Most may not be aware of the fact that the human body requires cholesterol for normal functioning. Though normal levels of cholesterol are essential for proper functioning, any fluctuations in these levels can lead to disorders like hyperlipidemia and hypolipidemia.

Cholesterol, a soft, fat-like substance helps in building new cells and secreting hormones. While 80% of the cholesterol is produced by the liver, 20% is obtained from the food you eat. The cholesterol sticks to a protein called the lipoprotein and along with it travels through the bloodstream. Among these lipoproteins, HDL (High-Density Lipoprotein) is good for the body, and the other four namely LDL (Low-Density Lipoprotein), VLDL (Very Low-Density Lipoprotein), and Triglycerides are bad for your body.

Complications
While high blood cholesterol can lead to complications such as heart attack or stroke, low blood cholesterol would indicate the presence of an underlying condition and in either case, proper treatment and management are essential.

Managing high cholesterol

Diet and exercise: The first line of treatment begins with an active lifestyle and a healthy diet. Choosing healthier fats, avoiding trans fats, limiting dietary cholesterol, including whole grains, vegetables, and fruits, and limiting alcohol consumption along with adequate exercise should reduce the levels without medication.
Medication: If the cholesterol levels do not reduce despite m lifestyle changes, the physician will prescribe a combination of medications, considering several factors such as the individual s age, present health condition, and the side effects of the medication. The common drugs used to reduce high cholesterol are statins, bile-acid-binding resins, cholesterol absorption inhibitors, and injectable medications.
Managing low cholesterol: In the case of being diagnosed with low cholesterol, the treatment focus would be handling the underlying condition. 
Irrespective of the type of cholesterol disorder, it is essential to follow the doctor s advice in both cases to avoid the risk associated and lead a healthy life.

Dealing with Cholesterol Disorders

For a long time cholesterol in totality was seen as a bad thing for your body although the truth was a little more complicated than that. Cholesterol primarily is divided into two types, one of which can be categorized as bad cholesterol and the other as good cholesterol. Let's have an in-depth look at both the categories.

LDL or Low Density Lipoprotein aka bad cholesterol: Cholesterol is a wax like chemical, which is found all over the body and it has important functions to perform. Cholesterol is carried all over the body by Lipoproteins. The low density lipoproteins are denoted as bad cholesterol as they can accumulate on the walls of the blood vessels and cause blockages resulting in many ailments. LDL levels of 190 and above are considered dangerous. 

Some of the risks associated with it are:
1. Heart disease
2. Stroke
3. Atherosclerosis
4. peripheral artery disease among many others

HDL or High Density Lipoprotein aka good cholesterol: This is a form of cholesterol which is usually desired in higher quantities as it removes LDL from the system by dislodging it from the arteries and then carrying it through the blood stream into the liver. The liver then breaks it down and removes it from the body. Thus, higher number of HDL cholesterol is always desirable. 

Some of the ideal numbers for HDL cholesterol within the body are:

Women - Ideal: 60 mg/dl, dangerous: 50 mg/dl or lower
Men - Ideal: 60 mg/dl, dangerous: 50 mg/dl lower

The role of triglycerides
Good and bad cholesterol levels also depend on the levels of triglycerides within the body and not just LDL or HDL cholesterol. Triglycerides are another type of fat which are used to store energy within the body but can also affect your health. It is most associated with atherosclerosis when the levels of triglycerides are high within the body. 

Some habits that contribute to high levels of it are:
a. Lack of physical activity
b. Obesity or being overweight
c. Excesses in alcohol consumption
d. Smoking
e. Bad diet and others

Thus the good cholesterol versus bad cholesterol war also includes other factors, most of which can be easily changed by making subtle changes in lifestyle and incorporating healthier habits. This will increase the good cholesterol and the other relevant elements and reduce the bad.

Good Cholesterol Vs Bad Cholesterol and Factor involved in It

Peripheral Artery Disease (PAD) is a disease of blood vessels that are located outside the heart and brain. The condition develops due to fatty deposits in the arteries and veins that stops the blood flow to the heart and mind as the case may be. It narrows the artery and restricts the blood flow, which causes problems to other organs of the body such as kidney, liver, and stomach.


Symptoms of Peripheral Artery Disease-
Peripheral Artery Disease is the most common type of condition in people. Some people may not even notice the symptoms. The symptoms include:

Pain in the hips and lower leg area.
Brittle toenails.
Short breath while taking stairs.
Pain in the calf.
Numbness and coldness in the leg around a calf
Hair loss on legs and feet
Erectile dysfunction in men
Repeated sores and ulcers in legs
Causes of Peripheral Artery Disease-
The most common cause of Peripheral Artery Disease is the deposit of fatty substances inside the arteries. The fatty deposits build in the arteries gradually with a process called Atherosclerosis. Most of the time people do not know that they are facing the problem of Atherosclerosis. With time deposits increase and the arteries become narrow. It restricts the blood flow and causes problems for other organs.
Another cause for Peripheral Artery Disease is clot created in the arteries due to diabetes. Also, this problem is common in diabetic patients and increases with old age.

The risk factors that contribute to the development of Peripheral Artery Disease are high blood pressure, bad cholesterol, obesity, and diabetes.

Diagnosis of Peripheral Artery Disease-
The primary way to test and diagnose Peripheral Artery Disease is to check the blood pressure in the arm and ankles. If the pressure is low as compared to arm in the ankles, one might be facing Peripheral Artery Disease. It is commonly known as the ankle-brachial index. Other ways to determine Peripheral Artery Disease are CT scans, angiography, and blood tests. Since the disease is prevalent and gradually progress, most of the time it remains undetected.

It is essential that Peripheral Artery Disease gets detected and treated well in time. If the condition persists for a more extended period of time, it may result in loss of leg, increased chances of coronary artery disease and carotid atherosclerosis.

Treatment for Peripheral Artery Disease-
The only way to treat Peripheral Artery Disease is to indulge in physical activity. A regular regime of exercise and physical work will help a person to burn fat and makes the arteries fat free. Doctors suggest that daily 30 minutes of walking or gyming will help treat Peripheral Artery Disease with significant effects. One may notice the signs in just a couple of months.

Along with exercise, one also needs to monitor the weight and eating habits. Foods that are rich in fats and bad cholesterol should be avoided. Make changes in the lifestyle and eat a healthy balanced diet. Include fruits and fresh vegetables in the diet and follow a low carb diet for regular food intake. If a person is addicted to smoking and alcohol, then he/she should consider leaving the bad habits for their own good health.

Take Away-
Above are some of the common and tried treatments. However, it is advisable to consult a doctor before opting for any of these options as these treatments are depended upon the condition of the patients.


Learning In depth About Peripheral Artery Disease!

What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1.  It may feel like you are suffering from indigestion or gas or fullness and pressure.

2.  It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4.  If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

If you would like to consult with me privately, please click on 'Consult'.

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Why You Must Not Dismiss Chest Pain as a Minor Affair!

The CAD (Coronary Artery Disease) is a condition where the blood flow in your arteries is impaired. This happens when the blood vessels that supply blood to your heart are damaged. As a result, plaque builds up in the arteries and the blood flow to the heart is decreased.

This will eventually lead to chest pain or angina and other symptoms. If the arteries are blocked completely, you may suffer a heart attack later on. It is one of the leading causes of death and heart attacks all over the world.

What are the causes of CAD?

The CAD may be caused due to an injury to the inner part of the coronary artery. This may be due to the following factors  

High blood pressure and cholesterol

Smoking

An unhealthy or sedentary lifestyle

Diabetes

If the inner wall of the artery is damaged, deposits made of cholesterol and other cellular wastes are collected in the region. The process is called atherosclerosis. If this plaque surface breaks, the platelets in your blood will try to fix the artery. In the process, these platelets are accumulated in the area. Too much accumulation can block the artery.

As the arteries are responsible for providing oxygen-rich blood to your heart, blockage in the region will lead to a heart attack.

Moreover, Coronary Artery Disease may be caused if you have a family history of heart diseases. It is more likely to occur when you are over 65 years of age. Factors such as obesity and high levels of stress can also lead to this condition. 

Symptoms

The common symptom of Coronary Artery Disease is angina or pain in the chest. However, the condition may be accompanied by other symptoms, like  

Tightness, heaviness, burning or a squeezing sensation in the chest

Sweating

Dizziness

Shortness of breath followed by extreme fatigue

Pain in the arms, shoulders or the back

Severe pressure in the shoulders and arms that lead to heart attack

The angina symptoms are commonly misunderstood as symptoms of indigestion. Be aware and seek medical assistance immediately.

Treating CAD with Ayurveda 

The following Ayurvedic herbs are helpful for preventing the deposits of harmful fats in your blood vessels  

Guggulu

Chandraprabha Vati

Combination of herbs like Amlaki, Arjuna, Punarnava, Kutki and Triphala

Another important treatment procedure for the disease, as prescribed by Ayurveda, is meditation. Meditating for about 20 minutes every day will help you relax and calm your nerves. It will help you enhance your mental health and happiness. This will keep your heart healthy.

This prevents the body from forming angiotensin is a hormone that causes your blood vessels to get smaller which increases your blood pressure. This baeltablet helps in Lower angiotensin levels, then help widen your blood vessels and let your blood flow more easily this reduces your blood pressure. This Bell tablet helps in blocking the effects of angiotensin on your heart which helps in lowering your blood pressure and these roots helps in preventing blood clots from forming, some do this from making substances called clotting factors and others keep the clotting factors from working or preventing other chemicals from forming so that clots cannot develop. What is most important is that all these herbs help in dissolving existing plaque. This drug also works as thromboxane it prevents platelet to stick together to form a clot.

You can also opt for Panchkarma therapy that is a rejuvenating experience consisting of massages and steam baths. High cholesterol is effectively treated using this therapy. 

To prevent risks of CAD, you must exercise regularly and avoid consuming foods high in fats and sugar. Reduce the amount of preserved foods. Eat more fresh fruits and vegetable daily. Furthermore, get plenty of sleep and stop consuming alcohol or cigarettes to stay healthy.

CAD (Blockage In Arteries) - How Can Ayurveda Handle It?

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