Category Archives: Heart diseases

Pediatric cardiology

There is a number of heart conditions that can affect children. Few children have structural differences by birth others involve the electrical system that controls the heartbeat. Pediatric cardiologists mainly treat, diagnose and manage the problems in the child.  Pediatric heart problems in children include congenital heart disease and Arrhythmias. Congenital heart disease refers to heart structural variation by birth in the child which include holes between chambers of the heart, abnormal blood vessels and valve problems. Arrhythmiasis know as abnormal heart rhythms caused by the system that controls the heartbeat electrically. Pediatric cardiologists will treat pulmonary hypertension and systemic hypertension. Systemic hypertension means high blood pressure in the body. But in few regions, pulmonary hypertension is treated by pediatric pulmonologists and systemic hypertension is treated by pediatric nephrologists.

edhgjnIn Food industries generally, Pediatric cardiologists work closely with primary care pediatricians to provide coordinated and comprehensive care. Heart Problems can arise due to various other symptoms in the body so pediatric cardiologist will team up with health care providers. For child care, there are pediatric heart surgeons, cardiac anesthesiologists, neonatologists, cardiac pediatric intensivists, pediatric radiologists, as well as pediatric nurses, nutritionists, and speech, occupational, and physical therapists. There are various Tools to diagnose cardiac conditions in children. Based on Physical and cardiac examination. For Physical examination: Vital signs and Cardiac examination will be carried out. For Laboratory examination: Electrocardiography, Chest X-ray, Pulse oximetry, Blood counts, Echocardiography, Magnetic resonance imaging (MRI and MRA), Computed tomography, Exercise testing, Cardiac catheterization are done. Environmental and genetic conditions associated with heart disease in children also play a major role. There are various Unusual forms of congenital heart disease in children, Unique cardiac conditions in newborn infants, cardiac conditions acquired during childhood, Abnormalities of heart rate and conduction in children and Congestive heart failure in infants and children. For preventing follow the treatment and precautions given by pediatric cardiologist and have a healthy lifestyle

Trending Cardiovascular Nutrition Controversies

The cardiovascular benefits in several trending foods and dietary patterns are still incompletely understood. The nutritional science continues to evolve as the number of controversial dietary patterns, foods, and nutrients have received significant media exposure. Popular foods and dietary patterns that are promoted for cardiovascular health to provide clinicians. The case-control studies can be done (inexpensive), thus we can get the exposure and the outcome easily. The major issue will be how to select the study population or how retrospective data are collected. In nutrition studies that process done is recall and record (i.e., that involve keeping a food diary or collecting food frequency information) accurate memory and recording of food and nutrient intake over prolonged periods will be problematic and subject to error, mainly in the diagnosis of disease. The advent of mobile technology and food diaries may provide opportunities to improve accuracy for case studies.

ertyBlood cholesterol is increased due to the intake of Dietary cholesterol. Vegetable oils vary greatly in the content of SFAs, except coconut oil, palm oil is high in SFAs, mostly palmitic acid. The berry boom, berries were the third most consumed fruits, then bananas and apples. Nuts for cardiovascular health: Nuts include Brazil nuts, pistachios, pine nuts, almonds, walnuts, hazelnuts, and pecans (tree nuts), and also peanuts, which are legumes. Green leafy vegetables for cardiovascular health: The dark green vegetables attribute to vascular benefits like including reduced arterial stiffness and blood pressure, resulting in part to the enrichment of inorganic nitrate, which undergoes salivary bacterial conversion to nitrite, followed by gastrointestinal acidification to NO. Juicing: leads to heart health Juicing of fruits and vegetables, often in combination with other foods and nutritional supplements, has become very popular, with no end of technologies to prepare the elixirs of health which mainly leads to stroke.

3-Treatments for Heart-Disease that are changing lives

A Drug for Heart Failure: The failure of the heart muscle to forcefully pump blood to the body’s tissues is a common disorder called Congestive heart failure. Heart attacks (stroke), high blood pressure, or diseases that weaken the heart muscle are common causes. The severe shortness of breath or fatigue that limits the ability to enjoy a life of the patients. Paradigm-HF is used in the large clinical trial, the new drug LCZ696 was used to treat heart failure, and it was highly effective. It achieved a substantial 20 % reduction in death or repeat hospitalization compared with the best currently available therapies. Currently, 20 % or more of patients hospitalized for heart failure are readmitted within 30 days which represents a significant burden for patients and the healthcare system.LCZ696 will probably be approved, providing a new, promising option for the 5.7 million Americans with heart failure.

heart dec 28

Treatment for High Cholesterol: The PSCK9 inhibitor is second innovative drug therapy. These specify class of drugs has moved from discovery to the clinic more rapidly than any cardiovascular advancement. The single most important risk factor for developing coronary heart disease is an elevated level of cholesterol, LDL-C. The best drugs for reducing cholesterol, statins, have been shown to lower the risk of heart attack or stroke up to 35%. Statins have been available for 25 + years and have been enormously successful at reducing the burden of heart disease. Patients cannot tolerate statins or can’t take large enough dosages to adequately reduce cholesterol levels. LDL-C will be very high due to a genetic cause, and even the most powerful statins cannot reduce it to safe levels. PSCK9 inhibitors reduce bad LDL-C by as much as 50 % to 70 %. These drugs are given by every 2 weeks or once a month given by very small needles. These can be self-injected by the automated injector. This new class of drugs appears to be well tolerated even in patients who cannot take statins due to adverse effects.

Less Invasive Surgery: In 2011, the FDA approved a new procedure to treat heart valve disease without a major surgical operation, known as Trans-catheter aortic valve replacement (TAVR). This device is approved for who need an aortic valve replacement, but who are too high risk for standard open-heart surgery.

Is there any connection between heart and brain?

Your heart and your brain are more intricately connected than you may realize. Brain signals the heart to pump its oxygen-rich blood through the autonomic nervous system, and heart responds by delivering blood to the entire body, including to brain. If the brain does not receive enough oxygen from the heart, you may experience symptoms ranging from fuzzy thinking to a life-threatening stroke. When blood flow to the brain is interrupted or blocked by a blood clot or plaque that has broken away from an artery or valve and is floating in the bloodstream leads to stroke. The lack of oxygen can cause brain cells to die, leading to symptoms of dementia, disabilities, or even death. The major step to the heart is also ways to protect the brain. The steps to prevent from the stroke: Managing your blood pressure is especially important because high blood pressure is the leading cause of stroke. It also may cause tiny lesions in the brain that can slow your thinking and progress to a loss of brain function in the future.

heart 2019

Steps to Take during Heart Surgery: When your Heart Surgery includes the valve replacement, it is all the more important to consider ways to protect your brain. Valve replacement procedures, such as transcatheter aortic valve implantation (TAVI), can be life-saving interventions. It will correct restricted blood flow caused by a narrowing or obstruction of the heart valve. However, during valve replacement, small particles of debris can break loose and find their way into the blood vessels of the brain.

What is good for the heart is good for the brain. Understanding the unique relationship between the heart and brain, and taking steps to protect both of these vital organs throughout life, is important for lifelong health.

 

Women and Heart Disease

Heart Diseases are faced in both men and women. But for Women symptoms and risk factor varies. If unique symptoms of women are understood, the risk of heart disease can be reduced. Most commonly observed heart attack symptoms for women. The usual one is of pain, pressure or discomfort in the chest rarely women may have the heart attack without any symptom. The other symptoms unrelated to chest pain Neck, jaw, shoulder, upper back or abdominal discomfort, Shortness of breath, Pain in one or both arms, Nausea or vomiting, Sweating, Lightheadedness or dizziness and Unusual fatigue. The chest pain as pressure or a tightness because women tend to have blockages not only in their main arteries but also in the smaller arteries that supply blood to the heart — a condition called small vessel heart disease or coronary microvascular disease

heart

Heart disease risk factors for women: The traditional risk factors are high cholesterol, high blood pressure, and obesity: Diabetes, Mental stress and depression, Smoking, Inactivity, Menopause, Broken heart syndrome, certain chemotherapy drugs and radiation therapy for cancer, Pregnancy complications. To reduce their risk of heart disease, Quit or don’t start smoking, Exercise regularly, Maintain a healthy weight, Eat a healthy diet that includes whole grains, a variety of fruits and vegetables, low-fat or fat-free dairy products, and lean meats, and Avoid saturated or trans fat, added sugars, and high amounts of salt. The above-mentioned factors reduce the condition for Heart Disease and Heart Surgery.

The Regular exercise, maintaining the body mass index (BMI) reduced the risk factors. For few women, routine use of daily aspirin therapy to prevent heart disease in low-risk women younger than 65 years old isn’t recommended by American Heart Association (AHA). The intake of aspirin without doctor recommendation is not welcomed.

Advantages of Daily Exercise for Women with PCOS

pcos

Polycystic ovary disorder (PCOS) could be a common endocrinopathy affecting women of regenerative age. PCOS prevalence is 9%–21%, depending on the think about population and symptomatic criteria applied. Oligo/anovulation, hyperandrogenism, and polycystic ovaries on ultrasound. PCOS has regenerative (hyperandrogenism, oligo/anovulation, infertility), metabolic (dyslipidemia, sort 2 diabetes (T2DM)), and mental highlights (sadness, anxiety, low self-esteem)

Making positive way of life changes is key to overseeing PCOS. Diet and work out are two of the most ways you’ll do that and both zones ought to be tended to for this way of life changes to be successful. Regular work out has unimaginable benefits that go way past weight misfortune for women with Polycystic Ovarian syndrome.

Standard cardio work out and quality preparing has been appeared to assist your body react superior to affront, bringing down your chance for diabetes and other complications,  women with PCOS are more likely to create side effects of sadness. Once you work out, your body discharges endorphins, which are hormones that promote feelings of wellness. This could assist you oversee push and lighten a few side effects of sadness.pcos 2

Working out routinely can assist you drop asleep quicker and have distant better a much better; a higher; a stronger; an improved a distant better quality rest. Women with PCOS are more likely to have problems with sleep apnea, wheezing and indeed a sleeping disorder. Attempt adding in customary exercise just not appropriate some time recently bed—and see on the off chance that that makes a difference you get distant better; a much better; a higher; a stronger; an improved an improved rest at night. Be beyond any doubt that it may take many days or weeks some time recently you see comes about; you’ll likely be more tired within the starting whereas your body alters to the additional action.

Losing weight may be a common reason that women grant for wanting to start, or proceed, their work out program. Be beyond any doubt that women with PCOS do battle with weight misfortune indeed with a healthy slim down and normal cardio and quality preparing work out, so this shouldn’t be the essential reason why you exercise. It can be troublesome to remain propelled to keep up with a standard work out arrange once you battle to see results. Or maybe, attempt to keep in mind all of the other benefits recorded over in intellect as you set out on a modern work out arrange.

Heart disease is the number one executioner of women and ladies with PCOS are at a much more prominent chance for creating atherosclerosis, tall blood weight, and tall cholesterol. Normal cardio work out fortifies the heart muscle and essentially brings down your chance for these complications.

Association between Breastfeeding in reducing Hypertension risk

11Women who breastfeed more children, and intended for the long period, are less likely to suffer from hypertension once they reach menopause. This is not true of obese women, however. Elevated blood pressure is the most prominent risk factor for disease and death. Proof from epidemiologic data has too revealed the advantageous effects of breastfeeding on the healthiness of infants and their mothers. It has been reported that long-term breastfeeding is linked with reduced children’s allergies, celiac disease, obesity, and diabetes mellitus. Though, the effects of breastfeeding on maternal health have been not much studied compared with the effects on the children.

Numerous studies reliably found that lacking breastfeeding or early discontinuation was related with increased risks of diabetes mellitus, dyslipidemia, metabolic disorder, coronary heart disease, and cardiovascular diseases.

On the other hand few studies have recognized a clear relationship between breastfeeding and hypertension. The study population comprised 3,119 non-smoking postmenopausal women aged 50 years or older was taken under consideration. More children breastfed and the longer period of breastfeeding was associated with minor risk of hypertension in postmenopausal women, and level of obesity and insulin resistance directed the breastfeeding-hypertension correlation. In particular, the highest quintile of number of children breastfed (5 to 11) appeared a 51% lessen risk of hypertension compared by the lowest quintile (0 to 1). The highest quintile of the duration of breastfeeding (96 to 324 months) showed a 45% lower risk of hypertension.

Even though a broad variety of chronic diseases are not linked with breastfeeding, a few common mechanisms have been anticipated to lie behind the relationships between breastfeeding and these diseases. First, maternal metabolism (e.g., fat accumulation and insulin resistance) may be “reorganize” by breastfeeding subsequent to pregnancy, which diminishes the risk of obesity-related diseases. Second, oxytocin discharge stimulated by breastfeeding may be related to the decreased risk of these diseases.

#dyslipidemia #hypertension #Womenshealth # diabetes mellitus # coronary heart disease.

Battling myocardial infarction by means of nanoparticle tandems

How can injured cardiac tissue resultant of heart attack be treated through replacement muscle cells? An investigation team has presented an innovative method on mice: Muscle replacement cells, which are to endure the function of the damaged tissue, are loaded by means of magnetic nanoparticles. These nanoparticle-loaded cells are then infused into the injured heart muscle and held in place by a magnet, causing the cells to engraft well onto the existing tissue. By means of the animal model, the researchers show that this leads to a considerable improvement in heart function.

In a heart attack, clots more often than not lead to diligent circulatory issues in parts of the heart muscle, which results in heart muscle cells to die. Attempts have been made for some time to revitalize the injured heart tissue with replacement cells. In spite of this, most of the cells are pushed out of the deflate channel during the infusion due to the pumping action of the beating heart. Therefore, only a few spare cells remain in the heart muscle, which implies that restoration is limited.Heart20192 28-09-2018

An interdisciplinary team tested a pioneering approach on how to ensure that the infused replacement cells continue in the desired spot and engraft onto the heart tissue. The tests were performed on mice that had earlier suffered a heart attack. In order to be able to better follow the cardiac muscle replacement EGFP expressing cells from fetal mouse hearts or mouse stem cells were utilized. These fluorescent muscle cells were loaded with small magnetic nanoparticles and infused through a fine cannula into the injured heart tissue of the mice.

In the magnetic field, the nanoparticle-loaded replacement cells remain in place

In few of the rodents treated this manner, a magnet positioned at a distance of a little millimetre from the surface of the heart guaranteed that a large part of the nanoparticle-loaded replacement cells remained at the desired spot. Devoid of a magnet, about a quarter of the added cells remained in the heart tissue, but with a magnet, about 60 percent of them remained in location, throughout the project. Ten minutes in the influence of the magnetic field was previously sufficient to keep a significant proportion of nanoparticle-loaded muscle cells at the target spot. Even days after the procedure, the injected cells remained in position and slowly attached themselves to the existing tissue.

This is remarkable; exceptionally as the infarct tissue is generally undersupplied due to reduced perfusion. In the influence of the magnet, the substitute muscle cells did not die as frequently, engrafted well again and duplicated more. The analysts investigated the reasons intended for the progressed growth: It was established that these implanted heart muscle cells were filled more densely and could stay alive better credit to the more intensive cell-cell interaction. In addition, the genetic material activity of many endurance functions, such as for cellular respiration, was higher than without a magnet in these replacement cells.

The researchers also illustrated that cardiac function significantly improved in mice that were treated with nanoparticle muscle cells in combination with a magnet. Following two weeks, seven times numerous replacement muscle cells survived, and later than two months, four times as many compared to conventional implantation technology. Known the lifespan of mice of utmost of two years, this is an amazingly lasting effect.

#cardiacarrest #nanoparticle #Stemcell #Heartregeneration

Pregnant ladies with coronary illness should conceive an offspring at no later than 40 weeks gestation period

15Pregnant women with heart disorder should give delivery at no later than 40 weeks of gestation. Beyond 40 weeks, pregnancy has no additional benefit for the baby and may even have harmful effects. Pregnancy is a unsafe period for women with heart disorder because it puts extra stress on the heart, so the guiding principle advise actuating labour or a caesarean section by 40 weeks. Heart disease is the primary reason women die during pregnancy in western nations. Compared to healthy pregnant ladies, those with heart disorder have a 100-fold more prominent jeopardy of mortality or heart failure. Generally, women with heart disease have a healthy pregnancy. Nevertheless, they have to be aware that they have a higher risk of obstetric complications as well as premature labor, pre-eclampsia, and post-partum bleeding. An evaluated 18-30% of offspring have complications and up to 4% of neoHeart disease in pregnancy is increasing as more women with congenital heart disease reach adulthood due to improved treatment and as the age at first pregnancy rises, accompanied by the higher rates of ischaemic heart disease in older, compared to younger, women. Cardiovascular risk factors including hypertension, diabetes and overweight are also on the rise in pregnancy as older women become pregnant and women now acquire risk factors at a younger age.

The rules give proposals on in vitro preparation (IVF), contraception, and end of pregnancy in ladies with coronary illness. IVF frequently utilizes high dosages of hormones, which increment the danger of thrombosis and heart disappointment, so ladies with coronary illness require a cardiologist’s affirmation that the picked strategy is sheltered. Since conveying in excess of one child puts more weight on the heart, ladies with coronary illness experiencing IVF are unequivocally encouraged to exchange a solitary incipient organism. Young ladies with intrinsic coronary illness require contraception counsel to maintain a strategic distance from spontaneous pregnancy. Some contraception strategies are contraindicated in patients with specific kinds of coronary illness.

For drugs used to treat coronary illness, the rules list data on unfriendly occasions acquired from human and creature considers. Likewise, the rules state: “On account of a crisis, medicates that are not prescribed by the pharmaceutical business amid pregnancy and breastfeeding should not be withheld from the mother. The potential danger of a medication and the conceivable advantage of the treatment must be weighed against each other.”

At the point when sedate organizations have no information on whether a medication is sheltered amid pregnancy and breastfeeding they tend to state it isn’t prescribed. It might be suitable to give a medication to an extremely sick lady if there are no hurtful symptoms noted in the databases recorded in the rules.

Pregnancy isn’t suggested in patients with specific sorts of coronary illness – for instance, pneumonic blood vessel hypertension, extremely expanded aorta, or seriously diminished capacity of the heart to pump blood.

Ladies with coronary illness who need to have a child require pre-pregnancy chance evaluation and guiding. Those at direct to high danger of entanglements ought to be explored by a pregnancy heart group with a cardiologist, obstetrician, gynecologist, and anaesthesiologist. A conveyance plan ought to be formulated at 20-30 weeks determining

vaginal or caesarean conveyance, regardless of whether an epidural or forceps will be utilized, and the span of doctor’s facility remain after conveyance.

The conveyance plan ought to be accessible 24 hours per day so when a pregnant lady with coronary illness touches base at healing center in labor clinic staff know precisely what to do.

We trust the rules will enhance specialists’ attention to the dangers of coronary illness in pregnancy yet in addition the restorative alternatives that are accessible to control pregnancy in these ladies.