Even a bro­ken heart can kill, say car­diac ex­perts

Hindustan Times (Patna) - - METRO - Ruchir Ku­mar

PATNA: Do not ig­nore the ton­sil pain in your child. And, if this pain shifts to joints, it’s time you visit a car­di­ol­o­gist. For, it might just be the pre­lim­i­nary stage of rheumatic heart dis­ease.

Talk­ing about car­dio­vas­cu­lar dis­eases (CVD) on the oc­ca­sion of world heart day on Satur­day, di­rec­tor of the Indira Gandhi in­sti­tute of car­di­ol­ogy (IGIC), Dr SN Mishra said poor hy­giene and lack of san­i­ta­tion led to the growth of strep­to­coc­cal bac­te­ria, af­fect­ing the ton­sils. This was the pri­mary cause of rheumatic heart dis­ease, which takes place in chil­dren in the 5-15 years age group but may even ex­tend up to 25 years of age.

If un­treated, the ton­sil­li­tis pain shifts to the joints and then af­fects the heart by at­tack­ing the valves of the heart and weak­en­ing them. In Bi­har, the in­ci­dence of the dis­ease is 18%.

Dr Bas­ant Singh said, rheumatic heart dis­ease ac­counts for 40% heart dis­eases. Em­pha­sis­ing on women and child care, which is the theme of this year’s world heart day, he said that tobacco-smok­ing in women had in­creased and this was an­other cause of in­creased heart dis­eases. Be­sides, pas­sive smok­ing was also harm­ful to a preg­nant woman and the child in her womb. He said the risk of CVD was low in women be­fore menopause be­cause of cer­tain hor­mones, but equal to men af­ter it.

IGIC joint di­rec­tor Dr Haren­dra Ku­mar said, il­lit­er­acy and poverty were the bane of rheumatic heart dis­ease. Deputy di­rec­tor Dr AK Jha em­pha­sised on the ‘bro­ken heart syn­drome’ as a cause of heart at­tack. This, he said, was the pang of sud­den sep­a­ra­tion of one’s com­pan­ion. Be­sides reg­u­lar ex­er­cise, he ad­vo­cated keep­ing one’s blood pres­sure level (be­low 130/80 mmHg) in check, be­sides obe­sity and di­a­betes. Dr KK Barun also spoke on the oc­ca­sion.

At a sep­a­rate func­tion or­gan­ised by the medicine de­part- ment of the Patna med­i­cal col­lege hospi­tal (PMCH) Dr Ashok Shankar Singh, said there were pri­mar­ily three groups of heart dis­eases. While the first was coro­nary artery dis­ease (CAD), which was be­cause of short­age of oxy­gen to the heart or due to the process of age­ing, the sec­ond was rheumatic heart dis­ease in the young; and fi­nally con­gen­i­tal heart dis­ease.

He said, the trig­ger­ing fac­tor of CAD were hy­per­ten­sion, di­a­betes, obe­sity, smok­ing and se­den­tary habit. In pre-dis­ease stage of rheumatic heart dis­ease, tak­ing peni­cillin at an in­ter­val of 15 days till the age of 35 years, could pre­vent it. Dr Singh ad­vo­cated reg­u­lar heart check-up of school go­ing kids.

Ear­lier, PMCH prin­ci­pal Dr NP Ya­dav stressed on the need to quit smok­ing, fatty food, and in­creas­ing one’s phys­i­cal ac­tiv­ity.

Among oth­ers present on the oc­ca­sion were Dr Vibhu Priyadarshi, Dr Viren­dra Prasad Singh, Dr Suren­dra Ku­mar and Dr Pankaj Hans.

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