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Causes & Symptoms – Heart Attack
Causes & Symptoms – Heart Attack

Don’t wait to get help if you experience heart attack warning signs. Some heart attacks are sudden and intense. But most start slowly, with mild pain or discomfort. Pay attention to your body.

A heart attack is a frightening experience. If you have experienced a heart attack, or are close with someone who has, you should know this: You are not alone. In fact, tens of thousands of people survive heart attacks and go on to lead productive enjoyable lives.

Do you know – The heart is one of the largest muscles in the body.

What happens during a heart attack?
The heart’s main function is to pump blood throughout the body; supplying oxygen and nutrients to the tissues and organs and removing the deoxygenated blood. The blood is supplied to the heart by a network of arteries that surround it.

A heart attack occurs when there is a clot in one of the main arteries blocking the heart from getting blood and thus oxygen, causing the heart muscle to get damaged.

One of the most common causes of a heart attack is coronary artery disease. This is when, over a period of time, the artery starts to become narrower due to a build-up of cholesterol or fatty deposits on the lining of its inner wall. It constricts the blood flow to the heart causing it to pump that much harder.

Acute myocardial infarction (MI) is the medical name for a heart attack.

What are common symptoms of Heart Attack?
Every organ needs oxygen-carrying blood to stay alive, and the myocardium is no exception. Usually, heart attack victims feel some symptoms in the days leading up to the attack. These symptoms are usually much more severe and longer lasting.

Most common among are:

Chest pain – One can feel tightness, pressure, pain, and a “squeezing” feeling in the chest. The pain can also be felt in the back, jaw, shoulder, or especially the left arm.
Shortness of breath – The heart rate speeds up and starts to beat irregularly.

Other symptoms of heart attack may or may not develop:

Anxiety – Constant worrying or anxiety that is not related to a specific stressor in your life should be addressed. You may have trouble falling asleep at night, or you may wake up in the middle of the night plagued by anxiety or feelings of doom and distress.

Cold Sweating – Breaking out in a cold sweat for no obvious reason could signal a heart attack.

Nausea and Vomiting -Nausea, indigestion, vomiting, or a feeling of fullness that lasts for more than a few days may not be related to your stomach. When oxygen-rich blood is not moving through your circulatory system, the body may respond by sending pain signals to the abdomen.

Indigestion, Heartburn & Lightheadedness or extreme fatigue

Factors associated with an increased risk of a heart attack

1. Age: Heart attacks are more likely when a man is over 45, and when a woman is over 55.
2. Diabetes: This can increase heart attack risk.
3. Diet: For example, consuming large quantities of saturated fats can increase the chances of coronary artery disease.
4. Genetics: If heart problems run in your family then it increases the risk of getting a heart attack
5. HIV: People who are HIV-positive have a 50 percent higher risk.
6. High cholesterol levels: Increase the chance of build-up on the arteries wall that leads to less blood supply to the heart.
7. Hypertension: High blood pressure can put unnecessary strain on the heart.
8. Obesity: Being significantly overweight can put pressure on the heart causing it to work much harder.
9. Smoking:
 Smokers are at much higher risk than non-smokers as smoking damages the lining of the arteries. 
10. Stress: 
Being stressed elevates certain hormones that can lead to higher levels of blood pressure and cholesterol levels that increase the risk of heart attacks. There are also studies being done on how chronic stress can change the way your body clots blood.   
11. Physical inactivity: is a factor in heart attack risk. Physical activity has shown to lower blood pressure.

A healthy, stress-free life is the ultimate key to prevent heart attacks and cardiac diseases. Meditation, yoga, eating right, helps to lower your blood pressure and keep yourself fit. Even in your work day just taking a 10-minute break every once in a while to relax and de-stress yourself helps.

Everything you eat, the routine you keep for yourself matters in the prevention of heart attacks. Try adding a half an hour workout session 3 times a week. Or if that seems too much initially start by just taking the stairs or taking a stroll. Changes can start small.

Visit www.dattmedi.com for more infomation.
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Common Wound Care Issues

Advanced Wound Care for the Elderly: Addressing Unique Challenges and Solutions

World Health Day reminds us of the importance of addressing health concerns across all age groups, particularly for the elderly. As people age, they often face unique challenges, including skin fragility and reduced mobility, which make wound care a crucial aspect of their health management. Advanced wound care tailored to elderly needs ensures better healing outcomes and improved quality of life.

Common Wound Issues in Elderly Patients

Skin Fragility & Chronic Wounds

Aging skin becomes thinner, less elastic, and more prone to damage. Studies indicate that skin tears affect up to 20-25% of elderly patients in long-term care facilities globally, highlighting the need for specialized wound management.  Source

Elderly individuals are particularly susceptible to:

  • Tears: Even minor trauma can cause significant skin injuries.
  • Pressure Sores: Prolonged immobility leads to pressure ulcers, especially in bedridden patients. A study in India reported that pressure ulcers affect nearly 8.3% of hospitalized elderly patients. Source
  • Diabetic Ulcers: Poor circulation and nerve damage increase the risk of chronic wounds, with diabetic foot ulcers affecting nearly 25% of diabetes patients in India at some point in their lives. Source
Limited Mobility & Circulation

Reduced physical activity affects blood flow, leading to slower wound healing. A study published in the Indian Journal of Plastic Surgery found that elderly patients with limited mobility take 30-50% longer to heal from wounds. Mobility limitations can also make it challenging to provide adequate care, increasing the risk of infections and complications.  Source

Specialized Dressings for Effective Care

1. Moisture-Retentive and Antimicrobial Dressings

These dressings maintain an optimal healing environment while preventing infections. Products like Velvert® Secure provide antimicrobial protection and promote faster recovery.

2. Non-Adhesive & Waterproof Options

Delicate aging skin requires gentle care. Non-adhesive dressings minimize trauma during changes, while waterproof options allow patients to maintain daily hygiene without compromising wound protection.

Orthopedic Support Products for Recovery

1. Compression Bandages/Stockings

For conditions like venous leg ulcers or swelling, compression products improve circulation and reduce edema, facilitating better healing.

2. Support Braces & Pads

Braces and padding prevent pressure sores and provide stability, especially for patients with mobility challenges.

Tips for Caregivers in Elderly Wound Management

  • Daily Monitoring: Regularly inspect wounds for changes or signs of infection.
  • Hydration, Nutrition & Hygiene: Ensure patients stay hydrated, eat a balanced diet, and maintain clean skin to support healing.
  • Gentle Mobility: Encourage safe physical activity to improve circulation and prevent stiffness.
  • Collaborate with Professionals: Work closely with healthcare providers to develop and follow a tailored care plan.

Advanced wound care plays a vital role in elderly health and well-being. By addressing their unique challenges with specialized solutions and caregiver support, we can improve healing outcomes and enhance their quality of life.

In this World Health Month, let’s advocate for proactive care and ensure our elderly population receives the attention they deserve.

Managing Chronic Wounds

Choosing the Right Dressing for Chronic Wounds

Chronic wounds, such as diabetic ulcers, pressure sores, and venous leg ulcers, present unique challenges in wound care management. These wounds often resist healing due to underlying conditions such as poor circulation, increased infection risks, prolonged or excessive inflammation, and other patient-specific factors.

Selecting appropriate dressings tailored to the needs of chronic wounds is essential to promote healing and prevent complications.

Chronic wounds develop due to systemic issues that delay natural healing. Common types include:

  • Diabetic Ulcers: These ulcers result from reduced blood flow and nerve damage, often occurring on the feet. Proper care involves maintaining a balance between moisture and dryness, ensuring the wound does not become too dry or overly moist.
Stat Spotlight

In India, diabetic foot ulcers account for approximately 20% of all diabetes‑related hospitalizations. ~ Source
  • Pressure Sores: Caused by prolonged pressure on the skin, these wounds are common among bedridden or immobile patients. Managing pressure and ensuring the wound stays clean and protected are vital.
Stat Spotlight

In India, point‑prevalence studies report that approximately 5% of hospitalized patients have pressure ulcers, underscoring the importance of preventive care. ~Source
  • Venous Leg Ulcers: These ulcers result from chronic venous insufficiency, in which impaired venous return causes fluid to accumulate in the lower legs, increasing tissue pressure and leading to skin breakdown. Effective management typically centers on graduated compression therapy to improve circulation, alongside advanced dressings to control exudate, leg elevation, and skin care to protect the periwound area.

Managing these wounds involves addressing infection risks, ensuring patient comfort, and promoting effective healing using evidence-based dressing solutions. Selecting the appropriate dressing depends on the type of wound, its condition, and the specific challenges it presents.

Below are some general guidelines:

Diabetic Ulcers

Dressings should maintain moisture balance and provide effective infection control. Non-adhesive dressings are preferred to minimize skin damage during dressing changes. Velvert®, with its strong antimicrobial properties and excellent moisture management, is ideal for diabetic ulcers and wounds at high risk of infection.

Pressure Sores

These wounds require dressings that redistribute pressure and effectively manage exudate to prevent further tissue damage and support healing. Velfix®-S offers both cushioning and absorption, making it a reliable choice for pressure sores and wounds requiring enhanced comfort and protection.

Venous Leg Ulcers

Advanced dressings used in combination with compression therapy are essential for managing exudate and improving circulation. Velfour®, with its high absorption capacity, is well-suited for heavily exuding wounds, including venous leg ulcers.

Infected Wounds

Antimicrobial dressings are effective in managing bacterial growth and reducing the risk of complications. Silvel™ with its strong silver based antimicrobial action and Velvert™ with their strong silver-based antimicrobial action, are suitable for infected or high-risk wounds such as second-degree burns, necrotizing fasciitis, and traumatic wounds.

Here are some types of advanced dressings that address specific wound care needs:

Antimicrobial Dressings

Designed to manage infection risks, these dressings often contain agents like silver to inhibit bacterial growth. Silvel™ and Velvert™ are widely used for diabetic ulcers and pressure sores prone to infection, owing to their strong antimicrobial properties.

Foam Dressings

Highly absorbent, these dressings are ideal for wounds with significant exudate, such as venous leg ulcers. They also offer cushioning to enhance patient comfort. Velsap™ and Velfix®-S are designed for moderate to heavily exuding wounds, ensuring effective fluid management and reduced dressing change frequency.

Multi-Layer Dressings

These dressings provide both absorption and protection, making them effective for managing pressure sores and heavily exuding wounds. Velfour® is an excellent example, offering essential support for such wound types.

Real-Life Example

A 60-year-old diabetic patient in India developed a non-healing foot ulcer. Initially, traditional gauze dressings were used, leading to frequent infections. After switching to Velvert™ antimicrobial dressing, the wound showed significant improvement within four weeks, with reduced exudate and no further infections. This case highlights the importance of selecting the right dressing for chronic wounds.

Practical Tips for Managing Chronic Wounds

Effective wound care goes beyond dressing selection. Here are additional strategies to optimize healing:

  • Proper Cleaning and Debridement: Regularly cleaning the wound and removing dead tissue helps create an optimal environment for healing.
  • Adjunctive Therapies: Techniques like compression therapy for venous ulcers and offloading for diabetic foot ulcers can significantly improve outcomes.
  • Regular Monitoring: Chronic wounds require consistent evaluation to identify changes in size, depth, or signs of infection, allowing timely adjustments in care.
  • Consulting Professionals: Work with healthcare providers to ensure the care plan addresses the wound’s unique needs and aligns with the patient’s overall health condition.

Selecting the right dressing for chronic wounds can significantly improve healing outcomes and enhance patient comfort. By understanding wound characteristics and tailoring treatments accordingly, healthcare professionals can address even the most challenging cases effectively.

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