Heart Attack – Symptoms
Symptoms of a heart attack can include:
- feeling lightheaded or dizzy
- shortness of breath
- feeling sick (nausea) or being sick (vomiting)
- chest pain – a sensation of pressure, tightness or squeezing in the centre of your chest
- Pain in other parts of the body – it can feel as if the pain is travelling from your chest to your arms (usually the left arm is affected, but it can affect both arms), jaw, neck, back and abdomen
- an overwhelming sense of anxiety (similar to having a panic attack)
- coughing or wheezing
Although the chest pain is often severe, some people may only experience minor pain, similar to indigestion. In some cases, there may not be any chest pain at all, especially in women, the elderly and people with diabetes.
It’s the overall pattern of symptoms that helps to determine whether you are having a heart attack.
Reason for Heart Attack
A heart attack is usually caused by the buildup of plaque in your coronary arteries. The plaque builds up over time to eventually slow or completely block blood flow to the heart muscle. Plaque is made up of fatty substances, like cholesterol, in your blood. The plaque builds up slowly over time. Eventually plaque can harden and narrow the coronary arteries. Plaque can also slow or completely block blood flow to the heart muscle. When plaque blocks the blood supply to your heart, your heart cannot get the oxygen it needs.
Atherosclerosis is the general medical term for plaque buildup that clogs arteries. Coronary artery disease (CAD) is the medical term for atherosclerosis in the coronary arteries. So atherosclerosis or CAD—whatever term you use—can cause heart attacks.
For many decades doctors thought that heart attacks—and CAD in general—affected mostly men. Doctors are now realizing that heart disease is just as common in women. As a result, more clinical studies are being done to learn about how heat attacks differ in men and women .
Who is at very risk condition?
Risk factors of heart attacks you cannot change
- Age—the risk increases as you age
- Heredity—the risk increases if there is a family history of heart or blood vessel disease.
Risks Factors of heart attacks that you can change
- Eating high-fat foods
- Lack of exercise
- Excess weight
Other health conditions that can increase your risk
- High blood pressure
Preventive action for Heart Attacks
Cigarette smoking remains the leading preventable cause of cardiovascular disease in women, with more than 50 percent of heart attacks among middle-aged women attributable to tobacco. Risk of cardiovascular disease begins to decline within months of smoking cessation and reaches the level of persons who have never smoked within 3 to 5 years.
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2. LOWER YOUR CHOLESTEROL.
High blood cholesterol is a condition that greatly increases your chances of developing coronary heart disease. Extra cholesterol in the blood settles on the inner walls of the arteries, narrowing them and allowing less blood to pass through them to the heart. Aim for total cholesterol below 200 mg/dL; LDL cholesterol below 130 mg/dL and HDL above 35 mg/dL.
3. MAINTAIN A HEALTHY WEIGHT.
Obesity and sedentary lifestyles are epidemics in the United States that contribute to increased risk of cardiovascular disease. The prevalence of obesity has increased among both men and women in the United States in the past decade; currently about one third of adult women (or 34 million) are classified as obese. Also, 60 percent of both men and women get no regular physical activity. Obesity, especially abdominal adiposity, is an important risk factor for cardiovascular disease in women.
4. EXERCISE REGULARLY.
Recent evidence suggests that even moderate-intensity activity, including brisk walking, is associated with substantial reduction of cardiovascular disease risk. These findings support the 1995 federal exercise guidelines endorsing 30 minutes of moderately intense physical activity most days of the week, a program that should be feasible and safe for most of the population. Regular exercise and maintenance of healthy weight should also help reduce insulin resistance and the risk of non-insulin-dependent diabetes mellitus, which appears to be an even stronger risk factor for cardiovascular disease in women than in men. Diabetes is associated with a threefold to sevenfold elevation in cardiovascular disease risk among women, compared with a twofold to threefold elevation among men. Approximately half of all deaths in patients with non-insulin dependent diabetes mellitus are due to heart disease.
5. EAT LESS SATURATED FAT, MORE PRODUCE AND MORE FIBER.
Diets low in saturated fat and high in fruits, vegetables, whole grains, and fiber are associated with a reduced risk of cardiovascular disease. Also, a recent study reported in the Annals of Internal Medicine journal confirmed that eating fruits and vegetables, particularly green leafy vegetables and vitamin C-rich fruits and vegetables, seems to have a protective effect against coronary heart disease. You may even think about moving toward more flexitarian or vegetarian eating habits: A vegetarian diet reduces the risk of coronary artery disease, and may even reverse existing coronary artery disease when combined with other lifestyle changes. A Mediterranean diet that uses olive oil can reduce the risk of coronary artery disease.
6. AVOID TRANS FATS.
Trans fatty acids have been linked to adverse lipid profiles and an increased risk of cardiovascular disease. This includes most margarines. The role of other fatty acids, including monounsaturated, polyunsaturated, and marine omega-3 fatty acids, remains controversial.
7. CONSUME ALCOHOL ONLY IN MODERATION.
Moderate intake of alcohol is related to reduction of cardiovascular disease — but may raise blood pressure and increase risk of breast cancer. Early surgical menopause is linked to increased risk of cardiovascular disease, which appears to be negated by the use of estrogen therapy.
8. ARM YOURSELF WITH RISK-REDUCING VITAMINS.
Antioxidant vitamin supplements, particularly vitamin E and homocysteine-lowering agents such as folate and B6, have promising roles in prevention of cardiovascular disease, but conclusive evidence may hinge on the results of several ongoing randomized clinical trials. When it is found in unusually high levels, homocysteine brings the same degree of risk as having high cholesterol does. The B vitamins, especially folic acid and B12, will drive elevated homocysteine levels down to normal, often without the need of any prescription medication.
9. GIVE YOURSELF SOME NEW STRESS-MANAGEMENT TOOLS.
Poorly controlled stress may have an adverse effect on blood lipids. An attitude of hostility has been powerfully linked with a higher incidence of cardiac events, and cynical distrust has been associated with accelerated progression of carotid artery disease. Relaxation methods (meditation, breathing exercises), yoga, and stress management techniques are essential for preventing cardiovascular disease and coronary artery disease and for reducing the risk of recurrent cardiac problems. Meditation improves exercise tolerance and decreases electrical charges associated with poor circulation to the heart. Meditation has also been shown to lower cholesterol and reverse carotid artery thickening. Also consider acupuncture, which has been shown to help relax the myocardium and improve circulation.
Ask your health professional about herbs and nutritional supplements that may be useful in preventing and treating cardiovascular disease, including:
- Turmeric (curcumin)
- Garlic (one garlic clove is roughly equal to 4 mg to 1 gram of garlic; a daily dose of 600 to 800mg may be recommended)
- Vitamin B12
- Folic acid (500 to 5000 micrograms daily may be recommended)
- Coenzyme Q10 (100 to 300 mg daily may be recommended)
- Vitamin E (400 to 800 International Units daily may be recommended)
- Magnesium (200 to 400 mg daily may be recommended)
- Niacin (A typical oral dose of 100 mg, three times daily; may gradually increase to avg. dose of 1 gram three times daily, with a maximum dose of 6 grams. Extended release tablets: Dosing may begin with one 375-milligram tablet at bedtime and be increased by no more than 500 mg per four-week period, to a maximum of 2,000 mg, given as two 1,000-milligram tablets before bed)
- Fish oils (6 grams daily may be recommended)
- Soy (Isoflavones may be recommended)
1. Good Tailored Suit
Everyone should own at least one pair of suit. You never know when you would need it. Fit plays the major role in case of suits, an ill-fitting expensive suit can look really cheap and normal range suit can look expensive if its fit is good. If you are buying a suit for the first time then two buttoned navies blue or grey suit works well. You can wear it to a meeting or a wedding.
2. Blue Blazer or Sports Jacket
Since you can’t wear a full suit all the time and for all the occasion, a blazer is a lifesaver then. It doesn’t look too formal but at the same time separates you from the crowd. It’s perfect for those occasions where you are uncertain whether to wear a suit or just a shirt. It’s the backbone of man’s closet. It looks ultra stylish, it can class up any outfit. Corduroy fabric navy blazer looks elegant as it should a look different from your suit jacket and it is the perfect business casual.
3. The Trenchcoat
Trench coat is a timeless classic which has a military history. You can wear it over a suit or jeans, it’s a great investment chilly months. Though now you can wear it all year round as it is a stylish piece of garment and is available in different fabrics. A beige color trench coat looks sharp and simply elegant.
4. Denim Jacket
I am sure I don’t have to talk about this versatile closet essential. Wear it with shirt, T-Shirt, sweatshirt, with a pair of denim. Casual and most comfortable piece. Check out AJIO’s collection of Denim Jackets
5. Bomber Jacket
Stylish outerwear, a light fabric bomber jacket can be worn year round.
6. Crew Neck or V-Neck Jumper
A crew neck or V-neck jumper looks classy as well as keeps you warm. Jumper is also a very versatile piece, you can wear it with a shirt or can layer it. This is an evergreen product, choose a lightweight that can be layered and can be wear-by-itself also.
7. Sherwani or Kurta
If you are an Indian one traditional attire is a must. Traditional attires like kurta, sherwani or Nehru jacket are best for the festive season, wedding, pooja or some family gathering.
8. White Button Down Shirt
The most versatile piece of cloth, it can be worn from job interviews to weddings, wear it with the suit for a formal look or with chinos for a more casual look. Invest in a good quality white, crisp and slim fit shirt as it is a basic need and will last for long.
9. Blue or Pink Button-Down Shirt
Some colors are important in your wardrobe since you can’t wear white all the time. Similar to white, these are also a classic and a wardrobe staple. You can wear it for work as well as casually for the weekend when paired with jeans, sports coat or under a sweater.
10. White and Black Solid T-Shirt
A classic that will never go out of style. You should own one which perfectly hugs your body. It can be worn under a blazer or jacket or on its own with a good pair of denim. It goes perfectly fine with almost anything from Denim to Pants. This is a wardrobe staple so buy it from a good brand so that it would be comfortable and will last longer.
11. The Polo Shirt or T-Shirt
A summer staple, casual, neat and slightly sporty. Pair it with jeans, throw a cap and you are good to go. Ralph Lauren is most famous for its smart polo t-shirts. It’s not just limited to the golf course and country club, you can wear it casually for brunch and outings.
12. Classic Pair of Jeans
It’s a no-brainer. One can own two to three different pair of jeans but if you are investing in only jeans then it should be a classic piece which you can pair with anything in your wardrobe. A classic piece should be straight or slim fit, blue color, not too dark, not too light, it shouldn’t be ripped, embroidered or have any kind of patchwork as these trends might go out of fashion anytime. Invest in a good classic piece. It’s a life-saving, stylish clothing item. You can go for a classic Levi’s jeans.
13. Slim Fit Chinos
You can’t wear jeans all the time so another classic and smart casual piece is chinos. You can buy it in the color khaki or navy as these two colors can be worn with anything. You can pair it with a shirt, t-shirt, sweater or jacket.
14. Sweatpants or Track Pants
Sweatpants are not considered to be a lazy man wardrobe staple, in fact, it is in trend and a must have for relaxed weekends and holidays. Sweatpants/ track pants or joggers are the most comfortable form of lowers there ever will be.
15. Chino Shorts
Summers can be really harsh at times, and wearing pants all round season can be really boring, chino shorts can make you feel refreshed and it looks great in summers. Stick to neutrals or some basic colors like beige, khaki, and navy as they can be paired easily with many different options. The ideal length is just above your knee.
16. Bathing Suit or Swimming Trunks
You go swimming or not, you live near coastal region or not, doesn’t matter. I am sure, you go for holidays and a decent pair of bathing suit or swimming trunks should be handy. You will never know when you might need them.
17. The White Sneakers
Ever since Adidas Originals launched its Stan Smith White Sneakers, it became essential. One can wear it with literally anything. Be it shorts, trousers, denim etc.
18. Pair of Lace-Up Shoes
Every Gentleman needs good quality dress shoes. Black and Brown oxford or derby shoes are simple, basic, elegant and useful. Wear it a suit, tux or just shirt. Investing in a quality dress shoe is always worth it.
Boots have become an essential part of every gentleman’s wardrobe. They are not limited to fall and winter wardrobe, in fact, they are so versatile that you can style them in summer and spring as well. They look neither dressed-up nor casual, it is year-round essential. It looks perfect with a pair of jeans, can even be worn with a suit. You need to choose wisely what kind of boots do you prefer – Chukka boots, Chelsea or lace-up boots.
White socks are not the only socks available on the market. A man should have a variety of nice, clean socks, if not in colors then at least in types as different shoes require different socks to go with it like plain and patterned dress socks, ankle socks, no show socks, gym socks etc.
A tie is also a wardrobe essential, though you wouldn’t need to wear it every other day it’s a must to keep at least one plain-colored classic silk tie that will go with every single suit combination.
Trousers look complete when worn with a belt, also it makes sure your pants don’t slip. Invest in two black and brown good quality leather belts and you are sorted for life.
A good pair of cufflinks is a must. It makes you look professional and stylish. It is a piece of jewelry for men which is both functional and ornamental. Cufflinks also come in many shapes, sizes, styles, and materials just like buttons.
24. Leather Wallet
If you are the one who shoves their things in their pockets then it’s time to change that habit. You want to be called a gentleman then kindly act like one. If you consider some wallet lucky for you but it is falling apart then my dear, forget those orthodox and change it. Go for a thin version of a leather wallet or a cardholder will also do.
25. A clean and simple timepiece – Watch
After shoes, the watch is the second close thing which people (especially women) notice in any person. Though we all are used to of watching time on our mobiles but wearing a watch will never go out of style. A well-chosen watch makes you look elegant and completes the look.
26. A hat, cap or snapback
A gentleman should have a good baseball cap and it’s perfect for those lazy days when you don’t want to style or wash your hair but you still want to make a style statement. A hat is a classic menswear piece, it is effortlessly stylish.
No one can go wrong with Wayfarers or Ray Ban Aviators. It suits most of the face cuts. It protects your eyes from sun’s harmful UV rays and makes you look extra stylish.
When someone smells good, it automatically makes them more attractive. Having said that who likes to smell bad, anyway so one needs to have at least one good perfume. Never bathe in perfume, just spray a little on your neck and arms.
29. Modern Day Bag
It’s time to say goodbye to your college laptop or luggage bag, it’s time to buy a bag which is well-crafted, can perfectly hold your laptop, clothes and other important stuff. It should be solid and should look good too. Go for a leather/ canvas bag or briefcase, it looks perfect for a weekend trip as well as for the office.
30. A grooming kit or Dopp kit or Toiletry bag
To keep your things organized an essential kit is a must. If you are a traveling man or go to a gym, you need a place to stow the things.
List of must haves in your Dopp kit:
- Toothbrush, Toothpaste
- Shaving kit
- Soap or Body Wash
- Shampoo and Conditioner
- Moisturiser and SPF Cream
- Comb or Brush
- Gel or Wax
- Deodorant or Perfume
- Lip Balm
- Nail clipper and Scissors
- Basic Medicines or first aid items
- Lint Roller
AMN Healthcare volunteers partnered with The International Esperanza Project on the annual medical and community development mission to the highlands of Guatemala provided the impoverished indigenous population with integrated healthcare including critical surgeries, along with the installation of safety stoves and water purification systems in homes.
The medical mission is led by a core group of volunteer physicians, nurses, and technicians sponsored by AMN; Team Hope performs more than a hundred surgeries and a thousand clinic visits a year.
At the same time, other Team Hope volunteers fan out into the highlands and villages to install safety stoves, which vent toxic smoke out of homes while using only a fraction of the wood consumed in indoor open fires that are commonly used for cooking. The stoves help reduce respiratory, eye and other diseases caused by toxic smoke, and hernias and musculoskeletal injuries caused by carrying large loads of wood. Teams also install water purification systems that help reduce gastrointestinal illnesses.
So far, the six AMN missions to Guatemala have directly helped more than 18,000 people, which also bring benefits to families and communities.
Whether you’re in Maine or Hawaii, Florida or Alaska, all people deserve the same high-quality healthcare. So, shouldn’t the quality standards for the physicians, nurses and other healthcare professionals – who provide patient care – be the same no matter where you live?
A movement is slowly progressing for healthcare professionals to be licensed in multiple states through a single, simplified process. Nursing is way ahead of other professions in interstate licensure. If you qualify for the Nurse Licensure Compact, you can practice in all 31 compact states. It’s the only true multistate license.
The physician compact includes 24 states so far. However, under the medical licensure compact, applicants must apply separately for multistate privileges and pay for individual licenses in each state.
For physical therapists and physical therapist assistants, if you meet all the requirements in a compact state, you can purchase compact privileges in other compact states. So far, only six states accept compact privileges, but more than a dozen other states have enacted.
A model for an interstate Advanced Practice Nurse Compact recently began and will be implemented when ten states have enacted legislation. For all other healthcare professions, licensure is strictly state by state.
While progressing slowly, the interstate compacts could eventually lead to nationwide licensure instead of state-by-state. While the path to that goal will still take years, there is growing recognition that national licensure would be a big improvement for patients, patient care facilities and healthcare professionals themselves.
There’s no evidence that healthcare professionals in one state are better or worse than in other states. Yet, in most parts of the country, healthcare professionals who can commute to several states in an hour or two must have separate licenses to work in each state. For example, if you live anywhere in the New York metropolitan area, you must have separate licenses to practice in Connecticut, New York, New Jersey or Pennsylvania, even though you could commute to those states to pick up shifts or take patients in an hour or two – or much less time.
The national licensure movement should gain steam as more states join interstate compacts. Greater flexibility for clinicians and providers, improved patient access to care, and reduction in costs and redundancy could be strong arguments in state legislatures considering licensure compact legislation. State lines would no longer block telemedicine. Underserved areas in rural and urban areas would be able to draw upon more healthcare professionals. As more and more states join in, national licensure could become inevitable.
National licensure is a popular concept. A 2017 survey of registered nurses by AMN Healthcare found that 68% supported national licensing instead of state-by-state, and among Millennial nurses, 77% supported it. Instead, resistance to this change is probably just the inertia of bureaucracy. Plus, passing state-by-state legislation on anything is a cumbersome process.
In the conversation about the evolution of healthcare in the United States, and particularly the movement to value-based care, interstate compacts — and eventually national licensure for all healthcare professionals — should be an important factor. It’s win-win for all involved – especially the patient.
Healthcare employment surpassed the 16 million mark in 2018, making it the largest and fastest-growing industry in the US economy. Preliminary data from the US Bureau of Labor Statistics set the 12-month total at 16.2 million. Meanwhile, healthcare jobs grew at a record-setting pace in December, topping 50,000.
Powerful job growth for healthcare professionals and support staff continues despite more than two years of uncertainty over healthcare policy. This confirms that robust demand for healthcare services and workers is being driven by long-range, sustained forces that include the aging of the US population, rising retirements among Baby-Boomer healthcare workers, and overall job growth.