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Overview

Chest Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Chest ache is a sudden sharp, piercing pain which often heralds the signs of a serious heart-related issue. Chest pain could vary depending on the intensity, duration, location and quality. Aside from heart attack which occurs due to blocked blood flow, chest pain could also be a cause of various other heart related disorders. These are- angina, which occurs as a result of blocked blood vessels; pericarditis, swelling of the pericardium sac membrane encircling the heart; myocarditis, swelling of the myocardium heart muscle; cardiomyopathy, a disease of the heart that causes it to become enlarged; aortic dissection, tearing of the aorta. Chest pain can also be caused as a result of heartburn, esophagus disorders, pneumonia, blood clot, chronic pain and the inflammation of the pancreas.

The treatment for chest pain includes both surgical procedures as well as taking of medications such as nitroglycerine (which is an artery relaxer, that enables the blood to flow more easily through these narrow spaces), aspirin, drugs that help to bust clots (these drugs dissolve the clot that is inhibiting the blood flow to the heart), blood thinners, acid suppressing medications and antidepressants. The surgical procedures include angioplasty, balloon and stent placement treatment. All of these methods open the blocked blood vessels after a narrow tube is inserted into the largest blood vessel in the groin region. Other procedures include bypass surgery (in case of a blocked artery this surgical method creates another route for the blood to flow), dissection repair (in case of aortic dissection, this method repairs the ruptured artery carrying the blood) and lung reinflation (this method inflates the lung by inserting a tube).

How is the treatment done?

On experiencing chest pain it is advised that you call for an ambulance or your health care provider. Explain the symptoms, your medical history and the medications that you may be already taking. At the outset you will be required to undergo physical assessment tests that involve doing an ECG (electrocardiogram), some blood tests, Chest X-ray and CT scans to determine whether your chest pain is due to a heart attack. On the basis of the results of these tests you will be required to undergo certain follow up tests such as echocardiogram, computerized tomography (CT scan), stress tests and coronary catheterization (angiogram). At the hospital your caregiver will administer certain drugs (such as aspirin, heparin) to you to arrest the formation of blood clots. These medications prevent the already formed clots from getting any larger. Due to their working nature these drugs are known as anti-coagulants.

During the post-emergency phase depending on the seriousness of the chest pain your doctor will prescribe the medications to you. If you are diagnosed with angina you might be prescribed nitroglycerine. These are nitrates that relax the arteries by allowing more blood to flow and also help to reduce the chest ache. When taking this drug you need to dissolve one tablet under the tongue or use a spray.

Who is eligible for the treatment? (When is the treatment done?)

People who suffer from chest ache and are within the age group of 45-65 years are eligible for treatment of chest pain which includes taking medications and other surgical procedures.

Who is not eligible for the treatment?

Those who are below 45 years and above 65 years should take caution when undergoing treatment for chest pain. Also people who are allergic to certain drugs and especially nitroglycerine should avoid going for this kind of treatment and instead discuss alternatives with your doctor. Also people who are diabetic or those with a weak heart muscle should avoid opting for an angioplasty treatment.

Are there any side effects?

Side effects of taking nitroglycerine include headache, rapid heartbeat, feeling of nausea and vomiting, skin rash and dizziness. Serious side effects include a rapid fall in blood pressure levels.

Angioplasty though effective in reducing the chances of a heart attack does involve some risks. For example people may experience continuous narrowing of the arteries. There is the risk of damaging your coronary arteries, to your kidney. There is risk of having a stroke while undergoing treatment. There is risk of bleeding which may require you to take blood transfusion. There is the risk of blood clots as well as irregular heartbeat.

in case of bypass surgery you may experience reactions such as infection and bleeding at the site of the surgery, fever, stroke or even death and adverse reactions to anaesthesia.

What are the post-treatment guidelines?

There are certain post-treatment guidelines for chest pain. If you have undergone an angioplasty treatment for example, you need to take your medications regularly. Ensure to never stop taking your anti-clotting medicines before discussing with your doctor as these are extremely essential to keep the chances of heart attacks or strokes in check. It is necessary that you go for a physical check-up that comprising of an ECG and some laboratory tests, a week after completing the treatment. You should avoid any high-impact exercises or lifting any heavy objects for at least a month after the treatment. Adopting a healthy lifestyle and diet is also of utmost importance. Should you experience any pain in the chest or any side effects to the medications you are taking you should immediately go see your doctor.

How long does it take to recover?

Post an angioplasty treatment it takes about 4 days for the patient to resume normal activities. Avoid lifting heavy objects for at least 4 weeks after the treatment. You can resume your sexual activities at least 4 days after.

What is the price of the treatment in India?

An angioplasty treatment in India for example could cost you about 2-4 lakh on an average. And if you’re a foreigner looking to treat yourself or anyone you know in India, the cost of angioplasty will be at least 50 % more as compared to an Indian treating himself/herself in India.

Are the results of the treatment permanent?

If you have undergone an angioplasty treatment then the effects of the treatment could last long enough to prevent the chances of a stroke or heart attack for a considerable period of time. However you may experience the narrowing of arteries once again. In certain cases where people adopt a healthy lifestyle then the results of the treatment may be permanent.

What are the alternatives to the treatment?

If you are looking for more natural or herbal options as opposed to medications to treat your chest pain problem then you need to exercise on a more or less regular basis to keep your heart healthy. You should immediately stop the habit of smoking (i.e., if you have it), have a more nutritious diet consisting of fresh onion and garlic, whole grains, fruits, vegetables, lean proteins and fish high in omega 3 fatty acids.

Safety: Low Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Very High Time For Recovery: Medium Price Range: Rs.100000- 300000

Popular Health Tips

Coronary Artery Disease (CAD) - What Are The Symptoms?

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Delhi
Coronary Artery Disease (CAD) - What Are The Symptoms?

The coronary arteries supply the heart with oxygen-enriched blood and nutrients. If these arteries become damaged or diseased; they could cause Coronary artery disease or CAD. Plaque deposits on the walls of the arteries are the most common cause of this disease. This plaque is usually the result of high cholesterol levels. As the plaque builds up, the passage of blood flow is reduced. This reduces the amount of blood that reaches the heart. In cases of a complete blockage, CAD can even cause a heart attack. Because of its slow progression, this disease is often not diagnosed until it reaches a dangerous stage. However, it can be prevented and treated if diagnosed in time.

 

 


In the early stages of CAD, symptoms are not very noticeable. Symptoms become visible only when blood flow tCoronary Artery Diseaseo the heart reduces and the heart has to pump harder than normal. The most common symptoms experienced include:

 

 

  1. Chest Pain: This is also referred to as angina. It may feel like a tightening of the chest or pressure on the chest as though someone is pressing against it. This type of chest pain may be triggered by emotional or physical stress. It is usually relieved within a few minutes of stopping the activity. Women may experience this pain as a sharp, fleeting pain in the back, arm or neck.
  2. Breathlessness: When the heart does not receive enough blood, it has to work harder to pump blood through the body. This may be translated to breathlessness of shortness of breath when performing any type of physical activity. It can also cause extreme fatigue.
  3. Heart Attack: A heart attack is the most severe symptom of coronary artery disease. This is caused by the complete blockage of a coronary artery. A heart attack can occur without any symptoms or be preceded by slight symptoms. The signs of an impending heart attack include pain in the chest and shoulder, shortness of breath and extreme sweating. The chest pain may also travel to the lower jaw. These symptoms are more pronounced in men as compared to women. Women have a higher tendency of experiencing atypical signs such as extreme fatigue.

Other symptoms that might indicate coronary artery disease are dizziness, nausea and an irregular heartbeat. The good news is that this disease can be prevented. Staying physically active, maintaining a healthy weight, reducing stress and eating a low fat and low salt diet can help reduce the risk of CAD.  In case you have a concern or query you can always consult an expert & get answers to your questions!

1713 people found this helpful

10 Strange Facts About Sudden Cardiac Arrest!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD, DM - Cardiology
Cardiologist, Delhi
10 Strange Facts About Sudden Cardiac Arrest!

Sudden cardiac arrest or SCA as it is commonly called is one of the major causes of death in India. As per a study conducted by WHO, approximately 4280 out of every one lakh people die every year from SCA in India.

What exactly is a sudden cardiac arrest?
A sudden loss of heart function, consciousness, and breath which leads to obstruction of blood flow to the rest of the body is known as sudden cardiac arrest. If not treated immediately, this could lead to sudden cardiac death.

Read on to know some shocking facts about sudden cardiac arrest:

  1. About 90% of people who suffer a sudden cardiac arrest do not survive and die before they reach a hospital or medical care.
  2. SCA takes more lives than AIDS, breast cancer, lung cancer, or stroke.
  3. Most cases of SCA are caused by congestive heart failure. This is due to cardiovascular disease, where there is an accumulation of fat deposits on the walls of the blood vessels. This leads to narrowing of the vessel thickness, and reduced blood supply to the various parts of the body. When the blood supply is significantly reduced, there is a heart attack. A similar blood supply cut off to the brain would lead to stroke.
  4. SCA is often seen in patients who have had a prior heart attack. There are, however, patients who seem quite healthy and suffer a SCA. These people may never be diagnosed of their underlying heart disease and may not know that they have a serious problem.
  5. Most cases of SCA can be managed by giving cardiopulmonary resuscitation (CPR) at the right time. This helps keep oxygen supply intact until proper medical help arrives. It is quite easy for people to get trained on CPR, which can help save the life of a stranger or a family member. Given by someone who is near the individual who is having the attack, this is also known as bystander CPR.
  6. It has been proven that bystander CPR improves the rate of survival by almost 50%. It also reduces neurologic complications when done immediately.
  7. Silent cardiac arrests often occur when there is no visible exertion.
  8. SCA are often seen in patients who have had myocardial ischemia (cut off of blood supply to the heart) and there is often no associated chest pain in these cases. The only symptom could be breathlessness, nausea, vomiting, palpitations, and loss of consciousness.
  9. Most heart attacks occur at home, and have a high chance of being ignored. There is a high chance of recurrence, and statistics indicate that less than 2% people survive if they suffer a repeat attack within a month.
  10. SCA is more often seen in the elderly, diabetic, and women population.
     
2605 people found this helpful

Heart Monitors - What Every Patient Needs To Know.

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
Heart Monitors - What Every Patient Needs To Know.

Heart palpitations have been one of the most common health issues that patients complaints and consult a physician for. In most cases, they are quite benign. But sometimes they could be symptomatic of an underlying heart condition. To diagnose them though, your heart activity needs to be monitored for a period of time. Hence, the use of a heart monitor to make a diagnosis is vital. Heart monitors are diagnostic tools that read the heart’s electrical activity which can be used to prescribe specific therapies and medications.

Types of Heart Monitors-

  1. Holter Monitors
  2. Event Monitors

A portable battery operated device can be worn for a period of 24-48 hours. With wires that have silver coin-sized electrodes that can be attached to your skin comfortably, they record your ECG continuously.

An event monitor records the patient’s heart rhythm and rates for a few weeks up to 30 days to determine the cause of a transient event. It is used to monitor patients whose symptoms are infrequent and unpredictable, to allow for a greater chance to capture an irregularity.

Worn throughout the day or two days, it is used to detect cardiac conditions like atrial fibrillation or a possible stroke When experiencing symptoms, the recording is initiated by the patient for a brief period to record the event.

How do heart monitors work?
Irregular heart rhythms can come and go. Heart monitors record heartbeat over a long period of time as you go about your daily, normal activities. It helps evaluate if your medications are working, if you have other symptoms like faintness, or if your heart is getting enough oxygen.

Difference between a fitness tracker and a heart monitor
A fitness tracker will only record your heart rate. A heart monitor tracks heart rate and also the more specific ECG information and heart rhythm.

Risks of heart monitors
There are no risk factors involved with the use of a heart monitor. Since the electrodes are taped to your chest with adhesives, if you allergic it may cause some mild skin irritation.

How to use a heart monitor?
A trained technician will attach the electrodes to your chest. You might have to shave a patch of chest hair to ensure that the electrodes attach firmly. Since they are portable, you will be able to carry it in your pocket quite easily or sling it across your shoulders. You will be required to keep a diary of your activities through the day. You will also have to make a note in your diary if you experience any symptom like dizziness, shortness of breath or chest pain. These notes will then be compared to the changes in your ECG recorded by your heart monitor.

Precautions
Since they are basically electromagnetic devices there are a few simple precautions one needs to take when wearing a heart monitor. They are-

  1. Remove the heart monitor before you take a bath or a shower, or go for a swim.
  2. Do not take an X-ray test while wearing the monitor.
  3. Keep away from high voltage areas, large magnets and metal detectors.

If the rhythm and rates of the monitor show an underlying symptom, your cardiac physician can then diagnose it. They are also helpful in diagnosing patients with severe anxiety and panic disorders. And since these monitors are connected to a database, they offer diagnostics in real time and with higher accuracy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3177 people found this helpful

Can Smoking Affect Your Heart?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Can Smoking Affect Your Heart?

Smoking can affect your health in all respects, and it is no different when it comes to your heart. Smokers are almost twice as likely to have heart problems compared to individuals who do not smoke.

How does smoking cast an impact on your cardiac health?
Smoking increases the risk of developing various kinds of cardiovascular issues such as stroke and coronary heart disease. It damages the lining of the arteries which, in turn, paves the way for building up of fatty substances called atheroma which narrows down the artery. This may lead to heart attack, stroke, and angina.

Tobacco contains carbon monoxide which reduces the amount of oxygen in the blood. This indicates that the heart has to work harder for supplying the required amount of oxygen. Cigarettes also contain nicotine which stimulates the production of adrenaline. This instigates the heart to beat at a faster pace and raises the blood pressure.

The chemicals present in the smoke of tobacco can harm your blood cells and retard the normal functioning of the heart. When not inhibited, it can lead to atherosclerosis. Atherosclerosis is an ailment in which a waxy material, termed as plaque builds up in the arteries and limits the flow of blood to different parts of the body.

When plaque builds up for a long span of time, it causes coronary heart disease, and you are likely to experience symptoms such as heart failure, chest pain, heart attack, arrhythmia and heart failure and even death.

Smoking is a major risk factor for another fatal ailment called the peripheral artery disease or PAD. PAD is a clinical condition where the accumulation of plaque in the arteries inhibits carriage of oxygen-rich blood to the head, different organs, and limbs.

With regular smoking, the blood is more susceptible to clotting which surges the risk of having a stroke or heart attack.

Is there any effect of second-hand smoking?
Second-hand smoking, also referred to as passive smoking means inhaling the smoke ejected while smoking. When a person is regularly exposed to smoke, he or she is likely to have low levels of good cholesterol, damaged heart tissues, and high blood pressure. Various researchers are of the opinion that second-hand smoke of tobacco is a viable cause of heart ailments in nonsmokers. This means, if you are a smoker, you are definite to harm the members of your surroundings.

Why should you quit smoking?
One of the best ways to decrease the risk of having cardiac ailments is to stop smoking. In case you have never smoked, you should never think of starting it for the same reason. You should also try to avoid second-hand smoke by avoiding going to a smoking zone. It would be a great idea to avoid the company of smokers for the periods when they are smoking.
Stay away from smoking for your heart health. In case you have a concern or query you can always consult an expert & get answers to your questions!

2339 people found this helpful

Sudden Loss Of Consciousness - Ways You Can Cope With It!

Non Invasive Services
Cardiologist, Mohali
Sudden Loss Of Consciousness - Ways You Can Cope With It!

When you see someone faint all of a sudden, it leads to chaos around, and you are perplexed not knowing the reason. The sudden fainting or loss of consciousness is Syncope. Syncopal episodes are generally prompted by an unexpected, momentary fall in the flow of blood to the brain, leading to a person passing out and losing muscle control.

Falling causes blood flow to return to the brain, resulting in the person regaining consciousness. The duration of Syncopal episodes is generally for a few seconds or minutes, and it can happen to anyone regardless of age. It does sound scary to lose consciousness suddenly but educating yourself about the signs and symptoms, and the possible causes are the best ways to cope with Syncope.

Symptoms
The trademark sign of syncope is that the patient regularly passes out. The symptoms leading to such a black out episode include:

  1. Legs feeling heavy
  2. Blurry vision
  3. Being puzzled
  4. Rising body temperature
  5. Dizziness and the person going pale
  6. Epigastric distress
  7. Nausea
  8. Sweating
  9. Vomiting
  10. Drop in blood pressure
  11. Weak pulse

However, the extreme symptoms include exertion, chest pains, labored breathing, lower back pain, heart palpitations, constant headaches, central neurologic shortfalls, diplopia and slurred speech.

Causes
Syncope can be triggered by an unresolved medical ailment or from sudden changes in the environment. Falling unconscious can also be caused by emotional stress. Other causes include severe pain or an uncharacteristically low blood sugar. Many people faint when they see blood. Syncope can also be prompted by extreme dehydration coupled with low blood sugar. Syncope can be due to a genetic disorder and can also be caused by a medicinal side-effect.

Ways to cope with Syncope
A person who has had syncopal episodes earlier must know a few things especially when he/she lives alone or while at work or outside. A few tips to manage when you feel a syncope episode is approaching:

  1. When you start feeling the symptoms react with anti-gravity approaches instantly. Either sit down with your head in between knees or lie down so that the blood flow to the brain is recovered.
  2. Seek for a safe and secure place to faint. This is crucial so that you are least hurt in case you fell unconscious.
  3. If you had fainted, when you regain consciousness take time to get on foot. Lie down for some more time and ensure that the blood flow is restored.
  4. Stay hydrated after the episode and it is a good practice to stay well-hydrated always.

Syncope is fairly common, but it is generally people above eighty face a larger risk of being hospitalized due to it the problem. In case one thinks that he or she is facing syncopal episode, they must consult a doctor immediately and get all the necessary tests done to handle it properly.

3857 people found this helpful

Popular Questions & Answers

HI, I am a designer. I work in office about 10 hours average. I am having proper vegetables and fruits worth vitamins although I am facing body itching, muscular pain (chest, solder and back) sometimes headache and it makes me feel uneasy to breath. I have tried to come over by exercising but it increased the waist and back pain. Am I having a psychological problem or physical problem? please guide I want to overcome laziness and live fresh healthy life.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Good health requires good food and ample rest. Fruits are an expensive way to get the cheapest nutrient: glucose. Discuss diet with healthy ninety year olds, increase traditional health foods like nuts, butter and eggs.
1 person found this helpful

My Dr. advised me to take clopilet a 75 daily and rozat 10 if necessary I am not a diabetic and Bp patient What my question is how long I have to take these medicines and what is the alternative for me Thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Usually Clopidogrel is to be taken usually for over 12 months, occasionally it is continued for up tp 18 months. It is better to consult your cardiologist or physician who has prescribed it. As regards statin, it depends upon the LDL level. Sometimes it is recommended for very long time or to be continued for life long. Thanks.
1 person found this helpful

I am a male of 49 years from past few days I experienced weight on the left hand side of my chest. I was diagnosed with diabetes 13 years ago from that constantly I have been prescribed medications on daily bases. I do have high blood pressure heredity. please suggest.

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
Hi sir, You should have a good control over the Diaetes and blood pressure. Get all the tests done for blood sugar and blood pressure. Get a HbA1c level of the blood. An ecg is recommended to you.

Most of the time I feel exhausted and now a days only at a day time I feel fatulant in my chest. From my childhood I have a chest allergy (kind of Asthma) when I get cold I got so much mucus in my chest with this I feel trouble while breathing.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
This is not heart trouble. In which part of the chest is the discomfort. Your immune system is overactive, causing asthma, reduce intake of sugar jaggery and other glucose foods.
3 people found this helpful

I'm suffering from this tight headache and dizziness for the past three weeks, I went to the hospital but I was told my cholesterol and BP was high, so they put me on statins and Amlodipine to reduce the BP and high cholesterol but my headache is getting worse with other muscles and chest pain finding it difficult to breath and sleep. What should I do?

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Cholesterol below 300 is healthy, you should probably stop the statin. BP medicines are required if your BP is always high. Measure BP only once every month on fixed date after resting for ten minutes, start medicines if two recordings are above 160, or if all are above 140 If you want good health, improve your diet. Learn about diet from healthy ninety year olds.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Chest Pain
Here are Causes, Symptoms, and Treatment of Chest Pain

Good evening friends, I am Dr. Bharat B. Kukreti. I am a CI consultant intervention Cardiology at Paras Hospitals, Gurgaon. Today, we will discuss heart problem manifestation, chest pain.

We all have experienced chest pain at some point in time. It is such a common syndrome that everybody has gone through it at some point. The important thing here is that chest pain may be associated with a wide variety of disease which may range from a very simple gastritis to a very lethal heart attack. So the problem with chest pain is that we can t identify whether we are going through a heart attack or just another chest pain. So, this is what we will be discussing today.

First of all, How your chest pain occurs in a heart attack? A heart attack patient will typically about chest pain in a sensation of heaviness or squeezing or burning in the central chest or the left side of the chest which is radiating to either one arm or both arm or shoulders or jaw. It may be associated with a very profuse sweating and a sensation of restlessness, breathing difficulty or the sometimes patient may just faint. These all will be the symptoms of an ongoing heart attack.

Important thing is that these symptoms can be because of a heart attack but sometimes heart attack can occur even without the proper symptom which you can identify. Then, it becomes a difficult situation to identify how we know that it is a heart attack. So, once somebody is having a chest pain, you should first consult a doctor and get an E. C. G. done and to see whether the chest pain seems to be of heart region or something else. So, what can this something else be? This something else, that is a differential diagnosis of the chest pain may be apart from heart these other structures like lungs, they may be bone, they may be the muscular origin and the chest pain may be of neurological origin and sometimes just simple gastritis can give you a very severe chest pain also.

So, out of all these probabilities, the heart disease probability is the most dangerous. So that s why once somebody has chest pain, it s important to rule out the heart problem first so that life can be saved. So, if somebody is having chest pain, the first thing to be done is E. C. G. and it is to be seen by a qualified doctor to see whether the E. C. G. is suggestive of a heart problem or not. There is one interesting fact here. Up to 50% of the first E. C. G.s of the heart patients may be normal. So the first normal E. C. G. does not rule out a heart attack. Diagnosis for ruling out a heart attack is a systematic approach which includes Serial ECGs; Serial ECG means ECG now, ECG at half an hour, ECG at one hour, ECG at two hours, thus several ECGs and then afterward Cardiac Enzyme Test is done.

So, we will discuss this diagnosis and treatment part of chest pain or rather heart attack in our subsequent video, ok? You can contact me for chest pain problems or any other cardiac related problems into Paras Hospital, Gurgaon or you can contact me through Lybrate.


Play video
Heart Attack - Causes , Risks & Precautions
Hello Friends!

I am Dr. Anupam Goel. I am a senior interventional cardiologist in Max Hospital, Saket, Delhi. Today we will discuss a very important issue, I am not sure how best you can see this slide, this is just to say that the heart attack complains increase day by day and unfortunately it is affecting young people. By an estimate of WHO, in next 2 years means by the year 2020, in India, we will have maximum patients of hypertension, diabetes and heart disease. So, we are going to face an epidemic of heart disease. So, I just tell you how the heart disease happens. Normally, our heart arteries are very narrow smooth whole tubes structure. But all the year because of disease and cholesterol deposition the blockage happens and the channel for blood carrying, keeps on reducing. So, what exactly happens is less and less blood reaches the heart and heart is not even getting enough blood for its routine functioning. When this blood supply is interrupted that is when the heart attack happens because those cells of the heart don't get any blood. Suddenly and repeatedly, these holes will never be going to function again. More important than heart attack itself because of awareness not many of us know about heart disease in women. Whenever we think of heart disease, we think about male but unfortunately, as we have more data, the heart diseases in men are reducing.

This is the data from the United State not from our on the country. Because of ignorance or prognosis, societies not aware of heart disease in women, the death in women are increasing because of heart disease. When we see the causes of death in women, cancers are a very important part but much more than that heart and circulatory disorders are the biggest reason any women will die. So, what we have is, heart disease is the no.1 killer in women. And heart disease causes 1 in every 3 deaths in women. Every 3rd one is dying because of heart disease. 90% of women are at the risk of developing heart disease but they are not aware of it. It suddenly affects them and causes the bad prognosis. Let's bust some myths. Most of us believe that the heart disease is of men. But heart disease can affect both men and women, in fact, 50k women in a year die because of heart disease.

The women die because of heart diseases as compared to all the cancers combined together. And because of under-diagnosis and treatment, even the doctors are less aware of it, women face more adverse outcome. And why would it happen? Because none of us relate to heart disease to women. So, they come to an emergency late. they keep on thinking that it could be gastritis or something else and they are busy taking care of each other. And it could also be because the heart disease presents differently in women. In a man classical signs, you would all know. The heart attack would present as a heaviness or like an elephant sitting on the chest. But in women, it can very vague. They will be like not feeling well, palpitation and just unwell. It can't be just simple chest pain. So, most of the women just confused about their heart attack presentation and would be late in getting treatment. the good thing is 80-90% heart diseases are preventable. So, if we are aware, we are able to take care of the risk factors. There is a large proportion of heart disease which we can prevent.

So, we will discuss some important risk factors which can take care of to prevent disease. Some risk factors are non-modifiable. Like the family history of heart disease. if there is the strong history of heart disease and in one genetics than one is likely to have heart problems. So, it is advancing age. But there are a few risk factors which we can control. Like high blood pressure, high cholesterol, high sugar, smoking, more weight and some newer risk factors like CRP level and clotting factors. few of these which are relevant, diabetes, 2/3 of all diabetics will die of heart disease eventually. Risk of having a heart problem in women, if she is diabetic as compared to the women who are non-diabetic and in men also, the risk of heart disease increases 3 times, if they are diabetic. So, diabetics have to be more conscious about their heart conditions. Than smoking. Smoking is one single most preventable risk factor which is responsible for heart disease. It is relevant in both male and female. Especially, a young woman who smokes is at the very high risk of heart disease. And if somebody is on oral contraceptive because of their age or anything, the risk of heart disease is compounded with smoking.

So, what smoking does, it causes the plaque. The cholesterol deposits the arteries to burst. They form a clot and causes a heart attack suddenly. it reduces good cholesterol. It gets burned by smoking which causes one to have more heart attack. And smokers who have a heart attack, they are more likely to die young. When one quite smoking, then the risk of developing a heart attack comes to 1/3 in the next 2 years. But you know, it takes almost 10-15 years for the risk to come back to normal as compared to somebody who has never smoked. So, I request everybody to quit smoking. 3rd is physical inactivity. So, inactivity is a very important factor in our Indian culture to cause a heart attack. We should all exercise not because it burns calories and helps in weight loss but it increases good cholesterol. It helps us in keeping our heart healthy. One should try to stay active physically. Just get up in the morning and walk. Walking is a good exercise which will help you in preventing heart disease. One more important factor is obesity, BMI. if the BMI is less than 25% is normal.

Beyond that, it becomes overweight and predisposes one would have more and more heart attack. Heart attack increases almost 6 times as compared to a normal weight person in those persons who are very heavyweight. So, we should all be very careful about our own body weight. Till very recently we didn't know that women are at the highest risk of heart disease. Thanks to research and data which we have. Now we know women are more likely to have heart disease. The disease starts in early childhood. It is a gradual process. Small changes in our lifestyle can make a big difference. We all need to prevent it. So, we all should start with lifestyle changes but if one has risk factors, it is a good idea to see your doctor at earliest. I am with Max Hospital, Saket. If anybody needs any help for their heart health, please don't hesitate. You can contact me and come and see me.

Thank you so much. Take care of your health and your heart.
Play video
Know More About Chest Pain
Causes of Chest pain
Play video
Difference Between Chest Pain & Heart Attack
Here are some differences between chest pain and heart attack

Hello everyone, my name is Dr. Hanish Gupta. I m a specialist in internal medicine and mainly an expert in diabetes and cardio vascular diseases. Today I m here with you to discuss a very important symptom of Chest pains.
It is a very worrisome symptom for any patient. It is very frustrating for the family members because they believe that every chest pain could be a hall mark of a heart attack. But my friends, this is not the case every single time. Chest pain is a pathogenic symptom of heart attack but all heart attacks do not necessarily come with chest pains and vice versa. It is most importantly found in patients of gastric diseases like Peptic Ulcer disease by which a patient suffering from hyper acidity would also come to his doctor with the same complaint. So if your chest pain is related to food, meals or associated with feelings of vomiting like nausea then definitely this could be related to the gastro-intestinal diseases. Moreover some patients come to us and say that they have a pin point chest pain which can be pointed at any part of the chest specially if they are pressing on that part and fuelling that same act of pain, then perhaps there is a muscular-skeletal chest pain which deals with muscles and the rib cage other than the heart itself.


Having said that, chest pain which is related to the Heart attack is almost always related to breathlessness. Nobody ever had a heart attack without having breathlessness. So this is a very important symptom to be noted in the patient that if he is having breathlessness associated with chest pains then it is a definite symptom which is going towards a red flag sign of heart attack. Moreover I d like to point out here that some of the patients of diabetes can present to us without having chest pain and just presenting to us with breathlessness. This is primarily so that just like there is a feeling of numbness in the limbs of a diabetic patient. Similarly there is a numbness id the muscles and nerves around the rib cage due to which this patient may have a silent heart attack which presents only with breathlessness and chest pain. That is why in patients of diabetes only breathlessness itself is a hall mark of heart attack.

If a person has chest pain which is related specially to activity, example: climbing up the stairs, walking, jogging, swimming or running or any kind of strenuous activity and that is the time when the pain but goes away when the patient is resting. This kind of a chest pain could be related to the ischemic heart diseases or the coronary artery disease that leads to heart attack in future.

This is known as Angina pectoris and if you have further enquires, you are free to call me or contact me at Lybrate or at my clinic which is located in Delhi by the name of Life aid clinic.
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