How to Take Care of Your Heart

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    Introduction

    WesternIndia

    Products

    Limited

    (WIPRO)

    is

    one

    of

    the

    largest

    IT servicescompany in India.TheyarrangedachatwithDr.

    Devi Shetty inorder tomake theiremployersawareof the

    importanceof looking after theirhearts for a long,healthy

    life.

    Dr.Devi

    Shetty

    is

    arenowned

    cardiac

    surgeon

    in

    Bangalore,

    Indiawhohasdonemorethan15,000heartoperations.Heis

    alsothefounderofamultispecialtyhospitalcalledNarayana

    HrudayalayaontheoutskirtsofBangaloreCityinSouthIndia.

    Apart from cardiac surgery, the hospital deals with

    cardiology, neurosurgery, paediatric surgery, haematology

    andtransplant

    services,

    and

    nephrology.

    Containedinthisbookletisthetranscriptofthechatupdated

    with graphics, useful extra information, and links for

    animated videos of the functions of the human heart and

    otherrelatedarticles.

    (PREPAREDFORNONCOMMERCIALEDUCATIONALPURPOSES)

    SumedhaManabarana

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    1. QueAnswer

    1.Diet

    2. Exerci

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    5. Question:Whatarethewaysinwhichtheheartisstressed?Whatpracticesdo

    you

    suggest

    to

    de

    stress?

    Answer:Changeyourattitudetowardslife.Do

    notlookforperfectionineverythinginlife.

    FEELINGSTRESSED

    FEELINGPOSITIVEEMOTIONS

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    6.Quereq

    Ans

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    9. Question:Doescholesterolaccumulatesrightfromanearlyage(I'm

    currently

    only

    22)

    or

    do

    you

    have

    to

    worry

    about

    it

    only

    after

    you

    are

    above30yearsofage?

    Answer:Cholesterolaccumulatesfromchildhood.

    10.Question:Howdoirregulareatinghabitsaffecttheheart?Answer:Youtendtoeatjunkfoodwhenthehabitsareirregularandyour

    body'senzymereleasefordigestiongetsconfused.

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    11.Question:HowcanIcontrolcholesterolcontentwithoutusingmedicines?Answer:Controldiet,walkandeatwalnut.

    12.Question:Canyogapreventheartailments?Answer:Yogahelps.

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    13.Question:Whichisthebestandworstfoodfortheheart?Answer:Fruitsandvegetablesarethebestandtheworstisoil.

    14.Question:Whichoilisbetter groundnut,sunflower,olive?Answer:Alloilsarebad.

    15.Question:Whatistheroutinecheckuponeshouldgothrough?Isthereanyspecifictest?

    Answer:Routinebloodtesttoensuresugar,cholesterolisok.CheckBP,

    Treadmilltest

    after

    an

    echo.

    Whenyouareunabletoexerciseonatreadmillorstationarycycle,youcouldhavea

    dobutaminestressecotestdoneonyou.Itinvolvesinfusingamedicationthroughanintravenous (IV) line,calleddobutamine,whileyouarebeingcloselymonitored.The

    medicationstimulatesyourheartandmakesit"think"itisexercising.Thetestisdone

    toevaluateyourheartandvalvefunction.

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    DobutamineStress

    Echocardiogram

    (dobutamine

    echo,

    pharmacological

    echocardiogram)

    16.Question:Whatarethefirstaidstepstobetakenonaheartattack?Answer:Helpthepersonintoasleepingposition,placeanaspirintablet

    underthetonguewithasorbitratetabletifavailable,andrushhimtoa

    coronarycareunitsincethemaximumcasualtytakesplacewithinthefirst

    hour.

    + or +

    17.Question:Howdoyoudifferentiatebetweenpaincausedbyaheartattackandthatcausedduetogastrictrouble?

    Answer:ExtremelydifficultwithoutECG.

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    18.Question:Whatisthemaincauseofasteepincreaseinheartproblemsamongstyoungsters?Iseepeopleofabout3040yrsofagehavingheart

    attacksand

    serious

    heart

    problems.

    Answer:Increasedawarenesshasincreasedincidents.Also,sedentary

    lifestyles,smoking,junkfood,lackofexerciseinacountrywherepeople

    aregeneticallythreetimesmorevulnerableforheartattacksthan

    EuropeansandAmericans.

    19.Question:IsitpossibleforapersontohaveBPoutsidethenormalrangeof120/80andyetbeperfectlyhealthy?

    Answer:Yes.

    20.Question:Marriageswithincloserelativescanleadtoheartproblemsforthechild.Isittrue?

    Answer:Yes,

    co

    sanguinity

    leads

    to

    congenital

    abnormalities

    and

    you

    may

    nothaveasoftwareengineerasachild.

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    21.Question:Manyofushaveanirregulardailyroutineandmanyatimeswehavetostaylatenightsinoffice.Doesthisaffectourheart?What

    precautionswould

    you

    recommend?

    Answer:Whenyouareyoung,natureprotectsyouagainstalltheseirregularities.However,asyougrowolder,respectthebiologicalclock.

    22.Question:

    Will

    taking

    anti

    hypertensive

    drugs

    cause

    some

    other

    complications(short/longterm)?

    Answer:Yes,mostdrugshavesomesideeffects.However,modernanti

    hypertensivedrugsareextremelysafe.

    23.Question:Willconsumingmorecoffee/tealeadtoheartattacks?Answer:No.

    24.Question:Areasthmapatientsmorepronetoheartdisease?Answer:

    No.

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    25. Qu

    Answer

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    26.Question:YoumentionedthatIndiansarethreetimesmorevulnerable.Whatisthereasonforthis,asEuropeansandAmericansalsoeatalotof

    junkfood?

    Answer:Everyraceisvulnerabletosomediseaseandunfortunately,Indians

    arevulnerableforthemostexpensivedisease.

    27. Question:Doesconsumingbananashelpreducehypertension?Answer:No.

    28. Question:Canapersonhelphimselfduringaheartattack(Becauseweseealot

    of

    forwarded

    emails

    on

    this)?

    Answer:Yes.Liedowncomfortablyandputanaspirintabletofanydescription

    underthetongueandasksomeonetotakeyoutothenearestcoronarycare

    unitwithoutanydelayanddonotwaitfortheambulancesincemostofthe

    time,theambulancedoesnotturnup.

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    29. Question:Do,inanyway,lowwhitebloodcellsandlowhaemoglobincountleadtoheartproblems?

    Answer:No.

    But

    it

    is

    ideal

    to

    have

    normal

    haemoglobin

    level

    to

    increase

    yourexercisecapacity.

    30. Question:Sometimes,duetothehecticschedulewearenotabletoexercise.So,doeswalkingwhiledoingdailychoresathomeorclimbingthe

    stairs

    in

    the

    house,

    work

    as

    a

    substitute

    for

    exercise?

    Answer:Certainly.Avoidsittingcontinuouslyformorethanhalfanhour

    andeventheactofgettingoutofthechairandgoingtoanotherchairand

    sittinghelpsalot.

    31. Question:Istherearelationbetweenheartproblemsandbloodsugar?Answer:Yes.Astrongrelationshipsincediabeticsismorevulnerableto

    heartattacksthannondiabetics.

    32. Question:Whatarethethingsoneneedstotakecareofafteraheartoperation?

    Answer:Diet,exercise,drugsontime,Controlcholesterol,BP,weight.

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    33. Question:Arepeopleworkingonnightshiftsmorevulnerabletoheartdiseasewhencomparedtodayshiftworkers?

    Answer:No.

    34.Question:Whatarethemodernanti hypertensivedrugs?

    Answer:Therearehundredsofdrugsandyourdoctorwillchosetheright

    combinationforyourproblem,butmysuggestionistoavoidthedrugsandgo

    fornaturalwaysofcontrollingbloodpressurebywalk,dietto

    reduceweightandchangingattitudestowardslifestyles.

    35. Question:DoesDispirinorsimilarheadachepillsincreasetheriskofheartattacks?

    Answer:No.

    36. Question:Whyistherateofheartattacksmoreinmenthaninwomen?Answer:Natureprotectswomentilltheageof45.

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    37. Question:Howcanonekeeptheheartinagoodcondition?Answer:

    Eat

    ahealthy

    diet,

    avoid

    junk

    food,

    exercise

    every

    day,

    do

    not

    smokeand,goforhealthcheckupsifyouarepasttheageof30(onceinsix

    monthsrecommended.)

    PLEASENOTETHATTHEVIDEOANDOTHERLINKSWILLBEGIVENSEPERATELYFORLINKUPDATINGPURPOSES.

    CREDITS

    HeartSpecialistDr.DeviShetty,Bangalore,India(forthechat) WIPROCompany,Bangalore,India(forarrangingthechat) JudicialMedicalOfficerDr.SriyanthaAmararatne,Australia(forforwardingthechattome) Bupahealthanimationteam,UnitedKingdom(forthevideolink) BayerScheringPharmaAG,Germany(forthrombosisadviceandspecialvideoinsidevein) BBC(news.bb)forsmokingwarninggraphicimage Wikipedia(forotherimages) Notobacco.org(forfreeimages) ClevelandClinic,Cleveland,Ohio,USA(forDSechocardiogram) EugeneManabarana(forproofreading)

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    Thecontentisintendedforgeneralinformationonly

    anddoesnotreplacetheneedforpersonaladvice

    fromaqualifiedhealthprofessional.