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

Heart attack, also known as myocardial infarction, is a severe condition where death of the heart muscle occurs because of the loss of blood supply. The blood loss usually happens because of the blockage of a coronary artery. Due to electrical instability, ventricular fibrillation is caused. Heart attacks may result in permanent brain damage or even death.

Symptoms of heart attack
There are many early symptoms and signs of heart attack, which should be recognized. Symptoms of heart attack vary from person to person. Here is a list of the primary heart attack symptoms:

Chest pain and discomfort:
Chest pain is the basic symptom of a heart attack and occurs in different forms. The chest pain has a pressure, fullness and squeezing sensation and starts from the center of the chest. The pain may go away and re-occur and may spread down to other limbs of the body.
Headache, toothache:
The chest pain occurring due to a heart attack spreads all over the body and the jaw. Even the back and head are affected. Sometimes pain in these regions is present while chest pain is absent.
Shortness of breath:
A gasping sensation or feeling shortness of breath is another common sign of a heart attack. Such breathing difficulty is called dyspnea. The shortness of breath occurs before or during the chest pain.
Nausea and vomiting:
The feeling of nausea or sickness in the stomach is another possible symptom. It is accompanied by belching or burping and sometimes, the heart attack is associated with a feeling of indigestion. Nausea is more common in women. Vomiting also occurs alongside nausea.
General epigastric discomfort:
In several cases, patients describe the pain of a heart attack as stomach pain. The pain is heavy and uncomfortable and persists for several minutes.
Sweating:
Perspiration or sweating occurs during a heart attack and the patient experiences cold sweat in avid amounts.

Emergency treatment for heart attack-
A person who has a heart attack should be rushed to a hospital.
Several tests are carried out to detect the cause of the attack. A 12 lead ekg is carried out to supervise electrical activity within the heart and detect the damaged areas.
Blood tests are undertaken to check enzymes and in certain cases, cardiac catheterization is required where pictures of the blood vessels are examined.
Emergency medicines are given to the patient to stop the formation of blood clots and include aspirin, heparin and other drugs. Other medicines are given for thrombolytic therapy, which dissolve already formed blood clots. They work to reduce the heart damage. Nitrates are also used.

A heart attack is a severe condition and must be attended to immediately. Emergency treatment procedures are essential to save the life of an affected person.

Heart Attack - Signs, Symptoms and Emergency Treatment

Are you looking for effective and natural ways to prevent heart blockage and blood pressure management? You should consider taking Ayurvedic measures, which have been proven to be quite effective in dealing with various issues of the heart. Usually, heart blockages are difficult to deal with and a surgery has to be carried out for recovery. With Ayurvedic remedies, you can solve such issues without the concern of harmful side effects on your body.

Ayurvedic management of heart blockage
For effective prevention and management of heart blockages, you need to create a certain Ayurvedic medicine using basic ingredients.

Mix lemon, ginger, apple vinegar and garlic together and boil on a light flame.
After the quantity gets reduced, leave the mixture to cool.
After this, add some honey in the solution, and store it in a bottle for use. You have to take this medicine every morning after waking up.
Note all the ingredients are chosen for their unique and beneficial features.
Lemon contains more than 19 qualities, and garlic and ginger are good for dealing with gastric issues. Apple cider vinegar is given great importance in Ayurveda, and honey is good for your blood. Hence, this medicine is ideal for treating heart blockages effectively.
Ayurvedic management of blood pressure
High blood pressure or Rakta Gata Vata refers to an elevation in the pressure of blood in your arteries. The increase in pressure is based upon your age, activities, diet, and medical history.

The Ayurvedic remedies for the prevention and control of blood pressure include the following:

Avoid consuming eggs, meat, tea, coffee, pickles and table salt.
Abstain from smoking.
Increase your intake of food items such as lemon, garlic, parsley, grapefruit, cottage cheese, Indian gooseberry, and watermelon.
Engage in regular exercise as it is important for lowering and preventing your chances of high blood pressure.
Laugh a lot and keep away from anxiety and stress factors.
Make a juice of garlic cloves, wheat grass and basil leaves. Have this regularly for reduced chances of high blood pressure.
Mix onion juice with honey and have the mixture every day.
Make a paste using garlic and buttermilk, and drink it regularly.
Grind roasted watermelon seeds, add water to the powder, strain the liquid, and have it twice every day.
It is important for you to visit an Ayurvedic practitioner before starting to take Ayurvedic measures for heart blockage or high blood pressure on your own. This will ensure that you are prescribed the best measures by a qualified and experienced doctor.

Heart Blockage & Blood Pressure - How Ayurveda Can Help You Prevent It?

Varicose veins are twisted, enlarged superficial veins that typically appear in the feet and legs.
For many people, the condition is simply a cosmetic concern while for others varicose veins include symptoms like swelling, discomfort and aching.

What Causes Varicose Veins?
Doctors believe that damaged or weak valves may cause varicose veins. Arteries carry oxygenated blood from your heart to other parts of the body and the veins send it back to your heart for recirculation. The veins of your lower body need to work against gravity in order to return the blood to your heart.
Muscle contractions in the extremities act as pumps while the elastic vein walls send blood back to the heart. Small valves open in your veins as blood flows to your heart, and then close again to prevent the blood from flowing back. If these valves become damaged or weak, blood may flow back and accumulate in the veins, causing it to twist or stretch.

Symptoms of Varicose Veins
You may experience the following signs if you have varicose veins  
  Discoloration of the veins   usually they appear blue or dark purple
  Legs feel heavy
  Itching around the affected veins
  Muscle cramps
  A throbbing, burning sensation
  Swelling and bruising
  Discomfort and pain the veins of the legs

The symptoms of varicose veins are quite prominent and require treatment. If the condition is not that severe, exercises and compression stockings may be prescribed to manage the symptoms. However, if you are looking for a long-term cure, laser treatment may be the best option for you.

Can Laser Treatment Cure Varicose Veins?
Your doctor may use highly focused laser beams to treat varicose veins. The laser emits heat, which forms scar tissues. The scar tissue closes the vein so it loses its source of blood and eventually dies. In a year or two, the vein is likely to disappear.

Here are the different types of laser treatment you can opt for  
  Simple Laser Treatment   The laser beams are focused on the outer surface of the skin. It helps cure the tiny veins that are located just beneath the skin. Normally, more than one session of laser treatment is required. Your doctor may schedule you for a session every 6-12 weeks.

  Endovenous Laser Treatment   This type of laser treatment is directed towards treating larger varicose veins that appear in the legs. The doctor passes a laser fiber through a catheter (a long, thin tube) into the veins. While doing this, he/she keeps a close watch on the veins through a duplex ultrasound screen.

Laser treatment is less painful than other procedures like vein stripping and ligation. The entire procedure can be done while you are on local anesthesia or sedatives. Moreover, the time for recovery is relatively short. You can expect to get back to your routine activities in a week or two following laser treatment.

Laser Treatment For Varicose Vein!

Coronary artery disease or CAD is the name given to the heart condition in which the major blood vessels that supply your heart with blood, oxygen and nutrients, also called coronary arteries, get blocked, damaged or diseased.

Blockages usually happen when cholesterol-containing deposits called plaque deposit in your arteries. Plaque narrows the lumen of your coronary artery which means your heart gets lesser and lesser oxygen and nutrients to function properly.
Inflammation is also to blame for coronary artery disease.
Common symptoms of CAD include

Angina or pain in the chest
Shortness of breath
If the blockage is complete, you can get a heart attack.
Common Diagnostic tests
When you go to a heart specialist, she will ask questions about your medical history and follow it up with a physical exam and order routine blood and diagnostic tests to confirm CAD like:

Electrocardiogram (ECG): An ECG records electrical signals as they travel through your heart revealing evidence of a previous heart attack or one that s happening. Holter monitoring is a type of ECG where you wear a portable monitor for 24 hours as you go about your normal daily activities. Abnormalities in the results suggest reduced blood flow to the heart signaling CAD.
Echocardiogram: This test uses sound waves to produce images of your heart. It helps your doctor determine whether all parts of your heart wall are contributing to your heart's pumping activity. If certain parts are moving weakly it can mean damage to muscle due to a heart attack or because of receiving too little oxygen- again signaling CAD.
Exercise Stress test: This test is done by making you do exercises like walking on a treadmill or riding a stationary bike during an ECG. Sometimes, medication to stimulate your heart may be used instead of exercise.
This again detects areas in your heart that receive less blood flow.

Cardiac catheterization or angiogram. A special dye is injected into your coronary arteries to observe blood flow through your heart in a test known as an angiogram.
The dye is sometimes also injected into the arteries through a long, thin, flexible tube called catheter that is threaded through an artery in your leg to the arteries in your heart. This procedure is called cardiac catheterization. This test is very good in diagnosing CAD as the dye outlines narrow spots and blockages on the X-ray images of your heart.
Heart scans. Computerized tomography or CT can help your doctor actually see calcium deposits in your arteries that can be narrowing your arteries. If a substantial amount of calcium deposits are found, coronary artery disease could be the reason.
MRI scans are also done to diagnose CAD.

Common Tests For Coronary Artery Disease!

The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls. 


This attracts more and more fat molecules to settle down.  This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.


This condition, known as coronary artery disease, is becoming a major cause of deaths.  While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.


Preventive measures: 
1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease.  This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar.  Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.


2. Exercise:  Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management.  Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.


3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.


4. Alcohol consumption:  While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no.  Binge drinking especially is shown to cause heart attacks.


5. Weight management: Check with your doctor on what is ideal BMI for you and work out a plan to keep your weight under check.


6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them.  Keep a constant check to ensure your readings are managed well. 


7. Watch out:  Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.


Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.

Coronary Artery Disease - 7 Ways You Can Prevent it 

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