Saturday, 19 May 2012

How Up-To-Date is Your Doc?


How Up-To-Date is Your Doc?

Medical Author: Benjamin C. Wedro, MD, FAAEM
Medical Editor: Melissa Conrad Stöppler, MD
Every year the rules change. The one constant about sports is that during the off season and sometimes during the year, the commissioner, the president, or the owners will sit down and tinker with the way the game is played. Doesn't matter which sport, it happens to all of them. The referees and players get updates and adapt their play to the new rules. Ever diligent, the fan follows along, learns, and adapts to the changes. How else can the referee or umpire be second-guessed, except by those who really care about the game?
But the rules change for the world outside sports as well, and never more frequently or dramatically than in medicine. Every aspect of medicine from diagnosis to treatment, medications to technology, is exposed to newer and potentially better ways of doing things.
Heart attack is a good example of what was - and what is. Twenty-five years ago the treatment for a myocardial infarction or heart attack was hospitalization for two or three weeks followed by a gentle exercise program that limited walking to a few feet per day. Now patients who had bypass surgery are up and walking out of the hospital in four or five days.

Heart Association

From a review of the literature, there are many theories related to the formation ofheart disease, including lack of exercise, overweight, high blood pressure, smoking, and exposure to carbon monoxide gas (Fallon and Enig 19). In addition to these theories of heart disease, the American Heart Association has espoused the theory since the 1960s that the major cause of heart disease in Western nations (atherosclerosis) is dietary, "the lipid hypothesis, namely that dietary saturated fat and cholesterol lead to elevated levels of cholesterol in the blood, and that these elevated levels of cholesterol cause the pathogenic atheromas that block blood vessels" (Fallon et al. 15). Other authors like Mary P. McGowan in her book, Heart Fitness for Life, agree with the theory that diet has a profound impact on the formation of or prevention of heart disease. In this book, the author provides a wealth of statistics that demonstrate heart disease is the number one killer in American society, making its prevention all that more significant. McGowan provides personal case studies that show how individuals adopt unhealthy lifestyle habits, from diet to smoking, that contribute to the formation of heart disease. In some of these case studies we see an individual named George who started unhealthy habits like smoking at age nine and quit six weeks after a heart attack at age 38. Until his heart attack and reassessing his values and past experiences

Family history plays a factoring role


Family history plays a factoring role in the whether or not you will have a heart attack. Bypass surgery is the process of widening or replacing arteries going to the heart. e build up of fat is called a plaque. You should also keep your weight down and exercise regularly. Plaques look like the globs of fat on a piece of raw chicken. Most people who regularly exercise will not have a heart attack, because exercising burns off fat, and they also have a slower heart rate. Many people who get this surgery would have died of a heart attack without it. You should get regular checkups to prevent a heart attack. When you have a heart attack, many people describe it as "feeling like there is a heavy weight on top of your chest. Some people have to have heart surgery, called bypass surgery. If a close relative has ever had a heart attack, you might want to take extra precautions because you are at higher risk of having aheart attack. You may also have shortness of breath for more than a couple seconds and nausea for more than a couple of seconds. People who are obese also have a higher risk of having a heart attackbecause they have more fat than most people and fat is what causes arteries to clog up and result in aheart attack. Heart attacks can also be due to a blood clot.



Some topics in this essay: 
United Heart, heart attack, Attacks Heart, heart attacks, attack people, heart dies, heart attack people, risk heart attack, heart dies heart, risk heart, dies heart, blockage arteries, build fat, cause death, heart artery, 

Heart Attack


Heart Attack

Coronary arteries are blood vessels that deliver oxygenated blood to the heart. All muscles in the heart require oxygen to operate correctly. When there is restriction of blood flow to the heart, the coronary arteries become blocked or narrowed. When the heart cannot get oxygen, the heart muscle is damaged and heart attacks occur. A heart attack is also known as a myocardial infraction. The symptoms of aheart attack can vary, but is commonly described as squeezing, burning, tightness, and pressure across the chest. This discomfort may also radiate to the left arm, neck and jaw. Nausea, vomiting and dizziness are other symptoms that heart attacks may include. Once a patient has a heart attack, they may undergo a complex surgical procedure. This procedure consists of three components, a cardiac catheterization, a coronary angioplasty, and a triple vein coronary artery bypass graft (CABG).
In order to determine the proper treatment, first the doctor must determine the extent of damage to the heart. There are a variety of tests that are available, but the most common procedure is a cardiac catheterization. A cardiac catheterization is performed in a special lab under local anesthetic and sterile conditions. A
Heart attacks are the leading cause of death in the United States. Heart attacks are caused by blockage in the arteries that carry blood to parts of the heart. When an artery gets blocked, the part of the heart that the artery is going to gets none of the blood and oxygen it needs, and that part of the heart dies. If a small part of the heart dies, the heart can remain alive without it. But if a big part of the heart dies, it can cause death. The blockage in the arteries is caused by build up of fat in an artery.

Have a little read:


here's a short preview of this essay with formatting removed for you to read

Have a little read: ... Diet and Coronary Heart Disease What is the cardiovascular system? ? Made up of the heart and blood vessels. ? It circulates oxygenated blood around the body using one set of vessels and deoxygenated blood around the body through another set of vessels. What is cardiovascular disease? ? This is a term used to 'blanket' many diseases which occur within the cardiovascular system. Hypertension ? Hypertension is also known as high blood pressure, it is commonly associated with narrowing of the arteries. ? This causes blood to be pumped with excessive force against the artery walls. ? It is a sign that the heart and blood vessels are being overworked. ? Untreated, hypertension will cause the heart to eventually overwork itself to the point where serious damage can occur. ? Hypertension can be both the cause and effect of atherosclerosis. ? Atherosclerosis can be thought to increase the risk of hypertension by increasing the resistance to blood flow. ? This can occur as atheromata increase friction between the blood and endothelium of the artery. ? Atheromata may also reduce the elasticity of arteries. Atherosclarosis ? This is a condition when the large arteries of the body become hardened and narrowed by the build up of deposits inside the artery wall. ? These deposits are known as atheroma/atheromata or plaque. ? Atherosclerosis is usually only found in adults. This is thrombosis in the left anterior descending coronary artery opened longitudinally here over the surface of the heart. This is another complication of atherosclerosis. Coronary Atherosclerosis (Elastic Stain). Atheroma ? These are deposits of mainly cholesterol and other fatty materials from the blood plasma. ? These deposits build up inside the artery wall of large arteries. ? When atheroma build up in the coronary arteries, this condition and its associated effects is known as Coronary Heart Disease (CHD) ? Atheroma build up is thought to begin in areas of the arteries, which have been damaged in some way. ? The damage may be caused by hypertension or smoking. Coronary heart disease ? Coronary heart disease starts when plaque begins building up on the interior lining of the coronary artery walls. ? As the plaque increases the area for blood flow diminishes. ? If the process is allowed to continue, the risk of a blood clot forming or getting logged in the artery increases. ? Eventually a complete blockage could occur What is angina? ? This can occur by pain in the chest region ? Narrowing of the coronary arteries and their inability to supply enough oxygen to heart muscle


pandemic


Experts fear Africa "pandemic" from rise in smoking





Augustino Magnus, a smoker who is suffering from cancer of the oesophagus, sits on his bed in the male ward of Tanzania’s cancer institute in Dar es Salaam November 11, 2009. REUTERS/Katrina Manson

LONDON | Wed Nov 11, 2009 1:29pm EST
(Reuters) - Africa faces a surge in cancer deaths unless action is taken in the next decade to stem rising smoking levels in a continent where anti-tobacco laws remain rare, U.S. scientists said Wednesday.
More than half the continent will double its tobacco use within 12 years if current trends continue, the American Cancer Society (ACS) said in a report which found that 90 percent of people living there have no protection from secondhand smoke.
Some African countries have introduced smoking bans but most have not, and smoke-free public areas are rare.
"For the first time in history, we have the tools in hand to prevent a pandemic," Otis W. Brawley, the ACS's chief medical officer, said in a statement with the report, which was presented at a cancer conference in Tanzania.
"Smoke-free public places are one example of a low-cost and extremely effective intervention that must be implemented now to protect health."
Many developed countries have tightened laws in recent years to make smoking unacceptable or illegal in public places such as bars, restaurants, offices and on public transport -- as a way to protect non-smokers and to discourage the habit.
Secondhand smoke is known to cause cancer in adults and lung problems such as pneumonia in young children.
Over the past four decades, smoking rates have fallen in rich countries such as the United States, Britain and Japan, but have been rising in much of the developing world.
The ACS estimates that smoking will kill 6 million people worldwide in 2010 and 72 percent of those killed will be from low- and middle-income countries.
In a report published in August, it said that around 50 percent of men in developing countries smoke..
Within the last year, Kenya and Niger have brought in national smoke-free policies, the ACS report said, also noting that South Africa has had anti-smoking policies since March 2007 and has managed to cut smoking rates.
But the report listed many other countries which have not taken effective action, including the Democratic Republic of Congo, Ghana, Uganda and Nigeria.
"In Abuja, Nigeria, for example, 55 percent of school students are not aware that secondhand smoke is harmful to health, and only 1 percent of Nigeria's population is protected by strong smoke-free laws," the report said.
Twalib Ngoma, president of the African Organization for Research and Training in Cancer (AORTIC) which is hosting the conference, said smoking was increasing because "the companies which used to target the West are now targeting countries like Tanzania."
"Drive from the airport and you see a lot of billboards promoting cigarette smoking," he told Reuters. "There might be small warning signs, but that's not enough to stop addicts from smoking -- and anyway a lot of people can't read."
The ACS called for more African governments to introduce anti-smoking legislation, and said other measures like charging high taxes on cigarettes had "significant potential" to cut smoking rates. "Doubling the price of cigarettes by increasing the tax can lower consumption by fully 60 percent," it said.
(Additional reporting by Katrina Manson in Dar es Salaam, editing by Robin Pomeroy/David Stamp)

ALSO IN THIS ISSUE


THINK AFRICA’S DISEASE BURDEN IS HIV?  THINK AGAIN

PETER LAMPTEY

Women with depression, men with heart disease: Africa has acquired the so-called diseases of the wealthy, but without the wealth.
Chronic, non-communicable diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, are by far the world’s leading cause of mortality, representing 60 percent of all deaths, according to the World Health Organization (WHO). Of the 35 million people who died from chronic diseases in 2005, half were younger than 70. WHO projects that, globally, non-communicable disease-related deaths will increase by 17 percent over the next 10 years and even more severely in Africa, where up to a 27 percent increase is projected.
However, international health aid to Africa has largely been limited to communicable diseases, reproductive health and disaster relief. While we must continue to address these issues, African health systems also deserve attention, as they are systematically failing to address chronic disease epidemics. The reasons are many: overburdened health-care systems that are unable to meet the needs of chronic diseases and acute communicable diseases; a lack of donor attention (there is no Millennium Development Goal related to chronic disease epidemics); poor infrastructure; and poor governance. As a result, deaths from cardiovascular disease, depression and cancers may soon overwhelm the fragile health infrastructure of developing countries. Africa’s “double disease burden” of acute communicable disease and chronic disease demands an enhanced response.
Subscribe to GLOBAL HEALTH Blogs