prevailing in all generations and in all walks of life is heart disease. Despite enormous efforts to prevent cardiovascular diseases (CVD) in the past, it remains the leading cause of death in most countries worldwide.
Around two-thirds of these deaths are due to acute events, which frequently occur suddenly and are often fatal before medical care can be given. Also, many people have been born to families with both their parents having heart complications or conditions. As such, the risk of acquiring heart issues may quickly step in after growing into adulthood and the probability of suffering from it as people grow older would be inevitable as a result of the ruinous lifestyle people practice every day.
Nowadays, the advances in technology have offered many options for both heart care and heart treatment. From coronary andiogram that shows well how blood circulates, to angioplasty that eliminates blood clots in vessels, these countless heart management tools that maintained and improved the quality of life. But still, one issue that overcomes these progressions is people’s awareness and their ability to absorb health education. Sometimes, people would be more inclined to cure than in prevention, which should be the other way around. Kudos to those companies who have already collaborated with our HDCares CSR campaign where our main priority is education for prevention (learn more about HDCares at www.healthwise-digest.com).
For this month’s issue, there is no doubt that theme is already about heart health. We have compiled articles that tackle common issues that educate the public about their hearts. Our piece on cholesterol discusses the truth about it and aims to inform readers how it is not solely a source of bad health but also has a notable function too in our bodies. Also our write-up on atrial fibrillation presents an overview for people with irregular heartbeats to immediately seek medical attention to avoid stroke.
Our resident columnist, Dr. Anna Roslyakova offers an interesting read this month on Cardiovascular Disease that could greatly affect both the hert and the brain.
On a brighter note, we have also talked with this issue’s Healthwise Girl, Ms. Chamroeun Sopheak, who was a top favorite among one of tv's newest singing competitions. She shared interesting bits of how she manages her health and advice for her followers how they can easily maintain their hearts' health.
There is no doubt about the great leaps today’s technology offers to the public but still the problem remains to people’s habits and their awareness towards these heart diseases. So ask yourself, “Do you look inside your heart?"
Long term lower-back pain can cause a change in a patient’s manner of walking. Some serious conditions can arise from this, such as foot disabilities
While medical treatments are available that can relieve lower-back pain for short periods, the symptoms often return, usually in a more severe form.
Dr. Sik Thireak, an orthopedist at Samnang 12 Bone Clinic, said the problems that cause lower back pain cannot be detected by X-ray, adding that patients need a Magnetic Resonance Imaging (MRI) scan of their vertebral discs to see if the cause of their pain lies there.
“Long term lower-back pain can cause a change in a patient’s manner of walking. Some serious conditions can arise from this, such as foot disabilities,” he said.
Lower-back pain can worsen if the patient fails to follow healthcare recommendations such as exercising regularly and maintaining a healthy weight.
“Medical treatment is important, but it is not always the answer. The important thing for lower-back pain patients is to exercise and stay fit. Some patients don’t require any medical treatment at all,” Dr. Thireak said.
Some serious conditions causing intense lower-back pain require bone surgery, the doctor said, adding that every case was different.
The doctor warned that patientswho need disc surgery sometimes suffer from
a relapse of the condition, but that doing surgery on the same disc a second time is difficult. In some cases, lower-back pain can spread to other discs.
Dr. Thireak said he had seen cases where lower-back pain returned four years after being treated. He said this was usually the result of weight gain.
However, he added that in most cases lower-back pain is not indicative of a very serious illness. If the condition lasts for just a few days, an MRI scan is not required. Nonetheless, anyone suffering back pain should consult an expert to ensure they get the right treatment, if needed. Sonyka, Va. (2016, December 28). Disability Warning for Long-Term Lower Back Pain, Health Section, Khmer Times.
Since lower back pain can result from any of several major causes, sufferers are urged to consult a doctor to ensure they get the right treatment.
Many Cambodians suffer from lower back pain as the result of manual labor work and certain lifestyle factors.
Dr. Sik Thireak, an orthopedist at Samnang 12 Bone Clinic, said people aged 30-60 are the most likely group to face lower-back pain. In Cambodia, men are more likely to suffer the condition than women since they hold most of the manual labor jobs.
People who sit for long hours are prone to experience lower back pain, while children who carry heavy backpacks are at risk of developing the condition later in life. Parents are urged to guard against this.
A few of the main causes of lower back pain are: being overweight; age; an underlying illness; and doing manual labor work (the biggest single cause).
Since lower back pain can result from any of several major causes, sufferers are urged to consult a doctor to ensure they get the right treatment.
Dr. Thireak said that if you feel pain after carrying something heavy, you should consult a physician. Most often, balm and a bandage will relieve the symptoms. Keeping the condition at bay or from deteriorating once you’ve experienced it, however, often requires a few lifestyle changes.
Patients should avoid carrying anything heavy until the condition is relieved. Failing to do so runs the risk of injury to a muscle or disc.
Some patients are eventually told to exercise in order to strengthen their discs and/or alter their diet in order to lose weight. He added that weight changes can lead to damaged or broken discs, especially in manual laborers. Those who are overweight potentially enjoy the added benefit of losing weight.
You can have rich food for breakfast as long as you reduce the size of the meals you eat for lunch and dinner. A good option to help reduce hunger is to have a glass of milk or water 10 minutes before each meal.
Lower-back pain patients are strongly advised not to engage in vigorous exercise. Exercises that do not increase the pain can be attempted.
At 25 years of age, Chamreun Sopheak is finally living her dreams. Born in Bakheng District, Kondal Province, a 30-minute ride away from Phnom Penh, Sopheak currently bagged 4th place at the acclaimed international reality television singing competition, The Voice Cambodia.
“My family is a mid-sized one. I have two other siblings—an elder sister and a younger brother. My dad works as an artist ministry officer and my mom is a plain housewife. I was sent to an NGO of Khmer Amatak for Art when I was in primary school. There, I studied different forms of dance, which includes blessing dance.”
Sopheak’s perception towards classic dance is that it is a challenge because it doesn’t bring much income. The classical dancers need to study and practice for years and they only get limited support from the Cambodian people. However, her determination set her goals and thus, helped her achieve her dreams. “I was fascinated with entertaining people and I eventually learned singing.”
Remarkably, Sopheak also holds a degree in art, department of music and majors in classical songs. “I was really keen to perform. During my stay at the university, I already joined a few contests such as Yi Ke song at Bayon TV and I won 2nd prize. I also won 1st prize at the CTN contest for classic song. My proudest achievement so far was The Voice Cambodia. The season ended with me qualifying as top 4.”
I am so fortunate to receive a huge support from my parents. That is the reason I decided to become an artist. My dad advised that he wanted his daughter to showcase our Khmers splendid artistry to the world. I remembered that and I committed myself to making that dream come true.
“I have never had any serious diseases since I was a child because I take care of my diet through healthy food and drinks. We are trained to drink water because dancing is also an exercise and you’ll really sweat a lot.”
Please do check your health especially your heart. If you are experiencing symptoms, do not wait until it is already severe. Please receive treatment and always follow the doctor’s prescription,” she concluded.
Improving the monitoring of disease emergence and progression related to changes in human demographics and transportation
Phnom Penh – The ECOMORE Project’s Final Symposium, held last 5th of December 2016 at the Le Royale Raffles Hotel, highlights the project’s component in Cambodia, which aims to alert public health authorities on possible dengue outbreaks through its early warning system.
Head of Epidemiology and Public Health Unit of Institut Pasteur du Cambodge Dr. Arnaud Tarantola emphasized that the ECOnomic development, ECOsystem MOdifications, and emerging infectious diseases Risk Evaluation, commonly known as ECOMORE, places high importance on borders and roads where prevalent exchanges in diseases occur. “If people travel, so do viruses,” he attested.
By providing an early warning system to predict the epidemic, the ECOMORE model enables local healthcare providers to anticipate better management of the disease. Dengue, especially in developing countries, is a year-round public health threat and the number of dengue cases in the Southeast Asia region is expected to increase especially during wet season.
Dr. Didier Fontenille, Director of Institut Pasteur du Cambodge, stated that dengue has always been a major public health concern and that a better knowledge and understanding of the disease should be clearly met.
“Dengue is a major public concern in Cambodia. We believe that we can do something about it. We do not talk about drugs yet as there is no available vaccine in Cambodia as of the moment. However, a vaccine is not efficient enough. Hence, we need to have a better knowledge and understanding of the disease. We need to know how many dengue cases we have, how many vectors are prevailing, and where we can find these cases. The ECOMORE model, then, offers the early warning system that anticipates and predicts dengue outbreak in the country. [By] having this knowledge, we will have a better control of the disease at the health center level, at the hospital level and in vector control,” Dr. Fontenille said.
Entomology Supervisor Mr. Didot Prasetyo also presented in the symposium the different vector collection techniques used during the ECOMORE campaign such as CDC Light Traps, Double Nets, Mechanical Aspirators, BG-Sentinel Traps and Backpack Aspirators for both Culex and Aedes mosquito genera. This collection aims to improve vector control in both hospitals and communities. It is considered that both mosquito genera thrive on different seasons—Culex during the dry season and Aedes during the wet season (June and July). Though the country’s dengue rate is lower in 2016 compared to previous years, there has been a recorded increase in cases for the months of July and August most specifically among children 5 to 10 years of age.
The improved surveillance in sentinel hospitals also allowed the creation of an algorithm that detects irregularities in surveillance data to anticipate major outbreaks few weeks in advance. For instance, Phnom Penh’s early warning surveillance for 2008 till 2015 lead to two accurately predicted outbreaks and four accurately predicted non-major outbreaks. Remarkably, the surveillance showed major outbreak predictive capability of 8.8 weeks in advance. Further differences in data from specific Cambodian provinces were also presented during the symposium by Ms. Julia Ledien, a freelance statistical epidemiologist in France.
Every knowledge and data encountered during the project could also be transferrable and usable to manage chikungunya and zika viruses.
“The ECOMORE project is a success for many reasons. We managed to attain a better understanding of the emergence and occurrence of dengue as well as the relationship between dengue and mosquitoes."
"It has also helped improve alerts and warning systems for the management of the disease. Moreover, it is also a useful not only for dengue but also for other viruses with dengue-like symptoms such Chikungunya and Zika. We may make a phase in the future for these two,” Dr. Fontenille added.
The ECOMORE project also offered a training component towards local government units where nurses and doctors were trained for the project. Likewise, proponents of the project are positive that it could decrease cases once policies concerning national dengue control are established. “The objective for such program is not only research and data. It is also knowledge translation. The objective is to transfer the information obtained into policies and action in controlling the disease.” he concluded.
Major beneficiaries of the project include healthcare providers who will be able to clearly identify different categories of suspected cases of dengue, the National Center for Parasitology Entomology and Malaria Control who will receive the data, medical practitioners who will participate in the monitoring to improve their awareness of dengue circulation, as well as the Cambodian public who will be informed beforehand regarding risks of dengue outbreaks.
The ECOMORE, which started in March 2013 and was funded by the AFD (French Agency of Development), was spearheaded by four institutes namely Institut Pasteur du Cambodge (Cambodia), Institut Pasteur du Laos (Laos PDR), National Health Laboratory (Myanmar), and National Institute of Hygiene and Epidemiology (Vietnam). The project hopes to launch the second ECOMORE soon with Philippines as its new member through the Research Institute for Tropical Medicine.
Your heart and brain are in danger! Revealing the complete story of cardiovascular disease ( by Dr. Anna Roslyakova )
Every cell of your body receives the optimum level of fresh oxygen by passing through the blood pumping organ-heart. In this extremely hectic and busy routine, you won’t have an idea how your heart is more vulnerable to many life-threatening conditions.
Cardiovascular diseases are now getting more attention due to its high incidence in developing as well as developed countries. Despite that we’re adopting a healthy lifestyle, but do you really think this is enough to prevent chance of cardiovascular disease? How about knowing more ways to stay away from the lethal conditions?
Cardiovascular disease is reported as the first leading cause of death after cancer and infectious disease. The burden of cardiovascular disease (CVD) is increasing and emerging especially, in the developing countries. Globally, 86% morbidity and mortality are related to the cardiovascular disease throughout the world. According to another study, it is estimated that around 17.5 million are affected by the cardiovascular disease worldwide. out of 17.5 million, 7.5 million people die annually due to coronary heart disease whereas 6.7 million lose their battle of death because of stroke.
So, your cardiovascular system is as important as your nervous system. If it stops working, survival could be very, very difficult.
Cardiovascular disease - the ladder leading to death
Your cardiovascular system plays an important in supplying the fresh oxygen and excreting out the carbon dioxide. But, its functionality isn’t as simple as it seems to be. Your heart is surrounded by numerous blood vessels, which have a lot of roles. Not only, these blood vessels nourish the heart, yet, these make the function of the heart more efficient. Cardiovascular diseases are a set of disorders, including:
• Coronary heart disease- this happens when your heart, blood vessels and muscles are not working properly.
• Rheumatic heart disease--if your heart muscles and valves are affected from the infectious disease e.g. streptococcal bacteria, then you can experience rheumatic fever and other symptoms of this disease.
• Cerebrovascular disease--when the blood vessel supplied to your brain is damaged, it can lead to the serious illnesses.
• Congenital heart disease--the malformations developed in cardiovascular system at birth could eventually threaten the entire mechanism of oxygen supply and carbon dioxide elimination.
• Deep venous thrombosis and pulmonary embolism- when the blood clot is formed in your leg veins and it lodged in any of your artery supplied to the lungs and heart, then, it can severely compromise the entire blood circulation process.
So, where would you categorize heart attacks and stroke in the above list? Well, both these are connected. When the fatty deposition occurs within three major arteries supplying heart and brain, it results in the blockage of blood supply to the particular area. Initially, the fatty deposition won’t be excessive, it may start within the layers of the vessels, but, if it goes unnoticed, the fatty deposition would be larger and eventually, your entire artery get blocked.
Angina or chest pain may occur initially dueto fatty build-up in your arteries and veins. Sometimes, the bleeding may start from blood vessels and you can get a stroke afterward.
Don’t ignore the symptoms of cardiovascular disease!
Chest discomfort is the major complaint of most of the people. If your heart is in danger, you would feel chest tightness, pressure, and pain. Secondly, indigestion, nausea, heartburn and stomach pain are also the alarming signs of a heart problem.
Also, the people who had experienced the heart attack revealed that they had an episode of radiating pain from chest to arm. If you’re fainting more frequently or feeling lightheaded, you shouldn’t neglect this. It would be the indication of dropping down of blood pressure because your heart isn’t working optimally.
If the throat or jaw pain is radiating to the chest and you’re feeling compression, seek medical attention immediately. It would also be the indication of heart attack.
Another symptom is unexplained exhaustion while climbing upstairs. For women, this symptom is typically important. Cold sweats without any possible reasons could also be the alarming sign that your heart is in trouble. However, irregular heartbeat and inflamed legs and ankles are other cardinal signs of something is going wrong in your cardiovascular system.
You should also know about the symptoms of stroke. If anyone is experiencing the sudden numbness or weakness of the face, leg, or arm, confusion, trouble speaking, blurred vision or trouble seeing, trouble walking, dizziness, loss of balance or coordination, and severe headache, then, you should call the emergency immediately and get medical help straight away.
Who are at risk of cardiovascular diseases?
As heart diseases and stroke are interlinked, their risk factors are also somehow common. Those who possess any one or two of the following risk factors are at higher chances of getting affected by the heart disease and stroke.
• High blood pressure
• High tobacco consumption
• Physical inactivity
• Unhealthy diet
• Excessive intake of alcohol
• High sugar levels
• High blood lipids
• Family history of CVDs
Men tend to develop CVD more likely than women. Also, old age individuals are also at a higher risk of heart diseases
What are the diagnostic tests and other treatment measuresof cardiovascular disease?
Your doctor may ask you to have several tests done, including ECG or CBC. Aspirin, calcium channel blockers, and nitrates may also be prescribed in order to maximize the blood circulation. If the condition is more severe, your doctor would recommend the surgical procedure to improve the quality of life.angioplasty is often considered rather to open the dilated blood vessel so that the blood circulation of the muscle is restored. Coronary artery bypass surgery is another procedure to fix the cardiac structures. The major goal of your treatment is mainly to take the quality as well as quantity of your life to the next levelof health.
Also, after the heart attack or even stroke, you need to be more careful of your diet. Make sure that you’re not taking the fatty food or even foods containing high levels of sugar. And also,you should walk at least 30 mins in a day.
How to prevent the cardiovascular disease and stroke?
According to WHO, the prevention and control are based on two types of intervention, nationwide and individual basis. By implementing the following measures in your life and educating the following to others, not only you can reduce the burden of cardiovascular disease on individual basis, in fact, the entire community will be strengthened and healthier.
• Kick out the tobacco from your life
• Limit the intake of sugar and sugary beverages
• Reduce the salt intake
• Say no to overdrinking of alcohol
• Provide healthy school meals to your children so that they won’t become obese
• Get involved in the physical activity
• Try out meditation or yoga to get relieve from stress
• Stop bingeing
• Instead of eating oily, unhealthy foods, include fruits, vegetables, and lentils in your daily routine.
• Reduce your weight
However, unmodifiable causes of cardiovascular disease are gender, age, genetics. You can’t change the unmodifiable cause but, you can control the modifiable reasons. You should be aware of the symptoms of the cardiovascular disease so that youcan battle with the bigger issue more profoundly.
You have also the tendency to acquire AF if you have a family history of hypertension, hyperthyroidism, blockage in the arteries, cardiomyopathies, lung infections such as pneumonia, obesity, sleep apnea, or you have under a lot of alcohol or cigarette consumption.
Globally, approximately 15 million people suffer a stroke each year. It is not only a societal health that is on the line but the financial burden has been overwhelming for most countries, amounting to 3% of their total country's healthcare cost.
Most common cause of stroke is the precarious Atrial Fibrilation (AF). A common life-long condition, atrial fibrillation is a common type of irregular heart rhythm (arrythmia). This means that your heart has its own sense of timing and may beat very quickly or very slowly, rather than at a steady pace.
AF the rapid presents an irregular beating of the left atrium (upper chamber) of the heart. Because the rapid contractions of the heart are weaker than normal contractions, there is a slow flow of blood in the atrium and could highly result to formation of blood clots.
Dreadfully, clot from the heart can leave and travel to the brain and causes stroke.
You would be one of potential victim as for some, there are no present symptoms. Some people with AF have no symptoms, but others may experience quivers or pain in the chest, fainting, shortness of breath and fatigue.
How would you assess?
Let’s go with the basics. One heartbeat involves an electrical signal in the heart muscle. These signals are timed at regular intervals so your heart could pump steadily. People with AF have erratic signals and as their hearts flutter the pumping also fluctuates.
Many people suffer no symptoms of AF and just only learn that they are already experiencing it when emergency cases are presented or when they consult their physicians. Others could feel breathless, dizziness, lightheaded, and/or palpitation. In some cases, it is only after having a stroke that people find out they have AF. Know your AF symptoms. Hence, it is a must to visit your physician once these symptoms frequently arise.
Common causes of atrial fibrillation
There is no exact cause of atrial fibrillation but scientists agree that most common foundation of AF is abnormalities or damage to the heart's structure. You are also likely to develop it if you are aging as it is more common when people get older especially those aged over 65 years old. You have also the tendency to acquire AF if you have a family history of hypertension, hyperthyroidism, blockage in the arteries, cardiomyopathies, lung infections such as pneumonia, obesity, sleep apnea, or you have under a lot of alcohol or cigarette consumption.
The most common management done for people with permanent AF is slowing down their heart rate. The heart can function properly as long as the rate is controlled and these is done through medications such as beta blockers and calcium channel blockers, which makes it beat more slowly and quickly control the rate of it.
There are also ways to restore the heart rhythm. Most people with symptomatic paroxysmal or persistent AF undergo Cardioversion where either medications (pharmacological cardioversion) or by placing them under sleep and giving their hearts an electric shock (electrical cardioversion) to correct the erratic rhythm. After cardioversion, the patients need to maintain their beta blockers to avoid returning to AF. Beta blockers make your heart beat more slowly and with less force, thereby reducing blood pressure.
When experiencing symptoms of Atrial Fibrilation, it is best to immediately seek medical attention. There are several tests available to help you if you are at risk of AF or you are already experiencing one—ECGs from youe healthcare provider helps you assess the activity of your heart, echocardiogram to review the size or structure of your heart, event monitoring for its rhythm as well as the basic blood pressure check.
So ask yourself what you need to know about your heart and what changes can I make within my lifestyle to monitor and care for your heart.
New Year should always pronounce a clean slate. Well, it is a chance to bid farewell to suffocating habits that tend to damage our bodies, a way to welcome a better health.
However, most would probably ignore the fact that through the years, New Year turns out to be one of the most dangerous days of the year for people vulnerable to cardiac problems and for people who may have not noticed early stages of heart diseases.
“This time of year is notorious for heart attacks, heart failures, and arrhythmias,” said Dr. Samin Shama, Director of Interventional Cardiology at Mount Sinai Medical Center. Statistics show that Cardiovascular disease is the leading global cause of death, accounting for 17.3 million deaths per year, a number that is expected to grow to more than 23.6 million by 2030. Almost a decade ago, cardiovascular deaths have already represented 30 percent of all global deaths, with 80 percent of those deaths taking place in low- and middle-income countries (Mozaffarian D., et al, American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2015 update: a report from the American Heart Association).
Going back to the post holidays, it has been almost a culture seeing a surge in numbers of cardiac events days after Chistmas and/or New Year. What brought this? People may not want to make their families concerned during their celebrations even though they are already experiencing worrisome symptoms, or most likely misinterpret such symptoms as just plain hyperacidity or pain brought by too much eating and drinking. One of the main excuses patients say is that they were too occupied and had neglected their cardiovascular health.
Ironically, the New Year’s resolutions of most people always include exercise. (Kudos to gym and sports equipment shop owners who await all year for the staggering demand of customers). Nonetheless, February spells out resolutions as a mere distant memory without knowing there are really numerous benefits exercise brings.
How much should I exercise?
What most people want to know is how much and how intensely they should to reap the maximum benefit from exercising.
Rule of Thumb: Get at least 2.5 hours of moderate exercise a week.
Moderate exercise means increasing breathing and sweating. It is not about panting like a dog. Assess your exercise by measuring your heart rate. You want to aim for about 50 to 70 percent of maximal predicted heart rate, or MPHR. Your maximal predicted heart rate is determined by your age. Under-exercising happens when a person’s heart rate is too low which results in a low intensity exercise. If a person is not working to their body’s potential, there is no way they can burn enough calories to result in weight loss nor can they get up the endurance to build strength. MPHR also relfects the inability of the heart to increase its rate commensurate with increased activity or demand (Lauer et al., 1999; Dresing et al., 2000).
Formula: 220 minus your age. Afterwards, multiply by 0.5 to 0.7 (percent of heart rate) to access your required heart beats per minute
Example: For 28 years old, your MPHR should be 192. 192 multiplied by 0.5 is 96, 192 multiplied by 0.7 is 134
Therefore your moderate exercise should be between 96 and 134 beats per minute to determine 50 to 70 percent of MPHR
Heart Disease Patients
A cardiac rehabilitation phase 2 program are required then for patients with heart disease, such as those who have had a heart attack, bypass surgery or stents put in. A cardiac rehabilitation phase 2 is a 12-week program where you exercise three times a week for one hour with an exercise therapist under physician supervision in a hospital.
Occupational therapy is also given to improve your heart's functional status. This includes helping people with a physical, sensory, or cognitive disability to become as independent as possible in all areas of their lives. A good cardiac rehab program will assess your heart's functional status before the start of the program and designing an individualized program. This is done so that your functional status can be improved throughout the 12-week program.
For many, hearing the word “cholesterol” might seem to be a jinx and seem to connote negativity. Well, there’s more to cholesterol that what people think and you might be quite surprised.
What you may not know
Cholesterol is produced by almost every cell in the body. The cholesterol in cell membranes makes cells waterproof so there can be a different chemistry on the inside and the outside of the cell. Surprisingly, cholesterol is nature’s repair substance, used to repair wounds, including tears and irritations in the arteries.
There are many important hormones are made of cholesterol, including hormones that regulate mineral metabolism and blood sugar, hormones that help us deal with stress, and all the sex hormones, such as testosterone, estrogen and progesterone.
Cholesterol is also vital to the function of the brain and nervous system and protects us against depression. Remarkably, it plays a role in the utilization of seratonin, the body’s “feel-good” chemical. It is also the precursor of vitamin D, which is formed by the action of ultra-violet (UV-B) light on cholesterol in the skin.
Also, how would you react when you finally learn that cholesterol is a powerful antioxidant? Yes it is. Cholesterol protects us against free radicals and therefore against cancer. It also fights infection.
YES and NO
People think that only cholesterol & saturated fat clog their arteries. In fact, t here is very little cholesterol or saturated fat in the arterial plaque or clogs. Most of the material is a calcium deposit and most of the fatty acids are unsaturated. Yes, high cholesterol is really dangerous but cholesterol itself is essential to various bodily processes as mentioned above.
There’s a certain misconception about how cholesterol is linked with heart disease Cholesterol is carried through the bloodstream by low-density and high-density lipoproteins (LDL and HDL). LDL, known as bad cholesterol, and not the cholesterol it carries per se, is responsible for atherosclerosis.
On another note, some foods are believed to be the ones accused of triggering high cholesterol. For an instance, people believe that eggs amount to a lot of cholesterol and is not good to consume every day. However, dietary cholesterol is not as dangerous as was once thought. Remember that only some of the cholesterol in a food sips into your bloodstream, and if your cholesterol intake rises, your body compensates by producing less cholesterol of its own. Of course anything that is too much spells danger so consuming an egg or two a few times a week isn't dangerous. Eggs are excellent source of protein and contain unsaturated fat, a so-called good fat.
SO IF IT IS NOT (only) CHOLESTEROL, WHAT TRIGGER HEART DISEASE?
Many scientists have placed valid theories for the epidemic of heart disease that do not only point out to cholesterol
Back in the 1930s, Weston A. Price, DDS, observed that rates of heart attack rose during periods of the year when levels of vitamins A and D vitamins decreased. Also, deficiency in vitamin B12 and FOLATE became a marker for heart disease and triggered the elevation of homocysteine levels. The study discovered that cholesterol and clogged arteries are not the causes but rather the symptoms of heart disease (McCully, KS. Vascular pathology of homocysteinemia: implications for the pathogenesis of arteriosclerosis. American Journal of Pathology).
Also, it was founded that deficiencies of magnesium, copper and vanadium have been linked to heart disease. Previous research has also revealed low magnesium to be linked with all known cardiovascular risk factors like—high blood pressure, arterial plaque build-up, calcification of soft tissues, cholesterol and hardening of the arteries. The culprit—modern process-food diet as well as the stressful lifestyle.
Another indicator of probable heart attack is stress. A huge number of cases of heart attacks involved patients undergoing a stressful situation before experiencing the attack. Stress depletes the body of many nutrients, especially vitamin A which again points out to Weston Price’s study.
Have you ever experienced a stuffy, runny, or itchy nose, or constant sneezing for four days in a week, or four weeks in a year?
According to Dr. Sok Koung from Preah Ang Doung Hospital, if the answer is yes, then you may have been suffering from something more than an ordinary cold. Basically, these are the classic symptoms of hay fever (also known as allergic rhinitis or nasal allergy).
“Once you get one of the four common symptoms including runny nose, sneezing, stuffy nose and itchy nose, you have allergic rhinitis condition,” said Dr. Koung.
While the two conditions share symptoms, hay fever is not a cold. Hay fever does not cause the body temperature to rise above 38 degrees Celsius, nor does it cause muscle or joint pain.
If it’s hay fever you have, here are some simple tips for getting rid of it (for patients with normal cases):
Avoid allergens: Many factors can potentially cause allergic reactions, including viruses found in damp, dirty conditions, and a poor diet. The scents of some flowers can also be a trigger, Dr. Koung said.
The important thing to consider is living environment. According to Dr. Koung, damp conditions help viruses to spread, while sunlight helps neutralize the impact of allergens and viruses.
Among the common foods and substances which can cause hay fever are eggs, milk, seafood, nuts, spicy food and certain medicines. Hay fever patients should avoid drinking chilled water.
Medication: Hay fever medication and anti-allergy pills can help people get through the day. However, Dr. Koung advised patients to consult their doctors before taking any medication.
As Hay fever primarily affects the nose, nasal sprays and balm are available to ease the symptoms. Sodium chloride solutions are useful in cleansing the nose as well.
Exercise: According to Dr. Koung, exercising is an effective way to reduce hay fever symptoms. Any exercise that makes you sweat and unblocks your stuffy nose will help. Simple forms of exercise that can be done daily include cycling, jogging and walking, the doctor said.
The symptoms of normal hay fever are not that prevalent during the day. Sufferers of more serious conditions may experience hay fever for more than four days in a week or four weeks a year. Such patients often have difficulty falling asleep, or wake frequently during the night, due to a stuffy nose and/or headaches. They tire easily and can experience memory lapses.
Dr. Koung said that unless you have one of the symptoms mentioned above, you are likely suffering from serious hay fever. Getting rid of serious hay fever may take longer and require medication. Leaving serious hay fever untreated can lead to sinus infections and certain types of asthma, the doctor said.