Perhaps no other human ailment has been impelled by so much of research in the contemporary times as Heart failure has been recently. Paradoxically however, Heart failure had also been one of the most neglected research subject, especially in the last century. It is only in the present millennium that rapid scientific breakthroughs have yielded wonderful therapies for this refractory disease. Deliberate bloodletting and leeches were utilized for Heart failure treatment for centuries before the era of modern medicine. In the early 20th century, Heart failure was treated with Southey’s tubes, which were sharp 14-gauge needles about 3″ long, with perforations on the sides, inserted into swollen legs, thus draining the excess fluid out of the body. In the decades before the 1980s, the only available therapies for heart failure were bed rest, inactivity and fluid restriction. The pharmacological treatment modalities were digitalis (William Withering had discovered Foxglove digitalis in1785) and drugs promoting enhanced urine formation.
Suddenly, the world has changed upside down. It is like before and after an apocalypse. The watershed. Never before and never again something of this magnitude would ever effect human life. Those of us who would be fortunate to see the after years of this colossal, monumental occurrence would have numerous anecdotal stories to share with the future generations.
On March 11th 2020 World Health Organization has designated Covid-19 as a pandemic. A pandemic is a disease which spreads around the world beyond expectations in vast majority of people. A pandemic is thus, actually a global endemic. Covid- 19 has been perhaps one of the most infective disease known with a high mortality rate. Though it’s mortality is less than other strains of Corona virus linked diseases such as SARS and MERS, but the shear spread of Covid- 19 is much more extensive and far-flung.
However there is a clear demographic distinctiveness of the disease and it is seen that children under the age of 10 years are seldom affected. In fact less than 1 % of the total affected patients were children of less than 10 years age group. On the other hand elderly people who are especially older than 80 years old have a very high infectivity and mortality rate.
It was not too long ago that Diabetes and Heart failure were considered as two distinct entities. Both diseases have menacing, progressive, downhill and often fatal course but also not to mention innumerable complications associated with each of them. Although with the scourge of both diseases, there was matching and parallel evolution in modern medicine that has led to significant reductions in mortality and morbidity due to both ailments.
Heart To Heart
With increasing improvement in medical sciences, patients who have suffered a heart attack and stroke are able to live a long and productive life. In patients with such chronic infirmity, effective improvement is based on continuity of care backed by the education of the patient, who is encouraged to participate in managing his illness. Communication between the doctor and the patient is important to improve the quality of life. The quality of communication received is a major determinant of patient behavior and attitude. A well-communicated patient could be easily distinguished from many by his satisfaction with the doctor, comprehension, and memory of the information received treatment adherence, level of reassurance and cooperative response to the relationship with the physician.
1. Quitters are winners- i am talking about smoking here. quitting cigarettes is the easiest way to keep your heart healthy. Making those puffs weather real or electronic is not so cool…
The grown-ups and the restless
One of the hand-over of modern times is the Attention Deficit Hyperactivity Disorder, a common reason for children’s impaired functioning at home, school or social situation. This is the most commonly diagnosed behavioural disorder of childhood, affecting an estimated 3 – 5% of school aged children. This disorder is distinguished by inattention, hyperactivity, impulsiveness and behavioural instability of the affected child. Such children not only have learning disabilities during their formative years. Recent research has suggested that many of these children grow up as emotionally unstable, disorganized and careless adults. They have compatibility problems with their colleagues as well spouses and are twice as likely to be divorced.
In the midst of a growing concern over climate change, it is imperative that each one of us does his or her own bit to contribute effectively towards the prevention of global warming. Although most of us are quite aware of the many ways in which we can protect our environment, not many of us would be conversant with the enormous impact that our eating habits may have on climate change.
Heart, body, mind, and soul
The totality of our existence is based on the basic form of integration on whose harmonious synchrony our health depends on Our mind, body, soul and heart work in unison to create an interaction which leads to disease free existence. It is not untrue that one with a perfect heart and body but harboring a troubled mind with wicked thoughts can never be called healthy, as an unstable mind can be equally harmful to self and others. More than the interaction Heart, body, mind, and soul, is the influence of each component over the other. It would not be unwise to say that our heart becomes what the mind says and thoughts of mind have a profound impact on the health of the heart.
The heart attack is a frightful expression and is correctly perceived as an extremely ominous condition. Almost always, heart attacks are life-threatening and require immediate attention. But the usual form of heart attack that we know of is not the only presentation of this deadly disease. Pain and abundant symptoms, along with profuse perspiration is not the only presentation of the heart attack. It is also known that heart attacks may occur silently without any symptoms. These silent heart attacks are the unnoticed, appropriate and timely management of these patients is not pursued. This increases the odds of underlying heart disease to intensify and cause irretrievable damage to the heart and body.