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SILVER LINING BY V S NATARAJAN<br />

Revised condition: Age changes the heart<br />

We are all aware that as we age, our chances of getting a<br />

heart attack increase. A recent study says that the mere<br />

fact that a person has been born in India makes him more<br />

prone to heart attacks! This is a tragic fact, but let us analyse<br />

the reasons for the problem, the country notwithstanding.<br />

The three blood vessels supplying the heart with blood<br />

shrink with age. As fat gets deposited in the walls of these<br />

blood vessels, they get blocked and disrupt blood supply to<br />

the heart. The eventual problem: heart attack.<br />

Symptoms of heart attack<br />

If a middle-aged person suffers from a heart attack, he<br />

experiences severe chest pain. This pain spreads from the<br />

chest to the left shoulder and then to the left hand. It travels<br />

to the right hand and back, sides of the neck and the chin.<br />

The person suffering starts sweating profusely, and his body<br />

becomes cold. Some people may faint or vomit. But only<br />

some of these symptoms may be seen in silvers. For some,<br />

the symptoms may be different. One may feel extremely<br />

tired and breathless. An older person suffering a heart attack<br />

may faint, fall down or even suffer a paralytic stroke.<br />

Silent heart attack<br />

For some, the clear cut symptoms of heart attack do not<br />

reveal themselves. There is no pain or other related problems,<br />

but the ECG reveals the problem. This is called a<br />

silent heart attack.<br />

As we age, our nerves lose their ability to sense pain. More<br />

particularly, diabetics do not have chest pain when they<br />

have a heart attack. With progressing years, blood is supplied<br />

to the heart through smaller blood vessels (called collaterals)<br />

as well. Despite blocks in the bigger blood vessels,<br />

the heart gets a decent supply of blood and hence there is<br />

no pain.<br />

Some elderly suffer from dementia in old age. They experience<br />

chest pain during an attack but can’t communicate<br />

the need for help.<br />

Problems related to heart attack<br />

Many silvers tend to ignore chest pain, thinking that it<br />

may be owing to gastric problems. This, in turn, delays the<br />

treatment and hence unwanted results follow. The heart<br />

becomes weak, its rhythm changes and sometimes fluid is<br />

collected in the lungs. Owing to sudden shortage of blood<br />

supply to some parts, they may also have a paralytic stroke.<br />

To avoid these problems, the right treatment at the right<br />

time is a must. On experiencing an uneasy feeling in the<br />

chest, or a burning sensation, they must be immediately<br />

taken to a doctor. ECG and relevant blood tests, and if<br />

necessary ECHO, should be done. Based on these, the<br />

correct treatment can be given. Normally, heart attack<br />

in the younger years is very severe and may cause death,<br />

but in old age, heart attacks are not so severe and mostly<br />

not fatal.<br />

28 harmony celebrate age september 20<strong>13</strong>

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