Top Health Tips on Living with Coronary Artery Disease

How Erectile Dysfunction and Cardiac Problems are Related

Partners in Health
Multi Speciality, Gurgaon
How Erectile Dysfunction and Cardiac Problems are Related
Sexual problems might mean you have a broken heart, literally. The most common sexual problem in men is erectile dysfunction (ED). Erectile dysfunction affects >30% of men between 40 and 70 years of age. There are several different causes of ED, including depression, low testosterone, neurological problems, and some medications, such as beta blocker but the most common cause is a problem with the blood vessels called atherosclerosis.
Erectile dysfunction is frequently a sign of atherosclerosis, that can be the first clue to heart disease in men. It usually comes 3 to 5 years before a heart attack, so after ED is diagnosed, there is time to treat atherosclerosis and prevent a heart attack.
Sexual Activity and Cardiovascular Disease
Decreased sexual activity and function are common in patients with CVD and are often interrelated to anxiety and depression. In fact research has proved that there is a strong link between erectile dysfunction and heart disease. Studies have shown that if a man has ED, he has a greater risk of having heart disease. For instance, in one study, 57% of men who had bypass surgery and 64% of men hospitalized for a heart attack had had ED.
Several having ED can predict that a man will probably have heart disease symptoms within five years. In fact, having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.
The Stockholm Heart Epidemiology Programme (SHEEP) study of post-MI patients (50% women) found that those who were sedentary had a higher risk of MI with sexual activity (relative risk 4.4) than did those who were physically active (relative risk 0.7).
How is the Heart and ED Related?
Deposition of cholesterol in the arteries causing atherosclerosis is taken as the most important reason for ED as the plaque formation reduces the blood flow in the penis, thereby affecting the erection process. However the latest studies show that ED is also due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. This causes inadequate blood supply to the heart and the penis which also aids in arthrosclerosis. Hence ED and heart disease are found to be inter related.
What to do?
If you are suffering from ED or heart disease , it is best to discuss your concerns with a specialist - for the heart a cardiologist and for the ED a urologist.
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Heart Attack Symptoms In Women!

Multi Speciality, Mumbai
Heart Attack Symptoms In Women!
Women, who have been thinking that cardiac diseases are something that doesn t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like heart attack are killing as many women as men.

Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated.

You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.

Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:

Fatigue
Shortness of breath
Throat pain and jaw pain
Pain in arms may be in one or both
If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.

Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.

You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack.
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Men and Heart Disease- International Men's Health

Partners in Health
Multi Speciality, Gurgaon
Men and Heart Disease- International Men's Health
Various studies and researches have been able to prove that women outlive men. In fact they are expected to live at least 7 years more than men. More men are living with and dying of Coronary Heart Disease (CHD) than women and have more hospital discharges for Cardiovascular disease (CVD) and CHD. The prevalence of CHD is higher in men within each age stratum until after 75 years of age, which may contribute to the perception that heart disease is a man's disease.
The classic risk factors for CVD are the same in women and men, but there are gender differences in the prevalence of risk factors. Dr Bernadine Healy first introduced the concept of the Yentl syndrome in 1991, suggesting gender bias in the management of CHD.
HEART DISEASE AND SEX DIFFERENCES
Reasons for Cardiovascular Disease:
There are a number of risk factors that affect the men more than women. The following are few aspects that are reasons for the rising incidences of heart disease in men:
Diabetes mellitus
High blood pressure
High cholesterol level
Smoking
Sedentary life style
Stress
Obesity
Social isolation
Unhealthy food habit
Lack of exercise
It is important that men take control of their health. Opt for regular cardiac screenings tests, yoga, stress management and ensure that they live a heart healthy life.
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Alcohol - How Much Should You Drink Everyday?

MD, House Job Certificate ( SKIN & STD) , MBBS
General Physician, Gurgaon
Alcohol - How Much Should You Drink Everyday?
How much alcohol can you safely drink every day? Moderate, say the experts. Alcohol abuse has serious health downsizes, but moderate drinking can actually be good for your heart. Moderate alcohol use has a few other health benefits too. Let s see what these are.

Reduces risk of developing and dying from heart disease
Reduces your risk of ischemic stroke during which the arteries to your brain become narrowed or blocked, causing reduction of blood flow to your brain
Reduces your risk of diabetes
The link between alcohol and health is tenuous at best and the health benefits of moderate drinking are by no means certain. Also every one may not benefit from alcohol. Moderate alcohol use - Guidelines
One drink a day is considered moderate for healthy women of any age and men older than 65, and up to two drinks a day for men younger than 65. This alcoholic drink can be:

Beer: 12 ounces
Wine: 5 ounces
Distilled spirits : 1.5 ounces
Moderate alcohol use can be counter-productive for you, if you have risk factors for heart disease. It s always better to take care to lead a healthy lifestyle and eat a heart-healthy diet to reduce your heart attack risks.

Risks of heavy alcohol use
We know about the definition of moderate drinking, but what s heavy drinking? It is defined as more than three drinks a day for women and men older than 65 (or more than seven drinks a week), and more than four drinks a day for men less than 65 (or more than 14 drinks a week).
Binge drinking is even worse. If you drink four or more drinks within two hours as a woman and five or more drinks within two hours as a man, it is referred to as binge drinking. Heavy drinking, including binge drinking, can increase your risk of serious health problems, like:

Cancer, including breast cancer and cancers of the mouth, throat and esophagus
Pancreatitis or inflammation of the pancreas
Sudden death due to pre-existing cardiovascular disease
Alcoholic myopathy or damage to heart muscle, which causes heart failure
Stroke
High blood pressure
Liver disease
Brain damage in fetuses
It s best to ditch alcohol altogether. It is the healthiest thing you could ever do. The guidelines make it very clear that you shouldn t start drinking alcohol, albeit moderately, to make your heart healthy. The best way to have a healthy heart is to eat and exercise right. However, if you are an occasional drinker, you could make sure that your alcohol intake is within limits and you drink moderately at all times so that you don t attract any health penalties associated with heavy alcohol use.
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10 Fruits You Should Eat Daily!

B.Sc - Home Science, MSc - Nutrition & Food Processing, MSc - Food Production Management
Dietitian/Nutritionist, Mumbai
10 Fruits You Should Eat Daily!
Fruits are a superfood category of their own. They are the powerhouse of minerals, vitamins and antioxidants and an excellent contribution to your diet. Consuming them daily can provide you with some amazing health benefits and keep you away from unnecessary ailments.

Here are ten fruits you should be eating daily:

Apples: There is a reason why an apple a day keeps the doctor away. Apples are filled with antioxidants, soluble and insoluble fibre and quercetin. Antioxidants boost your immunity and the fibre provides you with energy and maintains a healthy bowel, while quercetin has anti-allergy and antihistamine (compounds which curb the effects of histamine, primarily used to treat allergies) properties.
Grapes: Grapes contain an antioxidant named resveratrol, which prevents heart diseases and premature aging of your cells. In addition, they are also great sources of folate and vitamin B6, C and A which contribute to a healthier immune system.
Bananas: Bananas have low sodium and high potassium levels. Thus, they are extremely beneficial in maintaining blood pressure and preventing strokes. Bananas also contain protease inhibitors, which prevent stomach ulcers (protease is a digestive enzyme that produces acid).
Strawberries: Strawberries might be small, but they do pack a lot of nutrients! A handful of strawberries daily can prevent diabetes type 2, inflammations and heart disease. They are also rich in antioxidants and vitamin C.
Papaya: Papayas contain a substance called papain which is an incredible digestive stimulant. They also contain large amounts of folate, which helps in proper DNA repair and synthesis.
Oranges: Oranges provide you with vitamin C and potassium, which are essential for enhanced muscle and digestive functions. The membrane between orange segments contains hesperidin, which has been proven to reduce cholesterol.
Kiwi: Kiwi contains more vitamin C than oranges which grants them the ability to prevent DNA damage and also help reduce risks of developing cataracts.
Blueberries: Blueberries are a great source of antioxidants which aid in fighting cancer and macular degeneration (an eye disease which results in vision loss). They also contain compounds that protect you from urinary tract infections.
Lemon: Lemons contain citric acid, which effectively lowers cholesterol and cuts down on body fat. Citric acid is also an excellent digestive stimulant. Also, the refreshing scent of lemons reduces anxiety, nervousness and fatigue.
Grapefruit: Grapefruit is an excellent appetite suppressant, which cuts down on your cravings. It also contains a soluble fibre named pectin , which lessens the development of atherosclerosis (build-up of cholesterol and fats on the walls of the artery). However, refrain from consuming grapefruit if you are on prescription medications.
The above discussed fruits contain some amazing benefits that ensure all your body functions run smoothly. Hence, start having them from today only to enjoy a healthy life ahead.
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Gain Weight and Lose Your Sex Drive!

Vaidya Visharad
Sexologist, Narnaul
Gain Weight and Lose Your Sex Drive!
One of the most common reasons of erectile dysfunction is obesity, which might sink your intimate life to a great extent. It is really crucial that you are in control of your weight and regain your libido.
One of the most common chronic conditions that men face is that of erectile dysfunction (ED). Statistically, over 18 million men above the age of 20 experience it to some degree. It is an inability to achieve or maintain erection required for desired sexual activity. Though there might be various reasons for it, there is a consistent connection between obesity and sexual dysfunction. It has been found that obese men are prone to ED 2.5 times more than those of normal weight. These symptoms of ED and various other health issues can be observed if you are just 30 pounds overweight!

Causes

Obesity causes atherosclerosis, which is a cardiovascular condition. In this condition, cholesterol is deposited on the walls of blood vessels, thus restraining blood flow to the organs in the body including the penis.
The testosterone level in obese men is low. Due to absence of this sexually-stimulating hormone, there is an inability to achieve erections as testosterone is needed to increase the level of nitric oxide in penile tissue, which acts as a blood vessel dilator.
In most cases, erectile dysfunction is considered as the first sign of a weak heart in men who are overweight.
Symptoms

Men might experience a low libido, because of the reduced testosterone levels.
They might experience a depressed mood and lowering in their levels of energy.
They might experience a diminished sense of vitality.
Therapy
It s really crucial to shed that extra weight if you want to regain your sex life. It has been found by researchers at the Center for Obesity Management in Naples, Italy that one third of obese men have improved sexual activity after they lost weight.

Lose weight. Check on how much you eat in a day. Aim at losing 1 to 2 pounds a week, which equals to losing around 500 to 1000 calories in a day.
Look out for what you eat in a day. Avoid chips and dips, and become friends with greens and other raw vegetables as your snack. Stop eating the processed and red meats; replace them with fish instead. Switch to whole grains.
Physical activity is the most important aspect when it comes to losing weight. Implement a successful weight-loss strategy. Take out some time by skipping a few episodes of your TV show, get up from the couch, and get active for around 30-45 minutes in a day. Repeat this 3-5 times in a week.
Lastly, maintain these habits until you don t shed those extra pounds that are a hindrance to your sex life.
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Ears Hair - Signs of Coronary Artery Disease & Testosterone Level

MD - Dermatology, MBBS
Dermatologist, Visakhapatnam
Ears Hair - Signs of Coronary Artery Disease & Testosterone Level
We all would have noticed that with age, hair growth along the earlobe crease is not something abnormal. We all have seen people who develop these as a part of ageing. There was nothing unusual about it at all. However, what is unusual is that science has found a very interesting correlation between heart attacks and hair on the ears.

Yes, it does sound very unusual, but there have been studies conducted which say that hair growth on the ears could be one of the first warning signs of the onset of coronary artery disease.

What is coronary artery disease?

The heart is a pump that sends out and receives blood from the rest of the body through a channel of highly interconnected blood vessels. The ones which carry pure blood to the rest of the body are known as arteries and the ones which collect impure blood and bring it to the heart are known as veins. Due to changing food patterns and sedentary lifestyle, there is a lot more fat in the body, which also travels through the blood. Due to their heavier nature, they settle along the walls of the blood vessels, thereby narrowing the blood vessel thickness and reducing the blood flow to the various organs. This is the onset of coronary artery disease.

Early Indicators of coronary artery disease:

Hair loss (often premature, either in the temple region or the crown)
Fatty deposits on the eyelids
Earlobe crease i.e people with diagonal earlobes are more likely to develop heart disease
Hair in the ears
The last two are interrelated, as hair growth in the ears is more common in people with diagonal ear lobes.

The next correlation is between testosterone and hair growth in the ears.

People with more testosterone in their bodies are more likely to develop body hair, including in the ears. Scientifically, it has been established that people with greater amounts of testosterone are more likely to develop heart disease. Interestingly, the correlation is stronger in younger age groups.

Another interesting fact is that though coronary artery disease is linked to the presence of ear hair in both men and women. However, sudden cardiac death was more common in men than in women. Both these had hair growth, though.

There is another group which dismisses this theory saying that with age, both hair growth and coronary artery disease are likely to develop, and there is no significant correlation between the two. However, if taken as an early warning sign, ear hair growth can definitely guide in taking preventive measures, which can help control the problem in its early stage, which is definitely welcome to improve the overall quality of life!
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How Good Or Bad Is Cheese For You, Really?

PG Diploma in Nutrition & Dietetics, M.Sc.in Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
How Good Or Bad Is Cheese For You, Really?
The process of cheese making is an age-old practice dating back to ancient times and is practiced all over the world. As a dairy product, produced in a manner akin to that of yogurt production, cheese can be made in numerous ways, depending on how the curdling milk coagulates and on the nature of decomposition of the solid particles like proteins and fats, and the liquid particles.

Further, through the application of acids, such as vinegar or lemon juice, the final product can be altered and determined according to its consistency, flavor, and appearance. Usually, acids are used for catalytic purposes in the production of soft cheeses like Cottage cheese, Camembert, Brie, Ricotta cheese and sour cream, which do not normally require much time to age. In contrast, semi-hard and hard cheeses are made with rennet and ripened with bacteria or mold.

These include Parmesan, Blue, Swiss, Roquefort, Cheddar, Colby and Asiago cheeses and are more often known as grating cheeses.

Cheese, like other dairy products, is highly nutritious, rich in calcium content, protein, vitamin A, vitamin B12, vitamin K2, sodium, phosphorus, selenium, zinc riboflavin as well as probiotics. Besides its high nutritional value, here are other benefits which you may acquire from the consumption of cheese:

Strong and healthy bones: Cheese has always been considered an ideal source of nutrients for bone health, especially because of the presence of B-complex vitamins along with high protein and calcium content. With the right amount of cheese, a number of bone problems associated with ageing like Osteoporosis, for instance, can be prevented. Moreover, cheese also protects your teeth from acid erosion, caused by tea, coffee, soda or wine, as they help in raising the natural pH levels in the mouth.
Heart benefits: Cheese consumption also helps in protecting your heart from threats of cardiovascular and coronary heart diseases.
Favorable for athletes: Cheese contains a fat-burning conjugated linoleic acid, which helps reduce the size of fat cells and is effective in burning fats to muscles. In addition, with the presence of a fairly high level of calories, cheese helps the athlete in gaining mass, thereby making it immensely favorable for athletes.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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Lifestyle Modifications To Prevent Coronary Artery Disease!

Multi Speciality, Mumbai
Lifestyle Modifications To Prevent Coronary Artery Disease!
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.

Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.

Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.

Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.

Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life.
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How Heart Problems Can Be Treated With Ayurveda?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D.(Ayu)
Ayurvedic Doctor, Chitiradurga
How Heart Problems Can Be Treated With Ayurveda?
In Ayurveda, the heart or Hridaya is most vital since it is the organ that is responsible for enabling proper circulation of blood all over the body while governing your emotions so as to keep you fit and energetic. When it comes to the development of heart ailments, a highly stressful lifestyle, and poor eating habits are considered to be the main culprits of heart diseases or Hrudroga. As a consequence, these causes bring about the hardening of the arteries, leading to problems like angina (ruja) and angio-obstruction (vata dosa). Factors like high blood pressure, heredity, diabetes, smoking and high cholesterol make you predispose to developing problems of the heart.

How does Ayurveda help?

Ayurveda offers safe and innovative preparations for the handling of heart diseases. Plants like garlic, Arjuna, cinnamon and their preparations are used for treating heart ailments. Depending on individual cases, certain very effective natural preparations are recommended by a practitioner of Ayurveda along with lifestyle changes like:

1. Getting rid of stress - When it comes to the heart, Ayurveda propounds a holistic approach in the treatment of this organ, which encompasses both physical and emotional considerations. Herbal formulations that contain ingredient like Ashwagandha are known to reduce tension in the mind as well as the body while strengthening the heart muscle.

2. Eating right - Developing the habit of correct eating is vital for improving heart health. According to Ayurveda, the ideal food portion should be one that fits into the cups of your palms. Having meals three times a day at fixed timings can help in training your digestive system to not only anticipate but also digest the food consumed. For stimulating a slow digestion salt, ginger and lime can be consumed.

3. Removing Ama (arterial plaque) from your body - For enabling a proper functioning of the heart regular cleaning of the internals is recommended as per Ayurvedic teaching so as to flush out the arterial plaque that gets accumulated in your blood vessel. From eating a high fiber diet and drinking lukewarm water to going to sleep by 10pm, Ayurvedic treatment of the heart consists of these recommendations.

4. Exercising regularly - The key to a good heart health is exercising regularly but in moderation. In this context, Ayurveda believes in the concept of Balaardh, which is exercising to about 50% of your capacity. This reduces instances of strains and injuries received due to exercising. Walking for about half an hour every day is considered to be a great metabolism booster as well and it brings about an improvement of the heart.
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