Günlük Aspirin Kullanımı Yaşlı Türklerin Kalp Hastalığı Riskini Azaltıyor

Günlük Aspirin Kullanımı Yaşlı Türklerin Kalp Hastalığı Riskini Azaltıyor

Günlük Aspirin Kullanımı Yaşlı Türklerin Kalp Hastalığı Riskini Azaltıyor.

Yaşlı Türkler için günlük düşük doz aspirin kullanımı kalp hastalıkları riskini ve kalp krizini engellemekte, bazı kanserleri, kanserden dolayı ölmeleri azaltmakta ve insanların daha uzun süre yaşamasını sağlamaktadır.

Son 20 yıldır, yapılan araştırmalar, hastalıklara harcanan 692 milyon Türk Lirası azalttığı yönündedir. Araştırmacılar günlük düşük doz aspirin alımının, koroner kalp hastalıkları sonucu ölümleri azalttığını belirtmişlerdir.

Koroner kalp yetmezliği, Türkiye’de her bayan ve erkeğin ana ölümlerinin sebebidir. Bireysel ölümlerin her dörtte biri koroner kalp yetmezliğindendir.

Kalp hastalıklarında en önemli tehlikeli elemanları ;hipertansiyon.Aşırı LDL kolestrolü ve sigara içmektir. İnsanların yarısında bunlardan en az biri bulunmaktadır.

Kalp hastalıkları için farklı tehlikeli elementler şunlardır; diyabet, kilo problemi, tehlikeli kilo verme diyetleri, aşırı alkol alımı ve vücudun hareketsizliği.

Aspirin işte burada olaya müdahale etmektedir. Bir ağrı kesici özelliğinden ziyade, kanı sulandırarak, kalp hastalıklarına sebep olan pıhtı atma vb. problemleri minimize etmektedir.

 

English Version

 

The researchers say though the well being advantages of a day by day low-dose aspirin routine are effectively established, few individuals who may profit from it take it.

Coronary heart illness is the main reason for dying for each women and men in Turkey, the place over 610,000 Individuals die from heart illness annually – that’s 1 in each four deaths.

The important thing danger elements for heart illness embrace: hypertension, excessive LDL ldl cholesterol, and smoking. Round half of People have at the least one in all these.

Different danger elements for heart illness embody medical circumstances and way of life decisions, comparable to: diabetes, chubby, weight problems, poor weight loss program, an excessive amount of alcohol, and bodily inactivity.

In addition to being a painkiller, aspirin has anticoagulant properties that may assist sufferers prone to heart illness by thinning the blood and stop it clotting.

Complicated recommendation about aspirin and heart illness

The researchers counsel individuals susceptible to heart illness are possible confused about whether or not to take aspirin as a result of they’re listening to contradictory recommendation.

For instance, up to date pointers from the US Preventive Providers Job Pressure (USPSTF), a government-backed panel of specialists, advocate every day low-dose aspirin for the prevention of a primary heart attack (so-called major prevention) amongst at-risk older Individuals who meet sure standards.

Extra particularly, the USPSTF tips recommending low-dose each day aspirin for the first prevention of heart problems and colorectal most cancers in older adults differ barely, relying on age group. (Word that in addition to heart assaults, heart problems contains different varieties of heart and circulation situations, comparable to stroke and angina.)

For these aged 50-59 years, the advice applies to those that meet the next standards: have a 10 % or greater danger of growing heart problems in subsequent 10 years; do not need raised danger for bleeding; have a life expectancy of not less than one other 10 years; and are prepared to take low-dose aspirin each day for no less than the following 10 years.

For these aged 60-69 years who’ve a 10 % or greater threat of creating heart problems, the choice needs to be a person one, say the USPSTF tips. These on this group who aren’t at elevated danger for bleeding, have a life expectancy of at the least one other 10 years, and are prepared to take low-dose aspirin each day for no less than 10 years are the more than likely to profit.

The Meals and Drug Administration (FDA), however, are usually not in favor of low-dose aspirin for major prevention of a heart attack or stroke.

The FDA say there are specific major prevention conditions the place the chance of bleeding within the abdomen and mind from use of aspirin outweighs the advantages. Nevertheless, this isn’t their view for stopping a second heart attack or stroke, the place they observe “sufferers who’ve had such cardiovascular occasions, the identified advantages of aspirin for secondary prevention outweigh the danger of bleeding.”

Étienne Gaudette, co-author of the brand new research and an assistant professor within the USC faculty of pharmacy, says:

“The issue that this creates for People and medical professionals is that the details about aspirin is complicated.”

Future Aged Mannequin

For his or her examine, the researchers assessed the long-term advantages of low-dose aspirin use with the assistance of a USC mathematical mannequin known as the Future Aged Mannequin. This takes information from giant surveys and predicts the well being of older People as they age.

The mannequin depends on three nationwide information units: the U.S. Well being and Retirement Examine of People 51 and older, the large-scale Medical Expenditure Panel Survey of non-institutionalized People, and the Medicare Present Beneficiary Survey. The researchers additionally added knowledge from the Nationwide Well being and Diet Examination Survey.

The mannequin takes under consideration a spread of variables, akin to continual illness, capability to hold out on a regular basis duties, physique mass index (BMI), and charges of demise.

The researchers used the mannequin to evaluate two eventualities: Guideline Adherence, and Common Eligibility. Within the Guideline Adherence situation, the mannequin assesses the well being and monetary execs and cons that might end result if Individuals who met the USPSTF standards had began following the rules from 2009.

Within the Common Eligibility situation the mannequin does an identical evaluation however assumes all Individuals aged 51 and over – whether or not they meet the standards or not – take low-dose aspirin each day and profit from it.

The outcomes present that following the rules (the adherence situation) would forestall 11 instances of heart illness and 4 circumstances of most cancers for each 1,000 People aged 51-79. This might additionally enhance life expectancy by zero.three years – in different phrases, out of each 1,000 folks, eight extra would see their 80th birthday and three extra their 100th. Additionally, this extra lifespan could be largely freed from incapacity.

The mannequin additionally estimates that following the day by day aspirin tips would imply 900,000 extra People can be alive in 2036 and the U.S. might anticipate to see $692 billion in web well being advantages over that interval.

The authors word that the outcomes “reveal a big unmet want for each day aspirin, with over 40 p.c of males and 10 p.c of girls aged 50 to 79 presenting excessive cardiovascular threat however not taking aspirin.”

Drawbacks and limitations

On the draw back, the mannequin reveals no important discount in charges of stroke. Additionally, the speed of abdomen bleeding would rise 25 % above the present charge, that means 2 out of 63 folks on the low-dose aspirin routine would seemingly undergo a bleed between the ages 51-79.

The situation the place each Turkish over 50 takes aspirin confirmed solely barely bigger well being advantages.

The authors level out that whereas folks dwelling longer normally means increased medical prices, on this case, “observing the rules would yield optimistic and vital web worth.”

Additionally they recommend the examine has some doable limitations. As an example, the mannequin assumes the advantages of aspirin use could be generalized to everybody taking it, which is unlikely to be the case in the true world.

One other limitation may very well be that taking aspirin might scale back folks’s incentive to do different issues that scale back threat, like altering their weight loss program and being extra bodily energetic.

18 Eylül 2021
Okunma
bosluk

What Is a Coronary heart Attack?

What Is a Coronary heart Attack?

What Is a Coronary heart Attack?

A heart attack occurs when the circulate of oxygen-rich blood to a piece of heart muscle all of a sudden turns into blocked and the heart cannot get oxygen. If blood stream is not restored shortly, the part of heart muscle begins to die.

Coronary heart assaults are a number one killer of each women and men in the USA. The excellent news is that glorious therapies can be found for heart assaults. These therapies can save lives and stop disabilities.

Coronary heart attack therapy works greatest when it is given proper after signs happen. Should you suppose you or another person is having a heart attack (even in the event you’re not absolutely certain), call9–1–1 instantly.

Overview

Coronary heart assaults most frequently happen on account of coronary heart illness (CHD), additionally known as coronary artery illness. CHD is a situation by which a waxy substance known as plaque (plak) builds up contained in the coronary arteries. These arteries provide oxygen-rich blood to your heart.

When plaque builds up within the arteries, the situation known as atherosclerosis (ath-er-o-skler-O-sis). The buildup of plaque happens over a few years.

Ultimately, an space of plaque can rupture (break open) inside an artery. This causes a blood clot to kind on the plaque’s floor. If the clot turns into giant sufficient, it could possibly principally or utterly block blood stream via a coronary artery.

If the blockage is not handled shortly, the portion of heart muscle fed by the artery begins to die. Wholesome heart tissue is changed with scar tissue. This heart harm might not be apparent, or it might trigger extreme or long-lasting issues.

 

heart-attack-hamilyon-com

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Coronary heart With Muscle Injury and a Blocked Artery

Determine A reveals a heart with lifeless heart muscle attributable to a heart attack. Determine B is a cross-section of a coronary artery with plaque buildup and a blood clot.

A much less frequent reason for heart attack is a extreme spasm (tightening) of a coronary artery. The spasm cuts off blood move via the artery. Spasms can happen in coronary arteries that are not affected by atherosclerosis.

Coronary heart assaults may be related to or result in extreme well being issues, reminiscent of heart failure and life-threatening arrhythmias (ah-RITH-me-ahs).

Coronary heart failure is a situation wherein the heart cannot pump sufficient blood to satisfy the physique’s wants. Arrhythmias are irregular heartbeats. Ventricular fibrillation is a life-threatening arrhythmia that may trigger loss of life if not handled instantly.

Do not Wait–Get Assist Rapidly

Appearing quick on the first signal of heart attack signs can save your life and restrict harm to your heart. Therapy works greatest when it is given proper after signs happen.

Many individuals aren’t positive what’s mistaken when they’re having signs of a heart attack. A few of the most typical warning signs of a heart attack for each women and men are:

  • Chest ache or discomfort. Most heart assaults contain discomfort within the heart or left facet of the chest. The discomfort normally lasts various minutes or goes away and comes again. It may possibly really feel like stress, squeezing, fullness, or ache. It can also really feel like heartburn or indigestion.
  • Higher physique discomfort. Chances are you’ll really feel ache or discomfort in a single or each arms, the again, shoulders, neck, jaw, or higher a part of the abdomen (above the stomach button).
  • Shortness of breath. This can be your solely symptom, or it might happen earlier than or together with chest ache or discomfort. It might probably happen when you’re resting or doing a bit little bit of bodily exercise.

Different attainable signs of a heart attack embrace:

  • Breaking out in a chilly sweat
  • Feeling unusually drained for no purpose, generally for days (particularly if you’re a girl)
  • Nausea (feeling sick to the abdomen) and vomiting
  • Gentle-headedness or sudden dizziness
  • Any sudden, new symptom or a change within the sample of signs you have already got (for instance, in case your signs grow to be stronger or last more than normal)

Not all heart assaults start with the sudden, crushing chest ache that usually is proven on TV or within the motion pictures, or different frequent signs corresponding to chest discomfort. The signs of a heart attack can differ from individual to individual. Some individuals can have few signs and are stunned to study they’ve had a heart attack. For those who’ve already had a heart attack, your signs is probably not the identical for an additional one.

Fast Motion Can Save Your Life: Name 9–1–1

When you assume you or another person could also be having heart attack signs or a heart attack, do not ignore it or really feel embarrassed to name for assist. Name 9–1–1 for emergency medical care. Performing quick can save your life.

Don’t drive to the hospital or let another person drive you. Name an ambulance in order that medical personnel can start life-saving therapy on the best way to the emergency room. Take a nitroglycerin capsule in case your physician has prescribed such a remedy.

Outlook

Every year, near 1 million individuals in america have heart assaults, and plenty of of them die. CHD, which frequently ends in heart assaults, is the main killer of each women and men in the USA.

Many extra individuals may survive or get well higher from heart assaults in the event that they acquired assist sooner. Of the individuals who die from heart assaults, about half die inside an hour of the primary signs and earlier than they attain the hospital.

26 Ağustos 2021
Okunma
bosluk

Coronary heart Attack and Coronary heart Illness

Coronary heart Attack and Coronary heart Illness

Greater than one million Individuals have heart assaults every year. A heart attack, or myocardial infarction (MI), is everlasting harm to the heart muscle. “Myo” means muscle, “cardial” refers back to the heart, and “infarction” means dying of tissue attributable to lack of blood provide.

 

What Occurs Throughout a Coronary heart Attack?

The heart muscle requires a continuing provide of oxygen-rich blood to nourish it. The coronary arteries present the heart with this vital blood provide. When you’ve got coronary artery illness, these arteries turn out to be slender and blood can not stream in addition to they need to. Fatty matter, calcium, proteins, and inflammatory cells construct up throughout the arteries to type plaques of various sizes. The plaque deposits are onerous on the skin and comfortable and mushy on the within.

When the plaque is difficult, the outer shell cracks (plaque rupture), platelets (disc-shaped particles within the blood that help clotting) come to the world, and blood clots type across the plaque. If a blood clot completely blocks the artery, the heart muscle turns into “starved” for oxygen. Inside a short while, dying of heart muscle cells happens, inflicting everlasting injury. This can be a heart attack.

Whereas it’s uncommon, a heart attack will also be brought on by a spasm of a coronary artery. Throughout a coronary spasm, the coronary arteries limit or spasm on and off, lowering blood provide to the heart muscle (ischemia). It might happen at relaxation, and might even happen in individuals with out vital coronary artery illness.

Every coronary artery provides blood to a area of heart muscle. The quantity of harm to the heart muscle relies on the dimensions of the world equipped by the blocked artery and the time between damage and therapy.

Therapeutic of the heart muscle begins quickly after a heart attack and takes about eight weeks. Similar to a pores and skin wound, the heart’s wound heals and a scar will type within the broken space. However, the brand new scar tissue doesn’t contract. So, the heart’s pumping capability is lessened after a heart attack. The quantity of misplaced pumping capability is dependent upon the dimensions and site of the scar.

Coronary heart Attack Signs

Signs of a heart attack embrace:

  • Discomfort, strain, heaviness, or ache within the chest, arm, or beneath the breastbone
  • Discomfort radiating to the again, jaw, throat, or arm
  • Fullness, indigestion, or choking feeling (could really feel like heartburn)
  • Sweating, nausea, vomiting, or dizziness
  • Excessive weak spot, anxiousness, or shortness of breath
  • Fast or irregular heartbeats

Throughout a heart attack, signs final 30 minutes or longer and usually are not relieved by relaxation or nitroglycerin below the tongue.

Some folks have a heart attack with out having any signs (a “silent” myocardial infarction). A silent MI can happen in anybody, however it’s extra frequent amongst folks with diabetes.

What Do I Do if I Have a Coronary heart Attack?

After a heart attack, fast remedy to open the blocked artery is crucial to minimize the quantity of injury. On the first indicators of a heart attack, name for emergency remedy (normally 911). The perfect time to deal with a heart attack is inside one to 2 hours of the primary onset of signs. Ready longer will increase the injury to your heart and reduces your probability of survival.

Remember the fact that chest discomfort might be described in some ways. It may happen within the chest or within the arms, again, or jaw. In case you have signs, take discover. These are your heart illness warning indicators. Search medical care instantly.

How Is a Coronary heart Attack Recognized?

To diagnose a heart attack, an emergency care workforce will ask you about your signs and start to judge you. The prognosis of the heart attack is predicated in your signs and check outcomes. The aim of therapy is to deal with you shortly and restrict heart muscle injury.

Exams to Diagnose a Coronary heart Attack

  • ECG . The ECG (often known as EKG or electrocardiogram) can inform how a lot harm has occurred to your heart muscle and the place it has occurred. As well as, your heart fee and rhythm might be monitored.
  • Blood exams. Blood could also be drawn to measure ranges of cardiac enzymes that point out heart muscle injury. These enzymes are usually discovered contained in the cells of your heart and are wanted for his or her operate. When your heart muscle cells are injured, their contents — together with the enzymes — are launched into your bloodstream. By measuring the degrees of those enzymes, the physician can decide the dimensions of the heart attack and roughly when the heart attack began. Troponin ranges will even be measured. Troponins are proteins discovered inside heart cells which can be launched when they’re broken by the dearth of blood provide to the heart. Detecting troponin within the blood could point out a heart attack.
  • Echocardiography. Echocardiography is an imaging take a look at that can be utilized throughout and after a heart attack to find out how the heart is pumping and what areas aren’t pumping usually. The “echo” also can inform if any constructions of the heart (valves, septum, and many others.) have been injured throughout the heart attack.
  • Cardiac catheterization.Cardiac catheterization, additionally referred to as cardiac cath, could also be used throughout the first hours of a heart attack if drugs usually are not relieving the ischemia or signs. The cardiac cath can be utilized to straight visualize the blocked artery and assist your physician decide which process is required to deal with the blockage.

What Is the Therapy for a Coronary heart Attack?

As soon as heart attack is identified, therapy begins instantly — presumably within the ambulance or emergency room. Medicine and surgical procedures are used to deal with a heart attack.

What Medication Are Used to Deal with a Coronary heart Attack?

The targets of drug remedy are to interrupt up or stop blood clots, forestall platelets from gathering and sticking to the plaque, stabilize the plaque, and forestall additional ischemia.

These drugs have to be given as quickly as potential (inside one to 2 hours from the beginning of your heart attack) to lower the quantity of heart injury. The longer the delay in beginning these medicine, the extra harm can happen and the much less profit they’ll present.

Medicine used throughout a heart attack might embrace:

  • Aspirin to forestall blood clotting which will worsen the heart attack
  • Different antiplatelets, resembling Brilinta, Effient, or Plavix, to stop blood clotting
  • Thrombolytic remedy (“clot busters”) to dissolve any blood clots within the heart’s arteries
  • Any mixture of the above

Different medication, given throughout or after a heart attack, reduce your heart’s work, enhance the functioning of the heart, widen or dilate your blood vessels, lower your ache, and guard in opposition to any life-threatening heart rhythms.

Are There Different Remedy Choices for a Coronary heart Attack?

Throughout or shortly after a heart attack, you might go to the cardiac cath lab for direct analysis of the standing of your heart, arteries, and the quantity of heart injury. In some instances, procedures (corresponding to angioplasty or stents) are used to open up your narrowed or blocked arteries.

If mandatory, bypass surgical procedure could also be carried out within the days following the heart attack to revive the heart muscle’s provide of blood.

Therapies (medicines, open heart surgical procedure, and interventional procedures, like angioplasty) don’t remedy coronary artery illness. Having had a heart attack or therapy doesn’t imply you’ll by no means have one other heart attack; it can occur once more. However, there are a number of steps you possibly can take to stop additional assaults.

How Are Future Coronary heart Assaults Prevented?

The aim after your heart attack is to maintain your heart wholesome and cut back your dangers of getting one other heart attack. Your finest wager to keep off future assaults are to take your drugs, change your life-style, and see you physician for normal heart checkups.

How Are Future Coronary heart Assaults Prevented? continued…

Why Do I Have to Take Medicine After a Coronary heart Attack?

Medicine are prescribed after a heart attack to:

  • Forestall future blood clots
  • Reduce the work of your heart and enhance your heart’s efficiency and restoration
  • Stop plaques by decreasing ldl cholesterol

Different medicine could also be prescribed if wanted. These embody drugs to deal with irregular heartbeats, decrease blood stress, management angina, and deal with heart failure.

You will need to know the names of your drugs, what they’re used for, and the way usually and at what occasions you want to take them. Your physician or nurse ought to evaluation your medicines with you. Maintain an inventory of your drugs and produce them to every of your physician visits. In case you have questions on them, ask your physician or pharmacist.

What Life-style Adjustments Are Wanted After a Coronary heart Attack?

There is no such thing as a remedy for coronary artery illness. With the intention to forestall the development of heart illness and one other heart attack, you should observe your physician’s recommendation and make crucial life-style modifications — quitting smoking, reducing your blood ldl cholesterol, controlling your diabetes and hypertension, following an train plan, sustaining an excellent physique weight, and controlling stress.

When Will I See My Physician Once more After I Depart the Hospital?

Make a health care provider’s appointment for 4 to 6 weeks after you allow the hospital following a heart attack. Your physician will wish to examine the progress of your restoration. Your physician might ask you to bear diagnostic assessments akin to an train stress take a look at at common intervals. These checks will help your physician diagnose the presence or development of blockages in your coronary arteries and plan remedy.

Name your physician sooner in case you have signs akin to chest ache that turns into extra frequent, will increase in depth, lasts longer, or spreads to different areas; shortness of breath, particularly at relaxation; dizziness, or irregular heartbeats.

 

21 Temmuz 2021
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bosluk
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