Posts Tagged ‘High Blood Pressure’

Cool tips to beat the heat

By Willie T. Ong, MD

The human body works best at a certain range of room temperature, usually around 23 to 25 degrees Centigrade. Being exposed to extreme temperatures can bring about weakness, fatigue, and even serious illnesses like heat stroke.

During the hot season, we should take steps to minimize the ill effects of heat on our bodies. For the elderly, the very young, and those with chronic medical conditions (heart disease, high blood pressure, diabetes, and others), check out these tips to keep cool and healthy.

COMMON TIPS

1. Stay inside the house or a building between 10 a.m. and 4 p.m. If possible, spend more time in an air-conditioned or well-ventilated room. Try to avoid the sun.

2. Wear something white and cool, like cotton and linen shirts. Light colors reflect the heat of the sun, and cotton shirts help absorb our sweat so it can evaporate. Conversely, nylon shirts can feel sticky and hot.

3. If you’re out in the sun, do everything to cover yourself. Bring an umbrella, wear a large brimmed hat (not the small baseball cap), or cover your head with a newspaper. Avoid direct sunlight.

4. Drink between eight and 12 glasses of water a day. The elderly and those staying in air-conditioned rooms may drink less water, but active, young adults may need to drink more. Try to minimize drinking coffee and alcohol. Compared to plain water, these drinks don’t fully hydrate the body and may make you even more thirsty.

5. Eat more fruits with high water content, such as watermelon, melon, and coconut water.

NOT-SO-COMMON TIPS

1. Check the weather. Internet websites like AccuWeather.com are quite accurate in predicting the weather for the next five days. Lessen your appointments on a particularly hot day, and do more work under cooler conditions.

2. Slowly acclimatize to the heat (or cold). Our bodies do not like abrupt weather changes like going into an air-conditioned room after being in the sun. You can slowly increase the thermostat in your office or bedroom, say from 23 degrees to 24, then 25 degrees Centigrade, to slowly get used to the hot weather.

3. Go where the trees are. Leafy trees and plants are our best allies in beating the heat. In fact, studies show that temperatures are lower (and there’s more oxygen) in areas where there’s a lot of greenery. So start planting those trees around your home and workplace.

4. Buy houseplants. Just like trees, house plants may help a bit in improving the air quality inside your house. A study shows that houseplants can give oxygen and absorb surrounding pollution.

5. Freeze or chill your water. Before going to work, we usually bring frozen or cold water and place it inside an insulated bag. The water can stay cool even until the late afternoon. Try it.

6. Drink water little by little throughout the day. Take some water every 30 minutes or so until you reach your quota for the day. Drinking little by little is gentler to your heart and body as compared to drinking two glasses of water straight up.

7. Check your urine color. A rough guide to our body’s need for water is to look at the color of the urine. It’s usually darker yellow in the morning and late afternoon, when we are more dehydrated. That’s why you are advised to drink a glass of water when you wake up. Try to keep the urine color on the lighter yellow side.

8. Take a break during work. This advice may not be popular with employers, but an effective way to cope with the heat is to rest more often. If it’s very hot, take a short break, and maybe eat some halo-halo, mais con yelo or just sip a bottle of chilled water.

9. You can place a cold water bottle on the sides of your neck, cheeks, forehead, and also the wrist area where the pulse is located. This can help lower the body temperature. Alternately, you can cool some stones in the refrigerator and place them over your neck and arms.

10. Find and stay in the coolest room inside your house. You can even place dark curtains over the windows to block the sunlight. Use an electric fan, air cooler or air-conditioner.

11. If you’re just inside your house, guys can wear a sleeveless undershirt to keep cool. Of course, you shouldn’t do this at work or you’ll get fired.

12. Try using a spray bottle. It’s a little trick that’s being used by athletes. Buy a spray bottle (similar to those used by gardeners) and fill it with cold water. You can gently spray your face every so often to cool yourself. Having an electric fan around also helps because this adds to the “wind chill” effect of the water on your skin.

13. Take a bath and wash your face. You can also wet a towel and wipe your neck, face, armpits, and body.

14. Get some ice chips and sip on them while working.

15. Wear your sunglasses. Think cool and you’ll feel cooler.

16. Minimize or avoid exercising. If it’s very hot and you feel kind of weak, I would advise you not to exercise for that day. Exercising raises your body temperature and makes you feel hotter. You can still exercise, however, in an air-conditioned room.

17. Rest and sleep, if the hot weather makes you feel tired.

18. To keep cool inside your car, tint your car windows or attach see-through window shades. When you have to park under the sun, cover your windshields with those large sunblockers.

19. Finally, try to lose some weight. Thinner people can deal with the heat better, while overweight individuals feel more sweaty and hot.

During the hot weather, remember to avoid the sun, rest more often, and plant those trees. Let’s do what we can to stay cool and healthy.

Source:Philstar.com

8 new risk factors for heart disease

By Willie T. Ong, MD

For those who are concerned about getting heart disease, please take note. The US Preventive Services Task Force recently added new risk factors to the development of heart disease. In addition to the established risk factors like smoking, overeating, lack of exercise, high blood pressure, diabetes, and high cholesterol levels, the public is being informed of these upcoming risk factors.

1. High-sensitivity C-reactive protein (hs-CRP blood test). Twenty-three good-quality studies show that an elevated hs-CRP level predicts heart disease and its complications. The Jupiter megastudy (Justification for the Use of Statins in Prevention: An Intervention Trial Evaluating Rosuvastatin) shows that treating patients with high hs-CRP with the statin Rosuvastatin (locally available as Crestor) reduced deaths from heart disease.

Aside from drugs, smaller studies show that weight loss and exercise can also reduce your hs-CRP level. Hence, for those patients at moderate risk for heart disease (male, overweight), it may be useful to check your hs-CRP in your next blood test.

Conclusion: Soon to be accepted cardiac risk factor doctors and patients should know about. Rosuvastatin treats this condition.

2. Ankle–brachial index (ABI) measurement. Ankle brachial index is a simple test done by first getting the blood pressures in the ankle and the arm, and then dividing the ankle blood pressure reading over the arm reading. If the ratio is less than 0.9, meaning that the ankle blood pressure is much lower than the arm blood pressure, then that means you may have some blockage in the arteries of your legs. This is called peripheral vascular disease and is commonly seen in patients with diabetes, those with kidney failure, and cigarette smokers.

An analysis of 16 studies concluded that a low ankle-brachial index increases your risk for heart disease and death.

Conclusion: The test is easy to perform even in the out-patient setting. A blood-thinning drug, called cilostazol, may be helpful to treat this condition.

3. Fasting blood glucose (FBS) level. New evidence shows that even a slightly increased fasting blood sugar (defined as levels of 5.6 to 6.9 mmol/L or 100 to 125 mg/dL), can already increase your risk of developing heart disease. These levels are labeled as impaired fasting glucose (IFG). Frank diabetes levels are greater than or equal to 7.0 mmol/L or 126 mg/dl.

Conclusion: Even mild diabetes can cause heart disease. Keep your blood sugar at low levels most of the time.

4. Tooth and gum disease. Fairly good studies show that periodontal disease is associated with heart disease. Tooth decay, gum disease, and even tooth loss are now considered risk factors for heart disease. Why is this so? It’s still unclear, but doctors say that inflammation in the gums may somehow trigger inflammation in the arteries. And since the mouth is teeming with bacteria, any tooth infection can cause bacteria to penetrate the blood stream and possibly infect the heart valves, a dangerous condition.

Conclusion: Although the evidence is not yet solid, we advise you to go to your dentist regularly. Brush your teeth three times a day and floss at least once a day. If you take care of your teeth, then you take care of your heart.

5. Carotid intima–media thickness (carotid IMT). A testing machine (ultrasound or newer CAT scans) measures the thickness of the walls of the arteries and follows this up over time. The thicker the artery wall measurement, the more cholesterol plaque is probably attached to the wall.

In two separate studies published at the JAMA (Meteor Study, March 28, 2007) and Circulation (March 31, 2008), the drug Rosuvastatin slowed down the buildup of cholesterol plaques in the neck and heart arteries, respectively.

Conclusion: This test has mainly been used for research. Availability in hospitals and added cost still hinder widespread use for patients.

6. Coronary artery calcification (CAC) score on electron-beam computed tomography (EBCT). Some data indicate that finding calcifications (hardenings) in the heart arteries can predict future heart complications. But so far, treatment with statin drugs has not been found to be beneficial for these patients.

Hence, the American Heart Association (AHA) does not recommend the use of this test for healthy patients. However, the AHA states that “it may be reasonable to consider” the use of this test in some patients at higher risk for heart disease.

Conclusion: The test still has unclear benefit and a possible harm. Electron-beam computed tomography uses the equivalent radiation of 10 chest x-rays.

7. Homocysteine level in the blood. Some preliminary studies show that elevated homocysteine levels may predict heart disease. However, even if this is so, the US Task Force has found no evidence that treating persons with a high homocysteine level provides any benefit for the patient. The use of folic acid (for high homocysteine levels) has so far yielded negative results. More tests are currently under way.

Conclusion: Until we find an effective treatment, this test has limited use.

8. Lipoprotein(a) level in the blood. Twelve out of 15 studies have implicated an elevated lipoprotein(a) level in people with heart disease. However, the relationship is still controversial. The usual treatment for heart disease (diet, exercise, aspirin, and statins) has minimal effects on lipoprotein(a) levels.

Conclusion: More studies are needed to clarify lipoprotein(a)’s role in heart disease.

Finally, let me repeat that not everyone should be tested with these newer risk factors. They may be helpful for some patients but not useful for others. Consult your doctor first.

Source: Philstar.com

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