A heart attack makes you rethink and get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:

1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come in the form of your medication routine. Your existing dosage may be adjusted and you'll possibly be prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines, but when you have to take them. It's best you know exactly why you are taking each one of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.

2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.

3. Go to a cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also get benefit from exercises that'll be taught by a certified exercise specialist.

4. Make a change in your lifestyle: Quit smoking that is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioral scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.

How To Live After A Heart Attack

What Happens When the Electrical Activity of Your Heart Changes?

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:
- Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
- Sleep and rest reduce heart rate as the body is not needed to exert itself.
- Release of adrenaline into the bloodstream causes the heart rate to spike up.



What Happens When the Electrical Activity of Your Heart Changes?

A sensation of pain in the chest is almost automatically associated with having a heart attack. While it is true that it is one of the best indicators of a heart attack, there are quite a few other things which can cause one s chest to pain and not all need to necessarily be as time critical as a heart attack. So, what are the various things one should be aware of when it comes to pain in the chest? In order to understand chest pain better, it is first very important to understand the various types of chest pain better! So, there is a sharp pain, its opposite which happens to be a dull pain, burning, aching, stabbing pain, as well as a crushing sensation.

Let s start with the elephant in the room, which is medically known as myocardial infarction or referred to as the infamous heart attack. This occurs when the muscle cells, which are located in the heart die on account of not enough blood flowing through the heart. In simple terms, the best way to get to know that one is having a heart attack is when the person feels a seriously crushing pain in the centre or the left side of the chest. What could be said to be unique about this type of pain is that resting does not make it better.

Another condition of the heart which is often mistaken by the layman for a heart attack happens to be myocarditis. Inflammation of the heart muscle leads to fatigue and a fast beating of the heart. The person would also experience some difficulty breathing.
Heart disease can come in multiple forms and one of those is known as CAD or Coronary Artery Disease. When there is a blockage in the blood vessels of the heart, the pain [which is known as angina] is caused by this blockage. The probably solitary source of good news is that permanent damage to the heart is not caused by CAD!
That being said, a heart attack is a greater possibility. The pain in the chest could spread to the jaw or the back, or even the arm. The sensation is that of the body part being squeezed. The first thing to be done when angina occurs is to rest in order to lower the pain.
While these conditions have focused on the heart, pneumonia affecting the lungs can cause deep chest ache. It causes a cough and chills. There is also likely to be pus from the respiratory tract which is coughed up!
Asthma is yet another respiratory issue which could cause chest pain!

Chest Pain - Reasons Behind It!

Hypertension or increased blood pressure is one of the modern lifestyle diseases. The changing lifestyles including altered dietary habits and lack of physical activity are the main reasons for the high incidence of hypertension. With this, it brings a host of complications including other chronic diseases like diabetes, kidney failure, risks of stroke and heart attacks.

Alternative medicine proposes quite a number of remedies in addition to just increased physical activity. Read on to know more about how you can eat healthier and control your blood pressure.

Eat walnuts: As most books and media depict, heart disease is directly related to physical reaction towards stress. Regular eating of walnuts helps control this response, thereby controlling blood pressure. It is also a great source of antioxidants and fibre, which adds to its heart-healthy features.

Load up on minerals: Eating a diet rich in calcium, magnesium, and potassium is extremely beneficial for the heart. Sweet potatoes, bananas, dry fruits, dairy products, etc., have shown to reduce blood pressure extremely well in various experiments.

Avoid salt: While the natural sea salt is almost out of use, most of us have switched to the processed variety, which is devoid of all minerals. This is one of the major contributors for increased blood pressure. Studies have shown that reducing salt intake helps in a big way in controlling blood pressure. Most of us are also used to adding extra salt so the food tastes better. This should be avoided. With increased consumption of processed food items, everything from bread to cookies to cheese has salt, which also should be reduced, and if possible, avoided.

Have a colourful meal: Load up your plate with peppers, berries, dry fruits, and organic fruits and vegetables. Pomegranate juice is believed to control angiotensin, converting enzyme, which is responsible for controlling hypertension. They are also rich in antioxidants and help control blood pressure by reducing inflammation.

Know your cholesterol: While cholesterol is generally used with a negative connotation, it is not always true. There is good and bad cholesterol and the bad one should be avoided. Watch out for labels, and ensure you are eating less of the bad cholesterol. Good cholesterol is required for the production of hormones and proper functioning of the body.

Watch your medicines: While it is easy to just pop an ibuprofen when there is a headache or a back ache, it is advisable to watch out. These are best avoided in the long run, as they can induce hypertension and induce heart disease.

In addition, meditation, relaxation, green tea, dark chocolate, red wine, music, and quitting smoking are also shown to be helpful in controlling blood pressure.

Successful Tips To Control Blood Pressure

Cholesterol is a type of fatty acid that is produced by the liver. The body uses cholesterol to perform various activities such as synthesizing of hormones, bile acid and vitamin D. Ayurveda views it as an important component of the body in terms of lubrication. The Ayurvedic approach of balancing cholesterol is not only to curb the cholesterol amount, but also to strictly control diet so that the secretion of cholesterol can be curtailed. Here are a few Ayurvedic hat-tips that can help to lower cholesterol and restore normal body function of the body:

Medicago satina: They are better known as Alfalfa and is famous for their ability to deal with artery-related diseases. They are capable of clearing arteries that are congested with cholesterol. They can be consumed daily as a whole or by mixing them in juice.
Arjuna: Arjuna is yet another powerful Ayurvedic herb that is mighty powerful in dealing with cardiac conditions such as heart blockages, heart attacks etc. The bark of the Arjuna tree can be taken and consumed in the form of powder. They have the capability to dissolve cholesterol and prevent heart blockages. This should be consumed earlier in the morning, before breakfast with lukewarm water.
Coriander: Coriander is considered to be one of the best herbal diuretic agents. It can revitalize the kidneys and help them perform better in terms of excretion of waste. The kidney, therefore, can flush the excess cholesterol from the body. Coriander can be consumed along with food on a daily basis.
Garlic: Garlic again has been known to mankind for centuries and is extremely beneficial for people suffering from high cholesterol. Two cloves of garlic on a daily basis can completely neutralize the effect of high cholesterol in the blood. Apart from freeing up arteries, garlic has multiple other health benefits.
Guggulu: This herb is one of the popular herbs among ayurvedic practitioners for treating high blood pressure and high cholesterol in the blood. They contain guggulsterones, which is known to be an active blocker of bad cholesterol in the blood. Consumption of 25 mg of this substance can make a person totally free from high cholesterol. They can be taken after any meals.
Holy basil or tulsi: Holy basil is another popular and traditional Indian hub that is extensively used by ayurvedic practitioners to treat high cholesterol in the bloodstream. They can eliminate excess cholesterol through the kidneys. It is used for preparing multiple medicines. It is a proven medicinal herb that is very efficient in dealing with excess cholesterol in the blood. They have the ability to disintegrate cholesterol from the body. 2-3 leaves of tulsi can be consumed on a daily basis.

High Cholesterol - 6 Top Ayurvedic Remedies to Lower It!

During breathing activity, chest wall moves out & in, lungs expand & relax. For the smooth movement of the lungs inside the chest cavity, they are lined by pleura.

Pleura includes two thin linings, the layer lining lungs is called visceral pleura and the one lining chest wall is called parietal pleura. The cavity formed between these two layers is called Pleural cavity. It contains a small amount of lubricant called Pleural fluid which helps smooth sliding of two pleural surfaces. Any condition which results in inflammation of the pleural surfaces or accumulation of excessive fluid in the pleural cavity gives rise to symptoms attributable to pleural involvement or disease.

Pleural effusion is nothing but the collection of excess fluid in the pleural cavity. Excess fluid in the pleural space is not normal and can occur due to a variety of reasons. Depending on the chemical composition it is broadly divided into two categories, transudate and exudate. 


What Causes Pleural Effusion?

1. Transudate pleural effusions 

Transudate pleural effusion is formed when fluid leaks from blood vessels into the pleural space. Chemically, transudates contain less protein and LDH than exudates. It is generally seen in the following conditions.

Congestive heart failure

Liver failure or cirrhosis

Kidney failure or nephrotic syndrome

Peritoneal dialysis

2. Exudate pleural effusions 

Exudate pleural effusion is caused by inflammation of the pleura itself and are often due to diseases involving the lung. Following are some common illnesses giving rise to exudate pleural effusion.

Tuberculosis
Pneumonia
Lung or breast cancer
Lymphoma
Pulmonary embolism
Post chest wall trauma or surgery
Asbestosis and mesothelioma
Secondary to intra-abdominal pathology 
Pancreatic pseudocyst, etc
Symptoms of Pleural Effusion -

Chest Pain: Chest pain is mainly due to irritation of the pleural lining. The pain is sharp, localized and worsens with a deep breath, yawning, coughing which is usually described as pleuritic. If the effusion causes inflammation of the diaphragm the pain may be referred to the shoulder or the upper abdomen. As the pleural effusion increases in size, the pain may increase or disappear altogether due to the separation of inflamed pleural surfaces.

Shortness of breath: As the effusion grows larger with more fluid, the harder it is for the lung to expand and the more difficult it is for the patient to breathe resulting in shortness of breath.

Other Symptoms: Other symptoms are generally attributable to the underlying disease process.

Diagnosis of Pleural Effusion -

Patient s Detailed History and Clinical Examination are the mainstays of diagnosing pleural effusion and it s the underlying cause. Following investigative modalities are generally opted for working out the final diagnosis before instituting appropriate therapy.

Chest X-ray: X-ray will help indicate the presence of fluid. 
Chest Ultrasound(USG): will help in confirming the presence of the fluid and it s localization which in turn can guide the physician about its quantity and its capability.
CT Scan: CT scan of the chest may at times be required to ascertain the underlying cause or to know about any other co-morbid conditions.
Thoracentesis: Thoracentesis is a procedure used to sample the fluid from the pleural effusion. Using a long thin needle, fluid can be removed and sent for testing to confirm the diagnosis.
This can be just for diagnostic purposes or can even be used as a therapeutic procedure.
Chemical analysis of the fluid will help determine the type of pleural effusion.
Treatment of Pleural Effusion -

Treatment of underlying Disease: The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent the accumulation of the pleural fluid. Like anti-TB therapy for Tubercular etiology or treatment of Cancer in malignant pleural effusion, etc.

Thoracentesis: As discussed earlier Thoracentesis can be used as a therapeutic procedure to remove excess fluid and help lung expand and function properly.

Tube thoracostomy: Thoracostomy or chest tube insertion may be done to drain and treat fluids which cannot be removed by needle aspirations, e.g. empyemas (pus collections).

Pleurodesis: Some pleural effusions reoccur multiple times; sclerosing agents that induce scarring such as talc or tetracycline was used to prevent a recurrence.

Decortication: If sclerosing agents fail, surgery may be required, called Decortication.

Pleural Effusion - What Is It?

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