Dr. Aseem Dhall
Dr. Aseem Dhall
Dr. Subrat Akhoury
Although Angioplasty is a less invasive way to open clogged arteries than bypass surgery and hence in relative to bypass surgery, angioplasty carries lower risk in carefully selected patients but there are unique & potential dangerous risks & complications. Just like many other types of invasive procedures, patients may have an allergic reaction to the anesthetic, the dye, or some of the materials used in the angioplasty. Some common risks associated with coronary angioplasty include:
Talk to your doctor about how long you’ll need to take these medications. Never discontinue these medications without discussing it with your doctor.
Other rare risks of angioplasty include:
Angioplasty isn’t a cure for blocked arteries. In some cases, arteries can become narrow again. This is called restenosis. The risk of restenosis is higher when your doctor doesn’t use a stent.
Associate Director, Cath Lab & Interventional Cardiologist, Asian Institute of Medical Sciences (AIMS), Faridabad
Dr Zakia Khan
Deaths caused due to heart disease are usually attributed to the adult population. What is less known is that young adults are not spared of this main cause of death worldwide. The Coronary Artery Risk Development in Young Adults (CARDIA) conducted a study to find the reasons for youth being susceptible to heart diseases and what are the reasons that put them to this risk. Around 5,000 young adults from the age of 18-30Yrs were a part of this study and were monitored for up to 15 years to learn about what resulted into them acquiring heart diseases. Every man in the 3rd and 4th decade is affected by this disease. It is noted that the youth who smoke up to 10 cigarettes a day are likely to develop heart diseases by 50%. A rise in cholesterol levels can irk heart rates and the risk increases by 50%; rise in blood pressure levels increase the risk rate to up to 30%.
The increase in heart disease in younger adults are caused due to habits of smoking, stress(work and non-work related), unhealthy diet, lack of sufficient physical activity and excess consumption of salt and packaged food in some cases. To curb these issues, we need to first understand how to minimise these triggers. Parents should help their child to maintain healthy diet and motivate them to excise on a regular basis, so that they can control high blood pressure issues, since it is quiet common among who are overweight. They also need to help them maintain their salt intake. Warn them about the dangers about smoking and the effects nicotine has on the blood vessels, causing the blood vessels to narrow down and make it harder for the blood to flow through the vessels. If after many efforts of controlling the diet and increasing the child’s physical activity it still doesn’t lower their blood pressure, a physician should be consulted to seek immediate intervention.
The numbers are not going to decrease unless drastic steps are taken. The problem is that we are leading a very sedentary lifestyle that doesn’t allow us much physical activity. Today’s youth is stressed out mentally as well as physically. A major solution to this is drastic lifestyle modification that will help prevent premature heart attacks. Thrive on healthy food instead of relying on junk food, this is simple to adopt and very effective. Despite having a busy schedule, try and make time to organise, prioritise and balance your lifestyle. Take up either yoga or dance or any other form of exercise that is therapeutic and helps in keeping you physically and mentally healthy.
Is a Interventional Cardiologist, Fortis Hospital, Kalyan
As per World Health Organization (WHO) statistics, India is amongst the top 11 countries which carry the global burden of chronic hepatitis. Since, it accounts for a huge burden of illness, outbreaks and epidemic spread, resulting in increased death cases, the disease is one of the greatest concerns all over the world.
“The five main types of hepatitis virus include A, B, C, D and E. Infection by any of these viruses can lead to inflammation of liver and some infections can lead to liver cirrhosis or cancer. Based on the symptoms, a physical examination is done to check the enlargement of liver, skin colour and presence of fluid in the abdomen followed by a suitable antibacterial treatment. Awareness and early diagnosis is key to patient treatment as the infection can be difficult to cure at later stage,” Dr. Rakesh Kumar, Senior Consultant, Internal Medicine, Indraprastha Apollo Hospital, New Delhi.
“A person can have hepatitis B infection for many years before diagnosis, I see a lot of patients with liver cirrhosis and primary liver cancer (hepatocellular carcinoma, HCC) as their first presentation. The most important challenges remaining in the area of hepatitis B and HCC are development of improved means of early detection and treatment. Currently, HBV-related HCC is often detected late, at a time that surgical interventions and liver transplantation is no longer feasible,” said Dr. Govind Nandakumar, Chief of Gastrointestinal Surgery & GI Oncosurgery, Columbia Asia Hospitals, Bangalore.
“Better approaches of universal HBV vaccination and identification and treatment of chronic hepatitis B are needed especially in the smaller towns and villages to allow for application of the many advances that has been made in prevention and treatment of this important form of cancer,” added Dr. Sumana Kolar.
Some of the symptoms of hepatitis include Jaundice, fatigue, nausea, stomach bloating, itching, weight loss, loss of appetite and dark coloured urine.
Below mentioned are some ways to prevent the infection:
Hepatitis B and C:
“About 50% of people with liver complications suffer from alcohol induced liver diseases, about 25- 30 % suffer from NASH (Non-Alcoholic Steato-Hepatitis) and 10-15% suffer from viral hepatitis and other liver diseases. Liver diseases are not only common among high alcohol consumers but many non-alcohol consumers also suffer from liver complications due to high Body Mass Index (BMI). Diabetes and obesity are the major causes that lead to fatty liver disease, increasing the risk of hepatitis infection in a person,” said Dr. Rakesh Kumar.