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The
term coronary heart disease covers a group of clinical
syndromes arising particularly from failure of the
coronary arteries to supply sufficient blood to the
heart. They include angina peactoris, coronary thrombosis
or heart attack and sudden death without infarction.
There has been a marked increase in the incidence of
heart disease in recent years. Heart attacks have become
the number one killer in Western countries. They rank
third in India, after tuberculosis and infections. The
disease affects people of all ages and both sexes,
although it is more common in men than in women,
especially among those aged 40-60 years.
The heart, the most vital organ in the body, is a muscle
about the size of a clenched fist. It starts working even
before birth inside the womb. Weighing less than 350
grms, it pumps about 4,300 gallons of blood per day
through the body and supplies oxygen and nourishment to
all the organs. It beats 1,00,000 times a day,
continuously pumping the blood through more than 60,000
miles of tiny blood vessels. The heart, in turn, needs
blood for its nourishment which is supplied by coronary
arteries Coronary arteries are so called because they are
arranged rather like a crown or carona. In case of
strain, etc., the heart needs more blood and the
arteries, under normal conditions, adjust themselves to
the increased flow.
In the event of narrowing or hardening of the arteries on
account of their getting plugged with fatty substances,
the flow of blood is restricted. The heart then does not
get sufficient oxygen. This condition is known as
ischaemia of the heart or angina pectoris. In this
condition , exercise or excitement provokes severe chest
pain and so it limits the patients physical
activity. It serves as a warning to slow down and prompt
preventive measures will prevent a heart attack.
If the narrowed arteries get blocked due to a clot or
thrombus inside them, causing death of that portion of
the heart which depends upon the choked arteries, it is
called a heart attack or coronary thrombosis. It may lead
to death or heal, leaving a scar. Patients with healed
lesions may be severely disabled or may be able to resume
normal life with restrictions in their physical
activities.Symptoms
A common
symptom of heart disease is shortness of breath which is
caused by the blood being deprived of the proper amount
of oxygen. Another common symptom is chest pain or pain
down either arm. Other symptoms are palpitation,
fainting, emotional instability, cold hands and feet,
frequent perspiration and fatigue. All these symptoms may
be caused by many other disorders. Appropriate tests and
studies are, therefore, essential to establish the true
nature of these symptoms.
Causes
The basic
causes of heart diseases are wrong dietary habits, faulty
style of living and various stresses. The famous
Framingham Heart Study of the National Heart and Lung
Institute identified seven major risk factors in coronary
heart disease. These are : (i) elevated blood levels of
cholesterol, triglycerides and other fatty substances (
ii) elevated blood pressure (iii) elevated blood uric
acid levels (mainly caused by high protein diet), (iv)
certain metabolic disorders, notably diabetes, (v)
obesity, (vi) smoking, and (vii) lack of physical
exercise. Each or a combination of these risk factors can
contribute to heart disease. Most of them are of dietary
origin. These risk factors can be controlled by changing
ones life style and readjusting the diet. Constant
worry and tension stimulates the adrenal glands to
produce more adrenaline and cartisons. This also
contributes to constricted arteries, high blood pressure
and increased work for the heart.
Treatment
The
fundamental conditioning factor in all heart diseases is
the diet. A corrective diet designed to alter body
chemistry and improve the quality of general nutritional
intake can, in many cases, reverse the degenerative
changes which have occurred in the heart and blood
vessels.
The diet should be lacto-vegetarian, low in sodium and
calories. It should consist of high quality, natural
organic foods, with emphasis on whole grains, seeds,
fresh fruits and vegetables. Foods which should be
eliminated are all white flour products, sweets,
chocolates, canned foods in syrup, soft drinks, squashes,
all hard fats of animal origin such as butter, cream and
fatty meats. Salt and sugar should be reduced
substantially. The patient should also avoid tea, coffee,
alcohol and tobacco.
The essential fatty acids which reduce serum cholesterol
levels and minimise the risk of arteriosclerosis can be
obtained from sunflower seed oil, corn oil or safflower
oil. Several studies have indicated that garlic can
reduce the cholesterol level in persons whose body
normally cannot regulate the cholesterol fractions. Other
important cholesterol lowering foods are alfalfa and
yogurt. Lecithin helps prevent fatty deposits in
arteries. Best food sources are unrefined, raw, crude
vegetable oils, seeds and grains.
Fruits and vegetables in general are highly beneficial in
the treatment of heart disease. Seasonal fruits are quite
effective heart tonics. Apples especially contain heart
stimulating properties and the patients suffering from
the weakness of heart should make liberal use of apples
and apple jams. Fresh grapes, pineapples, oranges,custard
apples, pomegranaes and coconut water also tone up the
heart. Grapes are effective in heart pain and palpitation
of the heart and the disease can be rapidly controlled if
the patient adopts an exclusive grapes diet for few days.
Grape juice, especially will be valuable when one is
actually suffering from a heart attack.
Indian gooseberry or amla is considered an effective home
remedy for heart disease. It tones up the functions of
all the organs of the body and builds up health by
destroying the heterogeneous elements and renewing lost
energy.
Another excellent home remedy for heart disease is
onions. They are useful in normalising the percentage of
blood cholesterol by oxidising excess cholesterol. One
teaspoon of raw onion juice first thing in the morning
will be highly beneficial in such cases.
Honey has marvellous properties to prevent all sorts of
heart disease. It tones up the heart and improves the
circulation. It is also effective in cardiac pain and
palpitation of the heart. One tablespoonful daily after
food is sufficient to prevent all sorts of heart
troubles.
Patients with heart disease should increase their intake
of foods rich in vitamin E, as this vitamin promotes the
functioning of the heart by improving oxygeneration of
the cells. It also improves the circulation and muscle
strength. Many whole meal products and green vegetables,
particularly outer leaves of cabbage are good sources of
vitamin E. The vitamin B group is important for heart and
circulatory disorders. The best sources of vitamin B are
whole grains.
Vitamin C is also essential as it protects against
spontaneous breaches in capillary walls which can lead to
heart attacks. It also guards against high blood
cholesterol. The stress of anger, fear, disappointment
and similar emotions can raise blood fat and cholesterol
levels immediately but this reaction to stress can do
little harm if the diet is adequate in vitamin C and
pantothenic acid. The richest sources of vitamin C are
citrus fruits.
The following is the suggested diet for persons suffering
from hypertension or some disorder of the heart :
On
rising : Warm
water with lemon juice and honey or fresh fruit juice of
apple,grapes, orange, pineapple.
Breakfast
: Fresh fruit
such as apples, grapes, pears, peaches, pineapple,
orange, melons, one or two slices whole meal toast,
yogurt, skimmed milk or soya milk.
Mid-morning
: Fresh
fruitjuice or coconut water.
Lunch
: Combination
salad of vegetables such as lettuce, cabbage, endive,
carrots, cucumber, beetroot, tomato, onion and garlic.
One or two slices of whole meal bread or chappatis, curd,
fresh grapes and other fruits in season.
Mid-afternoon
: One or two
wholemeal biscuits and fruit juice.
Dinner
: Fresh fruit
or vegetable juice or soup, two lightly cooked
vegetables, one or two whole wheat tappets.
The patient should also
pay attention to other laws of nature for health building
such as taking moderate exercise, getting proper rest and
sleep, adopting the right mental attitude and getting
fresh air and drinking pure water.
Water
Treatment
The use of an
ice bag on the spinal area between the second and tenth
thoracic vertebrae for 30 minutes three times a week, a
hot compress applied to the left side of the neck for 30
minutes every alternate day and massage of the abdomen
and upper back muscles are water treatments which are
beneficial in cases of heart disease.
Hot foot and hand baths are excellent for relieving the
pain of angina pectoris. To this may be added hot packs
on the chest over the heart for one minute and a cold
pack applied alternately for five minutes.
Asanas such as shavasana, vajrasana, and gomukhasna,
yogic kriyas like jalneti and pranayamas such as shitali,
sitkari and bhramari are also helpful in providing relief
to heart patients.
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