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 

Our survival is solely reliant on the working of the heart. It is this that makes the prospect of a heart failure so fatal and so terrifying. Notwithstanding what the heart evokes, a heart failure is not indicative of a defunct heart; but only a situation when the heart pumps weaker than what is generally deemed as natural. Consequently, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. The oxygen that is produced by the heart in such a scenario is scanty and insufficient for the body. 

body responds with its own defense mechanism, as the heart, in an attempt to hold more blood, stretches its chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This very condition in medical terminology is referred to as congestive heart failure. 

Different causes can contribute to the onset of such a fatal condition. Some of them are

Coronary artery disease: In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.
Heart attack: The sudden, unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning.
Diseases: Though the term may be generic and over expansive, most of the ailments which people suffer from tend to manifest themselves by posing a potential threat to the functioning of the heart. A high blood pressure, kidney disease, even a thyroid disease can cause congestive heart failure.
Every disorder is preceded by certain symptoms, and congestive heart failure is no different. Some of them are

Fatigue: This is one of the most perceptible symptoms of congestive heart failure. One of the earliest premonitions of an impending heart failure is a nagging sense of weariness and lethargy.
Swelling: As the condition is characterized by accumulation and build-up of fluids in various part of the body, swelling is an inevitable symptom of this condition and a clear indication of the ailment.

Congestive Heart Failure - Factors that Make it Fatal

Loving relationships are known to improve more than just your mood, it improve your looks and your health. Researchers believe that it might just be the best medicine for most people, as it helps keep your heart healthy, beat cancer and recover faster, boosts athletic performance and leads to spiritual and emotional growth. Mentioned below are a few of the ways, in which love may lead to a healthy heart and life. 

1. Better heart health: research has shown that women in healthy and loving marriages are less prone to contracting cardiovascular diseases, in contrary to those in stressful marriages. It has also been discovered that love reduces the likelihood of chest pains and suffering from angina despite having high blood pressure, high cholesterol and diabetes in men.

2. Lengthens your life: the national longitudinal mortality study studied a million subjects and concluded that couples in a loving marriage tend to live longer and have lowered risk of getting heart attacks, pneumonia, cancer and cirrhosis of the liver. Their chances of committing suicide are also reduced by almost half.

3. Faster cancer recovery: after extensive research, university of iowa proved that patients of ovarian cancer, who were in loving relationships, had stronger wbcs i. E. White blood cells that kill cancerous cells, as compared to those in unhealthy relationships. They also concluded that patients in love recover quickly or completely eliminate cancer. 

4. Lowers blood pressure: studies show that when couples are together, their blood pressure is significantly lowered. This research even proved that spending time with loving and supportive friends results in lower systolic numbers. 

5. Keeps you slim: being in love is a much healthier and better option than juice cleanse, when it comes to losing that extra weight. People in loving relationships produce more adrenaline i. E. An appetite suppressant and are more likely to hit the gym and make healthier lifestyle choices to look their best. Apart from that, sex is one of the best ways to lose calories and reduce your weight.

Being in Love Will Lead You to a Healthy Heart and Life

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

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

5 Signs of an Unhealthy Heart

The heart is a muscular organ that helps to pump blood through the circulatory system by periodic contractions and relaxations. The heart is one of the most important organs of the body so much so that a single cardiac arrest or a heart attack can lead to fatal consequences. Even so, a heart attack is one of the most leading causes of death in the country. But there are some earlier symptoms that could alert you ahead of time. The following are signs of an unhealthy heart:

1. Sexual problems

Erectile dysfunction (ED) is one of the most predictable reasons for cardiovascular conditions. Today, patients who are diagnosed with ED are also considered as cardiovascular patients. This is because the heart is supposedly not able to pump enough blood to the genital area. In case of women, reduced blood flow can hamper arousal and delay orgasms.

2. Snoring and sleep apnea

If one snores loudly enough to prevent their partner's from sleeping or resort to using earplugs, one may be at a risk of having a weak heart. Restricted breathing during sleep is connected with a host of cardiovascular diseases. Sleep apnea, a condition where breathing stops for a brief span of time, is linked with higher cardiovascular risks.

3. Swollen, sore and bleeding gums

Swollen and bleeding gums are not only symptoms of dental conditions but also of cardiovascular difficulties. Medical experts believe poor circulation of blood arises due to underlying heart conditions. Recent studies are focusing on bacteria that are believed to cause gum disease as well as plaque inside the arteries of the heart.

4. Heart Arrhythmia

Irregular heartbeat or heart arrhythmia is a common sign of a weak heart. It is characterized by both fast and slow beating of the heart. Restricted blood flow to the heart strains the electrical signals that maintain the normal beating of the heart. This is one of the common causes of coronary artery diseases.

5. Chest pain

One of the most apparent signs of coronary artery diseases is chest pain. The cause of the sharp, clutching pain in your chest can be build-up of plaque in the arteries, which could lead to fatal consequences.



5 Signs of an Unhealthy Heart

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