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How o Ta e Ca H w to ake are of Yo He t our eart
Western India Products Limited (WIPRO) is one of the largest IT services company in India. They arranged a chat with Dr. Devi Shetty in order to make their employers aware of the importance of looking after their hearts for a long, healthy life. Dr. Devi Shetty is a renowned cardiac surgeon in Bangalore, India who has done more than 15,000 heart operations. He is also the founder of a multi‐specialty hospital called Narayana Hrudayalaya on the outskirts of Bangalore City in South India. Apart from cardiac surgery, the hospital deals with cardiology, neurosurgery, paediatric surgery, haematology and transplant services, and nephrology. Contained in this booklet is the transcript of the chat updated with graphics, useful extra information, and links for animated videos of the functions of the human heart and other related articles.
(PREPARED FOR NON COMMERCIAL EDUCATIONAL PURPOSES)
Dr.D vi Sh tty D Dev het
Heart Spe ecialist t, Bang galore, India a
♥ He perform med the f first open n‐heart su urgery in the world to le in the heart wit th the help of a microchip camera close a hol
♥ He perform med Asia’s first dy ynamic ca ardio‐mio oplasty operation
♥ He used an n artificia al heart fo or the firs st time in n India ♥ He perform med the f first surge ery in Ind dia using the blood vessels s of f the stom mach to b bypass th he blocke ed arteries of the h heart
estion: Wha at are the thumb rules for a lay yman to ta ake care of f his heart? ? 1. Que Answer r:
1. Diet ‐ ‐ Less of ca arbohydrat te, more of protein, l less oil
2. Exercis se ‐ Half an ho our's walk at least five day ys a week; avo oids lifts and avoid sitting for a long tim me
3. Quit s smoking 4. Contr rol weight 5. Contr rol blood p pressure an nd sugar
SM MOKING CLO OGS THE AR RTERIES AND D CAUSES HE EART ATTAC CKS AND STR ROKES!
estion: Is ea ating non‐v vegetarian n food (fish h) good for r the heart? 2. Que Answer r: No. 3. Que estion: It's s still a grave shock to hear that some apparently he ealthy pers sons get a cardiac arr rest. How d do we und derstand it in perspec ctive? wer: This is called silent attack k; that is why we reco ommend e everyone Answ past t the age o of 30 to und dergo rout tine health h checkups s. 4. Que estion: Are heart dise eases hered ditary? Answ wer: Yes.
5. Question: What are the ways in which the heart is stressed? What practices do you suggest to de‐stress? Answer:
Change your attitude towards life. Do not look for perfection in everything in life.
FEELING STRESSED FEELING POSITIVE EMOTIONS
6. Que estion: Is w walking better than jo ogging or is s more inte ensive exercise requ uired to ke eep a healt thy heart? Answ wer: Walking is bette er than jog gging since e jogging le eads to ear rly fatigue and injury to joints.
7. Que estion: You u have don ne so much h for the po oor and ne eedy. What has insp pired you to o do so? r: Mother T Theresa, w who was my y patient. Answer estion: Can people with low blo ood pressure suffer h heart disea ases? 8. Que Answ wer: Extremely rare.
9. Question: Does cholesterol accumulates right from an early age (I'm currently only 22) or do you have to worry about it only after you are above 30 years of age? Answer: Cholesterol accumulates from childhood. 10. Question: How do irregular eating habits affect the heart? Answer: You tend to eat junk food when the habits are irregular and your body's enzyme release for digestion gets confused.
11. Question: How can I control cholesterol content without using medicines? Answer: Control diet, walk and eat walnut. 12. Question: Can yoga prevent heart ailments? Answer: Yoga helps.
13. Question: Which is the best and worst food for the heart? Answer: Fruits and vegetables are the best and the worst is oil. 14. Question: Which oil is better ‐ groundnut, sunflower, olive? Answer: All oils are bad. 15. Question: What is the routine checkup one should go through? Is there any specific test? Answer: Routine blood test to ensure sugar, cholesterol is ok. Check BP, Treadmill test after an echo.
When you are unable to exercise on a treadmill or stationary cycle, you could have a dobutamine stress eco test done on you. It involves infusing a medication through an intravenous (IV) line, called dobutamine, while you are being closely monitored. The medication stimulates your heart and makes it "think" it is exercising. The test is done to evaluate your heart and valve function.
Dobutamine Stress Echocardiogram (dobutamine echo, pharmacological echocardiogram) 16. Question: What are the first aid steps to be taken on a heart attack? Answer: Help the person into a sleeping position, place an aspirin tablet under the tongue with a sorbitrate tablet if available, and rush him to a coronary care unit since the maximum casualty takes place within the first hour.
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17. Question: How do you differentiate between pain caused by a heart attack and that caused due to gastric trouble? Answer: Extremely difficult without ECG.
18. Question: What is the main cause of a steep increase in heart problems amongst youngsters? I see people of about 30‐40 yrs of age having heart attacks and serious heart problems. Answer: Increased awareness has increased incidents. Also, sedentary lifestyles, smoking, junk food, lack of exercise in a country where people are genetically three times more vulnerable for heart attacks than Europeans and Americans. 19. Question: Is it possible for a person to have BP outside the normal range of 120/80 and yet be perfectly healthy? Answer: Yes. 20. Question: Marriages within close relatives can lead to heart problems for the child. Is it true? Answer: Yes, co‐sanguinity leads to congenital abnormalities and you may not have a software engineer as a child.
21. Question: Many of us have an irregular daily routine and many a times we have to stay late nights in office. Does this affect our heart? What precautions would you recommend? Answer: When you are young, nature protects you against all these irregularities. However, as you grow older, respect the biological clock. 22. Question: Will taking anti‐hypertensive drugs cause some other complications (short / long term)? Answer: Yes, most drugs have some side effects. However, modern anti‐ hypertensive drugs are extremely safe. 23. Question: Will consuming more coffee/tea lead to heart attacks? Answer: No. 24. Question: Are asthma patients more prone to heart disease? Answer: No.
25. Question: Ho ow would y you define junk food?
r: Fried foo od like Kent tucky, McD Donalds, sa amosas, an nd even masala Answer dosas.
(Masal la Dosa is a also called Dosay, Do ose, Dosai, Dhosha, T Thosai, Tos sa, etc. It is s a typica al dish in So outh Indian n cuisine, s served with h a variety y of side dis shes, one famous being ‘sam mbar’, eate en for brea akfast or d dinner, and d is rich in carbohy ydrates and protein)
26. Question: You mentioned that Indians are three times more vulnerable. What is the reason for this, as Europeans and Americans also eat a lot of junk food? Answer: Every race is vulnerable to some disease and unfortunately, Indians are vulnerable for the most expensive disease. 27. Question: Does consuming bananas help reduce hypertension? Answer: No.
28. Question: Can a person help himself during a heart attack (Because we see a lot of forwarded emails on this)? Answer: Yes. Lie down comfortably and put an aspirin tablet of any description under the tongue and ask someone to take you to the nearest coronary care unit without any delay and do not wait for the ambulance since most of the time, the ambulance does not turn up.
29. Question: Do, in any way, low white blood cells and low haemoglobin count lead to heart problems? Answer: No. But it is ideal to have normal haemoglobin level to increase your exercise capacity. 30. Question: Sometimes, due to the hectic schedule we are not able to exercise. So, does walking while doing daily chores at home or climbing the stairs in the house, work as a substitute for exercise? Answer: Certainly. Avoid sitting continuously for more than half an hour and even the act of getting out of the chair and going to another chair and sitting helps a lot.
31. Question: Is there a relation between heart problems and blood sugar? Answer: Yes. A strong relationship since diabetics is more vulnerable to heart attacks than non‐diabetics. 32. Question: What are the things one needs to take care of after a heart operation? Answer: Diet, exercise, drugs on time, Control cholesterol, BP, weight.
33. Question: Are people working on night shifts more vulnerable to heart disease when compared to day shift workers? Answer: No. 34. Question: What are the modern anti‐ hypertensive drugs? Answer: There are hundreds of drugs and your doctor will chose the right combination for your problem, but my suggestion is to avoid the drugs and go for natural ways of controlling blood pressure by walk, diet to reduce weight and changing attitudes towards lifestyles. 35. Question: Does ‘Dispirin’ or similar headache pills increase the risk of heart attacks? Answer: No.
36. Question: Why is the rate of heart attacks more in men than in women? Answer: Nature protects women till the age of 45.
37. Question: How can one keep the heart in a good condition? Answer: Eat a healthy diet, avoid junk food, exercise every day, do not smoke and, go for health checkups if you are past the age of 30 (once in six months recommended.)
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Heart Specialist Dr. Devi Shetty, Bangalore, India (for the chat) WIPRO Company, Bangalore, India (for arranging the chat) Judicial Medical Officer Dr. Sriyantha Amararatne, Australia (for forwarding the chat to me) Bupa health animation team, United Kingdom (for the video link) Bayer Schering Pharma AG, Germany (for thrombosis advice and special video inside vein) BBC (news.bb) for smoking warning graphic image Wikipedia ( for other images) No tobacco.org (for free images) Cleveland Clinic, Cleveland, Ohio, USA (for DS echocardiogram) Eugene Manabarana (for proof reading)
PLEASE NOTE THAT THE VIDEO AND OTHER LINKS WILL BE GIVEN SEPERATELY FOR LINK UPDATING PURPOSES.
The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.