Many people believe that heart disease typically affects men. Unfortunately, this is far from the truth. Coronary heart disease is the leading cause of mortality not only among men, but also among women. But women are actually at greater risk if not detected early, and this exacerbates the issue.
Signs of poor heart health do not appear as visibly in women as it does in men. What this means is that if a man has a heart issue, there are specific symptoms like angina which can be spotted easily and the right course of action be recommended. The same issue in a woman may not result in a sign or symptom that can be easily spotted. So often, their symptoms go ignored or unrecognised and they do not receive timely intervention to correct the problem. The issue is so acute that today 1 in 3 deaths among women is due to coronary heart disease.
There is also a significant lack of self-awareness among women about risk factors and the prevention of CVDs. Women don't only attend to matters of the home, but they hold positions at leading companies, and continue to rise to the occasion and meet impossible demands on their time. Through all of this, they take care of the emotional needs of their family members and loved ones; and still culturally are predisposed to putting the needs of others before their own. The stress they experience, among other common risk factors, often goes unnoticed by those around them. And stress has a greater influence on CVD risk in women vs men. Along with stress, other factors like diet quantity and quality also have a greater influence on CVD risk in women vs men. Additionally, women are also impacted by female-specific risk factors for CVD like polycystic Ovarian syndrome PCOS, preeclampsia, pregnancy induced hypertension and gestational diabetes.
In such a situation where symptoms of a heart problem do not manifest visibly, it is extremely important for women to be aware of their own risk factors and adopt proactive measures to take care of their heart health. For example, one risk factor, stress has been linked to a greater intake of energy and nutrient-dense foods, mainly sources of sugar and fat, and to poor diet quality. Women can take simple steps like reducing unhealthy fats and products with high content of sugar and salt to improve the quality of their diet. Choose ingredients that are good for the heart, like oatmeal, wholegrains, fiber rich vegetables, blended oils with the right balance of fatty acids, legumes, soy products, and the like. Regular and consistent exercise, adequate sleep, and other such lifestyle modifications can help maintain heart health in the long term.
Furthermore with signs of poor heart health not manifesting visibly in women, it is crucial that they get regular health check-ups done to assess their risk proactively. Self-awareness and early identification of cardiovascular risk factors can lead to better prevention of CVD in women.
This World Heart Day, let's choose self-care. Get a simple heart check-up done and encourage other women in yourselves too, to get the same done. Take proactive steps for heart health today.
(By Brajesh Kunwar)
Read More► Myth or Fact: Exercise Must Be Avoided After A Heart Attack
London- Adolescents who had received a mental health disorder diagnosis were often excluded from the labour market and education as young adults, finds a new study.
The study indicated that almost 11 percent of adolescents who had received a psychiatric diagnosis were excluded from the education and labour market for at least five years in their early adulthood.
"Vocational rehabilitation and tight collaboration between psychiatry and social services are important for enabling adolescents suffering from mental health problems to access the labour market," said lead author David Gyllenberg from the University of Turku (Finland).
For the study, published in the British Journal of Psychiatry, the team included 55,273 individuals after exclusions for intellectual disability, death or emigration.
The results are concerning because they highlight the link between mental health disorders and long-term exclusion from education and labour market.
In the study, long-term exclusion was defined as a period spent outside education or paid employment lasting a minimum of five years.
The link was particularly strong with those teenagers who had not completed their upper secondary education and who had been diagnosed with a mental health disorder.
Almost half of these teenagers who had experienced psychosis and almost three-quarters of teenagers who had been diagnosed with an autism spectrum disorder experienced long-term exclusion from education and labour market in their early adulthood.
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हैदराबाद- विश्व हृदय दिवस पर डॉक्टरों का कहना है कि 50 साल से कम उम्र के करीब 75 फीसदी आबादी को दिल का दौरा पड़ने का खतरा है, ऐसे में दिल की जटिलताएं एक बड़ी बीमारी है, जिसे नजरअंदाज नहीं किया जा सकता है। देश भर में चिकित्सा पेशेवरों द्वारा किए गए अध्ययनों से संकेत मिलता है कि 40 वर्ष से कम आयु के कम से कम 25 प्रतिशत भारतीयों को दिल का दौरा पड़ने या दिल से संबंधित किसी अन्य गंभीर जटिलता से पीड़ित होने का खतरा है; और यह जोखिम 40 से 50 वर्ष की आयु के बीच 50 प्रतिशत आबादी तक बढ़ सकता है।
डॉक्टरों का मनाना है कि भारतीय युवाओं और मध्यम आयु वर्ग की आबादी के बीच स्वस्थ भोजन और सक्रिय जीवन को प्रोत्साहित करना चाहिए। यह सुनिश्चित करने के लिए कदम उठाए जाने चाहिए कि अपेक्षाकृत युवा आबादी में दिल के दौरे के मामलों में वृद्धि को तत्काल नियंत्रित किया जाए। तनाव के स्तर में वृद्धि और अनुचित जीवनशैली दिल से संबंधित बीमारियों के बढ़ने के दो प्रमुख कारण हैं।
चीफ इंटरवेंशनल कार्डियोलॉजिस्ट,ग्लेनीगल्स ग्लोबल हॉस्पिटल के एम साई सुधाकर ने कहा,कई सामाजिक मानकों पर भारत की रेटिंग खराब है, और यह हर गुजरते साल के साथ अधिक से अधिक लोगों को तनावपूर्ण स्थितियों में और अधिक गहराई तक धकेलने का एक प्रमुख कारण है। व्यक्तिगत मुद्दों के साथ ये सामाजिक समस्याएं मानसिक तनाव से पीड़ित लोगों के लिए प्रमुख कारण हैं। उनके दिल पर सीधा प्रभाव पड़ता है। जबकि अधिक पुरुषों को इस समस्या का शिकार माना जाता है।
सीनियर इंटरवेंशनल कार्डियोलॉजिस्ट, एसएलजी हॉस्पिटल्स के वी.हरिराम ने बताया कि भारतीय ट्रांस फैट के अभ्यस्त उपभोक्ता हैं, और यह खराब जीवनशैली, अनियमित कामकाजी समय, शराब, धूम्रपान तंबाकू के साथ-साथ हृदय रोग का खतरा बढ़ाता है और ऐसे व्यक्ति अत्यधिक कमजोर होते है।
अचानक दिल के दौरे के मामलों की संख्या में काफी वृद्धि हुई है। जो हार्मोनल असंतुलन के कारण हो सकता है। मधुमेह, उच्च रक्तचाप और हृदय रोग वाले लोग इसकी चपेट में आ सकते हैं। यह महत्वपूर्ण है कि लोग संभावित हृदय समस्या के किसी भी प्रारंभिक चेतावनी संकेतों को अनदेखा न करें और समय पर चिकित्सा की सलाह ले।
राजीव गर्ग, सीनियर कंसल्टेंट इंटरवेंशनल कार्डियोलॉजिस्ट, अवेयर ग्लेनीगल्स ग्लोबल हॉस्पिटल का मानना है कि कुछ सरल लेकिन अत्यधिक प्रभावी कदम संभवत: युवा भारतीयों में दिल के दौरे के जोखिम को कम कर सकते हैं। भोजन की आदतों में नियमित रूप और संयम सबसे सरल लेकिन शक्तिशाली आदतें हैं, जिन्हें लोग अपने दिल के जोखिम को कम करने के लिए कर सकते हैं। प्रत्येक व्यक्ति का शरीर अलग होता है और तनाव को कम करने की एक अलग क्षमता होती है लेकिन उचित जीवन शैली को बनाए रखना और शारीरिक रूप से सक्रिय रहना है। इस जोखिम को कम करने के लिए सबसे अच्छा हो सकता है।
डॉक्टर ने सलाह दी हैं कि लोगों को शुरूआती चेतावनी के संकेतों जैसे सांस फूलना, सीने में दर्द, अत्यधिक पसीना, चक्कर आना आदि को नजरअंदाज नहीं करना चाहिए और समय पर चिकित्सा शुरू कर देना चाहिए। यह भी महत्वपूर्ण है कि मोटे व्यक्ति और पहले से मौजूद स्वास्थ्य जटिलताओं वाले लोग धूम्रपान छोड़ दें और शराब का सेवन बंद कर दें (यदि उनमें ये दोनों आदतें हैं)। यह भी कहा कि 30 वर्ष से कम आयु के युवा, जिनका हृदय रोगों का पारिवारिक चलता आ रहा है,उनको नियमित रूप से चिकित्सा जांच करवाना चाहिए हैं।
यह भी पढ़े► मधुमेह वाले कुछ लोगों के लिए कोविड क्यों अधिक घातक?
Our heart is the key organ in the circulatory system pumping oxygenated blood to various organs. People mostly ignore or are not aware of the symptoms of an approaching heart attack or cardiac ailment. With an increasing prevalence of a sedentary lifestyle, monitoring heart health becomes even more essential. Hence, one should be aware of the newly observed symptoms and complications that signal towards an unhealthy heart.
Chest Pain is Just One of The Many Overlooked Signs
Chest pain is one of the most common signs of an approaching cardiac ailment. Uncomfortable pressure, squeezing, fullness, burning, tightness, or pain in the centre of the chest should be reported to the doctor. Many times these symptoms are confused with gastritis and heartburn.
Snoring and interrupted sleeping patterns
Snoring and sleep-related problems like insomnia and sleep apnea, a disorder where breathing get disrupted while you sleep, have a direct link with heart diseases and other cardiovascular ailments.
Shortness of Breath
Unexplained shortness of breath while doing small amounts of physical activity, at rest or while sleeping (that can wake you up) may indicate an underlying cardiac ailment. Women are more likely to suffer/report shortness of breath when dealing with heart troubles.
Waking up tired, restless and noting higher blood pressure levels in the morning, signals towards an unhealthy heart. Though, one should get a clinical assessment done for ensuring a clear diagnosis.
Sweeting more than usual or without any physical activity, especially if one is not exercising or being active can be an early warning sign of an approaching heart-related ailment. If someone is sitting and suddenly starts sweating profusely, it could be a sign of an oncoming heart attack.
An irregular heartbeat or more formally known as "arrhythmias", is a condition where the heart doesn't pump blood at its normal rhythm. Anyone who is relatively healthy and still has an irregular heartbeat, also indicate a chronic heart condition.
Pain in the chest and upper arm area is what most people typically associate with heart problems. However, pain in the neck or jaw is a potential point of angina pain or discomfort when the heart lacks oxygen-rich blood. Women are more likely to exhibit these symptoms than men, but if the symptoms persist it is advisable to consult a doctor.
A persistent cough is not always a sign of a heart problem, as it's a common symptom of various other common illnesses like cold, flu, and bronchitis. But a never-ending cough can be a sign of fluid building up in the lungs, which signals congestive heart failure.
When the heart isn't able to pump efficiently, blood can back up into the veins that take blood through the lungs. When there is excessive pressure in these blood vessels, fluid is pushed into the air spaces (alveoli) in the lungs. Hence, an unending cough can be caused by the irritation and fluid in the lungs, which is similar to what can cause shortness of breath.
With the current lifestyle patterns, it is very important to monitor your heart health. There can be various hidden symptoms contributing towards an unhealthy heart, hence a timely diagnosis and an active lifestyle should be given attention to. The above-mentioned symptoms can be a few of many symptoms denoting an approaching heart ailment, as a reason being aware towards your own health and consulting for timely clinical interventions become essentially important.
Read More► Why Young Indians More Vulnerable to Heart Attack?
Until a few years ago heart diseases were common among older people in India. However, in recent years, heart ailments have become more common among the younger population in India. Heart diseases are killing approximately 17 million people in the world, and in India, there million people die each year due to cardiovascular diseases (CVDs) which include heart attack and stroke.
Therefore, it is important to understand what causes heart attacks in younger Indians. Following are a few reasons that cause a heart attack in Indians:
Over Exercising: A recent study that too much exercise may be bad for the heart. While inactivity is also linked to increase in heart diseases by giving rise to obesity and other chronic diseases, the study that was conducted displayed that the people who engage in physical activity that exceeds a recommended amount for them are more at risk of having a heart attack.
Dietary Supplements: There has been no research that shows a clear benefit of supplements. However, it has been said that consuming too many supplements can be harmful. Excessive amounts of calcium and vitamin D are said to be linked to an increased risk of cardiovascular diseases. Although there are studies that are ongoing around this, there has been little evidence that any amount of vitamin D supplement will protect the heart.
Stress and Heart Attack: In today’s fast-paced lives an individual faces a lot of stress due to their personal and professional relationships. Professionally, a lot of work takes place on a desk and the working hours are long. Therefore, this leads to young professionals having less sleep and high stress, which increases their risk of having heart diseases.
Hypertension: With our current dynamic lifestyles, food habits tend to change leading to increased salt consumption. Furthermore, there is increase in the amount of stress and our lifestyles are sedentary. All the factors together have led to an increase in hypertension among younger people. People with high blood pressure are likely to develop coronary diseases because high BP adds pressure on the artery walls and over time this can destroy the arteries.
Unhealthy Eating Habits: A lot of young professionals and students often go to food joints that serve unhealthy food items such as junk food. These foods have a high amount of cholesterol and trans fat which may lead to heart disease among people
Hence, to reduce the number of individuals with heart attacks, drastic steps need to be taken collectively and as individuals. Organisations and healthcare professionals need to spread awareness around the growing burden of heart attacks among younger Indians and individuals need to adapt to a more holistic and healthy approach to life. Even at the slightest indication of heart disease, one must reach out to their primary care consultant to stay safe and healthy.
Read More► Adopt A Simple and Affordable Lifestyle to Prevent Heart Attacks
A very common tip to improve heart health is to exercise regularly. But what form of exercise is best for the heart and how much exercise is too much? There have been several myths about the impact of exercise on the heart, while some sound reasonable, there are many that are inaccurate. One such myth is that one should avoid exercising after a heart attack.
Avoiding exercise for the first few weeks after a heart attack may be advised. However, studies show that supervised exercise helps in improving the outcome for all patients. It is important to note that after a heart attack, one should begin a regular activity program to reduce the chance of additional heart problems. Most patients are provided with a prescription for cardiac rehabilitation which entails an exercise program, diet instruction, educational classes on lifestyle changes and emotional support through a peer support group.
While everyone recovers at a different pace, here are a few guidelines that one may follow to get started:
Consult your doctor before starting exercise. Based on your heart disease, condition, heart function (ejection fraction), rhythm etc. Your doctor will give you an exercise prescription.
It is best to start slow. Once, you get used to walking regularly, you can increase your pace gradually over time. If shortness of breath is felt, it is best to slow down the walking pace.
Exercise should always be done in 3 phases warm-up, peak exercise and cool down, please.
What helps is walking at a moderate pace for the first 10 minutes the first time and each day tries to a few minutes more. At the end of the month aim to walk for 30 minutes on most days of the week.
It is important to keep in mind that one should cool down after finishing the exercise by gradually walking at a slower pace for the last 3 minutes.
If the patient walks outside the house, as a precaution they should walk with someone or in short distances close to home so they do not get too far away.
One should drink a glass of water to prevent dehydration before you start walking.
Choose an exercise or an activity that you enjoy doing. For example, walking, cycling, aerobics, etc.
Doctors' advice should be taken before lifting heavyweights.
Exercise should be done regularly to ensure benefits. 6 days a week of exercise is advisable.
Exercising at the same time daily is important to establish a habit. It also minimizes any variable that may impact the exercise.
If any symptoms such as shortness of breath, chest discomfort, palpitation occur and does not go away, one should stop the exercise and notify the doctor.
There are several changes that take place after a heart attack like energy levels and medications. This affects exercise tolerance. Therefore it is important to keep the exercise expectation day to day as one goes through the healing process.
If a patient does not go through cardiac rehabilitation, they should begin with gentle exercise after a heart attack. The amount of exercise that is advised to each patient will depend on how active the patient was before the cardiac event and how severe the event was. Overall, one must keep in mind that they should start exercising as soon as they can after a heart attack to get the energy and strength back.
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