Use of more carbohydrates are most dangerous for heart diseases-Prof. Samad


World Heart Day at Indus Medical College Hospital
Use of more carbohydrates are most
dangerous for heart diseases-Prof. Samad
Use of healthy balanced diet, control of hypertension,
blood glucose, regular exercise and cessation of
smoking will reduce the risk - Feroze Memon

Tando Muhammad Khan: Department of Cardiology headed by Prof. Feroze Memon at Indus Medical College Hospital organized a function to celebrate World Heart Day on October 25th 2019 at its campus. Prof. Abdus Samad, an eminent interventional cardiologist was the guest speaker on this occasion who discussed the preventive strategy for heart diseases besides the role of Aspirin in prevention of cardiovascular diseases.

Prof. Abdus Samad in his usual style speaking in Urdu supplemented his talk with numerous interesting anecdotes and stories which helped the audience understand better and the message was effectively conveyed. Heart diseases, he said, was common in South East Asia where it remains a major killer while in the West it is on decline. He then narrated the story of Young Thief of Baghdad who was forgiven by the Khalifa in appreciation of his intelligence when he said that he comes here to this mosque to steal shoes because they were good and costly and he could make enough money by selling them. Patients, Dr. Samad opined, should be persuaded by creating awareness that blood pressure and blood glucose needs to be controlled, make sure that the cholesterol is not high. The kitchen, he said, plays an important role in the causation or prevention of heart diseases. If the male member of the family brings in good healthy food to cook, the lady at home will have no other choice but to cook that. Hence make sure to use more vegetables, pulses, less fats.

Dr. Iqbal Memon Pro VC presenting a memento to Guest Speaker Prof. Abdus Samad at the
World Heart Day meeting held at Indus Medical College Hospital recently. On extreme left
picture shows Prof. Feroze Memon, Prof. of Cardiology and VC of the Modern Sciences
University, Tando Mohammad Khan, Sindh.

Exercise, Prof. Samad said is a problem for ladies to whom he advised to have exercise at home. Unfortunately our cities are not properly planned and it is not safe even for male to exercise outside and in Parks. He jokingly remarked that those who already have CABG and do not care of their health, should plan their next bypass on Thursday so that they can be buried on Friday as most of them are not going to survive surgery, he added. Patients should be advised the timings for walk, if exercise outside is not safe, they can buy bicycle and have regular in-house exercise. Awareness, attitudes and action are all important to prevent heart diseases. Sedentary life style is a serious risk factor. It is important that one should walk at least six thousand steps daily and now it is possible to count it by downloading the App on the mobile. Active life and regular exercise is more important between the ages of 30-50 years as most of the heart attacks occur during this highly productive life. Our life expectancy is now also increasing and with active life one can escape from myocardial infarction before the age of seventy years. If someone suffers from MI, it is his/her mistake but after the age of seventy years, it is possible. Use of more carbohydrates are most dangerous for heart diseases.

He urged the participants to discourage the use of soft drinks as they contain large quantity of sugar which is dangerous. White bread, white sugar should be avoided. Try to use Red wheat flour or Chakki Ka Atta. Use more vegetables and fruits. Make sure that children avoid junk food, they should he provided fruits before meals. Unhealthy food results in accumulation of fats, carbohydrates around organs and in the abdomen. They are only used with muscle exercises. Passive smoking is equally dangerous. Prefer to have walk or exercise on top floor on the roof which will have more oxygen. He laid emphasis on use of balanced healthy diet. Environment, air pollution Prof. Samad remarked were equally dangerous. Early morning walk or walk on roof top will ensure fresh air. Air pollution has also been recognized as a major risk factor for heart diseases. Take care of the known risk factors and keep yourself in low risk group.

Speaking about the safety and efficacy of low dose Aspirin therapy in prevention of heart diseases Prof. Samad said that 75mg to 81mg were safe and effective in secondary prevention. In acute conditions, it saves life and is known as poor man’s Statin. In high risk patients, Aspirin can also be used for primary prevention if there are no contra indications. Thousands of patients have used it and on long term use, it also prevents colorectal cancer. Low dose Aspirin therapy is safe and effective in pregnancy induced hypertension (PIH), pre-eclampsia. Gynecologists are using it regularly for patients with bad obstetrics history, recurrent abortions, treatment of infertility as its antiplatelet effects improve the blood circulation. In case of risk of acidity, it should be treated or one can combine the use of low dose Aspirin with proton pump inhibitors (PPIs) to overcome the risk of GI bleeding. Do not stop Aspirin in case of minor surgery like cataracts or dental surgery. However, in case of surgery in the cavity like brain surgery or heart surgery one may stop it for few days before surgery and then restart it. Low Dose Aspirin therapy is always included in cardiologist’s prescription for management of heart diseases. Aspirin has proved its efficacy in prevention of stroke, recurrent stroke, and different types of cancers as well.

Responding to various questions Prof. Samad said that high dose of Aspirin will increase the risk of side effects. Up to 75mg dose is good enough and one should use enteric coated Aspirin for long term use. Responding to another question he said that one should find out the risk factor before declaring oneself Fit. Genes and environment both have effect on CAD, healthy environment will reduce the risk. Identification of heart disease at young age will be easier for prevention. We need more awareness programmes to educate the people about heart diseases.

Prof. Feroze Memon VC Modern Sciences University, senior faculty members, eminent
cardiologists from Hyderabad, participants and organizers of the World Heart Day
meeting held at Indus Medical College Hospital photographed alongwith the Guest
Speaker Prof. Abdus Samad.

Prof. Feroz Memon Vice Chancellor of University of Modern Sciences in his welcome address pointed out that control of blood pressure, regular exercise, no smoking, use of healthy diet were some of the important factors for prevention of heart diseases. In the West, heart diseases are reducing while now Cancer is the No. 1 killer but in low income countries including Pakistan, heart diseases still remains a major burden. We need to promote the use of healthy diet, ensure life style changes, cook healthy food, and help patients give up smoking. Investment in healthy heart, he further stated, will save you lot of expenditures on drugs as well as doctors’ fees. Do not give stress to others, live a stress free life and enjoy life which was in everybody’s interest. Our guest speaker today, he said, is a renowned interventional cardiologist who has done pioneering work in the prevention of heart diseases and we are grateful to him for making it possible to grace the occasion with his presence and enlighten the audience with his words of wisdom. Risk factors of heart disease and some educational messages were highlighted in a song. Dr. Zaman Baloch presented vote of thanks.