blood vessels which includes coronay heart disease, cerebrovascular disease and rheumatic heart

disease.

According to Dr.Stanley Davidson who is an expert in human anatomy, the heart acts as two serial
pumps that share several electrical and mechanical components. The right heart circulates
deoxygenated blood to the lungs where it is oxygenated and the left heart circulates to the different
parts of the body.

Now as the heart supplies blood to different system of the body, it two needs blood for its own
survival i.e supplied by right and left coronary artery. However, according to the national service of the
united kingdom, any obstruction in the blood flow of these artery leads to occlusion of blood vessels
which is known as Atherosclerosis which means a buildup of fatty plaque in the artery.

According to WHO, 4 out of 5 cardiovascular death are due to heart attack and stroke. Among
them, onethird of these death occur prematurely in people under 70 yrs of age.

Now, let me explain about the risk factor related to heart diseases. Whether the risk factor are
modifiable or not.

According to J. Larry Jameson, author of Harrison’s Principles of internal medicine explains that

Family history, age, sex in which men are at higher risk are non modifiable risk factors whereas obesity,
smoking, alcohol, high cholesterol, sedentarylife style, unhealthy food habits, stress, diseases like
diabetes mellitus, high blood pressure are modifiable risk factors.

Everyday, through advertisements we hear that smoking kills, smoking is injurious to health….but
how exactly.

In an article on web MD, Dr.Mark Strachan explains that every cigarette you smoke makes you
more likely to get heart disease. Roughly 1 out 5 deaths from heart disease is directly related to
smoking. People who smoke are 2 to 4 times more likely to get heart disease.

Smoke contains nicotine which causes the blood to thicken and form clots inside veins and arteries.
Blockage from a clot lead to heart attack and sudden death.

In a research published in a journal of vascular biology in 1991, Mellisa A. Austin, writes for more
than 30 yrs, observational epidemiological studies have investigated whether elevated levels of plasma
TGs are associated with an increased risk of coronary heart disease. The result of these studies, however
have not been consistent and controversy still exist as to the significant of the association. Thus, despite
an extensive literature and two national institute of health workshops, the status of
hypertriglyceridemia as a risk factor is still uncertain.

Many people consider heart disease as silent killer but that’s not completely true. Heart disease
manifest certain sign and symptoms which can be noted if we are aware about them.
 According to a guidelines published for paramedics by American heart association in 2017, the
most commom sign and symptoms of heart diseases are

→ chest discomfort

Most heart attack involves discomfort in the centre of the chest that last for more than a few
minutes or that goes away and comes back. It feels uncomfortable pressure, squeezing, fullness or pain.

→Discomfort in other parts of body that can be in one or both arms, the back, neck, jaw or stomach

→Shortness of breath, with or without chest discomfort.

→Other signs may include breaking out in a cold sweat, nausea or lightheadedness.

All we need is to have an eye on these sign and symptoms and contact a medical expert if we
have any doubts about it.

However we can prevent heart disease by preventing modifiable risk factors such as

→Quiting smoking & alcohol

→Daily exercise (30 minutes a day)

According to Dr.Dennis kerigan who is an expert in clinical exercise and physiologist at Brown
University says that, many people think exercise needs to be done in 30 minutes or longer sessions.
However, studies show that doing multiple, short exercise have similar benefits. This means its ok if you
have only 10 minutes to ride your bikes, 8 minutes to climb the stairs & 12 minutes to walk around your
block because every minute counts for keeping your heart.

Likewise, other preventive measures are

→ Avoiding consumption of high salts and unsaturated fats.

→Controlling of other health conditions like DM, HBP, high cholesterol.

→Avoiding stress.

→Maintaining a optimum BMI.

In conclusion, I want to apologize if I overwhelmed you with a lot of information. However I believe
that there are some medical ideas and issues which need to be discussed, analysed and understood by
everyone even though we may not be from the field of medical sciences.

I also want to apologise for disturbing the beautiful concept of heart which is associated with love
and feelings into a serious concept.

However, remember even if you want your heart to beat for somebody make sure it is a healthy
heart.