Miracles do happen !!!

To download PDF file of the case, please follow these links.

Click on link at A Case of Coma and Renal Failue (On Ventilator Support) in Success Stories Section of our website. http://www.wix.com/drbindras/cardiolifecare#!__success-stories

or

to directly download the file click http://www.mediafire.com/?cs2qvedm26vdszf

Preventing Winter Heart Attacks

Winter is high time for heart attacks. Before you go out to shovel snow or start your new exercise routine, learn about your personal heart attack risk.

Exactly why winter is prime time for heart attack is still an evolving story, but many theories exist and possibly overlap. During the winter months, "there is a change in the ratio of daylight hours to dark hours, which changes the hormonal balance, and the hormones involved, such as cortisol, can lower the threshold for a cardiovascular event".

But that's not all that's going on. Cold temperatures cause arteries to tighten, restricting blood flow and reducing the oxygen supply to the heart, all of which can set the stage for a heart attack.

"In cold weather, there is more oxygen demand by the heart because it is working harder to do the work and maintain body heat,".

studies have shown that heart attacks and complications related to heart disease occur more frequently in the morning hours.

Research suggests that the early-morning rise in blood pressure, or "a.m. surge," that occurs in most people may dramatically increase the risk of having a heart attack or stroke.

This shift of activities to morning hours adds to the normal circadian variation in mornings --further increasing heart rate, blood pressure, and the hormones that lower the threshold for a cardiovascular event,".

Gurpurab Greetings to you and your family...

Diet and Nutrition Bulletin

Pistachios are among the most nutritious of nuts you can choose. They offer morefiber in fewer calories than many other varieties, including almonds, cashews, walnuts and macadamias. With healthy fats and satiating qualities, pistachios make a healthy snack.


NUTRITIONALLY DENSE: A 1-oz. serving (~50 kernals) contains 170 calories and as much fiber as a small bowl of oatmeal. They contain high levels of vitamin B6, potassium, magnesium and phosphorous. Pistachios also offer several of the B complex of vitamins, vitamin C, vitamin E, zinc, manganese, selenium and copper.

FAT FACTS: Although pistachios seem high in fat, most of it is the unsaturated variety. Consuming unsaturated fats instead of saturated and trans-fats may help to reduce cholesterol levels.

ARGININE: Pistachios are rich in arginine, a nutrient that is believed to reduce hardening of the arteries. Arginine helps the blood make nitric oxide, which helps keep the artery walls clean.

PHYSTOSTEROLS & ANTI-OXIDANTS: Pistachios also contain phytosterols, compounds found in plants that deter your body from absorbing dietary cholesterol. Pistachios also provide 398 mcg of lutein per 1-oz. serving. Lutein is an antioxidant that helps with eye and skin health and fights free radicals that promote aging.

DIABETIC FRIENDLY: The special antioxidants found in pistachios can prevent a harmful process called glycation. Glycation occurs when sugars bond inappropriately to proteins, making the proteins unusable. This is the process by which diabetes damages tissues, and its products are called AGE or Advanced Glycation End-products. So pistachios can be a powerful ally in the treatment of diabetes and its related syndromes.

*A snack of pistachios and fruit is healthier in every way than a snack of chips, fast food fries.
* Add some ground pistachios to your milkshakes or salads and chaats.

WARNING
Pistachios have many healthy qualities, but they do contain calories. Choosing salted varieties may raise your sodium intake to unhealthy levels. Eat unsalted pistachios in moderation and avoid over-indulging.

Cardiology News

High Blood Pressure May Spark

Facial Nerve Pain

Patients with hypertension appear to carry a higher risk for developing trigeminal neuralgia, a Taiwanese study showed. Through about three years of follow-up, patients with high blood pressure were about 50% more likely to develop trigeminal neuralgia than those with normal BP (HR 1.51, 95% CI 1.19 to 1.90), Shin-Liang Pan, MD, PhD, of National Taiwan University in Taipei, and colleagues reported in the Oct. 25 issue of Neurology. "Our findings therefore provide evidence for a temporal association between hypertension and trigeminal neuralgia," they wrote, adding that "further long-term follow-up study would be required to validate our findings and to investigate the underlying pathophysiologic mechanism." Although the exact cause of trigeminal neuralgia is unknown, there is evidence to suggest that it could be caused by compression of the nerve by a tortuous vessel, which leads to demyelination, according to the researchers. Cerebral vascular tortuosity has been associated with hypertension, they added. Previous studies that have looked into a possible connection between hypertension and trigeminal neuralgia have yielded mixed results, so Pan and his colleagues wanted to explore the relationship using the National Health Insurance claims database in Taiwan, which covers nearly all residents of that country. The analysis included 138,492 adults with at least two ambulatory visits with a principal diagnosis of hypertension compared with 276,984 randomly selected people without hypertension matched by age and sex. Those with trigeminal neuralgia at baseline were excluded. At baseline, the mean age in both groups was 57, and about half of the individuals were female. Hyperlipidemia was more prevalent in the hypertension group (9.7% versus 7.4%, P<0.0001). During a median follow-up of 31.8 months, trigeminal neuralgia developed in 121 patients in the hypertension group and 167 in the control group (0.09% versus 0.06%), a difference that remained significant after adjustment for demographics and medical comorbidities. Pan and colleagues noted in their paper that the most plausible explanation for the relationship is that hypertension is inducing arterial tortuosity, which is compressing the trigeminal nerve and resulting in ectopic excitation and ephaptic transmission. But an additional possibility is that both hypertension and trigeminal neuralgia share a common cause. "Some studies have suggested that vascular compression of the ventrolateral medulla is associated with a subgroup of patients with essential hypertension," the researchers wrote. "It raises a possibility that the link between hypertension and trigeminal neuralgia seen in our study may be attributed to a common etiology, namely, neurovascular compression at the brainstem." Various studies have failed to support that possibility, however. The authors noted that the study was limited by the use of diagnostic codes to determine all diagnoses, the lack of some information regarding risk factors for hypertension, the follow-up time of only three years, and the uncertain generalizability to ethnic groups other than those of Chinese ancestry. The study was supported by the Department of Health, Executive Yuan, Taiwan. Pan reported that he had no conflicts of interest. One of his co-authors serves as an Associate Editor for the Journal of Epidemiology and Community Health and on the editorial advisory board of the World Journal of Gastroenterology.

Primary source: Neurology

Source reference:

Pan S-L, et al "Increased risk of trigeminal neuralgia after hypertension: a population-based study" Neurology 2011; 77: 1605-1610. 

World Heart Day 2011

What Can I do to Avoid a Heart Attack or a Stroke?

Q: What can I do to avoid a heart attack or a stroke?

A: WHO estimates that more than 17.3 million people died of cardiovascular diseases such as heart attack or stroke in 2008. Contrary to popular belief, four out of five of these deaths occurred in low– and middle–income countries, and men and women were equally affected.

The good news, however, is that 80% of premature heart attacks and strokes are preventable. Healthy diet, regular physical activity, and not using tobacco products are the keys to prevention.

Eat a healthy diet: 
A balanced diet is crucial to a healthy heart and circulation system. This should include plenty of fruit and vegetables, whole grains, lean meat, fish and pulses, and restricted salt, sugar and fat intake intake.

Take regular physical activity: 
At least 30 minutes of regular physical activity every day helps to maintain cardiovascular fitness; at least 60 minutes on most days helps to maintain healthy weight.

Avoid tobacco use: 
Tobacco in every form is very harmful to health – cigarettes, cigars, pipes, or chewable tobacco. Exposure to second–hand tobacco smoke is also dangerous. The risk of heart attack and stroke starts to drop immediately after a person stops using tobacco products, and can drop by as much as half after one year.

Check and control your cardiovascular risk:

• Know your blood pressure:
  High blood pressure usually has no symptoms, but can cause a sudden stroke or heart attack. Have your blood pressure checked.
• Know your blood sugar:
  Raised blood glucose (diabetes) increases the risk of heart attacks and strokes. If you have diabetes it is very important to control your blood pressure and blood sugar to minimize the risk.
• Know your blood lipids:
  Raised blood cholesterol and abnormal blood lipids increase the risk of heart attacks and strokes. Blood cholesterol needs to be controlled through a healthy diet and, if necessary, by appropriate medications.

Source: WHO

Dengue Bulletin

PARACETAMOL CAN PROVE

TOXIC IN DENGUE

Paracetamol should not be taken when you have dengue, because the therapeutic dose is very close to a toxic dose when you have dengue. Paracetamol is toxic to the liver, and since the dengue virus causes transitory hepatitis, using Paracetamol has caused sudden, severe, medicinally-induced hepatitis, which is believed to have caused some deaths. 

Source: http://www.naturalhealthstrategies.com/natural-treatment-dengue-interview.html

DENGUE BREAKOUT IN LUDHIANA

Dengue break out in Ludhiana, fresh cases in last 2 days reported....Be aware friends and take care of your family, loved ones and yourselves. Do follow preventive measures so as to fight collectively in terms of prevention and on time management. God bless !!!

Safety and Precautions for Prevention

The guidelines below will give you an overview of how you can prevent the Aedes mosquito from breeding.

-  Prevent Mosquito Breeding (Growth)

- Clear any stagnant water in your air cooler unit.

- Remove water in plant pot plates. Clean and scrub the plate thoroughly to remove mosquito eggs. Avoid the use of plant pot plates, if possible.

- Loosen soil from potted plants to prevent the accumulation of stagnant water on the surface of the hardened soil.

- No tray or receptacles should be placed beneath and or/ on top of any air-conditioning unit so as not to create a condition favorable for mosquito breeding.

- Change water in flower vases. Clean and scrub the inner sides of vases. Wash roots of flowers and plants thoroughly as mosquito eggs can stick to them easily.

- Clear fallen leaves and stagnant water in your scupper drains and garden. These leaves could collect water or cause blockages to the drains, thus resulting in the buildup of stagnant water.

- Discard items that collect rain or run-off water, especially old tyres. Keep containers outside the home and gutters dry.

- Insist that public-health officials safeguard your community by eliminating stagnant water sites in construction and wastewater treatment areas.

Precautions for Safety from Mosquito Bites

·    Sleep on a bed inside a mosquito net.

·  When outdoors, wear long-sleeved shirts and long pants. Wear longer clothing that covers exposed skin in the arms and legs to thwart bites.

·   Apply insect repellants on skin. Use mosquito patches, sprays, or use high-tech gadgets such as the ultrasonic anti-mosquito repellant.

·    Warn children not to play near still water.

·    When available use air-conditioning. Attach screens to all windows and doors.

·    Avoid hanging clothes in dark corners as these serve as hiding places for mosquitoes.

Warnings !!!

·    Do not ignore mild symptoms of fever, body pains, and rashes on body or infections. Do 

     visit the nearby Physician to properly diagnose and treat the condition.

·   Self-medication or prescription of quacks (unregistered practitioners) / pharmacists is just like suicide in such cases because you never know which medicine is going to act in opposite direction in such cases like Aspirin can worsen Dengue patients condition very progressively. So always do visit a registered Medical Practitioner whenever you experience any symptoms.

·   Taking some home remedies, which is a fashion in Dengue season, like Juices of some fruits or some leaves or anything else is nowhere beneficial in Dengue. Only medicines can save a Dengue patient if intervened in time.

For any queries do freely contact us at info@drbindras.in or cal us at 0161-3069090

visit us at http://www.wix.com/drbindras/dengueandhomeopathy for Dengue Helpline and Queries.

NEWS DESK

Ambulatory BP Predicts Renal and CV Events

In a study of 436 patients with chronic kidney disease not on dialysis (mean age 65.1 years), ambulatory blood pressure (BP) measurements showed risk of both renal and cardiovascular (CV) events to be highest when daytime systolic BP was 135 mm Hg or higher, when diastolic BP was in the highest quintile, and when nighttime systolic BP was 124 mm Hg or higher. Nighttime diastolic BP of 70 mm Hg or higher was a predictor of CV events and end-stage renal disease. Office BP measurement were not predictive of CV or renal events, researchers reported in Archives of Internal Medicine (2011;171:1090-1098).

Persistent Hematuria in Kids Portends ESRD

End-stage renal disease (ESRD) is more likely to develop in adolescents and young adults with persistent microscopic hematuria, according to a report in the Journal of the American Medical Association (2011;306:729-736).

Over nearly 22 years of follow-up, treated ESRD developed in 26 of 3,690 (0.70%) persons aged 16 through 25 years who had been diagnosed with persistent asymptomatic isolated microscopic hematuria at baseline compared with 539 of 1,199,936 patients (0.045%) without such a diagnosis. In adjusted analyses, ESRD was 18.5 times more likely to develop in subjects with hematuria. The authors noted, however, that the incidence and absolute risk of ESRD remain quite low.

Source: Nephrology and Cardiology News Portal/2011/September

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visit us at www.onlinehomoeopathictreatment.com ; www.cardiolifecare.in 

TOP 25 REASONS TO GET RUNNING

Running is one of the best forms of exercise, not only for getting fit but for weight control too. A 30-minute run, three to four times a week, trims your waistline, strengthens the cardiovascular system, improves muscle tone and definition and helps foster a positive mental attitude. Running can also be a great social activity. Here are the top 25 tips on why you should start running today.

1. Running is the quickest way to cardiovascular fitness. You get fitter faster by running regularly.

2. Running is one of the cheapest forms of exercising. You only need a pair of running shoes and shorts and T-shirt to get started.

3. Running is easy to learn. Most people have run at some point in their life, either competitively or at school/college, so there is no steep learning curve involved.

4. Running makes you feel good, not only physically, but mentally as well.

5. Running is excellent for reducing stress levels. There is nothing better than a run to clear your head and concentrate the mind. Many great ideas have been formulated on training runs.

6. Running is one of the most flexible methods of training around. Wherever you are in the world, it is nearly always possible to get out for a run. You can jog, steady run or sprint depending on how you feel that particular day.

7. Running is good for your heart. It not only strengthens the heart but also reduces the actual resting heart rate.

8. Running is accessible to all. As long as you are physically able, you can go for a run virtually anytime and anywhere. There are no race barriers to running.

9. Running helps you to lose weight and tone muscles. The more your train and run, the more weight you will lose. Also by toning up, you are getting rid of the excess fat and converting it to muscle.

10. Running is for people of all ages. Old or young, everyone can benefit from running.

11. It is good for your sex life! By being more physically active you increase your sex drive.

12. When run training, you can get away with eating chocolate and legitimately say it is part of your training program.

13. Running is a great way to recover from a hangover. A run will help clear your head faster than sitting around feeling terrible.

14. Running is a great safety aid. Being able to run away from people puts you in a much better position if you are chased.

15. You can use running to change other people's lives. Run for a charity and raise money to help the needy or less able.

16. Running with friends gives you time to catch up on gossip and get fit at the same time.

17. Running is a time-efficient way to get fit and lose weight so you have more free time after exercising to enjoy yourself.

18. Running is a challenge that can be motivational and bring great personal satisfaction.

19. Running is a great way to see a new place if you have limited time available for sightseeing. Just think how much more of a place you can see when running around it compared to walking.

20. Running improves your concentration as you are forced to concentrate more when running. This in turn improves your concentration when you have to focus in other areas of life.

21. You nearly always work better after a run because you are still on a runner's high and feel ready for anything.

22. Running is a great way to meet people, especially if you join a club or enter a race.

23. There are no monthly subscriptions with running. You just put your running shoes on and go.

24. Endurance built-up through running can be transferred to other sports.

25. If you drink alcohol you can just run a little bit further the next day to work off the extra calories.

DIETARY RESTRICTIONS DURING HYPOTHYROIDISM

1. Iodine Intake

It's no secret that iodine is needed to produce thyroid hormone in your body. If you have hypothyroidism, diet should always include foods that are high in iodine.

You should make sure to use iodized salt instead of plain rock salt in cooking.

2. Water

You need to drink lots of water, at least 64 ounces or 8 glasses a day. Remember when you are dehydrated,        your body stores more fat and making you gain more weight.

3. Fiber

Fiber is beneficial to you if you have hypothyroidism. Diets high in fiber will not only help you lose weight but    also promote regularity in your bowel movement and can help lower your cholesterol. How does it make you           lose weight? Fiber makes you feel full so it lessens your hunger levels, and will simply make you burn more calories. Most fruits and vegetables are high in fiber content.

4. Coconut Oil

It has been identified that consumption of coconut oil stimulates the production of thyroid hormone. It increases your metabolism and is considered as an energy booster but this should be taken in moderation, appropriate to your age and body structure.

5. Green Tea

Green tea helps you lose weight by raising your metabolism and also through fat oxidation. You can start             drinking a cup of green tea everyday.

6. DIET RESTRICTIONS

Complete Restriction : Spinach (PAALAK)  & COFFEE (coffee beans only)

Once a week (only)    : Cabbage, Cauliflower, Soyabean (all products)  

CORONARY ARTERY DISEASE AND HOMOCYSTEINE

What is homocysteine? 

Homocysteine is an amino acid that is produced by the body, usually as a byproduct of consuming meat. Amino acids are naturally made products, which are the building blocks of all the proteins in the body.

Why is it important to monitor homocysteine levels?

Elevated levels of homocysteine (>10 micromoles/liter) in the blood may be associated with atherosclerosis (hardening and narrowing of the arteries) as well as an increased risk of heart attacks, strokes, blood clot formation, and possibly Alzheimer's disease.

In 1969, Dr. Kilmer S. McCully reported that children born with a genetic disorder called homocystinuria, which causes the homocysteine levels to be very high, sometimes died at a very young age with advanced atherosclerosis in their arteries. However, it was not until the 1990's that the importance of homocysteine in heart disease and stroke was appreciated.

What are the possible symptoms or features of elevated homocysteine levels?

Theoretically, an elevated level of homocysteine in the blood (hyperhomocysteinemia) is believed to cause narrowing and hardening of the arteries (atherosclerosis). This narrowing and hardening of the vessels is thought to occur through a variety of ways involving elevated homocysteine. The blood vessel narrowing in turn leads to diminished blood flow through the affected arteries.

Elevated levels of homocysteine in the blood may also increase the tendency to excessive blood clotting. Blood clots inside the arteries can further diminish the flow of blood. The resultant lack of blood supply to the heart muscles may cause heart attacks, and the lack of blood supply to the brain causes strokes.

Elevated homocysteine levels also have been shown to be associated with formation of blood clots in veins (deep vein thrombosis and pulmonary embolism). The mechanism is complex, but it is similar to the way that they contribute to atherosclerosis. In some studies, even moderate levels of homocysteine level showed higher rates of repeated incidence of blood clot formation.

Does lowering homocysteine levels prevent heart attacks and strokes?

Currently, there is no direct proof that taking folic acid and B vitamins to lower homocysteine levels prevents heart attacks and strokes. However, in a large population study involving women, those who had the highest consumption of folic acid (usually in the form of multivitamins) had fewer heart attacks than those who consumed the least amount of folic acid. In this study, the association between dietary intake of folate and vitamin B6 and risk of heart disease was more noticeable than between dietary intake of vitamin B12 and heart disease, which was minimal.

Many other observational studies have been performed to assess the effect of folate and the other B vitamins on heart disease. Most of these studies have concluded that oral intake of folate has been associated to lower risk of heart disease, possibly because due to lowering of homocysteine levels. The relation between oral intake of vitamin B12 and B6 and heart disease was not as obvious in many of these studies.

In one study, it was concluded that even in people with elevated homocysteine levels due to genetic reasons, oral intake of folate and possibly the other B vitamins was related to lower incidence of heart disease.

Most of these data, however, are obtained from observational studies rather than purely controlled scientific data. Therefore, it is important to mention that despite these studies suggesting an association between the intake of these vitamins and the lower incidence of heart disease, in general, there is no compelling clinical evidence to treat hyperhomocysteinemia other than homocystinuria (the severe genetic form) in regards to heart disease, stroke, or blood clots.

(Ref.: MedicineNet)