Cardiac Care

Heart Valves Are For Life

What are heart Valves

Heart Valves separate the four chambers of heart that collect and pump blood. They control the direction of originated and unoxigenated blood flow for proper functioning of heart. Heart valves are marvels of natural engineering as they last a life time, even for few hours after death.

Valve Damage

Sometimes valves get diseased and do not work right. They might not open all the way leading to reduced flow of blood or they might have problem closing leading to leakage of blood backwards. Due to these problems the heart will have to work harder to pump the same amount of blood and the blood may back up in the lungs. Therefore valve repair or replacement is required.

Heart valves get damaged in various diseases either because of age, infection or failure of previous heart valves operations. Sometimes, as the problem exists by birth, the valve need replacement even for new-borns.

Rheumatic heart Diseases (RHD) is one of the key reasons for valve related problems. Many researches have established that the countries with low socio economic groups like India are more susceptible to RHD due to conditions like poor hygiene, lack of medical facilities, poverty, illiteracy and fear of drugs.

Need of Valve Transplantation

Every year, more than 1 lac heart valve procedures are being done worldwide and the number is expected to go as much as 8 lakh by 2050.

If valve is to be replaced then there are options of mechanical or biological transplants. The biological valves obtained from human beings through cadaveric donation, called homograft, are closest to the ideal valve as they are silent, last longer, do not require anti-coagulation and are comparatively free of complication.

Out of the four valves in heart 95% of valve replacements are performed for mitral or aortic valves.

Cadaveric Valve Donation

In case of a cadaveric donor, heart valves are tissues that can be harvested even from the patients whose complete heart is not suitable for transplantation. Heart valves must be recovered within 15 hrs

if the body is not refrigerated of within 24 hrs if the body is refrigerated within 12 hours of death. Most important is that even if transplant surgeons are not available at the centre where death occurs, even a general surgeon extract the heart and sent it to the specialized centre on required temperature and time frame. Once it reaches the specialized centre of transplant, the experts can extract valves by careful aseptic dissection from the donor heart. Then, valves are inspected carefully by the expert’s medical team for the suitability of that valve for preservation and future use in the patient.

After that valves are packaged in asepting allograft packaging and then stored at -150c in liquid nitrogen as freezed valve and they can be utilized in next 10 years.

Advantage of Valve Transplant

The benefit of human heart valve is that they are closest to natural and life saving. After transplantation, the patient does not require blood thinners which makes is particularly beneficial for young children, pregnant women and older age group. They provide excellent hemodynamic performance due to a more natural function of the surrounding structures.

However, with limited number of organ donors in our country, it is challenging to find homograft’s for the needy patients requiring valve transplant. It is indeed the need of the hour to develop homograft banks and raise awareness of valve transplant & organ donation.

CELEBRATE A HEALTHY AND SAFE DIWALI!

It’s Diwali! And it’s that time of the year when everyone wants to just celebrate and have fun. Diwali is also the time when all diet plans go berserk, thanks to all the high-fat traditional delicacies, countless varieties of sweets and deep-fried savouries. However, if you take a bit of care, all the feasting will not add unwanted calories and leave you guilt ridden. And yes, be careful about those firecrackers as well!

Here are a few tips to celebrate a safe and healthy Diwali

Say no to too many sweets

One should always keep a check the sugar, fat and starch intake, especially diabetics. Though Diwali is the time when a huge variety of sweets are made and bought, make sure you stick to your favourites, in limited quantities.

Keep yourself hydrated

Make sure you drink lots of water. When properly hydrated, your body will feel more energetic and lively.

Opt for food with natural sweeteners

When making/ buying sweets, opt for those made with natural sweeteners like jaggery, dates, sweet dry fruits etc. instead of those made with white sugar.

Cook healthy

Choose healthier cooking styles like grilling, baking and pan-frying instead of deep-frying. Substitute high calorie ingredients like butter and ghee with healthier oils or use them in minimal quantities. Keep a check on the amount of sugar you use and opt for desserts made with fat-free milk/ yoghurt.

Eat small portions

It’s difficult to keep away from binging on traditional delicacies and sweets, especially at family feasts. So, never deprive yourself the pleasure of good food. You can indulge, but in small quantities. Eating less will also make you feel lighter and healthier.

Be careful with the firecrackers

When lighting firecrackers, ensure that all safety precautions are taken. Make everyone, especially children, are at a safe distance to avoid burns and accidents. Keep a bucket of water ready, to douse fire if needed. Also be very careful while lighting flying crackers. They can be extremely dangerous and cause severe burns/ eye damage.

Walk your way slim

Walk your way slim

Walking is the perfect exercise it's a low-impact way to get fit, get healthy and even get slim. Find out what walking can do for your body and how to do it right

Walking is a health powerhouse. It strengthens your muscles and heart, lowers your blood pressure and helps build bones. It can even lengthen your life: According to research, walking vigorously for 30 minutes just six times a month may lower your risk of premature death by 50 percent.

It’s relatively easy on the joints and bones walking puts about half the stress that running does on your knees, ankles and shins. But you’ll have to give more effort than you would for a casual stroll. To get all the great benefits, including boosting your cardiovascular fitness, you need to power walk, moving at a pace that will bring your heart rate into the target zone.

To be clear, fitness walking is not as fast as race walking. Race walkers, who have an unusual gait that involves swaying the hips back and forth, can easily walk faster than some people jog.

Why should we donate blood?

Why should we donate blood?

Safe blood saves lives and improves health.

Blood transfusion is needed for:

·        Women with complications of pregnancy, such as ectopic pregnancies and haemorrhage before, during or after childbirth;

·        Children with severe anaemia often resulting from malaria or malnutrition;

·        People with severe trauma following man-made and natural disasters; and

·        Many complex medical and surgical procedures and cancer patients.

·        It is also needed for regular transfusions for people with conditions such as thalassemia and sickle cell disease and is used to make products such as clotting factors for people with haemophilia.

There is a constant need for regular blood supply because blood can be stored for only a limited time before use. Regular blood donations by a sufficient number of healthy people are needed to ensure that safe blood will be available whenever and wherever it is needed.

Blood is the most precious gift that anyone can give to another person — the gift of life. A decision to donate your blood can save a life, or even several if your blood is separated into its components — red cells, platelets and plasma — which can be used individually for patients with specific conditions.

Why should we donate blood?

Why should we donate blood?

Safe blood saves lives and improves health.

Blood transfusion is needed for:

·        Women with complications of pregnancy, such as ectopic pregnancies and haemorrhage before, during or after childbirth;

·        Children with severe anaemia often resulting from malaria or malnutrition;

·        People with severe trauma following man-made and natural disasters; and

·        Many complex medical and surgical procedures and cancer patients.

·        It is also needed for regular transfusions for people with conditions such as thalassemia and sickle cell disease and is used to make products such as clotting factors for people with haemophilia.

There is a constant need for regular blood supply because blood can be stored for only a limited time before use. Regular blood donations by a sufficient number of healthy people are needed to ensure that safe blood will be available whenever and wherever it is needed.

Blood is the most precious gift that anyone can give to another person — the gift of life. A decision to donate your blood can save a life, or even several if your blood is separated into its components — red cells, platelets and plasma — which can be used individually for patients with specific conditions.

Heat Stroke: Symptoms and Treatment

Heat stroke results from prolonged exposure to high temperatures -- usually in combination with dehydration -- which leads to failure of the body's temperature control system. The medical definition of heatstroke is a core body temperature greater than 105 degrees Fahrenheit, with complications involving the central nervous system that occur after exposure to high temperatures. Other common symptoms include nausea, seizures, confusion, disorientation, and sometimes loss of consciousness or coma.

Symptoms of Heat Stroke

The hallmark symptom of heat stroke is a core body temperature above 105 degrees Fahrenheit. But fainting may be the first sign.

Other symptoms may include:

• Throbbing headache

• Dizziness and light-headedness

• Lack of sweating despite the heat

• Red, hot, and dry skin

• Muscle weakness or cramps

• Nausea and vomiting

• Rapid heartbeat, which may be either strong or weak

• Rapid, shallow breathing

• Behavioral changes such as confusion, disorientation, or staggering

• Seizures

• Unconsciousness

First Aid for Heat Stroke

If you suspect that someone has a heat stroke,  transport the person to a hospital. Any delay seeking medical help can be fatal.

While waiting for the paramedics to arrive, initiate first aid. Move the person to an air-conditioned environment -- or at least a cool, shady area -- and remove any unnecessary clothing.

If possible, take the person's core body temperature and initiate first aid to cool it to 101 to 102 degrees Fahrenheit. (If no thermometers are available, don't hesitate to initiate first aid.)

Try these cooling strategies:

• Fan air over the patient while wetting his or her skin with water from a sponge or garden hose.

• Apply ice packs to the patient's armpits, groin, neck, and back. Because these areas are rich with blood vessels close to the skin, cooling them may reduce body temperature.

• Immerse the patient in a shower or tub of cool water, or an ice bath.

If emergency response is delayed, call the hospital emergency room for additional instructions.

Preventing Heat Stroke

When the heat index is high, it's best to stay in an air-conditioned environment. If you must go outdoors, you can prevent heat stroke by taking these steps:

• Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat.

• Use a sunscreen with a sun protection factor (SPF) of 30 or more.

• Drink extra fluids. To prevent dehydration, it's generally recommended to drink at least eight glasses of water, fruit juice, or vegetable juice per day. Because heat-related illness also can result from salt depletion, it may be advisable to substitute an electrolyte-rich sports drink for water during periods of extreme heat and humidity.

• Take additional precautions when exercising or working outdoors.The general recommendation is to drink 24 ounces of fluid two hours before exercise, and consider adding another 8 ounces of water or sports drink right before exercise. During exercise, you should consume another 8 ounces of water every 20 minutes, even if you don't feel thirsty.

• Reschedule or cancel outdoor activity. If possible, shift your time outdoors to the coolest times of the day, either early morning or after sunset.

Other strategies for preventing heat stroke include:

• Monitoring the colour of your urine. Darker urine is a sign of dehydration. Be sure to drink enough fluids to maintain very light-coloured urine.

• Measuring your weight before and after physical activity. Monitoring lost water weight can help you determine how much fluid you need to drink.

Avoid fluids containing caffeine or alcohol, because both substances can make you lose more fluids and worsen heat-related illness. Also, do not take salt tablets unless your doctor has told you to do so. The easiest and safest way to replace salt and other electrolytes during heat waves is to drink sports beverages or fruit juice.

After you've recovered from heat stroke, you'll probably be more sensitive to high temperatures during the following week. So it's best to avoid hot weather and heavy exercise until your doctor tells you that it's safe to resume your normal activities.

What is Zika Virus ?

It's a virus that can make people sick with rash, fever, joint pain, and pinkeye, according to the Centers for Disease Control. (Representational Image)

A once rare mosquito-borne virus called Zika is spreading rapidly through the Americas since arriving in Brazil in last May, with a case confirmed in Texas this week in a traveler returning from Latin America. Health officials are alarmed because of a possible link between the virus and a birth defect called microcephaly that causes babies to be born with abnormally small heads and potential developmental problems.

Here's what you need to know.

1. What's the Zika virus?

It's a virus that can make people sick with rash, fever, joint pain, and pinkeye, according to the Centers for Disease Control. It's related to other mosquito-borne illnesses including Dengue and Chikungunya that are considered rising threats as global travel increases their reach. About one in five people infected develop symptoms, the CDC says, which begin a few days after being bitten by Zika-carrying moquitos. The illness generally isn't severe and lasts up to a week. But Brazilian authorities have identified at least seven deaths potentially linked to the virus in newborns and adults.

Some press reports have put the number of infant deaths at 38.

2. Why is it a concern?

Health officials are worried that the Zika outbreak in Brazil may be linked to a dramatic increase in babies being born with unusually small heads. Brazil usually records only about five to six cases of microcephaly for every 100,000 live births. As of the end of November, the rate was 20 times that: nearly 100 cases for every 100,000 births, according to the World Health Organization.

Health authorities haven't definitely confirmed that Zika is behind the spike in kids being born with abnormally small heads. But they don't have another explanation for the spike in microcephaly. "The question is, is this a new phenomena?" say Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

3. How does it spread?

Zika can be transmitted when someone with the virus is bitten by a mosquito and then that mosquito bites another human. In particular, it's spread by the aedes mosquito, which is also the vector for yellow fever, Dengue, and Chikungunya. The virus can move to new areas when mosquitos hitch a ride on travelers or cargo, or when infected patients travel to new territory and are bitten by mosquitoes there. "We're moving mosquitos around the world at will right now," Osterholm says.

In much of the world, trash dumps or water systems create conditions that breed mosquitos: A discarded fast food wrapper in a ditch that forms a puddle can be a breeding ground for bugs, Osterholm says. Growing urban populations allow them to spread viruses among humans rapidly.

The virus can also spread from infected mother to a newborn, but the CDC calls this rare. It may be also possible to spread through blood transfusions or sexual contact.

4. Where did it come from?

The Zika virus was first identified in Uganda in 1947. For a long time it was an obscure disease with only occasional infections in humans, according to an essay in the New England Journal of Medicine this week. "Its current explosive pandemic reemergence is therefore truly remarkable," top officials from the National Institute of Allergy and Infectious Diseases wrote. It moved through Africa and Asia to Pacific islands. In French Polynesia, it was associated with a spike in cases of a rare neurological problem known as Guillain-Barre syndrome. The virus reached Brazil last year. It's now spread throughout Latin America. The first locally-transmitted case in Puerto Rico was identified in December. The WHO lists 13 countries in the Americas, including Puerto Rico, where transmission has been reported.

5. What can I do to protect myself?

There's no known vaccine or treatment for Zika, though people who have been infected may have immunity. Part of the reason it spread so quickly in Latin America is that the population had never seen it before, Osterholm said. The best prevention strategy is taking steps to avoid getting bitten by mosquitoes. The CDC is considering a travel warning for affected countries, NPR reported Thursday.

Osterholm says Zika transmission is likely to come to the mainland U.S. "We shouldn't be surprised," he says. "We knew it was just a matter of time." The good news: The U.S. has far better mosquito control than many of the countries, so extended transmission here is unlikely. "Will it take off in the United States? No," Osterholm says.

But women planning to have children soon should consider the risks when traveling to affected areas. The WHO recommends pregnant women follow the same mosquito precautions as others: Cover up skin, use repellent and insecticide-treated nets, and try to eliminate mosquito breeding grounds.

Source: http://www.ndtv.com/