heart disease Archives - Page 2 of 2

September 29, 2018 By GOQii Editor Leave a Comment

WHOLEHEARTEDLY HEART HEALTHY

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Death rates due to heart diseases continue to rise in India, claiming 1.7 million lives in 2016, as per the Global Burden of Disease report released exactly a year ago in September 2017. Recently, a national daily in India published a report stating that deaths in India due to heart disease have risen by 36% over the past 26 years. GOQii India fit report released early this year finds that there has been a rise in the number of lifestyle diseases among Indians. Of these, an increased number of people have high cholesterol with data showing an increase from 9.4% in 2016 to 10.1% in 2017.

Given the above statistics, Heart health is something that needs immediate attention. Today is World Heart Day and let us all be responsible and consciously make simple changes to our life to improve our heart health. In this blog, we have jotted down few simple lifestyle tweaks that you can implement in your life if you already have not done so.

Love your couch a little lesser:

After a hectic workday at your desk, we love to get cosy on the couch, even though it isn’t the best thing to do. Did you know that people working desk jobs are more prone to contracting a heart disease than the others? You might begin to see the connection here. Yes, being physically active has a big impact on achieving a healthy heart. Start slow, even a short walk after every meal will help you in many ways. Along with improved blood circulation, factors like obesity and blood pressure can also be controlled by giving your body the exertion it craves.

2. Toss the butt for good:

Kicking the butt is always tougher than picking up smoking. Smokers who try to quit, regress many times before leaving it completely and this is totally natural. But the determination to come back on a healthy track is what really matters. If you think you can’t do it alone, try counselling or other methods like nicotine patches, nicotine gum etc. Forget heart health, if you want to be healthy in general, the time has come to say goodbye to your cigarettes.

3. Stop stressing out:

We totally understand why you think it is impossible, considering our busy schedules and the endless deadlines which are caught in a loop. The problem is that high amounts of stress cause strain on the heart due to the release of adrenaline, making the heart beat faster and also narrowing your arteries. It also harms your heart indirectly by contributing to factors like blood pressure, cholesterol and obesity. To keep your stress levels in check, choose a program such as yoga, meditation etc. that’s convenient and suitable for you and stop stress from overpowering you.

4. Keep the weight under control:

Overweight and underweight conditions like obesity or anorexia attract heart diseases easily. So calculate your Body Mass Index (BMI) to check for the category you fall in and if you do not fall under the normal category, you need to gain or reduce some weight. More than being healthy, a change like this will boost your self-confidence and help you feel more comfortable in your own skin.

5. Eat Healthy To Stay Healthy:

This is one of the most important steps towards achieving a healthy heart. At the end of the day, it is what we eat that constitutes the state of our body. Most importantly, stay clear of saturated fats and oil as this increases the level of bad cholesterol in the blood, which is extremely bad for your heart. Foods like red meat and processed food with high sugar and corn syrup content are all to be frowned upon, to achieve a healthy heart. Eat a lot of fruits, vegetables and lean protein foods like skinless chicken and fish (not fried). This not only helps in maintaining a healthy heart but also increases your quality of life.

Alcohol Consumption:

In the book “The Heart Truth” by Dr Aashish Contractor, it is stated that alcohol may be beneficial in raising good cholesterol (HDL) as well as other anti-oxidant properties when consumed moderately. If you are someone who hasn’t consumed alcohol before, please don’t start now thinking it’s good for your heart! But if you are someone who enjoys a drink or two, then do so in moderation. Dr Aashish personally defines moderate as one or two drinks, three days per week and the optimum amount of liquor to be 45ml a drink. It is important to remember that excessive consumption can cause harm and damage your heart and other organs. So drink responsibly folks!

Stay positive, Stay Motivated:

Pessimism lurks in each and every one of us. Sometimes, we decide to give up not realising how close we have come to our goals. When maintaining a healthy heart or being healthy in general, it is very important to know what you want and be clear about it. Self-doubting is natural but steering through that phase keeping a positive mind towards it is difficult. Don’t be another brick in the wall, be the one to achieve and prove it is possible. GOQii wishes the best for all of you on this World Heart Day!

November 29, 2017 By Richa Athavale 1 Comment

Know your blood/ serum Creatinine

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When it comes to blood tests, most are aware of blood sugar, cholesterol or haemoglobin levels. In the current times, we also know about Vitamin B12, D, and Calcium etc. But, have you ever come across “blood/serum creatinine levels”?

Recently, I came across somebody I know well with high levels of high blood/ serum creatinine levels. And, observed there is a lot of confusion between “Blood/serum creatinine levels” & “creatinine” that one takes as a supplement while working out in the gym. These are two different things. In this blog, I am talking about –Blood Creatinine.

What does it means when you have high blood creatinine levels?

Creatinine is produced in the body constantly. It is a by-product of creatinine phosphate in the muscle. Its value depends on the muscle mass that one has. Creatinine is carried through the bloodstream to the kidneys. It is filtered out by the kidneys and thrown out of the body through urine. The kidneys maintain the creatinine levels in the blood to a normal range. A creatinine level is an indicator of kidney function. High creatinine levels is a warning for impaired kidney function.

High level of creatinine is found during:

Impaired kidney function
kidney disease like glomerulonephritis, pyelonephritis
Prostate disease
Kidney Stones (urinary tract blockage)
Heart disease
Diabetes
Medicines like ACE inhibitor (ACEI) or angiotensin II receptor antagonist (or angiotensin receptor blocker, ARB) taken.

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Creatinine Blood Test should be done if following symptoms are seen:

fatigue and trouble sleeping
loss of appetite
swelling in the face, wrists, ankles, or abdomen
lower back pain near the kidneys
changes in urine output and frequency
high blood pressure
nausea
vomiting

Normal Values of the Creatinine in Blood:

In male – 0.6 to 1.1 milligrams per dl of blood.

In female – 0.5 to 1.1 milligrams per dl of blood.

Infant – 0.2 milligram per dl of blood or above (due to less muscle mass).

A person with one kidney – 1.8 to 1.9 milligram per dl of the blood.

Lifestyle & Dietary modifications for high creatinine:

Reduce water/fluid intake: Fluid intake needs to be monitored. Do not restrict fluids unless there is a fluid overload problem. If fluid retention is a problem, limit salt intake.

Limit salt intake (Sodium): You should control the amount of salt going through the food. Add minimum salt as required. High sodium will cause water retention. Cut down on salt, cheese, pickles, instant soups, roasted and salted seeds and nuts & all types of fast foods. Specifically, avoid canned foods.

Limit Potassium: Low-salt substitutes are not good either, as they contain high levels of potassium. Restricted eating high potassium containing such as tomato, potato, nuts and chocolates etc.

Limit Phosphorus: Excess phosphorus can cause total kidney failure as well as bone disease and heart ailments. Reduce dairy products including milk, curd, and cheese. Cut down intake of foods like Shellfish, nuts, soya bean foods etc.

Control Calcium: It is another concern for kidney patients, causing serious bone disease in later years if not controlled.

Low protein diet: Low protein diet is recommended to reduce creatinine level. This avoids build-up of excess urea.

Cigarettes and Alcohol: kill you anyway and, also does not help in the case of high Creatinine either.

With diet control, the portion size also matters. If you eat in excess, the nutritional value changes considerably.

Be active & Exercise regularly: High-intensity exercise could lead to impressive results. It may also help lower your risk for high blood pressure and diabetes which are the two main causes that lead to developing CKD (Chronic Kidney Diseases).

Fruits and vegetables that are advised/not advised in kidney diseases:

It is advisable to take peaches, broccoli, onion, grapes, cabbage, pepper, cherries, cauliflower, apples, celery, berries, cucumber, pineapple, eggs, plums, green beans, tangerine, lettuce, watermelon and pears.
Restrict the intake of oranges and orange juice, asparagus, avocado, kiwi fruit, raisins or other dried fruits, bananas, cooked spinach, potatoes, pumpkin, prunes, etc.

September 29, 2017 By Anusha Subramanian 2 Comments

The Heart Truth: ‘Let heart disease be a new beginning’

Widely recognized as a pioneer of Cardiac rehabilitation in India, Dr Aashish Contractor is a valuable information resource for the layperson to understand the various dimensions of coronary complications, their prevention and resolution. He just does not believe in leading a sedentary lifestyle. He is a marathoner and was the medical director at Standard Chartered Mumbai Marathon from 2004-14. In his book ‘The Heart Truth’, Dr Contractor has summed up his 18 years of medical experience to provide inputs and tips on how to take care of the heart. This is not a doctor prescribing from the pulpit but a heart expert sharing his knowledge as a friend would. The intention of the book is to spell things out with clarity. Anusha Subramanian met up with Dr Contractor to know all about ‘The Heart Truth’. Here are excerpts from the Interview.

What prompted you to write this book?

Heart Disease is the leading cause of death among men and women worldwide and even in India. I have found that even among people who have suffered a heart disease, the lack of knowledge about the disease is astounding. With the amount of information we have today, I would expect people to be more aware but they aren’t. Funnily enough, there is lots of alternative information floating around and what’s app just amplifies it. Which is why I called the book- ‘The Heart Truth’ and decided let’s stick to facts and put it out. Secondly, I wanted to share a lot of real-life examples in order to show that after suffering a heart disease life does not end in fact in my opinion it begins. One starts a new chapter in life. My philosophy is one should get better than before and not just get back to where they were before. Through these real-life examples, many of whom have gone on to run marathons or climb mountains. One of them even had a turnaround just 200-300 meters from Mt Everest Summit only because of bad weather. Through the book, the idea was to showcase these real-life examples and inspire people to turn their lives and let heart disease be a new beginning.

What has led India to face this heart disease epidemic? We are already called the world Capital of Diabetes and we are not far from being called the World Capital of Heart Disease. Any particular reason why India’s are more prone to heart disease?

You are absolutely right, the trend of heart disease in India is rapidly on the increase. The statistics show that from 1990-2000 there has been a rapid upward curve for the disease and we are getting close to being called the world capital of heart disease and there are multifactorial reasons for this. According to me earlier many were dying of infectious diseases. I guess, the life expectancy during the early 50s and 60s was also less. Most were not living long enough to suffer from heart disease. As we are getting better and taking care of infectious diseases we are living longer. And with better diagnostic, we are understanding what the health issues are. Earlier, probably people were suffering heart diseases but one did not know or diagnosed and just died. Hence, we did not label it as dying of heart disease. There is a gross underestimation of the no. of heart disease deaths in the past. Now we are getting better in measuring this. Secondly, as we have got economically better off, our lifestyle has also changed. There is more processed food in our diet now than it was before, one is indulging in far less physical activity on a daily basis or there is no activity at all. Indian’s are genetically more prone to developing insulin resistance, metabolic syndrome, and higher triglycerides and more prone to developing belly fat and all of these conditions are a boiling pot which makes Indians more susceptible to heart disease.

When you say Indians are more susceptible to insulin resistance, higher triglycerides and other areas of diseases.. is it because of our diet?

One aspect could be a diet but, we should not isolate genes. Genetics or family risk for heart disease is a potent risk factor. How much would they affect, it is difficult to say. Some people’s genes are so ‘bad’ they may get it no matter what but there is a difference. If they take all the care, they may get an attack at 60, that too, a mild one than getting a fatal attack at 45. So it is not that if your genes are bad, you are doomed, there are a lot of other things that you can do. We are genetically prone and Indians are affected a decade earlier than our western counterparts.

What according to you is the best way to detect Cardiac Ailment? As a layperson, if I do not want to go to a doctor but yet know if have a cardiac ailment?

There is no best way to detect. Once you become an adult you should keep a track of your BMI, height, weight, waist circumference on a regular basis. Once a year you should get a medical checkup done to know your basic lipid, cholesterol, BP and blood sugar levels. If the values are normal then it’s very good and you should get your tests done regularly once a year and if they are not then you must take the necessary action and make sure you go for follow-ups. If you feel any sort of discomfort, heaviness, breathlessness, chest pain, pain in the arms, in the right, in the left, back, jaw, exhaustion related kind of pain could be related to heart disease, exhaustion in your daily activity which you were doing easily at one point in time could be a symptom. These are warning signs and in most cases, these symptoms do occur before the full-blown attack it’s just that people ignore these symptoms.

Are Bypass and Angioplasty the only cure or are there alternative therapies?

Talking about heart disease or blockages, depending on where and what type of blockages these are. The kind of risk profile and symptoms the patient has, the medical management the patient has undergone, whether it is a bypass surgery or angioplasty? Bypass and Angioplasty are not the only cure. All the above questions have to be built on good lifestyle management. Whether you do A B or C you still need to maintain a good lifestyle. In addition to all of this, you may be fine just taking medicines or you might need a surgery or an angioplasty. Considering avoiding bypass and telling will manage through good lifestyle is not an alternative therapy. It’s a misnomer. True alternative therapies are external counterpulsation (ECP). ECP is meant for a specific subset of patients who have had stable angina after best medical management and stable angina still remains then ECP might work on them. This is generally done over 35 sittings, for an hour each. The goal of the therapy is to create collateral circulation by opening up small channels of blood. ECP is a good therapy for some patients with angina and for patients with heart failure. However, it’s not appropriate for every person with heart disease.

Can we reverse heart disease without surgery?

The term reversal of heart disease needs to be understood properly. We think that there is an artery with 90% block and you do something and it reduces to 60% but, it doesn’t work that way. The block doesn’t shrink to 60%, the only thing that is reduced is the chance of an event. So it is a physiological reversal but it is not an anatomical reversal. When you take care of all these factors, a reversal is possible. That is what we also do in our cardiac rehab program. He has ‘a method’, we have ‘a method’ but the principles are the same

There is a huge confusion on the fact that fit people are succumbing to a heart attack. Case in point is Dr Rakesh Sinha who was fit and a marathoner and he suddenly one day had a heart attack and died. And on the other hand, you have people who are completely unfit and doing all sorts of vices and yet survive longer a with no ailments

This is a concept of Risk Factors. Different factors go into your risk to develop heart disease. My classic example is driving a car; there are many factors that are in consideration when making a car accident-free. You cannot just say that my breaks were running fine and still I had an accident. That is exactly like saying I am fit and I still got a heart attack. It is good that one is fit but it is just one factor, being fit doesn’t give you immunity against other factors.

Two things that women need to know about Heart Disease.

One of the main thing that women need to know is that heart disease is one of the main cause of deaths among women, not breast cancer. Secondly, awareness is important as women often do not get diagnosed and this is a fact world over which is they get less care than men. The symptoms such as breathlessness in women are never considered to be a risk towards heart disease and hence not be considered for diagnosis. Sadly, women’s health is the most neglected.

Dr Contractor how do you keep yourself fit

I run, cycle and gym at least four to 5 days a week. It’s a mix and match of all the activities during the week.

How do you keep yourself away from getting stress?

Stress is part of normal life. I do believe that exercising regularly is a great stress buster for me. I would like to think that I take on a fairly positive attitude and this helps. It’s about how you deal with it. Some people really react to it negatively while some people deal with it calmly.

What are the three main things that people should keep in mind?

1^st thing- you do not have to run a marathon or climb a mountain to be healthy. That you should do for achievements and not for health. First thing is to build a good baseline. Basic routine for few months then after that you can go for your huge goal of running a marathon or other extreme activities.

2^nd Make a good plan and 3^rd stick to that plan and gradually build on it. Believe me, there is nothing that you cannot do. Everybody can do everything.

Your Parting comments

Overall take care of yourself. Nobody needs to do anything dramatic. Consistency gets people results. As supposed to doing a dramatic program… push hard for 3-6 months and then after that, the motivation fades away. Remember, always stick to your plan. 42-43 weeks out of 52 weeks in a year helps.

Follow the ABCD principle-A- active, B- Blood pressure, C-Cholesterol and D-Good balanced diet, take care of Diabetes and do not smoke and get adequate sleep daily.

It’s not the end of the road. After suffering a heart ailment you can still come back and live a good life.