Prevent Heart Attack - Simple Tips By Mr.Imtiyas Kondkari at HELP This is part of the HELP Talk series at HELP,Health Education Library for People, the worlds largest free patient education library www.healthlibrary.com. For info log on to www.healthlibrary.com.

5. DR. IMTIYAZ KONDKARI
B U M S , C C H , C G O , C F P , S F A ,
T R A I N E R F O R F I R S T A I D
T T R A I N E R T R A I N E R F O R C P R
( C A R D I O - P U L M O N A R Y R E S U S C I T A T I O N )
PRACTISING RARELY TREATED DISEASES
i.e. OBESITY, ARREST HAIRFALL,
BENIGN HYPERTROPHY OF PROSTATE, DIABETES
ERECTILE DYSFUNCTION IN MALE, AZOSPERMIA IN MALE,
SEXEXPERT, PREVENTION AND REVERSAL OF HEART ATTACK,
TREATMENT OF PILES WITHOUT OPERATION

7. Heart AttackO t h e r n a m e s f o r H e a r t A t t a c k :
Coronary Attack,
Coronary Occlusion,
Coronary Thrombosis,
Myocardial Infarction

9. The heart is like any other muscle, requiring oxygen and
nutrient-rich blood for it to function. The coronary arteries that
supply blood to the heart muscle spread across the surface of
the heart, beginning at the base of the aorta and branching out
to all areas of the heart muscle.
The coronary arteries are at risk for narrowing
as cholesterol deposits, called plaques, build up inside the
artery. If the arteries narrow enough, blood supply to the heart
muscle may be compromised (slowed down), and this slowing of
blood flow to the heart causes pain, or angina.
A heart attack or myocardial infarction occurs when a plaque
ruptures, allowing a blood clot to form. This completely
obstructs the artery, stopping all blood flow to part of the heart
muscle, and that portion of muscle dies.

10. • A heart attack occurs when the blood supply
to part of the heart muscle is severely
reduced or blocked due to a narrowing in one
of the coronary arteries.
• This usually occurs as a result of
atherosclerosis. When platelets gather at the
narrowing, they can form a clot that
completely blocks the blood flow.
• If the blood supply is cut off for more than a
few minutes, the muscle cells of the heart
may be permanently injured or die from lack
of oxygen.

12. WHAT ARE THE RISK FACTORS FOR HEART DISEASE?
Risk factors for heart disease include:
S M O K I N G
H I G H B L O O D P R E S S U R E (HYPERTENSION)
HIGH C H O L E S T E R O L
D I A B E T E S
F A M I LY H I S T O R Y
P E R I P H E R A L A R T E R Y D I S E A S E
O B E S I T Y

13. What are the symptoms of heart disease?
The typical symptoms of coronary artery disease
are chest pain associated with shortness of breath.
Classically, the pain of angina is described as a
pressure or heaviness behind the breast bone with
radiation to the jaw and down the arm accompanied
by shortness of breath and sweating.
Unfortunately, angina has a variety of signs and
symptoms, and there may not even be specific chest
pain. Other locations of pain and other symptoms
may include shoulder or back ache, upper abdominal
pain, nausea, and indigestion

15. Women, the elderly, and people with
diabetes may have different
perceptions of pain or have no
discomfort at all.
Instead, they may complain of malaise
or fatigue and generalized weakness
and the inability to complete routine
physical tasks such as walking or
climbing stairs.

16. Health care practitioners and patients may have
difficulty understanding each other when symptoms
of angina are described.
Patients may experience pressure or tightness but
may deny any complaints of pain. Health care
practitioners may misinterpret these symptoms
when patient answers "no" to the question whether
"pain is present," even though the patient is
experiencing other types of discomfort.
People with coronary artery disease usually have
gradual progression of their symptoms.

17. As an artery narrows over time, the symptoms of
decreased blood flow to part of the heart muscle
may increase in frequency and/or severity.
Health care practitioners may inquire about changes
in exercise tolerance
(How far can you walk before getting symptoms? Is it
to the mailbox? Up a flight of stairs?),
and whether there has been an acute change in the
symptoms.

18. Once again,
patients may be
asymptomatic
until a heart
attack occurs.
Of course, some
patients also may
be in denial as to
their symptoms
and procrastinate
in seeking care.

19. How is heart disease diagnosed?
The diagnosis of heart disease begins with obtaining a history
that the potential for coronary artery disease exists.
Risk factors need to be assessed and risk stratification occurs.
The type of testing that is recommended, if any, depends
upon the potential that the patient's symptoms actually
represent angina and are coming from the heart.
Heart disease tests
Not every patient with chest pain needs heart catheterization
(the most invasive test).
Instead, the healthcare provider will try to choose the testing
modality that will best provide the diagnosis, and if coronary
artery disease is present, decide what impairment, if any, is
present.

20. Electrocardiogram (ECG or EKG)
The heart is an electrical pump, and the electrical impulses it generates can be detected on the
surface of the skin. Normal muscle conducts electricity in a reproducible fashion. Muscle that
has decreased blood supply conducts electricity poorly. Muscle that has lost its blood supply
and has been replaced with scar tissue cannot conduct electricity.
The electrocardiogram (EKG) is a noninvasive test used to
reflect underlying heart conditions by measuring the
electrical activity of the heart.
Some people have "abnormal" EKGs at baseline but this may be normal for them. It is
important that an electrocardiogram be compared to previous tracings if one is available. If a
patient has a baseline abnormal EKG, they should consider carrying a copy with them for
reference should they ever need another EKG.

21. Stress testing
If the baseline EKG is relatively normal, then monitoring the
EKG tracing while the patient exercises may uncover electrical
changes that may indicate the presence of coronary artery
disease. There are a variety of testing protocols used to
determine whether the exercise intensity is high enough to
prove that the heart is normal.
Some patients are unable to exercise on a treadmill, but they
can still undergo cardiac stress testing by using intravenous
medication that causes the heart to work harder.
.

22. Stress testing is done under the supervision of
medical personnel because of the potential of
provoking angina, shortness of
breath, abnormal heart rhythms,
and heart attack

23. Echocardiography
Used with or without exercise, echocardiography can
assess how the heart works. Using sound waves to
generate an image, a cardiologist can evaluate many
aspects of the heart.
Echocardiograms can examine the structure of the heart
including the heart valves, the thickness of the heart
muscle, the septum
(the tissues that separate the four heart chambers from
each other)
and the pericardial sac (the outside lining of the heart).

24. The test can indirectly assess blood flow to parts of the heart
muscle. If there is decreased blood flow, then segments of the
heart wall may not beat as strongly as adjacent heart muscle.
These wall motion abnormalities signal the potential for
coronary artery disease.
The echocardiogram can also assess the efficiency of the
heart by measuring ejection fraction. Normally when the
heart beats, it pushes more than 60% of the blood in the
ventricle out to the body.
Many diseases of the heart, including coronary artery
disease, can decrease this percentage
( the ejection fraction ) .

25. Perfusion studies
Radioactive chemicals like thallium or technetium can be injected into a
vein and their uptake measured in heart muscle cells. Abnormally
decreased uptake can signify decreased blood flow to parts of the heart
because of coronary artery narrowing. This test may be used when the
patient's baseline EKG is not normal and is less reliable when used to
monitor a stress test.
Computerized tomography
The latest generation of CT scanners can take detailed images of blood
vessels and may be used as an adjunct to determine whether coronary
artery disease is present. In some institutions, the heart CT is used as a
negative predictor. That means that the test is done to prove that the
coronary arteries are normal rather than to prove that the disease is
present.

26. Heart catheterization or coronary angiography
This test is the gold standard for the diagnosis of coronary
artery disease.
A cardiologist inserts and then threads a small tube through
the groin or arm into the coronary arteries, where dye is
injected to directly visualize the arteries on an x-ray. This test
defines the anatomy of the coronary arteries.
At the time of the catheterization, if blockages are found, they
may be potentially treated with angioplasty in which a
balloon is inflated to squash the plaque into the blood vessel
wall and the insertion of a stent (wire cage that prevents the
blood vessel from narrowing again)

27. CT coronary angiogram
may be used test to diagnose coronary artery disease.
During this procedure, intravenous dye containing
iodine is injected into the patient and CT scanning is
performed to image the coronary arteries.
Prior to the angiogram, a calcium score may be
obtained. The calcium CT scan can measure the
amount of calcium within heart blood vessels. If the
score is 0, meaning that there is no calcium present,
the risk of having heart disease is zero. The higher the
score, the increased risk of narrowed coronary
arteries.

28. What is the treatment for heart
disease?
Coronary artery disease is usually
treated in a multi-step approach
depending upon a patient's
symptoms.
The patient and healthcare provider
need to work together to return the
patient to a normal lifestyle.

29. Prevention of heart disease
The key to the treatment is prevention. A healthy lifestyle
includes exercise, proper nutrition, and smoking cessation.
Moreover, controlling diabetes and high blood pressure to
minimize contribution risk for heart disease is a major aspect
of prevention.
An aspirin a day is recommended to decrease the risk for
heart disease and should be started with the
recommendation of a health care practitioner.
A little alcohol (one drink per day for women or two drinks
per day for men) decreases the risk of heart disease
compared to non drinkers.
However,
it is not recommended that non drinkers begin drinking.

30. Modifying risk factors for heart disease
While patients cannot choose their family and alter their genetic
predisposition to coronary artery disease, the rest of the risk factors are
under control of the patient.
Keeping blood pressure, cholesterol and other lipid levels, and diabetes
under control needs to become a life-long goal.
Smoking cessation is highly encouraged.
Medications
The purpose of medications for coronary artery disease is to allow more
efficient heart muscle function to overcome any blockage that might
exist.
Aspirin is one of the cornerstones of coronary artery disease treatment.
It prevents platelets from clumping together when blood becomes
turbulent, like when it flows past a narrowing in an artery.

31. Beta blockers prevent the action of adrenaline on the
heart and allow the heart to beat a more efficiently by
reducing the heart rate and causing the heart muscle to
contract less aggressively. Examples of beta blockers include:
atenolol (Tenormin)
metoprolol (Lopressor, Toprol XL)
propranolol (Inderal, Inderal LA)
carvedilol (Coreg)
labetalol (Normodyne, Trandate)

32. Calcium channel blockers can also be used to control
heart rate and allow the heart to beat more
efficiently.
Examples of calcium channel blockers include:
diltiazem (Cardizem, Dilacor, Tiazac)
verapamil (Calan, Verelan, Verelan PM,
Isoptin, Covera-HS)
Nitro-glycerine dilates blood vessels and may be
used sublingually, under the tongue, to treat angina.
Some patients may be prescribed long-acting nitro-
glycerine to help control anginal symptoms.

33. Angioplasty and stenting
If the coronary angiogram (coronary=heart + angio=artery +
gram=record) shows significant blockage in an artery, the cardiologist
may attempt an angioplasty, in which a balloon is placed via a catheter
(as with angiography) at the area of narrowing and when quickly
inflated, compresses the offending plaque into the wall of the artery.
Often a stent, or a metal cage, is placed at the site of angioplasty to
keep the blood vessel from narrowing again.
Should a stent be placed, patients are usually started on antiplatelet
medication to prevent clot formation. Clopidogrel (Plavix) and prasugrel
(Effient) are the two most common medications prescribed.
Surgery
For those patients with multiple coronary artery blockages, coronary
artery bypass grafting may be a consideration.

43. A heart attack
(also called myocardial infarction)
• is when part of the heart muscle is damaged or dies
because it isn't receiving oxygen.
• Oxygen is carried to the heart by
the coronary arteries (blood vessels).
• Most heart attacks are caused by a blockage in
these arteries. Usually the blockage is caused by
atherosclerosis, which is the build-up of fatty
deposits (called plaque) inside the artery.
• Women with heart attack symptoms take far longer
to get to the hospital than men do.

45. • Men, meanwhile, are more likely than women to
make the dangerous choice of driving themselves to
the emergency room.
• All adults -- but especially women -- need to be
educated on the proper response to heart attack
symptoms.
• Medical conditions such as hypertension, high
cholesterol, and diabetes are potent risk factors for
heart attack.
• Those who have impotence should have a medical
evaluation to determine if they have any signs of
heart disease.

46. • Overweight people lose virtually no weight after
suffering a heart attack even though weight loss can
reduce the risk for a second heart attack.
• Diet Rx in low dosages could help with weight loss
and should be worth a try.
• Ask your doctor if Diet Rx is appropriate for you.
(By eating less and losing weight, there is a
reduction in blood pressure, blood sugar, and
cholesterol levels).
• People who visit the dentist regularly to have their
teeth cleaned lower their risk for heart attack or
stroke.

47. Time of heart attack
most common in the morning
The most common times for all kinds of
cardiovascular emergencies –
including sudden cardiac death, rupture
or aneurysm of the aorta,
pulmonary embolism and stroke - are the
early morning hours.

48. Sympto m o f Hea rt Atta ck
• During a heart attack, symptoms last 30 minutes or longer
and are not relieved by rest or oral medications (medications
taken by mouth).
Symptoms of a heart attack include the following:
• Pressure, heaviness, or pain in the chest,
arm or below the breastbone
• Pain or discomfort radiating to the back, jaw,
throat or arm
• Fullness, indigestion or choking feeling
(may feel like heartburn)
• Sweating, weakness, nausea, vomiting or dizziness
• Anxiety or shortness of breath
• Rapid or irregular heartbeats

49. • Some people have a heart attack without having
any symptoms (a "silent" myocardial infarction).
• A silent MI can occur in any person, though it is
more common among diabetics.
• Mild heart attacks in four out of nine people are
undetected because patients do not recognize or
dismiss the symptoms.
• Women, particularly those who are overweight,
diabetics and the elderly are more likely to have an
undiagnosed heart attack, which increases their risk
of suffering future cardiac problems.

50. Acute heart attack and stents
• Patients given drug-coated stents after an acute heart attack
are several times more likely to die six months to two years
later than those with bare metal forms of the arterial
scaffolding.
Other Common Causes of Heart Attack
• Smoking, high blood pressure, heart disease, certain
medicines and drugs, stress, poor diet, nutrient deficiency,
are some of the chronic conditions that increase the rate of
heart attack. Doctors have long measured fat in the gut to
help assess the risk of cardiovascular disease. But fat in the
neck is closely associated with the known factors for heart
trouble, such as cholesterol levels and diabetes. Heart attack
survivors who kick the habit live longer than those who keep
puffing away.
• A rapid drop in air pressure may trigger some heart attacks.
The incidence of heart attack, but not stroke, is increased in
the 24 hours after a rapid fall in barometric pressure.

51. • Cold temperature is to blame for the well-known
winter peak in the incidence of sudden death due
to heart attack.
• The fact that cold temperatures increase blood
pressure and put more strain on the heart is a
possible explanation for the increased rate of
sudden cardiac death during wintertime.
• Cold stress may also trigger processes that make
blood thicker and increase its ability to clot, which
can lead to cardiac events.
• Extreme temperatures raise heart attack risk. High
humidity, even in a relatively mild climate, boosts
the risk of a heart attack among the elderly.

52. Acute Treatment for Heart Attack
Patients with unstable angina or non-ST-segment
elevation acute heart attack
fare worse when they are treated
with intravenous morphine -- standard practice
when pain is not relieved with nitro-glycerine.
However, the possibility that patients treated with
morphine are simply sicker to begin
which cannot be ruled out.

53. Po s t h e a r t a tta c k t re a t m e n t
• In the United States, heart attack victims are routinely
offered expensive and invasive treatments, like statin
pills to lower cholesterol or implantable defibrillators.
• However, in Italy, doctors don't jump on the drug
bandwagon that quickly.
• Every patient in the cardiac care unit at the San Filippo
Neri Hospital who survives a heart attack goes home
with a prescription for purified fish oil. “It is clearly
recommended in international guidelines,” says Dr.
Massimo Santini, the hospital’s chief of cardiology, who
added that it would be considered tantamount to
malpractice in Italy to omit fish oils.

54. • In a large number of studies, fish oil has been
shown to improve survival and to reduce fatal heart
rhythms. The American College of Cardiology has
strengthened its position on the medical benefit of
fish oil.
• Combining omega-3 fatty acids with blood-thinning
drugs may reduce the risk of heart attacks in
patients who've had stents placed in their coronary
arteries.
• Exercise helps people recover after a heart attack
but the benefits vanish when the workouts stop.

55. H o w S o o n t o R e t u r n t o Wo r k a f t e r a
H e a r t A t t a c k
Some heart attack survivors may be able to go back to
work much sooner than is typically recommended.
Certain heart attack patients are able to return to
work just two weeks after suffering the attack,
without raising their risk of a
repeat attack or other complications.
Those patients deemed to be at low risk of a second
heart attack, based on tests conducted during their
hospital stay can return to work much sooner than
the usual six to eight weeks.

57. N a t u r a l t h e r a p y
f o r
h e a r t a t t a c k p r e v e n t i o n
Before you start any
supplement program for heart
disease prevention or treatment,
please make sure you discuss it with
your doctor and you have full approval
and regular supervision.

59. O r v i s i t r e h a b i l i t e e c e n t r e
o r
r e v e r s a l o f h e a r t a t t a c k c l i n i c
• Views of a World Famous Cardiologist, expressed on 14 May 2010.
• Dr. Naresh Trehan, who was awarded Padma Shri and Padma Bhushan, has said the following at a
press conference in Gurgaon, India:-
"Ayurvedic potions and herbs combinations do not cause much side effects like allopathic drugs and
are much healthier and cost-effective as well."
• He said that a simple combination of herbs like Karela and Arjun Chhaal was an easy and very
economic way to keep cholesterol under check as against the statins prescribed by allopaths
worldwide, which have adverse effects on one's liver and muscles.
Benefits of Karela / Bitter Melon
• Bitter Melon is helpful in treating Diabetes.
• Bitter Melon reduces the sugar levels in blood and urine
• Bitter Melon helps to achieve positive sugar regulating effect by suppressing the neural response to
sweet taste stimuli.
• Bitter Melon has shown significant antilipolytic and lipogenic activity
• Bitter Melon is a excellent blood purifier
• Bitter Melon treats the worm infestations
• Bitter Melon stimulates the pancreas and liver and helps in good absoption of food
• Bitter Melon is helpful as an emetic, purgative, as an anthelmentic, in piles, and jaundice

60. HEART BLOCKS
Another prominent herbal drug from the house of Fair Pharma that has brought
succour and solace to thousands of cardiac patients the world over is Cholesterol-
QR. This drug has proven to be very effective in treating cardiac patients whose only
option until now had been a bypass surgery / angioplasty performed in super
specialty hospitals at a high cost. A bypass surgery is generally recommended when
plaques build up in the arteries forming blocks leading to obstruction of blood flow.
Plaques to be precise are 70% calcium, 23% cholesterol and 7% other waste
products. In a bypass surgery, blood is made to flow through another passage usually
using a vein from the patient’s leg / arm. However, a bypass surgery is never a
permanent solution and can lead to a painful and restricted life for the patient for
the rest of his life.
This is where Cholesterol QR provides the solution. Cholesterol QR melts the
plaques/blocks in the arteries leading to an increased blood flow resulting in the
normal functioning of the heart within just hundred days. It is to be noted that even
a 10% opening will result in an increased blood flow up to 40 %. Cholesterol QR is
also enriched with ‘medhohara’ quality medical herbs. Use of Cholesterol-QR drugs
will ensure a reduction of triglycerides, blood cholesterol and blood pressure. It is
also ideally recommended for those suffering from chest pain, shortness of breath
and gasping. Whether the patient has one block or several blocks it is immaterial as
cholesterol QR removes all the blocks whether it is in the heart or in the spine.

61. Q:If you have a heart
attack, you also have
heart disease.
• True
• False

62. Explanation:
If you have a heart attack, you have heart
disease. Heart disease includes a number
of conditions affecting the structures or
function of the heart.
Common forms of heart disease are
coronary artery disease, arrhythmias,
heart failure, and congenital heart
disease, among many others that may
lead to development of a heart attack.

63. Q:What is meant by the
term myocardial
infarction?
A Heart failure
B Heart attack
C Brain aneurism
D All of the above

64. Explanation:
Myocardial infarction is
the medical term for
heart attack.

65. Q:Sudden cardiac arrest means that
the heart ...
A Stops beating
B Beats dangerously slow
C Has a cycle of beating and stopping
D Skips beats

66. Explanation:
Cardiac arrest is the sudden loss of
cardiac function, when the heart
abruptly stops beating.
Unless resuscitative efforts are begun
immediately, cardiac arrest leads to
death within a few minutes.
This is often referred to by doctors as
"sudden death" or "sudden cardiac
death" (SCD).

67. Q:Symptoms of heart disease can include ...
A Dizziness, weakness, arm pain, pressure
in the chest
B Heart palpitations, shortness of breath,
weakness
C No symptoms at all
D All of the above

68. Explanation:
Because there are many forms of heart disease,
there are many symptoms, including
dizziness;
weakness;
pain that radiates to the arm, jaw, or throat;
nausea; vomiting;
shortness of breath;
heart palpitations;
chest pain, discomfort and heaviness.
There are some forms of heart disease
that produce no symptoms at all.

69. Q:Heart disease is the leading cause of
death of American women over
the age of 25
• True
• False

70. Explanation:
According to the American Heart
Association, cardiovascular disease is the
leading killer of women over the age of 25.
It kills nearly twice as many women in the
United States than all types of cancer,
including breast cancer.

71. Q: Risks for heart disease include ...
A High blood pressure and
high cholesterol
B smoking
C Lack of exercise
D All of the above

72. Explanation:
High blood pressure and high cholesterol,
smoking, and lack of exercise are contributors
to heart disease, but it is necessary to include:
diabetes and prediabetes,
being overweight or obese,
a diet high in fats,
emotional stress,
and excessive alcohol consumption
as well as uncontrollable risk factors
such as age,
gender,
and family history.

73. Q: When heart trouble is sensed, who waits
at least two hours before help is called?
A men
B women
C Both men and women
D Children

74. Explanation:
When it comes to heart trouble,
Americans (males and females)
typically wait at least two hours before calling for
help.
Know the warning signs and always
call 1298 within 5 minutes of when symptoms begin
because waiting may allow heart trouble
to become much worse.

75. Q: In the heart, a clogged artery causes a heart attack. In
the brain it causes a _______________.
A migraine
B Mental illness
C stroke
D Seizure

76. Explanation:
A stroke occurs when blood flow to a part
of the brain is interrupted because a blood
vessel in the brain has been blocked.
This is called an ischemic stroke.
Cerebral haemorrhagic strokes occur when
a blood vessel in the brain ruptures
and bleeds into the surrounding brain
tissue.

77. Q:The term "heart failure" means the heart
has stopped working.
• True
• False

78. Explanation:
The term "heart failure" does not mean the
heart has "failed" or stopped functioning.
It means the
heart does not pump as well as it should.
This then leads to salt and water retention,
causing oedema (swelling)
and shortness of breath,
which are the primary symptoms
of heart failure.

79. Q: People can be born
with heart disease.
• True
• False

80. Explanation:
People born with heart structure and function
problems
are said to have "congenital heart disease."
Congenital (present at birth) heart disease refers to
abnormal heart development before birth.
It is the most common type of birth defect.

81. Q: Has heart disease ever been
responsible for half of the deaths in America?
• Yes
• No

82. Explanation:
By the late 1940s, cardiovascular disease was
responsible for half of all U.S. deaths.
Only six decades ago, we didn't know what
caused cardiovascular disease,
and many Americans died of heart attacks in
their 50s or 60s.

83. Q:The most common type of heart disease
in the worl d is:
A Coronary artery disease
B Atrial fibrillation
C Mitral valve prolapse
D Arrhythmias

84. Explanation:
Coronary heart disease is usually caused by a
condition called atherosclerosis, the narrowing of
coronary arteries by cholesterol deposits, called
plaques.
If the arteries narrow enough, blood supply to the
heart muscle may be compromised (slowed down),
and this slowing of blood flow to the heart causes
pain, or angina.

85. The medical term for chest pain is
_________________.
A Angina
B There is no medical term for chest pain
C Flutter
D Arrhythmia

86. Explanation:
Angina
is chest pain that
is due to an inadequate
supply of oxygen to the heart muscle.

87. Introduction
Here I've put together a list of the "best of the best"
heart-healthy foods.
The foods listed here are all top-performers in protecting your
heart and blood vessels.
I've also got menu ideas –
so you can easily bring heart-healthy foods into your daily
breakfast, lunch, and dinner.

88. 1. Salmon
Nutrients: Omega-3 fatty acids.

89. 2. Flaxseed (ground)
Nutrients: Omega-3 fatty acids, fiber, phytoestrogens.
Ground flaxseed hides easily in all sorts of foods -- yogurt parfaits, morning cereal, homemade
muffins, or cookies.

90. 3. Oatmeal
Nutrients: Omega-3
fatty acids, magnesium,
potassium, foliate,
niacin, calcium, soluble
fibre.
Recipe Idea: Top hot
oatmeal with fresh
berries. Oatmeal-and-
raisin cookies are a
hearty treat

91. 4. Black or Kidney Beans
Nutrients: B-complex vitamins,
niacin, foliate, magnesium,
omega-3 fatty acids, calcium,
soluble fibre.
Recipe
Idea:
Give soups
or salads a
nutrient
boost -- stir
in some
beans.

92. 5. Almonds
Nutrients:
Plant omega-3
fatty acids,
vitamin E,
magnesium,
fibre, heart-
favourable mono-
and
polyunsaturated
fats,
phytoster
Recipe Idea:
Mix a few almonds (and berries)
into low-fat yogurt,
trail mix,
or fruit salads.

93. 6. Walnuts
Nutrients: Plant omega-3 fatty acids, vitamin E,
magnesium, foliate, fibre,
heart-favorable mono- and polyunsaturated fats, phytosterols.
Recipe Idea:
Walnuts add flavourful crunch to salads, pastas,
cookies, muffins, even pancakes.

94. Brown Rice
Nutrients:
B-complex
vitamins,
fiber, niacin,
magnesium,
Recipe Idea: Microwavable brown
rice makes a quick lunch.
Stir in a few chopped veggies
(broccoli, carrots, spinach).

95. Blueberries
Nutrients:
Beta-carotene and lutein
(carotenoids),
anthocyanin (a flavonoid),
ellagic acid
(a polyphenol),
vitamin C, folate, calcium,
magnesium, potassium,
fiber.
Recipe Idea:
Cranberries, strawberries,
raspberries are nutrient-
rich too -- for trail mixes,
muffins, and salads!

96. Spinach
Nutrients:
Beta-carotene
(a carotenoid),
Vitamins C
and E,
potassium,
folate,
calcium, fiber.
Recipe Idea:
Pick spinach (not lettuce)
for nutrient-packed
salads and sandwiches.

97. Broccoli
Nutrients:
Beta-carotene (a carotenoid), Vitamins C and E,
potassium, folate, calcium, fiber.
Recipe Idea: Chop fresh broccoli into store-bought
soup. For a veggie dip, try hummus (chickpeas).

98. Sweet Potato
Nutrients: B e t a - c a r o t e n e ( a c a r o t e n o i d ) ,
V i t a m i n s C a n d E , p o t a s s i u m ,
foliate, calcium, fibre.
Recipe Idea:
Microwave in a
zip-lock baggie for
lunch.
Eat au naturale,
or with
pineapple bits

99. Orange
Nutrients:
Beta-cryptoxanthin, beta- and alpha-carotene, lutein (carotenoids) and
flavones (flavonoids), vitamin C, potassium, foliate, fibre.
Recipe Idea:
Got orange juice? Check out the new nutrient-packed blends.

100. Tomatoes
Nutrients:
Beta- and alpha-
carotene,
lycopene, lutein
(carotenoids),
vitamin C,
potassium,
foliate, fibre.
Recipe Idea:
For a flavour twist try
oil-packed tomatoes in
sandwiches, salads,
pastas, and pizzas.

101. Papaya
Nutrients:
Beta-carotene, beta-
cryptoxanthin, lutein
(carotenoids),
Vitamins C and E,
foliate, calcium,
magnesium,
potassium.
Recipe Idea:
Serve papaya salsa with salmon: Mix papaya, pineapple,
scallions, garlic, fresh lime juice,
salt, and black pepper.

103. A Cardiac cellular therapies are
undergoing global clinical trials with
"encouraging early results" and these
economical options will soon be
available in India which could bring
relief to patients who cannot afford the
currently available expensive surgical
treatments, says Indian American
cardiac surgeon Dr Mukesh Hariawala.

104. Delivering a special invited plenary
lecture on the "Novel Cellular
Therapies for Heart Disease" at the
recently concluded Healthcare India
2012 convention in New Delhi, the
renowned cardiac surgeon asserted
that the new developments in cardiac
cellular therapies would bring down
the alarming healthcare costs globally.

105. Dr Hariawala is internationally acclaimed as
a pioneer of cardiovascular surgical
techniques using Therapeutic
Angiogenesis. He said Therapeutic
Angiogenesis is a fast emerging science of
stimulating growth of new blood vessels in
the heart which acts as natural bypasses to
areas lacking in blood supply.
Dr Hariawala demonstrated angiogenesis
along with bypass surgery, lasers and stem
cell injections as a novel "Combo Therapy."

106. The laser energy acts by creating channels in the
diseased heart muscle which also triggers
Angiogenesis. Stem cells are then injected directly
into coronary arteries feeding the diseased territory
or in the stimulated lasered muscle during the open
heart surgery. This option could be very helpful in
Indian patients with diffused distal small caliber
coronary arteries and diabetes, who are not amicable
to routinely offered current interventions, he said.
Harvard-trained Dr Hariawala's studies have been
published in several scientific surgical journals and
medical text books.

107. Dr Hariawala acknowledged that only a combination of these
four therapies could give it the "Therapeutic Threshold Power"
and bring about optimum results and relief of patients
symptoms. Standalone, each of these therapies is weak to
treat a large muscular pumping organ like the heart.
Stem cells have a therapeutic role and hold enormous promise
for the future as they are harvested from the patient's own
tissues. Currently, adult stem cell extraction is done from
one's own hip bone and patients do not have to worry about
rejection phenomenon occurring as they are native cells unlike
transplanted from another donor. In the future, stem cell
banks could proliferate allowing donors to freeze and store
cells for family members who could be treated for many
diseases, he added.

108. http://www.rxlist.com/heart_disease_slideshow_pictures_a_visual_guide/article.htm
http://www.ibtimes.com/articles/308593/20120304/angiogenesis-heart-patient-mukesh-
hariawala-healthcare.htm