Present day life style of moving in air conditioned cars and remaining confined to AC rooms has been associated with increased incidence of cardiac diseases. It has also been seen that there is increase in cardiovascular events during the winter, particularly so, in the regions located in the high latitudes. Now researchers have found out that, these people have low vitamin D level in their blood; and correlated it to the increased incidence of heart diseases, asthma and many more diseases.
Vitamin D is synthesized in the skin by the activity of ultraviolet rays received from sun. Recent day life style leaves a little room for sun exposure. So there is low level of this vitamin in blood. Over protected children, not engaged in outdoor activity also get less exposure to sun and consequently a low vitamin D level in blood. Low vitamin D level decreases endothelial function. This decrease causes insulin resistance in type II diabetics and worsens diabetes status. It helps in formation of atheroma; a plaque composed of bad fat, calcium and some blood components; which may get deposited in the inner cell layer, the endothelium of coronary arteries. There is increase in blood pressure due to increase vascular resistance. All these factors combined together may be responsible for heart attack; whose incidence rises, particularly in the winter days in the region of high latitude.
Aspirin appeared and used fro treatment of headache alone or in combination with paracetamol and caffeine long time back .It was very much an effective remedy.But is notorious to cause stomach problem in form of gastritis, ulcers and bleeding.Then it was not used for many years till its beneficial effect in myocardial ischaemia and infarction was rediscovered.In low doses, as low as 75 mgs per day is prescribed to myocardial infarction patients to keep their blood more fluid i.e. to prevent thrombosis.It is also prescribed in combination with other thrombolytic agents.The advantage it has is low cost and easy availability. It is said that if heart attack is suspected and nothing is found a tablet of aspirin will prevent much damage to heart muscle.The potential side effect ,gastrointestinal bleeding can be prevented by other anti-ulcerogenic drugs. Researchers also say that aspirin helps in early diagnosis of colon cancer.The hall mark of colon cancer is painless bleeding per anus besides other symptoms.the bleeding tendency is probably facilitated by aspirin. It is still the drug of choice for a very important disease called Rheumatic arthritis having much dreaded sequelae of rheumatic heart disease. So in right doses and judicious combination it is a panacea for health.
Generally speaking heart attack means assault on it’s muscles.Heart can be thought as a muscular pump,maintaining blood circulation throughout the body providing nutrition and oxygen .The heart also get supply from it’s own blood vessels to survive and function.Due to various reasons importantly blockade to it’s blood vessels, may be partial or complete, deprives it of the oxygen and other things.This blocked most commonly occurs due to deposition of bad fat on it’s wall called atherosclerosis . This causes heart muscles to scream for oxygen and nutrition and may progress to death of a portion it, called myocardial infarction.The symptoms experienced are in form of some sort of squeegeeing sensation of chest more towards left,severe to milder pain in left lower chest which may seem traveling to neck,arm, upper abdomen and right side of chest.Patient may be sweating, fainting,vomiting and laboring to take respiration.Patient may go to immediate shock and even death instantaneously.More often patient becomes breathless on accustomed exertion, a common warning sign not to be ignored.Immediate rush to the local doctor in the first place instead of searching for expert may save life and lessen the damage .
The message is that the local doctor is the savior
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Headache ???
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