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 

The veins are a type of blood vessels which collect impure blood from all parts of the body and return it to the heart. The veins in the legs especially are quite thick and need to exert extra pressure to pump blood against gravity towards the heart. In quite a few people, these veins could be engorged, swollen, and twisted, which are known medically as varicose veins.

Causes:
Defective or damaged valves in the blood vessels. Normally, the blood flow is controlled by valves which ensure blood flows in the desirable direction. When these valves are not able to control the flow of blood, then varicose veins can return
Thin vein walls can lead to improper flow of blood, resulting in varicose veins

Risk factors:

Prolonged standing
Obesity
Pregnancy
Smoking
Surgery in the leg, which could have hampered the values or veins
Age, as the elasticity of the vessels, reduces with age and can impede normal blood flow
Family history
Symptoms:

Blue, swollen veins in the legs which are thin and ropy
Pain with prolonged standing followed by pain and tenderness
Itching and heaviness in the legs
Cramping in the night
Blood clots in the superficial vessels
Severe varicose veins can cause bleeding
The area around the leg feels firm and/or hard
There could be skin changes like scaling, dryness, and color changes
Increased propensity to bleed in the affected leg
Diagnosis:

Usually easily diagnosed in clinical examination
The above-listed features are very characteristic and help in identifying them
Further testing may be done to identify the problematic valve, usually using a tourniquet
Doppler ultrasound, scanning, and MRI may be required to confirm diagnosis, which are quite rarely used
Prevention/Treatment:

Keep the legs elevated as much as possible. During working hours, take short breaks where you are able to elevate the legs
Even in prolonged journeys, try to take a break which will improve circulation
Quit smoking
Compression stocking (Ted hose or Jobst stocking) can be used to improve circulation. They also help in controlling pain and are very commonly recommended to treat varicose veins
Avoiding alcohol, which leads to venous dilation
Weight management, as being overweight is a big risk factor
Do not cross legs when sitting, as it puts constant pressure on the valves
Avoid tight clothing which can put pressure on the veins and/or valves
Keep a regular exercise regimen like walking to improve blood flow
Surgical treatment options include sclerotherapy, laser treatment, and stripping off the vein, but are not usually required.

Varicose Veins - 9 Signs You Are Suffering From It!

Varicose veins and chronic venous insufficiency both affect the veins of the legs. The veins in the legs are equipped with one-way valves, which direct the flow of blood from the legs to the heart. If these valves malfunction, the blood may flow backwards. This blood may collect in small pools somewhere in the veins or the veins may become enlarged and swollen. This causes immense pain that makes it difficult to go about your everyday activities.

What are the complications linked with varicose veins and chronic venous insufficiency? 

Usually, both disorders cause a lot of discomfort and pain. But sometimes the varicose vein may rupture and cause varicose ulcers on the skin of your legs. The blood clot may travel to your heart and it may lead to cardiac complications.

Who is susceptible to varicose veins and chronic venous insufficiency?

Although anyone can get varicose veins or chronic venous insufficiency, women are more likely to develop these venous disorders than men. The chances go up if you are-

  Older than 50
  Obese
  If someone in the family has varicose veins or chronic venous insufficiency
  Pregnant or if you have been pregnant before
  If you have been diagnosed with blood clots
  If you consume alcohol or smoke

Diagnosis of varicose veins and chronic venous insufficiency-

As interrupted blood flow leads to both varicose veins and chronic venous insufficiency, your doctor will conduct a blood flow test through a duplex ultrasound. The sound waves can help determine in which direction the blood is flowing and the speed of the flow.

Treatment of varicose veins and chronic venous insufficiency-

The doctor will ask you to implement lifestyle changes-

  You need to lose weight because being overweight is the chief contributing factor towards both these disorders. Besides regular exercise can improve blood flow through your veins
  Do not sit for long stretches of time. Go for small walks and stretch those legs.
  Medications that can target the pain and the swelling

Surgery:

If medication and lifestyle changes do not work, you might have to undergo surgery. The surgery is performed under general anaesthesia. You can leave on the same day. Not much follow-up care is required.

Sclerotherapy: Another popular option is sclerotherapy . A chemical is injected into the vein that closes it. The scar it produces will disappear within 4-5 days.

Laser therapy: Painless small procedure to close diseases vein.

Open surgery: Small cuts over skin to remove diseases vein.

Both varicose veins and chronic venous insufficiency are accompanied by pain. Medication can help keep the pain and discomfort under check but in severe cases surgery is necessary.

Varicose Veins & Chronic Venous Insufficiency!

In our bodies, the vascular system is composed of vessels. This system is comprised of a complex network of veins and arteries. The arteries transport oxygenated blood away from the heart and spread it throughout our bodies and veins brings the deoxygenated blood (oxygen-poor) back to the heart for purification. Whenever this complicated process gets disturbed, pain, dysfunction of the system, and other complications may occur.

Most common complications among all are:
1. Abdominal Aortic Aneurysm: This condition is when there is a  bulge  formed in the weak area of the largest artery in the abdomen and keeps on increasing with each pressure flow of blood from that artery. This condition weakens the artery further and massive internal bleeding may occur.

2. Carotid Artery Disease - Stroke: This condition arises when the main blood vessels flowing blood to the brain develops a plague caused due to hardening of the arteries (atherosclerosis). The continuous increase of plague can cause a stroke.

3. Peripheral Arterial Disease: This condition occurs when the flow of oxygen-rich blood is insufficient to the lower limbs of the body due to hardening of the arteries in that area. This can cause difficulty in walking, foot ulcers, infections and can even lead to amputation.

The complication of these types are corrected by the vascular surgeon with the process is commonly known as vascular surgery. However, this condition is sometimes medically managed by an innovative, less invasive procedure called Endovascular surgery. 

Vascular Surgery-
Vascular surgery is generally the traditional surgery that corrects the diseases outside of the heart and the brain. This procedure is more invasive as it involves incisions that are surgical in nature. Vascular surgery comprises of the surgery of the aorta, carotid arteries, and other small diametric arteries. This surgery also involves surgery of veins for treating various conditions such as varicose veins and May-Thurner syndrome.

Endovascular Surgery:
However, this type of surgery is an innovative way to treat medical conditions related to the vascular system. For instance, during the procedure of treating the Abdominal Aortic Aneurysm, it involves making a small cut near the hip area and inserting the endovascular graft through the arteries and is positioned inside the aorta, in a catheter, which is a flexible, long, and narrow tube. The endovascular graft is a tube device made up of special fiber and is framed within stainless steel self-expanding stents. The grafts expand and seal off the aneurysm. This stops the internal bleeding the system and the graft remain in the aorta permanently.

This method has a short recovery time, smaller incisions, less discomfort, less stress on the heart and has fewer risks. This surgery is appropriate for the patient who is at high
risk of complications. 

Take Away-
Diseases related to artery and veins are now being treated with various methods such as angiography, stenting, sclerotherapy in various countries. These days vascular surgeons have become proficient with the endovascular surgical methods. Endovascular surgery is durable and less painful and stressful when viewed with the context of vascular surgery. However, the cost of staying longer at the hospitals is somewhat got balanced by the high cost of imaging equipment and other high financial expenses in the endovascular surgery.

Endovascular VS Vascular Surgery - Know The Difference!

What are varicose veins? 
Varicose veins are enlarged veins that typically develop in the legs and the feet. This condition is triggered when there is something wrong with the valves of the veins. When the valves do not function properly, blood flow to all parts of the body is disrupted. Since the legs are the farthest part of the body from the heart, gravity makes it difficult for blood to flow up to the heart. It is a common affliction and affects nearly 25% of the adult population all across the world and 10 million people in India are diagnosed with it every year. The raised veins just under the top layer of the skin appear to be purplish-blue.

Varicose veins are common in people who are -
  Above 50 years of age
  Long stretch sitting
  Pregnant
  Menopausal
  Obese
If someone in your family has a history of varicose veins, you are quite likely to get it too.

What are the symptoms of varicose veins?
Varicose veins are characterized by the following symptoms -
  The most obvious symptom is the large twisty veins
  Pain all down the length of your legs
  Discoloration of the skin of the legs and feet

Diagnosis of varicose veins -
The doctor usually diagnoses varicose veins by a physical examination. An ultrasound may determine if your flow of blood is affected. It is a non-invasive procedure and is done with the help of high-frequency sound waves.
You may even have to undergo a venogram. The doctor injects a colored dye into your veins and X-rays them. The dye gives an indication of how well your blood is flowing through the veins.

Treatment of varicose veins -
There are several treatment options for varicose veins-

Vascular surgery - When the other methods do not work, doctors prescribe vascular surgery.
Ligation and stripping - through this surgery, the surgeon ties up the vein to prevent pooling of blood in the veins and sometimes the vein itself is removed.
Sclerotherapy - the doctor injects a chemical right into the varicose vein which closes it.
Radiofrequency ablation - the doctor uses radiofrequency to heat the varicose vein up, which makes the walls collapse
Varicose veins are a painful condition that can be avoided if you implemented a few changes to how you live your life and even if you do get them, there are ways to cure them.

In Detail About Varicose Vein & Its Treatment!

Varicose veins are known to be a very common problem, which result in the inflammation of veins in the body. Veins are the blood vessels, which are responsible for the transfer of deoxygenated blood from the different parts of the body to the heart. Because the blood does not contain oxygen, it has a bluish tinge. As a result varicose veins are most likely to appear bluish when swollen. 
This condition is quite common in old people and some are even likely to develop slight ulcers in the vein. 
Homeopathic treatment for varicose veins
Certain homeopathic drugs are said to work wonders for this condition, as they not only offer pain relief, but also make the veins more elastic. This helps with effective circulation and thus, the swelling reduces. The following is a list of some homeopathic medicines that work best to cure varicose veins.
1. Hamamelis
It is known to be the best cure for varicose veins. It effectively stops any sort of bleeding from the veins. It also offers relief from pain and from a sensation of heaviness of the legs. 

2. Pulsatilla
This medicine is greatly recommended for women who develop varicose veins during the course of their pregnancy. It immediately does away with the pain. The medicine especially works well for swollen veins of the legs and the hands. Application of a cold pack also helps relieve the pain and reduce swelling. 

3. Calcarea
It is generally recommended to patients who have varicose veins, but do not suffer from any pain. In case the patient feels chilly and suffers from various other symptoms like some sort of burning sensation in the veins or cold hand and feet, calcarea is a good cure. 

4. Graphites
It is known to be a great cure for varicose veins that is accompanied with some amount of itching and cramping. 

5. Arnica
This homeopathic medicine effectively deals with varicose veins accompanied with symptoms like soreness and bruising.

5 Best Homeopathic Remedies for Varicose Veins Ulcers

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