Category: <span>Cardiovascular</span>

Useful Tips to Help Improve Atrial Fibrillation

A blog about heart health, heart disease and its prevention.

If you have atrial fibrillation, it’s important to work with your doctor to develop a plan of care. And while you should always follow the advice of your doctor, these tips might help you take charge of your health and take it one step beyond what is advised. Check them out if you want to give your heart a little love.

Eat a healthy diet, exercise and stay a healthy weight.

Eat more fruits, vegetables, whole grains and beans. Limit saturated fats and trans fats. Trim the fat from meats. Don’t use butter or margarine. Cut back on sugar-sweetened drinks. Eat less salt (sodium). Choose low-fat dairy products.

Always remember that diet and exercise are two of the most important factors in preventing heart disease. Healthy eating helps lower cholesterol levels, which can help prevent heart disease. Exercise strengthens your heart and lungs, which improves blood flow and makes it easier for the heart to pump blood through the body.

You can also prevent heart disease by avoiding tobacco smoke, lowering stress levels and improving your sleep.

Monitor your blood pressure.

Blood pressure is the force of the blood pushing against your blood vessels as it flows through your body. High blood pressure (hypertension) is when you have higher than normal blood pressure readings over time. Your doctor may have told you that you have high blood pressure if your systolic (top number) reading is 140 or greater and/or your diastolic (bottom number) reading is 90 or greater.

A healthy blood pressure range is less than 120/80 mm Hg (millimeters of mercury). Normal blood pressure ranges from 120/80 mm Hg up to 139/89 mm Hg. If you have had high blood pressure for some time, it may be more difficult to lower it than if you have never had high blood pressure before.

Stop smoking or using tobacco products.

Smoking is a major risk factor for heart disease. It increases your risk of heart attack and stroke, and it can cause other serious health problems like cancer and lung disease.

If you smoke or use tobacco products, talk to your doctor about ways to quit. Quitting is never easy, but the sooner you quit, the better for your health.

To help you quit, ask your doctor about programs that can help — such as counseling or medication — or join a support group.

Talk to your doctor about any symptoms.

Symptoms of heart disease vary by condition and severity, but they may include shortness of breath, chest pain or pressure, fatigue and weakness, and feeling lightheaded or passing out.

Talk to your doctor about any symptoms that seem unusual or new. Early diagnosis can help prevent serious complications or death.

Heart disease is complicated but it is helpful to have accurate information about it.

6 Things You Can Do To Improve Your Heart Health

A blog around heart health along with other health areas.

Did you know, 1 in 4 deaths in the United States are due to heart disease? That’s approximately 600,000 people each year. While heart disease isn’t the only reason for hospitalization (cancer being the leading cause), we can help you prevent it from occurring by making a few changes in our daily routines, diet, and medication.

One of the most important things we can do to maintain our heart health, is start with a healthy diet. However, it’s not the only thing that counts. To help you stay on top of your heart health, listed below are six easy to incorporate practices that will improve your overall heart health:

It has always been my ambition to become fit and healthy. We all want to live a long life without getting sick or falling ill due to any of the common diseases. So please follow these 6 things below:

Here are 6 things you can do to improve your heart health:

1. Get your blood pressure checked regularly

2. Quit smoking

3. Eat more fruits and vegetables

4. Exercise regularly

5. Manage stress better

6. Don’t drink too much alcohol

Benefits of Healthy Heart

A healthy heart is more than just a nice thing to have. It’s essential for living a long and fulfilling life. Here are some of the benefits of a healthy heart:

  • Improved circulation: A healthy heart increases blood flow to all parts of the body, including your brain, which helps you think clearly.
  • Reduced risk of diseases: Heart disease is the leading cause of death in the United States. Having a healthy heart can reduce your risk of developing diseases like hypertension and diabetes, which can lead to other complications throughout your body.
  • Increased energy levels: If you’re not getting enough oxygen because your heart isn’t functioning properly, it can leave you feeling tired all day long! Having a healthy heart will help keep your energy levels high so that you can enjoy life instead of just getting through it!

Following a healthy diet, getting regular exercise and trying to maintain the right weight are all proven ways of reducing risk. But don’t forget that your heart also needs regular exercise.

Check with Dr. Ritwick Raj Bhuyan before starting any new exercise regime or increasing the intensity of your current one, to make sure it’s appropriate for you. Don’t forget not to skip breakfast and make sure you drink plenty of water daily. If you live with a family history of heart disease try to adopt these habits from a young age and the benefits could be life-changing.

India’s First Successful Heart Transplant by Dr. Panangipalli Venugopal

A story of the first Successful Human Heart Transplant in India.

Dr. Panangipalli Venugopal is the first Indian cardiac surgeon to perform a successful human heart transplant in India in 1994. He performed this miracle on August 3, 1994, at the All India Institute of Medical Sciences (AIIMS), New Delhi.

Dr. Panangipalli Venugopal was born in Andhra Pradesh, on 6 July 1942. So on his birthday, we will see how and when this miracle is done in this world.

 

Dr. Panangipalli Venugopal

 

What is a Heart Transplant

A heart transplant is a surgical procedure in which the heart of a deceased organ donor is placed into the chest of a patient with end-stage heart disease. This operation can be performed in adults, children, or infants. Heart transplants are used to treat people who have end-stage heart failure (a condition in which the heart cannot pump blood effectively), severe coronary artery disease (where there are blockages of the arteries that supply blood to the heart), and certain congenital heart defects (birth defects).

The procedure is highly specialized and requires extensive training on both sides—surgeons who perform these operations need to be skilled in cardiac surgery as well as transplantation surgery, while potential recipients need to be carefully screened for suitability.

Worlds First Heart Transplant

The first successful human heart transplant was performed on December 3, 1967, by Dr. Christiaan Barnard in Cape Town, South Africa. At that time, however, the procedure was still experimental. The patient was a 54-year-old woman who had been suffering from endocarditis. The donor was her brother, who died in a car crash.

The first successful pediatric heart transplant was performed in 1984 by Dr. Bruce Reitz at Stanford University Medical Center; he implanted a left ventricular assist device (LVAD) into a child whose heart had been injured by rheumatic fever.

 

India’s First Successful Heart Transplant

On August 3, 1994, when Doctors get a donor -a woman in her mid-30s who is declared brain dead, whose relatives are willing to donate her heart – they have a recipient ready in AIIMS, New Delhi. “The donor’s relatives were aware of organ donation, so they were ready. the recipient was a, 45- year-old man Devi Ram,

Devi Ram lived until he died of an unrelated brain hemorrhage after 17 years.

A Beautiful Story

In the year 1995, the heart of a Hindu woman was transplanted and put in the chest of a Muslim woman and a Christian doctor was supposed to carry out this work.

33-year-old Hemalatha Soundararajan was crossing a road near Pallavaram. When a car coming from the front hits them. Hemalatha is brought to the hospital. Where doctors declare her brain dead. Hemalatha’s husband used to work in the railways. He agrees to give Hemlata’s organs to any needy. This matter is conveyed to Dr. Cherian. Hemalatha’s heart could stop working at any time, so Cherian contacts hospitals in Cochin, Trivandrum, and Hyderabad to find a suitable receiver. Eventually, he gets a call from General Hospital, Chennai.

Mamoon Biwi, 38, was a heart patient and needed a heart transplant at the earliest. But Maimoon Biwi, who sold handkerchiefs on the railway platform, did not have much money, nor did she have any access. She was admitted to the hospital only because she could get three meals a day.

Doctor Cherian took all the responsibility for his operation on himself. After this, at 9 o’clock in the evening, the doctor starts the Cherian operation. The night-time was kept because Cherian did not want the matter to come to the notice of the media. Hemalatha was a Brahmin, while Maimoon Biwi was a Muslim, there could have been an uproar over this too. That’s why Doctor Cherian carried out this operation in the night itself and his team took 5 hours in this process. The operation was completed at 2 pm.

This was the first Heart transplant surgery performed for the first time in India in a private hospital.

Did You Know What a Thoracic Aortic Dissection Is?

What is the Aorta?

The aorta is undoubtedly the largest and most important blood vessel in the human body. It originates in the heart and passes through two chambers, the thorax, and the abdomen until it undergoes a division at the level of the navel.

During its journey, it emits arterial branches rich in oxygenated blood, which goes to the arms, the brain, and all the vital organs such as the kidneys, intestines, and lower limbs, among others.

The dissection of the thoracic aorta is a break of its inner wall, called the inner layer. When this rupture occurs, the aorta internally divides in two, and blood can be distributed unevenly between the organs.

The incidence of aortic dissection in the world is about 6 new cases per 100,000 inhabitants per year.

Causes of thoracic aortic dissection

Thoracic aortic dissection usually occurs due to structural problems in the wall of this vessel. Didactically we can separate them into two groups:

  • The first is the one in which the patient, severely hypertensive and a long-term smoker, on average 60 years of age, will present chronic damage to the inner layer of the aorta, until one day it may rupture. There are times when the patient already has a dilated aorta that precedes the dissection.
  • The second is a group of younger patients, 30 to 40 years old, who suffer from genetic diseases such as Marfan, Ehlers-Danlos, and Turner Syndrome among others, or have a structural change in the heart called the bicuspid aortic valve. Some of these genetic syndromes involve collagen problems, and patients have structural changes in the middle layer of the aorta, which may one day be dissected.

Other less frequent situations, but that can also be triggers for aortic dissection, are pregnancy, trauma, and the use of illicit drugs, especially cocaine.

Symptoms of thoracic aortic dissection

The most common symptom in the acute phase is severe chest pain. Some patients report having the distinctive sensation of something breaking or tearing within them.

The main differential diagnosis is acute myocardial infarction. Other mild chest pains, such as muscle pain or dyspeptic seizures (gastritis), can also be considered.

Pain in the neck, back, or abdomen may also be reported.

Treatment for thoracic aortic dissection

Initial treatment consists of stabilizing the patient’s blood pressure, sometimes with intravenous therapy and rapid reconstructive surgery if a risk of cardiac tamponade or organ system ischemia is identified.

When the initial portion of the ascending aorta is affected, close to the outlet of the heart, it is usually necessary to perform open surgery, opening the sternum, and change the diseased portion of the aorta for a Dacron prosthesis.

Most ischemic organ correction techniques and interventions in other portions of the Aorta now receive full endovascular therapy, with less patient morbidity and faster recovery.

For more information on this disease and treatment options, consult Dr. Ritwick Raj Bhuyan.

Director: Department of Cardiovascular Surgery
Fortis Escorts Heart Institute & Research Centre, Okhla
New Delhi, India
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For Appointments
P| +91 9870217444
P| +91 9911065980
P| +91 9999802642
W| +91 9911065980 (WhatsApp)
Email: [email protected]

How does SARS Covid-19 affect the health heart?

The damage that the coronavirus can produce in the heart is not only through thrombotic phenomena, but it also produces direct damage, affecting both the arteries (it would condition acute myocardial infarction) and the heart muscle (arrhythmias or heart failure).

Of all patients infected by Coronavirus, 40% are asymptomatic compared to 60% symptomatic (28% of these require admission to intensive care areas) and many of them die, especially patients with previous pathologies or the elderly. 

The main symptoms of SARS-CoV2 are fever, cough, and shortness of breath, and other less common symptoms. Cardiovascular diseases such as heart failure or arrhythmias are the most common comorbidity in patients affected by Covid-19. They are present in all phases of the disease and condition mortality.

Clotting, thrombus formation, and heart failure

The pathophysiological mechanism by which the virus affects the cardiovascular system is not fully established, but it has been described that the virus generates altered coagulation, which conditions the formation of thrombi, with platelet aggregation, causing an increase in stroke, infarction myocardial or peripheral thrombosis.

The virus also causes direct damage affecting the arteries and the heart muscle, increasing the possibility of acute myocardial infarction, arrhythmias, or heart failure, even in patients without previous heart disease. Heart attacks are not as common as strokes, but they have been shown to kill five times more than SARS-CoV2 patients.

For this reason, patients affected by the virus in advanced stages or at increased risk of thrombosis should be anticoagulated to prevent complications. Whereas, patients with previous heart failure have a higher risk of being admitted to the intensive care unit and require greater care.

Patients with previous pathologies

It has been seen that patients with previous cardiovascular disease (arterial hypertension, diabetes mellitus, or previous heart disease) and patients with obesity have a worse prognosis.

And it has been described that among patients admitted with Coronavirus, the percentage of patients with a cardiovascular history reaches up to 40%, including cardiovascular disease (15%), hypertension (15%), and diabetes (20%).

Also, age older than 60 years, male sex, and the presence of comorbidities are the main factors associated with the severity of the SARS-CoV2 condition and mortality.

Medium and long-term cardiac consequences

The effect of Covid-19 in the acute phase of the disease has been studied, but its effect in the medium-long term is unknown. Cardiac MRI studies have been performed after the acute phase, and involvement of the cardiac muscle with decreased left ventricular function has been described above all, which could lead to long-term cardiac complications.

Also, it has recently been described that patients with mild infection in the acute phase, at three months of follow-up may present multiorgan involvement, which highlights the importance of close follow-up in patients.

Everything described, associated with the great impact that the pandemic has had on the health system, indicates the need for continued investigation of the long-term cardiovascular consequences of the Coronavirus and the different consequences that it can leave.

What you should know…

  • After 10 days of the disease, an inflammatory response predominates, affecting various organs, including the cardiovascular system.
  • It has been seen that patients with previous cardiovascular disease (arterial hypertension, diabetes mellitus, or previous heart disease) and patients with obesity have a worse prognosis.

 

Useful Tips to Help Improve Atrial Fibrillation

A blog about heart health, heart disease and its prevention. If you have atrial fibrillation, it's important to work with …

6 Things You Can Do To Improve Your Heart Health

A blog around heart health along with other health areas. Did you know, 1 in 4 deaths in the United States are due to heart …

Things that are beneficial for people with diabetes

Diabetes is a condition in which the body does not produce enough insulin or cannot use it effectively. This can lead to …