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Medicine is to heal from the inside

Ischaemic Heart Disease and Lifestyle

Introduction
Ischaemic heart disease (IHD) is the disease that caused by insufficient blood flow in order to meet heart muscle demands of the energy, thus causing symptoms, and myocard injury.

IHD is the most common cause of death worldwide, especially in developed nations. The changing trend of disease from infectious disease to non-communicable disease, and degenerative disease, have been thought to be related with the changing lifestyle of human.

What cause the IHD?
As previously stated that IHD is non-communicable disease mostly related to changing of human lifestyle. Thus we could identify the habits that correlates with the occurance of IHD. These factors include:

- Smoking
- High levels of certain fats and cholesterol in the blood
- High blood pressure
- High levels of sugar in the blood due to insulin resistance or diabetes
- Obesity
- Physical activity

Another factors, that we should consider such as family history, age, and sex. These factors are considered non-modified.
Love your Heart

When damage occurs, your body starts a healing process. The healing may cause plaque to build up where the arteries are damaged. The buildup of plaque in the coronary arteries may start in childhood. Over time, plaque can narrow or block some of your coronary arteries. This reduces the flow of oxygen-rich blood to your heart muscle.

How Is Coronary Heart Disease Managed?

Management for coronary heart disease (CHD) may include lifestyle changes, medicines, and medical procedures. The goals of treatments are to: Relieve symptoms, Reduce risk factors in an effort to slow, stop, or reverse the buildup of plaque, Lower the risk of blood clots forming, Widen or bypass clogged arteries, Prevent complications of CHD, Lifestyle Changes.

Encouraging cardiovascular health is not only about preventing ischaemic heart disease but also how to manage person with IHD. Health entails the ability to exercise, and enjoying vigorous activity is one of the best ways of achieving health, not just because the heart likes it, but it also can prevent osteoporosis, improve glucose tolerance, and augment immune function.

People who improve and maintain their fitness live longer: age-adjusted mortality from all causes is reduced by >40%. People gain health benefits from as little as 60 minutes of moderate-intensity aerobic activity per week. The more active you are, the more benefits. But before starting new exercise plan, health consultations is needed especially for those that have IHD.

Avoiding obesity helps too, but weight loss is only useful in reducing cardiovascular risk and the risk of developing diabetes when combined with regular exercise. Moderate alcohol drinking may also promote cardiovascular health. Alcohol also reduces gastric infection with Helicobacter pylori, a known risk marker for cardiovascular disease.

Smoking is the chief risk factor for cardiovascular mortality. You can help people give up, and giving up does undo much of the harm of smoking. Simple advice do works. Most smokers want to give up (unlike the eaters of unhealthy diets who are mostly wedded to them by habit, and the pleasure of the palate).
Just because smoking advice does not always work, do not stop giving it. Ask about smoking in consultations, especially those concerned with smoking-related disease.

Manage Stress
Stress have been overlooked by many clinicians, but recently research shows that the most commonly reported "trigger" for a heart attack is an emotionally upsetting event—particularly one involving anger. Also, some of the ways people cope with stress—such as drinking, smoking, or overeating—aren't healthy.

Learning how to manage stress, relax, and cope with problems can improve your emotional and physical health. Having supportive people in your life with whom you can share your feelings or concerns can help relieve stress. Physical activity, medicine, and relaxation therapy also can help relieve stress. You may want to consider taking part in a stress management program.
Smoking and Heart Disease

Follow a Healthy Diet
A healthy diet maybe stressful for some people, as previously described in my blog, healthy diet depends on individual state, such activity, and so on.
Diet that suits someone, can't suits the others that easy.
Pleasure of the tongue and palate determine most in someone preference in choosing diet. Thus make dietary intervention is difficult.

Anyway, there are several types of diet that have been suggested to lower the risk of having IHD. A diet rich in fruits and vegetables can increase important cholesterol-lowering compounds in your diet. These compounds, called plant stanols or sterols, work like soluble fiber.
A healthy diet also includes some types of fish, such as salmon, tuna (canned or fresh), and mackerel. These fish are a good source of omega-3 fatty acids. These acids may help protect the heart from blood clots and inflammation and reduce the risk of heart attack. Try to have about two fish meals every week.

Medicines
Medicines are used to treat CHD if lifestyle changes aren't enough. Medicines can:
- Reduce your heart’s workload and relieve CHD symptoms
- Decrease your chance of having a heart attack or dying suddenly
- Lower your cholesterol and blood pressure
- Prevent blood clots
- Prevent or delay the need for a procedure or surgery (for example, angioplasty or coronary artery bypass grafting (CABG))

Medicines used to treat CHD include anticoagulants, also called blood thinners; aspirin and other anticlotting medicines; ACE inhibitors; beta blockers; calcium channel blockers; nitroglycerin; glycoprotein IIb-IIIa; statins; and fish oil and other supplements high in omega-3 fatty acids.

Procedures and Surgery
You may need a procedure or surgery to treat CHD. Both angioplasty and CABG are used to treat blocked coronary arteries. You and your doctor can discuss which treatment is right for you.



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