7 Silent Signs of a Heart Attack


Every year over 1 million Americans suffer a heart attack. Traditional symptoms such as cold sweat, chest pain or pressure, extreme weakness are renowned. However, there are silent signs or silent ischemia signs that you’re having or about to have a heart attack which can be easily missed. Notice these subtle heart attack signs early and get prompt treatment to save your life.



It is one of the common symptoms seen by cardiologist especially among women heart attack patients. During a quarter years of practice, people who were on the verge of a heart attack have reported feeling quite tired and unable to do their usual activities. According to WebMD, during a heart attack, the blood flow to the heart is reduced which put extra stress on the muscle thus make you feel exhausted. Don’t be afraid to ask your doctor to do an electrocardiogram (EKG) to check your heart’s activity. Sometimes when people present with lethargy, the doctor’s won’t be immediately ordering an EKG instead they can detect a heart attack. However, you should request one from your doctor in order to ensure you are safe.

Soreness in the back, arms, or chest

Pain or soreness in the back, either arms or chest is often a silent sign of heart attack. This is because when the heart muscle cells start running out of oxygen during a heart attack due to a blocked artery it prevents the oxygenated blood from feeding that muscle hence it begin to send off the pain signals through the nervous system. The brain may confuse these nerve signals with the signals as coming from the jaw, arm, neck, elbow, shoulder, or upper back due to the nerve proximity. Since this pain is often not accompanied by the typical chest heaviness related to the heart attack, people tend to ignore it. Some patient feel the pain only while they are working out hence they assume it is due to exercise. However, this is not right because if the symptoms is something new then its worrisome and you need to see a doctor.

Shortness of breath

If climbing stairs up from the subway is normally not a problem but you suddenly find yourself gasping for air at the top then it could signal a heart attack. Often patients especially women tells that walking up steps or carrying groceries they notice breathlessness or feel fatigued when normally they won’t. If you feel short of breath right after waking up then it could also be a sign that something could be wrong. This is because the heart plays a key role to transport oxygen to the rest of your body and remove the carbon dioxide from the tissues. Hence the blocked blood flow to the heart could affect your breathing.

Heartburn or belching

There’s probably noting to worry about if you have an occasional heartburn flare-up after a heavy pizza lunch but if it’s out of the ordinary or heartburn has never bothered you before then call your doctor as this could signal a heart attack. Angina, a heartburn like chest pain is caused by lack of blood flow to the heart that happens during a heart attack.

Stomach upset

Sometimes, the heart attack signs can mimic the stomach problems such as vomiting, nausea or overall GI upset especially in women. If you don’t feel well, always call your doctor. It could be the taco you had at 10pm but it can also be a heart attack that could turn out to be catastrophic.

Throat, neck, or jaw discomfort

The tightness in the throat you have never felt before or the unexplained discomfort of the neck or jaw or a can signify a heart attack, so immediately contact a doctor. People with diabetes should pay attention to the subtle changes such as this because they have trouble feeling sensations. Also they are less likely to feel more typical symptoms like chest pain.

An overall feeling that something’s wrong

The heart attack patients have told me they have a feeling of doom like something isn’t right. Listen to that little voice in your head and if something feels off, then it is always better to be overly cautious and call a doctor. Some patients report feeling less mentally sharp right before a heart attack.

Final verdict

Don’t be your own physician. If you experience a distinct change in how you feel no matter how subtle then seek medical attention at +91-9371136499 or contact@indianhealthguru.com.

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Angioplasty FAQs

What is Angioplasty?

Angioplasty is actually a Greek word which means vessel shaping. This procedure is especially performed to widen the clogged arteries which are generally coronary artery. This clogging of arteries can be blocked or narrowed mostly due to peripheral arterial disorder, while there is some other cardiac disorders also which needs surgery.


Why is Angioplasty performed?

There is just few purpose of performing angioplasty surgery. The main purpose is to widening the clogged arteries to improve proper blood circulation in the heart, and to avoid the problems like shortage of oxygen. This surgery also decreases the chance of heart attack.

Who performs Angioplasty?

This surgery is consider as a major surgery which is performed by the cardiology specialists who have experienced and extensive training is both invasive cardiology and general cardiology which has involved procedures like angioplasties and angiograms.

Where does Angioplasty take place?

The procedure of angioplasty is performed by expert surgeon at hospital in cardiology department in cardiac Catheterization Lab. The lab is a special room which is equipped with specific medical facilities which avoids transfer of special cardiac cases from one medical facility to other which has advanced imaging technology.

How long does Angioplasty take?

This procedure is not very time consuming. It takes 1 hour of time, but the patients undergo angioplasty needs addition 12-16 hours to get recover. The individual needs to have a stay at hospital for a night and can leave for the home the following day.

Types of Angioplasty:

The angioplasty surgery is divided into 4 types are completely based on the type of instrument:

  1. Balloon Angioplasty: This angioplasty surgery comprises the way of a catheter or thin tube, within a specific artery via a cut in the upper arm or leg. Then the catheter will be directed inside the clogged artery.
  2. Laser Angioplasty: The procedure of laser angioplasty and balloon angioplasty are quite similar, the only difference is that in laser angioplasty, it has the laser on its tip instead of balloon. The tip consists of the laser can directly focused on the clogged artery and gradually eliminates the plaque and that too as per the layer.
  3. Atherectomy: In this there a special instrument is used instead of a balloon is inserted against the wall of arteries which has deposits of fat. It cuts away the plaque. This Surgery is performed on more hardened artery blockages. This procedure is further divided into different types includes Extraction atherectomy, Rotational atherectomy and Directional atherectomy.
  4. Coronary stenting: This procedure is done in order to avoid the problem of closing of artery again, this condition is called restenosis.

What are the possible risks of Angioplasty?

There are no such serious complication are reported by angioplasty surgery. However, there are some complications might been seen based on individual patients:

  • Damage of blood vessel due to careless insertion of catheter
  • Feeling of discomfort at the site of insertion of catheter, sometime bleeding too
  • The dye utilized during procedure can be a cause for kidney damage
  • The patient might face the problem of arrhythmia which means irregularity of heartbeat
  • Patient up to 3-5% can face the issue of heart attack and less than 1% can face the issue of strokes
  • Cases of death during angioplasty are very rare
  • A mild chest pain can also be experienced
  • Risk can be higher in elder people age above 65 years and mostly among individuals having disorders like heart diseases, or chronic kidney disease.

Cost of Angioplasty

The type of stent utilized majorly influence the cost of angioplasty surgery. The stent cost covers around 50% of the total surgery cost. The price of the stent varies very much. Other charges that includes in the total cost of angioplasty are cost of equipment, medicine fees, charges of doctors and etc. This is why the total cost of angioplasty surgery varies.

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Benefits of coronary bypass surgery

smiling female doctor pointing to heart

The coronary artery bypass graft surgery is one of the several major advances in the effort to manage the cardiovascular disease which is one of the leading cause of death and disability in the US. It is also referred as a bypass surgery or simply a CABG (Coronary Artery Bypass Graft).

This surgery is used to treat the heart attacks and serious chest pain caused by blockages in the arteries which supply blood to the heart muscle. The surgeon will attach the blood vessel taken from elsewhere in the body to the diseased heart artery, reroute the blood around the bloackge and a double, triple or quadruple bypass will refer to the number of heart arteries which are bypassed.

Benefits of CABG

There are many benefits for patient who have serious cardiovascular disease as it can save their life if you they have a heart attack or if they are at higher risk of having one. CABG is highly effective to eliminate or reduce the discomfort if you have an ongoing angina and experience shortness of breath due to diseased heart arteries. It can give you your life back.

Why do some people require coronary bypass surgery instead of stent placement?

There are some situations in which the coronary bypass surgery is better than stents and also better than the medical therapy. These are situations in which the blockage is in one of the artery that is the main artery to the entire heart calleas as the left main coronary artery. Therefore, if you have a significant blockage to that artery, then the standard of care is CABG.

There are other situations which mimic and sometimes called as left main equivalent stenosis or blockages. In these cases, most cardiac surgeons and cardiologist agree that coronary artery bypass surgery is superior to stents.

However, it is a controversial field and this is constantly evolving as surgery gets bettwe and the stents too get better. Therefore, we will have to constantly evaluate individuality of each patient to determine which is best for the patient’s situation.

What can patients do in preparation for coronary bypass surgery?

First of all, once you have done the due diligence of choosing your surgeon and your cardiologist, ensure to feel comfortable and relaxed.  Although, it is a big operation, this is routine for the vast majority of heart surgeons since they do all the time and many of their patients do extremely well.

As far as preparation for coronary bypass surgery is concerned, if you are a smoker, you should better not smoke. If you are overweight, it will be better if you are not and in general, patients even with those behaviours will do well. You should follow the advice of your cardiologist and internist and have confidence in the surgeon you have chosen to get your surgery and move ahead with your decision and you will be fine.

Low Cost CABG Surgery in India

India is the most cost effective medical tourism destination in the world offering low cost CABG surgery. The cost of CABG surgery in India is very low compared to the cost of similar procedures in the West. This also applied to the treatments and surgeries related to the coronary bypass surgery even after adding travel and accommodation costs, etc. to the medical treatment package in India. The overall cost of treatment package for coronary bypass surgery in India is about 50 to 80 percent low and this is the reason why many international medical tourists prefer to get the highest quality CABG surgery in India.

Can Too Much Exercise Harm the Heart?

This seems to be an interesting question to answer and perhaps the vital question for a number of readers who are somewhere very much workout alcoholic. Of late, this question has got loads of attention due to a number of news reports in the media, hence it would be interesting to explore this topic with the available data that offer food amount of thoughts and results and thus enable you to decide for yourself provided you have loads of good stuff to consider. One of the papers on the topic exercise is good or bad has been in discussion in public domain in different forms or media. The people in the sports and athletics seem to worry a lot about this question since they are the ones who remain extremely physically active. Let’ dig in deep into this issue as under:


Some vital observations

Based on the studies carried out by different agencies, indulging into too much of exercises can really harm the heart; let’s have a look as under:

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  • First things first, the general problem of a long term results to the heart from athletics, which is still not studied a lot. There are several reports and available research studies that include in this subject.
  • It is a known fact after the available studies, which too much of exercises are more likely to develop issues like atrial arrhythmias in a long run. The precise cause of this problem may be still unknown, however, as per the speculation centers over the enlargements of such chambers and plausible structural alternations in the heart walls, which occur in the coming time.
  • We also know that extreme exercises can perhaps more likely to have complicated ventricular arrhythmias, however, the cause and importance of these ailments is really not understood.

What Research Has to Say on this Issue?

Most of those who are seen doing workout sessions who exercise choose carry out the exercise like cardio or aerobic activities. This research simply supports the approach, which this option is likely not be best of your interest in a longer run and which is plausible to carry out doing much of the exercises. By focusing over the extreme examples, one can start to see some amount of truth when you talk about exercises. All these studies can help in explaining how the highly trained and skilled athletes too lose their life due to heart failure. For instance, Alberto Salazer an American Marathon runner almost died due to heart attack when he was completing his 50 years of age.

Man on treadmill with healthcare provider standing next to treadmill, supervising man's exercise.

As per one study published in a popular magazine called Journal of Applied Physiology, a group of researchers reported that there is a direct relationship between certain amount of prolonged exercises and heart damages like scarring and structural changes that are similar to the ones seen in the workout loving people especially the cardiovascular exercises that can damages your heart. A number of research studies emerging out at the past several years have given a complete new understanding about the body, which needs exercises and a number of past notions gone upside down.


As said too much of anything is not often good but ends up to a bad giving you reverse effects. Like in the case of having too much of water or too much of calories and fat can put you in trouble, similar too much of exercises can lead you to repercussions like heart troubles, which comes in the form of heart failure or attack. Hence maintaining a balance even in your workout session or physical activities like sports and other things has to be maintained, which is not just good for health but also for your heart. So, next time if you are trying too hard in your workout session, remember, you are losing your health and inviting heart troubles.









Heart Disease Risk Factors – Need to Know!


Heart disease remains the number one cause of deaths in the US, and you can’t put all the blame for this on your family history or French fries. There are a number of powerful factors and some of the not so obvious, that significantly raises your risk for the heart problems and even causes a heart attack. MD, FAAC, cardiologist with Adventist HealthCare Shady Grove Medical Center, Geetha Pinto warns that you should really know your heart disease risk factors so that you can know what you can change. Also know your cholesterol numbers, blood pressure and if you are diabetic. According to the National Institutes of Health, “even people who have one risk factor can double their chances of heart attack and those who have several risk factors can multiply their risk tenfold.”

Know What You Can’t Change

You should be aware of certain heart disease risk factors that you cannot change such as gender, age. Since majority of people who die of heart disease are 65 years and older. Younger men are at greatest risk of heart attack than women. Women’s risk of heart disease increases after menopause.

Family history and race are some major heart disease risk factors. If your parents had heart disease, then your risk too increases. Heart disease risk is also higher for African-Americans, native Americans, Mexican-Americans and native Americans.

Get Serious About What You Can Change

Take action to minimize your risk of heart trouble that are within your control. As per Khanh Nguyen, MD, a family physician with Adventist HealthCare, “you can change or modify most of the heart disease risk factors, including those related to high blood pressure, obesity, high cholesterol and diabetes.”

Generally, diabetes increases the risk of cardiovascular disease. Dr. Nguyen warns that “diabetes is a coronary equivalent and therefore if you have diabetes, we manage your care aggressively as if you have had a prior heart attack.”

Hypertension or high blood pressure and high cholesterol puts a person at increased risk for heart disease. The high blood pressure increases the heart’s workload, thereby causes the thickening and stiffening of  the heart muscles and hence it cannot work properly. When too much LDL cholesterol builds up in the arteries, it leads to clot formation and blocked arteries causes heart attacks.

Excess body fat, especially around the waist also puts you at heart disease risk. Also, inactivity puts you at great risks of heart diseases as a sedentary lifestyle tends to go hand in hand with diabetes, obesity and high cholesterol that leads to heart diseases. Smoking changes cholesterol by making it very sticky, which is then predisposed to clot formation, cancer and other diseases. Also, smoking may increase your blood pressure.

Not So Obvious Risk Factors for Heart Disease

Other not so obvious risk factors for the heart disease include sleep apnea that contributes to hypertension, which in turn lead to heart diseases. People with sleep apnea stop breathing repeatedly during the night. Luckily, this condition is treatable.

Energy drinks can be dangerous for some people who already have weak hearts. Though these drinks boosts your energy levels they also stimulate your heart thereby make it beat faster by constricting the blood vessels which raises the blood pressure.

Mental health can play a vital role in your heart health since stress causes the blood pressure to go up thereby makes your heart work faster.

Bottom Line

Now that we have gone through some of the heart disease risk factors, it is important to identify them and modify your lifestyle accordingly. Eat nutritious food, do exercises daily and make smart choices to keep your heart healthy throughout your life. Consult the best physician to assist you in making healthy choices to prevent the heart disease risk factors.

Check out the amazing post on: Congestive Heart Failure – Causes, Symptoms and treatment


Heart Disease – Know everything!

What is Heart?

Heart is a muscular organ that helps in pumping the blood through circulatory system inside the different parts of our body, thereby passes the blood to different parts of the body cells which helps the entire system of the body to function smoothly.

About 72% of the people are facing heart disease and this has become a universal problem which has been increasing day by day due to the lack of required nutrition intake, stress, environmental pollution and anger. Let us know about the few facts regarding the heart disease and how to reduce the heart disease risk factors.     


What is the function of heart?

The human heart pumps the blood throughout the body with the help of the circulatory system to supply oxygen and nutrients to the tissues and remove the carbon dioxide and other wastes.

What are the causes of heart disease?

According to the research, heart disease starts with the damage to the lining and the inner layers of the arteries of the heart. The contributing factors to this damage include: high amount of certain fats and cholesterol in the blood, smoking including, secondhand smoke, high blood pressure, blood vessel inflammation and high amounts of sugar in the blood due to the insulin resistance or diabetes.

The plaque build up may start where the arteries are damaged. Over a period of time, it can harden or rupture. The hardened plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart, which can cause discomfort or chest pain called as angina. If the plaque ruptures, then the blood cell fragments called as platelets stick to the side of the injury and they may clump together to form blood clots. These clots can further narrow the coronary arteries and worsen the angina. If the clot becomes large enough to completely block the coronary artery then it may cause a heart attack.

Additionally, low estrogen levels before or after menopause also play a vital role in causing coronary MVD (microvascular disease) that affects the tiny arteries of the heart.       

Symptoms of heart disease


The heart disease symptoms are:

  • Pain in the chest
  • Indigestion
  • Pressure
  • Vomiting
  • Sweating
  • Feeling heart burn
  • Nausea

Tips to avoid heart disease

The tips to reduce the risk of heart disease includes the following:

  1. Quit smoking
  2. Control your weight
  3. Maintain control over the glucose level
  4. Lower your LDL cholesterol
  5. Engage in regular physical activity
  6. Control your blood pressure         

Foods to avoid with heart disease

Eat saturated fat, refine sugars and diet containing low level of cholesterol to reduce your cholesterol level.

The following strategies will help your meal plans for avoiding heart diseases:

  • Serve more leafy vegetables, legumes, fruits and whole grains.
  • Choose fat calories wisely.
  • Control your blood pressure.
  • Serve the right kind of carbs.
  • Serve the foods that are rich in proteins.
  • Eat regularly at the appropriate time.
  • Reduce the intake level of salts.
  • Drink plenty of water.

How to stop heart diseases? (surgery)

  1. Manage your anger and stress
  2. Get a healthy weight
  3. Follow a heart healthy diet
  4. Get active
  5. Control your high blood pressure
  6. Control diabetes
  7. Heart Surgery


As you age, start doing regular exercises and follow a heart healthy diet. Check with your dietitian for the food to eat because at a certain stage our body may not be able to absorb the intake of vitamins and minerals. Although most of the heart diseases can be treated with medication and disciplined life, but in some cases, the cardiac surgery is the best and last option for reviving the functionality of your heart.

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