Long Island Heart Associates » Uncategorized http://www.liheart.org Long Island Heart Associates Wed, 09 Dec 2015 17:34:51 +0000 en-US hourly 1 http://wordpress.org/?v=4.2.16 Is Pregnancy With a Heart Condition Too Risky? http://www.liheart.org/is-pregnancy-with-a-heart-condition-too-risky/ http://www.liheart.org/is-pregnancy-with-a-heart-condition-too-risky/#comments Thu, 20 Aug 2015 16:00:24 +0000 http://www.liheart.org/?p=2521 Read More >>]]> shutterstock_209525794_230resizeIf you have a heart problem, you may have heard that your condition will interfere with plans to start a family.

According to cardiologist Dr. David Majdalany: “The majority of women who have heart conditions should be able to carry a pregnancy under the care of a multidisciplinary team successfully.”

Although women can have successful pregnancies with a heart condition, it does come with a number of potential risks. During pregnancy, the heart needs to work harder due to changes in the heart and blood vessels. These changes may include:

  • An increase in blood volume
  • An increase in cardiac output
  • An increase in heart rate
  • A decrease in blood pressure

According to Jeff Chapa, MD, head of the maternal-fetal medicine at Cleveland Clinic, it’s important that you be evaluated prior to conceiving to find out if your heart will be able to tolerate the added strain.

“Initially, you’ll want to be evaluated by both a cardiologist and a high-risk obstetrician, who can work together to help you come up with a plan,” said Dr. Chapa.

Dr. Chapa says that three things can happen:

  1. Your doctor will give you the green light to get pregnant.
  2. You may need some treatment before your body is ready for pregnancy.
  3. Your body is unable to handle the added strain of getting pregnancy and delivery. But remember – even in these extreme cases, adoption is an option.



It is very uncommon for a heart condition to make pregnancy too risky.  If you suspect your heart may not be ready for pregnancy, the best thing to do is to consult a doctor.

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Skipping Breakfast Takes a Toll on Heart Health in Males, Study Finds http://www.liheart.org/skipping-breakfast-takes-a-toll-on-heart-health-in-males-study-says/ http://www.liheart.org/skipping-breakfast-takes-a-toll-on-heart-health-in-males-study-says/#comments Thu, 13 Aug 2015 16:00:22 +0000 http://www.liheart.org/?p=2515 Read More >>]]> shutterstock_182509526_230 resizeA recent study confirmed that WHEN you eat is important for heart health.

Researchers asked males to complete questionnaires regarding meal content and meal times over a period of 16 years.
Findings: the individuals who skipped breakfast had a higher risk of heart attack or fatal coronary heart disease.

 

Lead author Leah Cahill, of the Harvard School of Public Health (HSPH), and her colleagues wrote about their findings in a July 23rd issue of the American Heart Association journal Circulation. In a statement, Leah Cahill, who is a postdoctoral research fellow in the department of nutrition at HSPH, provides a potential conclusion to the study.

 

“Skipping breakfast may lead to one or more risk factors, including obesity, high blood pressure, high cholesterol and diabetes, which may in turn lead to a heart attack over time.”

 

The study analyzed questionnaires filled out by approximately 26,900 men ages 45 to 82, and tracked their health from 1992 to 2008. At the start of the study, all men were free of heart disease and cancer.

 

During a follow-up, 1,572 men experienced heart attacks or died of coronary heart disease.

 

When researchers analyzed the data, they found that men who said they did not have breakfast had a 27% higher risk of heart attack or death from coronary heart disease than men who said they regularly ate breakfast.

 

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Exercise Your Heart http://www.liheart.org/exercise-your-heart/ http://www.liheart.org/exercise-your-heart/#comments Thu, 06 Aug 2015 16:00:46 +0000 http://www.liheart.org/?p=2511 Read More >>]]> shutterstock_70838677_230resizeYour heart is, as we all know, a critical muscle and it gets stronger and healthier if you lead an active life. No matter how old you are, it’s never too late to start exercising. Just taking a brief stroll can make an enormous difference when it comes to your heart health.

As you begin exercising, you will witness it paying off. According to the American Heart Association, people who do not exercise are nearly twice more likely to develop heart disease than people who exercise on a regular basis. Regular exercise will help you burn calories, lower your blood pressure, reduce LDL, boost HDL, and increase your lung capacity.

For optimal heart health, the American Heart Association recommends the following:

• No less than 30 minutes of moderate-intensity aerobic activity or “Cardio” at least 5 days per week. This can include running, jogging and biking or any other activity that will raise your heart rate and cause you to start breathing heavy.

OR

• At least 25 minutes of vigorous aerobic activity 3 days per week for a total of 75 minutes; or a combination of moderate- and vigorous-intensity aerobic activity.

• Conduct moderate- to high-intensity muscle strengthening activity no less than 2 days per week. This may include weights, resistance bands or even your own body weight. Just be sure to let your muscles recover during sessions.

You need to start someplace!

Even if you have not performed an exercise for years, you can still jump into an exercise program that will befit your heart health for the rest of your life. You know your body the best and of you don’t think you can meet the minimum requirements for optimal heart health, you can always work up to your goals by starting slow and consulting your doctor about an exercise regimen.

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New Study Suggests That Half Of Heart Disease Deaths Are Preventable http://www.liheart.org/new-study-suggests-that-half-of-heart-disease-deaths-are-preventable/ http://www.liheart.org/new-study-suggests-that-half-of-heart-disease-deaths-are-preventable/#comments Wed, 29 Jul 2015 16:00:02 +0000 http://www.liheart.org/?p=2503 Read More >>]]> shutterstock_130094798_230resizeAccording to the American Heart Association, heart attacks, strokes, and other cardiovascular diseases kill nearly three-quarters of a million Americans each year. They are also the primary cause of death, accounting for almost 30% of all deaths in the United States. However, according to a new study from the Annals of Internal Medicine, half of these deaths may be preventable.

During the study, researchers from the Rollins School of Public Health at Emory University in Atlanta looked at cardiovascular-related death rates in all 50 states and the District of Columbia. The researchers also tallied the rates of five so-called modifiable risk factors, or factors under an individual’s control, that affect the risk of cardiovascular disease. These factors included smoking, high cholesterol, high blood pressure, Type 2 diabetes, and obesity.

The rate of death from cardiovascular disease spanned a surprising range across the nation. Mississippi was at the top of the list with 477 deaths for every 100,000 residents. This number is double the rate in Minnesota, the state with the lowest rate at 195 per 100,000 residents.

It was discovered that, nationwide, 4 out of 5 people had one or more modifiable risk factor for cardiovascular disease. It was also found that individuals in the southern portion of the USA tended to have more risk factors than residents of other states.

The results of the study yielded an interesting question. What would happen if these five risk factors went away — that is, what if smokers quit smoking, obese people found a diet/exercise regimen, and so on?

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Women’s Heart Attack Symptoms May Differ From Men’s http://www.liheart.org/womens-heart-attack-symptoms-may-differ-from-mens/ http://www.liheart.org/womens-heart-attack-symptoms-may-differ-from-mens/#comments Thu, 23 Jul 2015 16:00:59 +0000 http://www.liheart.org/?p=2493 Read More >>]]> shutterstock_192307088_230resizeChest pain and shortness of breath have long been well-known signs of a heart attack. According to the National Coalition for Women with Heart Disease, these symptoms are based on men’s experiences.

We DO know that women have higher risk of dying from a heart attack than men. This is mainly due to that fact that women don’t realize that they are having a heart attack and delay their treatment, according to the American Heart Association.

Recently, medical studies have concluded that fewer women experience chest pain as a symptom of a heart attack than men. With that said, it is safe to say that both men and women differ when it comes to heart attack symptoms.

We are not saying that women will not experience chest pain as a symptom of a heart attack, but rather that they should be on the lookout for other symptoms, such as nausea, indigestion and heart palpitations — in addition to shortness of breath and back pain.

Based on a recent study, half of women had no chest pain at all during their heart attack. Fatigue and shortness of breath were the most common symptoms. These symptoms can be misinterpreted as not serious.

According to Marcus St. John, M.D., an interventional cardiologist at Baptist Cardiac & Vascular Institute, “Both women and men may have typical symptoms of heart attack, including chest pain or pressure often radiating to the shoulders, arms, neck or jaw and shortness of breath. These symptoms are usually made worse with exertion or stress. There are, however, several atypical symptoms of a heart attack and these tend to be more common in women.”

 

The common heart attack symptoms for men and women:

  • Discomfort, tightness, uncomfortable pressure in the center of the chest lasting more than a few minutes, or comes and goes
  • Crushing chest pain
  • Pressure or pain that spreads to the shoulders, neck, upper back, jaw, or arms
  • Dizziness
  • Clammy sweats
  • Unexplained anxiety, fatigue or weakness
  • Stomach or abdominal pain
  • Shortness of breath and difficulty breathing

 

Heart attack symptoms found to be more common in women:

  • Pain in the arm
  • Back, neck, or shoulder pain
  • Stomach pain
  • Jaw pain
  • Nausea and vomiting
  • Overwhelming and unusual fatigue, sometimes with shortness of breath
  • Lightheadedness
  • Excessive sweating

 

Know your heart attack symptoms. It could save your life.

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New Studies Reveal Women With PTSD Face Higher Risk Of Heart Attack http://www.liheart.org/new-studies-reveal-women-with-ptsd-face-higher-risk-of-heart-attack/ http://www.liheart.org/new-studies-reveal-women-with-ptsd-face-higher-risk-of-heart-attack/#comments Thu, 09 Jul 2015 17:00:24 +0000 http://www.liheart.org/?p=2474 Read More >>]]> woman-xray-heart_230resizedAccording to a new study, women who have suffered post-traumatic stress disorder (PTSD) are at greater risk of heart attacks than those who have never experienced such trauma. Researchers have concluded that strokes and heart attacks are 60 percent more frequent in these subjects than in the general population.

The study surveyed 50,000 females as a part of the Nurses’ Health Survey 2. Nearly 80 percent of the women studied reported experiencing an extremely traumatic event sometime during their lives. Of these, half reported three or fewer PTSD symptoms. The remainder of the females stated they had four or more signs of the disorder. Four symptoms is the general cut-off for a PTSD diagnosis.

High blood pressure and smoking are believed to be responsible for half of the increased risk, according to researchers. Experts believe the unhealthy behaviors, driven by harmful events, could pose additional health risks to women, in addition to the damage done to the body by memories of the events.

“Most women experience psychological trauma at some point in their lives, but few know that there could be severe long-term repercussions for physical health. Our results provide further evidence that PTSD is not solely a mental health problem, but also increases the risk of chronic disease,” said Karestan Koenen of Columbia’s Mailman School, senior author of the study.

The researchers who conducted the study urge women who have suffered any type of traumatic events in their lives to talk to their physicians about how they can lower their risk of cardiovascular disease. This includes women who have not experienced any symptoms of PTSD.

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Dr. Steven Shayani is once again chosen as a Top Doctor in New York Magazine http://www.liheart.org/2459/ http://www.liheart.org/2459/#comments Fri, 26 Jun 2015 17:34:31 +0000 http://www.liheart.org/?p=2459 Read More >>]]> nymag_3_sm Dr. Steven Shayani has once again been chosen as a 2015 “Top Doctor” by Castle Connolly in the health issue of New York Magazine.

“As the founder and Medical Director of Long Island Heart Associates, Dr. Steven Shayani has dedicated his career to creating a cardiology program that changes lives, providing patients with the best possible care. His passion for advancements in cardiac care has led him to become the President of the New York Heart Research Foundation, conducting groundbreaking, multinational research into disease prevention, diagnosis, and treatment. Recognized as a pioneer in cardiac imaging, Dr. Shayani has assembled the most technologically advanced team in the field, identifying and treating heart disease, before it is life threatening. Dr. Shayani is affiliated with the area’s leading hospitals: The Mount Sinai Medical Center, St. Francis Hospital and Heart Center and North Shore LIJ Health System.”

 

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Cardiovascular Wellness: Keys to a Healthy Heart http://www.liheart.org/cardiovascular-wellness-keys-to-a-healthy-heart/ http://www.liheart.org/cardiovascular-wellness-keys-to-a-healthy-heart/#comments Wed, 06 May 2015 20:30:22 +0000 http://www.liheart.org/?p=2434 UntitledDr. Steven Shayani was featured in an “Ask the Experts” in a heart disease special in Newsday. Dr. Shayani answers “Can heart disease be reversed?”

 

 

 

 

 

 

 


Open Full PDF

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How Much To Run? http://www.liheart.org/how-much-to-run/ http://www.liheart.org/how-much-to-run/#comments Fri, 17 Apr 2015 21:15:23 +0000 http://www.liheart.org/?p=2373 Read More >>]]> jogging-on-beachA recent landmark report from Denmark sheds important light on the risks and benefits of running. Accurately analyzing running habits is difficult because there are many variables that must be considered such as the runner’s pace, the difficulty of the terrain, as well as the intensity and frequency of jogging.

by Richard H. Smith, MD

Light and moderate joggers appear to have a mortality benefit greater than sedentary people but interestingly, strenuous joggers have a mortality that may be similar to those who are sedentary.

The researchers found that the most favorable type are running to reduce mortality was to jog 1 to 2.4 hours per week with no more than three days of running per week at a slow or average pace. Jogging at a fast pace more than three times a week does not appear to have a benefit and could lead to
other problems such as atrial fibrillation or calcification of the coronary arteries, an important risk factor for future heart attacks and cardiac events.

The American Heart Association and most fitness experts recommend greater than or equal to 75 minutes of vigorous intensity aerobic physical activity per week. However, the encouraging finding from the Danish study is that less than one hour per week of jogging – well below the current minimum – is sufficient to reduce mortality. Therefore, even a small amount of running such as one time per week seems to have a significant benefit over not doing it at all.

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Supplements http://www.liheart.org/supplements/ http://www.liheart.org/supplements/#comments Fri, 17 Apr 2015 21:11:03 +0000 http://www.liheart.org/?p=2369 Read More >>]]> ID-100176557Beware of using over-the-counter supplements. They are not typically FDA-approved, and may not contain the ingredients that they claim to. Always consult your physician before starting any herbal (even organic) supplements.

by Richard H. Smith, MD

Discussions about supplements are trending fiercely on the Internet. Supplements frighten cardiologists, and for good reason. They are not prescribed medications and can contain active ingredients that in some cases, can raise blood pressure aggravate arrhythmias, heart attacks and strokes. Supplements range from seemingly innocent medications such as nonsteroidal anti-inflammatory drugs (Motrin or Aleve), and decongestants or nose drops as well as any of a variety of supplements/herbal medications that people may buy in seemingly reputable places such as Walgreens or Whole Foods. Many people are concerned that their supplements may not contain the active ingredients that they are advertised to.

People should not take supplements in lieu of their prescribed medications mainly because supplements are not regulated by the FDA. Therefore, if people have a conditions such as high cholesterol, they are much better off taking a drug such as a prescribed Statin – FDA-approved for cholesterol lowering in randomized clinical trials, as opposed to taking a supplement that may have no active ingredients to make contain harmful substances.

Recently, national retailers were accused of selling dietary supplements that were fraudulent and did not contain the active ingredients listed. Examples of these are Ginseng from GNC that contained no ginseng, but did contain rice and wheat grass, as well as Echinacea that contained no Echinacea. Another issue is that people tend to use the Internet for medical information and the Internet is fraught with information that may be unreliable.

If you search long and hard enough, you will always be able to find at least one person or group of people that I’ve had similar side effects to the medication. However, this particular side effect is not worn out in large clinical trials when there are tens of thousands of patients studied. Therefore, it is safer to use evidence-based medicine to help guide treatment as opposed to anecdotal reports that are usually unreliable.

It is very important to speak with your physician before making any choices about stopping medications that are prescribed and replacing them with supplements. It is also necessary to mention all or any supplements you may be taking when you visit your doctor.

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