CK - MB Tips

Choosing the appropriate heart specialist is crucial for you since, as you are aware, heart illnesses cannot be handled lightly because your life is at risk.

Dr. Kumar B
DM - Cardiology, MD - General Medicine, MBBS
52 Years Experience 500 at clinic 300 online
The most renowned cardiologist in Bangalore with more than 52 years of expertise is Dr. Kumar B. He earned his DM in cardiology in 1987, making him a superspecialist in the subject. His academic background comprises an MD and an MBBS from G.M.C., Bangalore.

His prior work history includes serving as a Registrar in Medicine at the Medical College of Bellary, a Cardiology Lecturer at the Medical College of Mysore, and a P.G. General Medicine Deputation Lecturer in Cardiology at the Medical College of Bangalore.

He previously held the positions of Assistant Professor and Professor of Cardiology at the Medical College of Bangalore; Professor of Cardiology at the Sri Jayadeva Institute of Cardiology in Bangalore; and Professor and HOD of Cardiology at the Vydehi Institute of Medical Sciences and Research. He speaks to patients primarily in English.

Dr. Sunil Kumar S
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine
18 Years Experience 500 at clinic 500 online
Dr. Sunil belongs to the Indian Society of Cardiology. His therapeutic specialties include interventional cardiology, nuclear cardiology, pediatric cardiology, adult congenital cardiology, cardiovascular and pulmonary physiotherapy, echocardiology, heart failure/transplantation, and non-invasive cardiology.

In the field of cardiology, he has 18 years of experience. He has an excellent command of English, Kannada, Hindi, Tamil, and Telugu. In 2016, he completed a fellowship in interventional cardiology at Mount Sinai in New York, USA. He received his Doctor of Medicine in cardiology from Bangalore in 2013. His additional credentials include an MD and an MBBS from Bangalore.

Dr. Jai Babu
MBBS, MD - General Medicine, DM - Cardiology
18 Years Experience 600 - 900 at Clinic
He is well-known as a successful cardiologist in this period with more than 18 years of expertise. Cardiologists, echocardiologists, and heart failure/transplant specialists are among his specialties. In the Cardiological Society of India, he has had a significant impact. Kannada, English, Telugu, Tamil, and Hindi are among the many languages he speaks fluently.

In his earlier years, he held the positions of Consultant Cardiology at Vikram Hospital and Narayana Multispeciality Hospital, both in Whitefield. Sri Jayadeva Institute of Cardiovascular Sciences and Research (SJICSR), Bangalore, awarded him a Doctor of Medicine in Cardiology in 2015. He received his MBBS and M.D. degrees from Bangalore Medical College and PGIMER, Chandigarh, respectively.

Dr. Bijay Kumar Mahala
MBBS, MD - Cardiology
35 Years Experience 900 at clinic 750 online
In the medical area, experience matters, according to a knowledgeable guy. Therefore, you can see Dr. Bijay Kumar Mahala if you're looking for the most experienced cardiologist in Bangalore. He received his MBBS from Utkal University in 1987 and has over 35 years of experience, making him one of Bangalore's top cardiologists. His cardiology doctorate (MD) came next.

Dr. A.Naga Srinivaas
MD - Internal Medicine, DM - Cardiology
30 Years Experience 400 online
Dr. Srnivaas is an internationally renowned interventional cardiologist who specializes in the diagnosis and treatment of heart problems. Dr. Srinivaas has more than 30 years of experience and has handled several cases of heart attacks, cardiac problems, and other heart disorders.

Being a member of the Indian Cardiological Society, he has treated patients with dignity. In 1992, he graduated from Andhra Medical College in Visakhapatnam with an MD in internal medicine, and in 1996, he received a DM in cardiology from NTR University of Health Sciences.

Dr. Anil Kumar A. Kustagi
MD - Medicine, MBBS
27 Years Experience 300 - 1000 at Clinic
Since the heart is a crucial organ in our body, we should seek the best specialists for heart issues. Dr. Anilkumar A. Kustagi is regarded as one of the greatest doctors in the Bangalore area and has over 27 years of expertise.

He completed his medical degree at Mahadevappa Rampure Medical College in Gulbarga in 2004. In the Association of Physicians of India and Research Society for the Study of Diabetes in India (RSSDI), he is playing a vital role.

Dr. Gopi A
MBBS, MD - General Medicine, DNB Cardiology, DM - Cardiology
34 Years Experience 700 at Clinic
Among the best cardiologists in the world, Dr. Gopi A is ranked highly. With over 34 years of experience, he has treated numerous cases of cardiac problems, including heart attacks and other conditions. He is proficient in Hindi, Kannada, Malayalam, English, and other languages.

He graduated from Bangalore's Kempegowda Institute of Medical Sciences (KIMS) with an MBBS in 1988, DNB Cardiology from Bangalore Medical College & Research Institute, Bangalore, India in 1992. In 1995, he graduated with a Doctor of Medicine in cardiology from Sree Chitra Tirunal Institute For Medical Sciences & Technology.

Dr. Abhijit Vilas Kulkarni
MBBS, MD - Internal Medicine, DM - Cardiology,
20 Years Experience 0 - 800 at Clinic 250 Online
One of the top names when it comes to specialization in interventional cardiology is Dr. Abhijeet Vilas Kulkarni. His therapy is available nationwide. He has 20 years of experience in his area and is an MBBS, MD (Internal Medicine), and DM (Cardiology) specialist. He was a member of the esteemed institution during his studies i.e. KMC Hubli in 2002, PGIMER in 2006, and Jayadeva institute in Bangalore in 2011. He completed a clinical attachment in 2016 at the National Heart Centre of Singapore in cardiac electrophysiology.

Dr. Imran Damani
MBBS, Postgraduate Diploma Clinical Cardiology (PGDCC), CCEBDM(DIABETOLOGY)
14 Years Experience 300 - 750 at clinic 100 online
The most well-known and successful cardiologist and diabetologist in Bangalore is Dr. Imran Damani. He earned his MBBS from the Bangalore Medical College and Research Institute in 2008, his PGDCC in clinical cardiology from NARAYANA HRUDAYALAYA in Bangalore in 2012, and his CCEBDM in diabetes from Fortis Hospitals in 2013.

He is a Former Associate Cardiologist at Narayana Hrudayalaya, a Former Consultant Cardiologist at Happy Heart Cardiac Diabetes Clinic, and Former Senior Registrar at Fortis Hospital Bannerghatta road. He is a LIFE MEMBER of IACC and IMA (Indian Medical Association), as well as a provisional member of the Karnataka Medical Council and the Cardiological Society of India (CSI).

Dr. Nagaraja Moorthy
DM, MBBS, MD - Internal Medicine, FACC, FSCAI (Int Card), (FICC) Fellowship of Indian College of Cardiology
20 Years Experience 600 online
One of history's most modest medical professionals, Dr. Nagaraja Moorthy strives to provide his patients with the best care possible. He is an excellent interventional cardiac physician with over 20 years of expertise. He is a distinguished member of the American Society of Echocardiography, the Cardiological Society of India (CSI), and the Indian College of Cardiology.

In 2012, he received a DM from SGPGIMS Lucknow. In addition to his MD in Internal Medicine from Devaraj URS Medical College in Kolar in 2006, he also holds FACC and FSCAI (Int Card) from the American College of Cardiology and Fellowship of the Indian College of Cardiology (FICC) - 2018.

Recovering from a fatal condition like a heart attack ;can take a long time. But, do you know a healthy diet ;can be a great step towards a speedy recovery? yes, it certainly can be!

Your heart is responsible for pumping blood throughout your body and supplying nutrients and oxygen to the tissues. For the proper functioning of your body, it is essential to keep your heart healthy. However, over time, a number of underlying causes and conditions affect your heart health.

Here are a few factors that impact your heart in one way or the other



Cholesterol the first thing you need to know about cholesterol is that it is of two types good and bad. Bad cholesterol (ldl) found in dairy products, red ;meat, and eggs can clog the arteries that feed your brain and heart, thus, putting you at risk of stroke ;and heart attack.



Get a blood test done to know your cholesterol levels. If it is high, then consult a doctor and switch to a low-fat ;diet that will lower your bad cholesterol.



High blood pressure ;  the excessive pressure and damage resulting from high blood pressure causes the coronary arteries to become narrow and slowly leads to plaque build up a process known as atherosclerosis. As the arteries thicken with plaque, blood clots form. Due to a blocked artery, the blood flow through the heart muscle gets interrupted, starving the muscle of nutrients and oxygen. This ultimately leads to a heart attack.



Monitor your blood pressure and understand what the reading means. Adopt adequate measures to keep your blood pressure below 130 mm/hg (systolic) and under 80 mm/hg (diastolic).



Blood sugar levels  high blood sugar, over time, can injure the blood vessels and the nerves controlling them and your heart. The higher your blood glucose levels and the longer you suffer from diabetes, the higher the chances of developing heart disorders.



Exercise and a low-fat diet that limits sugar intake can help lower blood sugar levels and put you at a lesser risk of heart ailments resulting from diabetes.



Smoking  tobacco present in cigarettes contract the blood vessels, and thus, smoking increases your chances of developing heart ailments.



If you want to live a healthy life, quit smoking today.



Excessive bodyweight  excessive body fat, especially around the belly, puts you at risk of heart diseases. Being overweight or obese puts a strain on the heart muscles and the heart has to work hard to pump blood. This, in turn, spikes up blood pressure, which contributes to heart diseases.



Eat a balanced diet and exercise regularly to maintain healthy body weight.

Consult a doctor and discuss your goals for blood glucose, blood pressure, and cholesterol. Ask for a healthy diet plan and stay active to battle these underlying conditions affecting your heart health.

A heart attack can be devastating, even fatal in the absence of immediate medical attention. Keeping your heart healthy is important if you are looking to enjoy a long and peaceful life. However, in order to maintain a healthy heart, you need to know some common triggers for your cardiac muscles.

A heart attack may be caused due to one of the following three reasons-

Atherosclerosis - Atherosclerosis is the condition where the artery carrying blood to the heart is blocked due to cholesterol deposits on the arterial walls. This impedes normal blood flow and causes a lack of oxygen for the heart muscles, thus leading to a heart attack.

Blood clots- Cholesterol plaques in the artery may rupture, spilling the contents into the bloodstream. This causes a blood clot, which can then obstruct the blood flow. Such a clot can cause a heart attack.

Muscle spasms- Due to muscle spasms in the chest, the artery carrying blood to the heart may become constricted. This minimizes blood flow and causes a heart attack.

Chances of heart attacks increase with certain factors, such as the following-

Age- Age is an important factor when it comes to calculating the chances of suffering from heart attacks. For instance, men above 45 years of age and women above 55 years are more likely to suffer from a heart attack than younger people do.

Tobacco- If you smoke or are exposed to second-hand smoke, you face a much greater risk of heart attacks.

High blood cholesterol- Low-density cholesterol or LDL is known as bad cholesterol. LDL narrows the arteries and limits the flow of blood, increasing the likelihood of heart attacks and other cardiac diseases.

Obesity- Obesity is associated with high cholesterol and/or high triglycerides. People with lower body weight are more likely to enjoy a healthier heart.

Family history- Even though heart attacks can be prevented by leading a healthy life, some people are more likely to suffer from a heart attack due to genetic predisposition to the same.

Consult your physician if you are worried about cardiac health. He/she will help you understand what you can do to improve your heart s condition.

An injury during an intense work out session can occur anytime, irrespective of your fitness level or experience; the more common ones being wrist dislocation, knee or shoulder injury, muscle strain and many more. But you can certainly bring down your risks of sustaining these injuries only by adhering to certain precautions. If you are a man above 45 or a woman above 55, you need to consult your health care professional before starting with an exercise program.

Quick tips must always remember:

Every work-out should commence with a warm up and close with a cool-down activity. Warm-up makes you ready for your exercise as it slowly enhances your heart rate and loosens your joints and muscles, such as a quick 5 to 10 minutes burst of jogging. A cooling down exercise gets your heart rate back to normal, such as few minutes of walking.
Practise stretching as it adds to your flexibility and prevents injury.
When you begin a new exercise, do it with ease and then gradually raise your frequency, duration and intensity. Don t be so hard on yourself initially.
Bring about a variation in your movements. Do not just overuse the same set of muscles repeatedly or else you will be prone to injuries such as tendinitis (inflammation of the tendon that connects your bone to the muscles) and shin splits (acute pain in the lower leg).
Customize your workouts as per your problem areas and refrain from doing activities that hurt or put unnecessary strain on the body.
Remember you can stay fit without actually getting wounded. Take a day break from your work outs if you are injured. Remember, if you exercise even if you have been nursing an injury, it can be counterproductive to your health and general fitness goals. Take some time out to rest for a day.
Drink sufficient amount of water during, before and after your work outs. Opt for periodic small meals which fuel your body and replenish your energy.
Get yourself a trainer to guide you in your exercises and help you set a realistic and a safe exercise program.
Choose a proper outfit necessary for your workouts to avoid accidents from falls or weightlifting, for instance, wearing the proper shoes or gloves.
It is best to exercise 6 days a week as your body needs one day s rest to recover from the strain that you have been putting it to.

When a person suffers from the typical symptoms of heart weakness that includes breathlessness, weakness, sudden sweating, discomfort while doing minor exertions, chest pain, pain radiating along the arms, back, neck and shoulders and other symptoms, the doctor will ask for investigations to study the heart.

The Heart is a muscular organ in the chest and like any other muscle in the body, it has its own unique blood vessel network that does the function of supplying nutrition to the heart muscles. Like any network, the Cardiac blood supply also begins with major vessels that branch off into minor and then very small blood vessels. It is these very small blood vessels that actually reach the muscle fiber to give nutrition.

When this is a problem with the free-flowing blood to reach the muscle cells, the strength of the heart muscles reduces and the overall heart functioning is in trouble. Until now, it was commonly believed that cholesterol deposits make blockages in the blood vessels that cut off nutrition supply causing the heart to go into disease stage.
Today, extensive research has proved that there are many reasons for hampered blood supply to heart muscles, and plaque formation (blockages caused by cholesterol deposits) need not be the reason for heart attacks entirely. Blood vessel disease called Atherosclerosis is the root cause.
In modern times, if the patient consults a cardiologist, the first line of investigation prescribed is the Angiography.
This procedure requires the patient to be admitted to the hospital. Under anesthesia, the Doctor will make a cut/incision in a major blood vessel of the thigh joint or the arm. He will then insert a tube called catheter into the blood vessel and guide it through the major arteries till it reaches the important position from where the blood vessels that supply nutritious blood to the heart muscles is reached. At this position, a dye is pushed into the blood flow and a series of specialized X-rays are taken that will show the blood vessels.
In these images, it is the Doctor s expertise that will identify positions where the blood flow is reduced, or disturbed.
The dye has a short life span and is able to show flow dynamics only up to the secondary blood vessel network. The Doctor will determine which part of the heart blood vessels are affected based on these images, the length of the plaque, position and kind of blockage and derive the damage to heart, based on these anatomical visuals. The catheter is then removed; the blood vessel opening stemmed and the patient has to remain immobile in the hospital till the blood vessel improves.
The Doctor will prescribe a list of medication that includes beta-blockers, aspirins, statin and antibiotics.
Very often, if the Doctor decides, he will suggest the next procedure of Angioplasty immediately.
This procedure involves pushing a mini wireframe tube called stent or an inflatable balloon through the same catheter to the area of blockage. This balloon or stent is guided to the area of the blockage and mechanically expanded to push aside the plaque to help the blood flow resume. There are different kinds of balloon and stent procedures.
None of these procedures removes the blockage plaque. The procedure helps to resume blood flow in the major arteries only.

No invasive therapy is safe and there is a lot of reports backed by Research Data from very reputed global authoritative organizations that highlight the unnecessary number of angio procedures being done as well as the side effects of these procedures within few months. (Many Stent Procedures Unnecessary Heart Drugs Just as Good at Preventing Heart Attacks, Death in Some People, Study Shows By Charlene Laino: March 26, 2007 (New Orleans).

Can blockage affect a person after having angiography?

It is important for the patient and patient s family to understand that the blockage formation process in the body does not reverse with angioplasty or even a Bypass procedure. The patient suffers from the same kind of symptoms as earlier when new blockages form in different sections of the coronary network or very often when a deposit/scar forms within the stent itself leading to hampered blood flow. This reformation of blockages is referred to as restenosis. This is the greatest problem registered in current studies of patients after angio and bypass and this is seen within a few weeks to after 10 to 14 months of the procedure.

The reformation of blockages or further formation of new sites with blockages depends on the individual patient's health condition. Patients who are Diabetic, High BP, on certain kind of long term medication, obese, with bad lifestyle; all have the additional threat of secondary attacks.

Restenosis cannot be prevented with another stent or bypass procedure. The procedure only once again mechanically opens the blockage or in CABG, creates a bypass around the blocked blood vessel.

How can restenosis be prevented?

The only and best way to avoid restenosis is to make major changes in diet, exercise, weight management, stress management. It is also very important to be under the right kind of medication that will support the natural process done by the Liver and blood to reduce and wash out inflammation (that causes maximum problems in natural blood flow), repair blood vessels, reduce and remove existing blockages and scar tissue within blood vessels, add strength to the heart muscles.

These new studies and treatment options should be searched out by the patient and his/her family to understand the reason of blockages, the possible need and safety of invasive procedures, the option to medicine based treatments before undertaking any invasive procedure. Remember, it is scientific research that has clearly proclaimed that less than 30 -20% of all the angio s performed are necessary or have a lasting effect on their own.

Usually, cardiac arrest and heart attack are two things which most people use interchangeably, however, there is a big difference between the two.

Difference between cardiac arrest and heart attack:
A cardiac arrest is far deadlier considering that it comes without a warning or any prior indication of a problem. Here, the heart just stops beating and immediate first-aid can make a lot of difference between life and death. Electrical shock is the best way to revive a patient and should be given within a few minutes of such an arrest.

On the other hand, a person suffers a heart attack when there is a blockage in the artery which prevents the smooth flow of oxygen-rich blood from reaching the heart. It is important to note that unlike a cardiac arrest the signs of heart attack start slow and persists for long.

A heart attack is one of the common causes of cardiac arrest, but not always it is the case. A cardiac arrest happens most commonly when the heart is receiving more than 300 impulses per minute or due to absent electrical impulses. In the first instance, an electrical shock is a lifesaving technique and in the second, the patient can be treated with certain medications and a temporary pacemaker.

Symptoms of cardiac arrest:
The symptoms of cardiac arrest are immediate and extreme.

A fainting spell or a sudden collapse
Loss of consciousness
No pulse or breathing
Symptoms of a heart attack

Discomfort along with chest pain
Shortness of breath
Nausea with vomiting
Sweating
Headache and jaw pain
Prevention of a cardiac arrest:
What makes this a deadly condition is that you cannot tell your risks of having one and therefore the next best thing to do is to lower your risks.
The best way to do that is to:

Follow a diet that is balanced and nutritious
Alcohol should be consumed in moderation
Quit smoking
Stay physically active
How can you prevent a heart attack?

Keep yourself fit and exercise regularly
Keep your cholesterol level under check
Limit your alcohol intake
If you are obese, control your weight
Intake a heart-friendly diet.
Now that the distinction is clear between the two, it is recommended that everyone should get themselves screened for potential heart problems on a regular basis.

During the natural course of events, a women's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. In some cases, for various reasons including medical, the ovaries stop functioning earlier, and this is medically termed early or premature menopause. Menopause that occurs before 40 years of age is termed premature menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women. If it occurs between 45 to 50 years, it is termed early menopause.

Causes: Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.

Effects: Estrogen and progesterone have a lot of beneficial effects on a women's body. Reduction in their levels leads to some of the below changes:

- Emotional changes like mood swings, irritability, and in some cases depression, especially in premature menopause.
- Irregular cycles before complete cessation of the menstrual cycles.
- General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
- There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
- For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
- Osteoporosis - Bones lose their density and get weak and are more prone to fracture.
- Cardiovascular health - Post menopause, women are more prone to heart attacks and stroke. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
- Accelerated ageing - Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.

There is also a good news, that after menopause women are at lesser risk of cancer - especially breast and ovarian.
It is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it - especially if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.

It is easier said than done, but one of the key ways to handle premature menopause is an open discussion.

If you had suffered a heart attack recently, it is quite natural to for a patient to feel weak as the heart goes through a tremendous amount of stress during the condition. So, it is very important for a heart patient to know the things that will help you them recover from it. A healthy diet is the first step towards recovery. A proper diet can not only help you recover quickly, but you won t suffer from a second attack too. If people had followed these dietary habits beforehand, then they wouldn t have to face a heart attack in the first place. So, to recover and get back to your daily lifestyle, you must keep these foods in your daily diet.

Fruits and Vegetables: Fruits and vegetables are a must and are of paramount importance when it comes to recovering from a heart attack. The most significant advantage is that they have lower calories and at the same time they provide sufficient nutrition. They will keep your blood pressure at a standard level and thus promote the health of your heart. Fruits and vegetables that are rich in potassium can also combat and balance the counter-effects that result from sodium. So, avoid your oily snacks and have fruits instead.
Green Tea: Green tea is highly recommended by doctors for patients that have recently suffered a heart attack. They have been proven to be at risk of heart attack and other health problems related to the heart by 20%. Green tea does not contain any calories and is rich in anti-oxidants which are the main constituents responsible for the recovery.
Nuts: You must have already been aware of the several advantages of consuming almonds. Another addition to its advantages is aiding the process of recovery after a heart attack. However, it is to be noted that nuts are good for a person who has suffered a heart attack only if they are not salted.
Whole Grains: The refined grains tend to lose their nutrients while on the other hand whole grains are rich in fiber and nutrients. They will keep your blood pressure in check and promote the well-being of your heart.
What to avoid?
Apart from the items mentioned above, there are several foods that you must avoid at all costs. The first one that comes in this list is the food items that are rich in sugar content. This will lead to an increase in weight and thus aggravate heart problems. You must also avoid salty foods as they will increase your blood pressure. Avoid meats and eggs as much as you can as they are highly rich in cholesterol which is another factor that must be avoided.

Follow a diet chart that incorporates the do s and don ts to have a speedy recovery and get back to the normal routine.

Why should people with diabetes be extra careful of their Heart Health? What s the connection? Diabetes is considered as one of the major controllable risk factors for cardiovascular disease.

A Study conducted shows that around 65% of diabetic patients die from heart disease or stroke. The connection between diabetes and heart disease starts with high blood sugar levels. With continued high blood sugar levels i.e. high glucose in the bloodstream, the arteries gets damaged and become hard and stiff. Fatty material that builds up on the inside of these blood vessels can eventually block blood flow to the heart or brain, leading to a possible heart attack or stroke.

People with the below listed condition and lifestyle are at increased risk for developing cardiovascular disease (CVD)

High blood pressure(hypertension)
Abnormal cholesterol
Obesity
Lack of physical activity
Poorly controlled blood sugars(too high) or out of normal range
Regular Smoking
What is Diabetes?
It's is a disorder in which your body doesn t produce insulin in the required quantity because of too much sugar in the blood or high blood glucose.

Symptoms
Frequent urination, Intense thirst and hunger, Weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, vaginal Infection in females, numbness, tingling in hands and feet.

Connection with Heart-related diseases i.e. What can diabetes do to the person's healthy heart?

A diabetic who has had a previous heart attack has a much greater risk of having another.
Diabetics develop cardiovascular disease at a much earlier age than others.
Diabetics who have suffered a heart attack are more apt to die as a result.
Prevention: More of a lifestyle change followed by medication under supervision of a doctor and a nutritionist is possible. The best way to prevent the development of cardiovascular disease is to prevent diabetes itself. General nutrition recommendations:

Control your portion size
Limit your consumption of saturated and trans fats and cholesterol
Setting reasonable goals for your total amount of carbohydrates.
There is no certain way to avoid heart disease and circulation problems, but there are a lot of things to do to cut your risk.

You smoke? Put a full stop.
Do weight management and lose some extra pounds.
Check your sugar levels regularly and keep your blood pressure in the proper range.
Get regular physical activity
Keep your blood fats and cholesterol levels in a healthy range.
Keep your blood glucose under control live a healthy life with a healthy heart. Stay Healthy!