Your lifestyle choices affect your heart, choose wisely


In India we are all foodies and love tasty spicy food with ghee ka tadka and mitha after meal. But we don’t think about the long term effects of developing diabetes, hypertension and heart failure, not only because of our eating habits, but also because of our sedentary lifestyle and lack of choice. exercise. India is the diabetes capital of the world and ranks third in the Global Obesity Index. Over 20% of the population is diagnosed with heart failure in India, and patients are ten years younger than the global average. The lack of awareness of the disease is a matter of great concern. There is an urgent need to educate people about heart failure and its management. To raise awareness and disseminate knowledge about heart failure, The Times of India launched the Beat Heart Failure initiative in partnership with Novartis to impart not only information for better understanding, but also effective management. Leading doctors from Global Hospitals, Mumbai joined the discussion, viz. Dr Praveen Kulkarni: Senior Consultant Interventional Cardiologist Dr Pravin Kulkarni: Senior CVTS Consultant, Heart Transplant Program Problem Dr Praveen Kulkarni took the lead and explained heart failure and its symptoms. He said – Heart failure is the inability of the heart to pump blood according to the body’s needs. The function of the heart is to pump blood with each beat. This results in underperfusion and underdelivery of nutrients to the organs, leading to various symptoms when it does not. But when there is a heart attack, the blood flow to the heart is suddenly blocked. Without the blood coming in, the heart cannot receive oxygen. If not treated quickly, the heart muscle begins to die. But if you get treatment quickly, you may be able to prevent or limit damage to the heart muscle. In a country with a population of over 135 crore, it is estimated that nearly half a crore of the Indian population suffers from the disease and is in need of treatment, Dr Pravin said. Dr Praveen explained that the symptoms of heart failure are easily overlooked as signs of old age. Common symptoms of heart failure are easy fatigue, which can gradually increase as the disease progresses. The person may start to feel tired even when at rest. Shortness of breath is another common symptom in the early stages. It can occur during exertion, and gradually it can worsen to shortness of breath while taking just a second flight of stairs. People find it difficult to do basic activities as the disease progresses slowly due to shortness of breath. People wake up feeling suffocated and immediately open a window for more air. Other symptoms include swelling of the feet (called edema of the feet), fluid retention in the abdomen (called ascites), and a feeling of bloating in the abdomen. The onset of symptoms may be early (called acute) or late (more than six months called chronic). The doctor assesses whether the condition is symptomatic or asymptomatic. Then they check to see if the symptoms correlate with the results. Speaking of the systematic progression leading to the incidence of heart failure, Dr Pravin explained the different stages – The first is the absence of symptoms. The second stage walks injured; the patient complains of fatigue on exertion. The third step is at home; a person does not want to leave the house because of easy fatigue. Fourth, when a person often has to visit a cardiologist. Fifth, when a person suffers from repeated heart failure and has to be frequently taken to the hospital, followed by the hospitalization stage where the person requires constant monitoring by the doctor and regular medication. The next is when the person continues to be ill and the disease worsens and requires artificial support. A heart transplant is an option when no other treatment works. Common risk factors for developing heart failure include patients with natural aging coexisting with co-morbidities such as diabetes, hypertension, obesity, stress, and lack of or excessive exercise. With uncontrolled diabetes, a patient may have a silent heart attack where they don’t even feel the pain of a heart attack. This symptom is known as autonomic neuropathy or, in simpler terms, damage to the nerves that handle typical symptoms, and due to the injury, pain signals are not transmitted to the brain and the patient does not know that he’s having a heart attack. . Hitting and scaring younger people (men and women) seems to be the victims of heart failure lifestyle choices. Over fifty percent of heart failure in India is due to lifestyle choices. In urban India, the majority of heart disease is caused by obesity, alcohol, smoking or, in simpler terms, poor lifestyle choices. On the contrary, valvular heart disease is more common in rural India or in the lower strata of society, said Dr Praveen Kulkarni. He further added that the valves weaken due to a condition called rheumatic heart disease which occurs due to bacterial infection. Rheumatic heart disease has been eradicated all over the world, but it is still prevalent in India due to poor hygiene and overcrowding. Valvular heart disease is a kind of harmless bacterial infection or throat infection. In a few untreated and undiagnosed cases, this infection attacks the valves, causing the valves to malfunction. The occurrence of valvular heart disease in India is observed in the age group of 5-15 years. Focusing on this aspect of heart failure, the doctor said it was preventable and treatable. The patient with valvular heart disease feels short of breath on the way up, with palpitations and swelling of the legs. The cardiologist performs 2D ultrasound, an ultrasound in a simple and non-invasive way to look at the heart, and classifies it as mild, moderate, severe. If the disease is mild to moderate, the attempt is to preserve the natural heart. Surgical interventions are possible if the heart is severely damaged and the patient is deeply symptomatic. The surgeon tries to replace the damaged valves with a new one. The surgery will change the course of the disease and the heart will work better, said Dr Pravin. In patients who have suffered a heart attack, prompt detection and treatment is paramount in the first few hours. It is difficult for people to access a tertiary health center in rural areas. Often their symptoms go undiagnosed or misdiagnosed such as acidity, indigestion, muscle pain, anxiety. It is crucial to treat people in a timely manner before significant damage occurs. After a heart attack, the blood vessel becomes blocked and damages the heart muscles.

Delay in treatment will further increase damage to the heart. Patients eventually get the treatment they need, but the resulting heart is weaker than normal. Treatment options can include medication, lifestyle changes, support from artificial instruments, surgical options like bypass surgery, explained Dr. Praveen Kulkarni. Indians must be educated on organ donation to make more organs available for transplantation. The majority of people with heart disease lead good lives, and the longevity of life depends on the extent of damage to the heart. Even if a person has no symptoms, it is necessary to have basic parameters checked annually, such as lipid profile, kidney function test, liver function test, blood sugar, and blood pressure. Depending on the results of these tests, further treatment is planned by your primary care doctor, said Dr Praveen Kulkarni. Heart failure is not a death sentence and is eminently treatable with lifestyle changes and medications. After being diagnosed with heart failure, people need to make specific lifestyle changes that affect their quality of life. Cardiologists suggest basic changes such as avoiding packaged foods, eating a balanced meal, controlling your sugar intake, exercising regularly, avoiding smoking, and watching your weight. With the advancement of medical science, many drugs are available to manage heart disease. Remember, heart failure isn’t about stopping. It’s about starting life in a new way. Heart failure can be managed with regular treatment and the right lifestyle modifications. To learn more about how to manage heart failure, visit Disclaimer: “The views and opinions expressed in the article by the panelists / experts are based on their independent professional judgment and are released in the public interest. These opinions should not be taken as a substitute for professional advice from a licensed physician. The purpose of this article is not to promote any medical procedures or drugs and / or to recommend a certain doctor. For any specific health concern, please consult your licensed physician. ”

(This story was not edited by Devdiscourse staff and is auto-generated from a syndicated feed.)


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