Heart Attack and Gym : Science and What to do ?

Why Do So Call Health Conscious People who go to Gym Daily and Do Proper Exercises Get Heart Attack and that too at younger Age ?

Should we go to Gym or Not ?

Let us see

-oOo-

Consciousness and Awareness have different meanings when used as Adjective

For example

    • Health Conscious – Means Knowing the importance of maintaining Good Health and doing something for that
    • Health Awareness – Means Means Knowing the importance of maintaining Good Health and doing the right thing for it

-oOo-

  • Those who don’t mind about the health are not health conscious. Examples are those who don’t know what is their Blood Sugar and Blood Pressure
  • Those who mind about their health, but do the wrong things are health-conscious, but not health-aware. These are people who know about diabetes, have checked their blood sugar and found that they have diabetes, but யூஜெனிக்சன் books and eat millets and jaggery
  • Those who mind about their health, but do the correct things are health-conscious as well as health-aware. These are people who know about diabetes, have checked their blood sugar and follow scientific methods to improve their health

-oOo-

The common factor behind diseases like Heart Attack, Stroke, Vision Problems, Kidney Failure etc is clogging of blood vessels.

This clogging of blood vessels is due to
(I)
Damage to the inner wall of the blood vessels. (Scientifically it is called Endothelial Damage)
(II)
Increased Clot Forming Ability

-oOo-

(I)
This damage to the inner wall happens because of various reasons

(I.A) Structurally Weak Inner Wall
1. Those whose inner wall is weak due to various Genes. In these people, even a normal blood sugar and normal blood pressure cause more damage

(I.B) Damage Due to Mechanical Reasons

2. High Blood Pressure. Your Blood Vessels are like Pipes or Garden Hoses. What happens when the pressure of water flowing in a pipe is high. It gets damaged easily. Isn’t it. Similarly when the blood pressure is high, your blood vessel’s inner wall get damaged soon.

3. High Pulse Rate : What happens when you take a straw and fold it. You will see a damage in the straw. What if you fold again and again. At one point the damage will be severe. Same way, When your blood vessels are bent and unbent again and again, the rate of injury to the inner walls. There are many blood vessels which get bent again and again. The vessels which gets bent maximum times in the one in your heart. It gets bent every time your heart beats. The vessels of your neck gets bent every time you move your neck. The vessels of your knee gets bend every time you move your knee. (This is why atherosclerosis is so common in Coronary, Carotid, Vertebral and Popliteal arteries)

(I.C) Damage Due to Chemical Reasons
Assume few different garden hoses. One in which only water flows. Another in which acid flows. Which will get damaged quicker ?

Same way,
Your blood vessels are also damaged as per what is in the blood

4. High Blood Sugar : Damages the blood vessels and leads to reduced blood flow. This is exactly why we need to keep the blood sugar under control. The damages may not be visible immediately, but they will accumulate

5. High LDL : Just like High Cholesterol, this too damage the blood vessels

6. Free Radicals : also damage the inner wall

7. Hyperhomocysteinemia

(II)
Increased Clot Forming Ability : Hope you know the disease Hemophilia. This is a condition where blood does not clot easily. There are lots of diseases where the other end happens. That is Blood clots easily. In such cases, the person is at risk of developing clot even when Blood Sugar, Pressure, Cholesterol levels are normal. And the most important part is these conditions cannot be solved by exercise, walking etc

Increased Clot Forming Ability can be due to

(II.A) Congenital / Inborn : These are due to reasons where the individual has few genes which increase the clot forming ability of blood

8. Factor V Leiden and Prothrombin G2021A mutation.
9. Antithrombin III, protein C and protein S deficiency

(II.B) Acquired : Acquired factors also influence the coagulation cascade
10. Surgery,
11. Pregnancy (Pregnancy can also protect against heart attack due to various other factors)
12. Hormonal replacement therapy,
13. Contraception,
14. Malignancy,
15. Inflammation,
16. Infection eg Post COVID 19 Thrombosis

So
Whether you will get a heart attack (or stroke or kidney failure or vision problem or neuropathy) depends on so many factors

And
You need evaluate and manage accordingly

-oOo-

So
1. You get heart attack if your vessels are weak from birth due to your genes
2. You get heart attack if your BP is high
3. You get heart attack if your Pulse is high
4. You get heart attack if your blood sugar is high
5. You get heart attack if your LDL is high (please don’t get fooled by half baked idiots who say that LDL is not an issue)
6. You get heart attack if Free Radicals are high in your body
7. You get heart attack if there is homocysteinaemia
8. You get heart attack if you have Factor V Leiden and Prothrombin G2021A mutation. (Please don’t order a test yourself and spend 1000s of rupees and then go an ask the doctor to explain it. It does not work that way)
9. You get heart attack if you have Antithrombin III, protein C and protein S deficiency
10. You get heart attack if you undergo Surgery,
11. You get heart attack if you are Pregnant and have other heart issues
12. You get heart attack if you undergo Hormonal replacement therapy,
13. You get heart attack if you use Hormonal Contraception (Condoms are the safest)
14. You get heart attack if you have cancer (malignancy)
15. You get heart attack if you have Inflammation,
16. You get heart attack during or after Infection eg Post COVID 19 Thrombosis

-oOo-

So there are multiple factors
I have listed just a few
There are many others too

-oOo-

So Treatment to prevent Heart Attack (or other such complications) has to be a multi pronged approach.

Exercise and Diet are the first line of approach
But at the same time, you need to understand that mere Exercise won’t help and Mere Diet won’t help

-oOo-

Now
What will happen when a person exercises
Heart Rate will increase
BP will increase

What happens when heart rate increases
There is bending and unbending the the blood vessels of heart
What happens when BP increases
There is increased pressure to the inner wall of the blood vessels of heart

What happens when there is bending and unbending and increased pressure
There is damage to the inner wall

-oOo-

Now Coming to the Questions

Why Do So Call Health Conscious People who go to Gym Daily and Do Proper Exercises Get Heart Attack and that too at younger Age ?

When you exercise, you damage your inner wall. Now, if there are no other causes for damage to wall and if there are no other causes of increased coagulability at work, there is time for the damages to be repaired

But
When other risk factors (increased sugar, increased LDL, post covid thrombosis) are also present
There is no time for the body to repair the damaged inner walls and there is an heart attack

-oOo-

Should we go to Gym or Not ?
Please go to Gym

But
Please correct your Blood Sugar, Pulse Rate, Blood Pressure, Hypercoagulability first and then go to Gym

-oOo-

  • If you have no risk factors –> Gym increases your lifespan
  • If you have risk factors and have corrected them with diet + drugs –> Gym increases your lifespam
  • If you have risk factors and you have avoided tablets and think that you can solve all the problems with exercise alone –> Gym REDUCES your lifespam

-oOo-

Moral
1.
Human Body Structures are complex
Human Body Functions are complex
There are multiple factors at play

2.
Don’t follow some advice based on Whatsapp forwards / Facebook Posts / Videos / Instagram Reels. Many of such Videos (including the one by few “doctors” are based on some random articles with scant regard to Physiology, Pathology, Community Health).

3.
When you have risk factors, Tablets plus Gym is Best
When you have risk factors, Tablets alone are better
When you have risk factors, Keeping Quite and Doing nothing is bad
When you have risk factors, Gym without Tablets is giving Friend Request to EmaDharmaRaja and then calling him over phone and asking to accept the request !

-oOo-

Feel free to ask doubts

If you want to know about complications of diabetes and how to prevent them, read this book : Myths and Facts about LCHF (Low Carb High Fat) Diet and “Reversal” of Type 2 Diabetes: How Paleo, Keto, Atkin’s Diets Work https://amzn.to/3VbRcac

Myths and Facts about LCHF (Low Carb High Fat) Diet and “Reversal” of Type 2 Diabetes: How Paleo, Keto, Atkin's Diets Work
Myths and Facts about LCHF (Low Carb High Fat) Diet and “Reversal” of Type 2 Diabetes: How Paleo, Keto, Atkin’s Diets Work

நீரழிவு நோய்க்கு ஏற்ற உணவு குறித்து அறிய : பேலியோ உணவின் அறிவியலும் உளவியலும்: Science and Psychology of Paleo Diet (Tamil Edition) https://amzn.to/3XcZSPw நூலை வாசிக்கவும்

புருனோ Bruno பேலியோ உணவின் அறிவியலும் உளவியலும்: Science and Psychology of Paleo Diet
புருனோ Bruno பேலியோ உணவின் அறிவியலும் உளவியலும்: Science and Psychology of Paleo Diet

பெண்களுக்கு மாரடைப்பு வருவது மிக அரிது ?

பெண்களுக்கு மாரடைப்பு வருவது மிக அரிது. இப்போதைய வாழ்வியல் முறை சகல விதிகளையும் உடைக்கிறது.

மரபியல் ரீதியாக
ஆரோக்யம் குறைவான பெண்கள்
அந்த காலத்தில்
பிறந்த வுடன் கக்குவான் இருமலினாலோ, போலியோவினாலோ
அல்லது காலராவினாமோ
பிரசவத்திலோ இறந்தவிடுவார்கள்



மிகவும் ஆரோக்கியமான மரபணுக்களை உடைய பெண்கள் மட்டுமே 30 வயது தாண்டினார்கள்
எனவே
30 வயதை தாண்டிய பெண் 100 வயது வரை வாழ்ந்தார்
இன்று
மருத்துவம் முன்னேறி விட்டதால்
ஆரோக்யம் குறைவான பெண்கள்
1 வயதில்
11 வயதில்
21 வயதில்
இறப்பது இல்லை

எனவே
அவர்களுக்கு மாரடைப்பு வருகிறது

இன்று 50 – 60 வயதில் மாரடைப்பு வந்து இறக்கும் பெண்கள் எல்லாம்
1980களுக்கு முன்னர்
50 வயது வரை வாழ்ந்திருக்கவே மாட்டார்க்ள்

பிரசவத்திலேயே
அல்லது
அதற்கு முன்னரோ இற்ந்திருப்பார்கள்



மாரடைப்பு வரும் மரபணுக்கள் உள்ள பெண்கள்
மாரடைப்பு வரும் வயது வரை வாழ்ந்து
பெண்களுக்கு மாரடைப்பு வருவது மிக அரிது.

இப்போதைய வாழ்வியல் முறை சகல விதிகளையும் உடைக்கிறது
அவர்களை அந்த வயது வரை வாழ வைக்கிறது

How 108 Emergency Care Functions in Tamil Nadu Government Hospitals

If you want to know as to How 108 Emergency Care Functions in Tamil Nadu Government Hospitals, you can read an earlier report and also this thread from Twitter @kachibhatla, Founder & CEO of AIMPLOY, Previously Founder and CEO of Bijlipay.



Short thread on how kickass our TN Government health services is! I am super impressed and wanted to share this with everyone. @NHM_TN @Vijayabaskarofl 1/n

At 9 pm approx (13 July), my security guard rings my doorbell sweating profusely, complaining of chest pain. We were in the midst of dinner and were totally unprepared for this. 2/n

Managed to get through to 108 in three tries and the ambulance reached us in less than ten minutes. The call centre girl was efficient and patched us to the ambulance driver quickly.

Both of them ask me mandatory Covid related questions and then a few more questions on exact location and asked us to have someone stand on the street, outside my building. 4/n

The Male nurse from the get-go, was extremely good. Handled the patient well… polite, respectful and empathetic. Once in the ambulance (in which I travelled along), he had a tough time with the patient who was unwilling to lie down, wouldn’t keep the oxygen mask on etc. 5/n

Kept his cool through out, while he tried to check his vitals and then put a line in, which was a struggle, as the man was totally uncooperative. Pretty soon, we were at Royapettah Hospital. 6/n

Now, this was perhaps my first time inside a proper government hospital…. I was impressed. The young doctors and nurses in the Triage section were great. The male nurse from the ambulance worked smoothly with them, like he was a member of staff. 7/n

All of them seemed to work hurriedly, as they handled about 15 patients and related attenders in the Emergency room. All with a great sense of purpose and no chaos at all. 8/n

Our patient needed to be pinned down, as he refused O2, pulled out the line which was inserted earlier etc. Big ups to all the nurses, who were super patient while taking his ECG, putting a new line & then calming him down (with some sedative I guess). 9/n

I step out of the emergency room to the car park to meet my driver who has now arrived. The male nurse from earlier has finished all his work and is walking back to the ambulance. 10/n

Now, the MAIN part… I holler and walk up to him… tell him I want to give him something… he says NO… I try again, this time actually bringing out a small wad of notes and he could see it was 500s… but again he said NO and said ’We are not supposed to take, brother!’ 11/n

There was nobody near us. This guy was real!! I couldn’t believe this. I’ve been in similar situations with the upmarket ambulance service (extremely professional), which came at a certain price & ending up in a private hospital, only to be hassled for tips by the lift boy! 12/n

I was so happy that this is the current scene in Chennai and I must say, I am loving it! Respect to these doctors and healthcare workers who are working selflessly, during these trying times. 13/n

Please do not speak disparagingly of TN Health services, if you have never experienced it. Love Chennai! Jai Hind!@Vijayabaskarofl @NHM_TN 14/n

Lastly, for those who asked, the patient is stable now. 15/15