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Hello I want to ask that does anxiety cause pain in heart or not? If ECG is normal. Then is it only because of anxiety?
Heart diseases and hypertension which lead to heart or other organ failures has been on the rise for the past 2 decades. People above the age of 35+ have been seen suffering from such problems due to their unbalanced dietary habits and sedentary lifestyle. Its always advisable to control these factors to reduce your risk.
An indulgent lifestyle and an inadequate diet are two major causes of heart disease which can be changed. To stay fit here are a few measures of care and control
7 warning signals to know about.
Uncomfortable pressure, fullness, squeezing or episodes of pain in the centre of the chest lasting more than a few minutes. Pain spreading to the shoulders, neck or arms. It may feel like pressure, tightness, burning or heavy weight. It may be located in the chest, upper abdomen, neck, jaw or inside the arms or shoulders.
Chest discomfort with light headedness, fainting, sweating, nausea, vomiting.
Shortness of breath or agonal gasp.
Anxiety, nervousness and/or cold, sweaty skin.
Increased or irregular heart rate or flutter or palpitation
Feeling of impending doom with sinking sensation.
Know behind the scene
A heart attack occurs when one or more of coronary arteries (main supply to heart) become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks.
A. B. C of cardiac care
- avoid tobacco (cigarette, shisha)
- be more active (cardio exercises)
- choose good nutrition (eat larger portions of low-calorie, nutrient-rich foods, such as fruits and vegetables, and smaller portions of high-calorie, high-sodium foods, such as refined, processed or fast foods.)
Dietary cholesterol should be 300mg per day. Since it largely comes from animal products, consumption of non-vegetarian, whole full cream milk should be restricted.
Take a health alternative like chicken, fish, beans, vegetables, fruits, breads, pulses, wholewheat flour, cereals, brown rice, millet, skimmed milk and vegetable oils like corn, sesame, soyabean, sunflower, canola, olive and mustard.
Friendly and unfriendly fats
Fat should not exceed 30 per cent of your total calorie intake. Saturated fatty acids in full-cream milk and red meat increase your cholesterol level. Use non-fat or low-fat milk and milk products instead of full-cream milk and avoid sources of saturated fatty acids like lard, butter, cream, palm oil, coconut oil, cheese, etc.
Mono-unsaturated fats that lower cholesterol as well as prevent formation of blood clots are present in olive, canola, peanut and mustard oils. Omega-3, a fatty acid that prevents atherosclerosis is present in foods like herring, mackerel, salmon, tuna, soyabean, walnuts and butternuts. Take these regularly in small quantities to prevent atherosclerosis.
Holistic way to control chest pain
Boil 4 -5 pods of garlic in glass of milk and consume the garlic pods with milk daily to avoid chest pain.
Pound the dates with seeds and eat them every day.
Increase the intake of ginger and lime in your diet.
Drink a glass of milk mixed with kadukai (ink nut) powder every night before going to be.
Take a spoon of tulsi (india basil) juice with honey in empty stomach every day.
I am 33 years old Male. Several times I feel fear, nervousness, anxiety and symptoms of heart attack like high heart beat, sweating, pain and it happens any time of the day. What is this issue ?
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.
I am suffering from chest pain whenever i'll deep breath then I have a pain . So please suggest me what can I do for that?
Most people associate fibre to be good for the digestive system. It helps to add roughage and therefore helps in avoiding constipation. When we dig deeper, the fibre seems to do good not just to the stomach but to the heart as well. Those who are prone to develop heart disease should make an attempt to include more fibre in their diet and reap the rich benefits it offers.
There are two classifications of fibres
Dietary are found in diet products and functional being added fibre through various food supplements. Soluble and insoluble fibre, based on their solubility in water. Most foods contain some amounts of both. The insoluble one has more digestive benefits, as it adds to the roughage. Both types have cardiac benefits.
Read on to know some of the cardiac benefits of fibres.
- Reduces cholesterol: There is good cholesterol which is essential for the body, and there is bad cholesterol causes heart disease. What fibres do is reduce the amount of bad and overall cholesterol in circulation. The fibre binds to the cholesterol and removes it from the body, which otherwise would get into circulation and lead to plaque formation and heart disease.
- Reduces blood pressure: Because the cholesterol does not circulate in the blood stream, the blood is not as viscous and therefore the vessels exert much less pressure to allow for free flow. A diet change to whole grains can show a marked difference in people with hypertension.
- Weight management: Eating fibre means more bulk and fewer calories so that a person feels full after eating smaller amounts. This is a great way to lose weight and bring preexisting heart disease under control.
- Stroke prevention: The circulating cholesterol usually gets sluggish and settles down along the walls of the blood vessels. This attracts more cholesterol, which eventually forms what is knowns as plaque. When this plaque attains a considerable size, it gets dislodged, circulates in the blood stream, and can reach any of the vital organs. When it reaches the heart or brain, it can lead to heart attack or stroke. By removing the cholesterol which leads to all these complications, fibre reduces the incidence of stroke and heart attacks.
- Management of diabetes: Blood pressure, increased weight, and heart disease all are predisposing factors and have common contributing factors as does diabetes. Controlling all these helps in prolonging the onset of diabetes and reducing its severity too.
High-fiber diet mainly reduces cholesterol which helps in multiple ways to maintain not just a healthy body but also improves the overall quality of life. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Dear Sir/Ma'am, From 2 years I am in acidity, low blood pressure but now I feel daily mood changes, imbalance in body temperature, hair loss constipation, slow Heart rate, constipation, back bone pain till head, constipation, neck not move easily around easily, irregular constipation, I feel daily pain in my body. So please suggest me best medicine and treatment. I request you.
Hello I have Pain & Little Swelling Between stomach & chest may I know why it happen & whats is symptoms & causes of this?& Any Home remedy for it.
If someone has suddenly got pain in his heart at the age of 65+ and it is a night time and there is no hospital or doctor in nearby location. Can you tell me what is the neccesary steps one should take immediate?
Be it burgers, bagels, muffins, sandwiches or simple toasts, bread has made headway into the diets of a huge portion of the populace. Although a staple diet for many since time immemorial, the consumption of bread has increased extensively in the recent past. But, which type of bread should we intake to incur the best health impacts is a question that bothers many. The general assumption is that the wholegrain variety is the best alternative. However, the barrage of marketing tactics makes it impossible to distinguish the best variety from the others.
There are a whole lot of myths surrounding the best variety of bread and you must choose wisely before settling for one particular type. It is expedient to look beyond the overt appearance or the name of the bread, one needs to be wary of the ingredient before taking a call.
Mostly, white bread is made out of refined flour which is often striped off essential nutrients and fibers. To worsen the situation, white bread is often bleached with certain chemicals to enhance its appearance.
Certain assumptions deem brown bread as the healthier option. Unfortunately, it isn't true always. More often than not, brown bread is simply white bread with artificial coloring added to it or is caramelized. They essentially add no surplus nutritional value.
Similarly, multigrain bread can often mislead the consumers about its health impacts. Unlike whole wheat bread, multigrain breads are usually chemically treated with softened grains. This does not effectively recover the lost nutrients of the bread.
Whole wheat bread has more pronounced health benefits. It contains more wheat germ and fibers in comparison to the more processed varieties of bread. Having evaded the toxic additives, it has relatively healthier effects on our blood sugar levels.
As you realize that the bread that you eat does not necessarily affect your health favorably, wisdom lies in seeking out the least harmful variety. In that context, rye bread or spelt bread contains greater amount of minerals. Besides, bread made from barley, oats and millets have greater mineral content than the commercially hybridized varieties and promote better health.
My blood pressure is very much unstable while I am normally working. What is the reason behind these problems.
My baby 13 months is suffering from severe brain stroke. We are giving Trioptal syrup, valparin syrup and frisium tablet. But sometime attacks comes becomes severe too. Please where to go for treatment.
I am 28 year old male when I check my sugar then always my sugar level is between 110 to 120, am i diabetic ? My liver is fatty and also cholesterol problem.
Hello, I'm 21 years old. My first degree heart block. Sodium electorares me potassium (5.36)and calcium bhi bdha hai to medicine khana chahiye.
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?
- 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.
- 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?
- Stay calm.
- 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.
Related Tip: "Why Do You Get Palpitations? How to Get Immediate Relief?"
The lifestyle we lead plays an important role. Maintaining a healthy lifestyle is important to overcome many diseases as it helps in bringing the blood pressure to normal and in turn reduce the risks of diseases, such as diabetes and hypertension. Factors like smoking, diet, stress and sedentary lifestyle can lead to hypertension and diabetes. Hypertension is known as silent killer as it is symptomless.
There are various traditional medicines known to lower the blood pressure. Also, there are certain herbs that help in controlling blood pressure and preventing other diseases.
Some of these herbs are:
- Basil: This herb has a strong aroma and can be used in the preparation of many foods. It also helps in lowering the blood pressure, though for a brief time. Adding freshly chopped or torn basil to soups, salads, pastas and casseroles not only enhance the taste but are also beneficial for health.
- Cinnamon: This herb requires some effort to add in the diet, but is helpful in maintain the blood pressure. Diabetic people should have cinnamon everyday in some or the other way. Cinnamon can be included by sprinkling over cereals, oats, coffee, stews and curries.
- Cardamom: Cardamom if consumed daily can be helpful in bringing down blood pressure and in turn controlling hypertension and diabetes. Cardamom is very popular in South Asia, the seeds can be powdered and used in stews, soups or baking. It not only has an enhanced flavor but is also packed with numerous health benefits.
- Flaxseed: This is very rich in Omega-3 fatty acids. Omega-3 fatty acids are believed to lower the blood pressure and also protect the body against atherosclerotic cardiovascular disease. They are known for reducing cholesterol levels, and improving glucose tolerance thus acting as antioxidant. Flaxseeds can be added in smoothies and soups or baked goods.
- Garlic: Garlic often synonymous with bad breath and pungent seasoning has immense health benefits. It dilates and relaxes the blood vessels allowing the blood to flow freely and in turn reduces the blood pressure.
- Ginger: Adding ginger to the diet helps to control the blood pressure. It relaxes the blood vessels and improves the circulation of the blood. Ginger can be used in sweets, savories and beverages and is very common in Asian food.
- Celery Seed: This is a diuretic and in China it is used to treat hypertension. This can be used to flavor stews, soups, savory dishes and casseroles. Both the seeds and the plant have various benefits and uses of their own.
- Hawthorn: This herb is used to treat high blood pressure in China. Decoctions of the herb have health benefits such as reduction of blood pressure, controlling hypertension and blood circulation.