Heart disease- Heart disease- Prevention and curingPrevention and curing

Introduction:Introduction:

This presentation is intended to spread awareness This presentation is intended to spread awareness about heart diseases – prevention & curing. It is about heart diseases – prevention & curing. It is based on a book written by Dr. Bimal. based on a book written by Dr. Bimal.

It mainly stresses on the importance of life style It mainly stresses on the importance of life style change in order to prevent and reversal of heart change in order to prevent and reversal of heart disease. disease.

It is everybody’s duty to spread this awareness to It is everybody’s duty to spread this awareness to your friends/relatives/neighbors etc.your friends/relatives/neighbors etc.

Factors of Coronary Heart Factors of Coronary Heart Disease (CHD)Disease (CHD)

Mental stress ( Main factor) Mental stress ( Main factor) Wrong food habit & High blood cholesterolWrong food habit & High blood cholesterol Over weight. ( Due to over weight, blood Over weight. ( Due to over weight, blood

pressure increases up to 140/90 and more; pressure increases up to 140/90 and more; Triglyceride increases up to 250 mg/dl; HDL Triglyceride increases up to 250 mg/dl; HDL reduces below 35 mg/dl. )reduces below 35 mg/dl. )

DiabetesDiabetes HypertensionHypertension Lack of exercise (sedentary life)Lack of exercise (sedentary life) Heredity ( family history) ( Liver produces Heredity ( family history) ( Liver produces

naturally excessive cholesterol and naturally excessive cholesterol and triglycerides)triglycerides)

Age factorAge factor

Factors of Coronary Heart Factors of Coronary Heart Disease (CHD)Disease (CHD)

Nature protects women from heart disease Nature protects women from heart disease up to age of 45 or 50 up to age of 45 or 50

Smoking: Chemicals in cigarette act as Smoking: Chemicals in cigarette act as binder for deposits of fats in coronary binder for deposits of fats in coronary arteries. Smoking causes bronchitis, asthma, arteries. Smoking causes bronchitis, asthma, ulcer and lung diseases. Mind stress is the ulcer and lung diseases. Mind stress is the main factor for chain smoking. Passive main factor for chain smoking. Passive smoking affects many innocent non smokers.smoking affects many innocent non smokers.

Intoxication increases triglycerides in blood. Intoxication increases triglycerides in blood. It increases calories which are the main It increases calories which are the main cause of obesity, damages liver and kidney, cause of obesity, damages liver and kidney, causes gastritis, nerve damage etc.causes gastritis, nerve damage etc.

Symptoms of heart Symptoms of heart diseasedisease

Giddiness, fainting, chest pain/chest pressure after Giddiness, fainting, chest pain/chest pressure after meals (gastric like), long term indigestion problem, meals (gastric like), long term indigestion problem, difficulty in breathing during unusual hard work, pain difficulty in breathing during unusual hard work, pain at shoulder or arms, fever (Normal temperature: 36.6 at shoulder or arms, fever (Normal temperature: 36.6 C to 37.2 C) may be some other related symptoms of C to 37.2 C) may be some other related symptoms of heart problem at earlier stage. heart problem at earlier stage.

Angina pain (occasional, lasting for 5 to 10 minutes)Angina pain (occasional, lasting for 5 to 10 minutes) Difficult breathing ( especially for obese diabetic Difficult breathing ( especially for obese diabetic

patients )patients ) Heart burnHeart burn Fast heart beatFast heart beat Sweating, sense of vomiting, giddiness, faintingSweating, sense of vomiting, giddiness, fainting Pain /feeling like load on chest/stiffness in chest or Pain /feeling like load on chest/stiffness in chest or

upper stomach ( normally during full stomach)upper stomach ( normally during full stomach) Loss of strengthLoss of strength

Ways of Prevention and Ways of Prevention and curing of early heart curing of early heart

diseasedisease Awareness Awareness Reduction of mental stressReduction of mental stress Change of life style Change of life style Avoid fried food, oily food, nuts, dry fruits, egg Avoid fried food, oily food, nuts, dry fruits, egg

and meatand meat Use low fat dairy products Use low fat dairy products Regular exercise 30 minutes/yoga 30 minutesRegular exercise 30 minutes/yoga 30 minutes Determined Diet control; Weight controlDetermined Diet control; Weight control Timely tests ( BP once in two years; Lipid test Timely tests ( BP once in two years; Lipid test

once in 5 years, test for diabetes once in a year)once in 5 years, test for diabetes once in a year) No smoking or intoxicationNo smoking or intoxication Keeping lipids, sugar, BP within desired limitsKeeping lipids, sugar, BP within desired limits Medicines ( as per doctor’s advise)Medicines ( as per doctor’s advise)

Tests for diagnosisTests for diagnosis ECG, stress test (TMT), lipid ( cholesterol) tests, BP, ECG, stress test (TMT), lipid ( cholesterol) tests, BP,

Echo, angiography (invasive method) etc. are used to Echo, angiography (invasive method) etc. are used to diagnose the heart disease.diagnose the heart disease.

ECG (test at rest) reflects the condition and ECG (test at rest) reflects the condition and performance of heart muscles which depend upon performance of heart muscles which depend upon blood and oxygen available to it. It records the blood and oxygen available to it. It records the electric measure of heart beat. ECG may be normal electric measure of heart beat. ECG may be normal even for blocks of 90% in coronary arteries.even for blocks of 90% in coronary arteries.

Equipments ( TMT ) can detect heart diseases and Equipments ( TMT ) can detect heart diseases and blockage of more than 70% only. Patients having blockage of more than 70% only. Patients having 40% to 50% blocks have occasional temporary chest 40% to 50% blocks have occasional temporary chest pain, which is not confirmed by equipments. ( this pain, which is not confirmed by equipments. ( this condition can be cured by change of life style, food condition can be cured by change of life style, food habits, exercise.)habits, exercise.)

Other testsOther tests For patients having angina pain during hard work, For patients having angina pain during hard work,

stress test ( TMT ) is recommended. In stress test, stress test ( TMT ) is recommended. In stress test, change in ECG curve and oxygen level ( or chest change in ECG curve and oxygen level ( or chest pain/difficult breathing) occurs after 3 minute of pain/difficult breathing) occurs after 3 minute of exercise for patients having 70% blockage. If the exercise for patients having 70% blockage. If the change in ECG curve occurs at latter stage of stress change in ECG curve occurs at latter stage of stress test, then heart disease is not severe. ( medicines and test, then heart disease is not severe. ( medicines and change of life style shall cure ). If the target heart change of life style shall cure ). If the target heart rate (220-age) is achieved without change in ECG rate (220-age) is achieved without change in ECG curves, then test is negative.curves, then test is negative.

Helical C.T. angiography (for any body part possible), Helical C.T. angiography (for any body part possible), C.T. angioscopy ( in research), RGCI (detects 20% C.T. angioscopy ( in research), RGCI (detects 20% blocks also), thalium scan, MRI scan are some of non blocks also), thalium scan, MRI scan are some of non invasive methods of diagnosis of blocks.invasive methods of diagnosis of blocks.

Complications due to Complications due to uncontrolled BP, uncontrolled BP,

CholesterolCholesterol Hypertension makes inner walls of blood arteries Hypertension makes inner walls of blood arteries

rough and causes more fat deposits inside arteries. rough and causes more fat deposits inside arteries. Check BP once in two years for normal people.Check BP once in two years for normal people.

Due to long term effect of hypertension, there is a Due to long term effect of hypertension, there is a chance of heart failure (enlarged heart), kidney chance of heart failure (enlarged heart), kidney failure ( test once in a year)failure ( test once in a year)

Eyes affected ( glucoma ) due to uncontrolled Eyes affected ( glucoma ) due to uncontrolled hypertension. Generally, people over 40 shall hypertension. Generally, people over 40 shall undergo eye check up at least once a year. ( check undergo eye check up at least once a year. ( check Glucoma )Glucoma )

LDL deposits in arteries reduce the inner diameter LDL deposits in arteries reduce the inner diameter of arteries, causing less blood flow to heart at high of arteries, causing less blood flow to heart at high pressure. When blood artery blocked completely, pressure. When blood artery blocked completely, heart attack (mainly)/stroke/paralysis happens.heart attack (mainly)/stroke/paralysis happens.

AnginaAngina Angina is chest pain, mostly caused due to block in Angina is chest pain, mostly caused due to block in

arteries, which increases during movement or arteries, which increases during movement or work or mind stress or heavy eating and relieves work or mind stress or heavy eating and relieves during rest and by taking sorbitrate tablets (lasts during rest and by taking sorbitrate tablets (lasts for 5 to 10 minutes.) It is a warning symptom of for 5 to 10 minutes.) It is a warning symptom of heart disease. ( persons having sedentary life can heart disease. ( persons having sedentary life can not feel the angina as their heart beat is never not feel the angina as their heart beat is never increased )increased )

It starts from chest, progresses to left hand / It starts from chest, progresses to left hand / shoulder, accompanied with difficulty in breathing. shoulder, accompanied with difficulty in breathing. Sorbitrate tablet can be placed under tongue to Sorbitrate tablet can be placed under tongue to get relief and chew aspirin to avoid blood clotting ( get relief and chew aspirin to avoid blood clotting ( due to probable heart attack). Immediate medical due to probable heart attack). Immediate medical checkup needed to prevent risk of heart attack.checkup needed to prevent risk of heart attack.

Stages of anginaStages of angina Stage 1 : Pain during hard work, weight lifting, climbing Stage 1 : Pain during hard work, weight lifting, climbing

hill, running ( TMT recommended to confirm blockage of hill, running ( TMT recommended to confirm blockage of artery )artery )

Stage 2: Pain after walking 1 to 2 km slowly ( ECG/TMT Stage 2: Pain after walking 1 to 2 km slowly ( ECG/TMT needed )needed )

Stage 3 : Pain when doing simple works ( In patient Stage 3 : Pain when doing simple works ( In patient preventive treatment needed to avoid attack )preventive treatment needed to avoid attack )

Stage 4 : Pain during rest ( followed by probable heart Stage 4 : Pain during rest ( followed by probable heart attack; chew aspirin to avoid attack (blood clot) and call attack; chew aspirin to avoid attack (blood clot) and call ambulance )ambulance )

Gastric and muscle pains which will not be increased due Gastric and muscle pains which will not be increased due to movements, will be cured by ointments and pain to movements, will be cured by ointments and pain killers.killers.

If the pain is caused due to heart attack, it will not If the pain is caused due to heart attack, it will not disappear by rest or sorbitrate tablets. ( chew aspirin to disappear by rest or sorbitrate tablets. ( chew aspirin to and rush immediately to nearby coronary centre within and rush immediately to nearby coronary centre within one hour to survive )one hour to survive )

Prevention of CHD / heart Prevention of CHD / heart attackattack

Total cholesterol in blood shall be within the limit of Total cholesterol in blood shall be within the limit of 130 to 200 mg/dl; desirable if it is less than 160 130 to 200 mg/dl; desirable if it is less than 160 mg/dl.mg/dl.

Triglycerides shall be with in limit of 60 to 160, Triglycerides shall be with in limit of 60 to 160, desirable of less than 120 mg/dl.desirable of less than 120 mg/dl.

HDL shall be minimum of 35 mg/dl, desirable to be HDL shall be minimum of 35 mg/dl, desirable to be 40 to 60 mg/dl40 to 60 mg/dl

Ratio of Total cholesterol/HDL of 3.5 and less is Ratio of Total cholesterol/HDL of 3.5 and less is desirable to prevent heart attack. (more than 4.5 desirable to prevent heart attack. (more than 4.5 means high risk). Increase of triglycerides can cause means high risk). Increase of triglycerides can cause heart diseases.heart diseases.

Ratio of Triglycerides/HDL of less than 2 is good; Ratio of Triglycerides/HDL of less than 2 is good; more than 4 means hyperinsulinemic. Too much of more than 4 means hyperinsulinemic. Too much of triglycerides are harmful to heart.triglycerides are harmful to heart.

Prevention of CHD / heart Prevention of CHD / heart attackattack

LDL to be 50 to 120 mg/dl, desirable of less than 100 LDL to be 50 to 120 mg/dl, desirable of less than 100 ( 70 for heart patients)( 70 for heart patients)

VLDL to be 12 to 35 mg/dl.VLDL to be 12 to 35 mg/dl. Check lipids once in 3 months.Check lipids once in 3 months. Reduce BP to maximum of 140/90, desirable 130/85 Reduce BP to maximum of 140/90, desirable 130/85

mm of Hg. ( check twice in a week )mm of Hg. ( check twice in a week ) Control blood glucose to limit, if you have diabetes. Control blood glucose to limit, if you have diabetes.

( check twice in a month)( check twice in a month) Check for kidney disease. ( especially if you are Check for kidney disease. ( especially if you are

diabetic)diabetic) Reduce hip size ( For men: 40” max; women: 35” Reduce hip size ( For men: 40” max; women: 35”

max)max) Avoid sedentary life styleAvoid sedentary life style Have 7 to 8 hours of daily sleep without worries; Have 7 to 8 hours of daily sleep without worries;

Early to bed, early to rise.Early to bed, early to rise.

Prevention of CHD/heart Prevention of CHD/heart attackattack

Echo test can help for early detection of Echo test can help for early detection of enlarged heart, heart wall thickness change, enlarged heart, heart wall thickness change, faulty heart valves, reduced volume of blood faulty heart valves, reduced volume of blood flow, lipid deposits around heart valve and flow, lipid deposits around heart valve and ejection factor (EF).ejection factor (EF).

TMT is advised in case of angina pain to TMT is advised in case of angina pain to confirm artery blocks of more than 70% confirm artery blocks of more than 70% (positive result)(positive result)

If TMT result is positive, then, angiography If TMT result is positive, then, angiography shall be conducted to find out the number shall be conducted to find out the number and location of blockage, followed by and location of blockage, followed by angioplasty treatment (with stents).angioplasty treatment (with stents).

Symptoms of heart Symptoms of heart attackattack

Uncontrolled diabetes for many years leads to Uncontrolled diabetes for many years leads to many health complications as the blood many health complications as the blood arteries and nerves are affected. Hence, the arteries and nerves are affected. Hence, the patient can not feel the symptoms like heart patient can not feel the symptoms like heart pain before and during heart attack, which is pain before and during heart attack, which is called as silent attack.called as silent attack.

If the chest pain is caused due to heart attack If the chest pain is caused due to heart attack (M.I.), it will not disappear by rest or (M.I.), it will not disappear by rest or sorbitrate tablets. Chew aspirin immediately sorbitrate tablets. Chew aspirin immediately to avoid blood clotting; Rush to nearby to avoid blood clotting; Rush to nearby coronary unit within first one hour of pain, to coronary unit within first one hour of pain, to avoid any casualty. ( maximum with in 5 avoid any casualty. ( maximum with in 5 hours, but with less result) Self medication hours, but with less result) Self medication (assuming as gastric) is dangerous. (assuming as gastric) is dangerous.

Symptoms of heart Symptoms of heart attack…attack…

Normally the fatty blocks in arteries are covered by a Normally the fatty blocks in arteries are covered by a lining called “indima”. When fully blocked, the lining lining called “indima”. When fully blocked, the lining breaks and blood clot forms, blocking the path of breaks and blood clot forms, blocking the path of blood flow. The part of myocardium to which the blood flow. The part of myocardium to which the artery supplies the blood, dies due to non-supply of artery supplies the blood, dies due to non-supply of blood.blood.

After a fatty diet and worries, M.I. happens, normally After a fatty diet and worries, M.I. happens, normally at mid nights/dawns at mid nights/dawns

Sweating even in cold weather; Too much tired and Sweating even in cold weather; Too much tired and fainting; Heart burn; feverfainting; Heart burn; fever

BP goes down; Heart rate/pulse may go up or down.BP goes down; Heart rate/pulse may go up or down.( some times low sugar)( some times low sugar)

Low levels of blood oxygen to the heart due to Low levels of blood oxygen to the heart due to blockage of arteries and lungs diseases can cause blockage of arteries and lungs diseases can cause chest pain and breathless ness, leading to heart chest pain and breathless ness, leading to heart attack/strokeattack/stroke

After heart attackAfter heart attack Aspirin is given to prevent blood clots (attack); Aspirin is given to prevent blood clots (attack);

Symptoms of heart attack (M.I.) is confirmed by E.C.G. Symptoms of heart attack (M.I.) is confirmed by E.C.G. and enzymes test at hospital. During emergency, ( 3 to and enzymes test at hospital. During emergency, ( 3 to 7 days) live saving injections ( to dissolve blood clot 7 days) live saving injections ( to dissolve blood clot formed by attack and to save the heart muscles from formed by attack and to save the heart muscles from decay due to non supply of blood) are given to the decay due to non supply of blood) are given to the patient, followed by medicines for control of BP, patient, followed by medicines for control of BP, cholesterol.cholesterol.

In case of mild attack, 5 to 10% of heart muscles are In case of mild attack, 5 to 10% of heart muscles are affected and the patient mostly survive; If it is severe affected and the patient mostly survive; If it is severe attack, 30 to 40% is affected, in which case, immediate attack, 30 to 40% is affected, in which case, immediate treatment needed to survive.treatment needed to survive.

Angiogram is conducted to identify blocks in arteries. Angiogram is conducted to identify blocks in arteries. Angioplasty (with stents) or bypass surgery is done, to Angioplasty (with stents) or bypass surgery is done, to remove blocks in arteries. remove blocks in arteries.

After 3 weeks, TMT test shall be conducted to know the After 3 weeks, TMT test shall be conducted to know the status of angina and result.status of angina and result.

After heart attackAfter heart attack Heart attack reduces the “EF” ( Ejection fraction ), as Heart attack reduces the “EF” ( Ejection fraction ), as

part of heart muscle is damaged. Normal range of EF part of heart muscle is damaged. Normal range of EF ( Ejection fraction) of healthy heart is 55 to 65%, which ( Ejection fraction) of healthy heart is 55 to 65%, which can be checked by Echo test. Lower value means can be checked by Echo test. Lower value means systolic failure; higher value means diastolic failure. systolic failure; higher value means diastolic failure.

It is safe if EF is more than 40% ( Damage is 60-It is safe if EF is more than 40% ( Damage is 60-40=20%). If it is less than 40%, then more medicines 40=20%). If it is less than 40%, then more medicines and serious change of life style on war time basis and serious change of life style on war time basis needed.needed.

By medicines, natural way of curing of body,(even By medicines, natural way of curing of body,(even though dead muscles can not be activated) and by though dead muscles can not be activated) and by change of life style to a required degree, EF would be change of life style to a required degree, EF would be raised by 10 to 20%raised by 10 to 20%

Some aurvedic medicines (Arjuna) also may help in Some aurvedic medicines (Arjuna) also may help in long run.long run.

Cardio pulmo rescue (CPR) Cardio pulmo rescue (CPR) for children (up to age of for children (up to age of

7 )7 ) In case, patient stops breathing, CPR may help to bring In case, patient stops breathing, CPR may help to bring

back to life ( by God’s mercy ! ), if it is done in first few back to life ( by God’s mercy ! ), if it is done in first few minutes.minutes.

Call ambulance firstCall ambulance first Start doing CPR till ambulance arrives as belowStart doing CPR till ambulance arrives as below Give one rescue breath: (close nose and give two times Give one rescue breath: (close nose and give two times

mouth to mouth to breath. Observe for chest rising.)mouth to mouth to breath. Observe for chest rising.) Check circulation by pulse at carotid artery at neck. If Check circulation by pulse at carotid artery at neck. If

life exists ( circulation, coughing, moving, breathing), life exists ( circulation, coughing, moving, breathing), continue rescue breaths ( 10 breaths/minute)continue rescue breaths ( 10 breaths/minute)

Re-check circulation every minute.Re-check circulation every minute. If no circulation also, for 1 rescue breath, give 5 chest If no circulation also, for 1 rescue breath, give 5 chest

compressions of 4 to 5 cm downcompressions of 4 to 5 cm down Continue cycle till ambulance arrivesContinue cycle till ambulance arrives

Cardio pulmo rescue (CPR) Cardio pulmo rescue (CPR) for adultsfor adults

Call ambulance firstCall ambulance first Start doing CPR till ambulance arrives as belowStart doing CPR till ambulance arrives as below Give two rescue breaths: (close nose and give Give two rescue breaths: (close nose and give

two times mouth to mouth to breath. Observe two times mouth to mouth to breath. Observe for chest rising.)for chest rising.)

Check circulation by pulse at carotid artery at Check circulation by pulse at carotid artery at neck. If life exists ( circulation, coughing, neck. If life exists ( circulation, coughing, moving, breathing), continue rescue breaths moving, breathing), continue rescue breaths ( 10 breaths/minute)( 10 breaths/minute)

Re-check circulation every minute.Re-check circulation every minute. If no circulation also, for 2 rescue breaths, give If no circulation also, for 2 rescue breaths, give

15 chest compressions of 4 to 5 cm down15 chest compressions of 4 to 5 cm down Continue cycle till ambulance arrivesContinue cycle till ambulance arrives

Guidelines for heart Guidelines for heart patientspatients

Change of life style; No mental stress; Change of life style; No mental stress; Reduce over weightReduce over weight Timely tests; Keeping lipids, sugar, BP within desired Timely tests; Keeping lipids, sugar, BP within desired

limitslimits No smoking or intoxicationNo smoking or intoxication Don’t ignore exercise / walking (within limit) for any Don’t ignore exercise / walking (within limit) for any

reasonreason Medicines ( as per doctor’s advise) Medicines ( as per doctor’s advise) Avoid carbohydrates and sugars of high G.I. to reduce Avoid carbohydrates and sugars of high G.I. to reduce

triglycerides in blood. Reduce salt intake in food.triglycerides in blood. Reduce salt intake in food. Instead of 3 big meals, 6 small meals are advisable. Instead of 3 big meals, 6 small meals are advisable. No fried food, oily food, nuts, dry fruits, egg and meatNo fried food, oily food, nuts, dry fruits, egg and meat Use skimmed milk/butter milk; Use plenty of fruits, Use skimmed milk/butter milk; Use plenty of fruits,

vegetables, sprout, garlic, onion, turmeric.vegetables, sprout, garlic, onion, turmeric.

ExerciseExercise Simple way of exercise is walking. ( min 30 minutes Simple way of exercise is walking. ( min 30 minutes

daily)daily) Due to exercise, heart muscles get stronger and Due to exercise, heart muscles get stronger and

elasticity of arteries improve; Blood pressure is elasticity of arteries improve; Blood pressure is normalized; LDL and triglycerides which are the normalized; LDL and triglycerides which are the causes of obese, are reduced and HDL is increased.causes of obese, are reduced and HDL is increased.

Exercise makes one’s mind stress free and gives more Exercise makes one’s mind stress free and gives more enthusiasm and confidence.enthusiasm and confidence.

During TMT, at a particular speed, changes in ECG will During TMT, at a particular speed, changes in ECG will be noticeable. That is the limit of exercise intensity. It be noticeable. That is the limit of exercise intensity. It is safe to exercise 20 beats below the level of this is safe to exercise 20 beats below the level of this exercise intensity.exercise intensity.

If heart rate is continuously 70 to 100, then it is de-If heart rate is continuously 70 to 100, then it is de-conditioned. De-conditioned heart receives less oxygen.conditioned. De-conditioned heart receives less oxygen.

Exercise….Exercise…. Drink water before and after exercise for better Drink water before and after exercise for better

heart’s function and blood pressure. heart’s function and blood pressure. During exercise, if you feel symptoms like fainting, During exercise, if you feel symptoms like fainting,

chest pain/pressure, fast breath etc, reduce the chest pain/pressure, fast breath etc, reduce the speed and duration of exercise and consult doctor speed and duration of exercise and consult doctor for medical check up/tests. ( if you cant walk due for medical check up/tests. ( if you cant walk due to chest pain, increase sorbitrate tablets)to chest pain, increase sorbitrate tablets)

Exercise reduces body’s resistance to insulin, Exercise reduces body’s resistance to insulin, which in turn reduces hypertension, and hence which in turn reduces hypertension, and hence heart is saved from the effect of hypertension.heart is saved from the effect of hypertension.

Exercise improves dissolving capacity of blood Exercise improves dissolving capacity of blood clots and plaque deposits in coronaries.clots and plaque deposits in coronaries.

Yogas are suitable for heart ( some exceptions)Yogas are suitable for heart ( some exceptions)

Mind stress controlMind stress control Heart has to pump and circulate 6 times more Heart has to pump and circulate 6 times more

blood during mind stress ( and exercise)blood during mind stress ( and exercise) Mind stress increases BP, sugar, pulse, Mind stress increases BP, sugar, pulse,

cholesterol, contraction of arteries, blood cholesterol, contraction of arteries, blood clotting.clotting.

By spiritual training, prayer and meditationBy spiritual training, prayer and meditation Positive thinkingPositive thinking Doing works on priority basisDoing works on priority basis Balanced lifeBalanced life Social lifeSocial life Maintaining good healthMaintaining good health Avoid indecision or postponement of decisionAvoid indecision or postponement of decision Change from “A” type to “B” type personChange from “A” type to “B” type person

Mind stress controlMind stress control Relaxation and holidaysRelaxation and holidays Sense of humor and laughing Sense of humor and laughing Developing communication skillsDeveloping communication skills Planning and action as per planPlanning and action as per plan 7 to 8 hours of sleep at night ( early to bed & 7 to 8 hours of sleep at night ( early to bed &

early rise)early rise) Time and work load managementTime and work load management Free radicals released during oxidation in our Free radicals released during oxidation in our

body causes mental stress. Anti-oxidants present body causes mental stress. Anti-oxidants present in fruits and vegetables resist effect of free in fruits and vegetables resist effect of free radicals.radicals.

Medicines for heart Medicines for heart diseasedisease

ACE inhibitors: ACE inhibitors: (In combination with diuretic or beta blockers) (In combination with diuretic or beta blockers) Function: helps of more blood flow by dilating the Function: helps of more blood flow by dilating the

arteries and thus reduces the BP. arteries and thus reduces the BP. Risk: Birth defect ( not recommended for pregnant Risk: Birth defect ( not recommended for pregnant

women)women) Beta blockersBeta blockers(prescribed if you had attack) (prescribed if you had attack) Function: Lowers heart rate and BP; Improves blood Function: Lowers heart rate and BP; Improves blood

flow to heartflow to heartRisk: Induces asthma ( not recommended for Asthma Risk: Induces asthma ( not recommended for Asthma

patients; difficult to feel low sugar symptom i.e., fast patients; difficult to feel low sugar symptom i.e., fast heart beat; but stopping it abruptly increase heart heart beat; but stopping it abruptly increase heart problem; to stop gradually, if needed, as per doctor’s problem; to stop gradually, if needed, as per doctor’s advise.advise.

Medicines for heart Medicines for heart diseasedisease

Diuretics (water pills) Diuretics (water pills) Function: helps the body to get rid of extra sodium (salt) and Function: helps the body to get rid of extra sodium (salt) and

fluid; lowers BPfluid; lowers BP Aspirin Aspirin Function: prevents blood clot & attackFunction: prevents blood clot & attackRisk: Stomach ulcer and gastrointestinal bleedingRisk: Stomach ulcer and gastrointestinal bleeding Antiplatelet drugs Antiplatelet drugs Function: prevents platelets to clump together (near Function: prevents platelets to clump together (near

medicated stents)medicated stents)Risk: same as aspirinRisk: same as aspirin StatinsStatinsFunction: to lower LDL and triglyceridesFunction: to lower LDL and triglyceridesRisk: Liver damage (liver function tests conducted as per Risk: Liver damage (liver function tests conducted as per

doctor’s advise)doctor’s advise)

Some aurvedic medicines (Arjuna) also may help in long run.Some aurvedic medicines (Arjuna) also may help in long run.