment, depending on your overall health and how far your condition has progressed. There are several medications that can be used to treat congestive heart failure. ACE inhibitors open up narrowed blood vessels to improve blood flow. Vasodilators are another option if you cannot tolerate ACE inhibitors. Beta blockers can reduce blood pressure and slow a rapid heart rhythm. Diuretics reduce your body s fluid content. A surgery such as angioplasty is recommended if medications are not effective on their own.

Congestive Heart Failure - Signs & Symptoms You Must Not Ignore!

Neurosurgery mainly deals with treating of functional disorders that affect the nerves, brain and muscles through major or minor surgery. The field of neurosurgery makes use of advanced surgical procedures. The different techniques are used to treat brain tumors, trauma to the head, cerebral hemorrhages, spinal disc herniation, brain aneurysms and peripheral neuropathy.

Neurosurgery Treatment
The main aim of neurosurgery treatment in patients suffering from stoke is to prevent neurologic deterioration as well as the recurrence of stroke. The advancement in medical treatment has increased to a great extent, however the mortality and morbidity in stroke patients is very high. The second leading cause of death all over the world is stroke, and hence, through neurosurgery stroke can be managed. Each year in the U.S there are about 800,000 people who suffer from stroke which causes disability.

Symptoms of Stroke and its Effects
The main symptoms of stroke are not identified easily by people. However, the symptoms that are caused on delay of treatment include difficulty in speaking, weakness on one side of the body, drooping on one side of the face and difficulty in walking.

Stroke at times is life threatening and it is also referred to as brain attack and can occur at any time to an individual. It is caused when the flow of blood supply to the brain is cut off and oxygen is deprived to the brain cells. Brain dysfunction occurs due to the dead brain cells and hence some patients lose their memory and control over their muscle movement. The treatment of stroke in such cases includes a neurosurgery by a neurological specialist.

Types of Stroke
The abrupt interruption to the flow of blood that causes hindrance in the neurological function can be best treated if detected early and by accurate diagnosis by a neurosurgeon. There are 3 different types of stroke that can occur and these include Hemorrhagic stroke, Ischemic stroke and Transient ischemic attack. The Ischemic stroke mainly occurs when blood vessels that supply blood to the brain are blocked. It is a common form of stroke and its underlying cause is known as atherosclerosis. The main procedures that are used for treating ischemic stroke include tissue plasminogen activator and endovascular procedure.

In the tissue plasminogen activator procedure, the patient is given medicine intravenously. The blood flow to the affected area of the brain is improved when the blood clot dissolves through this method. The medication is given immediately after 3-4 hours on occurrence of the stroke symptoms. In the second procedure, a catheter is used, which is injected in the area of the obstructed blood vessel. The blood flow to the area is restored by the endovascular procedure. Even anticoagulants are given to thin the blood and prevent clogging.

Neurosurgery In Management Of Stroke!

Cardiac or Heart Arrhythmia is a condition which results in disruption of heart s normal rhythm. Due to this, the heart may beat too quickly, too slowly or have an irregular rhythm. Though most of the arrhythmias are not harmful but at times they can have serious consequences, which might turn to be fatal. Differences in heart beats can lead to the restriction of blood, that gets pumped around the body, hence causing damage to the brain, heart and other organs of an individual.

Now we would take into account the causes behind the occurrence of this heart condition.

Causes

Interruption to the electrical impulses in any form that lets the heart to contract can result in arrhythmia. A person with a healthy heart should have a heart rate of anywhere between 60-100 beats per minute while the body is at rest.

There are a number of factors which can cause the heart to work inefficiently, which include:

Alcohol Consumption: If you are used to drinking alcohol varying from light to moderate, the chance of irregular heartbeat increases. A recent study has shown that with every drink consumed per day, the risk of atrial fibrillation increased by 8 percent. Men and women both are at equal risk for irregular heartbeat. Irregular heartbeat is caused because drinking leads to damage of the cells, which in turn leads to causing damage in small areas of fibrous tissue within the heart.

Anxiety: Arrhythmia from anxiety is when the heart feels like something happened due to which it tries to overcompensate and beat quickly. This leads to heart skipping a beat, getting squeezed or undergoing heartbeats at a rapid pace.

Excessive Cosumption of Coffee: Caffeine is a stimulant and tends to speed up heart rate, so consuming too much coffee can lead to the problem of arrhythmia.

Deficiency of Magnesium and Potassium: Magnesium and Potassium deficiencies in one s body can cause Arrhythmia. The deficiencies can be caused due to less intake of citrus fruits and vegetables like potatoes, kiwi, papaya etc.

Symptoms

Arrhythmia can produce a broad range of symptoms which affect the proper functioning of heart. Some of the most serious symptoms are:

Fatigue: If you feel that you are getting fatigued quite easily, then it s a clear symptom of arrhythmia.

Dizziness: A sense of dizziness creeps in when you are having the problem of irregular heartbeat.

Lightheadedness: Feeling light on the head is another symptom of Cardiac Arrhythmia, as there is fluctuation in the amount of blood that reaches the brain through the heart.

Treatment Options

Problem of irregular heartbeats, especially if it s on the slower side, can be solved through the placement of certain devices like pacemaker, which can speed up one s heart rate.
Faster heartbeats can be treated through blood-thinning medications, which would help keep threatening blood clots from getting formed.
Doctors can even go for Catheter ablation, wherein they would thread one or more catheters through the blood vessels of one s heart. Electrodes at the catheter tips can make use of extreme heat, cold or radiofrequency energy to damage a small sport of heart tissue and create an electrical block along the path, that s causing one s arrhythmia.

Cardiac Arrhythmia - Factors That Can Lead To It!

Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

High blood pressure is a condition which occurs when the pressure of the blood flow through the arteries increases, resulting in intense pressure. Hypertension occurs when the systolic pressure (pressure at which the heart pumps blood) and the diastolic pressure (pressure at which the heart relaxes) is more than 140 and 90 respectively.

Symptoms of high blood pressure are: 

1. Shortness of breath

If you have high blood pressure, then you may experience regular shortness of breath.

2. Headaches

You may experience headaches on a regular basis.

3. Weakness of the heart muscles

Hypertension results in a weak heart which may not be able to pump blood properly.

4. Narrowing of blood vessels

Narrowing of blood vessels may lead to other complications such as failure of the kidneys, heart, and brain.

5. Vision problems

It may lead to vision problems as blood vessels in the eye may be affected.

The various causes of blood pressure are: 

1. Tobacco
If you smoke on a regular basis, you put yourself at an increased risk of getting affected by blood pressure.

2. Lifestyle
Not exercising regularly, eating a sodium-rich diet are all factors which can increase the chances of hypertension.

3. Age
The chances of getting affected by hypertension increase as you age.

4. Weight
Being excessively obese also increases your risk of getting affected by hypertension.

5. Diabetes
Being diabetic makes you more prone to getting affected by diabetes.

6. Hyperthyroidism
If you have an overactive thyroid gland, then it may result in hypertension.

Hypertension may result in various health complications in the body such as:

1. Aneurysm

This is a disorder of the blood vessels which causes the blood vessels to bulge and weaken.

2. Heart attack

High blood pressure causes the arteries to harden and thicken which may lead to a heart attack.

3. Metabolic syndrome

This syndrome refers to a group of complications such as high bad cholesterol levels and insulin levels in the body.

4. Impaired brain functioning
It may also impair your ability to learn and impact your cognitive skills.

Hypertension and High Blood Pressure

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