Time is Muscle Don’t Delay Heart Failure Treatment – Archyde

(Ed.: Disclaimer: The following press release is received pursuant to an agreement with Mediawire. PTI assumes no editorial responsibility for it.)
Our heart is the main organ in the circulatory system that pumps blood throughout the body. It becomes weak and inoperable due to various reasons, such as diabetes and high blood pressure. Heart failure is the gradual weakening of the heart muscle and is often confused with a heart attack. A heart attack is the sudden interruption of the blood supply to the heart.

Heart failure is now referred to as a kind of pandemic with over 8-10 million heart failure patients in India alone. As the numbers are growing fast, it’s important to talk about heart failure.

Beat Heart Failure, an initiative of The Times of India in partnership with Novartis, is a campaign aimed at raising awareness of heart failure, its causes, prevention, treatment, self-care tips and advances in heart failure treatment methods .

Mr. Anil Vinayak, Group Chief Operating Officer, Fortis Healthcare said: “To identify, treat and manage heart failure, which affects just over 1% of India’s population, mass awareness initiatives like this are vital. Cardiology & Cardiovascular Sciences is a center of excellence within Fortis Healthcare and experienced physicians at our facilities across the country provide treatment and care consistent with international standards. As knowledge partners in the Beat Heart Failure campaign, they have addressed several tiny aspects of heart failure – from medical treatment to surgical procedures, focusing on empowering people with information that is easy to understand.”

Doctors from Fortis Memorial Research Institute, Gurugram joined this campaign –

1.Dr. TS Kler: Chair: Fortis Heart & Vascular Institute, Gurugram & Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj
2. dr. Udgeath Dhir: Regisseur & HOD, CTVS
3. Dr. Vinayak Agrawal: Direktor & Leiter

dr Kler started the conversation by talking about the causes of heart failure. He said heart failure can be divided into two components – one with normal ejection fraction, as seen in obesity, diabetes mellitus, and the second with decreased ejection fraction, seen in cardiomyopathy, coronary artery disease and aortic stenosis. Ejection fraction can be defined as the amount of blood pumped out of the heart with each contraction.

The top three causes of heart failure in India are coronary artery disease, hypertension and diabetes. These are primarily due to lifestyle choices. The cases of Rheumatic Heart Disease are also widespread in India where the heart valves get damaged due to improperly treated throat infection. The other factor is cardiomyopathy, in which heart muscles become damaged and cause heart failure.

Time is muscle, said Dr. Agrawal, adding that we must treat heart failure in time to prevent further damage to the heart and preserve the heart muscle. Sudden plaque rupture can occur, which can cause blockage of the circulatory system, which can lead to myocardial infarction (MI). It is necessary to treat MI in a timely manner to prevent significant damage to the heart. Immediate medical intervention is crucial.

dr Dhir expressed concern about the higher number of heart failure cases in India because he does not maintain a healthy lifestyle. People here are generally complacent and would try to justify their choices as sane. It is observed that Southeast Asians are genetically more prone to heart failure, while poor lifestyle is also responsible for a higher number of heart failure cases. People overwhelm themselves to keep professional and private appointments and cause immense damage to their health. Some people live a totally sedentary lifestyle, others exercise excessively. You need to strike a middle ground in heart failure prevention.

dr Kler noted that there is no concept of regular health check-ups in India and people are afraid to go to the doctor. Whereas minimal health checks should start at the age of 25. Instead of going straight to the lab, a patient can see a general practitioner, they will have some basic tests done, including physical exam, fasting blood sugar, lipid profile, and will evaluate the patient for mild, moderate, or high risk categories using a TMT (treadmill test) or an echocardiogram (ECG) and refer to a cardiologist based on the results.

dr Agrawal added that there are nine main risk factors: smoking, sedentary lifestyle, obesity, high blood pressure, high LDL levels, genetics, stress, gender and diabetes that contribute to heart failure and people in India are almost prone to all of them.

Regular blood pressure monitoring in known hypertensive patients, once in the morning and once in the evening, is important, said Dr. dir. When measuring blood pressure, there should be a forty-minute difference between tea and coffee and, for a correct result, it should always be taken lying down. Normal blood pressure is 120/80 mmHg. Heart rate is also an important marker. If the pulse rate is within the normal range, the likelihood of developing heart failure is also low. It is helpful to keep a chart of blood pressure and pulse rate. Start measuring your blood pressure for early detection around the age of 18.

Dietary habit management is also crucial by controlling salt intake, e.g. B. avoiding packaged foods, pickles, spicy Indian delicacies, and sprinkling salt on foods. When it comes to exercise, the ideal duration is 45 minutes of cardiac activity, such as B. A brisk walk of at least four kilometers for a man weighing 60 to 70 kilograms and 5 feet 8 inches tall.

People with diabetes have a sixty percent chance of developing coronary artery disease, added Dr. Add Aggarwal. It affects everything from the tip of the hair to the end of the toenail. Earlier treatment can only control blood sugar, which prevents the vascular effects of diabetes, but what kills a person with diabetes is a heart attack or stroke. Today, the cardio-glucocentric approach is the norm. Primary prevention includes statins to prevent plaque rupture and lifestyle and dietary restrictions.

dr Kler said that if a patient experiences symptoms such as shortness of breath, fatigue, swelling over the feet, cough when lying down that gets better when sitting, feeling of suffocation when lying down, they should see a doctor immediately. The approach is to be diagnosed early and treated early. We can reverse and treat all stages of heart failure.

Home management under medical supervision is also possible by avoiding strenuous activities, knowing your body and weighing your body every Sunday. As weight gains, fluid restrictions are essential, control carbs, and see your doctor regularly.

while dr While explaining the surgical options, Kler discussed refractory heart failure. If the patient has tried all types of treatments but no relief, the patient may be considered for CRT or cardiac resynchronization therapy, which helps improve heart contraction and is a type of specialized pacemaker. The most effective option may be a heart transplant, which promises longevity of 5-10 years in the majority of patients. However, there is a shortage of organs in India and there is a strong need to publicize organ donation.

In the absence of organs and if the patient is over 70 years old, LVAD or left ventricular assist devices, also called artificial heart, are another effective option.

Remember that heart failure is not the end of life; It’s a lesson in living healthier. Timely testing, early detection and intervention are key to living a happy and healthy life.

To learn more about managing heart failure, visit https://www.toibeatheartfailure.com/blog

Disclaimer: “The views and opinions of the panelists/experts expressed in the article are based on their independent professional judgment and are being disseminated in the public interest. These views should not be considered a substitute for professional advice from a licensed physician. The purpose of this article is not to promote any medical procedure or medication and/or recommend any particular doctor. If you have specific health problems, please contact your resident doctor.”



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