A world-class institute dedicated to the treatment of all heart conditions has been inaugurated in Thailand.

Artirat Charukitpipat, CEO of Bumrungrad International Hospital, along with Associate Professor Dr. Taveesin Tanprayoon, Chief Medical Officer, and Professor Dr. Koonlawee Nademanee, Director of the Bumrungrad Heart Institute in Thailand, have spearheaded the establishment of a world-class heart institute. This institute is dedicated to pioneering research, innovation, and the development of clinically effective techniques for addressing various heart conditions.

The institute specializes in the treatment of coronary artery diseases, arrhythmia, advanced heart failure and heart transplantation, structural heart disease, cardiogenetics, and congenital heart disease. Additionally, it offers comprehensive cardiac screening and preventive care. The Bumrungrad Heart Institute has successfully achieved its objectives, delivering truly exceptional care and consistently striving to uphold the highest levels of patient satisfaction.

Professor Dr. Koonlawee Nademanee emphasized the institute's commitment to becoming a cutting-edge medical facility in all facets of cardiology, encompassing coronary artery disease, arrhythmia, advanced heart failure and heart transplantation, structural heart disease, cardiogenetics, congenital heart disease, cardiac screening, and preventive care. Furthermore, the institute is equipped with a state-of-the-art cardiac care unit that provides round-the-clock support for cardiac patients in need of acute care or postoperative recovery, facilitating their prompt return to optimal health.

Read more and share the research work at https://www.heart.scientexconference.com/

Spotlight of Heart 2023!!

 Spotlight of Heart 2023 in #Dubai, #UAE!!

The achievement of the Heart 2023 has given UAE the possibility to bring the get-together an additional time.

Our global networking platform brilliantly brought together experts from a staggering #40 #countries worldwide. This conference served as a stage for over #70 #distinguished #speakers, showcased innovative poster presentations, and was honored by the presence of more than #85 #attendees.

#Heart2023 Conference has allowed youthful specialists through the activities like Young Examination Forum, Poster Presentations, and Scientific gatherings.

Past Conference Report & Gallery: https://lnkd.in/gi84E5fR

#heartconference #heart2024 #heart2024conference #heartthailandconference Dr. Sujata Singhi

Volunteer responder systems significantly increase the proportion of bystander CPR and defibrillation.

Using automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR) as soon as possible increases a person's chance of surviving a cardiac arrest. Nonetheless, in an out-of-emergency clinic setting endurance rates are low because of postpones in care and low take-up of onlooker CPR and AED use. According to a study that was recently published in the Journal of the American College of Cardiology, when a person in the community experiences a cardiac arrest, alerting nearby volunteers of the need for assistance increases the rates of bystander CPR and defibrillation as well as improved survival rates. 

Using data from the ESCAPE-NET registry that was accessible, the study pooled out-of-hospital cardiac arrests that occurred at five locations in four European nations with volunteer responder systems from 2015 to 2019. After meeting the exclusion criteria, more than 9,500 cases of out-of-hospital cardiac arrest were included in the study cohort. In 4,969 cases, the volunteer responder systems were activated, but in the remaining 4,857 cases, they were not. 

All three outcomes had higher rates across all of the included sites in the alerted cases than in the non-alerted cases: 

CPR on the spot: Bystander defibrillation: 73.8% versus 61.9 percent 7.9% versus 4.6% 30-day endurance: 12.4% versus 10% 

All volunteers enrolled on the web or by means of cell phone application to take part in the reaction framework, confirmed past CPR preparation and consented to be found and dispatched as a feature of the framework. In response to an emergency call about a possible case of out-of-hospital cardiac arrest, dispatchers at the sites' local/regional emergency medical communications centers activated all systems. The majority of the destinations used a cell phone application to find and caution volunteer responders in light of who was nearest, while one site assessed area in view of recently given data with respect to work as well as a personal residence to caution volunteers by means of an instant message if an out-of-clinic heart failure happened close to their home or office. 

Data on AEDs that were accessible to the public, including specific details about their location and accessibility, were integrated into all systems. The ready framework would tell volunteer responders whether they were entrusted with bringing a close-by AED to the site or going straightforwardly to the heart failure to start CPR. All volunteers were dispatched related to the crisis clinical framework, incorporating ambulances with prepared clinical staff and, in certain destinations, extra expert people on call, for example, firemen or police vehicles outfitted with AEDs. 

"I accept, given the enormous example size in our review and the strength of the destinations included-; every one of the five had going worker frameworks along with crisis reaction frameworks; our review discoveries support developing proof for how new innovation can enlist assets to unexpected heart failure locales in no time and increment positive results," Jonsson said. " We have fought for decades against low rates of bystander CPR and public underutilization of AEDs, which has resulted in unnecessary deaths. We want enormous, randomized preliminaries to show causal impacts of volunteer reaction frameworks to decide whether this is a replicable model that will assist us with saving lives in networks all over the planet." 

In a going with an article, Janet E. Whinny, RN, Ph.D., of the School of General Wellbeing and Preventive Medication at Monash College in Melbourne, Australia, expressed, "Great worker person on call programs are just a single piece of further developing the local area reaction to out-of-clinic heart failure. Eventually, expanding the pace of opportune and fair admittance to spectator CPR and defibrillation will significantly affect endurance." 

The observational nature of the study is one of the study's limitations.

Anxiety affects a high percentage of patients with ICD

According to the conclusion of a study published in EP Europace, nearly one-third of patients who had a device implanted to prevent sudden death suffered from anxiety within the first year while depression affected one in five. 

Study author Hannah Keage (University of South Australia, Adelaide, Australia) said: "The implantable defibrillator (ICD) is very good at prolonging a patient's life, but we need to make sure it is a good quality of life”. "The prevalence of mood disorders is much higher in individuals with ICD than in the general population, suggesting that psychotherapy assessment and therapy should be integrated into the routine care of these patients." 

An ICD is recommended for people at high risk for life-threatening heart rhythms and those in cardiac arrest.  

Anxiety and depression are associated with a higher likelihood of premature death in patients with  ICD. This study synthesized the best available evidence to determine the extent of depression, anxiety, and post-traumatic stress disorder (PTSD) in patients with  ICD.  “I am a professor of psychology and have worked with cardiologists for many years,” says Keage. "They found that mood disturbances were common in their ICD patients, so we collaborated to understand the extent." 

The review included 109 studies involving 39,954 ICD patients. When rates of anxiety, depression, and PTSD were examined from the time of ICD placement over a year of follow-up, the rates were 23%, 15%, and 12%, respectively. The prevalence of these conditions in the general population is estimated to be 13%, 7%, and 1‒2%, respectively. 

 Additional details are available for anxiety and depression, showing higher rates in the early post-implantation period. During the first five months, 32% and 23% experienced anxiety and depression, respectively. Six to 12 months after placement, levels of anxiety and depression were reduced by 29% and 21%, respectively. Further deterioration was observed  12 months after transplantation, when rates were 22% and 15%, respectively. 

 When the ICD detects a dangerously fast heart rate, it delivers a shock to return it to normal, which can make you feel like you've been punched in the chest. The analysis found that patients who experienced shock were four times more likely to be anxious and almost twice as likely to be depressed than those who did not experience shock. In an analysis by sex, women were more likely to feel anxious than men after receiving DAI. 

“The incidence of all three mood disorders is exceptionally high compared to what we would expect in people without an ICD, especially for PTSD,” says Keage. About 30% of patients with an ICD  will experience shock within the first two years, and for some patients, it is a constant fear that influences decisions to drive, swim, etc. Mood disturbances that fade over time can be due to a number of factors, including the patient's receiving psychological help or adjusting to a new life. 

 “We cannot rule out the possibility that people in better health tend to stay in school longer while those in poor health are more likely to drop out. Gender differences were to be expected because anxiety rates are generally higher in women than in men. 

The analysis also looked at mood disorders in people who did not participate in the ICD in 109 studies. An estimated 23% of DAI patients' partners experience post-transplant anxiety and 14% have depression, a rate similar to the prevalence in the patients themselves. Patients with heart disease but without an ICD also had similar rates of mood disturbances as those with an ICD. 

 “Partners are clearly worried their loved one is about to undergo surgery and may then go into shock,” says Keage. The involvement of ICD patient partners in psychotherapies is more effective in improving a patient's physical and psychological well-being than participation alone. The findings in heart patients are significant because heart health and mood disorders go hand in hand. 

“Poor psychological health can also lead to heart problems due to chronic stress and unhealthy lifestyles. Psychologists are less involved in the care of cardiovascular patients, but that must change. I  encourage patients and partners to seek help if their mood is low or they are overly anxious, as there are evidence-based therapies for anxiety, depression, and PTSD.

Six-Year Research Reveals Intermittent Fasting's Benefits

 We hear a lot about the benefits of intermittent fasting, but a six- time study in JAHA set up that the length of time between the first and last mess had no effect on weight loss. rather, the number and size of refections may be the more important factor. 

 Although intermittent fasting has come a popular weight- loss strategy, strictly designed studies have yet to determine whether confining the mess window can effectively control body weight over the long term. 

 For the study, the exploration platoon developed a mobile app for 550 actors to track diurnal habits in real time. Actors were regularly asked to use the app during the first month and again during" power weeks" one week per month during the six- month intervention period. 

 After six times, the authors noted 

 * Mess timing wasn't associated with weight change. 

                    * This included the time between the first and last mess, between waking up and eating the first mess, between eating the last mess and going to sleep, and total sleep time. 

* Rather, the diurnal number of large( over 1 000 calories) and medium( 500- 1 000 calories) refections were each associated with weight gain. 

* Smaller small refections( under 500 calories) were associated with lower weight. 

 The conclusion 

 There has been important debate about the benefits of intermittent fasting for weight. Does it really count when you eat your refections, or is it just the fact that eating within a narrower time window promotes lower calorie input? This study seems to give substantiation that eating lower and smaller refections matters further than when exactly those refections are eaten.

Check out the other stories here CARDIOLOGY BLOGS

Hardening of the arteries....You can prevent it !!!

Atherosclerosis, also called "hardening of the arteries," occurs when fat, cholesterol and other substances are deposited in the walls of the arteries. These deposits are called plaques. Over time, these plaques can narrow or completely block arteries and cause problems throughout the body.

Atherosclerosis is a common disease.

Exercise training and physical exertion are effective styles for lowering the threat of cardiovascular events, still, multitudinous studies have shown that aged and middle-aged athletes are more likely to have coronary atherosclerosis, which is generally assessed by coronary roadway calcification. The frequence of coronary roadway calcification and atherosclerotic pillars, which are dependable pointers of unborn cardiovascular morbidity and mortality, was advanced in athletes than in controls, and it was advanced in the most active athletes than in the less active athletes, according to our review of the medical literature. still, study of the shrine's morphology showed that athletes had smaller mixed pillars and more constantly solely calcified pillars, which may indicate that the pillars' atherosclerotic makeup is more benign. In order to more understand the implicit negative goods of the topmost tablets of exercise training on the coronary highways, this review examines the goods of physical exertion and exercise training on coronary atherosclerosis in athletes who are middle-aged and aged. We'll review the correlation between exercise and coronary atherosclerosis as determined by reckoned tomography for this purpose, talk about implicit beginning mechanisms for exercise- convinced coronary atherosclerosis, determine the clinical applicability of coronary atherosclerosis in middle-aged athletes, and bandy clinical operation strategies for athletes with coronary atherosclerosis to prop croakers in clinical decision- timber and treatment of athletes.

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Always Be Happy 😁😁

 Health experts proved that LAUGHTER is good medicine.   

A good laugh can get 20% more blood flowing through your body. One study found that people's blood flow increased when they watched a funny movie. 

That's why laughter could be the perfect antidote to stress. When you laugh, the lining of your blood vessel walls relaxes and stretches, says Krasuski.

So have a good laugh. Your heart will thank you.