Rheumatic Fever and Heart Valve Complications

Posted on May 20, 2015 by Andrew Rubin

Rheumatic Fever is caused by a bacterial infection, resulting from having strep throat or scarlet fever. Most commonly found in 5 to 15 year old children, it can occur in people who are younger or older, and affects women more frequently than men. It usually results from a strep throat infection that wasn’t treated appropriately with antibiotics. Rheumatic fever affects the body’s connective tissue in the brain, joints, and especially the ones found in the heart valves. It causes scarring of these heart valves which doesn’t allow them to open and close properly. This is called rheumatic heart disease and is permanent unless surgically corrected.

Symptoms of rheumatic fever usually begin anywhere from a week to six weeks after a strep infection. They include:

• Fever
• Joint stiffness – ankles, knees, hands and elbows
• Joint swelling
• Chest pain
• Shortness of breath
• Stomach pain
• Loss of appetite
• Skin rash

To diagnose rheumatic fever a physician will perform a throat culture, blood tests, listen to the heart for signs of a murmur, take an x-ray and an electrocardiogram. Anyone who has a sore throat should see a physician to rule out strep throat. If a diagnosis of strep is made, antibiotics can be prescribed which should prevent the bacterial infection from spreading. In cases where the heart valves have been affected, a patient may need to be placed on a long term antibiotic, and also anti-inflammatory medication. In severe cases, surgery may be required to replace the affected heart valves.

Anyone who has a sore throat that is mild to severe should seek medical attention right away. You may schedule an appointment at Jamaica Hospital’s Ambulatory Care Center by calling 718-206-7001.

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.

Coronary Artery Bypass Graft

Posted on March 18, 2015 by Andrew Rubin

Coronary artery disease is the process where blood vessels within the heart have diminished flow of blood passing through them. The disease happens when plaque develops in the blood vessels of the heart. Plaque is composed mainly of cholesterol. If you are a male over the age of 45 or a female over the age of 55 you may be at higher risk. Heredity also plays a role in coronary artery disease.
Symptoms of coronary artery disease:
• Chest pain
• Feeling tired
• Heart palpitations
• Abnormal EKG
• Shortness of breath
Conservative treatment of coronary artery disease includes taking medications to help the flow of blood throughout the heart and the rest of the body. Taking a baby aspirin every day can also help in some cases. Diet and lifestyle changes are also recommended.
A surgical procedure, known as coronary artery bypass graft surgery ( CABG ) involves taking a vein from another part of the body, usually the leg but can also be from the chest or wrist, and bypassing the blocked portion of the coronary artery. One or more coronary arteries may have to be bypassed and is frequently referred to as double bypass, triple bypass or quadruple bypass to indicate that number.
In some cases there are no symptoms of coronary artery disease. It is very important to have an annual physical exam with an EKG. If any abnormalities are detected on an EKG or if the patient has symptoms, further testing, stress test, echocardiography, and coronary angiography, will be needed to determine the severity of the disease. Jamaica Hospital offers full diagnostic capabilities of coronary artery disease. To make an appointment with a cardiologist please call 718-206-6742.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Quieting That Cough, Naturally

Posted on February 23, 2015 by Joann Ariola

Coughing is a common health problem. When there is a blockage or irritant in your throat, your brain thinks a foreign element is present and tells your body to cough to remove that element.

Some reasons you may cough are itchy throat and congestion. Instead of using over-the-counter cough suppressants, you may want to try a natural cough treatment using readily available ingredients in your kitchen.

Ginger tea is one of the most popular cures for a cough and is a proven home remedy.

Follow the recipe below for a simple and effective way to quiet a cough.

GINGER TEA

· Cut fresh ginger into small slices and crush them slightly. Place them in a cup of water and bring to a boil. You can also use some lemon juice and honey to taste.

It is suggested to drink this herbal solution three to four times a day for relief from a sore throat, coughing and even chest congestion.

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Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

Does the Alcohol In Red Wine Dampen Its Benefits?

Posted on February 6, 2015 by Xavia Malcolm

There have been many reports about how red wine can lower your blood pressure and improve your heart health. But don’t be so quick to open that bottle of Merlot at home. That’s because recent studies suggest that the antioxidants found in wine that may help prevent heart disease, are much more effective when the wine is non-alcoholic.

Wine contains antioxidants called polyphenols that can help prevent heart diseases. They increase the levels of HDLs, or “good cholesterol” in the blood, which protects against artery damage and can lower blood pressure. Another potential benefit is, polyphenols may help protect blood vessels in your heart and prevent blood clots.

Unfortunately, alcohol in red wine may dampen the blood pressure-lowering potential of its antioxidants. A study published in Circulation Research found that when men drank red wine containing alcohol, their blood pressure only went down slightly, but when they drank non-alcoholic red wine, their blood pressure went down enough to lower their risk of heart disease by 14%.

This is good news for those who want to receive the benefits of red wine, but don’t or can’t consume alcohol. In addition, while red wine has shown some benefits in moderation, consuming too much poses several health risks.

If you have high blood pressure and want to learn more about the potential benefits of red wine, please speak with your doctor. Jamaica Hospital’s Ambulatory Care Center has many doctors who can help. To make an appointment, please call, 718-206-7001.

Palliative Care vs Hospice Care

Posted on February 3, 2015 by Joann Ariola

When you are faced with the decision of choosing whether palliative care or hospice care better suites the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS) and other neurological diseases. Palliative care can be used at any stage of illness –not just advanced stages.

Hospice care is palliative by nature, but is only offered when the patient has progress to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited with palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure, but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social worker, spiritual care, bereavement care and volunteers. In some cases physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity and quality of life and not about giving up. If you, or a loved one should need information on palliative or hospice care, Jamaica Hospital Medical Center’s Palliative Care and Hospice Care services can help. To schedule an appointment for an evaluation, or to just talk, call 718-206-6914.

The Surprising Health and Beauty Benefits of The Avocado

Posted on October 29, 2014 by Xavia Malcolm

The Avocado is a very healthy and unique fruit. It is abundant in healthy fats, nutrients and has numerous health and beauty benefits. Some of the nutrients found in this super fruit include, vitamins C, B6, K, Folate and Potassium.

Some of the benefits of the avocado include:

It is a great source of Oleic acid-this healthy fat reduces inflammation and lowers bad cholesterol
Monounsaturated fats in the avocado can improve your skin tone by maintaining good moisture levels, repairing damaged skin cells, reducing skin redness and irritation.
Avocados are good for weight loss. The body uses monounsaturated fats as slow burning energy than storing it as fat. This gives you a feeling of fullness and reduces your appetite
Vitamin B6 and folic acid controls homecysteine levels which are linked to an increased risk in heart disease.
It is high in fiber and antioxidants
Avocados are a great source of biotin which helps prevent dry and brittle nails and hair.

Not only are avocados delicious but they are good for you. Enjoy them in guacamole, salads, as a spread, on a sandwich or by itself.

Getting Fit and Bicycle Riding Safety Tips

Posted on October 28, 2014 by Xavia Malcolm

Riding a bicycle can be a fun and effective way to get fit. Cycling is beneficial for the cardiovascular system because it increases oxygen intake and stimulates the heart. Studies show that riding can increase energy levels by 20 percent and in one hour burn up to 488 calories when pedaling at 12 to 14 miles per hour.

Although a bicycle is an excellent fitness tool, it is also considered a vehicle. Therefore, the rules of the road must be obeyed and a bicycle should be operated safely to prevent injuries and accidents.

In a study conducted by Jamaica Hospital’s Trauma Division, over the past year from September 2013- September 2014 there has been over 500 cyclists and pedestrians struck in areas surrounding the hospital. Bicyclists face higher risks in crash-related injuries and deaths than drivers in a motor vehicle. Follow these basic riding tips to ensure your safety and reduce the risks:

Always ride in the same direction as traffic and do not weave in between other vehicles.
Obey traffic laws and signals.
Do not listen to music or speak on cell phones while riding.
Wear a proper fitting helmet.
Never pass another vehicle on the right.
Always keep your hands on the brakes.
Stay aware of dangerous road hazards such as potholes and broken glass.
Use hand signals to show motorist where you are going.

Bicycling is a great way to get fit; however, cyclists should continue to keep in mind that they share the same rules and regulations as others. Follow the rules of the road to reduce the risk of injuries and accidents.

The Dangers of Secondhand Smoke

Posted on October 13, 2014 by Xavia Malcolm

Secondhand smoke is a combination of side stream smoke-which comes from the end of a burning cigarette and mainstream smoke-which is exhaled by the smoker. It may seem harmless but the smoke that comes from the end of the cigarette is considered to be even more harmful than the smoke inhaled by the smoker; because there are no filters. Secondhand smoke is harmful to everyone; however, pregnant women, children and partners of people who smoke are the most vulnerable.

There are over 250 harmful chemicals that can be found in the smoke created by tobacco products. Some of these chemicals are carbon monoxide, hydrogen cyanide, ammonia, arsenic, vinyl chloride and formaldehyde. The Environmental Protection Agency categorizes secondhand smoke as a Group A carcinogen; meaning that it can cause cancer in humans.

The more you are exposed to secondhand smoke, the higher your risk of developing diseases and suffering from the health effects. Respiratory symptoms such as wheezing, breathlessness and coughing can be triggered by secondhand smoke. Other harmful health effects include the increased risk of developing heart disease, respiratory disease and strokes.

Pregnant women who consistently breathe secondhand smoke may have miscarriages or give birth to low birth-weight and premature babies. For newborns exposure can escalate the risk of Sudden Infant Death Syndrome. Children can experience increased occurrences of asthma, pneumonia, bronchitis and ear infections.

Secondhand smoke is harmful, despite the level of exposure. Breathing in even a little smoke can be dangerous and the effects on your health can be immediate. There are several ways to reduce the risk of exposure to second hand smoke. You can ask members in your family not to smoke in your home, disallow smoking in your car and choose smoke- free restaurant and indoor places.