IT CONCERNS ALL OF US : THE FOUR DIMENSIONS OF HEALTHY HEART

BEING AN INTERVENTION CARDIOLOGIST I CAN CLAIM PROUDLY  THAT CARDIAC MEDICINE AND SURGERY HAVE ADVANCED TO ZENITH LIKE LEVELS AND WE HAVE SUCCESSFULLY CONQUERED MOST FRONTIERS OF HEART DISEASES. THE ARRIVAL OF ADVANCED TECHNIQUES LIKE AORTIC ANEURYSM CLOSURE , ARTIFICAIL HEARTS  AND PERCUTANEOUS AORTIC VALVE REPLACEMENT HAVE REVOLUTIONISED THE TREATMENT OF HEART DISEASES.

BUT THE INCIDENCE OF HEART DIESEASES AND ITS ALLIES LIKE HPERTENSION AND DIABETES IS ALSO INCREASING AT ALARMING LEVELS. AND THE PREVENTION OF THESE KILLERS REQUIRES FULL EFFORTS FROM HEALTHY BUT VULNERABLE PEOPLE LIKE US.

SO ITS VERY CRUCIAL FOR ALL OF US TO UNDERSTAND THE REASONS BEHIND THIS RISE OF THESE SO CALLED  ” LIFESTYLE DISEASES”. THERE IS A DEFINITE CORRELATION BETWEEN EVOLUTION AND MODERNISATION OF HUMAN BEINGS AND  HEART DISEASE.

IT’S NOT EASY TO CORRELATE EVOLUTIONARY BIOLOGY WITH DISEASE PATHOGENESIS AND ITS PARTICULARLY MORE DIFFICULT FOR DISEASES LIKE ATHEROSCLEROSIS, DIABETES, STROKE , HYPERTENSION ETC. THE REASON BEING THAT PATHOGENESIS OF THESE DISEASES IS STILL INCOMPLETELY UNDERSTOOD BY DOCTORS AND SCIENTISTS.

THERE IS STRONG LINK  BETWEEN CHANGING HUMAN LIFESTYLE AND BEHAVIOUR WITH OCCURRENCE AND PREVELANCE OF VARIOUS DISEASES IN THE HISTORY OF HUMAN  EVOLUTION. THE DISEASES LIKE ATHEROSCLEROSIS, INSULIN RESISTANCE, OBESITY, DIABETES, HYPERTENSION , STROKE  WERE VERY RARE  IN THE PRE HISTORIC ERA. ONLY AFTER LATEST EVOLUTIONARY LANDMARKS LIKE FIRE COOKED FOOD ,  SETTLED AGRICULTURE AND DEVELOPMENT OF TOWNS AND CITIES WE DEVELOPED A LESS ACTIVE AND SEDENTARY LIFESTYLE. AND INTHE LAST  FEW CENTURIES  HUMAN MOBILITY,  DIET AND SCHEDULES HAVE BEEN DRAMATICALLY ALTERED BY MACHINES,  ELECTRICITY , AUTOMOBILES  AND TECHNOLOGY.

THE  LINK OF PHYSICAL ACTIVITY AND EXERCISE ON THE OCCURRENCE OF HEART DISEASE ID VERY STRONG.ITS VERY CLEAR FROM THE PRESENT DAY OBSERVATIONAL STUDIES THAT ACTIVE AND EXERCISING PEOPLE LIVE LONGER AND HEALTHIER  AND WE DON’T NEED TO LOOK BACK INTO HISTORY TO UNDERSTAND THIS TRUTH. BUT UNDERSTANDING THE LINK OF PROGRESSIVELY LIMITED PHYSICAL ACTIVITY WITH PROGRESSIVELY INCREASING LIFE STYLE DISEASES  IS NEEDED FOR ALL OF US . EQUALLY IMPORTANT ID TO GIVE OUR BODY PROPER REST AND SLEEP. ALTERED AND ABNORMAL SLEEPING SCHEDULES AND IMPROPER REST CAN  PREPOND  THE DISEASE SIGNIFICANTLY.

TALKING ABOUT DIET AND HEART DISEASES OUR DIETS HAVE COMPLETELY CHANGED DURING LAST FEW THOUSAND YEARS . OUR BODIES HAVE  DEVELOPED OVER MILLIONS OF YEARS OF NATURAL EVOLUTION  BUT WE HAVE CHANGED OUR FOOD PATTERNS VERY FAST IN LAST FEW CENTURIES. WE NEED TO UNDERSTAND WHAT OUR BODY SYSTEMS CAN HEALTHILY ACCEPT AS DIET AND DRINKS.

THERE IS A LOT OF FLURRY ABOUT ROLE OF DIET AND ESPECIALLY CHOLESTEROL IN THE ROLE OF DISEASE OCURENCES. WHAT WE NEED TO KNOW IS THE PRESENT UNDERSTANDING ABOUT CHOLESTEROL. THE REAL EVIDENCE FROM LAST ONE CENTURY OF GENUINE SCIENTIFIC RESEARCH FROM STUDIES LIKE FRAMINGTON HEART STUDY CONFIRMS THE LINK OF CHOLESTEROL AND ATHEROSCLEROSIS BEYOND DOUBT. THE CONFUSION IN SOCIAL MEDIA ABOUT ROLE OF CHOLESTEROL AROSE FROM THE AMERICAN GUIDELINES ABOUT FOOD CHOLESTEROL CONTENTS ABOUT THE PACKAGED FOOD. THE GUIDELINES WERE MEANT TO DE EMPHASIZE THE MISADVERTISMENT OF CHOLESTEROL FREE FOOD AS HEALTHY FOOD.

MOST INTERESTING TOPIC IS  THE LINK OF HEART DISEASE WITH MENTAL , EMOTIONAL, SOCIAL ,PSYCHOLOGICAL AND PSYCHOSOCIAL STRESS. HUMAN BEINGS ARE RULING THE PLANET BECAUSE OF THEIR UNIQUE CEREBRAL ABILITIES AND HIGHER FUNCTION AND THESE HIGHER FUNCTION DETERMINE OUR INTER PERSONAL AND SOCIAL INTERACTIONS.

THERE IS A PROFOUND IMPACT OF OUR SOCIAL AND PERSONAL RELATIONSHIPS ON THE RISK OF HEART DISEASE. THIS FACT HAS BEEN FOUND ASSURINGLY FROM THE 80 YEARS OF  HARVARD STUDY OF ADULT HUMAN LIFE AND THE RESULTS OF THE STUDY WERE EYE OPENING FOR ALL.  IN THIS STUDY IT WAS FOUND THAT PEOPLE WHO WORKED THE MOST AND ACHIEVED MAXIMUM WEALTH, POWER  AND WORLDLY SUCCESS ON THE COST OF THEIR PERSONAL AND SOCIAL RELATIONS AND TIME , WERE LEAST HEALTHY PHYSICALLY AND MENTALLY . ON THE CONTRARY  PEOPLE WHO INVESTED MORE QUALITY TIME IN FAMILY AND SOCIAL  RELATIONS  TURNED OUT TO BE MORE HAPPY,  HEALTHY AND LIVED LONGER.

WE HAVE TO UNDERSTAND THESE FACTS AND IMPLEMENT THEM TO IMPROVE OUR CHANCES OF LIVING HEALTHIER AND LONGER . EQUALLY IMPORTANT IS TO GET PROPER MEDICAL CHECK UPS TO PICK THESE DISEASES EARLY AND  GET APPROPRITAE MEDICAL TREATMENT  AS NEEDED. SO YOU HAVE TO MAKE YOUR DOCTOR YOUR GOOD FRIEND IF YOU GET SOME OF THESE DISEASES AND YOU WILL BE REAPING THE  FRUITS OF ADVANCED MEDICAL KNOWLEDGE.

TO SUMMARISE ,

THE  FOUR DIMENSIONS OF HEART HEALTH  ARE :

 1)  ACTIVE LIFESTYLE FULL OF HEALTHY EXERCISE  AND PROPER REST 

2)  HEALTHY , NUTRITIOUS DIET  AND GOOD FOOD HABITS

3)  GOOD  PERSONAL  AND SOCIAL RELATIONS  AND LASTLY

 4)  PROPER MEDICAL CHECK UPS AND MEDICAL CARE.