| Arteriosclerosis |
* If you have atherosclerosis in your heart arteries, you may have symptoms similar to those of a heart attack, such as chest pain (angina).
* If you have atherosclerosis in the arteries leading to your brain, you may have symptoms such as sudden numbness or weakness in your arms or legs, difficulty speaking or slurred speech, or drooping muscles in your face.
* If you have atherosclerosis in the arteries in your arms and legs, you may have symptoms of peripheral arterial disease, such as leg pain when walking (intermittent claudication).
Sometimes atherosclerosis causes erectile dysfunction in men. |
* High blood pressure
* High cholesterol
* An irritant, such as nicotine
* Certain diseases, such as diabetes |
* Cholesterol medications. Aggressively lowering your low-density lipoprotein (LDL) cholesterol, the “bad” cholesterol, can slow, stop or even reverse the buildup of fatty deposits in your arteries. Boosting your high-density lipoprotein (HDL) cholesterol, the “good” cholesterol, may help, too. Your doctor can choose from a range of cholesterol medications, including drugs known as statins and fibrates.
* Anti-platelet medications. Your doctor may prescribe anti-platelet medications, such as aspirin, to reduce the likelihood that platelets will clump in narrowed arteries, form a blood clot and cause further blockage.
* Anticoagulants. An anticoagulant, such as heparin or warfarin (Coumadin), can help thin your blood to prevent clots from forming.
* Blood pressure medications. Medications to control blood pressure – such as beta blockers, angiotensin-converting enzyme (ACE) inhibitors and calcium channel blockers – can help slow the progression of atherosclerosis.
* Other medications. Your doctor may suggest certain medications to control specific risk factors for atherosclerosis, such as diabetes. Sometimes medications to treat symptoms of atherosclerosis, such as leg pain during exercise, are prescribed. |
| Coronary Heart Disease |
* Chest pain on exertion (angina pectoris), which may be relieved by rest
* Shortness of breath on exertion
* Jaw pain, back pain, or arm pain, especially on left side, either during exertion or at rest
* Palpitations (a sensation of rapid or very strong heart beats in your chest)
* Dizziness, light-headedness, or fainting
* Weakness on exertion or at rest
Irregular heartbeat |
* Heredity: Coronary heart disease runs in the family.
* High cholesterol: Levels of cholesterol in the blood are above healthy levels. This usually involves high levels of low-density lipoprotein (LDL), the bad cholesterol, and low levels of high-density lipoprotein (HDL), the good cholesterol.
* Tobacco abuse: This includes not only smoking any form of tobacco (cigarettes, cigars, pipes), but also chewing tobacco.
* Obesity
* High blood pressure (hypertension)
* Diabetes
* Lack of regular exercise
* High-fat diet
* Emotional stress
* Type A personality (impatient, aggressive, competitive) |
Aspirin
Beta-blockers
Calcium channel blockers
Statins
Coronary angioplasty
Stent:
Atherectomy
Brachytherapy: |
Myocardial Infarction
(Heart Attack) |
* shortness of breath
* anxiety
* sweating
* confusion
* nausea and vomiting
* temporary changes in vision
* lightheadedness |
In coronary artery disease, fatty deposits (plaques) form in the inner walls of the coronary arteries, narrowing them and reducing blood flow to the heart. This process is called atherosclerosis.
Most heart attacks occur when the lining of an artery ruptures and the atherosclerotic plaque is exposed. Blood then forms a clot on the damaged artery, which may partially or completely obstruct blood flow. If the blockage gets severe enough, heart attack symptoms appear, and heart muscle cells may start to die, this is now considered a heart attack.
Rarely, a coronary artery spasm stops blood flow through an apparently healthy coronary artery, causing a heart attack. Most of the time there’s no identifiable cause. |
* quitting smoking
* staying physically active and incorporating regular exercise into a daily routine; exercise will help with weight reduction and will lower cholesterol
* watching your diet – you may ned to consult a nutritionist for advice about healthy foods that can help to lower cholesterol
If someone experiences symptoms that might be a heart attack, they should call an ambulance right away. A variety of effective treatments, including thrombolytic (”clot-busting”) medications, are available to heart attack victims, but these must be given quickly in order to be effective. 50% of deaths due to heart attack occur within 3 to 4 hours of the beginning of the symptoms. Depending on the hospital, you may be brought directly to the cardiac catheterization laboratory to do an angioplasty, a procedure where a tiny balloon will break open the clot directly. The most important thing you need to do is the reach the hospital as quickly as possible. This will increase the chance of survival.
The hospital’s primary tasks during a heart attack are to stop the damage to heart cells by restoring blood flow, and to deal with complications like ventricular fibrillation. The first medication a person will be given upon entering the hospital is a chewable ASA* (acetylsalicylic acid) tablet. This will help inhibit platelets from forming a blood clot, preventing further blockage of the artery. A range of medications is usually given to reduce the heart’s workload, to dissolve the clot, and to prevent further clotting. An oxygen mask may also be used to increase the level of oxygen in the blood.
A defibrillator is a pair of high-voltage paddles, often seen on television. Its purpose is to stop ventricular fibrillation.
After a heart attack, 1 or 2 days of bed rest is usually necessary, but staying bedridden too long can prevent the heart from regaining strength and tends to worsen natural feelings of nervousness or depression. Most people are able to walk a few steps on the third day, but should be careful about straining and lifting heavy objects for a few months. Medication therapy with ASA or clopidogrel is commonly given to prevent the blood from clotting. Other drugs called beta-blockers or ACE inhibitors may also be prescribed. These medications help reduce the heart’s workload and allow easier blood flow from the heart. Cholesterol medications are also important even if you have “normal” cholesterol levels. Your doctor needs to make this decision depending upon your risk of having another heart attack.
If you smoke, it is very important to stop immediately. Heart attack is a complication of coronary artery disease, and it’s best prevented by avoiding the risk factors for coronary artery disease, including smoking.
The early treatment of a heart attack aims to restore blood flow and preserve heart muscle. After a heart attack occurs, you need rehabilitation or post-MI care for the heart to heal and to prevent future attacks. Cardiac rehabilitation programs can usually be planned for in hospital and, depending on the severity of the heart attack, may continue for weeks or months once you return home. Post-MI management includes medication, lifestyle changes, and psychological care.
Finally, following a heart attack, some patients may suffer from depression or experience psychological difficulties related to anxiety or anger. Rehabilitation programs offer help in these areas, providing support and counselling for those who may need it. Although having a heart attack can be a frightening experience, most people can return to their normal activities. |
| Leukemia |
- fatigue
- general discomfort
- fever
- weight loss
- loss of appetite
- shortness of breath, heart palpitations, paleness, weakness
- frequent infections
- sore throat
- night sweats
- headache, vomiting, vision problems
- bone or joint pain
- enlarged lymph nodes
- abdominal discomfort or feeling of fullness
|
*
Age – some types of leukemia are more common in children, while others are more likely to affect adults.
*
Sometimes leukemia may develop years after very high exposure to radiation.
*
Some genetic disorders (such as Down’s syndrome) increase the risk of developing acute leukemia.
The risk of developing AML (acute mylogenous leukemia) increases in people who have other diseases affecting the bone marrow, exposure to the chemical benzene, or exposure to certain cancer treatment drugs.
Mutation of Cells |
* chemotherapy
* radiation therapy
* biological therapy
* bone marrow or stem cell transplant |
| Anemia |
o Often, no symptoms
o Paleness
o Feeling tired
o More shortness of breath during exercise
o Fast heartbeat
o Symptoms usually come on slowly so that you feel no sudden change in your energy level |
Lack of iron in the diet. This is mostly a problem for children and young women. Small children who drink large amounts of milk and avoid iron-rich foods and young women who follow fad diets or are vegetarian may be at risk for low iron levels.
Growth spurts. Children under age three are growing so fast that their bodies may have a hard time keeping up with the amount of iron they need.
Pregnancy. Women who are pregnant or are breastfeeding need more iron. That’s why pregnant women may be tested for anemia and why they need to eat more iron-rich foods or may need to take a daily iron pill.
Blood loss. This is the most common reason for iron deficiency anemia in adults. Women, of course, lose blood every month during their periods. Heavy periods may cause anemia.
Blood loss can also be caused by internal bleeding, usually in the digestive tract. |
This depends on what’s causing the anemia. For example, if anemia results from losing too much blood, the cause of the blood loss will need to be found and treated. If anemia results from a diet that’s low in iron, iron-rich foods or iron pills may be the treatment your doctor suggests.
Pernicious anemia is from low B12 and so you would need B12 shots. Vegan vegetarians can also develop low B12 |