Lupus Awareness Month

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus.

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs.

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include:

  • Cutaneous lupus erythematosus is lupus that only affects your skin
  • Drug-induced lupus occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it
  • Neonatal lupus occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk

No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time.

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include:

  • Fatigue
  • Fever
  • Joint pain, stiffness, and swelling
  • A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body
  • Skin lesions that appear or worsen with sun exposure
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods
  • Shortness of breath
  • Chest pain
  • Dry eyes
  • Headaches, confusion, and memory loss

Lupus likely results from a combination of genetics and environment.

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include:

  • Sunlight
  • Infections

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders.

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include:

  • A complete blood count
  • Erythrocyte sedimentation rate
  • Kidney and liver assessment
  • Urinalysis
  • Antinuclear antibody (ANA) test

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include:

  • A chest X-ray
  • An echocardiogram

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin.

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during one. Medications you might need include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Antimalarial drugs
  • Immunosuppressants
  • Biologics

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including:

  • Seeing your doctor regularly
  • Being sun smart
  • Getting regular exercise
  • Quitting smoking
  • Eating a healthy diet
  • Asking your healthcare provider if you need vitamin D and calcium supplements

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888 or the Lupus Hotline at 1-877-33-LUPUS.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Acute Coronary Syndrome

Acute coronary syndrome refers to three types of coronary disease that are related to sudden reduced blood flow to the heart.

The three types of coronary artery disease are:

  • Unstable angina
  • Non-ST-elevation myocardial infarction
  • ST-elevation myocardial infarction

Acute coronary syndrome can affect anyone. However, certain risk factors raise the likelihood of developing the condition. Risk factors include:

  • Older age
  • High blood pressure
  • High blood cholesterol
  • Smoking or tobacco use
  • Not enough physical activity
  • An unhealthy diet
  • Obesity or being overweight
  • Diabetes
  • Personal or family history of angina, heart attacks, or stroke
  • History of high blood pressure, preeclampsia, or diabetes during pregnancy
  • Early menopause
  • COVID-19 infection

The symptoms of acute coronary syndrome usually start suddenly. They include:

  • Chest pain or discomfort, which may feel like aching, pressure, tightness, or burning
  • Pain that starts in the chest and spreads to other body parts. These areas include the shoulders, arms, upper belly area, back, neck, or jaw
  • Nausea or vomiting
  • Indigestion
  • Shortness of breath
  • Sudden, heavy sweating
  • A racing heartbeat
  • Feeling lightheaded or dizzy
  • Fainting
  • Unusual fatigue

Acute coronary syndrome is usually caused by a buildup of fatty deposits or plaque in and on the walls of the heart’s arteries. When a fatty deposit breaks open, a blood clot can form and block blood flow to the heart, causing the heart not to receive enough oxygen.

The lack of oxygen can cause cells in the heart muscle to die. This damage can lead to a heart attack. When acute coronary syndrome doesn’t cause heart muscle cells to die, it is called unstable angina.

Acute coronary syndrome is an emergency and is usually diagnosed at a hospital. A healthcare provider runs tests to check the heart and determine the cause of symptoms.

Tests for acute coronary syndrome may include:

  • Electrocardiogram
  • Blood tests

A healthcare provider looks at the symptoms and test results to diagnose acute coronary syndrome. This information can also help classify your condition as a heart attack or unstable angina.

Other tests may be done to rule out other possible causes of symptoms and may also help determine treatment. Tests include:

  • Coronary angiogram
  • Echocardiogram
  • Myocardial perfusion imaging
  • CT angiogram
  • Exercise stress test

There is no cure for acute coronary syndrome. However, early diagnosis and prompt treatment can protect your heart from further damage and help it work as well as possible. A healthcare provider can discuss ways to reduce risks and avoid complications.

The immediate goals of treatment for acute coronary syndrome are to:

  • Relieve pain and distress
  • Improve blood flow
  • Restore heart function quickly and as much as possible

Long-term treatment goals are to:

  • Help the heart work as well as possible
  • Manage risk factors
  • Lower the risk of a heart attack

Treatment for acute coronary syndrome may include medicine, heart procedures, or surgery.

If you are experiencing any symptoms of acute coronary syndrome, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. If you are experiencing an emergency, call 911.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Patient Testimonial- Wayne Texeira says, “Dr. Lasic and Jamaica Hospital Medical Center Gave Me a Second Chance.”

“I got a second chance”, is what Wayne Texeira said after his experience at Jamaica Hospital Medical Center. While working at Jamaica Hospital, Mr. Wayne Texiera suddenly couldn’t breathe and fell to his knees. He saw the lights fading and passed out. While in the ER, he was told his lungs were filling with fluid, he had heart failure, and he almost died. His doctor, Dr. Zoran Lasic, told Mr. Texiera that he had to change his lifestyle after performing an angiogram that showed that he had 30% functionality in his heart.

Over the next year, through the care and recommendations from Dr. Lasic, Mr. Texeira lost 45 pounds, quit smoking, and stopped eating unhealthy foods. He also gained 60% functionality in his heart, which is remarkable. “I am very grateful to Jamaica Hospital Medical Center, the staff, and the doctors. My perception changed after I got a second chance.” Now living in Georgia with his wife and daughter, the catalyst for his lifestyle change, “I kept looking at her and I didn’t want her not to have a father, Mr. Texeira said. With a second chance, Mr. Texeira is grateful, “Life has been good. I have no regrets.”

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Podiatry: What Your Feet Can Tell You about Your Health

Our bodies present many signs and symptoms to show us that we are sick, such as a runny nose, fever, and body aches. However, your feet can tell us a lot about our health, including:

  1. Dry, flaking, itchy, or peeling skin may be signs of a thyroid condition or a fungal infection.
  2. Foot numbness may be a sign of circulation problems such as peripheral artery disease (PAD), peripheral neuropathy associated with type 2 diabetes, other neurological problems, arthritis, or long-standing alcoholism.
  3. A foot sore that won’t heal may be a sign of diabetes or peripheral vascular disease. In addition to causing nerve damage, high blood sugar might also damage the blood vessels that supply nerves, causing circulation problems that prevent healing.
  4. Swollen ankles and feet may be signs of heart failure, kidney disease, liver disease, or a blood clot. Painless swelling in the feet is gravity in action. If your heart, liver, or kidneys aren’t working properly, you will have excess fluid in the body that leaks into your tissues and drains down to the feet.
  5. A suddenly, intensely painful, and swollen big toe may be a sign of gout, inflammation caused by a buildup of uric acid that forms crystals in the joints.
  6. Pain in the foot when walking or exercising that goes away when resting may be a sign of a stress fracture or osteoporosis.
  7. Sore toe joints in both feet may be a sign of rheumatoid arthritis.
  8. Frequent foot cramping may be a sign of dehydration and nutritional deficiencies.
  9. Heel pain may be a sign of plantar fasciitis, the strain of the ligament that supports the arch in your foot.
  10. Yellow toenails may be a sign of a fungal infection, such as athlete’s foot.
  11. Balding or hairless feet and toes may be a sign of circulation problems, such as peripheral artery disease.
  12. Foot or heel pain upon standing or rising in the morning may be a sign of arthritis or plantar fasciitis.
  13. Frequently cold feet may be a sign of hypothyroidism, peripheral artery disease, or Raynaud’s disease, a condition where blood vessels spasm and constrict when experiencing cold temperatures.

Some ways you can care for your feet include:

  • Wash and examine your feet daily
  • Keep the skin on your feet moisturized
  • Treat any callouses and corns
  • Trim toenails weekly or as needed
  • Wear protective clothing on your feet
  • Maintain blood flow to the feet

If you are experiencing any of these foot ailments, contact Jamaica Hospital Medical Center’s Queens Podiatry Center at (718) 206-6713-6712 to make an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

POTS (Postural Orthostatic Tachycardia Syndrome)

Postural orthostatic tachycardia syndrome (POTS) is a condition that causes your heart to beat faster than normal when you transition from sitting or lying down to standing up.

Each word of “postural orthostatic tachycardia syndrome” has a meaning:

  • Postural – related to the position of your body
  • Orthostatic – related to standing upright
  • Tachycardia – a heart rate over 100 beats per minute
  • Syndrome – A group of symptoms that happen together

Your autonomic nervous system normally balances your heart rate and blood pressure to keep your blood flowing at a healthy pace, despite your body’s positioning. However, if you have POTS, your body can’t coordinate the balancing act of blood vessel constriction and heart rate response, meaning your body can’t keep your blood pressure steady and stable. This causes a variety of symptoms, including:

  • Dizziness or lightheadedness, especially when standing up, during prolonged standing in one position, or on long walks
  • Fainting or near fainting
  • Forgetfulness and trouble focusing (brain fog)
  • Heart palpitations or a racing heart rate
  • Exhaustion/fatigue
  • Feeling nervous or anxious
  • Shakiness and excessive sweating
  • Shortness of breath
  • Chest pain
  • Headaches
  • Nausea
  • Bloating
  • A pale face and purple discoloration of your hands and feet if they’re lower than the level of your heart
  • Disrupted sleep from chest pain, a racing heart rate, or excessive sweating during sleep

POTS symptoms often get worse in the following situations:

  • Being in warm environments, such as in a hot bath or shower, or on a hot day
  • Standing frequently, such as when you’re waiting in line or shopping
  • Participating in strenuous exercise
  • When you are sick from a cold or an infection
  • Having your period

You can develop POTS suddenly or it can develop gradually. Symptoms vary from person to person. They may happen immediately or a few minutes after sitting up or standing. Lying down may relieve some of the symptoms.

Researchers aren’t sure what causes POTS. They currently believe there are multiple causes, which have been put into different subtypes of POTS, including:

  • Neuropathic POTS – this happens when peripheral denervation (loss of nerve supply) leads to poor blood vessel muscles, especially in your legs and abdomen
  • Hyperadrenergic POTS – this happens when your sympathetic nervous system is overactive
  • Hypovolemic POTS – reduced blood volume can lead to POTS. Low blood volume can cause similar symptoms that may overlap with neuropathic and hyperadrenergic POTS

There is also growing evidence that suggests POTS might be an autoimmune disease, meaning the immune system attacks healthy tissue for unknown reasons.

POTS can be difficult for healthcare providers to diagnose due to the many symptoms that can occur over time. People with POTS may have symptoms for months or years before they are finally diagnosed with the condition.

To confirm a POTS diagnosis or rule out other possible causes for your symptoms, your healthcare provider will ask questions about symptoms, medications, and medical history, and they will also perform a series of tests.

A tilt table test is the main way providers diagnose POTS, as it measures your heart rate and blood pressure as you change your posture and position. A healthcare provider may order other tests to help determine a diagnosis, including:

  • Blood and urine tests for causes of POTS and conditions that mimic POTS
  • QSART (a test that measures the autonomic nerves that control sweating)
  • Autonomic breathing test (a test that measures your blood rate and pressure response during exercise
  • Skin nerve biopsy

Unfortunately, there is no cure for POTS. However, healthcare providers use strategies to manage the symptoms. Treatment is highly individualized based on your symptoms and what works best for you. The main forms of treatment include:

  • Exercise and physical activity
  • Diet and nutrition

There is nothing you can do to prevent developing POTS. But there are steps you can take to try to prevent flare-ups by knowing what your triggers are, including:

  • Maintaining a consistent temperature
  • Avoiding prolonged standing
  • Avoiding alcohol

If you are experiencing any POTS-related symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 right away.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Patient Testimonial: Dwayne Bull says, “I could never find words to express how thankful and how grateful I am”, After Dr. Mangla, his team, and the Jamaica Hospital Staff Save His Husband Arthur’s Life

“I could never find words to express how thankful and how grateful I am”, is what Dwayne Bull said after his husband Arthur’s surgery at Jamaica Hospital Medical Center. On September 11th, 2024, Mr. Arthur Dower Bull took a short walk with his husband Dwayne to shop in their neighborhood. After about a block of walking, Arthur began to show signs of passing out. At that moment, Dwayne immediately called 911. Leading up to that moment Arthur passed out, Dwayne explained, “Arthur had been complaining about pain in his left leg and shortness of breath since having two surgeries two weeks prior.” The ambulance arrived and Arthur was taken to Jamaica Hospital Medical Center.

Arthur was being evaluated in the ER while Dwayne waited for news on his condition in the waiting room. A doctor approached Dwayne and told him that Arthur’s heart had stopped and he had to be revived. When the doctor told him that, Dwayne said, “My heart stopped, and I had never experienced that mental state in my life.” Dwayne recounted seeing a team of people standing over Arthur attempting to revive him again. He says, “I felt the pain of losing someone for the first time in my life and the hardest part was not being able to do anything about it.” For Dwayne, sitting in the waiting room feeling alone, nervous, and scared and not knowing what was happening, was the hardest thing for him.

Then, Dr. Aditya Mangla appeared. Dwayne recalls that Dr. Mangla was “extremely calm” and had a “positive presence about him”. “He gave me peace”, said Dwayne. Dr. Mangla told Dwayne that Arthur had blood clots in his lungs and blood stopped flowing to his heart. He expressed that if he did not perform immediate surgery Arthur wouldn’t make it and if he does perform the surgery, there still might be a chance that he wouldn’t make it because of the severity of his condition. Dr. Mangla told Dwayne there was a “30% chance that Arthur could survive the surgery”. Dwayne says Dr. Mangla, “assured me that he was extremely knowledgeable in this area of medicine and that he and Arthur were in the right place.”

Dr. Mangla allowed Dwayne to see Arthur one last time before surgery. Dr. Mangla told Dwayne, “I will treat him like he’s one of mine”. Dwayne waited in the waiting room for 90 minutes but remained positive because he knew Arthur was in good hands due to Dr. Mangla’s sincerity and level of experience. Then Dr. Mangla appeared with a certainty and enduring smile expressing that the surgery was successful. He then showed Dwayne pictures of the blood clots that were removed from Arthur’s lungs. When Dwayne finally got to see Arthur after the surgery, Arthur’s first words to him were, “You’re here.”

Dwayne would like to thank Dr. Mangla for the impeccable service he received. “Dr. Mangla is an angel,” Dwayne said. He would also like to thank Dr. Mangla’s team, the ICU nurses, and the rest of the hospital staff. “The hospital should be given an award.”

Dwayne and Arthur moved here from California last year and have been enjoying the sights and culture of the city. Thanks to Dr. Mangla, his team, and the hospital staff, they can continue to do so. “Dr. Mangla saved the life of my loved one. I wanted to say thank you, and I will never forget your unconditional support or allowing God to use you by the power of prayer.”

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Holter Monitor

A Holter monitor is a small, wearable electrocardiogram (ECG) that records the heart’s electrical activity over 24 hours or longer while you’re away from your healthcare provider’s office.

A standard or resting ECG is one of the simplest and fastest tests to check the heart. Holter monitor tests may be done if a traditional electrocardiogram (ECG or EKG) doesn’t provide enough details about the heart’s condition. Some personal devices like smartwatches offer electrocardiogram monitoring. Ask your healthcare professional if this is an option for you.

Some reasons you might need to wear a Holter monitor or why your healthcare provider may ask you to wear one include:

  • To evaluate symptoms that may be heart-rhythm-related. Symptoms can include:
    • Chest pain
    • Tiredness
    • Shortness of breath
    • Dizziness
    • Fainting
  • To identify irregular heartbeats or palpitations
  • To assess your risk for future heart-related events in certain conditions. These conditions can include thickened heart walls or hypertrophic cardiomyopathy after a heart attack that causes weakness of the left side of the heart. This is called Wolff-Parkinson-White syndrome. In this syndrome, an abnormal electrical conduction pathway exists in the heart.
  • To see how well a pacemaker is working
  • To find out how well treatment is working for complex abnormal heart rhythms
  • To see how fast or slow your heart rate gets during the day and if you have any pauses in your heart rhythm

While you wear a Holter monitor, you can do most daily activities unless you have instructions to avoid certain things. You may be given a form to record your activities and any symptoms. It’s important to note if and when you have any of the following symptoms:

  • Pounding, fluttering, or skipped heartbeats
  • Shortness of breath
  • Chest pain
  • Lightheadedness

After the allotted time with the Holter monitor, your healthcare provider will review the test results and discuss them with you. Information from Holter monitor testing can show if you have a heart condition and if any medicines you currently take aren’t working.

If you didn’t have any irregular heartbeats while you wore the monitor, you may need to wear a wireless Holter monitor or an event recorder. These devices can be worn longer than a standard Holter monitor. Event recorders are similar to Holter monitors and require you to push a button when you feel symptoms. There are several different types of event recorders.

If you are experiencing any symptoms that may be heart-rhythm-related, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 right away.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Afib Awareness Month

September is National Afib Awareness Month. Afib stands for atrial fibrillation, a type of arrhythmia or abnormal heartbeat. During Afib, the heart’s upper chambers, or the atria, beat chaotically and irregularly. They beat out of sync with the lower heart chambers, the ventricles.

Afib can lead to blood clots in the heart. It also increases the risk of stroke, heart failure, and other heart-related complications.

It usually isn’t life-threatening, but it is a serious medical condition that needs proper treatment to prevent serious health issues.

There are many symptoms of Afib, they can include:

  • Feelings of a fast, fluttering, or pounding heartbeat
  • Chest pain
  • Dizziness
  • Fatigue
  • Lightheadedness
  • Reduced ability to exercise
  • Shortness of breath
  • Weakness

People can experience three types of Afib, including:

  • Paroxysmal Afib
  • Persistent Afib
  • Long-standing persistent Afib

The most common cause of Afib is problems with the heart’s structure. Other health problems and heart diseases that can cause Afib include:

  • A congenital heart defect
  • Sick sinus syndrome
  • Obstructive sleep apnea
  • Heart attack
  • High blood pressure
  • Lung diseases, including pneumonia
  • Coronary artery disease
  • Thyroid diseases
  • Infections from viruses

Many factors can increase your risk of Afib, including:

  • Age
  • Caffeine, nicotine, or illegal drug use
  • Drinking too much alcohol
  • Changes in the level of body minerals
  • Family history
  • Long-term health conditions
  • Obesity
  • Some medicines and supplements

Healthy lifestyle choices can reduce the risk of heart disease and prevent Afib. Some basic heart-healthy tips include:

  • Controlling high blood pressure, high cholesterol, and diabetes
  • Not smoking or using tobacco
  • Eating a diet that is low in salt and saturated fat
  • Exercising at least 30 minutes a day at least five days a week
  • Getting at least seven to nine hours of sleep a day
  • Maintaining a healthy weight
  • Reducing and managing stress

Afib is diagnosed when a healthcare provider examines you and asks questions about your medical history and symptoms. Tests may be done to look for conditions causing irregular heartbeats such as heart disease or thyroid disease, including:

  • Blood tests
  • ECG or EKG
  • Holter monitor
  • Event recorder
  • Implantable loop recorder
  • Exercise stress tests
  • Chest X-ray

The goals of Afib treatment are to reset and control the heartbeat and prevent blood clots. Treatment for Afib depends on how long you’ve had it, your symptoms, and the cause of the irregular heartbeat. Afib treatment can include:

  • Medications
  • Cardioversion therapy
  • Surgery or catheter procedures

If you are experiencing any symptoms of Afib, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away.

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Oral Health

Your oral health is more important than you might realize. The health of your mouth, teeth, and gums can affect your overall health.

Like other areas of the body, the mouth is full of germs. Those germs are mostly harmless, but the mouth is the entryway to the digestive tract. It is also the entryway to the respiratory tract. Because of this, germs in the mouth can lead to disease throughout the body.

Oral germs and inflammation are linked to a severe form of gum disease called periodontitis. Studies suggest that germs and inflammation that form in the mouth might play a role in some diseases, including:

  • Endocarditis
  • Cardiovascular disease
  • Pregnancy and birth complications
  • Pneumonia

Most of the body’s defenses and good oral care help keep germs under control. Good oral care includes daily brushing and flossing. Without good oral hygiene, germs can reach levels that may lead to infections like tooth decay and gum disease.

While practicing good oral hygiene can lower the risk of health problems, other factors can affect oral health. Certain medicines such as decongestants, antihistamines, painkillers, water pills, and antidepressants can lower the flow of saliva. Saliva washes away food and keeps the acids germs make in the mouth in balance helping to keep them from spreading and causing disease.

Some health conditions can also affect oral health, they include:

  • Diabetes
  • HIV/AIDS
  • Cancer
  • Alzheimer’s disease

You can protect your oral health and take care of your mouth every day by:

  • Brushing your teeth at least twice a day for two minutes each time. Use a brush with soft bristles and fluoride toothpaste. Brush your tongue too.
  • Flossing between your teeth daily.
  • Eating a healthy diet and limiting sugary foods and drinks.
  • Replacing your toothbrush every three to four months. Sooner if the bristles are worn out.
  • Seeing a dentist at least once a year for checkups and cleanings.

Taking care of your oral health protects your overall health.

If you would like to schedule an appointment with a dentist at Jamaica Hospital Medical Center, you may call 718-206-6980

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Causes of Chest Pains That Aren’t Heart-Related

Chest pains are usually associated with heart problems. However, there are many other causes that you should be aware of.

Chest pain that isn’t heart-related is called noncardiac chest pain. Noncardiac chest pain is often described as feeling a painful squeezing or tightness in your chest, or a pressure of heaviness behind your sternum. The pain may be felt on the right or left side or in the middle of your chest.

Many symptoms may occur with noncardiac chest pain including:

  • A sour taste or a sensation of food entering the mouth
  • Trouble swallowing
  • Pain that gets better or worse when you change body position
  • Pain that gets worse when you breathe deeply or cough
  • Tenderness when you push on your chest
  • Pain that continues for many hours

You may not be able to tell the difference between a heart attack and noncardiac chest pain, for that reason it is important to take any chest pain seriously. If it is sudden or new and lasts longer than five minutes, go to the emergency room. If it goes away after a few minutes, you should see your healthcare provider as soon as possible to determine the cause.

Some causes of noncardiac chest pain include:

  1. Digestive issues
    • Heartburn
    • Swallowing disorders
    • Gallbladder or pancreatic problems
  2. Muscle and bone injuries
    • Costochondritis
    • Sore muscles
    • Injured ribs
  3. Lung-related issues
    • Pulmonary Embolism
    • Pleurisy
    • Collapsed lung
    • Pulmonary Hypertension
  1. Panic attacks
  2. Shingles

Some risk factors associated with noncardiac chest pain can include:

  • High Body Mass Index (BMI)
  • Smoking or tobacco use
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
  • Anxiety

Some immediate tests used to help diagnose the cause of chest pain include:

  • ECG or EKG
  • Blood tests
  • Chest X-ray
  • CT scan

Follow-up tests may need to be done depending on the results of the first tests. They include:

  • Echocardiogram
  • CT scan
  • Stress tests
  • Coronary catheterization

Treatment for chest pain varies depending on the cause. Some treatments can include:

Medications if the cause isn’t heart-related such as:

  • Blood thinners
  • Acid-reducing medicines
  • Antidepressants

Surgical procedure if the cause isn’t heart-related such as:

  • Lung re-inflation

If you are experiencing any chest pain symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. If you are experiencing an emergency, call 911.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.