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MD Heartpro | First Medical Labs | Official Site | Reference Laboratory https://firstmedlabs.com FMLS has the latest equipment, including LCMS, Molecular, and Allergy. Premier Labs is committed to helping physicians provide the best care to their patients. We believe our success depends upon our ability to listen to the clients we serve. Mon, 28 Feb 2022 16:55:32 +0000 en-US hourly 1 https://wordpress.org/?v=7.0 https://firstmedlabs.com/wp-content/uploads/2013/11/cropped-New-PMLS-Logo-1-32x32.jpg MD Heartpro | First Medical Labs | Official Site | Reference Laboratory https://firstmedlabs.com 32 32 Heart Failure Awareness Week: Do You Know Your Risk? https://firstmedlabs.com/2022/02/17/heart-failure-awareness-week-do-you-know-your-risk/ Thu, 17 Feb 2022 14:14:56 +0000 https://firstmedlabs.com/?p=14496 About 6 million Americans are living with heart failure today, according to the Center for Disease Control and Prevention. Heart failure happens when the heart cannot pump enough blood and oxygen to support other organs in your body. Heart failure often develops after other conditions have damaged or weakened the heart.

Risk factors

  • Coronary artery disease. Narrowed arteries may limit your heart’s supply of oxygen-rich blood, resulting in weakened heart muscle.
  • Heart attack. A heart attack is a form of coronary artery disease that occurs suddenly. Damage to your heart muscle from a heart attack may mean your heart can no longer pump as well as it should.
  • Heart valve disease. Having a heart valve that doesn’t work properly raises the risk of heart failure.
  • High blood pressure. Your heart works harder than it has to if your blood pressure is high.
  • Irregular heartbeats. These abnormal rhythms, especially if they are very frequent and fast, can weaken the heart muscle and cause heart failure.
  • Congenital heart disease. Some people who develop heart failure were born with problems that affect the structure or function of their heart.
  • Diabetes. Diabetes increases your risk of high blood pressure and coronary artery disease.
  • Alcohol use. Drinking too much alcohol can weaken the heart muscle and lead to heart failure.
  • Sleep apnea. The inability to breathe properly while you sleep results in low blood-oxygen levels and an increased risk of irregular heartbeats.
  • Smoking or using tobacco. Both increase your risk of heart disease and heart failure.
  • Obesity. People who have obesity have a higher risk of developing heart failure.
  • Viruses. Certain viral infections can cause damage to the heart muscle.

Know your risk early

As an advanced medical diagnostics facility, Premier Medical Laboratory Services developed a test to detect cardiovascular disease early, MDHeartPro. Compared to a usual lipid panel, MDHeartPro uses more biomarkers to get the full picture of a patient’s risk to heart disease. MDHeartPro measures total Cholesterol, lipoprotein particle size, inflammatory markers (Hs-CRP, Lp-PLA2), genetic markers, metabolic syndrome, and new inflammatory markers (Microalbumin, Creatinine ratio) and runs the standard lipid panel.  A usual lipid panel misses three of the most common disorders attributing to cardiovascular disease and offers no assessment of stroke. So, even if you know your risk, 50% of heart disease patients have no traditional risk markers, while 60% of patients with heart attacks or strokes have normal lipid levels. With MDHeartPro, you get the rest of the story. The test identifies key inflammatory and other advanced risk markers that identify people in the high-risk category for cardiovascular disease. With MDHeartPro, you can save more lives. For more information on MDHeartPro, watch the video below:

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February is Heart Month: Improve Your Patient’s Heart Health Now https://firstmedlabs.com/2021/02/09/february-is-heart-month-improve-your-patients-heart-health-now/ Tue, 09 Feb 2021 15:36:01 +0000 https://firstmedlabs.com/news/?p=3114 The best way to honor American Heart Month is by making a difference in your patients’ cardiovascular health. As you all know taking care of the heart can be a puzzling task. Many times numerous tests are needed to gain a full picture of your patients needs. Pointing patients in the direction of healthy preventative care habits is great, but having a single test that makes earlier diagnosis possible is a game changer. MD HeartPro is a simple, stream-lined testing solution to earlier detection of heart disease and other heart related issues. 

Early Detection Is a Must in Heart Health

Heart Disease is the leading cause of death in America. Last year alone, the CDC reported over 600,000 Americans died from heart disease.  Another 800,000 Americans suffered heart attacks.  One out of every five heart attack patients never even realize that they have suffered a heart attack.  Out of those numbers, two-thirds of heart attacks were the patient’s first.  Heart disease and other heart related issues are many times silent, so multiple tests are needed to gauge a person’s complete heart health.  This is why it is easy to see that having a tool like MD HeartPro could benefit your cardiac patients.

MD HeartPro is able to identify over 90% of people at risk for heart disease.  Heart related issues can be difficult to pinpoint. Half of patients that have heart disease do not show the same risk markers.   For example, testing cholesterol levels only accounts for 25% of premature cardiovascular disease findings.  Most commonly, lipids and cholesterol levels are key biomarkers to look at when diagnosing patients.  However, 60% of patients that have had a stroke or heart attack had normal lipid test levels.  MD HeartPro combines all the biomarker tests that have been established over the last fifty years.  This gives a full overall view of all the main biomarkers (lipid panels, cholesterol panels, genetic markers, inflammatory markers,and metabolic syndrome) consolidated into one test.  Having all the biomarkers shown in one clear outline makes early detection much more possible. 

Using MD HeartPro is the best way to gain a master plan for your patient’s heart health.  Help make a difference this Heart Month and implement MD HeartPro as part of your patient’s heart health plans.  Visit our website at www.mdheartpro.com to learn more about this incredible cardiovascular testing.

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National Stroke Awareness Month https://firstmedlabs.com/2017/05/24/national-stroke-awareness-month/ Wed, 24 May 2017 12:41:51 +0000 https://firstmedlabs.com/?p=1710 NSAM 2017_Facebook Banner_FAST

Image is from National Stroke Association

The National Stroke Awareness Month is an event that occurs during the month of May every year in the United States. This annual event is observed to promote public awareness of stroke in the United States, help save lives of people experiencing a stroke, and reduce the incidence of the disease in America. Crucial resources for stroke survivors are mostly unveiled during this period by various concerned parties.

The National Stroke Awareness Month commenced in May 1989 under President George H. W. Bush. As mentioned earlier, it aims to promote public awareness by warning the masses on the signs and symptoms of stroke and how to prevent it. During this month, the public is well informed of the risk factors of stroke and how it impacts on caregivers, families, and survivors. It is also a timely reminder of survivors of stroke and how organizations like the National Stroke Association supports them throughout their lifetime journey of recovery.

Apart from the United States government, other key players that combine efforts to educate American citizens include; the American Heart Association, numerous non-profit organizations, and the National Stroke Association.

Warning signs and symptoms of stroke

This momentous program emphasizes on informing the masses about Acting FAST. The National Stroke Association suggests that 80% of strokes can be prevented if individuals can act FAST since the victims can get treated. FAST is an acronym for the following signs of stroke that can be witnessed in a suspected victim:

  • F – Face / Check if the face droops on one side when the suspected victim smiles
  • A – Arm / Confirm if one of the arms drifts downwards when you raise both arms of the suspected victim
  • S – Speech / Notice if the suspected victim’s speech sounds slurred after they repeat a simple phrase
  • T – Time / If you observe any of the above, call 9-1-1 (if in US or 999 in UK) and ask for medical assistance.

Other symptoms that may come along with FAST signs include:

  • Sudden dizziness
  • Sudden loss of coordination or balance
  • An ‘impromptu’ headache without a known cause
  • Rapid confusion and trouble understanding speech or talking
  • Sudden trouble seeing
  • Sudden numbness on one side of the body

Types of Stroke

There are three main types of stroke namely; Ischemic, Hemorrhagic, and Transient Ischemic Attack.

  • Ischemic (clots)

This type of stroke accounts for around 87 percent of all cases of stroke. It’s brought about by a hindrance within a blood vessel that supplies blood to the brain.

  • Hemorrhagic (bleeds)

This is a type of stroke that is brought about by a rapture of a weakened blood vessel. Aneurysms and arteriovenous malformations (AVMs) are the two main types of weakened blood vessels that cause bleeds. However, high blood pressure (hypertension) is the most common cause of hemorrhagic stroke.

  • TIA (transient ischemic attack)

TIA is mostly caused by a temporal clot. Although it’s mostly referred to as a “mini stroke”, it should be taken very seriously.

Prevention of Stroke

Strokes can be prevented since 80 percent of strokes occur due to an unhealthy lifestyle. Although few risk factors including race and age are uncontrollable, there are numerous steps individuals can undertake to significantly reduce their chances of falling victims of stroke.

Identifying the signs and symptoms of stroke is crucial since tPA (a clot-busting drug) can only be administered within the first three hours of the stroke’s onset. For this same reason, the National Stroke Awareness Month is observed to educate the public on how to recognize the symptoms of stroke.

 

 

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Causes and Risks of Heart Disease https://firstmedlabs.com/2017/02/14/causes-and-risks-of-heart-disease/ Tue, 14 Feb 2017 14:17:56 +0000 https://firstmedlabs.com/?p=1508 1453814365797

Image is from Fox News

Heart disease (also called Coronary heart disease) is the leading cause of death among adults in the USA. Learning about its causes and risk factors may help you prevent heart problems.

What Causes Heart Disease?

Heart disease typically occurs when plaque (a waxy substance made up of fatty molecules, minerals, and cholesterol) develops in the blood vessels and arteries leading to the heart. The plaque ends up blocking oxygen and vital nutrients from reaching your heart. Elevated cholesterol or triglycerides, cigarette smoking, and high blood pressure usually destroy the inner lining of an artery thereby providing room for plaque to accumulate.

Risk Factors for Heart Disease

Several risk factors play a significant role in determining your chances of developing a heart disease. Out of the many factors, few stand out since they are beyond your control. These are age, gender, post –menopausal, and heredity. Men are more likely to get heart disease than women. The risk of Coronary Heart Disease intensifies when men are around 45 years, and women are around 55 years of age. The latter implies that the risk of women increases after they reach menopause. If you are related to close family members with a history of the disease, your risk may be greater. Other common risk factors for heart disease include the following;

  • eating unhealthy diets
  • smoking
  • obesity
  • Age
  • being physically inactive
  • clinical depression
  • High blood pressure and cholesterol
  • diabetes or insulin resistance

Unhealthy Lifestyle Choices

Living an unhealthy lifestyle can also play a huge role in increasing your risk of developing a heart disease. Some of these unhealthy lifestyle choices that can contribute to heart disease are:

  • excessive drinking
  • smoking
  • Lack of proper stress management techniques while living in a stressful environment
  • lack of enough physical exercise and living a sedentary lifestyle
  • eating an unhealthy diet that contains high sugary foods, fat proteins, sodium, and trans fats
  • not managing or controlling your diabetes

Depression

Several studies have shown that people suffering from depression are at higher risk of developing heart disease than the general population. Depression can result in some changes in your body that can increase your chances of developing heart disease. Consistently feeling sad or too much stress can elevate your blood pressure and your levels of C-reactive protein (CRP). CRP is typically a marker for inflammation in the body. CRP levels that are higher than normal have shown to predict Coronary Heart Disease (CHD)

Type two diabetes

Doctors estimate that individuals with type 2 diabetes (especially those at middle age) are twice likely to experience a stroke or get a heart disease as individuals who don’t have diabetes. Diabetic adults tend to have multiple heart attacks if they have high blood glucose levels or insulin resistance

How to avoid heart disease

Though heart disease is catastrophic, it can be prevented in most cases. By maintaining a heart-healthy lifestyle, everyone would benefit. However, it would be more advantageous to those with increased risk. The following strategies can help you avoid heart disease:

  • drink in moderation
  • stop smoking
  • take supplements, as recommended by your doctor
  • maintain a healthy weight
  • reduce stress in your life
  • exercise on a regular basis
  • maintain a healthy diet
  • Learn the warning signs of strokes, heart disease, and heart attacks
  • get annual physicals from your doctor to assess risk factors and detect abnormalities

One of the most effective ways of preventing stroke, heart attacks, and heart disease is by living a healthy lifestyle as mentioned above. Preventing heart disease should be a priority regardless of your age.

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Understanding Heart Disease https://firstmedlabs.com/2016/07/20/understanding-heart-disease/ Wed, 20 Jul 2016 17:01:07 +0000 https://firstmedlabs.com/?p=808 Premier-banner-understanding-heart-disease

Heart disease is a very serious problem in the United States. Each year, over 600,000 people die of heart disease each year. It is the leading cause of death in men and women. Because heart disease is such a serious problem, it is important that you know what causes the disease and ways that you can prevent it.

What is Heart Disease

There are a few types of heart disease and if not caught in time, they can be fatal. The types of heart disease include:

  • Heart attack
  • Irregular heart rhythm (Arrhythmia)
  • Atrial fibrillation
  • Heart valve disease
  • Sudden cardiac death
  • Congenital heart failure
  • Enlarged heart (Cardiomegaly)
  • Heart muscle disease
  • Dilated Cardiomyopathy
  • Hypertrophic cardiomyopathy
  • Restrictive Cardiomyopathy
  • Pericarditis
  • Pericardial effusion
  • Marfan Syndrome
  • Heart murmurs

What are the Symptoms of Heart Disease

The symptoms of heart disease can differ, depending on the type that you are suffering from. Overall, however, most of the symptoms are alike, making it difficult to tell what is wrong unless you see a doctor. Also, it is important to understand that heart disease can present very differently in men than in women. Some of the most common symptoms of a heart attack include:

  • Heart palpitations (A fluttering or flip flopping in your chest. You could also feel as though you are skipping heartbeats.)
  • A strong pounding feeling in the chest
  • Pain, pressure, or tightening in the chest
  • Shortness of breath
  • Extreme weakness or fatigue
  • Nausea
  • Vomiting
  • Excessive sweating
  • Dizziness
  • Fainting

Risk Factors for Heart Disease

There are certain risk factors that make it more likely for one person to suffer from heart disease than another person. These risk factors include:

  • Sex (Males are more likely to develop heart disease than females)
  • Old age
  • Family history of heart disease
  • Post-menopausal women
  • Race (Mexican-Americans, African-Americans, and American Indians are more likely to develop heart disease than Caucasians)
  • Smokers and tobacco product users
  • Individuals with high blood pressure (hypertension)
  • High LDL cholesterol (bad cholesterol) and low LDL (good cholesterol)
  • People who are physically inactive
  • Obesity (and individual who is 20 percent over their ideal weight)
  • Excessive drinking
  • Recreational drug use
  • Uncontrolled diabetes
  • Uncontrolled stress
  • Uncontrolled anger

How To Lower the Risk of Developing Heart Disease

If you have a risk factor for developing heart disease, there are a few things that you can do and changes that you can make to reduce your risk. Some of these include:

  • Quit smoking: Smokers have more than twice the risk of developing heart disease than non-smokers.
  • Improve your cholesterol levels: You can improve your cholesterol levels by changing your diet. If that doesn’t work, your doctor can prescribe medication.
  • Control your blood pressure: You can control your blood pressure through diet, exercise, and weight management. If necessary, your doctor can prescribe medication.
  • Keep your diabetes under control.
  • Achieve a healthy weight through diet and exercise.
  • Become more active by walking or exercising.
  • Eat a heart-healthy diet, low in salt, cholesterol, trans fat, saturated fat, and refined sugars. Introduce more fruits, vegetables, nuts, and whole grains to your diet.
  • Manage your stress and anger: Poorly controlled stress and anger can be treated with relaxation techniques, such as yoga, meditation, and massage. You can also try to manage your time better and set realistic goals to reduce your stress. An anger management class can help you control your anger.
  • Quit drinking: Seek professional help if necessary.
  • Quit doing recreational drugs; Seek professional help if necessary.

Heart disease is a leading killer in the United States. If you know the risk factors for heart disease, you can start trying to make changes to live a healthier life.

 

Families in Canada order more medicines per man than any other area. The variety of medications marketed by companies is no doubt a contributing matter to prescription medicament abuse epidemic. Various remedies are used to treat Bladder inflammation. Certainly it isn’t all. Kamagra is a cure preassigned to treat many upsets. What do you think about https://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to remember about levitra 20 mg. More info about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to emasculation. Preparatory to purchasing Kamagra or other generic, speak to your dispenser if you have any allergies. Talk to your health care occupational any changes in libido you have experimental. Online pharmacy is a best way to find a physician in your area who treats this kind of disfunction.

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How to find your ideal heart rate? https://firstmedlabs.com/2016/07/20/how-to-find-your-ideal-heart-rate/ Wed, 20 Jul 2016 16:58:48 +0000 https://firstmedlabs.com/?p=807 Premier-banner-ideal-heart-rate

When you think about the idea of maintaining a balanced and healthy heart rate, then you have to take multiple things into consideration. However, instead of just trying to feel good, you also need to have some actual numbers to base your heart rate on. Look to the following points to better understand what your ideal heart rate should be.

What is Your Heart Rate

You first need to understand what a heart rate is. Your heart is an organ (arguably the most vital) that pumps oxygenated blood throughout your body. The more beats per minute, the harder your heart is working. The average heart rate for people will then vary depending upon multiple factors that are related to both short term activities and changes to your body as well as long term changes. This is the exact reason why you need to know what your ideal heart rate is, because it can change from both person to person, as well as within the same person over shorter periods of time.

Ideal Heart Rate Range

The ideal heart rate will vary. However, the average heart rate for a normally functioning human being is between 60 and 80 beats per minute. In other words, your heart will beat roughly every second in order to push blood throughout your body. If it works too slowly, then you could have a problem because you aren’t getting enough oxygen to the rest of your body as well as your brain. That being said, if it works too quickly, then you could have a problem where your body and heart have to work too hard to push your blood through your veins and you could have high blood pressure.

Another point to remember is that when individuals are doing more strenuous exercise, you have to take into consideration the fact that different aged individuals should be mindful of their ranges. For example, a 40 year old can work out in high intensity exercises and allow their heart rate to reach 150 beats per minute. However, a 70 year old shouldn’t go above 125 to 130 unless approved by their medical provider. Too much pressure and too much exercise can be a bad thing in certain circumstances.

Varies on Age, and On Activity

While your resting heart rate should be between 60 and 80 beats per minute, it will have to change just a little bit depending upon your personal activity. If you work out and run or do a lot of cardio exercises, then you are conditioning your heart to work harder. That means when your heart is resting it has no problems with simple blood flow through out the body.

How to Measure

When you are actually trying to measure your heart rate it isn’t the most difficult thing in the world to perform, but you have to be prepared to measure it correctly. You cannot use your thumb when checking your pulse because your thumb has its own pulse and that will obviously mess with the reading. What you can use is your index finger and middle finger. Gently press those two fingers (together) over the blood vessels in your wrist (or other areas where you can find a pulse such as on the neck). Then you count the beats you feel for a full minute to get your pulse. You can also use the short cut method by counting for 10 seconds and multiplying the number by six.

As you can see, in order to get your ideal heart rate you just need to have some knowledge and then keep active, too.

 

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Top 5 Heart Disease in Children https://firstmedlabs.com/2016/06/30/top-5-heart-disease-in-children/ Thu, 30 Jun 2016 15:09:49 +0000 https://firstmedlabs.com/?p=725 infographic-chd-awareness

Infographic from The Children’s Hospital of Philadelphia

Heart conditions can wreck real havoc in any adult’s life. However, they are even more tragic when the condition attacks a child or young person. Numerous types of heart conditions and diseases attack children. These include:

  • Congenital heart deficiencies
  • Viral infections that cause heart failure
  • Illness triggered heart diseases
  • Genetic syndrome heart conditions
  • Arrhythmias
  • Kawasaki diseases among others

The best way to treat such conditions is to understand their causes and addressing them immediately. Treatment of most of these diseases depend on the symptoms exhibited. Here are the five most common conditions to kids.

Congenital heart diseases

This is a heart condition that suffering children are born with. It is normally caused by heart defects that are present at birth. Most defects found in children are structural and of this nature occurring in eight out of the possible 1000 births. These defects touch on heart muscles or heart valves:

  • Mitral valve prolapse which causes the mitral valve to leak
  • Aortic valve narrowing which restricts blood flow
  • Left and right heart walls (Septum) defects
  • Underdevelopment of the left heart side
  • Holes in the heart especially between major blood vessels leaving the heart
  • Combination of all the above defects which is known as Fallot tetralogy

The congenital defects of the heart can have a long-term defect on a child’s health. They are however treated through surgery, medication, catheter procedures and heart transplants in case of severe conditions. You can improve your child’s life quality by dealing with the heart condition as soon as it is realized.

Atherosclerosis

This refers to a situation where fat and cholesterol plaques accumulate in the arteries. The increase of these deposits causes the arteries to stiffen and narrow. As such, blood clots increase and the risks of heart failure continue to heighten. Avoid conditions that out children at such risks such as hypertension, obesity and diabtetes.it is important to have regular screening for children whose family history has high indications of its occurrence. Also, focus on regular exercising and make dietary adjustments and modifications.

Arrhythmias

This is refers to a condition where the heart beat at an abnormal rate. As such, the heart tends to pump inefficiently. This condition affects children in different ways including fast heart rate, slow heart rate, Long Q-T syndrome and Wolff Parkinson white Syndrome. Parents should watch out for symptoms such as weakness, dizziness, fainting, difficulty feeding and fatigue. Treatment depends on the specific type of arrhythmias hence the need to have a doctor diagnose and prescribe the necessary treatment.

Kawasaki Disease

This rare disease affects children only and can cause inflammation of blood vessels in the mouth, feet, lips, arms and hands as well as the throat. Researchers are yet to know what causes it but it leads to swelling in the lymph nodes and is accompanies by fever. It is feared to be a major cause of children with heart conditions since it affects one in every five children.

Most of those affected are under the age of five. Treatment is based on the extent of the diseases with gamma globin or aspirin being used. Usually, children with this condition will spend their lifetime going for regular checkups. The heart has to be monitored all the time.

Heart murmurs

This is a condition where a whooshing sound is made when blood circulates through the heart’s chambers. This is condition could be harmless but at times it is an indication of an underlying heart condition. It is important that you get the necessary test to confirm that your heart is in good condition.

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What is the main cause of a Heart Attack https://firstmedlabs.com/2016/06/29/what-is-the-main-cause-of-a-heart-attack/ Wed, 29 Jun 2016 15:01:30 +0000 https://firstmedlabs.com/?p=714 screen-shot-2015-09-04-at-12-36-30-pm

Infographic from myheartsisters.org

Established Accepted Research Facts

Previously, researchers reported in error that only 50 percent of heart attacks were caused by risk factors such as smoking cigarettes or unbridled cholesterol. But now they recapitulate that the cause of 90 percent of all heart attacks  occur because of nine risk factors that you as an individual have the ability to avoid.

Before listing the nine beasts that form the main cause of a heart attack, you should read and mentally acknowledge that these risks are equal opportunity killers.  They attack men and women, young and old, black, white, Asian, European and American.

You cannot reverse the dangers that two of the risks affect, so there is no escape hatch built into the human body.  However, you can affect a decrease of risk by adopting a lifestyle of diet, exercise and moderate alcohol consumption.

Validating Study

Salim Yusuf, MD, leading cardio scientist for the above-referenced study, conducted the study of 30,000 patients, 50 percent being first heart attack survivors, and 50 percent being healthy volunteers comprising similar age, race and gender to the first group of heart attack survivor patients. The study was performed in 52 different countries and on every populated continent, and concluded that it is definite that the same factors of risk and heart dangers causing a heart attack in a white European also causes a heart attack in an Asian.

Compiled Risks Causing Heart Attack:

That last risk being abstaining from alcohol might be puzzling.  However, scientific studies show males who drink up to two alcohol drinks per day, and females who drink up to one per day do have lower risk of heart disease.  One drink is four to five ounces of wine, a 12-ounce beer or one ounce of liquor.

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Measure Your Risk by Your Waistline

Instead of figuring the traditional body mass index, the study researchers took waistline measurements. A waist of more than 80 centimeters or 32 inches in women produced increased risk of heart attack.  In men, a waistline more than 85 centimeters or 34 inches increased their heart attack risk. The waist measurement is a better and more accurate predictor because it is abdominal fat.  That is the type far closely associated with heart attacks.

Summarizing Risk and Effect

The limits of your cardiovascular specialist and cardiologist to protect you from dying of a multi-infarct lie in their ability to provide you with latest scientific data, professional advice and a preventive treatment program.  If prevention does not work and you suffer a major heart attack, your cardiologist will prescribe a more aggressive treatment plan.  If that also fails, then a cardio surgeon might have an opportunity to participate in your treatment by arterial stent implantation or open heart surgery.

They cannot push the carbohydrates and fats off your fork and are unable to shove you into a gym or nature walk regularly.  Their medical background is extensive and grueling, but requires your participation to be effective.

The road you take depends upon whether you choose to travel to prevention of a heart attack or take the highway to the major heart attack exit.

 

Families in Canada order more medicines per human than any other area. The variety of medications marketed by companies is no doubt a contributing question to prescription medicament abuse epidemic. Various remedies are used to treat Bladder inflammation. Certainly it isn’t all. Kamagra is a preparation prescribed to treat many upsets. What do you think about https://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to have in mind about levitra 20 mg. More info about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to impotency. Preparatory to purchasing Kamagra or other generic, speak to your dispenser if you have any allergies. Talk to your health care professional any changes in libido you have experienced. Online pharmacy is a best way to find a doctor in your area who treats this kind of dysfunction.

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