At the Heart of Diabetes

Diabetes mellitus is a chronic condition that can lead to complications over time. These complications can include:

  • Coronary heart diseases  or Cardiovascular disease which can lead to a heart attack
  • Cerebrovascular diseases which can lead to a stroke
  • Retinoplasty (disease of the eye) which can lead to blindness
  • Nephropathy (disease of the kidney) which can lead to kidney failure and the need for dialysis
  • Neuropathy (disease of the nerves) which can lead to, among other things, ulceration of the foot requiring amputation.

Many of these complications produce no symptoms in the early stages, and most can be prevented or minimized with a combination of regular medical care and blood sugar monitoring.

Heart diseases, particularly coronary heart diseases (CHD) are a major cause of morbidity and mortality among patients with diabetes mellitus. At least 68% of people aged 65 or older with diabetes die from some form of heart disease and 16% of people die of stroke. Compared to individuals without diabetes, those with diabetes have a higher prevalence of coronary heart disease (CHD), a greater extent of coronary ischemia, and are more likely to have a Heart Attack (MI) and silent heart attack.

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World Heart Day with Dr. Sachin Upadhyaya

World Heart Day is celebrated on the 29th September every year. The heart is one of the most important organs of the body because this is the organ which stays with from womb to tomb. Even lungs start to function after birth whereas heart is there since very early on in life. But the heart is under threat all the time because of our own lifestyle. The global burden of diseases is huge. Every 3rd person in the world and every 2nd person in Indian subcontinent dies due to heart diseases.

Watch what Dr. Sachin Upadhyaya, Specialist Cardiologist at Aster Clinic, Bur Dubai had to speak on this World Heart Day

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Hyperlipidemia and the risk of cardiovascular disease

Hyperlipidemia is one of the major preventable cardiovascular risk factors and refers to increased levels of lipids (fats), such as cholesterol and triglycerides, in the blood.

Although hyperlipidemia does not cause symptoms, it can significantly increase your risk of developing cardiovascular disease, including diseases of blood vessels supplying the heart (coronary artery disease), brain (cerebrovascular disease), and limbs (peripheral vascular disease). These conditions can, in turn, lead to chest pain, heart attacks, strokes, and other problems. Because of these risks, treatment is often recommended for people with hyperlipidemia.

 

OTHER RISK FACTORS FOR CARDIOVASCULAR DISEASE

In addition to hyperlipidemia, there are a number of other factors that increase the risk of cardiovascular disease and its complications:

  • Diabetes mellitus, type 1 and 2
  • Hypertension (people with hypertension include those with a blood pressure at or above 140/90 and those who use blood pressure medication
  • Kidney disease
  • Cigarette smoking
  • Family history of coronary disease at a young age in a parent or sibling (young, in this case, means younger than 55 years for men and younger than 65 years for women)
  • Gender: Men have a higher risk of cardiovascular disease than women at every age
  • Age: There is an increased risk of cardiovascular disease with increasing age

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Take Your Health to Heart – World Heart Day ’17

The heart is at the heart of your health and it deserves care. Cardiovascular conditions are the most common causes of deaths worldwide. In the UAE alone, over 500 babies are born every year suffering from heart conditions. Studies have shown that cardiovascular conditions amount to the biggest number of deaths in Dubai, with around 30% to 70% of people suffering from some form of heart disease. These are alarming statistics just go to show the lack of awareness among people about their heart.

Dubai is home to a lot of people working under stressful conditions, leading unhealthy lifestyles by eating unhealthy food high in fat and cholesterol and eating at the wrong times. Cardiac conditions are on the rise today even among the younger population.  Residents in the UAE are in fact, much more susceptible to heart conditions from a very young age.

The risk of heart conditions in the UAE is alarming because of the unhealthy lifestyle people lead here. Moreover a lot of times people do not take into consideration their ways of leading life disregarding the fact that it is their life at risk. Unhealthy lifestyles cause various health conditions and negatively impact life in various ways. The majority of the people here lead sedentary lifestyles and are engaged in a job that requires them to be seated in front of a screen for hours. However, people despite knowing the same are ignorant towards their health.

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The effect of Ramadan on Cardiac Patients

Ramadan is an ideal platform to target year long lifestyle modification, to ensure that whatever health care benefits have been gained during this month, are perpetuated.

Patients with stable Coronary Artery Disease (CAD) can observe fasting during Ramadan without anticipating any major adverse cardiac events while those with unstable disease or recent/pending revascularization should largely refrain from fasting. Previous studies have shown that neither has there been an increase in the incidences of acute myocardial infarction nor has there been an increase in the number of patients hospitalized due to heart failure, during Ramadan.

A fairly small group of patients with cardiac conditions should be advised to refrain from fasting during Ramadan. These include patients with acute cardiac illnesses like Acute Myocardial Infarction (AMI) and Acute Coronary Syndrome (ACS). Patients with uncontrolled HTN requiring multiple dosages during the daytime should be counseled against fasting. Patients with severe congestive heart failure (CHF) requiring high doses of diuretics should also refrain from fasting.

Patients are encouraged to seek medical advice 1 or 2 months before Ramadan in order to adjust their medications if needed. Drugs given thrice daily can be usually changed to single sustained doses.

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