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

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!

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

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

Coronary artery blockage is the most common heart disease and also causes of premature death in the present era. Comparatively, male sex is more prone to the Arterial Blockages than females. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Coronary arteries are those which supply blood to the heart muscles, any blockage in the coronary arteries causes decreases the supply of blood to the heart muscles. Coronary artery blockage is caused due to the build-up of the cells, fat and cholesterol which is called as plaque, which leads to lack of blood supply to the heart muscles.

When the person is active and takes too much stress, the heart needs, even more, blood supply, but when the coronary artery is blocked then there will be a lack of blood supply to heart muscles, such a condition is known as ischemic heart disease. Common symptoms of ischemic heart disease are

Irregular heart rhythm

Shortness of the breath

Angina pain

Tightness in chest

These symptoms take time to appear, but with the gradual decrease in oxygen supplied by the blood the muscles of the heart can get damaged, sometimes even permanently and that is what happens in a heart attack. If someone is suffering from ischemia since long, then it can lead to irregular heartbeat and heart failure.

Tests conducted for detecting coronary artery disease:

Electrocardiogram

Exercise Stress

Nuclear Scan Test

Stress Thallium Test

Cardiac Catheterization

You doctor based on your medical history and symptoms will refer a particular test.

Treatments

If the coronary artery disease is diagnosed, then there are a number of ways it can be treated including lifestyle changes, medication, procedure or surgery

Lifestyle changes: It includes daily exercise, changes in the diet and strictly no smoking

Medication: In the allopathic system of medicine, medication can only help treat the symptoms of blocked coronary arteries, it cannot fix them.

Ayurvedic Approach: The way of understanding of medoroga prakarana according to yogaratnakara and other acharyas are unique. Even stoulya and medoroga is caused due to medo vruddi. Our acharya explains stoulya prakarana and medo roga prakarana in separately. It indicates that Stoulya includes fatty deposition in the adipose tissue. Likewise Medo roga including fat molecules and plasma cholesterol in the blood. Due to the more quantity of the fat molecules and plasma cholesterol in the blood, it can cause several disorders including coronary artery blockage, gallbladder stones, PCOD, Hypothyroidism, X-syndrome etc.

Clinically sometimes a person may be lean but can suffer from coronary artery disease or gallbladder stones, hypercholesterolemia, higher plasma cholesterol levels. Sometimes, we can t find these conditions in obese persons, but they are more at risk of suffering from these problems.

Ayurvedic Medication:

Line of treatment:

Hrudya vati 1000mg 2 times a day before food can be helpful

Anarsha Kshara 3 pinch before food.

Sukha virechana Churna 1tsb after food will surely help

Note:

At the plaque formation stage in arteries and before the thrombus (blood clot) formation, plasma cholesterol management is required and for this Hrudya vati is highly recommended
With the help of above mentioned ayurvedic medicines, we can easily treat coronary artery blockage of 10 to 100%, without any stent or bypass surgery
Anupana: Water, Honey or Ghrutha
Other indications

Prevention of heart attack

Increased blood cholesterol (Lipid Profile Abnormalities)

Gall Bladder Stones

PCOD

Hypothyroidism

Metabolic X-Syndrome.

Conclusion

Coronary artery Blockage is caused due to Medo Vruddi in the blood that may accumulate in the coronary artery vessels. And, will eventually cause ischemia in the heart muscles i.e. craving of the oxygen supply to the heart muscles. That may produce the symptom like irregular heart rhythm, shortness of the breath, angina. After that, it may lead to thrombus formation and can cause myocardial infarction.

Serological Study: Sometimes 100% blockage with cholesterol, fat molecules and cells i.e. Plaque may not show any symptoms, but sometimes even 20-30% of blockage can show all the symptoms. So in the higher cholesterol level or in the hypercholesterolemia conditions and in the early stages of the Plaque formation, one should take medication.

Scientific study:- By observing different scholar s scientific study of all the ingredients of Hrudya vati with respect to regularization of cholesterol level and break down of Plaque formation, we concluded that Hrudya Vati is the drug of choice for the coronary artery blockages.

Animal experiment: Also for further study we conducted an animal experiment on mice in Govt M-Pharma College Bangalore. Experiment result shows serum cholesterol level becomes normal. So that it can prevent the coronary blockage, and reverse the coronary artery blockages.

Clinical study: Through the Clinical study we observed that at the stage of plaque formation in the coronary artery and other arteries can be removed permanently that is 100% by advising Hrudya Vati. 

No need to go for any stunt or bypass operation. With this medication can clear the pathway of the blood vessels, also prevents the blockages & heart attack. In case, there is a family history of heart attack and your blood cholesterol is high, it is advisable that you take at least one course of Hrudya vati, once a year. So, everyone must try to understand the condition of the coronary artery blockage and prevent further complications based on the evidence.

Ayurvedic Treatment For Coronary Artery Blockage Without Surgery!

High blood pressure, which is often a result of hypertension, is the leading risk factor for a stroke, which in turn leads to severe and long-term disability, including death. Managing your blood-sugar levels is the most critical thing you can do to lessen your risk of a stroke, and you should leave no stone unturned in keeping your blood pressure at optimum levels.

What causes a stroke

A stroke, which is often referred to as a brain attack, takes place when the supply of blood to a particular region of the brain is cut off. The brain cells which are deprived of the oxygen and glucose die, and when the ailment is not caught early, a permanent damage to the brain can follow.

How is high blood pressure related to a stroke

Uncontrolled blood pressure levels can increase the risk of a stroke by about four to six times. With the passage of time, hypertension causes atherosclerosis as well as hardening of major arteries. This often results in blockages of small blood vessels present in the brain. With high blood pressure for a long period of time, the blood vessels of the brain become weak and burst. This way the risk of a stroke is directly related to the high levels of blood pressure.

 What can you do to keep your blood pressure under control

There is a  lot you can do to keep the chance of a stroke at bay. But the first thing you should try doing is keeping your blood pressure level normal. Some simple lifestyle changes can help you to lead a risk-free life and therefore, you should first aim at shedding off those extra pounds along your waistline.

In general, a man with a waistline measuring over 40 inches and a woman with that over 35 inches is at a higher risk of suffering from high blood pressure as well as a stroke. You should exercise regularly for at least half an hour and eat a well-regulated diet loaded with fibre, proteins, potassium and Omega-3 fatty acids. Stay away from junk food and maintain a food diary where you can jot down your honest food habits.

It is very important to lower down your high blood pressure in order to avoid risks of stroke. But if you fail to do so even after following a healthy routine, then it is crucial to consult a doctor who can help you by prescribing medications that are right for your medical condition.

Stroke Due to Hypertension - What Should be done About it?

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