DR. IMTIYAZ KONDKARI
B U M S , C C H , C G O , C F P , S F A ,
T R A I N E R F O R F I R S T A I D
T T R A I N E R T R A I...
Heart AttackO t h e r n a m e s f o r H e a r t A t t a c k :
Coronary Attack,
Coronary Occlusion,
Coronary Thrombosis,
My...
The heart is like any other muscle, requiring oxygen and
nutrient-rich blood for it to function. The coronary arteries tha...
• A heart attack occurs when the blood supply
to part of the heart muscle is severely
reduced or blocked due to a narrowin...
WHAT ARE THE RISK FACTORS FOR HEART DISEASE?
Risk factors for heart disease include:
S M O K I N G
H I G H B L O O D P R E...
What are the symptoms of heart disease?
The typical symptoms of coronary artery disease
are chest pain associated with sho...
Women, the elderly, and people with
diabetes may have different
perceptions of pain or have no
discomfort at all.
Instead,...
Health care practitioners and patients may have
difficulty understanding each other when symptoms
of angina are described....
As an artery narrows over time, the symptoms of
decreased blood flow to part of the heart muscle
may increase in frequency...
Once again,
patients may be
asymptomatic
until a heart
attack occurs.
Of course, some
patients also may
be in denial as to...
How is heart disease diagnosed?
The diagnosis of heart disease begins with obtaining a history
that the potential for coro...
Electrocardiogram (ECG or EKG)
The heart is an electrical pump, and the electrical impulses it generates can be detected o...
Stress testing
If the baseline EKG is relatively normal, then monitoring the
EKG tracing while the patient exercises may u...
Stress testing is done under the supervision of
medical personnel because of the potential of
provoking angina, shortness ...
Echocardiography
Used with or without exercise, echocardiography can
assess how the heart works. Using sound waves to
gene...
The test can indirectly assess blood flow to parts of the heart
muscle. If there is decreased blood flow, then segments of...
Perfusion studies
Radioactive chemicals like thallium or technetium can be injected into a
vein and their uptake measured ...
Heart catheterization or coronary angiography
This test is the gold standard for the diagnosis of coronary
artery disease....
CT coronary angiogram
may be used test to diagnose coronary artery disease.
During this procedure, intravenous dye contain...
What is the treatment for heart
disease?
Coronary artery disease is usually
treated in a multi-step approach
depending upo...
Prevention of heart disease
The key to the treatment is prevention. A healthy lifestyle
includes exercise, proper nutritio...
Modifying risk factors for heart disease
While patients cannot choose their family and alter their genetic
predisposition ...
Beta blockers prevent the action of adrenaline on the
heart and allow the heart to beat a more efficiently by
reducing the...
Calcium channel blockers can also be used to control
heart rate and allow the heart to beat more
efficiently.
Examples of ...
Angioplasty and stenting
If the coronary angiogram (coronary=heart + angio=artery +
gram=record) shows significant blockag...
A heart attack
(also called myocardial infarction)
• is when part of the heart muscle is damaged or dies
because it isn't ...
• Men, meanwhile, are more likely than women to
make the dangerous choice of driving themselves to
the emergency room.
• A...
• Overweight people lose virtually no weight after
suffering a heart attack even though weight loss can
reduce the risk fo...
Time of heart attack
most common in the morning
The most common times for all kinds of
cardiovascular emergencies –
includ...
Sympto m o f Hea rt Atta ck
• During a heart attack, symptoms last 30 minutes or longer
and are not relieved by rest or or...
• Some people have a heart attack without having
any symptoms (a "silent" myocardial infarction).
• A silent MI can occur ...
Acute heart attack and stents
• Patients given drug-coated stents after an acute heart attack
are several times more likel...
• Cold temperature is to blame for the well-known
winter peak in the incidence of sudden death due
to heart attack.
• The ...
Acute Treatment for Heart Attack
Patients with unstable angina or non-ST-segment
elevation acute heart attack
fare worse w...
Po s t h e a r t a tta c k t re a t m e n t
• In the United States, heart attack victims are routinely
offered expensive a...
• In a large number of studies, fish oil has been
shown to improve survival and to reduce fatal heart
rhythms. The America...
H o w S o o n t o R e t u r n t o Wo r k a f t e r a
H e a r t A t t a c k
Some heart attack survivors may be able to go b...
N a t u r a l t h e r a p y
f o r
h e a r t a t t a c k p r e v e n t i o n
Before you start any
supplement program for he...
O r v i s i t r e h a b i l i t e e c e n t r e
o r
r e v e r s a l o f h e a r t a t t a c k c l i n i c
• Views of a Wor...
HEART BLOCKS
Another prominent herbal drug from the house of Fair Pharma that has brought
succour and solace to thousands ...
Q:If you have a heart
attack, you also have
heart disease.
• True
• False
Explanation:
If you have a heart attack, you have heart
disease. Heart disease includes a number
of conditions affecting t...
Q:What is meant by the
term myocardial
infarction?
A Heart failure
B Heart attack
C Brain aneurism
D All of the above
Explanation:
Myocardial infarction is
the medical term for
heart attack.
Q:Sudden cardiac arrest means that
the heart ...
A Stops beating
B Beats dangerously slow
C Has a cycle of beating and sto...
Explanation:
Cardiac arrest is the sudden loss of
cardiac function, when the heart
abruptly stops beating.
Unless resuscit...
Q:Symptoms of heart disease can include ...
A Dizziness, weakness, arm pain, pressure
in the chest
B Heart palpitations, s...
Explanation:
Because there are many forms of heart disease,
there are many symptoms, including
dizziness;
weakness;
pain t...
Q:Heart disease is the leading cause of
death of American women over
the age of 25
• True
• False
Explanation:
According to the American Heart
Association, cardiovascular disease is the
leading killer of women over the a...
Q: Risks for heart disease include ...
A High blood pressure and
high cholesterol
B smoking
C Lack of exercise
D All of th...
Explanation:
High blood pressure and high cholesterol,
smoking, and lack of exercise are contributors
to heart disease, bu...
Q: When heart trouble is sensed, who waits
at least two hours before help is called?
A men
B women
C Both men and women
D ...
Explanation:
When it comes to heart trouble,
Americans (males and females)
typically wait at least two hours before callin...
Q: In the heart, a clogged artery causes a heart attack. In
the brain it causes a _______________.
A migraine
B Mental ill...
Explanation:
A stroke occurs when blood flow to a part
of the brain is interrupted because a blood
vessel in the brain has...
Q:The term "heart failure" means the heart
has stopped working.
• True
• False
Explanation:
The term "heart failure" does not mean the
heart has "failed" or stopped functioning.
It means the
heart does...
Q: People can be born
with heart disease.
• True
• False
Explanation:
People born with heart structure and function
problems
are said to have "congenital heart disease."
Congenita...
Q: Has heart disease ever been
responsible for half of the deaths in America?
• Yes
• No
Explanation:
By the late 1940s, cardiovascular disease was
responsible for half of all U.S. deaths.
Only six decades ago, ...
Q:The most common type of heart disease
in the worl d is:
A Coronary artery disease
B Atrial fibrillation
C Mitral valve p...
Explanation:
Coronary heart disease is usually caused by a
condition called atherosclerosis, the narrowing of
coronary art...
The medical term for chest pain is
_________________.
A Angina
B There is no medical term for chest pain
C Flutter
D Arrhy...
Explanation:
Angina
is chest pain that
is due to an inadequate
supply of oxygen to the heart muscle.
Introduction
Here I've put together a list of the "best of the best"
heart-healthy foods.
The foods listed here are all to...
1. Salmon
Nutrients: Omega-3 fatty acids.
2. Flaxseed (ground)
Nutrients: Omega-3 fatty acids, fiber, phytoestrogens.
Ground flaxseed hides easily in all sorts of f...
3. Oatmeal
Nutrients: Omega-3
fatty acids, magnesium,
potassium, foliate,
niacin, calcium, soluble
fibre.
Recipe Idea: Top...
4. Black or Kidney Beans
Nutrients: B-complex vitamins,
niacin, foliate, magnesium,
omega-3 fatty acids, calcium,
soluble ...
5. Almonds
Nutrients:
Plant omega-3
fatty acids,
vitamin E,
magnesium,
fibre, heart-
favourable mono-
and
polyunsaturated
...
6. Walnuts
Nutrients: Plant omega-3 fatty acids, vitamin E,
magnesium, foliate, fibre,
heart-favorable mono- and polyunsat...
Brown Rice
Nutrients:
B-complex
vitamins,
fiber, niacin,
magnesium,
Recipe Idea: Microwavable brown
rice makes a quick lun...
Blueberries
Nutrients:
Beta-carotene and lutein
(carotenoids),
anthocyanin (a flavonoid),
ellagic acid
(a polyphenol),
vit...
Spinach
Nutrients:
Beta-carotene
(a carotenoid),
Vitamins C
and E,
potassium,
folate,
calcium, fiber.
Recipe Idea:
Pick sp...
Broccoli
Nutrients:
Beta-carotene (a carotenoid), Vitamins C and E,
potassium, folate, calcium, fiber.
Recipe Idea: Chop f...
Sweet Potato
Nutrients: B e t a - c a r o t e n e ( a c a r o t e n o i d ) ,
V i t a m i n s C a n d E , p o t a s s i u ...
Orange
Nutrients:
Beta-cryptoxanthin, beta- and alpha-carotene, lutein (carotenoids) and
flavones (flavonoids), vitamin C,...
Tomatoes
Nutrients:
Beta- and alpha-
carotene,
lycopene, lutein
(carotenoids),
vitamin C,
potassium,
foliate, fibre.
Recip...
Papaya
Nutrients:
Beta-carotene, beta-
cryptoxanthin, lutein
(carotenoids),
Vitamins C and E,
foliate, calcium,
magnesium,...
A Cardiac cellular therapies are
undergoing global clinical trials with
"encouraging early results" and these
economical o...
Delivering a special invited plenary
lecture on the "Novel Cellular
Therapies for Heart Disease" at the
recently concluded...
Dr Hariawala is internationally acclaimed as
a pioneer of cardiovascular surgical
techniques using Therapeutic
Angiogenesi...
The laser energy acts by creating channels in the
diseased heart muscle which also triggers
Angiogenesis. Stem cells are t...
Dr Hariawala acknowledged that only a combination of these
four therapies could give it the "Therapeutic Threshold Power"
...
http://www.rxlist.com/heart_disease_slideshow_pictures_a_visual_guide/article.htm
http://www.ibtimes.com/articles/308593/2...
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari
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Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari

Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari at HELP This is part of the HELP Talk series at HELP,Health Education Library for People, the worlds largest free patient education library www.healthlibrary.com. For info log on to www.healthlibrary.com.
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari

  • 1. DR. IMTIYAZ KONDKARI B U M S , C C H , C G O , C F P , S F A , T R A I N E R F O R F I R S T A I D T T R A I N E R T R A I N E R F O R C P R ( C A R D I O - P U L M O N A R Y R E S U S C I T A T I O N ) PRACTISING RARELY TREATED DISEASES i.e. OBESITY, ARREST HAIRFALL, BENIGN HYPERTROPHY OF PROSTATE, DIABETES ERECTILE DYSFUNCTION IN MALE, AZOSPERMIA IN MALE, SEXEXPERT, PREVENTION AND REVERSAL OF HEART ATTACK, TREATMENT OF PILES WITHOUT OPERATION
  • 2. Heart AttackO t h e r n a m e s f o r H e a r t A t t a c k : Coronary Attack, Coronary Occlusion, Coronary Thrombosis, Myocardial Infarction
  • 3. The heart is like any other muscle, requiring oxygen and nutrient-rich blood for it to function. The coronary arteries that supply blood to the heart muscle spread across the surface of the heart, beginning at the base of the aorta and branching out to all areas of the heart muscle. The coronary arteries are at risk for narrowing as cholesterol deposits, called plaques, build up inside the artery. If the arteries narrow enough, blood supply to the heart muscle may be compromised (slowed down), and this slowing of blood flow to the heart causes pain, or angina. A heart attack or myocardial infarction occurs when a plaque ruptures, allowing a blood clot to form. This completely obstructs the artery, stopping all blood flow to part of the heart muscle, and that portion of muscle dies.
  • 4. • A heart attack occurs when the blood supply to part of the heart muscle is severely reduced or blocked due to a narrowing in one of the coronary arteries. • This usually occurs as a result of atherosclerosis. When platelets gather at the narrowing, they can form a clot that completely blocks the blood flow. • If the blood supply is cut off for more than a few minutes, the muscle cells of the heart may be permanently injured or die from lack of oxygen.
  • 5. WHAT ARE THE RISK FACTORS FOR HEART DISEASE? Risk factors for heart disease include: S M O K I N G H I G H B L O O D P R E S S U R E (HYPERTENSION) HIGH C H O L E S T E R O L D I A B E T E S F A M I LY H I S T O R Y P E R I P H E R A L A R T E R Y D I S E A S E O B E S I T Y
  • 6. What are the symptoms of heart disease? The typical symptoms of coronary artery disease are chest pain associated with shortness of breath. Classically, the pain of angina is described as a pressure or heaviness behind the breast bone with radiation to the jaw and down the arm accompanied by shortness of breath and sweating. Unfortunately, angina has a variety of signs and symptoms, and there may not even be specific chest pain. Other locations of pain and other symptoms may include shoulder or back ache, upper abdominal pain, nausea, and indigestion
  • 7. Women, the elderly, and people with diabetes may have different perceptions of pain or have no discomfort at all. Instead, they may complain of malaise or fatigue and generalized weakness and the inability to complete routine physical tasks such as walking or climbing stairs.
  • 8. Health care practitioners and patients may have difficulty understanding each other when symptoms of angina are described. Patients may experience pressure or tightness but may deny any complaints of pain. Health care practitioners may misinterpret these symptoms when patient answers "no" to the question whether "pain is present," even though the patient is experiencing other types of discomfort. People with coronary artery disease usually have gradual progression of their symptoms.
  • 9. As an artery narrows over time, the symptoms of decreased blood flow to part of the heart muscle may increase in frequency and/or severity. Health care practitioners may inquire about changes in exercise tolerance (How far can you walk before getting symptoms? Is it to the mailbox? Up a flight of stairs?), and whether there has been an acute change in the symptoms.
  • 10. Once again, patients may be asymptomatic until a heart attack occurs. Of course, some patients also may be in denial as to their symptoms and procrastinate in seeking care.
  • 11. How is heart disease diagnosed? The diagnosis of heart disease begins with obtaining a history that the potential for coronary artery disease exists. Risk factors need to be assessed and risk stratification occurs. The type of testing that is recommended, if any, depends upon the potential that the patient's symptoms actually represent angina and are coming from the heart. Heart disease tests Not every patient with chest pain needs heart catheterization (the most invasive test). Instead, the healthcare provider will try to choose the testing modality that will best provide the diagnosis, and if coronary artery disease is present, decide what impairment, if any, is present.
  • 12. Electrocardiogram (ECG or EKG) The heart is an electrical pump, and the electrical impulses it generates can be detected on the surface of the skin. Normal muscle conducts electricity in a reproducible fashion. Muscle that has decreased blood supply conducts electricity poorly. Muscle that has lost its blood supply and has been replaced with scar tissue cannot conduct electricity. The electrocardiogram (EKG) is a noninvasive test used to reflect underlying heart conditions by measuring the electrical activity of the heart. Some people have "abnormal" EKGs at baseline but this may be normal for them. It is important that an electrocardiogram be compared to previous tracings if one is available. If a patient has a baseline abnormal EKG, they should consider carrying a copy with them for reference should they ever need another EKG.
  • 13. Stress testing If the baseline EKG is relatively normal, then monitoring the EKG tracing while the patient exercises may uncover electrical changes that may indicate the presence of coronary artery disease. There are a variety of testing protocols used to determine whether the exercise intensity is high enough to prove that the heart is normal. Some patients are unable to exercise on a treadmill, but they can still undergo cardiac stress testing by using intravenous medication that causes the heart to work harder. .
  • 14. Stress testing is done under the supervision of medical personnel because of the potential of provoking angina, shortness of breath, abnormal heart rhythms, and heart attack
  • 15. Echocardiography Used with or without exercise, echocardiography can assess how the heart works. Using sound waves to generate an image, a cardiologist can evaluate many aspects of the heart. Echocardiograms can examine the structure of the heart including the heart valves, the thickness of the heart muscle, the septum (the tissues that separate the four heart chambers from each other) and the pericardial sac (the outside lining of the heart).
  • 16. The test can indirectly assess blood flow to parts of the heart muscle. If there is decreased blood flow, then segments of the heart wall may not beat as strongly as adjacent heart muscle. These wall motion abnormalities signal the potential for coronary artery disease. The echocardiogram can also assess the efficiency of the heart by measuring ejection fraction. Normally when the heart beats, it pushes more than 60% of the blood in the ventricle out to the body. Many diseases of the heart, including coronary artery disease, can decrease this percentage ( the ejection fraction ) .
  • 17. Perfusion studies Radioactive chemicals like thallium or technetium can be injected into a vein and their uptake measured in heart muscle cells. Abnormally decreased uptake can signify decreased blood flow to parts of the heart because of coronary artery narrowing. This test may be used when the patient's baseline EKG is not normal and is less reliable when used to monitor a stress test. Computerized tomography The latest generation of CT scanners can take detailed images of blood vessels and may be used as an adjunct to determine whether coronary artery disease is present. In some institutions, the heart CT is used as a negative predictor. That means that the test is done to prove that the coronary arteries are normal rather than to prove that the disease is present.
  • 18. Heart catheterization or coronary angiography This test is the gold standard for the diagnosis of coronary artery disease. A cardiologist inserts and then threads a small tube through the groin or arm into the coronary arteries, where dye is injected to directly visualize the arteries on an x-ray. This test defines the anatomy of the coronary arteries. At the time of the catheterization, if blockages are found, they may be potentially treated with angioplasty in which a balloon is inflated to squash the plaque into the blood vessel wall and the insertion of a stent (wire cage that prevents the blood vessel from narrowing again)
  • 19. CT coronary angiogram may be used test to diagnose coronary artery disease. During this procedure, intravenous dye containing iodine is injected into the patient and CT scanning is performed to image the coronary arteries. Prior to the angiogram, a calcium score may be obtained. The calcium CT scan can measure the amount of calcium within heart blood vessels. If the score is 0, meaning that there is no calcium present, the risk of having heart disease is zero. The higher the score, the increased risk of narrowed coronary arteries.
  • 20. What is the treatment for heart disease? Coronary artery disease is usually treated in a multi-step approach depending upon a patient's symptoms. The patient and healthcare provider need to work together to return the patient to a normal lifestyle.
  • 21. Prevention of heart disease The key to the treatment is prevention. A healthy lifestyle includes exercise, proper nutrition, and smoking cessation. Moreover, controlling diabetes and high blood pressure to minimize contribution risk for heart disease is a major aspect of prevention. An aspirin a day is recommended to decrease the risk for heart disease and should be started with the recommendation of a health care practitioner. A little alcohol (one drink per day for women or two drinks per day for men) decreases the risk of heart disease compared to non drinkers. However, it is not recommended that non drinkers begin drinking.
  • 22. Modifying risk factors for heart disease While patients cannot choose their family and alter their genetic predisposition to coronary artery disease, the rest of the risk factors are under control of the patient. Keeping blood pressure, cholesterol and other lipid levels, and diabetes under control needs to become a life-long goal. Smoking cessation is highly encouraged. Medications The purpose of medications for coronary artery disease is to allow more efficient heart muscle function to overcome any blockage that might exist. Aspirin is one of the cornerstones of coronary artery disease treatment. It prevents platelets from clumping together when blood becomes turbulent, like when it flows past a narrowing in an artery.
  • 23. Beta blockers prevent the action of adrenaline on the heart and allow the heart to beat a more efficiently by reducing the heart rate and causing the heart muscle to contract less aggressively. Examples of beta blockers include: atenolol (Tenormin) metoprolol (Lopressor, Toprol XL) propranolol (Inderal, Inderal LA) carvedilol (Coreg) labetalol (Normodyne, Trandate)
  • 24. Calcium channel blockers can also be used to control heart rate and allow the heart to beat more efficiently. Examples of calcium channel blockers include: diltiazem (Cardizem, Dilacor, Tiazac) verapamil (Calan, Verelan, Verelan PM, Isoptin, Covera-HS) Nitro-glycerine dilates blood vessels and may be used sublingually, under the tongue, to treat angina. Some patients may be prescribed long-acting nitro- glycerine to help control anginal symptoms.
  • 25. Angioplasty and stenting If the coronary angiogram (coronary=heart + angio=artery + gram=record) shows significant blockage in an artery, the cardiologist may attempt an angioplasty, in which a balloon is placed via a catheter (as with angiography) at the area of narrowing and when quickly inflated, compresses the offending plaque into the wall of the artery. Often a stent, or a metal cage, is placed at the site of angioplasty to keep the blood vessel from narrowing again. Should a stent be placed, patients are usually started on antiplatelet medication to prevent clot formation. Clopidogrel (Plavix) and prasugrel (Effient) are the two most common medications prescribed. Surgery For those patients with multiple coronary artery blockages, coronary artery bypass grafting may be a consideration.
  • 26. A heart attack (also called myocardial infarction) • is when part of the heart muscle is damaged or dies because it isn't receiving oxygen. • Oxygen is carried to the heart by the coronary arteries (blood vessels). • Most heart attacks are caused by a blockage in these arteries. Usually the blockage is caused by atherosclerosis, which is the build-up of fatty deposits (called plaque) inside the artery. • Women with heart attack symptoms take far longer to get to the hospital than men do.
  • 27. • Men, meanwhile, are more likely than women to make the dangerous choice of driving themselves to the emergency room. • All adults -- but especially women -- need to be educated on the proper response to heart attack symptoms. • Medical conditions such as hypertension, high cholesterol, and diabetes are potent risk factors for heart attack. • Those who have impotence should have a medical evaluation to determine if they have any signs of heart disease.
  • 28. • Overweight people lose virtually no weight after suffering a heart attack even though weight loss can reduce the risk for a second heart attack. • Diet Rx in low dosages could help with weight loss and should be worth a try. • Ask your doctor if Diet Rx is appropriate for you. (By eating less and losing weight, there is a reduction in blood pressure, blood sugar, and cholesterol levels). • People who visit the dentist regularly to have their teeth cleaned lower their risk for heart attack or stroke.
  • 29. Time of heart attack most common in the morning The most common times for all kinds of cardiovascular emergencies – including sudden cardiac death, rupture or aneurysm of the aorta, pulmonary embolism and stroke - are the early morning hours.
  • 30. Sympto m o f Hea rt Atta ck • During a heart attack, symptoms last 30 minutes or longer and are not relieved by rest or oral medications (medications taken by mouth). Symptoms of a heart attack include the following: • Pressure, heaviness, or pain in the chest, arm or below the breastbone • Pain or discomfort radiating to the back, jaw, throat or arm • Fullness, indigestion or choking feeling (may feel like heartburn) • Sweating, weakness, nausea, vomiting or dizziness • Anxiety or shortness of breath • Rapid or irregular heartbeats
  • 31. • Some people have a heart attack without having any symptoms (a "silent" myocardial infarction). • A silent MI can occur in any person, though it is more common among diabetics. • Mild heart attacks in four out of nine people are undetected because patients do not recognize or dismiss the symptoms. • Women, particularly those who are overweight, diabetics and the elderly are more likely to have an undiagnosed heart attack, which increases their risk of suffering future cardiac problems.
  • 32. Acute heart attack and stents • Patients given drug-coated stents after an acute heart attack are several times more likely to die six months to two years later than those with bare metal forms of the arterial scaffolding. Other Common Causes of Heart Attack • Smoking, high blood pressure, heart disease, certain medicines and drugs, stress, poor diet, nutrient deficiency, are some of the chronic conditions that increase the rate of heart attack. Doctors have long measured fat in the gut to help assess the risk of cardiovascular disease. But fat in the neck is closely associated with the known factors for heart trouble, such as cholesterol levels and diabetes. Heart attack survivors who kick the habit live longer than those who keep puffing away. • A rapid drop in air pressure may trigger some heart attacks. The incidence of heart attack, but not stroke, is increased in the 24 hours after a rapid fall in barometric pressure.
  • 33. • Cold temperature is to blame for the well-known winter peak in the incidence of sudden death due to heart attack. • The fact that cold temperatures increase blood pressure and put more strain on the heart is a possible explanation for the increased rate of sudden cardiac death during wintertime. • Cold stress may also trigger processes that make blood thicker and increase its ability to clot, which can lead to cardiac events. • Extreme temperatures raise heart attack risk. High humidity, even in a relatively mild climate, boosts the risk of a heart attack among the elderly.
  • 34. Acute Treatment for Heart Attack Patients with unstable angina or non-ST-segment elevation acute heart attack fare worse when they are treated with intravenous morphine -- standard practice when pain is not relieved with nitro-glycerine. However, the possibility that patients treated with morphine are simply sicker to begin which cannot be ruled out.
  • 35. Po s t h e a r t a tta c k t re a t m e n t • In the United States, heart attack victims are routinely offered expensive and invasive treatments, like statin pills to lower cholesterol or implantable defibrillators. • However, in Italy, doctors don't jump on the drug bandwagon that quickly. • Every patient in the cardiac care unit at the San Filippo Neri Hospital who survives a heart attack goes home with a prescription for purified fish oil. “It is clearly recommended in international guidelines,” says Dr. Massimo Santini, the hospital’s chief of cardiology, who added that it would be considered tantamount to malpractice in Italy to omit fish oils.
  • 36. • In a large number of studies, fish oil has been shown to improve survival and to reduce fatal heart rhythms. The American College of Cardiology has strengthened its position on the medical benefit of fish oil. • Combining omega-3 fatty acids with blood-thinning drugs may reduce the risk of heart attacks in patients who've had stents placed in their coronary arteries. • Exercise helps people recover after a heart attack but the benefits vanish when the workouts stop.
  • 37. H o w S o o n t o R e t u r n t o Wo r k a f t e r a H e a r t A t t a c k Some heart attack survivors may be able to go back to work much sooner than is typically recommended. Certain heart attack patients are able to return to work just two weeks after suffering the attack, without raising their risk of a repeat attack or other complications. Those patients deemed to be at low risk of a second heart attack, based on tests conducted during their hospital stay can return to work much sooner than the usual six to eight weeks.
  • 38. N a t u r a l t h e r a p y f o r h e a r t a t t a c k p r e v e n t i o n Before you start any supplement program for heart disease prevention or treatment, please make sure you discuss it with your doctor and you have full approval and regular supervision.
  • 39. O r v i s i t r e h a b i l i t e e c e n t r e o r r e v e r s a l o f h e a r t a t t a c k c l i n i c • Views of a World Famous Cardiologist, expressed on 14 May 2010. • Dr. Naresh Trehan, who was awarded Padma Shri and Padma Bhushan, has said the following at a press conference in Gurgaon, India:- "Ayurvedic potions and herbs combinations do not cause much side effects like allopathic drugs and are much healthier and cost-effective as well." • He said that a simple combination of herbs like Karela and Arjun Chhaal was an easy and very economic way to keep cholesterol under check as against the statins prescribed by allopaths worldwide, which have adverse effects on one's liver and muscles. Benefits of Karela / Bitter Melon • Bitter Melon is helpful in treating Diabetes. • Bitter Melon reduces the sugar levels in blood and urine • Bitter Melon helps to achieve positive sugar regulating effect by suppressing the neural response to sweet taste stimuli. • Bitter Melon has shown significant antilipolytic and lipogenic activity • Bitter Melon is a excellent blood purifier • Bitter Melon treats the worm infestations • Bitter Melon stimulates the pancreas and liver and helps in good absoption of food • Bitter Melon is helpful as an emetic, purgative, as an anthelmentic, in piles, and jaundice
  • 40. HEART BLOCKS Another prominent herbal drug from the house of Fair Pharma that has brought succour and solace to thousands of cardiac patients the world over is Cholesterol- QR. This drug has proven to be very effective in treating cardiac patients whose only option until now had been a bypass surgery / angioplasty performed in super specialty hospitals at a high cost. A bypass surgery is generally recommended when plaques build up in the arteries forming blocks leading to obstruction of blood flow. Plaques to be precise are 70% calcium, 23% cholesterol and 7% other waste products. In a bypass surgery, blood is made to flow through another passage usually using a vein from the patient’s leg / arm. However, a bypass surgery is never a permanent solution and can lead to a painful and restricted life for the patient for the rest of his life. This is where Cholesterol QR provides the solution. Cholesterol QR melts the plaques/blocks in the arteries leading to an increased blood flow resulting in the normal functioning of the heart within just hundred days. It is to be noted that even a 10% opening will result in an increased blood flow up to 40 %. Cholesterol QR is also enriched with ‘medhohara’ quality medical herbs. Use of Cholesterol-QR drugs will ensure a reduction of triglycerides, blood cholesterol and blood pressure. It is also ideally recommended for those suffering from chest pain, shortness of breath and gasping. Whether the patient has one block or several blocks it is immaterial as cholesterol QR removes all the blocks whether it is in the heart or in the spine.
  • 41. Q:If you have a heart attack, you also have heart disease. • True • False
  • 42. Explanation: If you have a heart attack, you have heart disease. Heart disease includes a number of conditions affecting the structures or function of the heart. Common forms of heart disease are coronary artery disease, arrhythmias, heart failure, and congenital heart disease, among many others that may lead to development of a heart attack.
  • 43. Q:What is meant by the term myocardial infarction? A Heart failure B Heart attack C Brain aneurism D All of the above
  • 44. Explanation: Myocardial infarction is the medical term for heart attack.
  • 45. Q:Sudden cardiac arrest means that the heart ... A Stops beating B Beats dangerously slow C Has a cycle of beating and stopping D Skips beats
  • 46. Explanation: Cardiac arrest is the sudden loss of cardiac function, when the heart abruptly stops beating. Unless resuscitative efforts are begun immediately, cardiac arrest leads to death within a few minutes. This is often referred to by doctors as "sudden death" or "sudden cardiac death" (SCD).
  • 47. Q:Symptoms of heart disease can include ... A Dizziness, weakness, arm pain, pressure in the chest B Heart palpitations, shortness of breath, weakness C No symptoms at all D All of the above
  • 48. Explanation: Because there are many forms of heart disease, there are many symptoms, including dizziness; weakness; pain that radiates to the arm, jaw, or throat; nausea; vomiting; shortness of breath; heart palpitations; chest pain, discomfort and heaviness. There are some forms of heart disease that produce no symptoms at all.
  • 49. Q:Heart disease is the leading cause of death of American women over the age of 25 • True • False
  • 50. Explanation: According to the American Heart Association, cardiovascular disease is the leading killer of women over the age of 25. It kills nearly twice as many women in the United States than all types of cancer, including breast cancer.
  • 51. Q: Risks for heart disease include ... A High blood pressure and high cholesterol B smoking C Lack of exercise D All of the above
  • 52. Explanation: High blood pressure and high cholesterol, smoking, and lack of exercise are contributors to heart disease, but it is necessary to include: diabetes and prediabetes, being overweight or obese, a diet high in fats, emotional stress, and excessive alcohol consumption as well as uncontrollable risk factors such as age, gender, and family history.
  • 53. Q: When heart trouble is sensed, who waits at least two hours before help is called? A men B women C Both men and women D Children
  • 54. Explanation: When it comes to heart trouble, Americans (males and females) typically wait at least two hours before calling for help. Know the warning signs and always call 1298 within 5 minutes of when symptoms begin because waiting may allow heart trouble to become much worse.
  • 55. Q: In the heart, a clogged artery causes a heart attack. In the brain it causes a _______________. A migraine B Mental illness C stroke D Seizure
  • 56. Explanation: A stroke occurs when blood flow to a part of the brain is interrupted because a blood vessel in the brain has been blocked. This is called an ischemic stroke. Cerebral haemorrhagic strokes occur when a blood vessel in the brain ruptures and bleeds into the surrounding brain tissue.
  • 57. Q:The term "heart failure" means the heart has stopped working. • True • False
  • 58. Explanation: The term "heart failure" does not mean the heart has "failed" or stopped functioning. It means the heart does not pump as well as it should. This then leads to salt and water retention, causing oedema (swelling) and shortness of breath, which are the primary symptoms of heart failure.
  • 59. Q: People can be born with heart disease. • True • False
  • 60. Explanation: People born with heart structure and function problems are said to have "congenital heart disease." Congenital (present at birth) heart disease refers to abnormal heart development before birth. It is the most common type of birth defect.
  • 61. Q: Has heart disease ever been responsible for half of the deaths in America? • Yes • No
  • 62. Explanation: By the late 1940s, cardiovascular disease was responsible for half of all U.S. deaths. Only six decades ago, we didn't know what caused cardiovascular disease, and many Americans died of heart attacks in their 50s or 60s.
  • 63. Q:The most common type of heart disease in the worl d is: A Coronary artery disease B Atrial fibrillation C Mitral valve prolapse D Arrhythmias
  • 64. Explanation: Coronary heart disease is usually caused by a condition called atherosclerosis, the narrowing of coronary arteries by cholesterol deposits, called plaques. If the arteries narrow enough, blood supply to the heart muscle may be compromised (slowed down), and this slowing of blood flow to the heart causes pain, or angina.
  • 65. The medical term for chest pain is _________________. A Angina B There is no medical term for chest pain C Flutter D Arrhythmia
  • 66. Explanation: Angina is chest pain that is due to an inadequate supply of oxygen to the heart muscle.
  • 67. Introduction Here I've put together a list of the "best of the best" heart-healthy foods. The foods listed here are all top-performers in protecting your heart and blood vessels. I've also got menu ideas – so you can easily bring heart-healthy foods into your daily breakfast, lunch, and dinner.
  • 68. 1. Salmon Nutrients: Omega-3 fatty acids.
  • 69. 2. Flaxseed (ground) Nutrients: Omega-3 fatty acids, fiber, phytoestrogens. Ground flaxseed hides easily in all sorts of foods -- yogurt parfaits, morning cereal, homemade muffins, or cookies.
  • 70. 3. Oatmeal Nutrients: Omega-3 fatty acids, magnesium, potassium, foliate, niacin, calcium, soluble fibre. Recipe Idea: Top hot oatmeal with fresh berries. Oatmeal-and- raisin cookies are a hearty treat
  • 71. 4. Black or Kidney Beans Nutrients: B-complex vitamins, niacin, foliate, magnesium, omega-3 fatty acids, calcium, soluble fibre. Recipe Idea: Give soups or salads a nutrient boost -- stir in some beans.
  • 72. 5. Almonds Nutrients: Plant omega-3 fatty acids, vitamin E, magnesium, fibre, heart- favourable mono- and polyunsaturated fats, phytoster Recipe Idea: Mix a few almonds (and berries) into low-fat yogurt, trail mix, or fruit salads.
  • 73. 6. Walnuts Nutrients: Plant omega-3 fatty acids, vitamin E, magnesium, foliate, fibre, heart-favorable mono- and polyunsaturated fats, phytosterols. Recipe Idea: Walnuts add flavourful crunch to salads, pastas, cookies, muffins, even pancakes.
  • 74. Brown Rice Nutrients: B-complex vitamins, fiber, niacin, magnesium, Recipe Idea: Microwavable brown rice makes a quick lunch. Stir in a few chopped veggies (broccoli, carrots, spinach).
  • 75. Blueberries Nutrients: Beta-carotene and lutein (carotenoids), anthocyanin (a flavonoid), ellagic acid (a polyphenol), vitamin C, folate, calcium, magnesium, potassium, fiber. Recipe Idea: Cranberries, strawberries, raspberries are nutrient- rich too -- for trail mixes, muffins, and salads!
  • 76. Spinach Nutrients: Beta-carotene (a carotenoid), Vitamins C and E, potassium, folate, calcium, fiber. Recipe Idea: Pick spinach (not lettuce) for nutrient-packed salads and sandwiches.
  • 77. Broccoli Nutrients: Beta-carotene (a carotenoid), Vitamins C and E, potassium, folate, calcium, fiber. Recipe Idea: Chop fresh broccoli into store-bought soup. For a veggie dip, try hummus (chickpeas).
  • 78. Sweet Potato Nutrients: B e t a - c a r o t e n e ( a c a r o t e n o i d ) , V i t a m i n s C a n d E , p o t a s s i u m , foliate, calcium, fibre. Recipe Idea: Microwave in a zip-lock baggie for lunch. Eat au naturale, or with pineapple bits
  • 79. Orange Nutrients: Beta-cryptoxanthin, beta- and alpha-carotene, lutein (carotenoids) and flavones (flavonoids), vitamin C, potassium, foliate, fibre. Recipe Idea: Got orange juice? Check out the new nutrient-packed blends.
  • 80. Tomatoes Nutrients: Beta- and alpha- carotene, lycopene, lutein (carotenoids), vitamin C, potassium, foliate, fibre. Recipe Idea: For a flavour twist try oil-packed tomatoes in sandwiches, salads, pastas, and pizzas.
  • 81. Papaya Nutrients: Beta-carotene, beta- cryptoxanthin, lutein (carotenoids), Vitamins C and E, foliate, calcium, magnesium, potassium. Recipe Idea: Serve papaya salsa with salmon: Mix papaya, pineapple, scallions, garlic, fresh lime juice, salt, and black pepper.
  • 82. A Cardiac cellular therapies are undergoing global clinical trials with "encouraging early results" and these economical options will soon be available in India which could bring relief to patients who cannot afford the currently available expensive surgical treatments, says Indian American cardiac surgeon Dr Mukesh Hariawala.
  • 83. Delivering a special invited plenary lecture on the "Novel Cellular Therapies for Heart Disease" at the recently concluded Healthcare India 2012 convention in New Delhi, the renowned cardiac surgeon asserted that the new developments in cardiac cellular therapies would bring down the alarming healthcare costs globally.
  • 84. Dr Hariawala is internationally acclaimed as a pioneer of cardiovascular surgical techniques using Therapeutic Angiogenesis. He said Therapeutic Angiogenesis is a fast emerging science of stimulating growth of new blood vessels in the heart which acts as natural bypasses to areas lacking in blood supply. Dr Hariawala demonstrated angiogenesis along with bypass surgery, lasers and stem cell injections as a novel "Combo Therapy."
  • 85. The laser energy acts by creating channels in the diseased heart muscle which also triggers Angiogenesis. Stem cells are then injected directly into coronary arteries feeding the diseased territory or in the stimulated lasered muscle during the open heart surgery. This option could be very helpful in Indian patients with diffused distal small caliber coronary arteries and diabetes, who are not amicable to routinely offered current interventions, he said. Harvard-trained Dr Hariawala's studies have been published in several scientific surgical journals and medical text books.
  • 86. Dr Hariawala acknowledged that only a combination of these four therapies could give it the "Therapeutic Threshold Power" and bring about optimum results and relief of patients symptoms. Standalone, each of these therapies is weak to treat a large muscular pumping organ like the heart. Stem cells have a therapeutic role and hold enormous promise for the future as they are harvested from the patient's own tissues. Currently, adult stem cell extraction is done from one's own hip bone and patients do not have to worry about rejection phenomenon occurring as they are native cells unlike transplanted from another donor. In the future, stem cell banks could proliferate allowing donors to freeze and store cells for family members who could be treated for many diseases, he added.
  • 87. http://www.rxlist.com/heart_disease_slideshow_pictures_a_visual_guide/article.htm http://www.ibtimes.com/articles/308593/20120304/angiogenesis-heart-patient-mukesh- hariawala-healthcare.htm

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