On the occasion of World Heart Day (September 30), here are some heartfelt home truths that have the potential to save a life
In 2008, the World Health Organization (WHO) reported 17.3 million
deaths worldwide due to cardiovascular diseases, accounting for almost
30% of all global deaths! Despite the fact that this loss of life could
have been greatly prevented, the figures are only set to rise. By 2030,
studies suggest that as many as 20.3 million people worldwide will
succumb to heart attack.
Though the term 'heart attack' implies that your heart suddenly attacks
you, nothing could be further from the truth. It takes several years
(even decades) of gradual abuse and neglect for heart damage to occur.
Here, we've gathered tips from some of India's leading specialists to
help you keep your ticker running in top condition. Remember, regardless
of your age or fitness levels, there's no time like present to take
your heart health into your hands!
Heart attack--how it happens
What is actually regarded as a disease of the heart, begins in the
coronary arteries (the blood vessels leading to the heart, supplying it
with oxygen rich blood that it can then pump throughout the body). When
this blood supply is blocked or cut off, the heart becomes damaged. If
it's not restored immediately, then a portion of the heart can die.
"Coronary artery disease strikes people in their productive years when
they have a lot of responsibility on their shoulders. The last two
decades have witnessed an alarming rise in the incidence of
hypertension, diabetes and heart attacks, and it is affecting people at a
much younger age than what was seen two or three decades ago. Every
effort should be made to control its alarming increase in our society,"
says Dr. Pramod Jaiswal, Senior consultant, adult cardiology, Frontier
Lifeline hospitals, Chennai.
So what exactly causes your arteries to clog up?
Cholesterol Clogs
The answer lies in cholesterol, a waxy substance produced by our own
liver and found in certain foods. Some amount of cholesterol is required
by our own bodies as it is the key ingredient needed to make vitamin D
to build strong bones and to regulate your hormones, build cell walls,
and create bile salts that help you digest fat. However, the liver
produces an adequate amount--about 1,000 milligrams of cholesterol a
day. By eating cholesterol rich food, we tend to over-load our systems.
The excess cholesterol has to go somewhere, so just as you'd toss out a
piece of garbage, the body gets rid of it by depositing it in your
arteries.
"The deposition of cholesterol in the wall of the arteries makes the
inner lining prone to injury," explains Dr Jaiswal. "Whenever this
plaque ruptures due to any reason, a blood clot develops at that site
causing complete blockage of the blood flow in the coronary artery,
paving the way to heart attack."
Statins and Your Diet
Once your cholesterol levels rise above 200 mg/dl, your doctor
immediately recommends statins, which are plant based drugs. "Statins
are very effective in lowering and controlling cholesterol, but in high
doses, they can have side effects such as abdominal cramps, muscle
cramps, liver function abnormalities. So it needs to be monitored," says
Dr Pratiksha G. Gandhi, Chairperson, IPC Heartcare Centre, Mumbai.
When you've been prescribed statins and you see your cholesterol levels
drop, this is a time when you need to pay even closer attention to your
diet. After all, for most patients, a faulty diet is what caused the
problem in the first place. In fact, at IPC heart centre, drugs aren't
immediately recommended. Rather, the patient is put on a strict diet.
"We have case studies that prove that once a patient cuts down on
saturated fats like fried foods, the yellow of the egg, ice creams and
other junk foods and includes natural cholesterol lowering foods like
methi seeds, vegetables, garlic, onions and flax seeds in their diet,
this lowers the need for medicine. Some people can even be drug free."
According to Padma Shri awardee Dr K.K.Aggarwal, Senior consultant
physician, Head Cardiology and Dean of the Board of Medical Education,
Moolchand Medcity, New Delhi, a healthy diet is indeed the most
effective medicine and the best way to prevent artery blockage. "Eat
fresh, seasonal and easily digestible foods. 50% of your diet should be
from fruits and vegetables," he says.
Dr Jaiswal recommends increasing your intake of Omega-3 fatty acids
(present in flaxseed oil, walnut oil, soybean oil, canola oil and some
types of fish such as salmon and mackerel), as this would lower blood
pressure and reduce your risk of heart attack.
Women at risk
Myths and misconceptions about heart disease abound. For instance, it is
a myth that heart disease and stroke only affect older men or is a rich
man's disease. "Heart attacks affect as many women as men. However for
women, their risk is seriously underestimated," says Dr Pratiksha
Gandhi. "It is vital that women understand that they are at risk too,
because it causes 1 in 3 female deaths. Shockingly, that's about one
death per minute! An annual cardiac check-up is a must (for all)".
Vital Care
If your loved one is having a heart attack, it is vital that you act
quickly. Ensure that aspirin is on hand and that he/she reaches the
hospital with minimal delay. "The patient must chew a tablet of soluble
aspirin even before reaching the hospital, as it can help to reduce the
extent of damage," says Dr Jaiswal.
Monitoring your heart health in the different stages of your life is
critical, so if you haven't already, then just take this article to
heart!