Ever wondered why you needed to share your family s health history at a doctor s clinic? Specific questions regarding health issues of your immediate family or close blood relatives give your doctor an insight into various health risks you might have now or in future. Those are medical conditions inherited by parents or grandparents through genes. Genes are passed from parents to children in DNA of eggs or sperms. Even a single mutation (fault) in gene can influence body systems and may lead to disorders. If any of the parents have a faulty gene, there are 50:50 chances of the child inheriting it.

Hereditary heart diseases are also a result of mutation in one or more genes and tend to run in families. Genes control almost all aspects of cardiovascular system including strengthening blood vessels, pumping capacity or communication of cells in the heart. A single genetic variation is enough to alter cardiovascular processes increasing the risk of developing a heart disease, attack or a stroke. Some of the most common hereditary cardiac disorders include; Arrhythmias, congenital heart diseases and cardiomyopathy. A family history of heart attack or stroke is also an established high-risk factor for the family members. High blood cholesterol, medically known as familial hypercholesterolemia also tends to run in families.

Unfortunately, many of these conditions cannot be prevented since they are acquired through genes. But there are many ways in which these could be managed before they become complicated or fatal.

Let s look at some ways by which we can deal with hereditary heart diseases and increase a patient s chances of survival:

Early Diagnosis And Treatment: When one person in the family is diagnosed with a heart disease, it is strongly advisable for other family members to go in for screening. An early diagnosis can help in better treatment and management of the disease and impacts positively on patients  life. Medical screening of siblings is highly recommended in case a person suffers a sudden cardiac death especially at a young age.

Watch out for these symptoms at a young age: Abnormal heart rhythm, asthma that does not get better with inhaler, seizures that do not improve with medication, extreme fatigue or shortness of breath are warning signals and need immediate medical attention.

Genetic Testing: Family members may opt for genetic testing to check if they carried genes of an inherited disorder.

Genetic Counselling: Genetic counselling deals with problems like anxieties and fear of attacks, confusion over disease and emotional difficulties in accepting the situation.

We may not be able to change the family history but we can surely change our environment, lifestyle and habits. Eating healthy and following an active lifestyle does help in prevention and management of such diseases.

How To Deal With Hereditary Heart Diseases?

Coronary artery disease is one of the major killer diseases of the modern society. It is not a solitary problem but brings with it a multitude of issues including obesity, diabetes, stroke, and other metabolic disorders. A thorough understanding of what causes it and how to manage it can help save thousands of lives.

Causes: The circulatory system is mainly made up of the heart and a complex network of arteries and veins. The inner walls of these are lined with smooth muscles, allowing for free flow of blood. Gradually, over a period of time, given the density, the fat from the blood flowing through these vessels settles along the walls of these vessels. This attracts more fat, lipoproteins, and other inflammatory cells and so the process continues. This reduces the diameter of the blood vessels, therefore reducing the amount of blood supply to the target organs. If the target organ is a vital one like the brain or the heart, then it could lead to stroke or heart attacks.

Main causes for coronary artery disease include high blood pressure, high cholesterol, sedentary lifestyle, obesity, smoking, diabetes, and stress. Men are more prone than women, and family history and age puts them at higher risk.

Symptoms: Reduced blood supply to the target organ causes the following symptoms:

Shortness of Breath: A person with coronary artery disease will feel short of breath and tired with most activities, even like walking a few meters.

Chest Pain: A strong pressure sensation on the left side of the chest is an indication of coronary artery disease. Known as angina, it comes with stress and goes away once the stress is removed. It could sometimes radiate to the shoulder, down the arm, or up into the jaw also. These are classical symptoms of angina or heart attack and is considered an emergency. Of note, this is often mistaken for indigestion.

Palpitations: A sensation where you are able to hear your heartbeat.

Nausea and Excessive Sweating: Nausea and excessive sweating are also seen during angina.

Treatment: There are 3 modes to manage this.

Medications:

Aspirin to reduce the viscosity of the blood.

Statin to control the cholesterol levels.

Beta blockers to control hypertension.

Nitroglycerin for temporary relief of angina pain.

Surgical Procedures:  Surgical procedures including balloon angioplasty followed by placement of drug-eluting stents and coronary artery bypass surgery are done to manage more severe cases.

Lifestyle Change: Lifestyle changes including reduced fat consumption, decrease body weight, stop smoking, increased physical exercise, and reducing stress are highly important in preventing further damage.

Once suspected, coronary artery disease can be effectively managed and the extent of damage controlled using the above techniques.

Coronary Artery Disease   Causes, Symptoms, and Treatment

Symptoms of heart attack

A heart attack (myocardial infarction) should not be confused with stroke or heart failure. It is the condition which causes major damage to heart muscles because of sudden blockage by a blood clot. The most common symptom of heart attack happens to be chest pain. Heart failure and ventricular fibrillation are probably the most common complications in this condition. 

Clear symptoms of heart attack are:

1. Feeling vaguely ill - very vague feeling of illness is one symptom. You cannot really put your finger on what is wrong with you, but you do feel unwell.

2. Pain in left arm - pain in the arm, mainly the left arm is also one of the symptoms of an impending heart attack.

3. Sweating and heartburn - a lot of people have reported experiencing sweating, indigestion and heartburn before a heart attack. If you are sweating profusely and without any particular reasons, or having an unbearable heartburn, consult a medical specialist immediately.

4. Chest pain - feeling of fullness or tightness in the chest followed by pain is also a symptom of a heart attack. A lot of people have reported to ignore it; kindly don't.

5. Breathlessness - sudden shortness of breath and inability to do a lot of work at one point of time is not a good thing. This could be an indication of a heart attack.

6. Silent attack - the scariest of all is silent heart attack. At times, it comes with no symptoms at all. A person could be visibly physically fit, and suddenly have an attack. This usually happens with those who are suffering from diabetes mellitus.

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All You Need To Know About Heart Attack Symptoms

Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities. There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.

If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.

The skin is pale gray or blue in color due to excessive venous flow in the system
Excessive sweating
The child is exerting to breathe regularly
Rapid breathing causes added load on the heart accompanied by a grunting noise
Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
Shortness of breath, even during feeding
Clubbed fingernails
Lethargy and low energy, even with feeding, therefore very poor feeding pattern
Chest pain, which may cause the newborn to cry incessantly
Low weight gain, as they feed less
In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:

Swelling of the hands, feet, and ankles due to fluid accumulation
Lowered energy levels, leading to easy fatigue
Shortness of breath with even minimal physical activity
Inability to exercise
Developmental delays and changes in growth milestones
Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
Endocarditis
Pulmonary hypertension
Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.
Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention.

Congenital Heart Disease - Signs Your Kid is Suffering from It!

5 Symptoms that Indicate Your Heart is in Trouble!

Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.

1. Chest pain or discomfort

This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.

2. Excessive sweating

If you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.

3. Difficulty in breathing

Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.

4. Nausea and frequent stomach problems

If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.

5. Exhaustion

If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.



5 Symptoms That Indicate Your Heart Is in Trouble!

When blood supply to the brain is interrupted, a person suffers a stroke. The brain cells do not receive the oxygen and glucose needed to survive and so they die. A stroke can be fatal and life-threatening. The brain can be permanently damaged. Many surveys reveal that 50% of people who suffer a stroke do not live for more than a year. A stroke usually happens to people aged 65 years or above.

How does a stroke occur?

There are two types of stroke caused by two different reasons-

1. Ischemic stroke: Clots are formed in the brain s blood vessels or in the vessels in any part of the body which travel to the brain. These clots obstruct the flow of blood to the brain. The chief reason for the development of clots is deposition of fatty acids and cholesterol.

2. Hemorrhagic stroke: This kind of stroke happens when a blood vessel in the brain ruptures. The blood from the ruptured vein flows into the brain and damages the brain cells. The chief cause of hemorrhagic strokes is high blood pressure and aneurysm (thinning of the walls of the vein)

What are the symptoms of stroke:

The following are the usual symptoms that can tell you if are about to or just have suffered a stroke-

  The arms or legs on either side or the face feels numb
  Loss of vision in one or both eyes
  Difficulty of speech
  Sudden and splitting headache
  Disorientation and feeling unbalanced while walking
  Altered consciousness

Risk of strokes:

High blood pressure is the most common cause of strokes. If your blood pressure exceeds 140/90 you are at a risk of suffering a stroke. Diabetes or people with a family history of strokes have higher chances of suffering a stroke. More men suffer a stroke than women. Certain lifestyle choices like excessive smoking or alcohol consumption can actually increase the risk of strokes.

Ayurveda and the treatment of stroke

In the ayurvedic parlance, stroke is called paksha pakshaghata. The cause is Vata dosha (Vata is responsible for the sensory and motor activities of the body)

Ayurveda treats strokes by easing or relieving the symptoms or effects of a stroke. The most popular course of treatment consists of a combination of Basti, Nasya and Shirodhara-

  In Basti, a person goes through an enema to cleanse the body of internal toxins
  Nasya aims to clear the sinuses, nose and head.
  For a Shirodhara treatment, a person has to lie on her/his back and liquids mixed with medicins are poured down her/his forehead which the bloodstream absorbs through the skin.
  Dhanadanayanadi Kashayam, Dhanwantara Kashayam, Ashtavarga Kashayam, Bala Arista treatment restore the motor and sensory functions of the brain.
  Balaswagandhadi taila,Ksheerabala taila, Dhanvantara taila help rejuvenate the damaged brain cells.
  Some other forms of treatment include Ashwagandharishtaa, Brahmi Vati and Ashwagandhachurna.
  An effective home remedy is boiling 3-4 garlic cloves in 100ml of milk. Keep boiling till the mixture is reduced to half its original volume. This concoction should be taken right before going to bed. It helps to keep blood pressure and cholesterol under check.

After the treatment is completed, a person can expect relief from the symptoms of stroke.

Ayurveda can treat the effects of stroke efficiently with a combination of physical therapies and medication.

Stroke And Ayurveda!

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