Would Meditation Help Heart Disease Patients?

Any practice in which the practitioner trains his or her minds or self-induces a mode of consciousness can be called meditation. As it is generally an inwardly oriented, personal practice, people can usually practice it by themselves. While meditation has been practiced since thousands of years ago for various reasons, it is now commonly used for relaxation and stress reduction.

Since 1960s, meditation has been the subject of scientific research. There were more than 1,000 published studies that linked various methods of meditation to changes in bodily processes including metabolism, blood pressure, and brain activation.

Meanwhile, popularity of meditation has grown steadily. A 2007 study by the United States government found that about 9.4 percent of adults (over 20 million) had practiced meditation within the past 12 years, up from 7.6 percent (more than 15 million people) in 2002.

In a paper published on June 27, 2011 in the ‘Archives of Internal Medicine’, researchers from the Institute for Natural Medicine and Prevention at Maharishi University of Management in Fairfield, Iowa reported that meditation would cut the rate of death, heart attack and stroke by half.

The 9-year study on the effects of meditation of heart disease patients was funded by the National Institute of Health, and the stress-reducing technique used is Transcendental Meditation.

Trial was conducted at the Medical College of Wisconsin in Milwaukee in collaboration with Schneider’s Institute. The study tracked 201 African American men and women, with an average age of 59. These participants had narrowing of arteries in their hearts. While staying on the prescribed medications, they were randomly assigned to either a meditation group or a control group that was given conventional health education classes.

A comparison of results from the 2 groups showed that those who practiced Transcendental Meditation had the risk of death, nonfatal heart attack and stroke decreased by 47 percent. Significant drops in blood pressure, stress and anger found among people in the meditation group might help explain the results.

Researchers felt that more studies should be carried out to confirm the results. They also pointed out that meditation should not be a substitute for drug therapy for heart disease patients.

The study, nevertheless, highlights a hope that health conditions of heart disease patients could be improve if these patients are taught how to effectively reduce psychosocial stress.

Why People Have Hypertension?

Hypertension, more commonly known as high blood pressure, could lead to hardening of arteries (atherosclerosis) and development of heart failure. That is why it has long been regarded as a major risk factor for heart disease. According to World Health Organization (WHO), around a billion people worldwide, including more than 200 million Chinese, suffer from hypertension.

When the cause of hypertension can be identified, the condition is called secondary hypertension. Kidney disease is the highest risk factor for this type of hypertension. For majority of the hypertensive patients, the causes are not known, though several factors including smoking, high salt intake, stress, sedentary lifestyle, overweight or obese, high alcohol consumption, aging and genetics are believed to play an important role. This kind of hypertension is known as essential hypertension.

Recently, researchers from Beijing Chaoyang Hospital’s Cardiology Center identified a common virus known as human cytomegalovirus (HCMV) that could be responsible for causing hypertension. HCMV infects most adults but is repressed by the body’s immune system and rarely causes any symptoms. Their findings, which linked HCMV to essential hypertension, were published in August 2011 in the medical journal ‘Circulation’.

Such findings might present a new strategy for preventing and treating cardiovascular disease. However, the researchers pointed out that their research was still in its early stage and more tests with a wider scope of patients should be carried out. Once conclusive evidence of the relationship is obtained, better medical vaccines and remedies for hypertension could then be made available to treat millions of patients around the world.

Another recent study conducted by the Tulane University School of Public Health and Tropical Medicine in New Orleans found that hypertension plays a part in 2.3 million cardiovascular deaths in China each year. Among these victims, 1.3 million were premature deaths. This means that victims died before the age of 72 in men and 75 in women, the average lifespan in China in 2005.

What Would Heart Disease Cost United States 20 Years Later?

Most people are aware that heart disease is a chronic disease and the cost of treating it can never be cheap. When the condition of a heart disease patient is serious enough that it cannot no longer be treated by medication alone, he or she might need to undergo heart by-pass surgery or even heart transplant. Though advancement of technology has reduced the medical cost substantially, the amount of money that patients need to pay is still considered huge for most people.

Heart disease is the number one cause of death in most developed countries including United States, where one in 3 people has some form of heart disease. Every year, 17 percent of the cost of medical care, which is about US$273 billion, is meant for heart disease.

A study published on January 24, 2011 in ‘Circulation’, a journal of the American Heart Association (AHA) estimated that the cost of treating heart disease in United States are expected to triple to US$818 billion per year by 2030.

Based on the current disease rates, an expert panel of AHA expanded the cost according to projections from United States census data about approaching shifts in the population. The researchers also assumed that there would be no new discoveries made between now and 2030 to stop the tide of heart disease.

As revealed by the panel, 36.9 percent of Americans have some form of cardiovascular disease such as high blood pressure, coronary heart disease, heart failure or stroke presently. The number of people affected would increase to 116 million or 40.5 percent. Patients with stroke and heart failure are expected to increase the most by about 25 percent.

Most heart disease, according to AHA, is preventable if people can stick to healthy diet and adequate exercises. Unfortunately, many people do not seem to follow such advice. Meanwhile many heart disease patients do not take their medications as directed or drugs are not optimally prescribed to them. All these can further raise the cost of treatment.

Heart Failure Could Be Predicted By New Blood Test

Heart failure, also known as congestive heart failure, is a condition in which the heart is unable to supply sufficient blood flow to meet the need of the body. It is a common and potentially deadly condition. It affects about 6 to 10 percent of people aged 65 and above.

A number of tests that are commonly used by doctors to diagnose heart failure include ECG (Electrocardiogram), heart CT scan (computerized tomography), MRI (Magnetic resonance imaging) of the heart and cardiac stress tests. Routine blood test could help identify heart failure too.

Researchers from the University of Maryland, Baltimore, and the University of Texas, Dallas in the United States declared on November 15, 2010 in the ‘Journal of the American Medical Association’ (JAMA) that they have developed a new blood test to predict the risk of heart failure in older adults who do not have symptoms of heart disease.

The new test is a supposed to be more advance than that is currently used in emergency rooms to identify whether patients having chest pain is getting a heart attack or otherwise. Such findings might help assess the risk of death for older people aged above 65 who appear in good health. This group of people, which sees 80 percent of new congestive heart failure cases, is particularly difficult to gauge.

5,613 participants, who were all 65 years or older and free of heart failure at the outset, were involved in an ongoing study of cardiovascular health. The blood samples of 4,221 participants were studied and stored for up to 18 years. The marker was detected in two-thirds of the participants.

What the test does is to measure the level of troponin T that is a marker for the biological process of cell death leading to heart failure. The higher the level of troponin, the higher the risk that individual would have symptoms of heart failure or death from cardiovascular disease over the next 10 to 15 years.

While the meaning of these elevated levels was still unknown, the new test could detect troponin levels that are 10 times lower than the existing tests. The new test, however, is not commercially available in the United States yet.

Why Fish Should Be On Your Diet List?

Fish, like salmon, mackerel and albacore tuna, that high in omega-3 fatty acid is good for the heart because omega-3 fatty acid could reduce the risk of coronary heart disease. Perhaps this is why American Heart Association (AHA) advice people to eat at least 2 servings of fish a week.

Despite concerns on the impact of increased exposure to mercury in fish, Swedish researchers from Umea University in Sweden argued in their paper published in November 2010 in ‘American Journal of Clinical Nutrition’ that the benefits of consuming fish still outweigh the harmful effects of mercury. However, they also advised people to avoid eating fish high in mercury, which include perch, shark, swordfish and halibut.

More than 900 Swedish men and women took part in a study that required them to answer questionnaires about the amount of fish in their diet. Their mercury and selenium levels in red blood cells were analyzed.

While the mercury levels were generally low for Scandinavians, participants who had higher mercury level in their red blood did not have a higher risk of cardiac problems. It is possible that the protective nutrients in fish offset any harmful effect of mercury at these low levels of mercury, as explained by the researchers.

Meanwhile, the researchers admitted that relying on the participants’ memories on the amount of fish consumed could have drawbacks as this could have an impact on the results obtained. They also highlighted one finding from their study: participants who had elevated traces of selenium in their red blood cells appeared to have higher risk of sudden cardiac death.

Selenium is a trace mineral that is essential to good health but only small amounts are needed. It appears to act as an antioxidant that can reduce risk of cardiovascular disease and cancer.

Nevertheless, previous findings on effect of selenium on heart were mixed. Several studies suggested risk of heart disease and stroke might be reduced by about 40 percent by an added 100 mg per day of dietary selenium. On the other hand, a study by researchers from University of Warwick found that total cholesterol levels increased by 8 percent with an increase of 10 percent in LDL (so called bad cholesterol) in participants having more than 1.2 mol/L of selenium in their blood, leading to increase in risk of cardiovascular disease.

As such, the Swedish researchers felt that the health effect of selenium should further be probed.

Why You Should Take It Easy?

Many management experts believe personality plays an important role in career advancement. For one to excel, he or she has to be confrontational, especially competitive and even aggressive. However, if you belong to this class of people, perhaps, you should take it easy from now onwards.

This is because a study by researchers from the National Institute on Aging (NIA) found that these types of people are at a higher risk of heart attack and stroke. Their findings were published on August 16, 2010 in ‘Hypertension’, Journal Of The American Heart Association (AHA).

5,614 residents, aged between 14 and 94 (on average 42), of 4 villages in the Italian Mediterranean island of Sardinia were examined. 58 percent of the residents were female.

The participants were asked to fill in a questionnaire that was a modified version of the NEO, a popular five-factor personality assessment questionnaire. People who marked themselves as aggressive on the questionnaire were at a higher risk to suffer from thickening of the neck arteries than those who were marked as affable or accommodating.

3 years later, those who scored higher on antagonism, especially those who were manipulative and expressed anger quickly, continued to have thickening of their artery walls. And for people who were the most antagonistic, the chance that they would get thicker arteries were about 40 percent higher.

Ultrasound technology (non-invasive ultrasonography) was utilized to measure arterial wall thickening, which is a sign of ageing that could predict future cardiovascular disease. It is known as intima-mediat thickness (IMT), a predictor for heart attack and stroke. The measurements taken in the study were on participants’ IMTs of the carotid artery, which supplies most of the blood to the brain, were measured.

According to the researchers, people who had high score on antagonism tend to be distrustful, skeptical and at the extreme arrogant, cynical, express anger quickly, manipulative, and self-centered, while people who are agreeable tend to be trusting, straightforward and care for others.

The new finding undoubtedly supports the fact that negative psychological factors do have a great impact on a person’s health as much as lifestyle and smoking.