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Friday, 8 November 2019

Coronary Heart Disease Prevention



Coronary heart disease can be prevented together by undergoing a healthy lifestyle, like quitting smoking and drinking alcohol. In addition, manage the stress together well, if along with doing muscle relaxation or deep breathing exercises.

Another precaution is to regularly undergo blood sugar and cholesterol tests every two years. More regular examination will be advised, in patients with a history of hypertension and heart disease.

Some other steps to avoid coronary heart disease are:

Nutritious food consumption Balanced
Multiply the consumption of high-fiber foods, like vegetables and fruit. In addition, limit the salt content of the food, not more than 1 teaspoon a day. Avoid food along with high cholesterol content, especially if your LDL content is adequately high. Some types of foods are the following high cholesterol:

The food is fried.
Ati
Egg yolks
Butter
Cow brain and animal innards
Shrimp
Fast food
Other types of food that should be avoided are high sugar-rated foods, because it can add to the risk of developing diabetes, erroneously one in terms of the risk of coronary heart disease.

Conversely, increase the content of good cholesterol or HDL along with the increase in consumption of foods high in unsaturated fats, like fish oil, avocado, nuts, as well as olive oil and vegetable oil.

Perform regular workouts
A healthy diet combined together with regular exercise can maintain the ideal body weight. In addition, regular exercise can lower cholesterol content and keep blood pressure forever normal.

Spend at least 150 hours a week, to exercise. For example along with jogging 30 minutes daily. In addition to jogging, gymnastics, or a calculated pool can maintain cardiovascular health.

Consumption of drugs together correctly
It is absolutely essential to follow the doctor's instructions in drug consumption. It is important to remember that do not stop treatment without specifically consulting with a physician, as it may cause symptoms to deteriorate.

Complications Of Coronary Heart Disease


Uncontrolled coronary heart disease is capable of making a number of complications, such as:

Angina. Angina or chest pain is caused by narrowness of the arteries, so that the heart does not reach enough blood.
Heart attack. These complications run in the full-clogged arteries, due to fat buildup or blood clots.
Heart failure. Heart failure runs supposing the heart is not strong enough to pump blood. This condition is caused by a malfunction inflicted by a heart attack.
Heart rhythm Disorder (arrhythmia). Lack of blood supply to the heart or damage to the heart can alter the electrical impulses of the heart, in order to make arrhythmia.

Coronary Heart Disease Treatment


The treatment of coronary heart disease (CHD) generally involves changes in life patterns that can be combined with medications or medical procedures. Living a healthy lifestyle can improve your heart's fitness. Examples are:

Quit.
Reduce or stop alcohol consumption.
Eating food together with balanced nutrition.
Reduce stress.
Maintain ideal body weight.
Exercise regularly.
A calculated physician may prescribe some types of medications to treat coronary heart disease, among others:

Blood thinners – Doctors can prescribe antiplatelet type blood thinners, except in patients with blood clotting disorders. Antiplatelet may help prevent blood clotting, and lower the risk of angina and also heart attacks. Examples of these drugs are aspirin and clopidogrel.
Statin – Statin is beneficial to lower high cholesterol, along with eliminating LDL derived from blood, thereby slowing the progression of heart disease. Examples of statins drugs commonly prescribed are atorvastatin and simvastatin.
Angiotensin modifier enzyme inhibitors (ACE inhibitors) – This type of drug is used to make cured hypertension, among them captopril and enalapril.
Angiotensin II receptor blockers (ARB) – The function of this drug is similar to ACE inhibitors, which is dealing with hypertension. Examples are Valsartan and Telmisartan.
Beta blocker (beta blockers) – this medication is beneficial for preventing angina and dealing with hypertension. Examples are bisoprolol and metoprolol.
Nitrate – nitrate is beneficial to dilate blood vessels, so that blood flow to the heart increases, and the heart does not pump blood harder. One type of nitrate is nitroglycerin.
Calcium antagonists – This drug works to dilate blood vessels, so that blood pressure decreases. Examples are verapamil and diltiazem.
Diuretics – This type of drug works to reduce the moisture content and salt in the blood through urine, and dilate blood vessels so that blood pressure decreases.
When the drug is not effective in treating the symptoms, patients can be recommended to pioneer surgery. The doctor will be able to mobilize such operations as the narrowing of blood vessels caused by the buildup of atheroma. A number of actions are taken, such as:

Attach the Heart ring
The heart ring or coronary angioplasty is indicated together by inserting a catheter into the part of the artery that is subjected to narrowing. The doctor can then develop a small balloon through the catheter to dilate the narrowed artery. Thus, blood flow can be smoother. The Ring (stent) can be mounted in a function artery preventing renarrowing.

The procedure can be shown in a planned in patients with angina symptoms, or as an emergency action in a person who is experiencing a heart attack.

Bypass the Heart
This procedure is shown together by taking over the blood vessels derived from other parts of the body, to be pasted (grafted) into the parts between the large blood vessels (aorta) and the arteries, along with passing through the narrowed area. Thus, blood can flow smoothly through the new route.

Bypass Heart is appointed along with the dissect of the patient's chest. Therefore, this procedure is generally only shown as more than one blocked artery.

Heart transplant
This action is shown in the exception of the damage to the heart is really severe, and can no longer be addressed along with the drug. Cardiac transcillation is shown together by replacing the broken Heart, along with a healthy heart comes from donors.

Causes Of Coronary Heart Disease


Coronary heart disease (CHD) is caused by damage to the heart's blood vessels or coronary arteries. The following damages can be caused by the buildup of atheroma in arterial walls. Ateroma consists of cholesterol and residual substances of the body's metabolism.

The consistent ateromas accumulate, capable of carrying the impact of the thickened artery walls until narrowed. As a result, the heart does not get enough blood and oxygen intake. This condition is called atherosclerosis.

A number of factors are able to increase the risk of atherosclerosis, among others:

Smoking rooms
Cigarettes are a major risk factor of coronary heart disease. Nicotine content and carbon monoxide in cigarette smoke can weigh the heart's work, along with a faster heart-spur. These two compounds are calculated to increase the risk of blood clotting.

Other compounds in the calculated cigarettes are able to cause damage to the heart artery walls and carry impact narrowing. Therefore, the risk of heart disease in smokers is almost 25 procents higher than those who do not smoke.

Diabetes
Diabetes carries the wall impact of thickened blood vessels and prevents blood flow. Diabetics are known to be 2 times more risky in the attack of coronary heart disease.

Thrombosis
Thrombosis is a blood clot capable of forming in vein or arterial veins. When formed in the arteries, it can prevent blood flow to the heart, to increase the risk of heart attack.

High blood pressure
High blood pressure or hypertension carries a mandatory heart impact work harder. One of the triggering factors of hypertension is consuming food along with a high salt content. Normal blood pressure ranges from 90/60 mmHg to 120/80 mmHg.

High cholesterol levels
Cholesterol is the fat produced by the liver, and is absolute for healthy cell formation processes. Nevertheless, high cholesterol content is able to raise the risk of coronary heart disease.

Cholesterol is divided into two, namely good cholesterol (HDL) and bad cholesterol (LDL). This LDL is able to accumulate in the walls of the arteries and bring the impact of narrowing. In healthy adults, the normal content of LDL in the blood is less than 100 mg/dL. As for individuals at risk of coronary heart disease, the LDL content is recommended under 100 mg/dL. The maximum limit of LDL content can be lower back for those who already suffer from heart disease or diabetes, which is below 70 mg/dL.

Excess weight
A person along with excess body weight or obesity is risky in the attack of coronary heart disease.

Less activity
Physical activity like exercise is able to reduce the risk of heart disease. The calculated sport is able to support controlling cholesterol and blood sugar content, preventing obesity, and also supporting lowering blood pressure.

Unhealthy diet
Risk of coronary heart disease is able to increase due to unhealthy diet, like very much consume food along with high sugar or salt content, or food together with high fat content.

Family freshness History
The risk of CHD increases in individuals who have families along with heart disease.

Gender
Generally, CHD has more to attack men than women. However, the risk of developing the same disease may increase in postmenopausal women.

Age
The older the person's age, the higher the risk in coronary heart disease. The disease more often affects men aged more than 45th. and women over 55 years.

Metabolic syndrome
Metabolic syndrome is a group of diseases that raise the risk of coronary heart disease, including hypertension, high cholesterol, and obesity.

Sleep apnea
Unresolved sleep apnea is able to raise the risk of coronary heart disease, hypertension, diabetes, and stroke.

Stress
Research shows, stress in various spheres of life, able to carry the impact of coronary heart disease. Countless stress is capable of carrying other risk factor impacts. For example, stress is capable of carrying the impact of someone smoking or overeating.

Alcohol
Excessive consumption of alcoholic beverages is able to cause damage to the heart muscle, and worsen the situation of one along with the risk factors of coronary heart disease, like hypertension and obesity.

Preeclampsia
Preeclampsia is a complication in the period of pregnancy, marked with hypertension and high protein content in urine. This condition raises the risk of heart disorders, calculated CHD.

Symptoms Of Coronary Heart Disease


A reduced blood intake to the heart may not lead to any symptoms at first. However, if added fat is accumulated in the arteries, it will be visible symptoms of coronary heart disease (CHD), such as:

Angina
Angina is chest pain due to reduced blood supply to the heart muscle. Although it is generally not life-threatening, it can increase the risk of a heart attack or stroke.

Angina can occur in more than a minute, and is generally seen as being triggered by physical activity or stress. The pain experienced by angina is also varied. Angina is easy to cause discomfort such as heartburn. However, heavy angina attacks can result in chest pains such as being infected. The chest pain sensation can spread to the arms, neck, chin, abdomen, and back.

Cardiac arrest
Cardiac arrest occurs when the arteries are fully clogged. This condition needs to be handled immediately, so that there is no permanent damage to the heart muscle.

Pain due to cardiac arrest is similar to angina. However, pain in the heart attack will be heavier, and can occur even if the sufferer is resting.

Heart attack symptoms can be pain that propagates from the chest to the arms, chin, neck, abdomen, and back. The pain can occur for more than 15 minutes. In addition to the symptoms, patients can also experience dizziness, sweating, nausea, and the body becomes limper.

Heart attacks can occur suddenly, especially against diabetics and elderly people.

Heart failure
Patients with coronary heart disease can also experience heart failure, when the heart is weak to pump blood throughout the body. The condition carries the impact of blood accumulating in the lungs, so that people experience shortness of breath.

Heart failure can occur instantly (acute), or develop gradually (chronic).

In more than one case, PJK sufferers experience different symptoms, such as palpitations (heart pounding). Some sufferers do not feel any symptoms, until diagnosed with CHD.

Understanding Coronary Heart Disease


Coronary heart disease (CHD) is a condition when the heart's blood vessels (coronary arteries) are blocked by fat deposits. When added fat accumulates, the artery will add narrowed, resulting in reduced blood flow to the heart.




Reduced blood flow to the heart will result in signs of CHD, such as angina and breathlessness. If the condition is not treated immediately, the arteries will be completely blocked, and cause a heart attack.

Coronary arteries are blood vessels that deliver oxygen-rich blood to the heart. There are two types of coronary arteries, which are equally forked from aortic or large blood vessels, namely:

Main left coronary artery (left main coronary artery/LMCA) – This artery benefits the blood to the left foyer and left chamber of the heart. LMCA is divided into two parts, namely:
-Left anterior descending (LAD) – beneficial to drain blood to the front and left of the heart.

-Circumflex (LCX)-benefit to drain blood to the back and outer side of the heart.

Right coronary artery (right coronary artery/RCA) – This artery delivers blood to the right porch and the right chamber. In addition, RCA includes blood flow to the sinoatrial nodes and Atrioventricular nodes, which adjust the rhythm of the heart. RCA is divided into the right posterior descending and acute marginal artery. With LAD, RCA includes blood to moderate members of the heart, and septum (wall separator between the right chamber and left chamber of the heart).
Based on WHO data, coronary heart disease is one of the highest causes of death in the world. In th. 2015, recorded more than 7 million people die due to CHD. While in Indonesia, more than 2 million people are affected by PJK in th. 2013. Of these, PJK is more common in the age range of 45-54 years.