Date of Publishing : 16th, October, 2018

Saaol Times, October, 2018

New Delhi, October,2018 Vol.17 Issue 10New Delhi, October,2018 Vol.17 Issue 10New Delhi, October,2018 Vol.17 Issue 10New Delhi, October,2018 Vol.17 Issue 10

VIJAYAWADA : 29-9-39, Govindarajulu Naidu Street, Opp. Annu Hospital Surya Rao Peta Vijayawada-520002 Ph:9030009885VIZAG: Flat-108,Basement, R.R Towers, Prahalad Kalyana Mandapam Road, Opp. KGH OP. Gate, Maharanipeta, Vishakapatnam-530002, Ph.: 09246245452 (WEST INDIA)MUMBAI : Rohit Building Ground Floor, J. W. Opp. Marritt Hotel,Juhu Mumbai-49 Ph.: 09819809068, 9322094948THANE : Sutravihar building, B-002 ground Floor, Near Shubham Karoti Hall, Behind New English School, Ram Maruti Road, Thane (West) 400602. Ph.: 7303662299BORIVALI : Victory House, Opp Suvidya School, Near CKP Bank, Gorai-1, Borivali West, Mumbai - 400092.Ph.: 9769210590KALYAN : Flat-102, Survoday Orchid, Opp. Sarvoday Garden, Near Bhanu Sagar Theater, Kalyan (West) - 421301,Ph.: 0251-3222299, 9323662299PANVEL : Neell Giri Hights 1-2-6, Plot No. 304/1 Takka Colony Near Chennal Tower Panvel (West) Dist -Raigad - 410206 Ph.: 022-32336061, 9699931215, 8080531215, PUNE : 52 Indra Prashtha, Nera Fortune Estates, Hadapsar Pune-411028Ph.: 02069336933, 9823039673, 8087899198KOLHAPUR: Rajarampuri Lane 07, Gaikwad Height 1st Floor, Near Wellness Forever, Kolhapur 416008Ph.: 9823039673, 8087899198GOA : S-1,2,3,4 Ritu Garden Near Ganesh Mandir Ansabhat Mapusa Goa-403526Ph.: 9604501234, 9823483555AHMEDABAD-1 : B/1103, Solitaire Corporate Near Divya Bhaskar House, infront of S G Highway, Ahmadabad-380051 Ph.: 7940028158, 9712305556ANAND : Four Point Complex, 2nd Floor, Opp. Mahendar Shah Bus Stand Bhalej Road, Anand Gujrat-388001,Ph.: 07046460111, 07046460222SURAT-1 : 704, 7th floor, Param Doctor House, Near Resham Bhavan, Station-Lal Darwaja Road, Surat, Gujarat-395003, Ph.: 0261-2492200, 09726447347SURAT-2 : G 2 Shiv Kutir Apartment Subhash Nagar infront of New Life Hospital Ram Chowk Ghordor Road-395001 Mob: 0261-3003016, 09714210111VAPI:206, IInd Floor, Fortune Square - II,Daman Road, Chala, Vapi-396191. Gujarat. Mob. No. 9979207393 7574935153 / 9998962487

: 3rd Floor, Dharm Bhakti Complex,Khushal NAVSARIVadi, Jamalpur, Gandevi Road Navsari-396445.Ph : 8000878877, Mob: +919714210111BARODA : A-5, Jayanand Society, B/H. Alkapuri Club, Opp. Express Hotel, Alkapuri ,Baroda- Ph.: 09979635177, 09638846555 (CENTRAL INDIA)

BHOPAL :E7/643, Arera Colony, Near CampionSchool HDFC Bank Bhopal Ph.: 7723911666, 7552422984INDORE : G-2 Mangalam Residency, 100 Anoop Nagar, Opp. CHL Hospital Indore-452008 Ph.: 07723911555, 07723911666RAIPUR : D-7, Sector-5, Near Devendra Nagar Jayshree, Merlin Vihar, Raipur- 492001, Ph.: 0771-4032069, 9827750483BHILAI: 12/5, Nehru Nagar EastPh: 0788-4900723, 9827676988BILASPUR: Ring Road No.2 (Gaurav Path) Near Parizat Castle, Kalindi Kunj Bilaspur(CG) - 495001Ph.: 07752491406, Mob.: 7470550120JABALPUR: 1255, Ground Floor, Daya Nagar, Near Dr. Mishra Eye Clinic, Ranital Garha Road, Jabalpur - 482002 (M.P) Ph.:07614925644,9179660044NAGPUR:Plot No. - 04, Vyankatesh Nagar Khamla, Near Ford Showroom Ring Road, Nagpur (MH)-440025 Phone: 0712-6652716 Mob:-9834975265 (EAST INDIA)

KOLKATA : 65/4A, Flat No.: 1A, Sarat Bose Road, Kolkata - 700025, Ph.: 033-24545981, 9330870713, 9339770713SILIGURI : 14, Ashutosh Mukherjee Road, opp. Omega Diagnostics, Beside BSNL Office, College Para, Siliguri – 734001,Ph.: 8637036339 / 9732388834 /9732588834JAMSHEDPUR: Main Road Chowk, Adityapur Jamshedpur-831013, Ph.: 09471310309, 9939188629RANCHI: Hotel Rajasthan Complex, Lalpur Chowk, Ranchi-834001, Ph.: 09334506125BHUBANESWAR : Plot no. 173/1732 (P) Ground Floor Nagar, Opp. Saink School Ganpati Nagar, Behind Union Bank Of India. Bhubneswar-751013 Odisha Ph.: 08339966999GUWAHATI: Bora Service Bylane, G.S. Road, Guwahati-781007, Ph.: 09859993309, 9859993307DHAKA (BANGLADESH) : 26, Eskaton Garden, Flat A/4, Level 2, Ramna, Dhaka - 1000, Ph.: 00-88-9354763, +93548090088, +01670 764004, +01714 998947 KATHMANDU (NEPAL): Sherpa Mall, Second Floor, Durbarmarg, Kathmandu, Ph.: +977-1-4225467, 4215788, Fax No.: +977-1-4215933

(NORTH INDIA)

DELHI (HEAD OFFICE) : Farm No. 5, DLF Westend Mandi Road, Chhattarpur, New Delhi-110030, Ph.: 011-26802684, 26802685, 26802686, 9811050427

SOUTH DELHI : 14/84, Vikram Vihar, Lajpat Nagar-IV, New Delhi - 110024, Ph.: 011-26235168 41641892

EAST DELHI : 61, Defence Enclave, Vikas Marg, Delhi-110092, Ph.: 011-43082788,22422082NORTH DELHI :H.No.85, Suvidha Kunj, H 4/5 Zone Pitampura, Delhi-110034, Ph.: 011-27012024,45261879,9818584670CENTRAL DELHI : CENTRAL DELHI : J-364, Basement, New Rajender Nagar, J Block Transformer, Shankar Road, New Delhi - 110060 Ph.: 011-28745611, 49061552DWARKA: Flat No. 23 A Ground Floor, ‘Pocket 1 Sec. 7, Dwarka New Delhi-110075 Ph: 8383077606FARIDABAD: House No. 1185 Sector 19, Faridabad-121002 Haryana Ph: 9773708127,0129-4148764GAZIABAD: 3rd B 53 Nehru Nagar Near Nehru Appartment and BJP Office Gaziabad - 201002 (U.P) LUCKNOW : HD-68, Sector-I, Jankipuram (Near Akansha Parisar) Behind SBI ATM, Lucknow - 226021 (U.P.) Ph: 0522-273055, 9792507709BAREILLY: 48 A, Modal Town, Behind Modal Town Police Station, Bareilly - 243122Ph.: 9198202020,VARANASI : Plot No. 52, Vaastu Kunj, Lane No. 6, Sri Ram Nagar Colony, D.L.W Road, Varanasi - 221109 Ph.: 07380830585, 09473607942AGRA :Flat No. G3, Devshree Apartment, Devnagar, Near Khandari Chouraha Agra - 282005 Ph.: 9414212772, 8432811349PATNA : Shantiniketan, Boring Patliputra Road, (Just opposite C.I.S.F. Office) Patna - 800013Mob.: 09334123951, 8084264842, Tel.: 0612-2273951, 06122273951AJMER : B-296 ,Hari Bhau Upadhyay Nagar, Near Mittal Hospital,Opposite Pushkar Road, Ajmer-305001, Ph.: 09829051022, 09660871345, 09829149677BIKANER : Khaturia Colony, Upper of Reliance Fresh Flat No. 102, Bikaner Mob: 9414212772, 9057649124JAIPUR : 8-A, Kailash Path, Suraj Nagar West, Raj Bhawan Road Civil Lines, Jaipur-302006 Ph.: 0141-4007141, Mob: 08003214000KOTA : 1A-4 Sheela Choudhary Road, Talwandi, Kota, Rajasthan-324005Ph: 0744-2420299, Mob: 8003215000KANPUR : 120/51 Lajpat Nagar Kanpur 208005 Mob: 9695953000, 9335048480GORAKHPUR:H 1, Shiv Vihar Colony Kharaiya PokharaBasharatpur Opp Mission School Medical College Road ,Gorakhpur .Pin 273004 Ph.:9559545454, 9335048480ALLAHABAD: 38/49 Stranchy Road Civil linesAllahabad 211001Mob.: 9651202020 , 9559383838, 9335048480DEHRADUN :50/A, Mohit Nagar (Main Lane, Opp. Wadia Institute) Dehradun. Ph.: 0135-2769909 HALDIWANI :Govardhan Tiwari Road, Opp. Street No. 8/9 Rampur Road, Haldiwani Uttarkhand-263139 Ph. 8941953132, 9837578576LUDHIANA : 51 Satguru Nagar, Opp. Verka Milk Plant, Firojpur Road, Ludhiana-141001Ph.: 9811080374, 9818162030PATIALA : H.No. 2, Near Anaj Mandi, Sirhind Road, Patiala - 147001Ph.: 09888527527, 09818162030JALANDHAR: 239, Defense Colony back side Gurudwara Jalandhar-144001 Ph: 9910117953, 9971674844 Ph.: 0181 4152555AMRITSAR :21 GF, HIG Flats Block B New AmritsarPh.:9910117953, 9971674844HISAR: Above Kalani Hospital, Azad Nagar, Rajgarh Road, Hisar 125001 Ph: 9896000278,9414212772 PANCHKULA: House No.27 Sector - 9 Opp. Sector 9 Market Panchkula - 134113 Mob.: 6280821970KARNAL:1735, Sector 6, Housing Board colony , karnal 132001 Mob.: 9811080374, 9999554430 (SOUTH INDIA)BANGALORE-1 : No. 16, 17th “A” Cross, Bhuvaneswari Nagar,Kempapura Hebbal, Opp. Coffee Board Layout Play Ground, Bangalore-560 024, Ph.: 080-22330072, 23620072, 9343736554 BANGALORE-2 : House No. 1133, 18th Cross, 24th Main, Banasankari 2Stage Near KIMS Medical College Bangalore -560070 Ph.: +91-7899865554BANGALORE-3 : 3/2, 2nd Main, Munnerkolal, Near Laxminarayan Temple, Marathalli, Bangalore - 560037 Ph.: 7022621554, 7338498454MANGLORE - 3rd floor Manglore gate buildingKankanady Manglore Karnataka 575002Ph.:9620413109CHENNAI-1 : A5 Rukmani Street Opp. GRT School Play Ground west Mumbalam Chennai-600033Ph.: 9243400453, 9677066750, 044-45011419CHENNAI-2 : 20, Dharmaraja Koil Street, Kilpauk, Chennai - 600010, Ph.: 04448548403 (On Halls Road, First Parallel Road to new Avadi Road)COIMBATORE : 20, Periasamy Road (East) R.S. Puram, Coimbatore-641002 Ph.: 0422-4200660Mob: 9843140403HYDERABAD : 3-6-147/2, Street No. 17, Himayat Nagar, (Besides Vasu Medical Hall, Opp. HDFC Bank), Hyderabad-500029, Ph.: 040-66669093, 040-23266021, Mob:-09246228104, 08099107077

Number of Pages : 12

Heart FailureHeart FailureHeart FailureMeaning & TreatmentMeaning & TreatmentMeaning & Treatment

2 Saaol Times, October, 2018

The most significant event of the past month was publication of “Saaol Heart Study” - a five year result of 5000 Saaol patients in the international journal “ B i o m e d i c a l & P h a r m a c o l o g y ” i n t h e i r September ,2018 issue( volume 11(3) p 1275 -1289). This research results were collected and collated by Mr. Vikram Singh, the PhD student who worked under Dr. Chhajer for the past three years. This study not only proved the efficacy of Saaol's lifestyle intervention but also leads to an international acceptance of “Saaol Safety Circle” and “Heart Attack Protection Score” by the modern medical fraternity. The study conclusively shows that 98% of our patients improved significantly by Saaol advocated

lifestyle changes. Dr. Bimal Chhajer will be in USA for three weeks to attend “International Conference on L i f e s t y l e M e d i c i n e ” i n Indianapolis and there after hold some public awareness talks in Los Angeles, USA. He will also hold the one day Saaol Camp for SAAOL Los Angeles center. On the way back he will also visit Athens(Greece) for few days and also Dubai for one day.He will be

thback to India on 12 November, 2018. In the last one month three HLTP camps were conducted by Dr. Chhajer.Last month the

thDelhi camp was held on 15 September and was inaugurated by the prominent BJP leader of Delhi - Ms. Sikha Rai, Chair person of Standing Committee S o u t h D e l h i M u n i c i p a l Corporation.

Saaol Times, October, 2018

contd on page 11

Saaol News contd from page2th

100 camp of Emami is going th

to be held in Kolkata on 9 December and this will be a mega event. We shall want all our 10,000 plus patients of Kolkata to participate in this event. Ultratech Cement - the leading cement company has invited Dr. Bimal Chhajer to conduct five camps for their employees, business associates, agents, friends in Delhi, Agra, Indore, Chandigarh and Jaipur. The first of these camps was conducted

thsuccessfully in Delhi on 8 October,2018. This was greatly appreciated by the participants. Ultratech cement is a part of Aditya Birla Group - one of the leading business groups of India.

Ms Rai, in her inaugural talk praised Saaol's work and invited us to hold few camps in her

thconstituency. On 16 September, the birthday of Dr. Chhajer - he went to a small city of Sardar Sahar to offer prays to his guru Muni Shri Tara Chandjee swami where he also conducted a Saaol Workshop for one day. This was organised by Terapanthi Yubak Parishad.

t h O n 7 O c t o b e r , 2 0 1 8 D r. C h h a j e r a n d h i s t e a m conducted one more HLTP camp in Siliguri, North Bengal and this camp was sponsored by Emami

thFoundation. This was 99 Emami Sponsored camp of Saaol. It was held in Uttar Banga Marwari Parishad hall and was attended by more than 150 people. The

Audience from Ultratech cement company attending Dr. Chhajer’ workshop

Heart Retreat in USA (Los Angeles) on Friday 28th October 2018

Participants of SAAOL Siliguri camp on 8th October 2018

Ms. Sikha Rai, Prominent BJP Leader HonoredBy Dr. Bimal Chhajer in Delhi Camp

Consultation Dates for October and November 2018

On other Dates

LUDHIANA : 12 October 2018

Ultratech AGRA : 13 October 2018

Ultratech Indore : 15 October 2018

Confrence (USA) : 21-24 October 18

LOS ANGELES : 25-28 October 2018

NEW JERSEY : 1-7 November 2018

GREECE :8-11October 2018

DUBAI : 12 November 2018

PATNA : 15 November 2018

DEHRADUN : 21,22November 2018

NAGPUR : 24 November 2018

BANGLORE : 26 November 2018

MUMBAI : 27 November 2018

JAIPUR : 28,29 November 2018

Please reconfirm your appointment before coming as there may be last minute changes in Dr. Bimal Chhajer’s Schedule.

Printing of this Magzine is Sponsored by SAAOL PHARMA Pvt. Ltd.

DELHI: Dr. Bimal Chhajer will be available for consultation in D e l h i o n 1 s t , 4 t h , 5 t h , 11 t h , 1 6 t h , 1 7 t h , 1 8 t h , 1 9 t h , October 2018. 13th,14th,16th 17th,18th,19th, 20th,23rd, 30th November 2018.

at Chhattarpur

Saaol Times, October, 2018 3

DELHI : 14 October, 2018

KOLKATA : 09 December, 2018

DELHI :25 November, 2018

L.A (USA) :28 October, 2018

Saaol Times, October, 2018

Delhi & Kolkata Camp AnnouncementOur next one day full course camp has been planned in the city of Delhi on 25th November, and Kolkata on 9th December 2018. This is the best lifestyle course that SAAOL can offer to a heart patient. It is going to cost Rs. 1500 Per Couple. This cost includes camp fees, Zero Oil breakfast, Lunch, afternoon snacks for two people. One free consultation by SAAOL Doctors(For Kolkata Patient only) cooking class, course material and two CDs. The camp starts at 7:30 am and closes at 6:00 pm. The camp will include detailed theoretical and practical classes on Heart Care Education, Stress Management, Yoga Do’s and Don’t for the heart patients, Zero oil Cooking to be taken by Dr. Bimal Chhajer himself and his team. These camps has been sponsored by Emami Foundation Kolkata. The seats are limited. Please register yourself by making payment immediately at the following address:

SAAOL HEART CENTER( KOLKATA )

SAAOL HEART CENTER( DELHI )

65/4A, Flat No.: 1A, Sarat Bose Road, Kolkata – 700025,

Ph.: 033-24545981, 9330870713, 9339770713

Farm No. 5, DLF Westend Mandi Road,Chhattarpur, New Delhi-110030, Ph.: 011- 26802684, 26802685,

26802686, 9811050427

Medicines used by the Doctors/Cardiologists for Heart Failure

Heart failure cases mostly require lifelong medical management. T h e y e v e n n e e d r e p e a t e d hospitalizations ranging from once or twice a year to every month. During hospital they are given oxygen, intravenous Lasix to drain water from the lungs and other emergency medicines. Once the failure is controlled patients become alright and return back to normal life. The principle of ideal treatment of Heart failure is to make sure that

the damaged heart pumps blood properly and water does not accumulate in the Lungs. Most patients can be living comfortably if they follow optimum medical drug treatment, follow lifestyle changes and take precautions. Natural Bypass or EECP treatment of 35 days has been shown to i m p r o v e C H F p a t i e n t s b y i n c r e a s i n g E F a n d r e d u c e breathlessness and improve the quality of life.

Those who know that their LVEF is l e s s t h a n 3 5 m u s t r e s t r i c t water/fluid intake. They should not consume more than 1.5 litres of fluid in a day. Severe cases can restrict it to one litre only. They should always keep the Blood pressure below 110/70 mmHg. They should not stop or reduce medicines when they are alright.

Another very easy thing to be done by the heart failure patients is to take their weight by Electronic scale on daily basis. Any increase of weight above 200 grams on daily basis can be taken as a sign of water accumulation. Doctors should be contacted and Diuretics (drugs to increase urine volume) can be taken immediately.

Treatment of Heart Failure

Precautions to be taken by Heart Failure patients

1.2.3.4.5.6.7.8.9.

ACE Inhibitors. Tab. Cardac, Tab. Ramistar.

ARB (Angiotensin Receptor Blockers).Tab.Losar, Tab. Telma

Beta Blockers. Tab. Seloken-xl, Tab. Aten

Diuretics. Tab. Lasix, Tab. Dytor.

Anti Anginal medicines - blood vessel Dilators. Tab. Imdur.

Digoxin. Tab. Lanoxin, Tab. Digoxin.

Aldosteron Antagonists. Tab. Aldactone.

ARNI- Angiotensin receptor- neprilysin inhibitos Blood thinners.

Ivabradine - Tab. Ivabrad, Tab.Ivabeat.

Saaol Times, September, 2018Saaol Times, October, 2018

India has 16% of world's population and 25% of the total heart patients

of the world. More than 30% of deaths of this country is due to heart related diseases or CVD (Cardio Vascular Disease).India has about 12 crore(120 million) high Blood Pressure patients and possibly an equal number of Diabetes patients. The number of heart patients in India in absolute numbers is anywhere between 8-10 crore (80 to 100 million) It is estimated that total Heart failure cases in India would be about Ten million or One crore. More than half of these patients need repeated hospitalization and the cost of the treatment in private hospitals is very high. In USA there are about 5 million or 50 lac Heart failure patients and they spend billions of dollars to keep them alive. The major cause of Heart failure is coronary artery blockages which lead to heart attacks and lowering of Ejection Fraction. This accounts for more than 60% of the cases. These cases are preventable - if we can educate the heart patients,

screen the common high risk population (those who have high lipids, consume tobacco, have high BP or Diabetes, have family history of heart disease) with CT Coronary Scan and induce them to healthy lifestyle. About 10% each of heart failure c a s e s a r e d u e t o Va l v e defects(Rheumatic Heart Disease) and Cadiomyopathy. These cases can be only managed by medicines and hospitalization in acute cases. High blood pressure contributes to about 7% cases of Heart Failure cases and are preventable. If not properly managed, the chances of death is very high in Heart Failure cases. Of those who are hospitalized with heart failure 33% die during admission and 25% die within next 3 months after they are discharged from the hospital. Most of the heart attacks are preventable by lifestyle changes and medical management. Once the heart failure is diagnosed a proper care and medicines can save these patients from hospital admissions.In a poor country like India this is the best strategy.

Saaol Times, October, 2018

S h o r t n e s s o f b r e a t h o r breathlessness is a major symptom of Heart failure. Other symptoms m a y b e e x c e s s i v e f a t i g u e , weakness , loss of appet i te , continuous coughing, leg and ankle swelling, chest pain, palpitations. Many patients report severe breathlessness on lying down and improvements on sitting up.Any experienced doctor can

diagnose heart failure by just placing a stethoscope in the patients's chest. A typical sound called Crepitations can be heard in the lower part of the back of the chest. Heart sounds are also altered. Echocard iogram can eas i ly confirm Congestive Heart Failure and is a simple non invasive test. Chest X ray and ECG can also be done to confirm.

full of blood or liquid. Now due to water/blood/fluid accumulation in the lungs - there will be less space available for oxygen exchange. The blood oxygen level will fail and severe breathlessness results. This is called a heart failure. Because of this congestion - now heart failure is also called CHF or Congestive Heart Failure or Congestive Cardiac Failure (CHF). In many cases the effect of this congestion

reaches the liver, abdomen and the legs also. There may be swelling of the legs. In the initial phase there will be a mild breathlessness and the system tries to overcome it by increase the heart rate. This can carry on for months even. But in the severe cases, the breathlessness is very acute and needs hospitalization. This can now be called Acute Heart Failure.

Symptoms of Heart Failure and Diagnosis

The most common cause of heart failure is Heart Attack leading to low Ejection Fraction. If the left ventricle is damaged it can be called LVF or Left Ventricular Failure. In some cases Right Ventricle Failure are also seen - where the congestion is more on the abdomen, legs and feet. Heart failure results usually after the EF goes below 35%, but many patients with even 25% do not get a failure. The chances of failure is specially more if the patient do not

control their blood pressure. High blood pressure is one of the important causes of heart failure. The other causes are Valve defects (from birth or damaged heart valves), long standing lung disease, irregular heart beats. A very uncommon disease called Cardiomyopathy - where the heart damages without any reason is also a cause of Heart failure in many cases. Obesity, Diabetes, Thyroid problems, alcohol can also lead to Congestive Heart Failure.

Causes of Heart Failure

Saaol Times, October, 2018Saaol Times, April, 2018 Saaol Times, October, 20188

My name is Mr.Mahavir Kambli and I am aged 44 years. I stay in Ponda Goa. In August,2017 I developed some chest pain, especially on exertion. I was referred to the local heart Hospital where they performed a Coronary Angiography by using a catheter. There were six blockages - ranging from 70 to 90 to 100%. I was asked to go for Bypass Surgery. Then I came to know about Dr. Bimal Chhajer's Saaol heart Center from one of my friends - and I started watching his video from the internet (YouTube). I liked his mode of treatment and decided to follow him religiously. I Changed my diet to zero oil, practice yoga and meditation everyday. I also underwent both the treatments BCA (20 Drips) and ECP (35 Sittings) at SAAOL

Heart Center, Goa in October, 2017. I started feeling much better day by day and continued with the diet, exercise program and m e d i c a l m a n a g e m e n t a s recommended by Dr. Bimal Chhajer and Saaol. Now i could walk one hour without any pain. In March,2018 I went for another Angiogram - this time CT Angio was done from Goa Scan center. To my pleasant surprise my all blockages went down - some blockages reduced by as much as 50%. I am now working full time without any problem. I feel if Saaol treatment works for me, it will work for everyone in this world. I wish best of luck to all Saaol patients and thanks to Dr. Bimal Chhajer Saaol.

As already explained, a 100% block in the Coronary tubes will lead to death or damage to the heart muscles as they go without blood or oxygen. This is called a heart attack. The amount and the area of heart m u s c l e d a m a g e w i l l d e p e n d o n t h e respective t u b e s which are blocked and the location of the blockage. If the 100% blockage happens in the lower part of the tubes less will be the damage. This can be called minor attack. The Ejection Fraction or pumping power of the heart will only reduce by 5-10%. This can be measured by a simple test called Echocardiography. In case of minor heart attack the report of LVEF or

EF will be 50-58%But if the blockage of 100% happens in the beginning of the tube- more area will be damaged and the EF will go down to 30-49%. This n o w can be called a major

h e a r t attack.If t h e h e a r t

attack is i n t h e L A D ,

mostly the biggest of the three - the EF will be more depressed(towards 30%) compared to the other two tubes. Massive heart attack occurs due to blockage in the LM tube which gives origin to both LAD and LCx - leading to death of 70% muscles of the heart and is the cause of all the sudden deaths due to heart attacks.

Types of Heart Attack

Types of Heart AttackNormal heart function

LVEF or EF = 60%Minor heart attack LVEF or EF =50-55%

Major heart attack LVEF or EF =30 - 49%Massive heart attack LVEF or EF =15 - 20%

Types of Heart Attack

Heart FailureHeart failure is a term used by Cardiologists to mean that the heart muscles are not able to pump adequate blood to the body per beat and its consequences. As it appears from the English language heart failure does not mean the patient will die instantly. They can live with heart failure for years as the failure on part of the heart is not complete but inadequate. The most immediate reason of such failure is low EF or low Ejection Fraction of

the Left Ventricle.In Heart Failure, the difficulties mainly arise from back pressure of the blood. If the chamber four can not pump completely and empty into the Aorta - more blood will remain in the LV and now chamber three (Left Atrium) can not send complete blood to the LV. Thus there is a congestion. Next in the sequence is Lungs - it can not send all the purified blood to the chamber three. Thus the lung gets

Mahavir KambliHouse no. 269/18, Sapna Arcade

Ponda Bethora Road, Near Ayappa Temple, Ponda, Goa Phone. 9270312951

Before Treatment 14/08/2017 After Treatment 20/03/2018

LAD

Lcx

RCA

PLV

80% (P). 90%(M) 65-70% (P). 70%(M)

70% (P) 40-45% (P)

99% (M), 90%(D) 90% (M), 75%(D)

100% 90%

Saaol Times, October, 2018 Saaol Times, October, 2018 7

Heart is a pump made of muscles (called Myocardium in Medical Science). It has a size of a small apple and it keeps on pumping blood to the body without any stop throughout our life. It pumps approximately 72 times in a minute, 4300 times in an hour and about 100,000 times in a day. It is so strong that it can last for 100

years - pumping about 3.5 billion times without fault. The heart is located in the middle of the chest - little on the left side. It is protected by the sternum (breast bone) and ribs from all sides. Two lobes of the lungs on both sides gives a cushion of sponge to the heart. Heart has four chambers - two on the right side for the impure blood and two on the left side for the pur i f ied blood. Two upper chambers are used to receive the blood and two lower chambers are

pumping chambers. The upper chambers are called Right and Left Atria and the lower chambers a re ca l l ed R igh t and Lef t Ventricles. The chamber one (Right Atria) receives the impure blood from the body and then pump it to chamber two (Right Ventricle). The chamber two will now pump

this blood to the lungs for f i l l u p oxygen or purification. This blood, now filled with oxygen f r o m t h e lungs, will

come to chamber three (Left Atrium) which again pumps the blood to the final or chamber four(Left Ventricle or LV). This Left Ventricle or chamber number four is the most important chamber of the heart - as it has to pump the blood to the whole of the body with a pressure so that it can reach the furthest parts of the body. It has to create a pressure of 120 mm of Mercury - which is good enough to throw a water jet to the height of 1.5 meters in a fountain.

The muscles of the Left Ventricle are very thick and strong - the strongest of the four chambers. In each pumping the LV or Left Ventricle pumps about 60% of the blood present in the chamber - this is called Ejection Fraction or EF or LVEF. A tube called Aorta, about one inch in diameter, receives the

blood from the chamber four/Left Ventricle and distributes this blood to the whole body. After giving oxygen to the whole body this blood again becomes impure and returns to chamber one via the veins. This way the heart completes one c i rc le ca l led Circulatory System.

The heart - made of muscles and consisting of all the four chambers- needs oxygen/blood for its own consumption. This is supplied to it by three small Coronary Arteries - called LAD, RCA and LCx. The LAD or Left Anterior Descending A r t e r y i s t h e biggest o f t h e t h r e e a r t e r y w h i c h supplies blood to a l m o s t 50% of t h e muscles o f t h e h e a r t and mostly to the walls of Left Ven t r i c l e . Th i s i s the mos t important tube of the heart. The RCA or Right Coronary Artery supplies about 30% of the heart muscles - mostly on the right side of the heart. The back of left is supplied by the LCx or Left Circumference Artery which

supplies the rest 20% of the heart muscles. The LAD and LCx are on the left side and arise from the LM tube or Left Main tube. Blockages inside these arteries c a u s e d b y t h e f a t d e p o s i t s (Cholesterol and Triglycerides)

l e a d t o shortage of blood to the h e a r t muscle s . T h e patients do n o t know about

the blocks till they close 70% of the tube. Thereafter the heart gets Angina (chest pain or heaviness, breathlessness)- when the blocks become 70-90%. When the block becomes 100% - no blood reach the heart muscles and they start dying. This is called Heart Attack, Cardiac Arrest or Myocardial Infarction.

Heart Failure

Blood supply of the heart

Structure and working of the heart

PulmonaryArtery

PulmonaryVeins

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24

3

LUNG

LUNG

1

2

3

4 Coronary Arteries

CA