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Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
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Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
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I frequently keep suffering from cold and now currently pain in my chest left side. Suggest me some medicine.
Dear doctor my wife 64 years old felt very week in the evening. We checked her blood pressure which was 96/55. To confirm we checked again and it was almost same. You are requested to kindly advise what steps should she take. For the time being we have given her half tea spoon of common salt and one tea spoon of sugar in one glass of water. Please advise. We will be highly obliged and thankful to you.
My Aunty Aged 45 years A week Ago she got Heart Attack & they did Angiogram & said 3 blood vessels blocked Each Valve Above 95% & they said They can't place stents and they said By Pass Surgery Is a Must we consulted other hospitals too they too said By Pass is Must. I heard that while doing By Pass is there any Risk of Death as she got Diabetes as we are scared in 3 or 4 days they will do By Pass Surgery please Assist me in this.
Doctors have struggled for several years now over whether to tell their patients about the potential cardiac benefits of alcohol. Over 60 clinical studies have suggested that light to moderate alcohol consumption (the equivalent of one or two 1 � oz. drinks of alcohol per day) can increase HDL cholesterol levels (the ?good? cholesterol,) can reduce the incidence of myocardial infarction (heart attack), and may have other cardiovascular benefits.
However, excessive alcohol consumption reliably causes a number of severe and often fatal medical problems, not to mention the destructive social pathologies associated with alcoholism itself.
For all these reasons, a special advisory panel of the American Heart Association issued a formal statement urging doctors not to recommend alcohol to their non-drinking patients as a means of reducing the risk of heart disease. This makes perfect sense. If doctors were seen to be encouraging alcohol, that would not only be politically incorrect, but might also lead to a significant increase in alcohol-related medical and social problems. Still, the apparent cardiac benefits of alcohol creates something of a dilemma for doctors.
The Evidence in Favor of Alcohol
Numerous prospective studies now suggest that people who engage in light to moderate alcohol consumption have a substantially reduced risk of coronary artery disease (CAD) - by as much as 40 - 70% - compared to those who drink either no alcohol, or those who drink more heavily.
And in a large meta-analysis that included over 80 observational studies, those with light to moderate alcohol intake had a 25% reduction in death from cardiovascular causes.
People who engage in light alcohol consumption appear to have a significantly reduced risk of developing heart failure.
Light to moderate alcohol consumption may help to prevent type II diabetes and metabolic syndrome. And in people who have diabetes, it may help to protect against CAD.
Up to two drinks per day may help to protect against stroke.
How Can Alcohol Protect the Heart?
Theories as to how light to moderate alcohol consumption can benefit cardiovascular health include the following:
Alcohol increases HDL cholesterol levels
Alcohol has antioxidant activity
Alcohol increases insulin sensitivity
Alcohol may help prevent abnormal blood clotting
Alcohol in low doses has anti-inflammatory properties
While it is widely believed that red wine may have special protective properties (largely stemming from the antioxidant properties of red grapes), in fact the overall data strongly suggests that it is the alcohol itself that is cardioprotective in small doses - regardless of the particular type of alcoholic beverage consumed.
The Evidence Against Alcohol
It is noteworthy that in all the studies assessing the effect of alcohol on the heart, women who consumed more than two drinks a day, and men who consumed more than three, had a substantial increase in overall cardiovascular mortality, including sudden death. Furthermore, several studies show that binge drinking (abstaining for several days, but drinking heavily on the days when alcohol is consumed) is associated with a substantially increased risk of CAD and of cardiovascular death.
In addition, drinking large amounts of alcohol is a well-recognized cause of cardiomyopathy and heart failure. People who have more than two drinks per day have a significantly increased risk of developing hypertension. And consuming more than two drinks per day appears to significantly increase the risk of stroke.
Both heavy drinking and binge drinking increase the risk of atrial fibrillation.
The Bottom Line
It appears quite evident that the relationship between alcohol and cardiac risk follows a "J-shaped" curve. Cardiac risk is lower when low to moderate alcohol is consumed than if either no alcohol is consumed, or if higher amounts of alcohol are consumed.
The problem for professional bodies and guideline-writers, obviously, is that many, many people find it difficult or impossible to limit their alcohol to one or two drinks per day. If guidelines actively promoted light alcohol consumption for the population, there is every reason to believe that the overall result would be a negative one, rather than a positive one. So, despite all the evidence regarding the cardiovascular benefits of light alcohol consumption, you should not hold your breath waiting for guidelines (or your doctor) to recommend such a thing.
I have a chest pain since 2 weeks. And that pain occurs sometimes not every time. I felt that pain when I twisted my hand, turned around or lied down. I did not know what is the reason and should I consult with the ent doctor or a general physician. I thought that pain occurs when my chest got pressure.
He is a patient of hypertension since 5 yrs. He doesn't has proper diet. What should be his diet so as to avoid any other heart disease and also lower down his bp up to normal.
1. Take responsibility for your health.
Cardiovascular disease is the major cause of death in america, accounting for 34 percent of deaths, many suddenly and almost all of them premature. This is down from 40 percent just four decades ago, mainly due to treatment of common risk factors. If you have diabetes, your risk increases dramatically. The best prevention against heart disease and stroke is to understand the risks and treatment options. The greatest risk is ignorance or misinformation. The first step is to take responsibility for your health.
2. Know your risks.
The most influential risk factor for cardiovascular disease is age – the older you are, the greater your risk. The second is your genetic make-up. Although everyone is excited by the scientific progress in genomics research, conclusive gene tests are still in their infancy. But, as I tell our medical students, “a good family history is a poor man’s gene test.” we have long known that if your parents, grandparents, or other relatives were afflicted with or died of heart disease, diabetes or stroke, your risk is much greater.
3. Don’t smoke or expose yourself to second-hand smoke.
The evidence is overwhelming that cigarette smoking and second-hand exposure to smoke increases the risks of heart disease, lung disease, peripheral vascular disease and stroke.
4. Maintain a healthy blood pressure.
High blood pressure, called hypertension, is known as “the silent killer” as it goes without symptoms in most individuals. High blood pressure causes wear and tear of the delicate inner lining of your blood vessels. The higher your blood pressure (bp) the greater your risk. The risk begins to increase from a pressure of 115/70 mmhg and doubles for each 10 mmhg increase in systolic (the larger number) and 5 mmhg increase in the diastolic (the smaller number). Heredity and increasing age raise the risks. Measuring blood pressures at home reflects more accurately your risk than having the blood pressure taken at a physician’s office. It is worth the investment to get a cuffmeter.
It is best not to rely only on the readings at your doctor’s office as some individuals suffer from “white coat” hypertension – their bp is up only when they are at the doctor’s office. Others have “masked” hypertension – higher when not in the doctor’s office. Prognosis is best related to home bp. But for home blood pressure readings, you should not use finger or wrist units – only regular upper arm units.
5. Monitor your cholesterol (blood lipids).
Abnormal or high blood lipids (fats) are a major contributor to cardiovascular disease. Your blood lipids include the ldl (bad cholesterol; remember as “lousy cholesterol”), hdl (good cholesterol; remember as “healthy cholesterol”) and triglycerides. The lower your ldl and the higher your hdl, the better your prognosis. The amount of cholesterol in your blood is determined mainly by three factors: the amount produced by the liver (this is largely genetic), the amount absorbed from the intestinal tract (some from what you eat, but a lot more from cholesterol produced by the liver and excreted into the digestive tract) and, finally, age – your cholesterol increases with age. If you are at risk, medication is almost always necessary to lower the ldl or to raise your hdl. The ideal ratio of total cholesterol divided by hdl cholesterol is 3.0. If higher, you might need diet as therapy. The problem with diet is that, in general, it can only decrease total blood cholesterol by about 10 percent. If you have a strong family history or elevated lp (a) (a rare abnormal cholesterol that increases the risk), drug therapy is usually needed.
6. Limit your calories.
Fad diets do not work. If any of them did, we all would be on that one, wouldn’t we? the obesity rate in americans is alarming, contributing to a near epidemic of diabetes, which is a cardiovascular disease. If you have diabetes, your risk is the same as someone who already had a heart attack. Obesity is caused by consuming more calories than your body burns. Abdominal obesity is the major risk. Portion sizes and the amount of sugars in the american diet have dramatically increased over the past few decades. At the same time, the daily amount of exercise has been decreasing. It is good advice to “drink slim” (water, tea, coffee). Use portion control before you start eating and push away from the table before you are “full.”
7. Make exercise a daily habit.
The lack of exercise is contributing to the obesity epidemic in americans. Studies indicate that walking two miles a day is optimal for overall health, and those two miles of walking do not have to be done all at once. Exercise does more than burn calories; it also activates genes that are beneficial to health in other ways. Plus, exercise is one of the best treatments for depression and anxiety. However, exercise alone cannot control or reduce your weight – you must also modify your diet.
8. Pick your pills wisely.
There is a great interest in alternative medicine and understandably so, because patients want to be empowered to take responsibility for their own health. However, many take alternative medicines because of the way they are marketed. The mere fact that a substance is “natural” does not prove its health benefit. After all, nobody in their right mind would take arsenic simply because it is “natural.” it is important to know that research data are often lacking for alternative medications, supplements and vitamins, none of which are regulated by the U.S. Food and drug administration (fda).
Do we ever prescribe alternative medicines? on occasion we do! the major risk with many alternative medications is that the patient thinks they are doing something to improve health, when in fact they are not. Although some vitamins have been shown to possibly help some conditions, to date none have been shown to decrease the risk of cardiovascular disease. There are some rare exceptions, such as fish oils and niacin (vitamin b). It is also important to note that high doses of some vitamins may interfere or counteract the beneficial effects of some prescription drugs.
9. Reduce stress.
Stress contributes to cardiovascular disease and, if severe, can cause a heart attack or sudden death. There are plenty of options that help reduce stress, such as regular exercise, adequate sleep, striving for a good marriage, laughing, volunteering or attending religious services. Watching tv generally does not relieve, but can aggravate stress. Also, try to avoid situations and people who make you anxious or angry.
10. Stay informed: science changes constantly.
The only constant is change. This is especially true in medicine as new techniques and new insights develop constantly. Do not believe every piece of “scientific information” you find in the media or advertisements. An overwhelming number of research studies that make it into scientific publications are poorly designed or yield data that are not representative, E.G, due to a lack of a sufficient number of participants. Keep in mind that many studies are financed or sponsored by individuals or companies with a vested interest in gaining favorable results. The situation can be especially confusing when scientific studies yield different or even contradicting results, and this happens quite often.