Cholesterol Levels And The Influence Of Alcohol

We know that the food we eat can have an effect on our cholesterol level, but did you know that alcohol can also play a role? It is generally suggested that a glass of red wine per day can actually benefit cholesterol and heart health, but there are still many side effects associated with alcohol consumption.

Numerous studies have suggested that consuming alcohol, preferably red wine, in moderation can help promote heart health and even longevity. On the other hand, excessive alcohol consumption can actually increase the risk of heart disease and stroke, increase blood pressure, contribute to obesity, and increase blood triglycerides.

Heavy alcohol consumption was also associated with liver disease, heart weakened muscles, and even congestive heart failure. The American Heart Association does not recommend adding alcohol to your daily diet to support a healthy heart. Instead, they recommend eating well, maintaining a healthy weight, and exercising regularly.

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If you are already in a state of health, you should always discuss with your doctor if the alcohol intake is really safe for you. Alcohol can aggravate certain health conditions and can lead to negative side effects when dealing with medication.

Cholesterol And Alcohol Link

Your diet can definitely raise or lower your cholesterol level. Even if you think you are playing it safe because there is no cholesterol in alcohol, there are other ways in which alcohol can negatively affect your heart rate. For example, beer contains carbohydrates and alcohol that can increase your triglyceride count. Increased triglyceride levels can contribute to heart disease.

Beer also contains plant sterols that bind to cholesterol and transport it out of the body. That may sound promising, but researchers have found that beer does not have enough of plant sterols that significantly affect cholesterol levels.

Alcoholic spirits, such as whiskey and vodka, also contain no cholesterol, but when These drinks, which are served in premixed cocktails, contain high levels of sugar, which can affect cholesterol and triglyceride levels.

How Much Alcohol Should You Drink?

Moderate drinking is defined as one drink per day for men and women two drinks per day for men. Studies that have shown the benefits of moderate drinking for cholesterol and heart health use this definition. Drinking more than the recommended amount has been associated with adverse health effects.

It really is hard to say what to drink and how much to drink In relation to heart health and cholesterol. Generally, if you want to improve your heart rates, it is best to stick with healthy lifestyle choices. Since alcohol can affect many different aspects of your health, it is probably safer to avoid it to reduce other related complications such as liver disease. Not to say that you can not enjoy the occasional drink, but making alcohol part of your daily diet may not be worth it.

Triglycerides In Higher Concentrations May Increase The Risk Of Heart Attack

High triglyceride levels can increase the risk of heart disease. Triglycerides are the fat in our blood and work to energize the body. Extra triglycerides are stored for a future date if needed. Numerous studies suggest that high triglyceride levels increase the risk of heart disease.

Triglycerides form from the end product of digestion and come from the fat and carbohydrates we consume into energy for the body. Triglyceride levels are tested with a lipid panel, which is a similar test to how the cholesterol level is checked.

The Centers for Disease Control and Prevention estimate that high triglyceride levels pose a problem for nearly one-third of Americans. An increase in triglyceride levels has been observed over the last 30 years and yet only 1.3 percent of those with high levels take medication to lower it. This shows that more attention must be given to triglycerides, as high levels can have serious consequences and more should be done to reduce them, especially for those at high risk for heart disease.

The previous Study Shows Triglycerides Role In Coronary Heart Disease

Coronary artery disease is a common form of heart disease, and high levels of triglycerides can help. Studies by the Broad Institute show that reducing triglycerides can be an effective way to reduce the risk of coronary heart disease.

Sekar Kathiresan, study leader, said, “The key question about these biomarkers over the years Who caused coronary artery disease and which are just an expression of the disease process? The reason this question is important is not the prediction, because biomarkers are useful to predict diseases, whether they are causal or not, the reason why we want to distinguish between these factors is the treatment, we really just want to attack the causes of the disease. ”

LDL cholesterol (bad cholesterol) has been a well-known factor in heart disease and has been shown to reduce a person’s risk of developing heart disease by supporting statins. HDL, on the other hand, has always been thought of as a factor in reducing heart disease, but no link was found on how HDL can help improve CAD.

The research team has shown 185 variations in genetic coding to be associated with blood lipid traits. Single nucleotide polymorphisms or “SNPs” are inherited from one or both parents.

The researchers then investigated whether SNPs affected the LDL, HDL, triglyceride levels, and CAD risk relationship between triglyceride levels and CAD similar to that of LDL and CAD. LDL cholesterol forms plaque along the arterial walls and so the researchers believe triglycerides can work similarly by depositing fat along the arteries.

Kathiresan concluded: “Clinically speaking, one of the ways to prevent a first heart attack or reduce the risk of a second heart attack in someone who already has heart disease to treat patients with drugs that lower levels of triglyceride-rich lipoproteins. Some drugs targeting triglycerides are already being tested, and now it’s time to find the right triglyceride-lowering mechanism that effectively reduces the risk of disease. ”

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Guidelines For Triglyceride Levels

The National Cholesterol Education Program has established guidelines for normal triglyceride levels as follows:

Normal triglyceride levels: below 150 mg/dl

    • Borderline high triglyceride ranges : 150 – 199 mg/dl
    • High triglyceride ranges: 200 – 499 mg/dl
    • Very high triglyceride ranges: 500 mg/dl or higher
    • Although cholesterol and fat are vital to the body, it is important to maintain a normal level, as high levels increase the risk of serious health problems, especially of the heart.

Diet cholesterol and triglycerides come from the consumption of red meat and dairy products. When consumed these foods are absorbed through the intestine and distributed through the bloodstream to reach the liver where they are processed. Thus, the liver can develop a non-alcoholic fatty liver disease, as a high-fat and high-cholesterol diet makes the liver greasy.

It is the job of the liver to deliver up to 75 percent of cholesterol and triglycerides to the body of cholesterol found in the body. 

Difference Between Triglycerides And Cholesterol

Although triglycerides and cholesterol are similar in the sense that they are fatty species, they have differences. A single significant difference between cholesterol and triglycerides is the fact that cholesterol is used to create cells and particular hormones in which triglycerides store unused calories and energize the human body.

Another difference is that cholesterol is strongly influenced by the fat that is consumed by diet where triglycerides are affected by total calories. Excess calories are converted to triglycerides and stored when the body needs energy. Things like alcohol and sugary foods can have a bigger impact on triglycerides.

Tips For Lowering Triglycerides And Increasing Hdl Cholesterol Levels

High LDL cholesterol and triglycerides can trigger serious health concerns and so it is important to raise HDL and lower triglyceride levels to maintain good health. Here are some tips to increase HDL levels and lower triglycerides.

Lose weight

    • Cutting Sugar – The American Heart Association (AHA) recommends only five percent of your daily calories come from added sugar
    • Increase your fiber intake
    • Border Fructose – Fructose is a type of sugar that can contribute to high triglyceride levels
    • A Moderately Low-Fat Diet – A moderately low-fat diet has proven to be effective in lowering triglyceride levels as opposed to a strict low-fat diet.
    • Pay attention to the fat you eat – there are good fats and bad fats. Avoid saturated and trans-fat fats and consume more monounsaturated or polyunsaturated fatty acids such as
    • Increase your fish consumption – try sardines and salmon
    • exercise
    • Restrict alcohol
    • If necessary, take triglyceride-lowering medication and recommended by your doctor
    • Quit smoking
    • Control diabetes if you have it

By following these tips and working closely with your doctor, you can lower your triglyceride levels and protect your heart.

Heart Healthy Foods – Low Fat Diet For High Cholesterol

A low-fat diet program for high cholesterol is concerned about consuming a variety of low-fat, heart-healthy foods as propagated by the American Heart Association (AHA). These foods can help remove harmful cholesterol from the body. In addition to eating the most beneficial foods, they need you to be prepared in a healthy manner to get optimal results. Plus, no heart healthy diet completely without exercise, a known cholesterol-lowering factor.

Heart-healthy foods

Eat heart healthy food. Be in accordance to the AHA, heart-healthy foods are high in fiber, low in fat and high in antioxidants. These heart-healthy foods can increase your “bad” cholesterol level (LDL) as well as decrease your “good” cholesterol level (HDL). Soluble fiber helps remove harmful cholesterol from the body.

Eat soluble fiber foods. Notable sources of soluble fiber include whole grains, lentils and beans, nuts and seeds, fruits and vegetables, and healthy oils of polyunsaturated and monounsaturated varieties. The USDA recommends eating at least 10g of soluble fiber daily to lower your LDL.

Eat oatmeal. A 1 1/2 cup serving of oatmeal, it says in the Mayo Clinic, contains 6 grams of soluble fiber. In fresh fruit and increase soluble fiber of 4 g. Top with cinnamon and low-fat milk to start your low-fat diet for high cholesterol day nutritiously.

Eat plant sterol foods as part of your low-fat diet for high cholesterol. Plant sterols contain a strong lowering of the cholesterol property along with many beneficial antioxidants. According to the American Dietetic Association, herbal sterols are notable in low-fat soy products such as tofu, tempeh, soy and soy milk; walnuts; avocados; Linseed and sunflower seeds. You can also buy foods fortified with plant sterols such as orange juice, margarine and fruit smoothies.

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Not Heart Healthy Foods

Watch out for saturated and trans fats. Foods containing these fats, according to the Mayo Clinic and USDA, can increase your “bad” cholesterol levels.

Saturated fats are found in animal products such as offal and whole-fat dairy products, including egg yolks and red meats. These fats are also found in fried foods, processed and prepackaged foods, biscuits, bread and many fast foods.

Food Preparation Methods

Choose heart-healthy cooking methods. According to the AHA and the USDA, if your food is made in an unhealthy method, such as deep frying, it can increase your LDL level. Healthy Cooking Methods to choose high cholesterol from your low-fat diet include steaming, grilling, poaching and baking (without excessive oils).

Physical activity

Exercise. Your low-fat high-cholesterol diet must also include daily physical activity, according to the AHA. It is recommended to have 30 minutes daily for at least five days a week. The exercise does not have to be exhausting for you to reap health benefits. Physical activity can lower your LDL. Choose activities that you are happy with and switch to avoid boredom.

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5 Often Underrated Fat Burning Tips On Weight Loss

There are countless tips on weight loss, and many of them may already be familiar to most. “Change your diet to whole foods. Make sure you use more energy. Interval training with heavy weights is more effective than extensive cardio training “, etc. The list of advice could be endless. The tips and tricks presented here are intended for those who want to lose weight in a healthy way, regardless of whether you are already fit for good habits and want to reach the next level or just start losing weight.

    1. Ensure adequate hydration

How do you do that best? Just get used to drinking a glass of water in the morning and always before eating, and drink enough between meals. You should never feel thirsty.

    1. Avoid carbohydrates in the morning

There are many different theories about carbohydrate timing. You’ve probably heard that most carbohydrates should be taken in the morning, as the body needs to be refueled and needs new energy. Although this sounds logical in theory, it is not 100% correct in the end. Try to start your day with proteins for a week instead of carbohydrates.

    1. Home remedy for belly fat

Many choose the wrong way to reduce their belly fat. In doing so, many home remedies can reduce fat and form the body, causing miracles, provided they are applied. Of course, some stamina and patience is required before the first results are achieved, but it is absolutely worthwhile. Some of these helpful home remedies for losing weight are: tomato, ginger and apple cider vinegar.

    1. Vitamin D and magnesium

In weight loss, vitamin D and magnesium play an important role. They are very important for the metabolic processes in the body. An undersupply makes weight loss difficult or even impossible. Apart from the fiber, the loss of weight in the project is a major shortcoming for most people in the supply of vitamins and minerals.

    1. Ensure a sufficient and restful sleep

When you are well rested and well rested, your body will produce less ghrelin (which is a predominantly gastric hormone that reduces energy expenditure and causes starvation). The lower limit: you will have less appetite and burn more calories.

 

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How Alcohol And Caffeine Affect Blood Pressure

Introduction

Blood pressure is the measurement of the power of your blood on the walls of the blood vessels. Their blood vessels are the arteries, veins and capillaries. Blood pressure is an important concept as it helps to drive up the oxygen and nutrients that your body needs to survive throughout your system. Unfortunately, when the blood pressure becomes too high, it can potentially damage the blood vessels. Two substances that can contribute to higher blood pressure, if not used in moderation, are alcohol and caffeine.

Alcohol

According to the American Heart Association, drinking alcohol in moderation can potentially have a positive effect on your heart. However, “in moderation” means only one or two drinks a day for men, and only one drink a day for women. Once you start consuming more than these, your blood pressure can begin to be adversely affected. Alcohol first does this by disrupting blood flow to the heart by removing nutrient-rich blood from the heart. Alcohol is also high in calories, resulting in obesity, which in turn also raises blood pressure levels. According to the Mayo Clinic, if you are currently taking antihypertensive medication, alcohol can interfere with their ability to work, putting you at an even higher risk of dangerously high blood pressure.

Caffeine

Caffeine can also be beneficial in moderation. According to men’s health, caffeine can help actively activate dopamine molecules and can also help fight off Alzheimer’s. But just like alcohol, when not used in moderation, caffeine can also have harmful effects on your blood pressure. Caffeine affects the blood pressure by narrowing the blood vessels. It does this by binding with adenosine receptors in the body, which blocks the possibility of properly functioning adenosine. Adenosine is a hormone that is partially responsible for helping keep blood vessels far enough for blood to pass through easily. Caffeine also stimulates the release of adrenaline and adrenal cortisol. One of the side effects of releasing these chemicals into the bloodstream is an increase in blood pressure.

What Is A Heart Ablation and How Catheter Ablation Corrects Heart Rhythm

Heart ablation is the term used by cardiac specialists for the treatment of cardiac arrhythmias in which they deliberately obliterate pathological areas of the heart muscle tissue

Catheter ablation can permanently repair certain forms of cardiac arrhythmias. Beginnings of this treatment method exist since the eighties. Since then, technology has made tremendous progress. Today, numerous cardiology departments perform the procedure.

How does a catheter ablation work?

Understanding the principle of catheter ablation requires some basic knowledge of how the heart works: the heart consists of four heart cavities, two atria and two main chambers. The beating of the heart is generated by electrical impulses that arise at a specific location in the right atrium. From this so-called sinus node, the electrical impulses spread over the atria and the atrioventricular node (AV node) on the heart chambers and cause the contraction of the heart muscle (conduction system see also graph).

If there are additional faulty pathways or sites in the myocardial tissue that trigger further excitement, there will be episodic or persistent irregular heartbeat. This can be treated by the so-called catheter ablation. Depending on the cause of the disease, the doctors either devour the starting point of the additional heart beats or the abnormal pathways.

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When will a catheter ablation be used?

For most forms of cardiac arrhythmia, the doctor will first try to treat them with medication. If this therapy fails, catheter ablation can permanently rid the patient of his symptoms in certain types of arrhythmia:

In Wolff-Parkinson-White syndrome (WPW syndrome), there is a congenital pathway between the atria and the ventricles as a short circuit. About the short-circuit connection, the excitement reach the chambers prematurely. It comes to the attacking tachycardia. After catheter ablation, when the expert obliterates the extra pathway, cardiac arrhythmia has disappeared in over 95 percent of cases.

In AV node reentry tachycardia, the electrical impulses circulate in the AV node. This causes tachycardia. Catheter ablation is the treatment of choice for this common cardiac arrhythmia and is successful in more than 95 percent of cases.

In atrial tachycardia (“atrial tachycardia”), the electrical impulses do not emanate from the sinus node but from other locations in the right atrium. The chances of a successful catheter ablation are slightly lower in atrial tachycardia than in WPW syndrome and AV node reentry tachycardia.

In typical atrial flutter, there is also a circular excitement in the right atrium. As the cardiac arrhythmia can be permanently cured by the catheter ablation in 95 percent of cases, it is clearly superior to the drug therapy.

Atrial fibrillation can be caused by electrical impulses from the pulmonary veins. When atrial fibrillation causes discomfort such as shortness of breath or heart failure, doctors use catheter ablation to electrically isolate the pulmonary veins. As a result, the interfering impulses should no longer reach the forecourts. The procedure lasts several hours. So far, he has been successful in seizure-related atrial fibrillation in about 70 percent of cases. For chronic atrial fibrillation, the success rate is just over 50 percent. Therefore, catheter ablation is only used when medications can not normalize the heart rhythm. Often, the patient must continue to take medication after ablation. In some cases, the catheter ablation needs to be repeated.

Although isolation of the pulmonary veins is not possible, there is still the possibility of AV node ablation. By sclerosing the AV node, the atria and chambers of the heart are completely separated electrically. The patient then needs a pacemaker. Therefore, AV node ablation is only an emergency solution.

How does a catheter ablation work?

Catheter ablation is usually performed as part of an electrophysiological examination (EPU) in the hospital. The standard procedure is radiofrequency ablation. Their principle is that the catheter tip delivers heat to the tissue with pinpoint accuracy. Other ablation procedures work with cold (cryoablation).

The inpatient admission usually takes place the day before the procedure so that the medical history can be recorded, the reconnaissance interview conducted and necessary preliminary examinations can be made.

Catheter ablation is performed like a cardiac catheter or EPU under local anesthesia. The patient is conscious. If necessary, the doctor administers painkillers and sedatives. First, the doctor examines exactly the cardiac arrhythmias and their place of origin in the EPU. Then he sets in the heart tissue on the ablation catheter targeted small scars of a few millimeters, to prevent the emergence or transmission of cardiac arrhythmia. After the sclerotherapy, if necessary, the doctor tests whether the cardiac arrhythmia can still be triggered by electrical impulses.

The duration of the procedure is very variable and can hardly be predicted. It can take two to six hours or, in some cases, even longer. The procedure after the procedure is similar to the follow-up treatment with the EPU: The doctor removes the catheters from the heart. In order to prevent rebleeding, he supplies the puncture site with a pressure dressing, which should remain there for 6 to 12 hours. During this time, the patient must observe strict bed rest so that the dressing does not slip. Mostly he can go back to work after a few days.

What are the risks and side effects of catheter ablation?

In most cases, the procedure is without complications. The complications that can occur with catheter ablation are essentially the same as those of the EPU. The doctor discusses it with the patient in a consultation before the examination.

Congenital Heart Disease – Treatment, Symptoms, and Causes

Congenital heart disease is a heart defect, of innate origin. Basically, this pathology concerns the septa of the heart, affects the artery, which supplies venous blood to the lungs or one of the main vessels of the arterial system – the aorta, and also There is an increase in the ballot channel (OAP). In congenital heart disease, the blood movement in the large blood circulation (BPC) and small (ICC) is disturbed.

Heart defects are a term that combines certain heart diseases whose main benefit is a change in the anatomical structure of the heart valve device or its largest vessels and the growth of the partitions between the atria or ventricles.

Causes of congenital heart disease

The main causes of congenital heart disease are diseases from the chromosomes – it is almost 5%; Mutation of the gene (2-3%); various factors such as alcoholism and drug addiction of parents; Infectious diseases in the first trimester of pregnancy (rubella, hepatitis), medications (1-2%) and hereditary predisposition (90%).

With various distortions of chromosomes, their mutations appear in a quantitative and structural form. When aberrations of large or medium-sized chromosomes occur, this generally leads to a lethal outcome. But if there are biases in life compatibility then there are several types of congenital diseases. When a third chromosome appears in the set of chromosomes, defects arise between the valves of the valves of the atrial and ventricular septa or a combination of these.

Congenital heart disease with changes in the sex chromosomes is much rarer than in trisomy autosomes.

Mutations of a gene not only lead to congenital heart disease, but also to abnormalities of other organs. Developmental disorders of the CVS (cardiovascular system) are associated with the syndrome of an autosomal dominant and autosomal recessive syndrome. These syndromes are characterized by a pattern of damage to the system in a mild or severe severity.

The development of congenital heart disease can contribute to various environmental factors that damage the cardiovascular system. Among them, X-ray radiation could be identified that a woman could receive during the first half of pregnancy; Radiation by ionized particles; some types of medicines; Infectious diseases and viral infections; Alcohol, drugs, etc. Therefore, heart disease formed under the influence of these factors has received the name of embryopathy.

congenital-heart-disease-symptoms

Under the influence of alcohol, most commonly formed VSD (defect of the interventricular septum), OAP (open arterial duct), pathology of the interatrial septum. For example, anticonvulsants lead to the development of pulmonary artery stenosis and aorta, aortic coarctation, OAP.

Ethyl alcohol is the first of the toxic substances, contributing to congenital heart disease. A child born under the influence of alcohol has an embryophytes alcohol syndrome. Alcoholic mothers suffer from almost 40% of children with congenital heart disease. Alcohol is particularly dangerous in the first trimester of pregnancy – this is one of the most critical stages of fetal development.

Very dangerous for the future of the child is the fact that the pregnant woman suffered from rubella. This disease causes a number of pathologies. And the innate pathology of the heart is no exception. The incidence of congenital heart disease after rubella is between 1 and 2.4%. Among the heart diseases are the most common in practice: OAA, AVK, Fallot tetralogy, DMZHP, stenosis of the pulmonary artery.

The data from the experiments show that almost all congenital heart defects are basically of genetic origin, which is consistent with multifactorial inheritance. Of course, there is heterozygosity of a genetic nature and some forms of UPU are associated with mutations of a gene.

In addition to the aetiological factors that cause congenital heart disease, there is also a risk group in which women fall into the age group; Have violations of the endocrine system; with toxicoses of the first three months of pregnancy; who have stillborn babies in the history, as well as already existing children with congenital heart defects.

Congenital symptoms of heart disease

The clinical picture of congenital heart disease is characterized by features of the structure of the defect, the recovery process and the complications resulting from a variety of etiologies. The symptoms of congenital heart disease include shortness of breath, which occurs in the context of low physical exertion, increased heart rate, periodic weakness, paleness or cyanosis of the face, pain in the heart, swelling, and fainting.

Congenital heart defects can occur at regular intervals, so there are three major phases.

In the primary, adaptive phase, the patient’s body attempts to adapt to circulatory system disorders caused by a developmental defect. As a result, the symptoms of manifestation of the disease are usually not very pronounced. But during a severe hemodynamic injury, cardiac decompensation quickly develops. If patients with congenital heart disease do not die during the first phase of the disease, there will be improvements in their health and development in about 2-3 years.

In the second phase the relative compensation and the improvement of the general condition are noticed. And for the second inevitably comes the third, when all the adaptive abilities of the organism eventually develop a dystrophic and degenerative nature of the changes in the heart muscle and in various organs. Basically, the terminal phase leads to the death of the patient.

The most pronounced symptoms of congenital heart disease include cardiac arrhythmia, cyanosis, and heart failure.

Noise in the heart of a systolic character and varying intensity is observed in almost all types of vices. But sometimes they can be absolutely absent or manifest as transience. As a rule, the best audibility is located in the left upper part of the sternum or near the pulmonary artery. Even a slight increase in the shape of the heart makes it possible to hear heart noises.

During the stenosis of the pulmonary artery and TMS (transposition of the main vessels), the cyanosis manifests itself sharply. And with other malformations, it may be missing or small. Cyanosis sometimes has a lasting character or occurs when weeping, crying, so with a periodicity. This symptom may be accompanied by a change in the end phalanges of the fingers and nails. Sometimes such a symptom manifests itself in the pallor of a patient with congenital heart disease.

In some types of vice, the dullness of the heart may change. And its increase will depend on the localization of changes in the heart. To make an accurate diagnosis to determine the shape of the heart, use an X-ray image using both anti-ography and kymography.

In heart failure, a spasm of the peripheral vessels can develop, which is characterized by blanching, cooling of the limbs and the tip of the nose. Spasm manifests as the adaptation of the patient’s body to heart failure.

 

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Congenital heart disease in newborns

Infants have a pretty big heart that has significant backup capabilities. Congenital heart disease is usually formed in 2-8 weeks of pregnancy. The cause of his appearance in the child is various diseases of the mother, contagious and viral; the work of the future mother in harmful production and of course a hereditary factor.

About 1% of newborns suffer from cardiovascular disease. Now it is not difficult to diagnose congenital heart defects early. So it helps to save the lives of many children through medical and surgical treatment.

Congenital heart disease is most commonly diagnosed in male children. And for various deficiencies, there is a certain sexual predisposition. For example, OAA and VSD predominate in women and aortic stenosis, congenital aneurysm, aortic coarctation, Fallot tetralogy, and TMA – in males.

One of the most common changes in the heart of children is the non-opening of the septum – this hole is abnormal. Basically, it is the VSW that is located between the upper chambers of the heart. Throughout the baby’s first year of life, some minor defects in the dividing walls may spontaneously shut down and not interfere with the child’s further development. Well, for major pathologies, surgery is indicated.

The fetal circulatory system prior to birth is a circulation that bypasses the lungs, meaning that blood does not flow there but circulates through the arterial duct. If a child is born, this gait usually closes within a few weeks. But if this does not happen, the child is put by the OAU. This creates some stress on the heart.

The cause of severe forms of cyanosis in children is the transposition of two large arteries when the pulmonary artery connects to the left ventricle and the aorta to the right ventricle. This is considered pathology. Without surgical intervention, newborns die during their first days of life. In addition, children with severe congenital heart disease rarely have a heart attack.

Characteristic signs of congenital heart disease in children are low weight, rapid fatigue, and paleness of the skin.

Congenital heart disease

Congenital heart defects can sometimes have a different clinical picture. Therefore, the treatment and treatment methods largely depend on the severity and complexity of the clinical manifestations of the disease. Basically, the picture of his life is absolutely normal, as in healthy people, when the patient is completely compensated for the blemish. As a rule, such patients do not need consultations with doctors. You can be given recommendations whose purpose is to keep the defect in a compensatory state.

First, a patient suffering from congenital heart disease should be limited to hard physical labor. This work, which adversely affects the well-being of the patient, is advisable to switch to another type of activity.

A person with a history of congenital heart disease should refuse to participate in complex sports and participate in competitions. To reduce the strain on the heart, the patient should sleep for about eight hours.

The right diet should accompany patients with congenital heart disease. Foods should be taken three times a day to ensure that plenty of food does not stress the cardiovascular system. All foods should not contain salt, and if heart failure occurs, the salt should not exceed five grams. It should be remembered that only cooked foods should be eaten as they are better for digestion and significantly reduce the burden on all digestive organs. Basically, you should not smoke and drink alcoholic beverages in order not to provoke a cardiovascular system.

One of the methods of treating congenital heart disease is medication when it is necessary to regulate the contractile function of the heart, regulate the water-salt metabolism and remove excess fluid from the body, as well as combat the altered rhythms in the heart To improve metabolic processes in the myocardium.

The treatment of congenital heart disease sometimes changes due to the specificity and severity of the defect. The age and health of the patient are also taken into account. For example, children with small forms of heart disease sometimes do not need treatment. And in some cases, surgical procedures must be performed as early as infancy.

Almost 25% of children with congenital heart disease urgently require early surgery. To determine the location of the defect and its severity, children are put into the heart with a catheter in their first days of life.

The most important surgical method for the treatment of congenital heart disease is the method of deep hypertension, in which a strong cold is used. This type of surgery is performed by babies with a heart in size with a walnut. Applying this method to heart surgery allows the surgeon to perform a complex operation to restore the heart as a result of its complete relaxation.

At the moment, other radical methods of treating congenital heart disease are widespread. Among them, the commissurotomy can be distinguished, in which the dissection of obstructed valves and prostheses is used when the altered mitral or tricuspid atrioventricular valve is removed and then the valve prosthesis is sutured. After such surgical procedures, especially mitral commissurotomy, the prognosis of the surgical treatment is positive.

Basically, patients return to their normal lifestyle after surgery, they are able to work. Children are not limited to physical abilities. However, anyone who has undergone heart surgery should continue to be monitored by the attending physician. A vise that has a rheumatic etiology requires repeated prevention.

Finding the Perfect Point for that Non Hdl Cholesterol Goal

People have been setting up their personal non hdl cholesterol goal to achieve, and they are right to do so because it is good for them. Setting up your own non hdl cholesterol goal can be a good thing for you as well because of several reasons. If you are curious about the why and the how setting up a low non hdl cholesterol level is good, then do proceed with this article.

What is non hdl cholesterol goal actually is?

Let us make it simple. We have already explored the definition and the reason behind the existence of hdl cholesterol in the article from before, so it is only right for us to explore its malicious cousin (or sibling. I do not know in what type of relationship these two cholesterols are in) to give it the attention that it needs.

Non hdl cholesterol, or more affectionately called the ldl cholesterol (the thing has a name as well, you know. You might offend it by not saying it outright) by scientists and commoners alike, is the devil on our other shoulder. It is the bad one from the two cholesterol, and having them inside your body is not recommended. Because nobody likes having anything bad within their body, many people has set up goal for non hdl cholesterol. The goal is pretty short in explanation, actually. Your ldl cholesterol cannot exceed a certain threshold (or a goal), and if it did, you will fail. The premise is pretty easy to understand, right?

While the premise is easy to understand, the fundamentals are a bit unknown

What I mean by fundamentals are the basic knowledge of what is the perfect point for ldl cholesterol. How can we know that a certain level of ldl cholesterol is good? Is it true that there is an undeniable ldl cholesterol level threshold that will apply for every person in this world?

There are researches, but the researches have not pulled out the best outcome

The treatment goal for non hdl cholesterol value is a bit vague, to be honest. A research indicates that having a non-hdl cholesterol level of 77 is your safest bet. If you did not cross that, you will be safe from heart attacks. Your heart will work better as well and your cardiovascular activity will not get ruined by it.

But there is another research that comes up saying that 84 is a threshold that you definitely cannot exceed. If it’s lower than 84, your body will still be good and it will not have problems. Coronary plaque build-up (the thing that make your heart goes into arrest) will be lessened and you will be all around healthy.

 

coronary-plaque

 

BUT (I will not be tired with ‘buts’ in this article so be prepared) another research says that if you are someone with a frail heart, a nice spot of 80 is the perfect MAXIMUM amount of non hdl cholesterol if you. BUT another says 70, so people with a frail heart can get in a bit of a pickle. I personally believed that you should not exceed 70 if your heart is weak, but that is just an opinion.

If your heart is strong and you have no heart problems since forever, then 100 is the safe word.

BUT…

Just kidding.

That’s all folks regarding non Hdl cholesterol goal, I do hope this article can shed some light regarding your search on the topic.

What Is Right Heart Failure?

Sometimes we can recognize warning signs of our body in everyday things: the otherwise super-fitting elegant loafers have to be exchanged for extra-wide health shoes from the medical supply store? The responsible swollen feet can be a first symptom of right-sided heart failure, also called right heart failure. What happens to this form of heart failure in the body and how to recognize Right Heart Failure, read now.

Symptoms of Right Heart Failure

Simply put, in right heart failure, the right half of the heart is no longer working properly. This is often the result of advanced left heart failure. If the two forms come together, it is also called global heart failure. When it comes to the chronic form, the symptoms of heart failure can go unnoticed for a long time right. Common signs of right heart failure include:

    • Rapid weight gain and swollen ankles and feet indicate water retention in the tissues. If you press your finger on the thickened area, a dent remains that can last for several minutes.
    • Caution: A thrombosis (blood clot) can also cause swelling in the leg. In contrast to this disease, in case of right heart failure, however, both legs or feet are always swollen. A thrombosis must be treated immediately.
what-happens-with-heart-failure-on-the-right
What happens with heart failure on the right?

Right heart failure is a weak pumping of the right half of the heart, which is responsible for the transport of oxygen-poor blood to the lungs. Normally, the right half of the heart works like this:

    1. Low-oxygen blood from the upper and lower half of the body flows into the right atrium.
    2. From the right atrium, the blood enters the right ventricle.
    3. The spent blood flows from the right ventricle into the lungs, where it is enriched with oxygen. This is called “small blood circulation”.
What happens if the right half of the heart is weakened?

This is simply explained: In right heart failure, more blood flows out of the systemic circulation than the impaired, right ventricle can carry on to the lungs. There is a backlog of spent blood in front of the right atrium, which can reach into the legs or neck. Sufferers suffer from swollen legs and thickened veins. In addition, this can increase the pressure in the veins so much that the liquid components of the blood are pressed into the surrounding tissue. This causes water retention (edema) in the feet, abdomen or other parts of the body.

How to Avoid The Second Heart Attack?

About two out of three people survive a heart attack. For these patients, it is very important to avoid a second infarction because the chances of survival in a repeated infarction are significantly lower. Certain risk factors such as genetic predisposition, age or gender can not be changed – but there are a number of other factors that you can influence yourself to reduce the risk of a second heart attack.

Avoid second infarction: First step is cure

Overall, about one third of heart attack patients suffers another infarction. The prognosis of a heart attack depends firstly on how badly the heart was damaged, but also on the behavior and lifestyle of those affected. The first important step after a cardiac arrest has passed is a cure for many patients – a so-called follow-up treatment. This type of rehabilitation should be followed directly by the hospital stay and usually takes three weeks. Studies show that rehabilitation improves the prognosis after a heart attack. In the follow-up treatment, which can also be performed on an outpatient basis, not only the medical treatment is continued and the physical performance is rebuilt, the patient is also informed about risk factors and educated on how he needs to change his lifestyle. Since this is often associated with the task of decades of habits, this is particularly difficult for many heart attack patients.

Take medication regularly and stop smoking

The most important factors to avoid a second heart attack include regular use of prescribed medications and abstinence from smoking. Only a consistent therapy can prevent a second heart attack. However, studies show that patient adherence diminishes approximately one year after the infarction. Five years after the infarct, only a part of the therapy continues consistently.

A second major contributing factor to the onset of another heart attack is smoking.

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Healthy lifestyle: heart sports, nutrition and relaxation

But even those who give up smoking and taking his medication regularly, should also pay attention to a healthy lifestyle. This includes :

    • regular exercise and sports,
    • a healthy, low-salt and low-fat diet and
    • the avoidance of stress.

Regular exercise and moderate exercise are healthy for the heart – even after a heart attack. A good start after rehabilitation is offered by so-called heart sports groups, where you can train with other people under medical supervision. But regular exercise in everyday life is important, such as walking, cycling or gardening. In addition, heart sports can also boost confidence in one’s own body, which can help to reduce existing fears.

Overweight, high blood lipid levels and diabetes are risk factors for a heart attack that can be positively influenced by a healthy diet. Recommended for heart attack patients the so-called Mediterranean diet: This contains little meat and (animal) fat, but plenty of fruit and vegetables, regularly fish and in unsaturated fatty acids, such as those contained in olive and rapeseed oil.

Avoiding stress is also essential for heart attack patients if they want to avoid another heart attack. Researchers have shown that chronic stress can clog the arteries. In addition, stress can increase blood pressure, which also increases the risk of another heart attack. Heart attack patients should therefore look at how they can reduce stress in everyday life. It can also be helpful to learn certain techniques in stress management, such as autogenic training, progressive muscle relaxation, yoga or meditation.

What is Heart Arrhythmia, Symptoms, Causes And Therapy

What is a heart arrhythmia?

Heart arrhythmia is a disorder characterized by an accelerated or severely slowed heartbeat. The change in heart rate is due to an increase or decrease in electrical activity in the heart muscle.

Expansion of the heart is controlled by electrical signals or impulses from the brain. An interruption in the transmission of these electrical pulses may result in the suspension of a heartbeat. The values ​​of a normal adult heartbeat are 60 to 100 beats per minute. If you have a heartbeat outside this area, talk to your doctor about it.

Arrhythmia is often a contraindication to sports.

heart-arrhythmia

When do you have to worry?

Benign arrhythmias manifest at the level of the atria (for example, atrial fibrillation) or the atrioventricular sinus. They do not lead to the death of the person. Malignant arrhythmias that can lead to death include tachycardia and ventricular fibrillation.

Causes of heart arrhythmia

Here are the main causes of irregular heartbeat and arrhythmias:

    • Coronary heart disease is a common cause of arrhythmia. It is a disorder in which the blood circulation in the coronary vessels is obstructed.
    • Stimulants such as smoking, alcohol abuse, drugs and caffeine.
    • Abnormal sodium or potassium levels in the blood.
    • Some stomach disorders, such as hiatus hernia or gastroesophageal reflux.
    • Stimulants in medicines for cough and cold.
    • They can occur during convalescence after heart surgery.
    • Hypertension or high blood pressure.
    • Thyroid dysfunction or hyperthyroidism are less common causes of arrhythmias.
    • Myocardial damage or fibrosis of the heart due to myocardial infarction.
    • Diabetes and insulin.

Symptoms of heart arrhythmia

The symptoms of an irregular heartbeat are very vague. Sometimes the patient does not feel it at all. Patients with serious arrhythmias may have few symptoms, while others with significant symptoms may present a less severe condition.

Symptoms include:

    1. Intermittent chest pain or angina, the most common symptom of an irregular heartbeat
    2. Fast and irregular frequency, strong tapping of the heart
    3. Fainting or syncope
    4. Difficult breathing, especially under stress
    5. Excessive sweating
    6. Fear and restlessness
    7. General malaise
    8. Dizziness or dizziness
    9. Fatigue

Asymptomatic arrhythmia

The asymptomatic arrhythmia is not always harmless and may cause blood clotting in the heart and / or a reduction in the amount of blood being pumped.

Heart Arrhythmia At Night

Nocturnal irregular heartbeat can have various causes. The most common are :

    • Diabetes
    • Hyperthyroidism (hyperthyroidism)
    • high blood pressure or hypertension
    • Other heart diseases
    • Some medicines
    • Smoke
    • Stressful situations
    • Some natural remedies

Arrhythmia after eating

When we eat, a large amount of blood is diverted to the digestive tract. The body immediately responds to this situation and tries to maintain normal blood pressure by increasing the heart rate and narrowing certain arteries. If this mechanism does not work, postprandial hypotension may occur (drop in blood pressure after eating). Older people may have arrhythmias after eating. People who may experience cardiac arrhythmias after meals include those with high arterial blood pressure or Parkinson’s disease.

Causes and symptoms of the disorder can vary from person to person, possibilities are:

    1. Some people suffer from tachycardia only in certain situations, for example, at night in bed, after eating sweet foods or foods with a high sodium content, etc.
    2. Inadequate water intake, which thickens the blood and thus forces the heart to work to pump the blood.
    3. Dysfunction of an endocrine gland.
    4. Problems of the digestive system.
    5. Excessive enjoyment of coffee and other stimulants.
    6. Disorders of the vagus nerve.
    7. Hiatus hernia (diaphragmatic hernia).
    8. Gastroesophageal reflux.
    9. Liver or kidney disease.
    10. People with a rapid resting heartbeat may have arrhythmias after eating.

symptoms-of-heart-arrhythmia

Atrial fibrillation (AF)

Atrial fibrillation is the most common type of arrhythmia. In this disease, the heart beats irregularly and too fast. AF can be chronic, persistent or paroxysmal. Paroxysmal atrial fibrillation occurs occasionally and temporarily, and is short-lived, from a few seconds to a few days.

Ventricular arrhythmia

This is a heart disorder in which the irregular rhythm of the heart and heart beats come from the heart chambers. It can be divided into: ventricular tachycardia, ventricular bradycardia and ventricular fibrillation. Tachycardia means that the heart rate exceeds 100 beats per minute, while bradycardia is characterized by beats below 60 beats per minute. Ventricular fibrillation is a disease in which the heart beats quickly and irregularly. The result is a reduction of the pumped blood.

causes

    1. Drug side effects
    2. caffeine
    3. nicotine
    4. High sodium and potassium levels in the blood
    5. Necroses and fibroses of the heart muscle
    6. cardiomyopathy
    7. myocarditis
    8. Valvular heart disease
    9. Congenital heart disease

Respiratory Sinus Arrhythmia (RSA)

Respiratory sinus arrhythmia refers to a change in heart rate that occurs during a natural breathing cycle. The vagus nerve is a cranial nerve that runs from the brain stem to the abdomen and plays an important role in the regulation of the heartbeat. It reduces the contraction force and the frequency of  the heart. During inhalation and exhalation, cells of the medulla oblongata send a signal from the parasympathetic nervous system via this cranial nerve to the heart. This causes a cyclic variation of the heart rate. Respiratory sinus arrhythmia is a physiological variant and is not considered abnormal. In fact, it is the loss of this normal reflex that signals a heart problem.

RSA is common in children and adolescents and usually goes away with self-growth. However, a doctor should be consulted on:

    1. Very fast and irregular heartbeat,
    2. Very slow heartbeat,

Heart Arrhythmia in Children

What are the specific causes of heart arrhythmia in children?

    1. Congenital heart defect
    2. Side effect on medicines

Cardiac palpitations during pregnancy

What are the causes?

    1. Mental stress
    2. body changes
    3. Excessive caffeine consumption
    4. Physical stress
    5. anemia
    6. Lack of magnesium
    7. Side effects of drugs

Diagnostics and examination

Heart arrhythmia are diagnosed by listening to the stethoscope or by an electrocardiogram (ECG). For fetal arrhythmias, echocardiography is usually performed; in the 20th week of pregnancy usually a morphological ultrasound. If the gynecologist sees a congenital anomaly, he may request  chocardiography, as this examination is much more thorough.

Therapy of heart arrhythmia

In some arrhythmias, it does not require treatment, in other cases, rapid treatment must be used to prevent heart failure.

Possible treatments are:

Physical exercises

There are several physical exercises (physiokinesis therapy) that stimulate the stimulation of the parasympathetic nervous system (the part of the nervous system that affects rest, digestion, energy recovery and recovery).

The techniques that affect the vagus nerve (vagal maneuvers) affect the parasympathetic nervous system and promote the health of the heart.

With regard to nutrition, stimulating foods, such as coffee and chocolate, are not recommended as they can affect the heart rate.

Treatment of the accelerated heartbeat

Cardioversion. If the tachycardia comes from the atria (for example, atrial fibrillation), the doctor can perform a cardioversion. It is an electrical shock that serves to restore the heart to its normal rhythm.

This procedure is usually performed in a supervised environment and does not cause pain. Emergency cardioversion (defibrillation) is also used in ventricular fibrillation and ventricular tachycardia.

Ablation therapy. In this procedure, a catheter is inserted through the blood vessels to the heart. It is placed over the place where the arrhythmias arise. The electrodes on the catheter tip are heated by radiofrequency energy.

Another method involves cooling over the catheter to freeze the tissue that is not functioning properly. Both methods destroy (ablate) a small portion of the heart tissue and create an electrical block along the pathway that causes the arrhythmia.

Implantable devices

Pacemaker. A pacemaker or pacemaker is an implantable device that helps regulate a slow heartbeat (bradycardia). A small device is placed under the skin near the collarbone. An insulated wire leads from the device to the heart where it is anchored. If the pacemaker is recording too low a heart rate or heartbeat, electrical impulses are sent to stimulate the heart to a faster heartbeat or to continue the heartbeat. Most pacemakers have a detection device that turns off when the heart rate is above a certain threshold when the frequency becomes too slow again.

Implantable Cardioverter Defibrillator (ICD).

The doctor may prescribe this device to a patient at high risk for malignant and potentially fatal arrhythmias: ventricular tachycardia or ventricular fibrillation. An ICD is a system with a battery implanted near the left clavicle. One or two electrodes go from the ICD via veins to the heart.The ICD continuously controls the heart rhythm. If too slow a rhythm, it stimulates the rhythm like a pacemaker. In fibrillation or ventricular tachycardia, it sends low-energy pulses to restore normal heart rhythm.

Surgical treatment

In some cases, surgical intervention may be recommended for the treatment of cardiac arrhythmias:

Maze procedure. The surgeon puts a series of incisions in the atria. These lesions heal in the form of fibrous scar tissue, which has an insulating effect. In this way, the electrical impulses are steered into correct paths, thereby enabling an efficient heartbeat. The surgeon can use an instrument that ices the tissue, a high-frequency probe, or a scalpel to create scars.

Coronary bypass surgery. In severe coronary artery disease and frequent ventricular tachycardia, the physician may recommend coronary artery bypass graft surgery. This can improve the perfusion of the heart and reduce the frequency of ventricular tachycardias. 

Medical therapy

Many medications are available to treat cardiac arrhythmias. Some of the prescribed medications are listed here.

antiarrhythmics

These medications are used to reduce the symptoms of tachycardia.

Medicines prescribed for this purpose are:

    1. Amiodarone (Cordarex)
    2. Dronedarone (Multaq)
    3. Flecainid (Tambocor)

calcium channel blockers

These medications prevent calcium from entering the heart cells and blood vessels. The result is that the blood vessels relax and the arterial blood pressure drops.

Calcium antagonists prescribed for cardiac arrhythmia include:

    1. Amlodipine (Norvasc)
    2. Diltiazem (dilemma)
    3. Nifedipine (Adalat)

Beta Blocker

These drugs block the effects of adrenaline, lowering blood pressure and cardiac output. The most commonly prescribed beta-blockers are:

  1. Metoprolol (Beloc)
  2. Nebivolol (Nebivolol Heumann)

Anticoagulants They are known as blood thinners and prevent the formation of blood clots. The use of these medications is important in preventing complications and risks of heart arrhythmia.

    1. warfarin
    2. aspirin

Natural Remedy For Arrhythmia

Herbal remedies for heart arrhythmia include hawthorn and linden, which reduce tachycardia and cardiac palsies.

What Is The Coronary Heart Disease And How Does It Arise

Definition: What is a coronary heart disease (CHD) and how does it arise? CHD is the most common heart disease of the entire world population. It is also referred to as ischemic heart disease. In Germany, approximately 6 million patients are affected. Scientists believe that the incidence of coronary heart disease will increase with increasing life expectancy.

CHD primarily affects people over the age of 50 and is one of the most frequently reported causes of death in all industrialized countries. It is a disease of the heart caused by occlusions and constrictions in the coronary arteries.

These arteries are among the blood vessels that supply the heart with energy-giving nutrients and oxygen-rich blood. Especially with physical stress, the blood transport through the body is reduced and there are typical symptoms of CHD.

How is the calcification of coronary arteries formed?

Calcification of coronary arteries is caused by deposition of arteriosclerotic plaques by :

    • cholesterol
    • saturated fatty acids
    • lime-like particles

In some cases, initial nutritional damage already exists due to :

    • high blood pressure
    • Diabetes mellitus

The human immune system does not recognize the plaques as endogenous. This is followed by inflammatory reactions and the plaques become increasingly unstable, since activated immune cells no longer fulfill their task and die in the same. Deposits begin to open by progressive increase. The contents enter the bloodstream and finally the coronary vessels, where it settles again.

Typical symptoms of CHD

Depending on the stage of development of CHD different symptoms occur. It is distinguished into three different forms of stages of coronary heart disease.

latent CHD

A latent coronary heart disease is characterized by mild to moderate constrictions of the coronary arteries. There is a coronary sclerosis.

Although this phase is asymptomatic, there is already a significant mismatch between oxygen supply and demand. Despite the absence of symptoms, it is possible to detect a reduced perfusion of the heart muscle. In diabetics often no typical symptoms are noticeable.

Stable CHD

At this stage, sufferers notice typical CHD symptoms that occur under certain conditions. In most cases, they return alone or can be treated with medication (stable angina pectoris).

Angina Pectoris is the leading symptom of coronary heart disease. Affected notice a feeling of tightness as well as pain directly behind the breastbone. Primarily, the symptoms occur in cold, but also exercise. Other factors, such as mental stress or high-fat meals, can trigger these symptoms as well.

The resulting pain often spreads to the left arm or to other body regions such as upper abdomen, jaw or neck.

Other typical symptoms of CHD are:

    • Shortness of breath (shortness of breath)
    • sweats
    • Arrhythmia

Occasionally affected people feel dread. As soon as the affected person comes to rest or stays warm again, these symptoms of angina pectoris return.

Typical symptoms of angina pectoris vary in their frequency, intensity and duration. They are closely related to the current progression of the CHD. In patients with renal insufficiency or diabetes mellitus, chest pain persists. This also applies to persons over 75 years and operated on. Here are breathlessness, dizziness, nausea and radiation of pain in the abdominal area as warning signs.

Unstable CHD and acute coronary syndrome

Similar symptoms of angina pectoris also occur here. However, they are significantly stronger and unpredictable (unstable angina pectoris). This expression can not always be adjusted to medication.

As a result, coronary heart disease leads to a reduced resilience of sufferers and causes a reduction in performance. Depending on the severity, this affects the quality of life. In individual cases, patients can no longer sufficiently fulfill everyday tasks.

At the same time, the clinical picture may continue to deteriorate and become a life-threatening stage of CHD. The so-called acute coronary syndrome is characterized by three manifestations :

    1. Unstable angina pectoris
    2. is characterized by a lack of elevations of the heart enzymes (creatine kinase MB, troponin) in the blood. ECG results show no changes that indicate a heart attack.
    3. Non-ST-elevation myocardial infarction (NSTEMI, acute myocardial infarction)
    4. shows no changes in the ECG, however, heart enzymes that point to possible heart disease and an infarction, detectable in the blood.
    5. ST segment elevation myocardial infarction (STEMI, acute myocardial infarction)
    6. manifests itself by typical changes in the ECG and detectable cardiac enzyme levels in the blood

As a consequence of these features occur :

    • Heart failure due to a heart attack
    • Heart arrhythmia due to a myocardial scar or coronary circulatory disorders
    • Sudden cardiac death
Risk factors for the development of CHD

The training of CHD is favored by numerous risk factors. Women over the age of 55 and men over the age of 45 are at particular risk. The previous lifestyle plays a particularly important role here. Unhealthy, high-fat diet, lack of exercise and smoking increase the risk of diseases such as high blood pressure, high cholesterol, lipid metabolism and glucose tolerance disorders. As a consequence of this, in turn, a CHD can arise.

Not to be ignored is the family disposition. Special caution is advised when cases of CHD to heart attack have already occurred in the family environment, if possible risk factors should be largely avoided and a special focus on a healthy, balanced lifestyle should be laid. 

what-is-coronary-heart-disease

The diagnosis of CHD

Due to the risk factors for coronary heart disease described above, the diagnosis begins with an intensive discussion. Besides the risks, complaints are also documented. In addition, an assessment of the physical capacity of the patient.

This is followed by a physical check focusing on the legs, lungs and heart. Possible signs of CHD include :

    • Cardiac malformations such as aortic valve stenosis
    • rattling breathing due to pulmonary congestion
    • heart failure

Weight, heart rate, blood pressure and vascular status are also determined in order to make a correct diagnosis. If the patient reports symptoms suggestive of possible angina pectoris, the physician also measures the heart rate.

Which laboratory values ​​are suitable for the diagnosis of CHD?

The following values ​​are recorded in case of suspected coronary heart disease during the initial examination :

    • blood count
    • Cholesterol levels (HDL, LDL)
    • electrolysis
    • total cholesterol
    • Urinary findings (because of possible albuminuria)
    • creatinine
    • Fasting blood sugar
    • triglycerides

What exactly does a further diagnosis of CHC include?

In individual cases further investigations follow, for example :

    • Stress echocardiogram
    • Computed tomography (CT)
    • Echocardiogram (ultrasound of the heart)
    • Ergometry (ECG during exercise and rest)
    • coronary angiography
    • scintigraphy

Basically, the choice of possible advanced diagnostic methods depends on the likelihood of coronary heart disease. This results from various factors such as gender, age, risks as well as symptoms.

The treatment of CHD

Therapeutic measures in diagnosed CHD are based primarily on two basic elements. On the one hand, medications can support the treatment. On the other hand, specific non-pharmacological measures, especially on the part of the patient, are necessary.

Drug treatment of CHD

The primary goals of a drug therapy of CHD are the alleviation of the symptoms and the positive influence on the further course of the disease. For this purpose different groups of active ingredients are available :

    • ACE inhibitors
    • Beta-blocker (beta-receptor blocker)
    • Cholesterol-lowering drugs (e.g., statins)
    • Platelet aggregation inhibitor (clopidogrel, acetylsalicylic acid)

Typical symptoms of angina pectoris can be alleviated with nitrates or calcium channel blockers (calcium antagonists). In addition, the flu vaccine is recommended for affected patients. In acute cases, bypass surgery may improve the CHD. Sometimes a percutaneous coronary intervention (PCI) is necessary.

Treat CHD without medication

Secondary preventive measures aim to prevent further complications as well as alleviate the current symptoms of CHD. The focus is on a healthy lifestyle. The individual components are similar to the primary preventive approach, which prevents the development of coronary heart disease.

Can a CHD be prevented?

In order to prevent a possible development of CHD, primary preventive measures can be taken to improve general heart health. A healthy lifestyle, sufficient exercise and a balanced diet are the basic requirements for this.

Sports that have a positive effect on heart health include swimming, running or cycling. Ideally, stress should be avoided, which is not completely possible for most people, so stress should be adequately processed or broken down through yoga, relaxation exercises or autogenic training.

In case of overweight, a weight reduction should be targeted. In addition, smoking cessation is recommended, which can minimize or even prevent numerous health problems. In addition, persons over the age of 35 should take the health check at the family doctor every two years. Here, typical risks, such as Diabetes mellitus, high blood pressure or elevated cholesterol, to be diagnosed for CHD.