A chat with Dr.Devi Shetty , Narayana Hrudayalaya (Heart Specialist)

A chat with
Dr.Devi
Shetty , Narayana Hrudayalaya (Heart Specialist) Bangalore
was arranged by WIPRO for its employees   ....

The transcript of the chat is given below. Useful for everyone.

Qn: What are the thumb rules for a layman to take care of his heart ?

Ans:
1. Diet - Less of carbohydrate, more of protein, less oil
2. Exercise - Half an hour's walk, at least five days a week; avoid lifts
and avoid sitting for a longtime
3. Quit smoking
4. Control weight
5. Control blood pressure and sugar

Qn: Is eating non-veg food (fish) good for the heart?

Ans: No

Qn: It's still a grave shock to hear that some apparently healthy person
 
gets a cardiac arrest. How do we understand it in perspective?
 

Ans: This is called silent attack; that is why we recommend everyone past
the age of 30 to undergo routine health checkups.

Qn: Are heart diseases hereditary?  

Ans: Yes  

Qn: What are the ways in which the heart is stressed? What practices do
you suggest to de-stress?

Ans: Change your attitude towards life. Do not look for perfection in everything
in life.

Qn: Is walking better than jogging or is more intensive exercise required
to keep a healthy heart?

Ans: Walking is better than ! jogging since jogging leads to early fatigue
and injury to joints .  

Qn: You have done so much for the poor and needy. What has inspired you
to do so?

Ans: Mother Theresa , who was my patient.

Qn: Can people with low blood pressure suffer heart diseases?

Ans: Extremely rare

Qn: Does cholesterol accumulates right from an early age
(I'm currently only 22) or do you have to worry about it only after you
are above 30 years of age?

Ans: Cholesterol accumulates from childhood.

Qn: How do irregular eating habits affect the heart ?

Ans: You tend to eat junk food when the habits are irregular and your body's
enzyme release for digestion gets confused.

Qn: How can I control cholesterol content without using medicines?

Ans: Control diet, walk and eat walnut.

Qn: Can yoga prevent heart ailments?

Ans: Yoga helps.

Qn: Which is the best and worst food for the heart?  

Ans: Fruits and
vegetables are the best and the worst is oil.

Qn: Which oil is better - groundnut, sunflower, olive?

Ans: All oils are bad
.

Qn: What is the routine checkup one should go through? Is there any specific
test?  

Ans: Routine blood test to ensure sugar, cholesterol is ok. Check BP, Treadmill
test after an echo.

Qn: What are the first aid steps to be taken on a heart attack?

Ans: Help the person into a sleeping position
, place an aspirin
tablet under the tongue with a sorbitrate tablet if available, and rush
him to a coronary care unit since the maximum casualty takes place within
the first hour.

Qn: How do you differentiate between pain caused by a heart attack and
that caused due to gastric trouble?

Ans: Extremely difficult without ECG.

Qn: What is the main cause of a steep increase in heart problems amongst
youngsters? I see people of about 30-40 yrs of age having heart attacks
and serious heart problems.

Ans: Increased awareness has increased incidents. Also, s edentary
lifestyles, smoking, junk food, lack of exercise in a country where people
are genetically three times more vulnerable for heart attacks than Europeans
and Americans.

Qn: Is it possible for a person to have BP outside the normal range of
120/80 and yet be perfectly healthy?

Ans: Yes.

Qn: Marriages within close relatives can lead to heart problems for the
child. Is it true?

Ans : Yes, co-sanguinity leads to congenital abnormalities and you may
not have a software engineer as a child

Qn: Many of us have an irregular daily routine and many a times we have
to stay late nights in office. Does this affect our heart ? What precautions
would you recommend?

Ans : When you are young, nature protects you against all these irregularities.
However, as you grow older, respect the biological clock.

Qn: Will taking anti-hypertensive drugs cause some other complications
(short / long term)?

Ans : Yes, most drugs have some side effects. However, modern anti-hypertensive
drugs are extremely safe.

Qn: Will consuming more
coffee/tea lead to heart attacks?

Ans : No.

Qn: Are asthma patients more prone to heart disease?

Ans : No.

Qn: How would you define junk food?

Ans : Fried food like Kentucky , McDonalds , samosas, and even masala dosas.

Qn: You mentioned that Indians are three times more vulnerable. What is
the reason for this, as Europeans and Americans also eat a lot of junk
food?

Ans: Every race is vulnerable to some disease and unfortunately, Indians
are vulnerable for the most expensive disease.

Qn: Does consuming bananas help reduce hypertension?

Ans : No.

Qn: Can a person help himself during a heart attack (Because we see a lot
of forwarded emails on this)?

 
Ans : Yes. Lie down comfortably and put an aspirin tablet of any description
under the tongue and ask someone to take you to the nearest coronary care
unit without any delay and do not wait for the ambulance since most of
the time, the ambulance does not turn up.

Qn: Do, in any way, low white blood cells and low hemoglobin count lead
to heart problems?

Ans : No. But it is ideal to have normal hemoglobin level to increase your
exercise capacity.

Qn: Sometimes, due to the hectic schedule we are not able to exercise.
So, does walking while doing daily chores at home or climbing the stairs
in the house, work as a substitute for exercise?  

Ans : Certainly. Avoid sitting continuously for more than half an hour
and even the act of getting out of the chair and going to another chair
and sitting helps a lot.

Qn: Is there a relation between heart problems and blood sugar?

Ans: Yes. A strong relationship since diabetics are more vulnerable to
heart attacks than non-diabetics.

Qn: What are the things one needs to take care of after a heart operation?
!

Ans : Diet, exercise, drugs on time
, Control cholesterol,
BP, weight.

Qn: Are people working on night shifts more vulnerable to heart disease
when compared to day shift workers?  

Ans : No.

Qn: What are the modern anti-hypertensive drugs?  

Ans : There are hundreds of drugs and your doctor will chose the right
combination for your problem, but my suggestion is to avoid the drugs and
go for natural ways of controlling blood pressure by walk, diet to
reduce weight and changing attitudes towards lifestyles.

Qn: Does dispirin or similar headache pills increase the risk of heart
attacks?

Ans : No.

Qn: Why is the rate of heart attacks more in men than in women?

Ans : Nature protects women till the age of 45.

Qn: How can one keep the heart in a good condition?

Ans : Eat a healthy diet, avoid junk food, exercise everyday, do not smoke
and, go for health checkup s
if you are past the age of 30 ( once
in six
months recommended) ...