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Heart health

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Common cardiovascular conditions


Rheumatic heart disease


Rheumatic heart disease is caused by one or more attacks of rheumatic fever, which then do damage to the heart, particularly the heart valves. Rheumatic fever usually occurs in childhood, and may follow a streptococcal infection. In some cases, the infection affects the heart and may result in scarring the valves, weakening the heart muscle, or damaging the sac enclosing the heart. The valves are sometimes scarred so they do not open and close normally.

Hypertensive heart disease

High blood pressure of unknown origin (primary hypertension) or caused by (secondary hypertension) certain specific diseases or infections, such as tumor in the adrenal glands, damage to or disease of the kidneys or their blood vessels. High blood pressure may overburden the heart and blood vessels and cause disease. 

Ischemic heart disease

Heart ailments caused by narrowing of the coronary arteries and therefore a decreased blood supply to the heart.

Cerebrovascular disease

Disease pertaining to the blood vessels in the brain. A cerebrovascular accident or stroke is the result of an impeded blood supply to some part of the brain.

Inflammatory heart disease

Inflammation of the heart muscle (myocarditis), the membrane sac (pericarditis) which surround the heart, the inner lining of the heart (endocarditis) or the myocardium (heart muscle). Inflammation may be caused by known toxic or infectious agents or by an unknown origin.

Other


Rheumatic heart disease

Rheumatic heart disease
Rheumatic heart disease is damage caused to the heart’s valves by rheumatic fever, which is caused by streptococcal bacteria.

Valvular heart disease
The heart’s valves keep blood flowing through the heart in the right direction.  But a variety of conditions can lead to valvular damage.  Valves may narrow (stenosis), leak (regurgitation or insufficiency) or not close properly (prolapse). You may be born with valvular disease, or the valves may be damaged by such conditions as rheumatic fever, infections connective tissue disorders, and certain medications or radiation treatments for cancer.

Hypertensive heart disease

Aneurysm
An aneurysm is a bulge or weakness in the wall of a blood vessel.  Aneurysms can enlarge over time and may be life threatening if they rupture. They can occur because of high blood pressure or a weak spot in a blood vessel wall. Aneurysms can occur in arteries in any location in your body. The most common sites include the abdominal aorta and the arteries at the base of the brain.

Atherosclerosis
In atherosclerosis the walls of your arteries become thick and stiff because of the build up fatty deposits. The fatty deposits are called plaques.  When this happens, the flow of blood is restricted. Atherosclerosis can happen throughout the body.  In the arteries of the heart it is known as coronary artery disease, in the legs, peripheral arterial disease. Atherosclerosis happens over a period of time and its consequences can be grave and include heart attack and stroke.

High blood pressure (hypertension)
High blood pressure is the excessive force of blood pumping through your blood vessels. High blood pressure causes many types of cardiovascular disease, such as stroke and heart failure, and renal disease.

Peripheral arterial disease
Peripheral arterial disease (PAD) is caused by atherosclerosis, which is the narrowing and / or blockage of the blood vessels in the legs.  PAD manifests as pain in the legs when walking, which is relieved by rest. If you have PAD you are at greater risk of developing gangrene in your legs.

Ischemic heart disease

Angina
Angina manifests as pain in the chest that results from reduced blood supply to the heart (ischemia). Blood carries oxygen around your body and depriving the heart of oxygen has serious consequences.

Angina is caused by atherosclerosis, that is the narrowing and / or blockage of the blood vessels that supply the heart.

The typical pain of angina is in the chest but it can often radiate to the left arm, shoulder or jaw. If you have angina you will have noticed that the pain is related to exertion and is relieved by rest.

An angina attack is also associated with shortness of breath and sweating. If you are a woman you may experience angina slightly differently. Women appear to have more pain in their shoulder and middle back area, and more throat, neck, and jaw pain than men.

If your angina symptoms rapidly worsen and occur at rest this may presage an impending heart attack (myocardial infarction) and you should seek medical help immediately. 

Atherosclerosis
In atherosclerosis the walls of your arteries become thick and stiff because of the build up fatty deposits. The fatty deposits are called plaques.  When this happens, the flow of blood is restricted. Atherosclerosis can happen throughout the body.  In the arteries of the heart it is known as coronary artery disease, in the legs, peripheral arterial disease (PAD). Atherosclerosis happens over a period of time and its consequences can be grave and include heart attack and stroke.

Coronary artery disease
Coronary artery disease is also known as ischemic heart disease. It is caused by atherosclerosis, that is the narrowing and / or blockage of the blood vessels that supply the heart. It is one of the most common forms of heart disease and the leading cause of heart attacks and angina.

Coronary heart disease
Coronary heart disease refers to the disease of the arteries to the heart and their resulting complications, such as angina, heart attacks and heart failure.

Heart attack
A heart attack (myocardial infarction) occurs when the heart’s supply of blood is stopped.  A heart attack need not be fatal, especially if you receive medical attention and treatment to deal with the blockage soon after you have your heart attack.  But you are likely to be left with a damaged heart post heart attack.

A heart attack manifests as severe central chest pain, which may also radiate to the left arm, shoulder or jaw. Severe shortness of breath, sweating and feeling faint are common additional symptoms.

If you are a woman, however, your experience of heart attack may differ. Rather than acute chest pain you may have difficulty breathing, be very, very tired and have pain in your shoulder, jaw, or upper back pain.

Sudden death
Sudden death occurs when there is an abrupt loss of the heart's ability to pump blood. This may be because of heart attack or serious abnormality of the heart’s rhythm. 

Cerebrovascular heart disease

Atherosclerosis
In atherosclerosis the walls of your arteries become thick and stiff because of the build up fatty deposits. The fatty deposits are called plaques.  When this happens, the flow of blood is restricted. Atherosclerosis can happen throughout the body.  In the arteries of the heart it is known as coronary artery disease, in the legs, peripheral arterial disease. Atherosclerosis happens over a period of time and its consequences can be grave and include heart attack and stroke.

Cerebral vascular disease
Cerebral vascular disease is caused by atherosclerosis, that is the narrowing and / or blockage of the blood vessels that flow to the brain.  If the flow of blood is cut off this can lead to strokes and transient ischemic attacks.

Stroke
A stroke occurs when the blood supply to the brain is interrupted. This can happen either when a blood vessel in the brain or neck is blocked or bursts. If this happens, your brain is deprived of oxygen and parts of your brain may be permanently damaged.

The consequences of a stroke can include problems with speech or vision, weakness or paralysis. 

Transient ischemic attacks
Just as stroke occurs when the flow of blood is blocked, TIAs happen when there is a brief blockage. The temporary loss of blood to the brain causes a brief, sudden change in brain function.  This may manifest as temporary numbness or weakness on one side of the body, loss of balance, confusion, blindness in one or both eyes, double vision, difficulty speaking, or a severe headache. But these will disappear quickly and permanent damage is unlikely.

If you have ever experienced symptoms like this you should seek medical advice.  A TIA can be a warning that you are at risk of stroke sometime in the future.

Inflammatory heart disease

Atherosclerosis
In atherosclerosis the walls of your arteries become thick and stiff because of the build up of fatty deposits. The fatty deposits are called plaques.  When this happens, the flow of blood is restricted. Atherosclerosis can happen throughout the body.  In the arteries of the heart it is known as coronary artery disease, in the legs, peripheral arterial disease. Atherosclerosis happens over a period of time and its consequences can be grave and include heart attack and stroke.

Cardiomyopathy
Cardiomyopathy refers to diseases of the heart muscle. Some types of cardiomyopathy are genetic, while others occur because of infection or other reasons that are less well understood. One of the most common types of cardiomyopathy is idiopathic dilated cardiomyopathy, where the heart is enlarged. Other types include ischemic, loss of heart muscle; dilated, heart enlarged; hypertrophic, heart muscle is thickened.

Pericardial disease
The sac that encases the heart is called the pericardium and it can be affected by a variety of conditions such as inflammation (pericarditis), fluid accumulation (pericardial effusion) and stiffness (constrictive pericarditis). The etiology of these conditions varies.

Valvular heart disease
The heart’s valves keep blood flowing through the heart in the right direction.  But a variety of conditions can lead to valvular damage.  Valves may narrow (stenosis), leak (regurgitation or insufficiency) or not close properly (prolapse). You may be born with valvular disease, or the valves may be damaged by such conditions as rheumatic fever, infections connective tissue disorders, and certain medications or radiation treatments for cancer.

Other 

Congenital heart disease
Congenital heart disease is when you are born with malformations of the heart’s structures.  This may be the result of the genes you inherited from your parents or adverse exposure to certain elements while still in the womb, such as some medicines or too much alcohol.  Congenital heart disease is a broad term and examples are holes in the heart, abnormal valves, and abnormal heart chambers.

Heart failure
Heart failure is a chronic condition that happens when the heart’s muscle becomes too damaged to adequately pump the blood around your body. If you have heart failure your heart still works but because it is less effective your organs do not get enough blood and oxygen. Heart failure tends to affect older people more often and manifests as shortness of breath, reduced exercise tolerance and swelling of the ankles. It results if the heart is damaged and weakened


Overview of Basics of Heart Disease


Heart disease is a word used to describe many different conditions affecting the heart. Coronary heart disease is a common type of heart disease. This condition results from a buildup of plaque on the inside of the arteries, which reduces blood flow to the heart and increases the risk of a heart attack and other heart complications. Other forms of heart disease include:

- irregular heartbeat (arrhythmias)

- congenital heart defects

- weak heart muscles (cardiomyopathy)

- heart valve problems

- heart infections

- cardiovascular disease

Approximately 600,000 people die from heart disease in the United States every year, according to the Centers for Disease and Control Prevention (CDC). It’s a leading cause of death in both men and women.

Symptoms

Symptoms of Heart Disease

Heart disease is often called a “silent killer”. Your doctor may not diagnose the disease until you show signs of a heart attack or heart failure. Symptoms of heart disease vary depending on the specific condition. For example, if you have a heart arrhythmia, symptoms may include:

- a fast or slow heartbeat

- dizziness

- lightheadedness

- chest pains

- shortness of breath

Symptoms of congenital heart defect may include skin discoloration, such as a bluish or pale color. You may also notice swelling in your legs and stomach. You might become easily tired or have shortness of breath shortly after beginning any type of physical activity.

If you have weak heart muscles, physical activity may cause tiredness and shortness of breath. Dizziness and swelling in the legs, ankle, or feet are also common with cardiomyopathy. Signs and symptoms of a heart infection can include:

- tiredness

- coughing

- skin rash

- irregular heartbeat

- swelling in legs and stomach

Seek medical attention if you have any signs of heart problem. It’s important to address symptoms early since there are many types of heart diseases, each with its own set of symptoms.

Risk Factors

Risk Factors of Heart Disease

Several factors increase your risk of heart disease, like a family history of the disease, age, or ethnicity. Other common risk factors include:

- smoking

- high blood pressure

- high blood cholesterol

- diabetes

- poor diet

- lack of exercise

- obesity

- stress

- poor hygiene (some viral and bacterial infections can affect the heart)

Diagnosis

Diagnosing Heart Disease

Different tests are used to diagnose heart disease, and your doctor may choose a particular test based on your symptoms and a review of your family history. After a blood test and chest X-ray, other tests include:

electrocardiogram (EKG): a test that helps doctors identify problems with your heart’s rhythm

echocardiogram: a test that uses ultrasound waves to view the flow of blood through the heart

cardiac computerized tomography (CT) scan: an X-ray test that creates cross sectional views of your heart

cardiac magnetic resonance imaging (MRI): a test that uses powerful magnets and radio waves to create images of your heart and surrounding tissue

stress test: a test that monitors your heart during periods of strenuous activity or exercise

Treatments

How to Treat Heart Disease

Heart disease treatments depend on the condition, but may include lifestyle changes and medications. Lifestyle changes can include:

- eating a healthy diet rich in fiber, omega-3 fatty acids, fruits, and vegetables. Choose foods that are low in fat, sodium, and cholesterol to help control your blood pressure.

- increasing physical activity to maintain a healthy weight, reduce your risk of diabetes, and improve cholesterol levels. Aim for at least 60 minutes of activity per week, says the National Heart, Lung and Blood Institute.

- quitting smoking can lower your risk of heart disease and complications.

- drinking alcohol in moderation can lower blood pressure and decrease the risk for heart disease. Men should drink no more than two, and women no more than one alcoholic beverage per day, according to the National Institute on Alcohol Abuse and Alcoholism.

- learning how to deal with stress, either through exercise, medication, stress management therapy or support groups

When lifestyle changes do not improve your conditions, doctors may prescribe certain medications to reduce your risk of a heart attack or stroke. These include medications that lower blood pressure or prevent blood clotting.

Sometimes, medical procedures are necessary to treat certain types of heart disease. These include an angioplasty (a flexible tube inserted in arteries to improve blood flow) or a coronary artery bypass surgery (blood vessels surgically moved from one area of the body to another to improve blood flow to the heart).

Outlook

Outlook for Heart Disease

Between the cost of healthcare and lost productivity, coronary heart disease costs the United States $108.9 billion annually according to the CDC. It’s important to diagnose and treat heart disease early. If left untreated, heart disease can cause a variety of complications, such as a heart attack, heart failure, stroke, aneurysm, and even death. Talk to your doctor if you think you have any symptoms of heart disease.

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