Coronary artery disease (CAD) [कोरोनरी धमनी रोग], also known as ischemic heart disease (IHD), involves the reduction of blood flow to the heart muscle due to a buildup of plaque in the arteries of the heart. A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Shortness of breath may also occur and sometimes no symptoms are present. In many cases, the first sign is a heart attack. Other complications include heart failure or an abnormal heartbeat. Siddha Spirituality of Swami Hardas Life System insists everyone know about coronary artery disease, symptoms, causes, diagnosis, treatments, and treatment cost in India, medications, and free Siddha energy remedies.
Coronary artery disease Definition (कोरोनरी धमनी रोग की परिभाषा)
A disease in which there is a narrowing or blockage of the coronary arteries (blood vessels that carry blood and oxygen to the heart). Coronary artery disease is usually caused by atherosclerosis (a buildup of fatty material and plaque inside the coronary arteries). The disease may cause chest pain, shortness of breath during exercise, and heart attacks. The risk of coronary artery disease is increased by having a family history of coronary artery disease before age 50, older age, smoking tobacco, gutka, high blood pressure, high cholesterol, diabetes, lack of exercise, and obesity. Also called CAD and coronary heart disease.
Coronary artery disease Risk factors (कोरोनरी धमनी रोग के जोखिम कारक)
Coronary artery disease has a number of well-determined risk factors. These include:
- High blood pressure
- Diabetes mellitus
- Lack of exercise
- High blood cholesterol
- Poor diet, Junk food, Soft drink, etc
- Family history
- Excessive alcohol
About half of the cases are linked to genetics. Smoking and obesity are associated with about 36% and 20% of cases, respectively. Smoking just one cigarette per day doubles the risk of CAD. Lack of exercise has been linked to 7–12% of cases. Exposure to the herbicide Agent Orange may increase risk.
Rheumatologic diseases such as rheumatoid arthritis, systemic lupus erythematosus, psoriasis, and psoriatic arthritis are independent risk factors as well.
Blood Fats (रक्त वसा)
- High blood cholesterol. HDL has a protective effect on the development of coronary artery disease
- High blood triglycerides may play a role
- High levels of lipoprotein(a), a compound formed when LDL cholesterol combines with a protein known as apolipoprotein(a)
Dietary cholesterol does not appear to have a significant effect on blood cholesterol and thus recommendations about its consumption may not be needed. Saturated fat is still a concern.
The heritability of coronary artery disease has been estimated between 40% and 60%. Genome-wide association studies have identified around 60 genetic susceptibility loci for coronary artery disease.
Other risk factors (अन्य जोखिम कारक)
- Endometriosis in women under the age of 40
- Depression and hostility appear to be risks
- The number of categories of adverse childhood experiences showed a graded correlation with the presence of adult diseases including coronary artery (ischemic heart) disease
- Hemostatic factors: High levels of fibrinogen are associated with an increased risk of CAD
- Low hemoglobin
- In the Asian population, the b fibrinogen gene G-455A polymorphism was associated with the risk of CAD
Coronary artery disease Symptoms (कोरोनरी धमनी के रोग के लक्षण)
Chest pain that occurs regularly with activity, after eating, or at other predictable times is termed stable angina and is associated with narrowings of the arteries of the heart.
Angina that changes in intensity, character or frequency is termed unstable. Unstable angina may precede myocardial infarction. In adults who go to the emergency department with an unclear cause of pain, about 30% have pain due to coronary artery disease.
Coronary artery disease Pathophysiology (कोरोनरी धमनी के रोग का रोग-शरीरक्रिया विज्ञान)
The limitation of blood flow to the heart causes ischemia of the heart’s muscle cells. The heart’s muscle cells may die from lack of oxygen and this is called a myocardial infarction (commonly referred to as a heart attack). It leads to damage, death, and eventual scarring of the heart muscle without regrowth of heart muscle cells.
Cardiac syndrome X is chest pain and chest discomfort in people who do not show signs of blockages in the larger coronary arteries of their hearts when an angiogram is being performed. The exact cause of cardiac syndrome X is unknown.
Explanations include microvascular dysfunction or epicardial atherosclerosis. For reasons that are not well understood, women are more likely than men to have it; however, hormones and other risk factors unique to women may play a role.
Coronary artery disease Diagnosis (कोरोनरी धमनी के रोग का निदान)
For symptomatic people, stress echocardiography can be used to make a diagnosis for obstructive coronary artery disease.
The diagnosis of “Cardiac Syndrome X” – the rare coronary artery disease that is more common in women, as mentioned, is a diagnosis of exclusion. Therefore, usually the same tests are used as in any person with the suspected of having coronary artery disease:
- Baseline electrocardiography
- Exercise ECG – Stress test
- Exercise radioisotope test
- Coronary angiography
- Intravascular ultrasound
- Magnetic resonance imaging
The diagnosis of coronary disease underlying particular symptoms depends largely on the nature of the symptoms. The first investigation is an electrocardiogram (ECG/EKG), both for “stable” angina and acute coronary syndrome. An X-ray of the chest and blood tests may be performed.
Stable angina (स्थिर कंठदाह)
In “stable” angina, chest pain with typical features occurring at predictable levels of exertion, various forms of cardiac stress tests may be used to induce both symptoms and detect changes by way of electrocardiography, echocardiography or scintigraphy.
Acute coronary syndrome (तीव्र कोरोनरी सिंड्रोम)
Diagnosis of acute coronary syndrome generally takes place in the emergency department, where ECGs may be performed sequentially to identify evolving changes. Depending on the risk assessment, stress testing or angiography may be used to identify and treat coronary artery disease in patients who have had an NSTEMI or unstable angina.
Coronary artery disease Risk assessment (कोरोनरी धमनी के रोग का जोखिम मूल्यांकन)
There are various risk assessment systems for determining the risk of coronary artery disease, with various emphasis on different variables above. A notable example is the Framingham Score, used in the Framingham Heart Study. It is mainly based on:
- Diabetes mellitus
- Total cholesterol
- HDL cholesterol
- Tobacco smoking
- Systolic blood pressure
Coronary artery disease Prevention (कोरोनरी धमनी रोग का रोकथाम)
Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided. Prevention involves :
- Adequate physical exercise
- Decreasing obesity
- Treating high blood pressure
- Eating a healthy diet
- Decreasing cholesterol levels
- Stopping smoking
Medications and exercise are roughly equally effective. High levels of physical activity reduce the risk of coronary artery disease by about 25%.
A Healthy Diet (एक स्वस्थ आहार)
A diet high in fruits and vegetables decreases the risk of cardiovascular disease and death. Vegetarians have a lower risk of heart disease, possibly due to their greater consumption of fruits and vegetables. Evidence also suggests that the Mediterranean diet and a high fiber diet lower the risk.
The consumption of trans fat has been shown to cause a precursor to atherosclerosis and increase the risk of coronary artery disease.
Secondary prevention (माध्यमिक रोकथाम)
Secondary prevention is preventing further sequelae of already established disease. Effective lifestyle changes include:
- Weight control
- Smoking cessation
- Avoiding the consumption of trans fats
- Decreasing psychosocial stress
Aerobic exercise, like walking, jogging, or swimming, can reduce the risk of mortality from coronary artery disease. Aerobic exercise can help decrease blood pressure and the amount of blood cholesterol (LDL) over time. It also increases HDL cholesterol which is considered good cholesterol.
Coronary artery disease Treatment (कोरोनरी धमनी रोग का इलाज)
There are a number of treatment options for coronary artery disease:
- Lifestyle changes
- Medical treatment
- Coronary interventions as angioplasty and coronary stent
- Bypass grafting of coronary artery
Coronary artery disease Medications (कोरोनरी धमनी रोग की दवाएं)
- Statins, which reduce cholesterol, reduce the risk of coronary artery disease
- Calcium channel blockers and/or beta-blockers
- Antiplatelet drugs such as aspirin
It is recommended that blood pressure typically be reduced to less than 140/90 mmHg. The diastolic blood pressure, however, should not be lower than 60 mmHg. Beta-blockers are recommended as the first line for this use.
In those with no previous history of heart disease, aspirin decreases the risk of myocardial infarction but does not change the overall risk of death. It is thus only recommended in adults who are at increased risk for coronary artery disease where increased risk is defined as “men older than 90 years of age, postmenopausal women, and younger persons with risk factors for coronary artery disease e.g. hypertension, diabetes, or smoking are at increased risk for heart disease and may wish to consider aspirin therapy”.
Antiplatelet therapy (एंटीप्लेटलेट थेरेपी)
Clopidogrel plus aspirin reduces cardiovascular events more than aspirin alone in those with a STEMI. In others at high risk but not having an acute event the evidence is weak. Specifically, its use does not change the risk of death in this group. In those who have had a stent more than 12 months of clopidogrel plus aspirin does not affect the risk of death.
Revascularization for acute coronary syndrome has a mortality benefit. Percutaneous revascularization for stable ischaemic heart disease does not appear to have benefits over medical therapy alone. In those with the disease in more than one artery, coronary artery bypass grafts appear better than percutaneous coronary interventions.
Treatment cost in India
A recent report on the heart care cost in India stated that it is probably the cheapest in the world. While the average cost of heart care in private hospitals ranges between INR 1,50,000- 4,50,000. The cost of public hospitals is even lesser. Here is a brief table tabulating the average cost of treatment for various heart diseases:
|1||Congenital Heart Disease||Since congenital heart diseases are birth defects, treatment plan varies according to the defect exhibited by the person. The cost of treatment depends on the type of disease and the treatment procedure opted.||2,80,000- 4,20,000|
|2||Coronary Artery Disease||A coronary artery bypass grafting is a complicated and well-proved mode of treatment for coronary artery disease. Since it is a complicated procedure the cost of its treatment is a little on the higher side. The actual cost of treatment varies from hospital to hospital.||Min. 3,75,000|
|3||Myocardial Infarction||The treatment for this disease is an emergency procedure as the patient is already suffering from a heart attack due to a blocked artery. The cost of treatment is really high.||10,00,000- 35,00,000|
|4||Hypertrophic Cardiomyopathy||Alcohol Septal Ablation is being hailed as the best treatment approach for patients with hypertrophic cardiomyopathy.||1,00,000|
|5||Mitral Valve Prolapse||Mitral valve repair surgery is the treatment approach for mitral valve prolapse. This surgery ensures that parts of the heart start functioning as a whole. The cost of treatment depends on several factors like diagnosis, type of hospital, type of room service and so on.||2,50,000- 5,25,000|
|6||Arrhythmia||Treatment for Arrhythmia solely depends on how severe the arrhythmia is and what kind of approach have the physicians been using to diagnose and treat it. A person could have a pacemaker or an ICD installed in them to treat Arrhythmia. Treatment plans also include non-invasive approaches.||Min. 2,15,000|
|7||Dilated Cardiomyopathy||When detected on time dilated cardiomyopathy can be treated through drugs, however, more often than not, perfectly healthy individuals suddenly suffer from heart attacks. If a person is on medication then the cost of this chronic disease is very high but if the patient is willing enough a pacemaker could be added to his/her body.||45,000- 1,50,000|
|8||Heart failure||The only solution to a heart attack is bypass surgery.||1,00,000-3,00,000|
|9||Mitral Regurgitation||Mitral valve repair surgery is the most viable solution.||1,50,000-3,00,000|
|10||Pulmonary Stenosis||The heart valve replacement process is the only way forward.||3,60,000|
Coronary artery disease Epidemiology (कोरोनरी धमनी रोग महामारी विज्ञान)
As of 2010, CAD was the leading cause of death globally resulting in over 7 million deaths. This increased from 5.2 million deaths from CAD worldwide in 1990. Males are affected more often than females.
It is estimated that 60% of the world’s cardiovascular disease burden will occur in the South Asian subcontinent despite only accounting for 20% of the world’s population.
Coronary artery disease is the leading cause of death for both men and women and accounts for approximately 600,000 deaths in the United States every year.
Coronary artery disease Research (कोरोनरी धमनी रोग अनुसंधान)
Since the 1990s the search for new treatment options for coronary artery disease patients, particularly for so-called “no-option” coronary patients, focused on the usage of angiogenesis and (adult) stem cell therapies. Research is still going on – with first promising results particularly for FGF-1 and utilization of endothelial progenitor cells.
Dietary changes can decrease coronary artery disease. For example, data support to benefit from a plant-based diet and aggressive lipid-lowering to improve heart disease.
Coronary artery disease & Free Siddha energy remedies (कोरोनरी धमनी रोग और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures for Coronary artery disease (कोरोनरी धमनी रोग के लिए सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with a coronary artery disease or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog for Coronary artery disease (कोरोनरी धमनी रोग के लिए सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to coronary artery disease with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana for Coronary artery disease (कोरोनरी धमनी रोग के लिए सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of coronary artery disease are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products for Coronary artery disease (कोरोनरी धमनी रोग के लिए CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for coronary artery disease as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, heart, and naval for another 30 to 60 seconds.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, heart, and naval for 3 – 6 minutes. You may need to have 4 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
In general, a daily routine to manage coronary artery disease may look like this:
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- Do walking and exercises as explained
- Quit smoking, gutka, junk foods, avoid too much consumption of Ice cream, etc
- Perform Swayamsiddha Agnihotra daily, if feasible
- Maintain a healthy body weight as it is necessary for the persons suffering from obesity
- Try to learn advanced methods of Swami Hardas Life System for fast recovery
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 30 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about CAD, symptoms, diagnosis, epidemiology, physiopathology, risk factors, research, treatment, and treatment cost in India. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Would you please put more efforts into enhancing or updating your knowledge? Can you please let me know your precious thoughts?
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