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Heart Of Down Under (2020) NEW!



There is no cure for rheumatic heart disease and the damage to the heart valves are permanent. Patients with severe rheumatic heart disease will often require surgery to replace or repair the damages valve or valves. Depending on the severity of disease, medication may also be needed to treat symptoms of heart failure or heart rhythm abnormalities. Medications which thin the blood to reduce the risk of blood clots may also be needed. In the case of serious disease surgery may be required to repair or replace the heart valves. This is often not available in low-income settings, or when it is available the costs may be too high if not covered as part of national health plans, putting families under increased financial strain.




Heart of Down Under (2020)



Heart palpitations, in particular, can be a source of worry. "People have a heightened awareness of their own heart when they experience palpitations," says Tung. "They may feel like their heart is fluttering or thumping or has suddenly skipped a beat." Palpitations can be a symptom of a panic attack or other cases of short-term or long-term stress or can result from caffeine or certain medications. However, in some cases, palpitations are a symptom of a condition known as an arrhythmia or irregular heartbeat. "Arrhythmias, such as atrial fibrillation, are serious conditions that should not be ignored," says Tung. "If you are experiencing frequent palpitations, your physician can conduct an exam and may conduct additional tests to determine if palpitations are caused by stress or underlying heart disease." Tests might include an electrocardiogram with a Holter monitor, a portable machine worn at home for 24 to 48 hours to monitor your heartbeat during day-to-day activities.


Before and after the workshops, participants underwent a stress task that simulated a high-pressure performance situation, akin to presenting at a business meeting. In anticipation of the stressful performance, the group that had completed the cognitive workshop showed elevated breathing and heart rates, as expected. In contrast, the SKY Breathing group held steady in terms of breathing and heart rate, suggesting the program had instilled in them a buffer against the anxiety typically associated with anticipating a stressful situation. This meant that they were not only in a more positive emotional state, but also that they were more able to think clearly and effectively perform the task at hand.


To get an idea of how breathing can calm you down, try changing the ratio of your inhale to exhale. This approach is one of several common practices that use breathing to reduce stress. When you inhale, your heart rate speeds up. When you exhale, it slows down. Breathing in for a count of four and out for a count of eight for just a few minutes can start to calm your nervous system. Remember: when you feel agitated, lengthen your exhales.


Well, I think it starts first of all with suspicion and knowledge. You know, I'm a preventive cardiologist, and so I focus highly on risk and long-term risk. And so, in order to, you know, to have an indication to be on a statin, you have to understand that in the context of someone's risk. So, you know, people who have heart disease already, people who have diabetes, people whose LDL cholesterol is very high, it's called severe hyperlipidemia, so that would be an LDL cholesterol greater than equal to 190. And then people with premature history of coronary disease, such as familial hypercholesterolemia, those people should really be on a statin. And so, those people who don't, you know, if patients do not meet those criteria, then it's all about what your long-term risk of developing a heart attack or stroke would be. And then that helps us guide whether or not you should be on a statin. So, in general, you know, people who are younger, who don't have any risk factors for heart disease can usually get away with lifestyle changes, diet and exercise. But as you age or develop any risk factors like high blood pressure, diabetes, obesity, inflammatory diseases, such as lupus or rheumatoid arthritis, all those things can enhance your risk for getting heart disease and would be an indication to go on a statin. Now, you mentioned, you know, diet and exercise. So, you know, to a moderate degree, changing your eating habits and getting some exercise can lower your bad cholesterol, specifically decreasing saturated fat in your diet, decreasing dietary cholesterol and increasing soluble fiber and plant sterols in your diet can lower your LDL cholesterol. On the other hand, exercise and weight loss can improve your triglycerides and raise your HDL cholesterol, that good cholesterol. But, you know, in general, the effects are relatively modest, usually about a 10 to 20 percent change, whereas statins can decrease your LDL cholesterol by over 50 percent in many cases.


No. I wouldn't really put it that way. You know, diet has a lot of components in it. And even though the statin will help lower your cholesterol, a poor diet that's high in saturated fat, high in sodium or salt, you know, and low in potassium and essential nutrients can have negative effects on your health way beyond the cholesterol. First of all, high sugars are stored in your body as fat. So, even though you're not eating a high-fat diet, you will definitely gain weight by eating sugary drinks, like, you know, non-diet sodas, sugar-sweetened beverages. Things that are high in fat and cholesterol and sodium will cause blood pressure to go up and cause your triglycerides to go up. And triglycerides, you know, I mentioned briefly, but are another, you know, lipid risk factor that many people overlook. And so, we know that even if you could get your LDL cholesterol down to low levels with a statin, there are many other, these lipoproteins out there in your blood that contribute to heart disease that are not necessarily lowered by the statin, and the diet plays a really important role in that. So, you're not off the hook eating the cheeseburgers and fried chicken just yet.


Sure. You know, genetics do play a role in your cholesterol set point. So, in other words, the amount of cholesterol that the liver makes and reabsorbs from your bloodstream is primarily determined by your genetics. However, statin and other lipid lowering medications can alter how your liver handles cholesterol and drive down bad cholesterol to very low levels. Now, there are some genetic diseases associated with very high levels of cholesterol, such as familial hyperlipidemia, or FH, that can cause premature development of heart disease, heart attacks, and death. And those diseases which are, you know, genetic diseases can run in families and are very dangerous.


So, I would say, you know, talk to your doctor, see a preventive cardiologist, if you're concerned. We can address all of your questions. We can, you know, help you understand the risks and the benefits of taking medicines like statins as well as other medications to prevent heart disease and stroke. And it's really important to have the correct information and to feel comfortable in understanding what it means to take a statin. It also is important to understand, you know, what the myths are out there and what are the truths. And the only way to really do that is to, you know, sit down with someone who has expertise in these areas and really find out the nitty gritty of what you need to know. And it's, as always, it's important to check your numbers. So, many people don't know they have high cholesterol until their doctor checks it which may or may not be until someone's, you know, in their 40s or 50s. So, it's very important to get your numbers checked and know what your numbers are and know what your goals are. And I think that's, that will go a long way to helping you identify areas that, you know, you need to improve in. And if you get a good preventive cardiologist to work with you, you are guaranteed to lower your risk for heart disease, as much as possible and live healthier, longer lives.


To decrease the risk of these heart problems that can be life-threatening, we are warning the public that hydroxychloroquine and chloroquine, either alone or combined with azithromycin, when used for COVID-19 should be limited to clinical trial settings or for treating certain hospitalized patients under the EUA. FDA will continue to investigate risks associated with the use of hydroxychloroquine and chloroquine for COVID-19, and we will communicate publicly when we have more information.


BACKGROUNDThyroid hormone has direct effects on heart function, blood vessels and cholesterol levels. In hypothyroidism, symptoms may include slowing of the heart rate, constriction of the blood vessels and increased blood pressure, retention of fluid and edema and an increase in cholesterol levels. Severe cases of hypothyroidism can cause heart failure and death. Hypothyroidism is treated with thyroid hormone replacement, which can reverse most of these negative effects. However, overtreatment of hypothyroidism can result in high thyroid levels and fast and irregular heart rates. There are a few clinical studies that have looked at the risk of heart problems in terms of duration of disease and treatment of hypothyroidism. This study investigated the risk of heart problems events in a large, well-characterized population in Denmark, focusing on the long term effects of undertreatment and overtreatment of hypothyroidism. 041b061a72


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