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NH ENG _Mac2022

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ASK & Answered

2 3 4

I have a slow and rapid

heartbeat. What does

this indicate? Should I be

concerned?

A: Yes, whether you are experiencing

a fast or slow heartbeat, any abnormal

heart rate is a cause for concern. Many

types of heart disease can give rise to

these symptoms. Healthy functioning

of the heart conduction system allows

the heart to beat at an appropriate rate

based on our daily activities. If there’s

any malfunction of this system, the

heart rate can end up being too slow

or too fast.

A structure within the right atrium,

namely SA Node, serves as the heart’s

natural pacemaker. It works with

another structure downstream of the

conduction system, known as the

AV node, to ensure the heart beats

appropriately. However, often with

ageing, degenerative changes set in

and may affect the function of these

two important structures, causing

inappropriate slow heart rate. Patients

may be asymptomatic at the beginning,

but due to the progressive nature of

the changes, they may suffer from

episodes of giddiness and syncope.

This can lead to potentially catastrophic

outcomes if left untreated. Therefore, it

is always advisable to see your doctor

or a cardiac electrophysiologist for

early diagnosis.

Answered by: Dr Gary Lee, Consultant

Cardiologist & Electrophysiologist

from Tung Shin Hospital

I think I eat too much

sugar. What are the

health risks, and what

can I do?

A: Here are a few major problems

associated with excessive sugar

consumption: vitamin and mineral

depletion, weakened bones, poor

dental health, headaches and

migraines, weakness when blood

glucose levels drop, increased risk of

heart disease and high cholesterol,

obesity, concentration issues, weakened

immune system, and an increased

risk of ADD especially in children. You

can start making an effort to replace

regular sugar with more nutrient-dense,

lower sugar variations like natural

sugars from fruits, and gradually

cutting down your sugar intake.

Answered by: the Health Research

Team from diabetickitchen.com

I am having a hard time

with my menopause

symptoms. What can I do?

A: Menopause is a normal part of

life – it is not a disease nor a medical

condition. The most common

symptoms are hot flushes and night

sweats. Some women may also

experience insomnia, incontinence,

and changes to their mood and libido.

Unless the symptoms are severe,

lifestyle and diet modifications can help

ease these symptoms. For example,

hot flushes and night sweats usually

improve with regular exercise, while

reducing caffeine and practising good

sleeping habits can help alleviate

insomnia.

Answered by: Dr Tan Gie Hooi,

Consultant Breast & Oncoplastic

Surgeon

10 Natural Health * March 2022 VOL 126

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