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Smoking |
Diabetes | Exercise
| Food | High
blood pressure | Precautions |
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Tobacco
is a substance that seriously affects the heart.
The different forms in which tobacco is consumed
are cigarettes, bidis, cigars, pipe, through hukka,
pan, pan masala etc. The harmful effects differ
with different types of composition.
The main composition of cigarette is the tobacco
and paper. These on burning gives out carbon
particles, tar, carbon monoxide and
nicotine.
Harmful Effects
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Unburnt
carbon , tar, carbon monoxide --- leads
to expanded chest (emphysema) and reduced
blood oxygen thus causing congestive heart
failure.
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Tar
and paper ----lung cancer
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Nicotine---
Ischaemic heart disease, high blood pressure,
constriction of coronary arteries, thus
precipitating and worsening angina.
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Cigarette
smoking -- lowers HDL cholesterol in blood
thus susceptible to heart attacks.
Quit Smoking:
* liability to heart attack decreases
if YOU quit smoking.
* chronic bronchitis is reduced if YOU quit
smoking.
* higher blood pressure lowers to normal if
YOU quit smoking.
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Diabetes
is a long term disease which has an adverse effect
on the heart and blood vessels. Insulin is the
enzyme secreted by the pancreas which metabolizes
the sugar present in the muscles and other
tissues. In case of diabetes mellitius , pancreas
is unable to create insulin thus the muscles and
other tissues are unable to metabolize the sugar.
Excess of sugar which is not metabolized increases
the blood cholesterol, thus depositing the fatty
acids in the arteries resulting in increase in the
infarction.
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Lack of exercises and obesity leads to
unhealthy lifestyle that causes heart attack.
Advantages of Exercise
* It reduces the obstruction in the coronary
arteries by opening up the collateral coronary.
* Too strenuous or overexertion of exercises may
be dangerous or may even lead to death.
* It should be known that what and how much of the
exercise is to be done.
It is very necessary to first accustom to the
exercises and also to its harmful effects. For the
elderly, the exercises should be avoided if they
are suffering from-
* prolonged breathlessness
* tiredness and
* chest pain
Walking is the best
exercise for people of all ages.
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A mixed diet containing a wide variety of
foodstuffs is recommended for heart patients. It
should mainly comprise the following:
* Vegetarian food, generally, including
antioxidant containing items.
* Animal food, occasionally, as a good source of
proteins.
* Fish
* Fair amount of milk and yogurt (curd), with most
of the fat skimmed off, as a source of protein for
the vegetarians.
* Vegetable oil (soybean, corn, sunflower) as a
cooking medium, in limited quantity.
* Sparse consumption of ghee and butter.
* Eggs, should be avoided, but, if not possible,
not more than 5 per week, should be consumed.
* Pulses in plenty, as a source of proteins.
* Low salt, low spice and minimum chilies in the
food; sparse use of pickles and chutneys
(especially for hypersensitive people).
* Plenty of fresh vegetables, fruits and salads.
Foods that can be taken in
plenty
Clear soups, thin butter, milk, salads like
cucumber, onion, tomatoes, lettuce, cabbage etc.,
leafy vegetables, other vegetables like gourd,
cauliflower, brinjal, etc., sour-lime, dal
(pulses)-water, thin curd curry.
Moderately Restricted food
Cereals, pulses and legumes, egg, (if obese and
having cardiac problems then avoid egg-yolk), lean
cuts of mutton, chicken without skin, roots and
tubers-potatoes, sweet potatoes, beet-root etc.,
fruits including citrus fruits (twice a day) like
orange, papaya, apple with its skin, guava etc.
Cooking
Oils
Vegetable oils, which are low in saturated fats
but high in mono or polyunsaturated fats should be
used. Apart from the vegetable oils, certain fish
oils are very useful in reducing blood
cholesterol, but they are not available for
general consumption in India. The vegetable oils
are not only low in cholesterol but they also tend
to reduce the cholesterol manufactured by the
body.
Restricted food
Refined cereals, sugar and sugar products, rich
cakes, pastries, ice-creams, milk shakes (of whole
milk), organ meats, egg yolk, nuts, oilseeds,
coconut (fresh and dry), soft-drinks, hard-drinks,
whole milk and its preparations.
High
consumption of salt also leads to high blood
pressure. Communities which consume a low salt
diet habitually show lesser incidence of
hypertension, which is an adverse factor for the
heart.
Vegetarian v/s
Non-Vegetarian
Now, it has been proven that vegetarian diet is
healthier as it provides most of the antioxidants
which are protective against free radicals. While
on the other hand non-vegetarians, in general,
have a lesser span of life because of the
increased cases of heart attacks.
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Hypertension and diabetes are two common
conditions which accelerate the production of
ischaemic heart disease. The damage is compounded
if both the conditions coexist in the same
patient.
Normal range of blood
pressure
Generally, 140/90 is considered to be the upper
limit of normal blood pressure at the age of 40.
This figure is somewhat lower for younger and
higher for older people.
Effects of hypertension
The high pressure in the arteries causes their
degeneration. This high pressure forces the
cholesterol into the arterial wall in the form of
deposits. Thus atheroma (fatty deposit) formation
is facilitated by hypertension. These atheromas
cause obstruction to the flow of blood in the
arteries. Occurring in the coronary arteries, they
produce angina and heart attacks. In the arteries
of the brain, they produce stroke and paralysis.
Similarly, they can affect other organs, such as
the kidneys, eyes and legs.
There is also a direct, adverse, mechanical effect
on the heart and brain due to hypertension. The
left ventricle which is the principal pumping
chamber of the heart, has to work against high
pressure in the arteries. This puts an extra load
on the left ventricle, which in course of time
enlarges, its function suffers and it may
ultimately fail. Acute rise of blood pressure
above 200 mm can cause brain haemorrhage.
All hypersensitive people should, by habit, take a
low salt diet, say one-third of the
average consumption, unless they are being given
diuretic drugs.
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The hypersensitive people should perform regular
moderate exercise keeping in mind their age and
capacity. Regular exercise is known to lower blood
pressure. The hypersensitive people should keep
themselves calm and composed, follow a regular
schedule of meals, work and sleep.
Drug treatment becomes necessary if the above
measures do not bring about a sufficient drop in
the blood pressure. Drug
treatment is lifelong. Regular
check-ups by your physician are essential for
proper adjustments of dose of anti-hypersensitive
drugs and to watch for any complications arising
from the disease or from the long-term use of
drugs.
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