Dr. Anula Sisodia, MCH is a Cardio-thoracic and cardiovascular surgeon in the SMS hospital and medical college, Jaipur. Curecity has an interview with her on World Heart Day, September 29. A brief of the questions and answers are as follows:
Question 1 – What are the basic reasons of cardiac diseases?
Answer 1 – There are 3 types of heart diseases
- Congenital heart diseases – It is a general term for a range of birth defects that affect the normal workings of the heart. The term “congenital” means the condition is present at birth. That has to be corrected, sometimes immediately sometimes later on.
- Infectious heart diseases – These heart diseases include pericarditis, endocarditis, and myocarditis, are caused when an irritant, such as a bacterium, virus or chemical, reach your heart muscle. The most common causes of heart infections include Bacteria, viruses.
- Coronary heart disease – It is the heart attack. It is different from cardiac arrest. A heart attack is because of blockages in the vessels. Two main vessels left coronary artery and the right coronary artery, supplies blood to the heart. Left is again divided into two branches and the same with the right artery. If any of the vessels get 100% blocked, the patients get an attack. And if it is 60% or 70% blockage, then a person will feel pain in his chest or may have a heart attack.
The second and third types of heart diseases are increasing worldwide, especially in developing countries like India. WHO is more concerned about these and have a target of reducing these by 25% by 2025. Awareness and preventive care are the most powerful tools to achieve it.
Question 2 – What are the preventive methods to reduce the risk of cardiac diseases?
Answer 2 – Consumption of tobacco (Smoking) and alcohol play a major role in developing cardiac diseases. One should not consume much of cholesterol (Oil etc). Walking, cycling and regular exercise are good for the heart.
One should consult a doctor in case of chest pain, unusual tiredness, or uneasiness. A regular check-up also helps in prevention.
Question 3 – What are the common diagnostics related to heart diseases?
Answer 3 – ECG is the most common and first test for the diagnosis of cardiac diseases. CPMT is a further test and angiography is the final test. 2D/3D echo is also a common test.
Question 4- What precautions should be taken pre and post-surgery?
Answer 4 – Pre-operative
1. Stop smoking, drinking alcohol and chewing tobacco. It is suggested that patient has to stop making for at least 3 months before the surgery.
2. Keep walking and doing regular exercises.
3. Avoid doing a strenuous workout in which you will feel pain in your chest.
1. Quit smoking, drinking alcohol and chewing tobacco for the lifetime.
2. Don’t lift heavy weights for 2-3 months after surgery.
3. The patient should sleep straight.
4. Walk as much as one can.
5. Work as much as one can.
Question 5 – Cardiac care is expensive in private hospitals. What do you suggest a person with a general economic condition?
Answer 5 – The cost for the bypass heart surgery in a government hospital is fifty to sixty thousand, whether he or she is rich or poor. And if it is related to valve surgery, it costs ninety thousand for a single valve (mechanical valve) and one lakh for bioprosthetic.
These days’ governments are running flagship projects to support Indian citizens for their health care. These includes Bhamashah card, BPL card, etc. Patients also get help from Prime Minister’s and Chief Minister’s fund.
Question 6 – Anything else you want to include, please tell us?
Answer 6 – This year’s theme of World Heart Day is “Power your life”. On this, I want to say that prevention is the best strategy. Do regular exercises, go for a routine health checkup, reduce your stress, control your diabetic, blood pressure, and cholesterol and don’t panic in case of cardiac problems, as the cure is available at nearby places and affordable for everyone.
If one has chest pain or uneasiness, it may be a heart risk. Don’t take these symptoms lightly. It is required to have a checkup. Early detection reduces the risk of heart attack.
Question 7- What should we do as a social responsibility for cardiac diseases?
Answer 7- Spread awareness. Despite TV advertisements, government initiatives, NGO efforts etc. people are not much aware of the precautions and even many times people are careless. Spread awareness for non-smoking and non-consuming of alcohol. Tell people to do regular exercise, walk and live a stress-free life.
To download the interview in PDF file – Click Here
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