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Revised the Asian Independent 16 oct to 31 oct 2019

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HEALTH<br />

<strong>16</strong>-10-<strong>2019</strong> <strong>to</strong> <strong>31</strong>-10-<strong>2019</strong><br />

15<br />

Heart attack and<br />

heart failure: Know<br />

<strong>the</strong> difference<br />

New Delhi - Heart attack, cardiac<br />

arrest, heart failure - all three refer <strong>to</strong><br />

a health emergency involving <strong>the</strong><br />

heart. And we often use <strong>the</strong> terms<br />

interchangeably, not knowing <strong>the</strong> difference<br />

between each of <strong>the</strong>m.<br />

Dr Ashok Seth, Chairman of Fortis<br />

Escorts Heart Institute, and Head of<br />

Cardiology Council of Fortis Group<br />

of Hospitals explains how a heart<br />

attack differs from a heart failure.<br />

When <strong>the</strong> heart is unable <strong>to</strong> pump<br />

blood as well as it should it is called<br />

heart failure. Narrowed arteries in<br />

your heart or high blood pressure,<br />

leave <strong>the</strong> heart weak, stiff and unable<br />

<strong>to</strong> pump blood efficiently. The term<br />

"congestive heart failure" comes from<br />

blood backing up in<strong>to</strong> or congesting<br />

<strong>the</strong> liver, abdomen, lower extremities<br />

and lungs.<br />

The symp<strong>to</strong>ms of heart failure<br />

symp<strong>to</strong>ms are shortness of breath<br />

(dyspnea) when you exert yourself or<br />

when you lie down; fatigue and weakness,<br />

swelling of abdomen, legs,<br />

ankles and feet, rapid or irregular<br />

heartbeat, reduced ability <strong>to</strong> exercise,<br />

persistent cough or wheezing with<br />

white or pink blood-tinged phlegm,<br />

increased need <strong>to</strong> urinate at night,<br />

sudden weight gain from fluid retention<br />

and nausea.<br />

Risk fac<strong>to</strong>rs for heart failure,<br />

include coronary heart disease, heart<br />

attack, diabetes, high BP, some diabetic<br />

medications, irregular heartbeat,<br />

congenital heart defect, obesity and<br />

substance abuse.<br />

A heart attack, on <strong>the</strong> o<strong>the</strong>r hand,<br />

occurs when <strong>the</strong> flow of blood <strong>to</strong> <strong>the</strong><br />

heart is blocked by a build-up of fat,<br />

cholesterol and o<strong>the</strong>r substances,<br />

leading <strong>to</strong> <strong>the</strong> formation of plaque in<br />

arteries, which feed <strong>the</strong> heart (coronary<br />

arteries). A heart attack is also<br />

called myocardial infarction. It can be<br />

fatal, but treatment has improved dramatically<br />

over <strong>the</strong> years.<br />

Some symp<strong>to</strong>ms of a common<br />

heart attack include pressure, tightness,<br />

pain, or a squeezing or aching<br />

sensation in your chest or arms that<br />

may spread <strong>to</strong> your neck, jaw or back;<br />

indigestion, heartburn or abdominal<br />

pain; shortness of breath, cold sweat,<br />

fatigue, ligh<strong>the</strong>adedness or sudden<br />

dizziness.<br />

The experience of pain may vary<br />

from person <strong>to</strong> person. Some people<br />

experience mild pain, o<strong>the</strong>rs have<br />

more severe pain. Some people have<br />

no symp<strong>to</strong>ms, while for o<strong>the</strong>rs, <strong>the</strong><br />

first sign may be sudden cardiac<br />

arrest. The earliest warning may be<br />

recurrent chest pain (angina) that's<br />

triggered by exertion and relieved by<br />

rest.<br />

A heart attack differs from a condition<br />

in which your heart suddenly<br />

s<strong>to</strong>ps (sudden cardiac arrest, which<br />

occurs when an electrical disturbance<br />

disrupts your heart's pumping action<br />

and causes blood <strong>to</strong> s<strong>to</strong>p flowing <strong>to</strong><br />

<strong>the</strong> rest of your body).<br />

Here are a few measures <strong>to</strong> be<br />

taken before a patient is shifted <strong>to</strong> a<br />

hospital:<br />

*Make <strong>the</strong> person sit down and<br />

calm. Loosen his/her clothing.<br />

* Transport <strong>the</strong> patient <strong>to</strong> <strong>the</strong> nearest<br />

hospital or ambulance service<br />

immediately.<br />

* Nothing should be given except<br />

for sublingual (under <strong>the</strong> <strong>to</strong>ngue)<br />

or any o<strong>the</strong>r medication prescribed<br />

by <strong>the</strong> d<strong>oct</strong>or. A tablet of aspirin<br />

helps <strong>to</strong> limit <strong>the</strong> damage. A 300<br />

mg aspirin tablet chewed at <strong>the</strong><br />

time of heart attack can reduce <strong>the</strong><br />

mortality by 15 <strong>to</strong> 20 per cent.<br />

* If <strong>the</strong>re is no breathing or pulse,<br />

give cardiopulmonary resuscitation<br />

(CPR). Immediately place <strong>the</strong><br />

palm of your hand on <strong>the</strong> patient's<br />

chest just over <strong>the</strong> lower part of<br />

<strong>the</strong> sternum (breastbone) and press<br />

your hand in a pumping motion<br />

once or twice by using <strong>the</strong> o<strong>the</strong>r<br />

hand.<br />

WANT <strong>to</strong> cut food<br />

Light smoking still<br />

damages lungs: Study<br />

New York, People who smoke<br />

fewer than five cigarettes a day<br />

cause long-term damage <strong>to</strong> <strong>the</strong>ir<br />

lungs, according <strong>to</strong> a new research.<br />

“Many people assume that<br />

smoking a few cigarettes a day isn’t<br />

so bad, but it turns out that <strong>the</strong> difference<br />

in loss of lung function<br />

between someone who smokes five<br />

cigarettes a day versus two packs a<br />

day is relatively small,” said study<br />

lead author Elizabeth Oelsner,<br />

Assistant Professor at Columbia<br />

University Vagelos College in <strong>the</strong><br />

US. For <strong>the</strong> study publsihed in The<br />

Lancet Respira<strong>to</strong>ry Medicine, <strong>the</strong><br />

researchers looked specifically at<br />

lung function–<strong>the</strong> amount of air a<br />

person can brea<strong>the</strong> in and out–in<br />

smokers, ex-smokers, and neversmokers.<br />

Lung function declines<br />

naturally with age (starting in one’s<br />

20s), and it’s well-known that<br />

smoking accelerates <strong>the</strong> decline.<br />

Because of <strong>the</strong> large number of<br />

people in <strong>the</strong> study–more than<br />

25,000– researchers could see differences<br />

in lung function among<br />

light smokers (less than 5 cigarettes<br />

per day) and heavy smokers (more<br />

than 30 per day) that o<strong>the</strong>r studies<br />

have been unable <strong>to</strong> detect.<br />

Their analysis found that lung<br />

function in light smokers declines<br />

at a rate much closer <strong>to</strong> that of<br />

heavy smokers, as compared <strong>to</strong><br />

non-smokers. This means that a<br />

light smoker could lose about <strong>the</strong><br />

same amount of lung function in<br />

one year as a heavy smoker might<br />

lose in nine months. The study also<br />

tested an assumption, based on a<br />

40-year-old study, that <strong>the</strong> rate of<br />

decline in lung capacity “normalises”<br />

within a few years of quitting<br />

smoking. The new study shows that<br />

although lung capacity declines at a<br />

much lower rate in ex-smokers than<br />

current smokers, <strong>the</strong> rate doesn’t<br />

normalise for at least 30 years.<br />

According <strong>to</strong> <strong>the</strong> researchers, light<br />

smokers may have a greater risk of<br />

developing chronic obstructive pulmonary<br />

disease (COPD).<br />

intake? Dine alone<br />

London-If you are planning <strong>to</strong> cut<br />

down on your daily food intake <strong>to</strong> get<br />

in<strong>to</strong> shape, better dine alone as a new<br />

research has found that people tend <strong>to</strong><br />

eat more with friends and family.<br />

Eating "socially" has a powerful<br />

effect on increasing food intake relative<br />

<strong>to</strong> dining alone, said <strong>the</strong> study published<br />

in <strong>the</strong> American Journal of Clinical<br />

Nutrition. "We found strong evidence<br />

that people eat more food when dining<br />

with friends and family than when<br />

alone," said research leader Helen<br />

Ruddock from <strong>the</strong> University of<br />

Birmingham in Britain.<br />

Previous studies found that those eating<br />

with o<strong>the</strong>rs ate up <strong>to</strong> 48 per cent<br />

more food than solo diners and women<br />

with obesity eating socially consumed<br />

up <strong>to</strong> 29 per cent more than when eating<br />

alone.<br />

For <strong>the</strong> study, <strong>the</strong> researchers evaluated<br />

42 existing studies of research in<strong>to</strong><br />

social dining.<br />

social bonds. The researchers called <strong>the</strong> <strong>the</strong> social facilitation of eating is less<br />

The researchers found that people eat phenomenon of eating more with friends pronounced amongst groups of<br />

more with friends and family because and family "social facilitation". strangers," Ruddock said.<br />

having food with o<strong>the</strong>rs is more enjoyable<br />

and social eating could increase tion effect on eating was not observed ancient hunter ga<strong>the</strong>rers shared food<br />

They found that this social facilita-<br />

The researchers explained that<br />

consumption.<br />

across studies which had looked at food because it ensured equitable food distribution.<br />

Social norms might 'permit' overeating<br />

in company but sanction it when eat-<br />

well acquainted. "People want <strong>to</strong> convey In <strong>the</strong> case of social facilitation, we<br />

intake amongst people who were not<br />

ing alone and providing food becomes positive impressions <strong>to</strong> strangers. have inherited a mechanism that now<br />

associated with praise and recognition Selecting small portions may provide a exerts a powerful influence on unhealthy<br />

from friends and family, streng<strong>the</strong>ning means of doing so and this may be why dietary intakes, <strong>the</strong> researchers said.

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