In our body we have cholesterol which is a type of fat.  In certain foods is cholesterol depending on the food you buy. Your total cholesterol includes LDL (low-density lipoprotein) and HDL (high density lipoprotein) cholesterol.  Let’s differentiate the two, LDL is bad cholesterol because it can build up in the arterial walls and form plaque in time.  That build up in the arteries will reduce blood flow and increase your risk to heart disease, especially eating frequently the wrong foods with high and bad cholesterol over years (Example. coronary artery disease, high blood pressure, and eating like this for years can lead to a heart attack or from s/s arising scarring the person to go to the doctor and find out they have blockages & need surgery.  The s/s arising scarring the person can range from chest pain, and can be radiating down the arms,  sweating profusely, weakness/fatigue increases in your life, dizziness, you feel like you’re going to fall or actually due to the fatigue/weakness=low B/P due to the blockage or the heart just working too hard in doing its function since the cardiac output is decreased from the blockage) Take one of my dear friends who I have known almost 35 years who was a workaholic 10to14hr/7 days a week for at least 25 years and this week he had to undergo surgery for a coronary artery blockage bypass for  5 vessels blocked 80% to 100%.  He had a successful bypass done but now has a long rehab hall to get better due to high cholesterol eating, smoking (that both play an impact in plaque & tar build up in the vessels) but he also was obese about 50lbs.  This could have been prevented if he changed his diet, watched his weight, and quit smoking years ago but that takes discipline, making sacrifices=all within your hands to allow for healthy habits now (prevention) or later when problems occur (treatment), if caught in time. There is a way out of this happening to you.                                                                                                                                           HDL (high density lipoprotein) cholesterol is also known as good cholesterol because it is thought to help remove bad cholesterol from the body; if you decide the right foods in the right portions that will have more HDL than LDL in them.  Differentiating the 2, now another component to keep in mind is risk factors that can put you at risk for heart disease and your doctor will determine what additional risk factors you have putting you at risk for heart disease.  These risk factors can be modifiable (controllable by individuals) or non-modifiable (non-controllable by individuals).

Modifiable Risk Factors=High B/P, Diabetes, Low HDL=good cholesterol, High LDL=bad cholesterol, smoking, eating foods high in SATURATED FAT & CHOLESTEROL, lack of any activity in your life (your regular routine doesn’t count), & harmful use of alcohol.

Non-modifiable Risk Factors=4 types only which are:  1-Heredity (The higher the risk is when the heredity is closer to you in your family tree=Nuclear family–mom, dad, and siblings). 2-Age (Men aged 45y/o or older & Women aged 55 y/o or older) 3-Gender (It may affect your risk, for years heart disease was considered a man’s disease but we now know that heart disease is the leading cause of death for women as well as men.  Although men tend to develop coronary artery disease earlier in life, after age 65 the risk of heart disease for both genders is equal.

) 4-Race (Heart disease is higher among African Americans, Mexican Americans, American Indians, native Hawaiians, and some Asian Americans compared to Caucasians).

The answer to prevention or treatment of cardiac disease is changing or modifing your diet, if it’s unhealthy 100% or just partially.  The answer includes exercise (from just walking or if you like working out, even better) and if needed medication but your doctor will decide.  All these changes can modify your blood lipid profile=cholesterol control, which helps increasing your heart to a better tolerance with activity, stress and simply functioning.  Recommended is going to a cardiologist for people diagnosed with heart conditions or your general practitioner with any illness/disease before making changes to help guide you towards the right choices.  Your doctor can help you in determining which prevention or treatment plan is best for you.

Foods high in cholesterol=Fast foods, whole fat dairy products-milk/cheese/butter/mayonnaise/ bacon/processed deli meats/salad dressings and shortenings.

The key is to be living a healthy life.  This consists of diet, exercise or activity and healthy habits learned and practiced routinely in your life that will help prevent or assist in treating cardiac disease.  The better we treat ourselves regarding health the higher the odds we will live a longer and healthier life.  There is not just one food to eat or one type of exercise to do or one healthy habit to keep you healthy, there’s choices.  Come onto my website which is no fee, no charge, no hacking, just letting you check us out to look further in understanding how to take a shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what healthier habits or changes you want for a healthier way of living.  It allows you to make all the decisions in what you want to do regarding what to eat (diet), exercise/activity, and what healthy habits you want to add in your life.  We just provide the information and healthy foods in your diet, if you decide you want it.  You make all the choices.  Wouldn’t you want less disease/illness for yourself and for others throughout the nation including the future generations.  Thank you for lending me your ear in listening how we can help you get healthier and make a healthier USA.  Click onto heathyusa.tsfl.com and I hope to hear from you soon.

The heart is like the engine to a car but for us it’s the “pump” for the human body; without the engine the car won’t run and without the pump we won’t live.  The normal size of the heart is about the size of your fist, maybe a little bigger.  It pumps blood continuously through your entire circulatory system.  The heart consists of four chambers, 2 on the right and 2 on the left.  The right side only pumps high carbon dioxide levels of blood, after all the oxygen was used by the tissues and returns to the heart in the right upper chamber and leaves to the lung from the right lower chamber.  From the lungs it than goes to the left side of the heart now, which is a very short distance as opposed to where the left side pumps the blood.  The L side of the heart pumps blood to the feet, brain and all tissues in between with high oxygen levels of blood.   This is why the L side of the heart does more work than the R side since the blood leaving the L side has a longer distance in distributing oxygen.  The heart pumps the blood with high oxygen blood levels to reach all your tissues and cells, going to the feet, brain, and to all other tissues in between returning home again to the right side of the heart (upper chamber) to get sent to the lungs again for more oxygen.  This is why the muscle on the L side of the heart is larger than the right, it works harder.  Every time your heart beats (the sound we call lub dub) the organ is sending out a cardiac output of blood either to the lungs for more oxygen or to the body tissues through the aorta to give oxygenated blood to your tissues and cells.  This is the mechanics of how the heart works in our body.                                                                                                                            Let’s see what can occur if the heart doesn’t function properly.  If your heart is not pumping out a sufficient amount in your cardiac output to either the lungs (from rt. Side) or to the tissues (from the lt. side) than it tries to work harder where it does ok at first but over time weakens.  As this weak heart struggles to pump blood the muscle fibers of the heart stretch.  Over time, this stretching leaves the heart with larger, weaker chambers.  The heart enlarges (cardiomegaly).   If this continues to go on this could go into R or L sided heart failure.  When this happens, blood that should be pumped out of the heart backs up in the lungs (L sided failure) or in the tissues (R sided failure).  The side the failure is on doesn’t allow proper filling of the chambers on that side and back up happens; so if on the L the fluids back up in the lungs or the R the fluids first back up in the veins which can expand to hold extra blood but at some point dump the extra fluids in your tissues (This is edema in feet first due to gravity).   This is all due to overloading of the blood not filling up in the chambers of the heart to make a good cardiac output of blood and in time the fluid backs up (bad pumping=backup of blood=fluid overload in the lungs (pulmonary congestion) to fluid staying in the skin (first the lower extremities due to gravity=feet which we call edema working its way up the legs.).  This condition in time with no treatment will go into congestive heart failure (CHF) to the other side of the heart if not controlled.  CHF can range from mild to severe.   There is 670,000 cases are diagnosed with this every year and is the leading cause of hospitalization in people over 65 y/o.  Causes of CHF are: heart attack, CAD (coronary artery disease), cardiomyopathy, conditions that overwork the heart like high blood pressure, diabetes and obesity (These diseases can be completely preventable or at least well controlled).                                                                                                                                  There is many of us in this world with knowing how our activity/exercise, eating, and habits could be better for health but do little action if any on our own to change it, which is a large part for certain diseases being so high in America (diabetes, stroke, cardiac diseases=high blood pressure, atherosclerosis, arteriosclerosis to CHF and more).  If people were more healthier and more active regarding these diseases alone it would decrease in population creating a positive impact on how our health system with insurance presently (a disaster) with our economy for many could get better.  A healthy heart can pump to all parts of the body in a few seconds which is good cardiac output from the organ but when it gets hard for the heart to keep up with its regular routine it first compensates to eventually it decompensates causing ischemia (lack of oxygen to the heart tissue).  It’s like any tissue in the body, lack of oxygen=lack of nutrients to the body tissue=STARVATION and with lack of oxygen will come PAIN eventually to death if not treated.  Take the heart, if it isn’t getting enough oxygen it can go into angina.  That is reversible since it is heart pain due to not enough oxygen to the heart tissue=no damage but if left untreated what will occur is a heart attack=myocardial infarction (MI) and is permanent damage because scarring to the heart tissue takes place.                                                                              Let’s understand what the heart can develop over time with an unhealthy heart due to bad health habits.  If you are eating too much for too long foods high in sodium your vessels will narrow in size.  By allowing this you increase the pressure in the vessels that increases your blood pressure called hypertension.  If you are also inactive you are at risk of obesity which puts stress on the heart and in time causing high B/P.  Constantly be in a high B/P and this could cause the vessel to rupture (at the heart=possible heart attack, at the brain=possible stroke, also called CVA with both on high occurrences in our population of the US.).   With bad habits (especially poor diet, inactive, and smoking) you can cause over time atherosclerosis=a blockage in the artery with the resolution surgery (from a cardiac catheterization up your groin or having difficulty in the arm to the heart where an angiogram to an angioplasty with possibly a stent is performed or if the blockage to blockages is so bad a CABG=coronary artery bypass=a 6hr plus operation where diversion of a vein from your leg (donor graft site) around the blockage is done.  Smoking can lead to this but it also can cause your vessels to become brittle=arteriosclerosis.  Healthy Habits would impact a positive result for all people who have had this diagnosis before but most important be a great PREVENTATIVE measure for people not diagnosed with cardiac disease.    There are 4 things you have no control over heredity, age, sex, and race but healthy habits are sure to benefit you by keeping the odds down of you inheriting, help your age factor, and race a lot can be associated with eating cultural habits.                                                                                                                                                          If you make the decision to live a life that’s healthy for your heart through proper eating, doing healthy habits and doing some exercise or activity with balancing rest in your busy schedule and would like direction or want to expand your diet/exercise/healthy habits then you came to the right blog.  Go to my website for no fee, no charge, no hacking, just letting you check us out to look further in understanding how to take a healthier shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what healthier habits or changes you feel you need and want for a healthier way of living. It allows you to make all the decisions in what you want to do regarding your health.  Includes what to eat (diet), what exercise/activity, and what healthy habits you want to add in your life.  We just provide the information and healthy foods in your diet through information to broaden your knowledge even a catalog on diet foods, if you so choose to do so.  You make all the choices.  Wouldn’t you want less heart disease or obesity or diabetes for yourself and for others throughout the nation including the future generations?  Than join me and others.  Thank you for taking the time to read my article in how we can help you with others gets healthier you including a healthier USA.  Click onto heathyusa.tsfl.com and I hope to hear from you soon.  If you like what you see spread the good cheer.   Let’s build a stronger foundation regarding HEALTH in America.

People who are at risk for the development of coronary artery disease and myocardial infarction include those who fall into any of the categories listed below:

-People with a history of heart disease.

-Males.

-Smokers.

-People with high cholesterol.

-People with high blood pressure.

-Obese people.

-People with diabetes.

-People who suffer stress.

-People who live a sedentary life style.

-Heredity is a powerful factor that contributes to early heart disease.  Being male is a risk factor, but the incidence of heart disease in women increases dramatically after menopause.

-The risk factors to concentrate upon are those that can be modified.  These include cigarette smoking, high blood pressure, cholesterol, obesity, sedentary life style and stress.  Cigarette smoking causes many deaths from myocardial infarction and other heart diseases.  Smoking contributes to almost half of the heart attacks of women under age 55.

-Stopping smoking can greatly reduce your chances of having a heart attack.  Controlling blood pressure can reduce your risk of heart attack.  Lowering cholesterol to safe levels through diet and medications can reduce your risk and may even lead to some regression of the plaques already present.  Lean body weight and a regular exercise program are helpful.

-If you are diabetic, precise control of your diabetes will help reduce your risk of blood vessel damage due to diabetes.  Stress is a risk factor that is common, difficult to quantify and difficult to control effectively over time.  Methods of stress reduction include meditation, regular exercise, time management, and a supportive environment.

How is a heart attack diagnosed?

Chest pain is the most common symptom of a heart attack.  The chest pain is usually a burning or pressure sensation beneath the mid or upper breast bone.  The pain may radiate into the upper mid back, neck, jaw or arms.  The pain may be severe but often is only moderate in severity.

There may be associated shortness of breath or sweating.  If patients have had angina previously, the heart attack pain will feel the same as their usual angina only stronger and more prolonged.  If you have a pain like this that lasts longer than 15 minutes, it is best to be evaluated immediately.

Calling your medic unit is the fastest and safest way to ask for help.  If you have symptoms like this that wax and wane, this is often a warning sign that a heart attack is about to occur and prompt medical attention is needed.

Once you are in an emergency room or a doctor’s office an electrocardiogram (ECG or EKG) will be obtained.  This is often helpful in diagnosing a heart attack.  Sometimes, however, the test is normal even when the heart injury is present but usually a great diagnostic tool.

When heart cells die, certain enzymes present in heart cells are released into the bloodstream that serve as a marker of heart injury (troponin I and CPK or CK-MB).  These enzymes can be measured by blood tests.  The amount of enzyme released into the blood stream also helps assess how much heart damage has occurred.

TREATMENT:

The best way to limit the size of a heart attack is to restore the flow of blood to the heat muscle as fast as possible.  There are two basic methods to do this.

Because most heart attacks are caused by clots forming within the coronary artery, dissolving the clot quickly will restore blood flow.  Drugs called thrombolytics are quite effective.

The sooner these drugs are given, the quicker the blood flow will be restored.  An alternative method involves the use of balloon angioplasty.

This involves taking the heart attack victim promptly to the cardiac cath lab in the hospital.

An angiogram is performed to show the blocked blood vessel leading to the heart attack.  Then a balloon catheter is placed across the blockage and flow is restored.

Sometimes a stent (a device that assists in holding the blood vessel open) is placed to create a large channel.

Smaller heart attacks, often  those not producing significant abnormalities on the ECG are often treated with bedrest and blood thinners such as heparin as well as drugs to reduce the work the heart does.

These heart attacks are called non-transmural myocardial infarctions.  Before discharge, x-ray studies of the heart arteries are often carried out to see if angioplasty or surgery will be necessary.

Following thrombolytic (clot reducing) therapy, angiogram are often performed to outline the coronary anatomy to help determine if additional therapy such as angioplasty or bypass surgery is indicated.  This may be done during the initial hospitalization or later as an outpatient procedure

Angina is a medical term simply meaning lack of oxygen to the heart.  Lack of oxygen to any area of the body will cause pain in time since oxygen is the nutrients to our tissues in the human body.  Since the heart is in our upper chest angina will cause pressure or pain in the chest area and could radiate down the left arm.  Angina is reversible, no damage has occurred to the heart, but don’t get it treated and a heart attack will soon occur.

A Myocardial Infarction (MI) is just another name for a heart attack.  The coronary arteries supply the heart muscle which is called the myocardium in medical terms.  When one of these arteries are blocked and the blood supply is cut off partially to completely an MI can definitely occur.  The problem here is actual damage and scarring occurs at the area of where the MI took place in the heart.  Cell death does not occur immediately once the artery is blocked.  It takes several minutes to start the injury process and this continues for several hours unless the artery is opened up and blood flow is restored.

Cause:

The reason for the blockage is usually a buildup of plaque (deposits of fat-like substances) in the walls of the coronary arteries.

The plaque buildup narrows the walls of the artery and can cause blood clots to occur.  Plaque buildup is caused by a disease known as artherosclerosis (hardening of the arteries).  An artherosclerotic plaque is a made up of cells, cholesterol, and other fatty substances.  The plaque develops in the wall of the coronary artery and over time becomes large enough to start narrowing the channel through which the blood travels.

The pool of lipid (the fat) within the plaque is covered by a thin fibrous cap.  This cap may split or fracture, exposing the blood to elements within the plaque that cause blood clot formation.

This clotting process may be controlled by the body, which contains substances to dissolve clots, or may lead to complete blockage of the artery.  When the artery is  blocked acutely for more than a few minutes, cell death start to occur.

Coronary heart disease is a very common disease and is the leading cause of death in the United States.  More than 500,000 men and women suffer a heart attack each year.

Are all heart attacks the same?   NO, A small heart attack means only a small amount of the heart muscle tissue has died.  Recovery in such cases is typically fast, and complications are to a minimum.

Large heart attacks that involve a large portion of heart tissue can cause problems like:  low blood pressure, shock, or heart failure because the heart’s ability to pump blood is reduced.  Recovery is typically longer in such cases and complications are at a higher potential of happening or death can occur.

Until the are of damage heals, the dead heart muscle is soft/weak and rupture of the heart wall can occur.  This usually results in death.  The normal rhythm of your heartbeat can change during a heart attack.  These rhythm abnormalities can be very serious and cause death if not treated promptly.

With prompt and effective treatment of a myocardial infarction, most potential complications can be avoided, and the mortality rate can be reduced dramatically.

Recovery for a heart attack:

In years past, hospitalization was often prolonged, lasting 3 to 4 weeks.  Today, hospitalization following a heart attack is usually brief in the absence of complications.  Often patients are home within 4 to 5 days or sooner.  Activities will be restricted for a few weeks to allow the healing process to occur.  The damage to the heart tissue will usually heal in 4 to 8 weeks.  The heart forms a scar tissue that is permanent; just like what would happen if any other tissue of the body suffered damage. (ex. You cut yourself with a knife damaging your skin (which is tissue and a organ of the body, than get stitches by the doctor which heal on their own in time  and  a scar in that area remains for life).  The same thing occurs to the heart in a MI.

Many patients will participate in a formal cardiac rehabilitation program.  These pro- grams typically focus on exercise and other lifestyle changes in order to speed recovery, and to fight the coronary artery disease that originally caused the heart attack.  Cardiac rehabilitation is so vital, it helps people to resume normal activity to their optimal level as quickly as possible with whatever adjustments they needed to make in their life to prevent this from happening again whether it be diet, exercise balanced with rest, and medications to take (new or adjustments in doses) or all 3.

Come back tomorrow for Part 2 on What are risk factors for a Myocardial Infarction with how is a heart attack diagnosed, treatment with When you can return to work and further details on how to prevent further heart attacks from occurring.

Angina is a medical term simply meaning lack of oxygen to the heart.  Lack of oxygen to any area of the body will cause pain in time since oxygen is the nutrients to our tissues in the human body.  Since the heart is in our upper chest angina will cause pressure or pain in the chest area and could radiate down the left arm.  Angina is reversible, no damage has occurred to the heart, but don’t get it treated and a heart attack will soon occur.

A Myocardial Infarction (MI) is just another name for a heart attack.  The coronary arteries supply the heart muscle which is called the myocardium in medical terms.  When one of these arteries are blocked and the blood supply is cut off partially to completely an MI can definitely occur.  The problem here is actual damage and scarring occurs at the area of where the MI took place in the heart.  Cell death does not occur immediately once the artery is blocked.  It takes several minutes to start the injury process and this continues for several hours unless the artery is opened up and blood flow is restored.

Cause:

The reason for the blockage is usually a buildup of plaque (deposits of fat-like substances) in the walls of the coronary arteries.

The plaque buildup narrows the walls of the artery and can cause blood clots to occur.  Plaque buildup is caused by a disease known as artherosclerosis (hardening of the arteries).  An artherosclerotic plaque is a made up of cells, cholesterol, and other fatty substances.  The plaque develops in the wall of the coronary artery and over time becomes large enough to start narrowing the channel through which the blood travels.

The pool of lipid (the fat) within the plaque is covered by a thin fibrous cap.  This cap may split or fracture, exposing the blood to elements within the plaque that cause blood clot formation.

This clotting process may be controlled by the body, which contains substances to dissolve clots, or may lead to complete blockage of the artery.  When the artery is  blocked acutely for more than a few minutes, cell death start to occur.

Coronary heart disease is a very common disease and is the leading cause of death in the United States.  More than 500,000 men and women suffer a heart attack each year.

Are all heart attacks the same?   NO, A small heart attack means only a small amount of the heart muscle tissue has died.  Recovery in such cases is typically fast, and complications are to a minimum.

Large heart attacks that involve a large portion of heart tissue can cause problems like:  low blood pressure, shock, or heart failure because the heart’s ability to pump blood is reduced.  Recovery is typically longer in such cases and complications are at a higher potential of happening or death can occur.

Until the are of damage heals, the dead heart muscle is soft/weak and rupture of the heart wall can occur.  This usually results in death.  The normal rhythm of your heartbeat can change during a heart attack.  These rhythm abnormalities can be very serious and cause death if not treated promptly.

With prompt and effective treatment of a myocardial infarction, most potential complications can be avoided, and the mortality rate can be reduced dramatically.

Recovery for a heart attack:

In years past, hospitalization was often prolonged, lasting 3 to 4 weeks.  Today, hospitalization following a heart attack is usually brief in the absence of complications.  Often patients are home within 4 to 5 days or sooner.  Activities will be restricted for a few weeks to allow the healing process to occur.  The damage to the heart tissue will usually heal in 4 to 8 weeks.  The heart forms a scar tissue that is permanent; just like what would happen if any other tissue of the body suffered damage. (ex. You cut yourself with a knife damaging your skin (which is tissue and a organ of the body, than get stitches by the doctor which heal on their own in time  and  a scar in that area remains for life).  The same thing occurs to the heart in a MI.

Many patients will participate in a formal cardiac rehabilitation program.  These pro- grams typically focus on exercise and other lifestyle changes in order to speed recovery, and to fight the coronary artery disease that originally caused the heart attack.  Cardiac rehabilitation is so vital, it helps people to resume normal activity to their optimal level as quickly as possible with whatever adjustments they needed to make in their life to prevent this from happening again whether it be diet, exercise balanced with rest, and medications to take (new or adjustments in doses) or all 3.

Come back tomorrow for Part 2 on What are risk factors for a Myocardial Infarction with how is a heart attack diagnosed, treatment with When you can return to work and further details on how to prevent further heart attacks from occurring.