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Sept_13
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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>