{"id":60460,"date":"2021-03-27T17:39:50","date_gmt":"2021-03-27T17:39:50","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=60460"},"modified":"2023-06-28T15:31:15","modified_gmt":"2023-06-28T15:31:15","slug":"heart-health-should-be-your-priority-in-life-by-dr-harold-gunatillake-2","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/heart-health-should-be-your-priority-in-life-by-dr-harold-gunatillake-2\/","title":{"rendered":"Heart Health should be your priority in Life-By Dr Harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"font-size: 28px; color: #000080;\">Heart Health should be your priority in Life-By Dr Harold Gunatillake<\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-77916\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2021\/11\/Harold-Gunethilake.jpg\" alt=\"Harold-Gunethilake\" width=\"160\" height=\"160\" \/><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Dr Harold Gunatillake-Health writer<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">My electrician came to replace the hot plates in my old cooker used for over 10 <\/span><span style=\"font-size: 20px; color: #000000;\">years. He went to Bunnings to purchase the new plates, but he never returned. <\/span><span style=\"font-size: 20px; color: #000000;\">Phoned up two days later and the wife said he had chest pain after his visit to <\/span><span style=\"font-size: 20px; color: #000000;\">our home and now in hospital waiting for angiography.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">He has just retired, leading a sedentary life from an active carrier. Quite fit <\/span><span style=\"font-size: 20px; color: #000000;\">looking though having a slight pot belly.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">That would be the common story of heart disease.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Cardiovascular diseases are the number 1 cause of death globally, taking an <\/span><span style=\"font-size: 20px; color: #000000;\">estimated 17.9 million lives each year.<\/span><\/p>\n<p style=\"text-align: justify;\"><!--more--><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Heart disease is avoidable unless there is an inherited factor. <\/span><span style=\"font-size: 20px; color: #000000;\">Today people live in an environment of pollution, street eating outlets,<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">convenience foods and restaurant foods, hot food joints, that never existed 50 <\/span><span style=\"font-size: 20px; color: #000000;\">years ago and before. Cultivating an addiction to these foods could be the <\/span><span style=\"font-size: 20px; color: #000000;\">beginning of building up plaques in your coronaries and other vessels including <\/span><span style=\"font-size: 20px; color: #000000;\">those in the brain.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Obesity has nearly tripled since 1975 globally, a major factor for heart disease.<\/span><span style=\"font-size: 20px; color: #000000;\">Life also have become stressful, with the never ever schemes we need to get <\/span><span style=\"font-size: 20px; color: #000000;\">into, to keep with the Joneses.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Heart Health <\/span><span style=\"font-size: 20px; color: #000000;\">should be <\/span><span style=\"font-size: 20px; color: #000000;\">your priority <\/span><span style=\"font-size: 20px; color: #000000;\">in Life <\/span><span style=\"font-size: 20px; color: #000000;\">In Sri Lanka, when it was called <\/span><span style=\"font-size: 20px; color: #000000;\">Ceylon, during the second world<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">war, and immediately after, <\/span><span style=\"font-size: 20px; color: #000000;\">people had to grow their own <\/span><span style=\"font-size: 20px; color: #000000;\">vegetables including root <\/span><span style=\"font-size: 20px; color: #000000;\">veggies like manioca, in their<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">gardens, with subsidiary foods <\/span><span style=\"font-size: 20px; color: #000000;\">provided by the Civil Defense- headed by Sir Oliver Goonetillake who became<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">our first governor general.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">The only food outlets we had were the Ananda Bawans, vegetarian hotels <\/span><span style=\"font-size: 20px; color: #000000;\">which served South Indian hot foods like thosai and idley and the ulundu <\/span><span style=\"font-size: 20px; color: #000000;\">wades.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Heart disease was never heard of then, and the worst disease was doublen<\/span><span style=\"font-size: 20px; color: #000000;\">pneumonia- you enter hospital and never came home.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Today, most couples do not cook food in their homes, don\u2019t have the time <\/span><span style=\"font-size: 20px; color: #000000;\">because both work. They purchase convenience street foods on the way home.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">These foods are mainly fried foods, heavily salted for palatable taste. <\/span><span style=\"font-size: 20px; color: #000000;\">Neglecting your heart health may lead to heart failure. Most common causes <\/span><span style=\"font-size: 20px; color: #000000;\">are old age, chronic conditions like diabetes, thyroid problems, coronary heart <\/span><span style=\"font-size: 20px; color: #000000;\">disease and heart attacks, heart valve disease, among others. <\/span><span style=\"font-size: 20px; color: #000000;\">Heart failure means that the heart muscle is unable to pump enough blood to <\/span><span style=\"font-size: 20px; color: #000000;\">meet the body\u2019s needs for blood and oxygen. The left ventricle which pumps<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">the blood into the body becomes thickened first to compensate and with <\/span><span style=\"font-size: 20px; color: #000000;\">further deterioration becomes weakened.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Approximately 600,000 Canadians have heart failure and is the leading cause <\/span><span style=\"font-size: 20px; color: #000000;\">of hospitalization in Canada. <\/span><span style=\"font-size: 20px; color: #000000;\">In Sri Lanka, the incidence of cardiovascular disease is increasing, much higher <\/span><span style=\"font-size: 20px; color: #000000;\">than many industrialized nations including the United Kingdom, the United <\/span><span style=\"font-size: 20px; color: #000000;\">States, Australia and France.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">This is associated with many symptoms, including shortness of breath, <\/span><span style=\"font-size: 20px; color: #000000;\">difficulty breathing and fatigue, exercise intolerance, fluid retention, cough, <\/span><span style=\"font-size: 20px; color: #000000;\">and weight gain due to fluid retention. <\/span><span style=\"font-size: 20px; color: #000000;\">We call this stage as congestive heart failure. This is a serious condition and <\/span><span style=\"font-size: 20px; color: #000000;\">there is no cure but only temporizing measures. <\/span><span style=\"font-size: 20px; color: #000000;\">In the past, at this late stage of weakened heart muscle treatment was with <\/span><span style=\"font-size: 20px; color: #000000;\">drugs such as digoxin considered as food for the heart, diuretics, and other <\/span><span style=\"font-size: 20px; color: #000000;\">measures, such as giving drugs that lower the blood pressure.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Today, much advanced therapies help such patients to live longer with a better <\/span><span style=\"font-size: 20px; color: #000000;\">quality of life. <\/span><span style=\"font-size: 20px; color: #000000;\">There are two new drugs approved to treat heart failure: ivabradine and <\/span><span style=\"font-size: 20px; color: #000000;\">sacubitril.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">According to Abbas Bitar, MD , clinical assistant professor, Frankel <\/span><span style=\"font-size: 20px; color: #000000;\">Cardiovascular Centre at the University of Michigan, states that the addition of <\/span><span style=\"font-size: 20px; color: #000000;\">the drug Entresto, has reduced hospital visits and death from heart failure.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">A few drugs in the pipeline are Omecamtiv mecarbil which helps the heart to <\/span><span style=\"font-size: 20px; color: #000000;\">pump blood more efficiently.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">The FDA is reviewing another new drug- vericiguat specifically indicated for <\/span><span style=\"font-size: 20px; color: #000000;\">patients having heart failure.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Another drug called sodium-glucose cotransporter-2 inhibitors also shows <\/span><span style=\"font-size: 20px; color: #000000;\">promising results.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">These drugs are specifically mentioned because, if the readers have any <\/span><span style=\"font-size: 20px; color: #000000;\">relations and colleagues having heart failure, names of these drugs should be <\/span><span style=\"font-size: 20px; color: #000000;\">notified to the respective medical practitioners for consideration.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">Among Sri Lankans diabetes, obesity and uncontrolled high blood pressure <\/span><span style=\"font-size: 20px; color: #000000;\">seem to be the prevalent conditions for heart disease.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">In addition to strict control with therapy and diet, walking for 2 to 3 hours at <\/span><span style=\"font-size: 20px; color: #000000;\">intervals per day, equivalent to 16 to 24,000 steps would help to control any <\/span><span style=\"font-size: 20px; color: #000000;\">chronic disease, including most cancers.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">The author has got rid of coronary plaques, controlled diabetes with minimum <\/span><span style=\"font-size: 20px; color: #000000;\">therapy, reducing visceral fat and having a normal blood pressure, aging to 92 <\/span><span style=\"font-size: 20px; color: #000000;\">years.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">The key to managing heart failure is to get diagnosed and start treatment early. That <\/span><span style=\"font-size: 20px; color: #000000;\">allows you to make informed decisions about your treatment before your heart failure <\/span><span style=\"font-size: 20px; color: #000000;\">becomes too severe.<\/span><br \/>\n<span style=\"font-size: 20px; color: #000000;\">ABBAS BITAR, MD<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px;\"><em>Disclaimer:<\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px;\"><em>The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In otherwords, eLanka In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website \/ article. Also please note that through this website \/ web page articles you are able to link to other websites which are not under the control of eLanka and therefore we have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Heart Health should be your priority in Life-By Dr Harold Gunatillake Dr Harold Gunatillake-Health writer My electrician came to replace the hot plates in my old cooker used for over 10 years. He went to Bunnings to purchase the new plates, but he never returned. Phoned up two days later and the wife said he [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[33450],"class_list":{"0":"post-60460","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-heart-health","10":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Heart Health should be your priority in Life-By Dr Harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Dr Harold Gunatillake-Health writerMy electrician came to replace the hot plates in my old cooker used for over 10 years.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, 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