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Dr K K Aggarwal

Precautions to stay healthy during the winter months

By Dr K K Aggarwal
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  • To prevent winter depression, one should either sit in the sunlight for long or stay in indoor spaces with illuminated light.
  • Early morning blood pressure is higher in winter than in the summer months. Therefore, people with high blood pressure should ask their doctor to increase their blood pressure medicine during the winters.
  • There are more heart attacks in the winter months than in the summer months and therefore, any chest pain especially in the morning in winter should not be ignored.
  • During the winter season, one should avoid food that is excessively sweet, sour or salty
  • Everyone should ask their doctor for pneumonia and flu vaccine.
  • Pneumonia during the winters can be deadly in very young and old people. The flu vaccine should be given to all those who are at high risk, especially, people with asthma, diabetes and heart diseases.
  • During the winters, one should avoid sleeping in closed rooms with electric gadgets like heaters on
  • One should check the earthing of all the electric devices especially the geyser
  • One should avoid using sugar while preparing sweets; instead one can use either Stevia or jaggery especially in Gajar Ka Halwa.
  • One should avoid switching from one temperature to another without giving their body time for adjustment.
  • Vitamin D is essential for good health. Each person should spend 40 minutes in the sunlight each day, especially before 10 am and after 4 pm.

Prevention is always better than cure. A little extra care can help make the holiday months, more enjoyable and heart healthy.

Understanding Gossip

By Dr K K Aggarwal
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Gossip is a way of non-violent communication and is common cause of misunderstanding between people and relational harmony. It is a stress-related risk factor for heart diseases Gossip has the following three main characteristics:

  1. In gossip one talks about others.
  2. The talk is in their absence.
  3. It is invariably without source.

One should learn to avoid gossip as it invariably reaches to the person whom you are criticizing, condemning or complaint about.

The message often gets distorted. Chinese Whisper is a classical exercise where a message is passed to different people and when the message comes back, it is totally distorted.

Never be judgmental and always quote the source when you are talking. Instead of criticizing a person in his absence, you should have guts to speak in his presence.

(Disclaimer: The views expressed in this write up are my own).

Tips to avert the risk of heart diseases

By Dr K K Aggarwal
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  1. Avoid smoking or quit the habit altogether.
  2. Aim at getting 30 minutes to 1 hour of exercise at least 5 days a week.
  3. Eat a heart-healthy diet rich in fiber.
  4. Avoid saturated fat in any form.
  5. Maintain a healthy body weight.
  6. Keep your blood sugar, blood cholesterol and blood pressure under control.
  7. Manage stress through meditation and activities such as yoga.

Neck Artery Wall Thickness and Plaque Area – a new test to diagnose early heart diseases

By Dr K K Aggarwal
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Treadmill, stress echocardiography, Thallium and Angiography do not detect early blockages. Treadmill can miss blockages up to 70%; stress echocardiography up to 60%, angiography upto 40%.

Most heart attacks occur because of a plaque rupture in patients with blockages of less than 50%. If the blockage is more than 70% the patient usually presents with heart pain and not massive heart attack.

The only way to detect heart blockages before they cause symptoms or are detected in conventional tests is to measure the wall thickness of the neck artery or the leg artery. Normally, the wall thickness is less than 0.5mm. If the wall thickness is more than 0.75mm, it is suggestive of underlying heart blockages and if it is more than 1mm, it is suggestive of blockages in all three arteries of the heart.

Any thickness of more than 1mm is called as a plaque and a plaque area calculated by high resolution ultrasound is a new marker for heart blockages, progression as well as regression.

If the artery wall is thick in both the neck artery and the leg artery, it is very likely that the patient will also have blockages in the arteries of the heart.

All high risk individuals, therefore, should have their neck and leg artery wall thickness checkup done. Only 2% of patients with blockages in all three arteries of the heart have a neck artery wall thickness of less than 1mm and 94% of patients with a neck artery wall thickness of more than 1.15mm will have multiple blockages in the heart.

Neck Artery Wall Thickness and Plaque Area – a new test to diagnose early heart diseases

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Neck Artery Wall Thickness and Plaque Area – a new test to diagnose early heart diseases

Treadmill, stress echocardiography, Thallium and Angiography do not detect early blockages. Treadmill can miss blockages up to 70%; stress echocardiography up to 60%, angiography upto 40%.

Most heart attacks occur because of a plaque rupture in patients with blockages of less than 50%. If the blockage is more than 70% the patient usually presents with heart pain and not massive heart attack.

The only way to detect heart blockages before they cause symptoms or are detected in conventional tests is to measure the wall thickness of the neck artery or the leg artery. Normally, the wall thickness is less than 0.5mm. If the wall thickness is more than 0.75mm, it is suggestive of underlying heart blockages and if it is more than 1mm, it is suggestive of blockages in all three arteries of the heart.

Any thickness of more than 1mm is called as a plaque and a plaque area calculated by high resolution ultrasound is a new marker for heart blockages, progression as well as regression.

If the artery wall is thick in both the neck artery and the leg artery, it is very likely that the patient will also have blockages in the arteries of the heart.

All high risk individuals, therefore, should have their neck and leg artery wall thickness checkup done. Only 2% of patients with blockages in all three arteries of the heart have a neck artery wall thickness of less than 1mm and 94% of patients with a neck artery wall thickness of more than 1.15mm will have multiple blockages in the heart.