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Low Heart Pumping (LVEF%).

s a measurement used by physicians to determine how well your heart is functioning.
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s a measurement used by physicians to determine how well your heart is functioning.

Written By Dr. Rakesh Kathiriya, Medical Director - Saaol Heart Center Surat.


 

What is Heart Pumping (EF%)?


Heart pumping also called Ejection Fraction (EF%) is a measurement used by physicians to determine how well your heart is functioning. An EF is a percentage of blood that is pumped out of the heart during each beat.

  • "Ejection" refers to the amount of blood that is pumped out of the heart's main pumping chamber, the left ventricle, during each heartbeat.
  • "Fraction" refers to the fact that, even in a healthy heart, some blood always remains within this chamber after each heartbeat.
  • An EF is a percentage of blood that is pumped out of the heart during each beat.
  • Ejection fraction is a key indicator of heart health.
  • Physicians assess the extent of heart muscle damage by measuring the left ventricular ejection fraction.

Diagnose - How to Check Heart Pumping?


EF is often measured by a simple, painless test called an echocardiogram (2D Echo Report). A special imaging machine uses sound waves to create a videotaped image of the heart, showing the four chambers of the heart, the valves and how well the heart is pumping.

Ejection Fraction Numbers:


 

50-75% Heart's Pumping Ability is Normal.
36-49% Heart's Pumping Ability is Below Normal.
35% and Below Heart's Pumping Ability is Low.

What is Low Heart Pumping (Low EF%)?


A low EF% suggests problems with the heart's pumping function and may be associated with symptoms of heart failure. This is a condition where the heart does not pump enough blood to the rest of the body. If you have a low EF%, it is important that you recognize the signs of heart failure, which may include:

  • Breathlessness while walking or rest
  • Fatigue (feeling tired all the time)
  • Swelling in the feet

A low EF can also be associated with abnormal heart rhythms, which can make your heart, pump even less effectively. If you have heart disease, your doctor will check your EF periodically, closely monitoring your condition.

Precautions in Low Heart Pumping condition.


Depending on your EF number, your doctor may make recommendations to help you improve your EF. In some cases, medication may be prescribed. There are also other things you can do to improve how you feel.

  • Limit Salt – Limiting salt (sodium) to 2,000 mg a day is an important part of maintaining a healthy heart and treating heart failure. With a low EF, your kidneys get less blood than they should. This makes them unable to rid the body of excess water and salt. Eating too much salt can lead to even more fluid buildup. It also increases your blood pressure, which makes an already weakened heart work harder.
  • Manage Your Fluids – With a low EF, blood can back up in your lungs and force fluid into the breathing spaces, making it difficult to breathe. Excess fluid can also cause weight gain and swelling. Your doctor will recommend the amount of fluids you should have daily.
  • Exercise Regularly – Exercise can help strengthen your heart and improve how well it pumps blood to the rest of the body. All it takes is 30 minutes a day of activity, even if that activity is walking. Talk to your doctor about an exercise program that is right for you.
  • Pay attention to your weight.
  • Lower Your Stress.
  • Join a Cardiac Rehab Program.
  • No alcohol & Smoking.
  • Avoid Over exertion (Uphill stairs).
  • Avoid fermented food such as baking soda over fried food.

Scientific Treatment For Low Heart Pumping.


Low heart pumping or Heart Failure condition is Treatable with EECP Treatment. EECP also called “Enhanced external Counter Pulsation” is a device, which synchronize with patient’s ECG and pumps blood from legs towards the heart. This machine helps to grow new small blood vessels in the heart, which helps the heart to pump more blood to the body.

This Treatment is US-FDA Approved, Surgery Free, Pain Free, Side Effects Free & does not require Hospitalization.

 

This treatment usually takes 35 to 38 sessions and result of this treatment can be seen in 2D Echo Report. Contact saaol Heart Center on 02612242256 or call on +919714210111 to know more about this treatment.


Angina (Cardiac Pain)

Written By Dr. Gopal Mavani, EECP Consultant - Saaol Heart Center Surat.


 

What is Angina?


Angina : is the medical term for chest pain or discomfort due to coronary heart disease. It occurs when the heart muscle doesn't get as much blood as it needs. This usually happens because one or more of the heart's arteries are narrowed or blocked, also called ischemia. Angina is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease.

 

Angina, which may also be called angina pectoris, is often described as squeezing, pressure, heaviness, tightness or pain in your chest. Some people with angina symptoms describe angina as feeling like a vise is squeezing their chest or feeling like a heavy weight has been placed on their chest.

Symptoms Of Angina.


  • Chest pain or discomfort, possibly described as pressure, squeezing, burning or fullness.
  • Pain in your arms, neck, jaw, shoulder or back accompanying chest pain.
  • Nausea.
  • Fatigue.
  • Shortness of breath.
  • Sweating.
  • Dizziness

How To Diagnose?


  - Electrocardiogram (ECG or EKG). 

  - Stress test (treadmill Test Or TMT).

  - Echocardiogram (2D Echo).

  - Coronary angiography.

  - Cardiac computerized tomography (CT) scan.

- Blood tests: (Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Samples of your blood can be tested for the presence of these enzymes).

Treatments?


There are many options for angina treatment, including lifestyle changes, medications and invasive procedure. A treatment called EECP is approved by US-FDA to treat patients with Refractory Angina. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of a heart attack and death.

Lifestyle Modification.


If your angina is mild, lifestyle changes may be all you need. Even if your angina is severe, making lifestyle changes can still help. Changes include:

  • Stop smoking.
  • If you're overweight, talk to your doctor about weight-loss options.
  • Eat a healthy diet with limited amounts of saturated fat, lots of whole grains, and many fruits and vegetables.
  • Because angina is often brought on by exertion, it's helpful to pace yourself and take rest breaks.
  • Treat diseases or conditions that can increase your risk of angina, such as diabetes, high blood pressure and high blood cholesterol.
  • Avoid large meals that make you feel overly full.
  • Avoiding stress is easier said than done, but try to find ways to relax. Talk with your doctor about stress-reduction techniques.
  • Limit alcohol consumption.


CARDIOMYOPATHY

Written By Dr. Gopal Mavani, EECP Consultant - Saaol Heart Center Surat.


 

What is CARDIOMYOPATHY?


Cardiomyopathy  is a heart muscle disease that Prevents the heart to pump neccesory blood to the rest of the body.

Types of Cardiomyopathy.


Dilated cardiomyopathy: In this type of cardiomyopathy, the working ability of the heart's main pumping chamber — the left ventricle — becomes enlarged (dilated) and can't effectively pump blood out of the heart.

Hypertrophic cardiomyopathy: This type involves abnormal thickening of the heart muscle, particularly affecting the muscle of your heart's main pumping chamber (left ventricle). The thickened heart muscle can make it harder for the heart to work properly.

Restrictive cardiomyopathy: In this type, the heart muscle becomes rigid and less elastic, so it can't expand and fill with blood between heartbeats.

Arrhythmogenic right ventricular dysplasia: In this rare type of cardiomyopathy, the muscle in the lower right heart chamber (right ventricle) is replaced by scar tissue, which can lead to heart rhythm problems. It's often caused by genetic mutations.

Diagnosis.


  • Chest X-ray. An image of your heart will show whether it's enlarged.
  • Echocardiogram. 
  • Electrocardiogram (ECG).
  • Treadmill stress test.
  • Cardiac catheterization.
  • Cardiac MRI.
  • Cardiac CT scan.
  • Blood tests.
  • Genetic testing or screening

Causes.


Often the cause of the cardiomyopathy is unknown. In some people, however, it's the result of another condition (acquired) or passed on from a parent (inherited). Contributing factors for acquired cardiomyopathy include:

  • Long-term high blood pressure.
  • Heart tissue damage from a heart attack.
  • Heart valve problems.
  • Obesity, thyroid disease or diabetes.
  • Nutritional deficiencies of essential vitamins or minerals, such as thiamin (vitamin B-1).
  • Drinking too much alcohol over many years.
  • Use of cocaine, amphetamines or anabolic steroids.
  • Use of some chemotherapy drugs and radiation to treat cancer.
  • Certain infections, especially those that inflame the heart.
  • A condition that causes inflammation and can cause lumps of cells to grow in the heart and other organs.
  • A disorder that causes the buildup of abnormal proteins (amyloidosis).

Complications.


  • Enlarged heart, in heart failure.
  • Blood clots.
  • Valve problems.
  • Cardiac arrest and sudden death.

Prevention.


You reduce your chances of cardiomyopathy and other types of heart disease by living a heart-healthy lifestyle and making lifestyle choices such as: 

  • Avoiding the use of alcohol or cocaine.
  • Controlling high blood pressure, high cholesterol and diabetes.
  • Eating a healthy diet.Getting regular exercise.
  • Getting enough sleep.Reducing your stress.

The goals of cardiomyopathy treatment are to manage your signs and symptoms, prevent your condition from worsening, and reduce your risk of complications. Treatment varies by which type of cardiomyopathy you have. Other procedures used to treat cardiomyopathy or arrhythmia include:

  • Septal ablation. 
  • Radiofrequency ablation. 
  • EECP TREATMENT.

 

EECP Treatment.


Enhanced External Counter Pulsation is a non-surgical Treatment to treat patients suffering from Cardiomyopathy. It is Us-FDA Approved side effect free treatment. It take 25-35 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111

 


HYPERTENSION

Written By Dr. Mitesh Mehta, EECP Consultant - Saaol Heart Center Surat.


 

What is Hypertension (High Blood Pressure)?


  Systolic Blood Pressure in mm of Hg Diastolic Blood Pressure in mm of Hg
Normal 120 80
Pre-Hypertensive 120-140 80-90
Hypertension Above 140 Above 90

Exact definition of high blood pressure is difficult. But in simple way, Systolic Blood pressure more than 140mm of Hg and/or diastolic blood pressure more than 90mm of Hg or if person is taking antihypertensive drugs is known as high blood pressure (hypertension).

High blood pressure is a common condition in which long continued elevated pressure or force of blood against blood vessel (i.e. in artery) wall may eventually cause health problem, such as heart disease. Blood pressure is determined by the amount of blood heart pumps out and the amount of resistance to blood flow in blood vessels. The more blood heart pumps out and the narrower arteries, the higher will be blood pressure.

Risk factors causing high blood pressure:


Age: The risk of high blood pressure increase with age.

  • Obesity or Overweight: As weight increases body demands for more oxygen and nutrients, so supply of blood to tissues increases. As the volume of blood circulated through your blood vessels increases, so does the pressure on blood vessel increases.
  • Metabolic syndrome causes: elevated LDL Cholesterol (Morethan 100mg/dl), or low HDL Cholesterol (lessthan 40mg/dl), increased triglyceride (morethan150mg/dl), and Diabetes Mellitus.
  • Tobacco: Use of tobacco either in form of smoking or chewing will cause blood pressure. The chemical substance in tobacco can damage the lining of blood vessels (particularly arteries) walls. This can cause narrowing of blood vessels and increases the risk of developing heart disease.
  • Too much salt (sodium) in diet will cause retention of fluid in body (therefore blood volume increases), which increases blood pressure.
  • Too little potassium in diet.
  • Stress: High level of stress can lead to temporary high blood pressure.
  • Lack of physical activity (i.e. sedentary lifestyle).

Signs & Symptoms:


One of the most dangerous aspects of hypertension is that you may not know that you have it (until some complication arises). In fact, nearly one-third of people who have high blood pressure don’t know it, as they remain asymptomatic, even if the blood pressure reaches dangerously high levels. If your blood pressure is extremely high, there may be certain symptoms to look out for, including:

  • Severe headache,
  • Fatigue,
  • Confusion,
  • Problem in vision,
  • Chest pain or discomfort,
  • Difficulty in breathing,
  • Irregular heartbeat,
  • Haematuria,
  • Epistaxis, etc…

These signs and symptoms are not specific and usually don’t occur until high blood pressure has reached a severe or life threatening stage. If you have any of these symptoms, see a doctor immediately. You could be having hypertensive crisis that could lead to a life threatening condition. Untreated or uncontrolled hypertension can lead to serious diseases such as stroke, heart disease, kidney failure and eye problems.

Treatments:


  • The goal of antihypertensive therapy is the reduction of cardiovascular and renal morbidity and mortality, with focus on controlling the blood pressure. 
  • Pre-hypertensive patient requires health promoting lifestyle modifications to prevent the progressive rise in blood pressure and cardiovascular disease. 
  • Regardless of therapy or care, hypertension will be controlled only if patients are motivated to stay on their treatment plan along with lifestyle modification measures. 
  • Patient whose blood pressure suddenly increases whenever they pays visit to doctor (is known as “white coat hypertension”) should monitor their blood pressure at home. 
  • Many therapeutic agents can be used for the pharmacologic management of hypertension. For treatment of hypertension drugs used are: Diuretics, ACE Inhibitors, ARBs, Beta-blockers, and Calcium channel blockers. 
  • Sometimes multiple drug therapy is generally required to achieve blood pressure targets.

Instructions For Patients (LifeStyle Modificataion):


  • Hypertension is a lifelong disorder. For optimal control, a long term commitment to lifestyle modification along with medicine is required (which will reduce cardiovascular risk factors).  
  • Weight control: an increase in body weight and waist circumference is associated with an increased risk of developing conditions with high cardiovascular risk, such as hypertension, diabetes mellitus, and left ventricular hypertrophy.  
  • Appropriate amount of aerobic physical activity at least 30 minutes daily should be done for weight reduction.  
  • Diet - low in salt or salt restricted diet should be taken and avoid intake of fatty food.  
  • Increase dietary intake of green leafy vegetables and fruits.  
  • Say NO to alcohol consumption, smoking, tobacco chewing, and use narcotic substances such as cocaine.

 

 


Myocardial Infarction (MI)

Written By Dr. Urvi Patel, EECP Consultant - Saaol Heart Center Navsari.


 

What is Myocardial Infarction (MI)?


Myocardial Infarction is commonly known as a heart attack occurs when blood flow decreases or stops, to a part of heart causing damage to the heart muscle.

Symptoms:


Chest pain.

Breathlessness.

Discomfort which may travel into the shoulder, arm, back, Neck or jaw.

Heart Burn.

Women more often present without chest pain.

Women have neck pain or feet tired.

Myocardial Infarction (MI) Can Leads To:


  • Heart Failure.
  • Irregular Heart Beat.
  • Cardiogenic Shock.
  • Cardiac Arrest.

Myocardial Infarction (MI) May Occur Due To:


  • High Blood Pressure.
  • Smoking.
  • High sugar level (Diabetes).
  • Lack of Exercise.
  • Obesity.
  • High Cholesterol.
  • Poor Diet.
  • Excessive Alcohol Intake.
  • Coronary Artery Disease.

 

How To Diagnose:


  • Electrocardiogram (ECG).
  • 2D/3D Echo.
  • Blood Test (Trop-T, CPK, CPK-MB, CBC).
  • CT Coronary Angiography / Catheter Angiography.

Treatments:


There are many options to prevent heart attack Such as life style changes, medications, EECP Treatment & invasive procedures. Life style Modification is one of the treatment that can help patient to get back to normal life from this disease. Eat Healthy Diet (More Raw Vegetables & Fruits). Stop Oil and Ghee. Stop Milk and Milk Products. Stop Smoking and Alcohol. If you are overweight, you must talk to your Doctor about weight loss options. Avoid Stress.

EECP Treatment:


A treatment called EECP (Enhanced External Counter Pulsation) is approved by US-FDA to treat patients suffering from Myocardial Infaction (MI). It is Non-Surgical, Side-Effect free Treatment. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111

 


Coronary Artery Disease

Written By Dr. Mitesh Mehta, EECP Consultant - Saaol Heart Center Surat.


 

What is Coronary Artery Disease?


Coronary artery disease develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Because of presence of some irritative substance in blood, the (endothelium) innermost layer of blood vessels gets damaged and cholesterol (lipid - LDL) and sometimes calcium gets deposited (plaque) in your artery (mainly coronary artery) which causes inflammation in coronary artery.

When plaque builds up, it narrows your coronary arteries, decreasing blood flow to your heart. Eventually, the decreased blood flow may cause chest pain (angina), shortness of breath, or other coronary artery disease signs and symptoms. A complete blockage can cause a heart attack.

Coronary artery disease often develops over decades; you might not notice a problem until you have a significant blockage or a heart attack. But there's plenty you can do to prevent and treat coronary artery disease. A healthy lifestyle can make a big impact.

Symptoms


If your coronary arteries gets narrow, they can't supply enough oxygen-rich blood to your heart — especially when it's beating hard, such as during exercise. At first, the decreased blood flow may not cause any symptoms. However, as plaque continues to build up in your coronary arteries, you may develop signs and symptoms, including:

Chest pain (angina): You may feel pressure or tightness in your chest, as if someone is crushing or as if someone has put some heavy weight on your chest. This pain, referred to as angina, usually occurs on the middle or left side of the chest. Angina is generally triggered by physical or emotional stress. The pain usually goes away within minutes after stopping the stressful activity. In some people, especially women, this pain may be felt in the neck, (left) arm or back.

Shortness of breath: If your heart can't receive enough blood, it can’t pump out enough blood to meet your body's needs. In such condition, you may develop shortness of breath or difficulty in breathing on exertion or extreme fatigue with exertion.

Heart attack: A completely blocked coronary artery will cause a heart attack. The classic signs and symptoms of a heart attack include crushing pressure in your chest and pain in your shoulder or arm, sometimes with shortness of breath and sweating. Sometimes a heart attack occurs without any apparent signs or symptoms.

Risk Factors


Age: Simply getting older increases your risk of damaged and narrowed arteries.

Sex: Men are generally at greater risk of coronary artery disease. However, the risk for women increases after menopause.

Family history: A family history of heart disease is associated with a higher risk of coronary artery disease, especially if a close relative developed heart disease at an early age. (Your risk is highest if your father or a brother was diagnosed with heart disease before age 55 or if your mother or a sister developed it before age 65)

Smoking: People who smoke have a significantly increased risk of heart disease. Exposing others to your secondhand smoke also increases their risk of coronary artery disease.

Alcohol use: Heavy alcohol use can lead to heart muscle damage. It can also worsen other risk factors of coronary artery disease.

High blood pressure: Uncontrolled high blood pressure can result in hardening and thickening of your arteries, narrowing the channel through which blood can flow. High blood cholesterol levels. High levels of cholesterol in your blood can increase the risk of formation of plaque (atherosclerosis). High cholesterol can be caused by a high level of low-density lipoprotein (LDL) cholesterol, known as the bad cholesterol. A low level of high-density lipoprotein (HDL) cholesterol, known as the good cholesterol, can also contribute to the development of atherosclerosis.

Diabetes: Diabetes is associated with an increased risk of coronary artery disease. Type 2 diabetes and coronary artery disease share similar risk factors, such as obesity and high blood pressure. Overweight or obesity. Excess weight (especially around waist) typically worsens other risk factors.

Physical inactivity: Lack of exercise also is associated with coronary artery disease and some of its risk factors, as well. High stress. Unrelieved stress in your life may damage your arteries as well as worsen other risk factors for coronary artery disease.

Unhealthy diet: Eating too much fatty food, salt and sugar can increase your risk of coronary artery disease.

Prevention


The same lifestyle habits that can help treat coronary artery disease and can also help prevent it from developing in the first place. Leading a healthy lifestyle can help keep your arteries strong and clear of plaque. To improve your heart health, you can:

  • Quit smoking
  • Control conditions such as high blood pressure, high cholesterol and diabetes
  • Stay physically active
  • Eat a low-fat, low-salt diet that's rich in fruits, vegetables and whole grains
  • Maintain a healthy weight
  • Reduce and manage stress

However, pharmacological treatment is required along with lifestyle modification in coronary artery disease. But this pharmacological treatment will provide only temporary relief. For long term relief along with lifestyle medication & EECP therapy is effective.

EECP Treatment for Coronary Artery Disease.


Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. While several clinical studies appear to show that this treatment can be helpful in reducing symptoms of angina in patients withcoronary artery disease (CAD). EECP was approved by the US Food and Drug Administration in 1995 for the treatment of coronary artery disease (CAD).

Several studies suggest that EECP can be quite effective in treating ischemic heart disease. EECP significantly improved both the symptoms of angina (a subjective measurement) and exercise tolerance (a more objective measurement) in patients with CAD. EECP also significantly improved “quality of life” measures, as compared to placebo therapy.

 EECP (Enhanced External Counter Pulsation) treatment improves anginal symptoms and exercise tolerance, and reduces use of medication in patients with CAD. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111