Coronary heat diseases
Coronary heart diseases occur due to lack of blood supply to heart muscles by an increased cardiac demand or decreased coronary supply to heart muscles.Both these elements are the causes for heart attack.Complete blockage of coronary artery is causing in myocardial infarction.Sometimes it happens due to syphilitic aortitis resulting in sealing the mouth of coronary artery and the process may affect the arteries themselves.Death may occur any time before the complete recovery of diseased cardiac muscles with in 6-8 weeks or more.It may again occur due to myocardial infarct increase for a second attack due to blockage or an extension of first one,or due to myocardial failure,congestive heart failure,or blockage or rupture of the necrosed heart muscle.Due to pericarditis and endocarditis over the patches of infarction may occur and may cause pulmonary or coronary failure and cause death.
Coronary thrombosis,Myocardial infarction,Angina pectoris and,myocardial insufficiency are under the groups of ischemic or coronary heart diseases.Death rates over the last 60 to 80 years ,increased all over the world almost every where especially highly modernized and industrially and commercially developed countries.The incidence is related with national income and industrial production and activity,international commercial transactions and tempo of life.The increased incidence noticed by the mortality numbers confirmed by autopsy studies,medical practitioners"and hospital statistics and social security organisations.statistics of national insurance and commercial insurance organisations and by surveys in general population.
Diet.It is commonly associated with dietary habits in that the individuals with high fat,sugar contents in their foods are liable to suffer more.The incidence is more in countries with large consumption of fat especially the animal fats or fats containing a high proportion of saturated fatty acids and low contents of unsaturated fats in their diets.
Heredity.The incidence is more among siblings of those who have attacks.
Association with other diseases like hypertension,diabetes .etc.
Age.The disease is most common in people of 40-60 years of age,although more and more younger people are being affected these days.
The incidence is more in men than in women under 50 years of age which shows that the sex hormone may have to play some part in its genesis.
Profession.It is more common amongst highly efficient conscientious professional men in medical,legal,senior
executives of large corporate industrial and business establishments.In western countries out of 1000 men doctors below 41 years of age 200 develop ischaemic heart syndrome or disease before they are 65.It occurs less in farmers,miners and unskilled manual workers etc.More people getting attacks on
the top of their social or professional carriers and status and expectation of surprising achievements
in life.
Obesity.It is about 3 times more among those who have 20% or more weight gain over their weight at
adult age.Although the thin one is not having immune to an attack.
Mode of life.It is more in people in sedentary works/professions and habits.More cases occurs in
urban than rural population.Smokers suffer more than nonsmokers.Sudden severe emotional strain/stress precedes and precipitates more attacks among such people.
Preventive measures.Prevention of death,disability,diseases and other factors are wider concept of prevention.16 to 30 % of first attacks end in sudden deaths with in 60 minutes of onset.Briefly the main risk factors are hypertension,diabetes mellitus,over weight,cigarette smoking,'physical inactivity
and stress and strain 'producing mental activity,a 'positive family history of vascular disease,onset before age forty and abnormal electrocardiogram.The other abnormalities are thyroid dysfunction,
renal disease and sedentary living habits. Obesity and over weight are taken to be a high coronary risk factor.
About 30-40% of the first myocardial infractions terminate fatally during the first 6 weeks of sickness.Survivors have life expectancy under the best of circumstances.The persons with previous
history of coronary heart disease have 5 times more chance to increase to mortality rate than those originally free from disease.It is, therefore,efforts must be taken to prevent the first attack in achieving primary prevention.It is now easy to prevent first attack by applying the recent knowledge of risk factors for the disease and to remedy
Early detection of susceptible cases and treatment of risk factors is very important to achieve primary
prevention of heart disease.The nutritional,hygienic,dietery and pharmacological means are available
to correct and control hypertension,over weight,cigarette smoking,diabetes and physical activity.This is to correct abnormalities and keep them for long time to establish new habits.As they are not known
the causing factors like diet,over weight avoidance,control of smoking and drinking restriction,increasing of exercise,relaxation from constant strain producing occupations and situations
and control of conditions known about heart diseases such as diabetes mellitus,hypertension,gall bladder and kidney diseases.Early detection and proper and prompt treatment to diverse causes of
these risk factors. Watching natural events in heart diseases in the community and for prevention in an individual. Collection of data of causing diseases and research on the cases should be enhanced.
Serum cholesterol and triglyceride are controlled with in normal limits by diets.Diet control is necessary to 'prevent obesity and to balance anabolism and katabolism.Caloric requirement is to
be reduced/lowered as the age advances after 40 years.Hence animal fat consumption should be reduced mainly in diet.All vegetable oils have a high concentration of unsaturated essential fatty acids,except coconut oil. Regular exercise against obesity is an advantage like insurance.It keeps your
heart muscles in training to meet the additional demands in times of stress and also,men with sedentary works should adopt habits of regular exercise.
Weight regulation through avoiding obesity by diet regulation and exercise must be 'practiced.The person may inherit tendencies for obesity together with high cholesterol and such 'person has to be
more vigilant and careful.Although drinking and smoking is not essential for a healthy life,those should be avoided,if not,,moderation in drinking and smoking must be exercised.Drugs are available to quit smoking.Smoking affects the arterial system specially coronary system and stimulate
vasospasm rapidly and contracting blood vessels in cold injuries like frost bite,similarly the risk of cardiac coronary bloackage and infarct in myocardium is increased by heavy smoking,so that it must be 'prohibited among 'persons with risk factors of coronary heart diseases.Regular cardiovascular and urinary systems examinations are to be done to find out for normal functions of systems.Habitual dietery controls may reduce the 'progression of the conditions by keeping serum cholesterol at low level.Among socioeconomically well off communities,the doctors,lawyers, judges,bank officials executives and administers show a high tendency to get the disease more common than other individuals.The preventive measures,there fore,should be taken to detect the vulnerable groups and
individuals with in those groups and then control the contributory factors relevant to them.Early diagnosis and treatment of all the antecedent conditions are entirely necessary to enhance our knowledge for further studies and findings.
pm kutty
Coronary heart diseases occur due to lack of blood supply to heart muscles by an increased cardiac demand or decreased coronary supply to heart muscles.Both these elements are the causes for heart attack.Complete blockage of coronary artery is causing in myocardial infarction.Sometimes it happens due to syphilitic aortitis resulting in sealing the mouth of coronary artery and the process may affect the arteries themselves.Death may occur any time before the complete recovery of diseased cardiac muscles with in 6-8 weeks or more.It may again occur due to myocardial infarct increase for a second attack due to blockage or an extension of first one,or due to myocardial failure,congestive heart failure,or blockage or rupture of the necrosed heart muscle.Due to pericarditis and endocarditis over the patches of infarction may occur and may cause pulmonary or coronary failure and cause death.
Coronary thrombosis,Myocardial infarction,Angina pectoris and,myocardial insufficiency are under the groups of ischemic or coronary heart diseases.Death rates over the last 60 to 80 years ,increased all over the world almost every where especially highly modernized and industrially and commercially developed countries.The incidence is related with national income and industrial production and activity,international commercial transactions and tempo of life.The increased incidence noticed by the mortality numbers confirmed by autopsy studies,medical practitioners"and hospital statistics and social security organisations.statistics of national insurance and commercial insurance organisations and by surveys in general population.
Diet.It is commonly associated with dietary habits in that the individuals with high fat,sugar contents in their foods are liable to suffer more.The incidence is more in countries with large consumption of fat especially the animal fats or fats containing a high proportion of saturated fatty acids and low contents of unsaturated fats in their diets.
Heredity.The incidence is more among siblings of those who have attacks.
Association with other diseases like hypertension,diabetes .etc.
Age.The disease is most common in people of 40-60 years of age,although more and more younger people are being affected these days.
The incidence is more in men than in women under 50 years of age which shows that the sex hormone may have to play some part in its genesis.
Profession.It is more common amongst highly efficient conscientious professional men in medical,legal,senior
executives of large corporate industrial and business establishments.In western countries out of 1000 men doctors below 41 years of age 200 develop ischaemic heart syndrome or disease before they are 65.It occurs less in farmers,miners and unskilled manual workers etc.More people getting attacks on
the top of their social or professional carriers and status and expectation of surprising achievements
in life.
Obesity.It is about 3 times more among those who have 20% or more weight gain over their weight at
adult age.Although the thin one is not having immune to an attack.
Mode of life.It is more in people in sedentary works/professions and habits.More cases occurs in
urban than rural population.Smokers suffer more than nonsmokers.Sudden severe emotional strain/stress precedes and precipitates more attacks among such people.
Preventive measures.Prevention of death,disability,diseases and other factors are wider concept of prevention.16 to 30 % of first attacks end in sudden deaths with in 60 minutes of onset.Briefly the main risk factors are hypertension,diabetes mellitus,over weight,cigarette smoking,'physical inactivity
and stress and strain 'producing mental activity,a 'positive family history of vascular disease,onset before age forty and abnormal electrocardiogram.The other abnormalities are thyroid dysfunction,
renal disease and sedentary living habits. Obesity and over weight are taken to be a high coronary risk factor.
About 30-40% of the first myocardial infractions terminate fatally during the first 6 weeks of sickness.Survivors have life expectancy under the best of circumstances.The persons with previous
history of coronary heart disease have 5 times more chance to increase to mortality rate than those originally free from disease.It is, therefore,efforts must be taken to prevent the first attack in achieving primary prevention.It is now easy to prevent first attack by applying the recent knowledge of risk factors for the disease and to remedy
Early detection of susceptible cases and treatment of risk factors is very important to achieve primary
prevention of heart disease.The nutritional,hygienic,dietery and pharmacological means are available
to correct and control hypertension,over weight,cigarette smoking,diabetes and physical activity.This is to correct abnormalities and keep them for long time to establish new habits.As they are not known
the causing factors like diet,over weight avoidance,control of smoking and drinking restriction,increasing of exercise,relaxation from constant strain producing occupations and situations
and control of conditions known about heart diseases such as diabetes mellitus,hypertension,gall bladder and kidney diseases.Early detection and proper and prompt treatment to diverse causes of
these risk factors. Watching natural events in heart diseases in the community and for prevention in an individual. Collection of data of causing diseases and research on the cases should be enhanced.
Serum cholesterol and triglyceride are controlled with in normal limits by diets.Diet control is necessary to 'prevent obesity and to balance anabolism and katabolism.Caloric requirement is to
be reduced/lowered as the age advances after 40 years.Hence animal fat consumption should be reduced mainly in diet.All vegetable oils have a high concentration of unsaturated essential fatty acids,except coconut oil. Regular exercise against obesity is an advantage like insurance.It keeps your
heart muscles in training to meet the additional demands in times of stress and also,men with sedentary works should adopt habits of regular exercise.
Weight regulation through avoiding obesity by diet regulation and exercise must be 'practiced.The person may inherit tendencies for obesity together with high cholesterol and such 'person has to be
more vigilant and careful.Although drinking and smoking is not essential for a healthy life,those should be avoided,if not,,moderation in drinking and smoking must be exercised.Drugs are available to quit smoking.Smoking affects the arterial system specially coronary system and stimulate
vasospasm rapidly and contracting blood vessels in cold injuries like frost bite,similarly the risk of cardiac coronary bloackage and infarct in myocardium is increased by heavy smoking,so that it must be 'prohibited among 'persons with risk factors of coronary heart diseases.Regular cardiovascular and urinary systems examinations are to be done to find out for normal functions of systems.Habitual dietery controls may reduce the 'progression of the conditions by keeping serum cholesterol at low level.Among socioeconomically well off communities,the doctors,lawyers, judges,bank officials executives and administers show a high tendency to get the disease more common than other individuals.The preventive measures,there fore,should be taken to detect the vulnerable groups and
individuals with in those groups and then control the contributory factors relevant to them.Early diagnosis and treatment of all the antecedent conditions are entirely necessary to enhance our knowledge for further studies and findings.
pm kutty
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