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Female of 80 years have suffered a heart veins blockage. Please suggest what care and exercise to be done to reduce chances of reoccurring?

BHMS
Homeopathy Doctor, Hooghly
Female of 80 years have suffered a heart veins blockage. Please suggest what care and exercise to be done to reduce c...
Start doing yoga, regular walking, avoid fatty foods, take more green veggies, you have to do proper homeopathic treatment which can be helpful, soo you can contact me through Lybrate in private consultation where you can upload your report also.
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It is said milk and walnut when taken together can remove arterial and coronary blockages. Is there any truth to this claim?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
It is said milk and walnut when taken together can remove arterial and coronary blockages. Is there any truth to this...
Plaque is made up of cholesterol deposits. Plaque buildup causes the inside of the arteries to narrow over time. This process is called atherosclerosis. But we have to look into the details of the problem. Let's have a detailed discussion to ensure proper treatment.
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Renal Artery Stenosis - How To Handle It?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Renal Artery Stenosis - How To Handle It?
The blood vessels are elastic tubules controlled by valves through which blood flows. Depending on the organ and the distance from the heart, these vessels should be of a certain thickness to ensure proper blood supply, this maintains a constant normal pressure of the blood flow. In this condition, the blood vessels are narrowed, which results in reduced blood supply, affecting optimal function.

Causes:

With age, the elasticity of these vessels reduce and therefore blood flow and blood pressure can be affected. This is known as arteriosclerosis hardening of the arteries.
In parallel, with blood cholesterol levels on the rise, the vessels are narrowing due to the accumulation of plaque in the blood vessels. As blood is flowing through the arteries, the fat molecules, being sluggish and heavier, settle down along the vessel walls. They attract more fat molecules and so the fat deposit layer continues to grow thicker and the vessel narrows further. This is known as atherosclerosis.
Both conditions result in narrowed blood vessels, and when the vessels supplying the kidneys are affected, there is reduced blood flow, which is interpreted as low blood pressure, leading to hormone release which increases the blood pressure. So, one of the main symptoms of renal artery stenosis is uncontrollable blood pressure.

Risk factors: The following factors put an individual at a higher risk of developing renal artery stenosis.

Advanced age
Being a female
Hypertension
Smoking
Diabetes
Increased cholesterol levels
Preexisting kidney disease
Symptoms: Though there are no obvious manifestations, uncontrolled high blood pressure can require renal artery stenosis to be ruled out. Some tests to be done include:

Blood and urine tests to identify abnormal kidney function tests
Ultrasound to check for structural effects
Doppler to measure blood flow
Advanced imaging like MRI to study for structural changes in the kidneys and its blood vessels
Treatment: This would be a two-pronged approach in terms of reducing risks and improving blood pressure.

Better control of blood pressure levels, either with alternate drugs or increased doses
Monitor and rigorously control sugar levels
Cholesterol levels to be controlled
Quit smoking
In very severe cases, angioplasty and stenting may be required. A catheter (tube) is inserted into the affected blood vessel and a balloon is then inflated to open up the artery. A stent may also be placed to keep the vessel open and ensure optimal blood flow. This comes with its own complications and requires long-term care and monitoring.

In very severe cases, bypass of the artery or surgical removal of the affected portion of the kidney may also be required.
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What is atherosclerosis and ischemia? I have cholesterol and high blood pressure. They said I must use virgin coconut oil, is it true? Thanks. Loekie.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE)
Sexologist, Sri Ganganagar
What is atherosclerosis and ischemia? I have cholesterol and high blood pressure.
They said I must use virgin coconut...
Atherosclerosis is deposition of cholesterol on inside vessels. Ischaemia is result of atherosclerosis means decreased blood supply.
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Coronary Artery Disease - How To Tackle It?

MBBS, MD Medicine, DNB Cardiology, Fellowship in Cadiology (Non- Invasive )
Cardiologist, Delhi
Coronary Artery Disease  - How To Tackle It?
Coronary artery disease is one of the major killer diseases of modern society. It is not a solitary problem but brings with it a multitude of issues including obesity, diabetes, stroke, and other metabolic disorders. A thorough understanding of what causes it and how to manage it can help save thousands of lives.

Causes: The circulatory system is mainly made up of the heart and a complex network of arteries and veins. The inner walls of these are lined with smooth muscles, allowing for a free flow of blood. Gradually, over a period of time, given the density, the fat from the blood flowing through these vessels settles along the walls of these vessels. This attracts more fat, lipoproteins, and other inflammatory cells and so the process continues. This reduces the diameter of the blood vessels, therefore reducing the amount of blood supply to the target organs. If the target organ is a vital one like the brain or the heart, then it could lead to stroke or heart attacks.

Main causes of coronary artery disease include high blood pressure, high cholesterol, sedentary lifestyle, obesity, smoking, diabetes, and stress. Men are more prone than women, and family history and age puts them at higher risk.

Symptoms: Reduced blood supply to the target organ causes the following symptoms:

Shortness of Breath: A person with coronary artery disease will feel short of breath and tired with most activities, even like walking a few meters.

Chest Pain: A strong pressure sensation on the left side of the chest is an indication of coronary artery disease. Known as angina, it comes with stress and goes away once the stress is removed. It could sometimes radiate to the shoulder, down the arm, or up into the jaw also. These are classical symptoms of angina or heart attack and is considered an emergency. Of note, this is often mistaken for indigestion.

Palpitations: A sensation where you are able to hear your heartbeat.

Nausea and Excessive Sweating: Nausea and excessive sweating are also seen during angina.

Treatment: There are 3 modes to manage this.

Medications:

Aspirin to reduce the viscosity of the blood.

Statin to control the cholesterol levels.

Beta-blockers to control hypertension.

Nitroglycerin for temporary relief of angina pain.

Surgical Procedures: Surgical procedures including balloon angioplasty followed by placement of drug-eluting stents and coronary artery bypass surgery are done to manage more severe cases.

Lifestyle Change: Lifestyle changes including reduced fat consumption, decrease body weight, stop smoking, increased physical exercise, and reducing stress are highly important in preventing further damage.

Once suspected, coronary artery disease can be effectively managed and the extent of damage controlled using the above techniques.
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Coronary Artery Disease - How To Manage It?

MD- General Medicine, DM - Cardiology
Cardiologist, Raipur
Coronary Artery Disease - How To Manage It?
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.

Function of Coronary Artery
The task of coronary arteries is to supply oxygen-rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.

Though it is true that living with heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.

Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.

Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
A Heart-healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish in your diet.
Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life.
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Coronary Artery Disease - 7 Ways To Prevent It!

MBBS, MD INTERNAL MEDICINE, DM - Cardiology
Cardiologist, Jaipur
Coronary Artery Disease - 7 Ways To Prevent It!
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.
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