{"id":10144,"date":"2021-08-08T22:09:52","date_gmt":"2021-08-08T22:09:52","guid":{"rendered":"https:\/\/ovadiahearthealth.com\/old-site\/?p=10144"},"modified":"2022-03-11T06:50:39","modified_gmt":"2022-03-11T06:50:39","slug":"heart-disease-explained-all-you-need-to-know","status":"publish","type":"post","link":"https:\/\/ovadiahearthealth.com\/old-site\/2021\/08\/08\/heart-disease-explained-all-you-need-to-know\/","title":{"rendered":"Heart Disease Explained \u2013 All You Need to Know"},"content":{"rendered":"<p>Heart disease is a huge problem in the USA. <a href=\"https:\/\/www.cdc.gov\/heartdisease\/facts.htm\">According to the CDC<\/a>:<\/p>\n<ul>\n<li>One person dies every 36 seconds<\/li>\n<li>655,000 Americans die each year (that\u2019s as many people as would fit inside 31.5 Madison Square Gardens)<\/li>\n<li>It accounts for 1 in every 4 deaths<\/li>\n<li>It costs $219 billion<\/li>\n<\/ul>\n<p>Why is heart disease so common? Let\u2019s zoom out and look at the bigger picture. <a href=\"https:\/\/www.cdc.gov\/obesity\/data\/adult.html\">Also from the CDC<\/a>:<\/p>\n<ul>\n<li>In 2000, America\u2019s obesity prevalence was 30.5%. By 2018 it was 42.4%<\/li>\n<li>In the same period of time, the severe obesity rate almost doubled from 4.7% to 9.2%<\/li>\n<li>In 2018, 14.4 million children and adolescents were obese, a prevalence of 19.3%<\/li>\n<li>Also in 2018, over 10% of the population had diabetes, and 1.5 million Americans are diagnosed with it each year<\/li>\n<li>In 2015, 88 million Americans over the age of 18 were pre-diabetic<\/li>\n<li>Diabetes was the seventh leading cause of death in the USA in 2017 and it cost the country $327 billion<\/li>\n<\/ul>\n<p>This is not a difficult puzzle. Americans are dying from heart disease and other chronic diseases as a direct result of our modern lifestyles. As the obesity rates go up, so do the rates of heart disease. We have been <a href=\"https:\/\/ovadiahearthealth.com\/old-site\/2021\/07\/11\/how-the-food-pyramid-has-failed-us\/\">failed by the food pyramid<\/a>, we consume huge quantities of processed foods, spend most of our lives sitting down, and a staggering <a href=\"https:\/\/hpi.georgetown.edu\/rxdrugs\/\">66% of adults are on prescribed medication<\/a>!<\/p>\n<p>These numbers should be a wake-up call. Every week, I see people on my operating table that are there because of their lifestyle choices.<\/p>\n<p>This doesn\u2019t have to be your future. In this article, I\u2019m going to take you through the different types of heart disease, their symptoms, as well as the steps you can take for heart disease prevention.<\/p>\n<h2>The different types of heart disease<\/h2>\n<p>Although we talk about \u201cheart disease\u201d as though it\u2019s one thing, there are three main types:<\/p>\n<h3>Coronary artery disease (atherosclerosis)<\/h3>\n<p>This is the most common form of heart disease, and is when there is a blockage in the arteries. This blockage is caused by plaque and it narrows the arteries, which restricts blood flow. As the plaque continues to build up it restricts the arteries further, until it blocks them completely. Sometimes the plaque ruptures and can cause the vessel to suddenly become completely blocked.<\/p>\n<h3>Heart valve diseases<\/h3>\n<p>The heart has four valves and sometimes one or more can fail to open (referred to as \u201cstenosis\u201d) or close (referred to as \u201cleaking valve\u201d or \u201cregurgitation\u201d). The result is a disruption to your blood flow.<\/p>\n<h3>Heart failure<\/h3>\n<p>When the heart\u2019s pumping weakens, blood won\u2019t be properly pumped around the body and this is what we call heart failure. It can happen on its own accord or as a result of the above conditions.<\/p>\n<h2>The symptoms of heart disease<\/h2>\n<p>The symptoms of heart disease can vary widely. Mild atherosclerosis may not have any symptoms at all until the arteries are so narrowed that blood can no longer reach your organs. More severe cases can manifest as high blood pressure, kidney failure, chest pain, or angina. If it\u2019s the arteries leading to that brain that are blocked then symptoms may indicate a transient ischemic attack, such as slurred speech, numbness in the limbs, and drooping facial muscles, which can lead to a stroke.<\/p>\n<p>Heart valve disease symptoms can sometimes be overlooked as either something else, such as swollen ankles and feet, shortness of breath, or fainting. It can also manifest with fatigue, a heart murmur or irregular heartbeat, chest pain or a swollen midsection, or dizziness.<\/p>\n<p>Heart failure\u2019s symptoms are similar to those for valve disease, namely fatigue, swollen ankles and feet, and breathlessness.<\/p>\n<p>The concern is that tiredness and breathlessness can often be dismissed as needing more rest or exercise. And often, this is entirely true. If you experience these symptoms, monitor them carefully &#8211; if they are persistent or worsening, see a doctor as soon as you can.<\/p>\n<h2>How heart disease is diagnosed<\/h2>\n<p>If someone has symptoms of heart disease or is considered to be high risk, there are various tests available.<\/p>\n<h3>Coronary calcium scan (CAC)<\/h3>\n<p>This is a particular type of X-ray that shows the amount of calcium-containing plaque that\u2019s built up in the arteries. If there is any, the scan will identify it and you can work on lowering your risk for coronary artery disease.<\/p>\n<h3>CT angiogram<\/h3>\n<p>A CTA is an imaging test, where a dye is injected followed by a CT scan. This technique allows the doctor to see the tissues and blood vessels, and it will identify damaged or narrowed blood vessels, abnormal vessels in the brain, blood clots, and aneurysms.<\/p>\n<h3>Cardiac catheterization<\/h3>\n<p>As the name implies, a thin tube is inserted into an artery in either the arm, neck, or groin, and then fed through your vessels until it reaches your heart. It\u2019s an invasive procedure but it enables doctors to find blockages or arterial narrowing, check the heart\u2019s pumping, spot valve problems, and measure the pressure and oxygen levels in your heart. Doctors can also take a heart biopsy using this method.<\/p>\n<h3>Echocardiogram<\/h3>\n<p>An echocardiogram is an ultrasound of the heart, allowing doctors to see the heart pumping blood and also to identify heart disease.<\/p>\n<h3>Electrocardiogram (EKG)<\/h3>\n<p>EKGs are simple tests. Using sensors placed on the skin, doctors detect the electrical signals that your heart produces when it beats. This technique will identify abnormal heart rhythms, coronary artery disease, and even if you\u2019ve had a heart attack in the past.<\/p>\n<h3>Cardiac MRI<\/h3>\n<p>MRIs produce detailed pictures within the body, and a cardiac MRI does the same specifically for the heart. It will show the anatomy of the heart including any inflammation or tumors, as well as if there is any scarring to the heart or limited blood flow as a result of narrowed arteries.<\/p>\n<h3>Blood tests<\/h3>\n<p>The humble blood test can provide a lot of information regarding a person\u2019s heart health. Cholesterol panels help to identify the risk of future heart disease, and heart failure blood markers will show if a patient has recently suffered a heart attack.<\/p>\n<h2>How heart disease is treated<\/h2>\n<p>Treatment of heart disease is split into three broad categories: lifestyle changes, medications, and interventions.<\/p>\n<p>Even if medication or physical interventions are required to keep a person alive, lifestyle changes are still important. Without them, you\u2019re continuing the same habits that led to heart disease in the first place.<\/p>\n<p>The changes should focus on <a href=\"https:\/\/ovadiahearthealth.com\/old-site\/2021\/06\/19\/what-is-metabolic-health-anyway\/\">metabolic health<\/a>, improved cardiovascular health through suitable exercise, and reducing your stress levels.<\/p>\n<p>There are a large number of available medications for heart disease, to tackle specific things. These include:<\/p>\n<ul>\n<li>Anticoagulants (blood thinners) to decrease the blood\u2019s ability to clot<\/li>\n<li>Antiplatelet Agents to prevent blood clots from forming, which is achieved by disallowing platelets to stick together<\/li>\n<li>Dual Antiplatelet Therapy (DAPT) is for some patients who are in need of two simultaneous anti platelet agents<\/li>\n<li>Angiotensin-Converting Enzyme (ACE) Inhibitors to allow the blood to flow more easily<\/li>\n<li>Angiotensin II Receptor Blockers help to prevent blood pressure from increasing<\/li>\n<li>Angiotensin Receptor-Neprilysin Inhibitors (ARNIs) to open narrowed arteries and reduce strain put on the heart<\/li>\n<li>Beta Blockers to make the heart beat slower and with less force<\/li>\n<li>Combined Alpha and Beta-Blockers to treat heart failure and elevated blood pressure<\/li>\n<li>Calcium Channel Blockers to treat high blood pressure and chest pain by interrupting the movement of calcium<\/li>\n<li>Cholesterol-Lowering Medications to lower levels of LDL cholesterol<\/li>\n<li>Digitalis Preparations to make the heart\u2019s contractions more forceful<\/li>\n<li>Diuretics to lower how hard the heart has to work, by reducing sodium, fluid buildup throughout the body, and excess liquids<\/li>\n<li>Vasodilators to relax blood vessels<\/li>\n<\/ul>\n<p>Physical interventions for heart disease include stents, which are used to prop open a narrowed artery, or open surgery such as a heart bypass or valve replacement. Surgery is a last resort to save a person\u2019s life, and should be followed up with specific medications and lifestyle changes.<\/p>\n<h2>How to prevent heart disease<\/h2>\n<p>Although we\u2019re fortunate enough to live in a time when the medical interventions exist to help people survive and recover from heart disease, my goal is to help you avoid it in the first place. Heart disease prevention is the primary reason that Ovadia Heart Health exists.<\/p>\n<p>The main reason that my patients need heart surgery is because of the food they ate. Exercise is important, particularly to improve cardiovascular health and increase heart health, but exercise cannot overcome a bad diet. It\u2019s possible to eat unhealthy foods and stay slim, but <a href=\"https:\/\/ovadiahearthealth.com\/old-site\/2021\/06\/20\/be-healthy-not-thin\/\">being thin does not mean being healthy<\/a>.<\/p>\n<p>Sadly, we\u2019re surrounded by terrible food options and many of them are marketed as \u201cheart-healthy.\u201d But choosing good foods is simple, and merely avoiding anything that comes in a box or a bag will help you eat the right things.<\/p>\n<p>My guiding principle is that human beings are designed to eat two types of food: things that grow in the ground, and things that eat what grows in the ground. In other words, animal products and foods that grow naturally.<\/p>\n<p>If it was made in a lab or a factory, avoid it. Those cookies, chips, fries, ice cream, microwave meals, and other so-called convenience foods should be ignored.<\/p>\n<p>To dial it in even further, avoid seed and vegetable oils. Consume extra virgin olive oil or coconut oil, and avoid the others. The problem is the other oils appear in almost all of the food in the shops, from granola bars to mayonnaise and microwave meals. That\u2019s because they\u2019re cheap and it keeps the manufacturers\u2019 costs down. Other healthy fats include butter, tallow, and lard.<\/p>\n<p>The easiest way to work on heart disease prevention is to monitor your metabolic health. If you consume the right foods, improve cardiovascular health through exercise, and work on becoming metabolically healthy then you will increase your heart health and are unlikely to meet me on my operating table.<\/p>\n<p>To measure your metabolic health and see if you need to make improvements, you can take my <a href=\"https:\/\/ovadiahearthealth.com\/old-site\/metabolic-quiz\/\">free metabolic quiz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Heart disease is a huge problem in the USA. According to the CDC: One person dies every 36 seconds 655,000 Americans die each year (that\u2019s as many people as would fit inside 31.5 Madison Square Gardens) It accounts for 1 in every 4 deaths It costs $219 billion Why is heart disease so common? Let\u2019s &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/ovadiahearthealth.com\/old-site\/2021\/08\/08\/heart-disease-explained-all-you-need-to-know\/\"> <span class=\"screen-reader-text\">Heart Disease Explained \u2013 All You Need to Know<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"brizy-blank-template.php","format":"standard","meta":{"_acf_changed":false,"passster_activate_protection":null,"passster_protect_child_pages":"","passster_protection_type":"password","passster_password":"","passster_activate_overwrite_defaults":"","passster_headline":"","passster_instruction":"","passster_placeholder":"","passster_button":"","passster_id":"","passster_activate_misc_settings":"","passster_redirect_url":"","passster_hide":"no","passster_area_shortcode":"","site-sidebar-layout":"right-sidebar","site-content-layout":"plain-container","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[7],"tags":[11,10,8,9],"class_list":["post-10144","post","type-post","status-publish","format-standard","hentry","category-blog","tag-atherosclerosis","tag-coronary-artery-disease","tag-heart-disease","tag-metabolic-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heart Disease Explained \u2013 All You Need to Know | Ovadia OLD Site<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Heart Disease Explained \u2013 All You Need to Know | Ovadia OLD Site\" \/>\n<meta property=\"og:description\" content=\"Heart disease is a huge problem in the USA. 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