Is Chest Pain A Definite Sign for Heart Attack?

When someone is having a serious pain in the chest, the first thing that comes to our mind is: is he or she having a heart attack (or myocardial infarction)?

Serious pain in the chest seems to be an obvious sign of a heart attack. Researchers from the Hospital of the University of Pennsylvania, however, did not appear to agree.

In their paper published in August 2011 in the ‘Annals of Emergency Medicine’, they pointed out that a high degree of pain does not indicate that someone entering the emergency room with chest pains is having a heart attack.

After examining and following for 30 days more than 3,000 patients who arrived at the UPenn hospital emergency department complaining of chest pain, the researchers found that most severe chest pain was not a good predictor for identifying patients who were having heart attack or who were more prone to having one over the next month. Meanwhile, they also stressed that a patient who does not have severe chest pain does not mean that he or she is not having a heart attack.

The results of their study showed that pain that lasted more than an hour was not a useful sign of heart attack versus other conditions, and the pain of a heart attack also does not always settle in the chest area but might be in the chest, arm, jaw back or abdomen.

According to the researchers, failure to diagnose acute myocardial infarction accounted for 30 percent of malpractice claims paid out, with 2 to 5 percent of patients who were having heart attack being inappropriately discharged from emergency departments.

Though pain severity was not a good predictor, it could correctly identify people who had such symptom and arrived at the emergency department in an ambulance. This might be due to the fact that people tend to ignore chest pain until it is serious enough to call for emergency services.

While the cause of chest pain might or might not be a heart attack, people who have such experience should not ignore it because something serious must have emerged.

Heart Disease Can Be Caused By Childhood Hardship!

While a number of risk factors including diabetes, hypertension (high blood pressure), overweight, smoking and high alcohol intake can lead to heart disease, childhood hardship can well be one of them.

Researchers from New Zealand's University of Otago revealed in the paper they published in August 2011 in ‘Archives of General Psychiatry’ that children who are abused, lose a parent or suffer other hardships might be at a higher risk of getting heart disease later in their life.

Among more than 18,000 adults in 10 countries, the researchers found that those who said they had faced childhood adversities such as abuse, death of a parent, or a parent’s alcohol or drug abuse had a higher chance of getting heart disease, arthritis, asthma, diabetes and other conditions. Similar pattern was seen among people who said they had suffered from depression, anxiety or other mental health conditions before the age of 21.

Though the findings did not prove that serious stresses in childhood would directly cause poor physical health later on, there were a few reasons behind the link between the two.

According to researchers, early adverse experiences could affect people’s behavior and lifestyle. Some people might just adopt smoking, drinking or over-eating as a way of dealing with the stresses. Likewise, young people with depression or other mental disorders might use smoking or drinking as a way to self-medicate. It is possible that severe childhood stress might have more direct biological effects.

Meanwhile, participants reported at least 3 childhood adversities had a higher risk of all 6 physical health problems that were assessed in the study. They had twice the risk of heart disease, compared with men and women with no adversities.

Similar results were seen among adults who said they had mental health conditions, especially depression, post-traumatic stress disorder or panic disorders, before the age of 21. Their risks of heart disease, asthma, arthritis and chronic back pain or headaches were between 43 percent and 66 percent higher than risks in adults with no early mental health disorders. Current psychological status, however, did not appear to account for the link.

Beware of Side Effects of Cardiac Medications

The modern healthcare scenario is somewhat muddled, as far as a layman is concerned, due to the claims and counterclaims made by different groups with differing opinions. The same is absolutely true to heart care medicines. Most prescription drugs claim to reduce cholesterol, clogging up of the arteries and other heart-related diseases, but in fact they have hidden but very obvious side effects which can, in the long term, can reduce the lifespan.

As an example, we shall take up the case of Simvastatin, which is a hypolipidemic that is used for treating people suffering from high cholesterol and triglycerides. The medicine, to be truthful, helps preventing cardiovascular diseases and reduces the chances of heart strokes and attacks. The medicine is arguably good for administering in diabetes patients too. Again, the drug is effective in reducing cholesterol in children and young adults too. A large number of manufacturers are selling this drug under different names, like Simvacor and Simcard, to name a few.

However, with all its unique qualities, this prescription drug has many pronounced side effects. The general negative effects include indigestion, fatigue, loss of memory, joint pains, muscle cramps, abdominal pain, headaches etc. But you need to note here that these side-effects are neither universal nor long-lasting. Some persons may experience a handful of these impacts while another group may experience most of these. In some persons, the side effects may be recurring and long drawn out while in some, they may be just fleeting experiences. Extreme and rare side effects like Myalgia, which is a severe form of muscle pain, can also be observed in some patients. Regular and uncontrolled usage of Simvastatin have also reportedly caused life-threatening situations like Myositis, Rhabdomyolysis, Cholestatic Hepatitis, Hepatic Cirrhosis etc in some patients.

People who are undergoing Simvastatin usage also need to stay away from foods like grapefruits. The juice of the fruit has the capability to interfere with the cholesterol-reducing agentsin the drug while obstructing the metabolism process. The enzymes contained in the fruit work negatively with the ingredients in Simvastatin, but this does not mean that all citrus fruits are out of bounds for those undergoing heart treatments.

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 Is the Link Between Westernization and Heart Disease?

As a result of ‘Westernization’, the number of South Koreans with multiple risk factors for heart disease and diabetes has steadily increased. Westernization is the conversation to or adoption of western cultures including technology, politics, economics, lifestyle, diet, language and values.

A study published online on April 19, 2011 in the journal ‘Diabetes Care’ reported that one-third of Korean adults have risk factors associated with diabetes and heart disease. Since the late-1990s, Korea has become more westernized. Researchers from Gil Medical Center in Incheon intended to look at Korea's changing rate of metabolic syndrome, a collection of risk factors for Type-2 diabetes, heart disease and stroke.

Based on a periodic government health study on Korean adults aged 20 and above, the researchers found that 25 percent of Korean adults had metabolic syndrome in 1998. But by 2007, the figure had risen beyond 31 percent, which was closed to the rate of 34 percent seen in the United States at that time.

Such hike was seen amid a period of fast economic growth in Korea, together with the adoption of the less-than-healthy lifestyle often accompanying with it. Korean are eating more ‘Western’ food, watching more TV and having less exercise than a decade ago.

This is not the first study to link Westernization to health problems in Asian countries undergoing rapid economic growth. A recent study in urban Indian also found steadily increasing rate of obesity, high blood pressure and diabetes among young adults who were followed for 7 years. The researchers who conducted the study accused declining levels of physical activity and high smoking rate as the culprits for causing such health problems.

Meanwhile, several other recent studies in South and Southeastern Asia have also highlighted heart disease and diabetes as growing problems. A World Bank study on India and other South Asian countries had warned that people in the region get their first heart attack at the age of 53, which is 6 years earlier than people anywhere else.

To prevent from ending up with such health problems, people must change their lifestyle. For instance, they should perform regular exercise and adopt a healthy diet with low sodium (salt), carbohydrates and fat.

What Are The Causes of Preeclampsia?

Preeclampsia is a medical condition in which a pregnant woman, who has previously had normal blood pressure, develops hypertension (high blood pressure) and has significantly high amount of protein in her urine. If this condition is not treated, it could lead to serious and even fatal complications for both the mother and the baby.

When one has preeclampsia, the only cure is delivery of baby. However, if this woman were diagnosed with the condition too early in the pregnancy, she and her doctor would face a dilemma. The baby needs more time to mature but the mother needs to have delivery to avoid serious complications to her and her baby.

Even if the mother and the baby survive, the mother could later have a higher risk of high blood pressure, heart disease, stroke and diabetes. Meanwhile, the baby is often born prematurely and can suffer complications later in life.

Researchers from Britain's Cambridge and Nottingham Universities announced that they have discovered a mechanism that raises blood pressure in preeclampsia and argued that their work might help the search for new drugs for hypertension. They also believed that they had deciphered the first step in the main process that controls blood pressure: release of a hormone known as angiotensin, from its source protein, angiotensinogen. Their findings were published in the journal ‘Nature’ in October 2010.

Drugs currently used to treat high blood pressure include ACE inhibitors that block the production of angiotensin or angiotensin receptor blockers (ARB), which prevents angiotensin from taking effect in the body once it is released. These drugs work well for standard hypertension but the pregnant women could not take these drugs because they are potentially dangerous to the developing baby.

The study, primarily focused on preeclampsia, also opened new leads for future research into the causes of hypertension in general. According to the World Health Organization (WHO), hypertension itself is the biggest risk factor for causes of death worldwide. Hypertension is also a risk factor for heart disease.

The cost of treating pregnant women with preeclampsia is estimated to be $45 billion a year in the United States, Europe, Asia, Australia and New Zealand. An estimated 75,000 women in developing countries die of it each year.

Do You Want Your Heart Disease Risk Doubled?

While cigarette smoking can induce numerous medical disorders to smokers themselves, people who are exposed to smokers’ tobacco smoke are also at a high risk of getting similar medical disorders. One of the disorders is heart disease, one of the leading killers in the world.

Researchers from the University College London reported that people who are around smokers and breathe in a lot of smoke are twice as likely to die from heart disease as those who are exposed to lower levels of secondhand smoke. Their study, which covered more than 13,000 people in England and Scotland, was published on June 29, 2010 in the ‘Journal of the American College of Cardiology’.

A saliva test was used to measure the amount of secondhand smoke people have been exposed to and the participants were followed for an average of 8 years, keeping track of who developed heart disease and who died.

It was found that 32 out of about 1,500 people who had never smoked but were exposed to high levels of secondhand smoke died of heart disease. In comparison, only 15 out of about 1,000 people who never smoked but with low exposure. Their analysis, which was restricted to never-smokers only, showed that high secondhand smoke exposure was linked to more than a 2-fold increased risk of dying from heart disease.

High level of exposure, according to the definition set by the researchers, would be equivalent to living with a smoker and exposed to secondhand smoke almost every day.

This is definitely not the first study to reveal such association. In a 10-year study published in 1997 in the journal ‘Circulation’, researchers from the Harvard School of Public Health reported that women who never smoked but regularly exposed to other peoples’ smoking in home or work had their risk of heart disease almost doubled.

More than 32,000 healthy women who never lighted up a cigarette were tracked. These women, aged between 36 and 61 when the study began, suffered 152 heart attacks, 25 of them fatal.

In order to prevent heart disease, smokers are urged to give up this unhealthy and selfish habit for the sake of their loved ones. Meanwhile, people staying with smokers should strive to help them quit smoking so as to lower the risk of heart disease for all in the house.