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Jogging & Running

Jogging & Running | Cardiac Rehabilitation |
The difference between jogging and running is speed. You should be able to carry on a conversation with someone on a long jog. If your goal is to enhance aerobic fitness, long , slow , distance run...
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"Regular jogging or running will keep your heart healthy."

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How Does Sleep Affect Heart Health?

How Does Sleep Affect Heart Health? | Cardiac Rehabilitation |
Inadequate sleep is not only an annoying fact of the life but it also increases the risk for various heart diseases. Improper sleep often leads to heart diseases and heart diseases often lead to im...
Dr Rohinee A Motwani's insight:

Do you feel sleepy at daytime? fatigued? do not ignore...consult with your doctor. It might be a warning bell for your heart.

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Top 5 Tips For Preventing Stroke

Top 5 Tips For Preventing Stroke | Cardiac Rehabilitation |
When blood supply to a portion of brain is blocked a cerebrovascular accident or stroke occurs. Stroke ranks third after heart attacks and cancer as a cause of death. 80% of strokes are preventable...
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Stroke is one of the leading cause of death all over the world, but just few lifestyle changes will help you prevent it. 

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Top 5 Tips To Lower The Risk Of Diabetes

Top 5 Tips To Lower The Risk Of Diabetes | Cardiac Rehabilitation |
Diabetes is a disease in which the body doesn’t produce or respond properly to insulin, a hormone essential for daily life. You can prevent yourself from diabetes just by making few lifestyle...
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Heart Health: Drinks For Healthy Heart

Heart Health: Drinks For Healthy Heart | Cardiac Rehabilitation |

A new study suggests men who frequently drink sodas and other sugar sweetened beverages may be at greater risk for heart disease than others.

The question that comes in everyones mind is how much is too much? 
People who participated in this study were found to have a greater risk , consumed 6.5 times sweetened beverages every week.
The risk of heart attack was 20% higher than those who didnt drink such beverages.

As per American Heart Association men should consume no more than 9 teaspoons of sugar per day and women 6 teaspoons.
One regular can of 12 Ounce contains 9 teaspoons of sugar.

Here are simple tips to reduce sugar intake to quench your thirst :
1. Make it a rule in your house -- to drink water with meals.
2. Switch from sodas to fruit juices or no calorie diet beverages.
3. Dilute fruit juices with water.
4. Limit your soda to no more than 3 cans per week.
5. Avoid adding extra sugar to coffee or switch to non nutritive sweetners.
6. Keep only sugar free drinks on hands.

With such small steps implementing everyday you can keep your heart healthy.

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The Trouble Diagnosing Diabetes ~ " Century Fox Post "

The Trouble Diagnosing Diabetes ~ " Century Fox Post " | Cardiac Rehabilitation |

With cases of diabetes growing each year, many adults are getting caught in a potentially dangerous situation: they are diagnosed with Type 2 diabetes when they actually have Type 1 diabetes, a substantially different condition. Alissa Kaplan Michaels, who has Type 1 diabetes, lived for 3½ years with the wrong diagnosis. The New York public-relations consultant says she complained to her doctor in 2008 of blurry vision and was told she had Type 2 diabetes after a blood test showed high sugar levels. She changed her diet and exercised more, but her blood-sugar levels kept rising. She started taking several oral diabetes medications. She stopped eating bread and pasta. She changed doctors—three times. And she still felt terrible.Both types of diabetes make it difficult for patients to control blood-sugar levels, which can lead to complications that include blindness, kidney failure and death. But Type 1 and Type 2 require different forms of treatment. Don't Confuse These Despite the similar sounding names, Type 1 and Type 2 diabetes are substantially different conditions. Type 1 is an autoimmune disorder that attacks the body's ability to make insulin. In Type 2, brought on by inactivity and obesity, the body can't make efficient use of insulin to control blood sugar. Type 1 Diabetes The condition begins mainly in childhood and adolescence, but increasingly in adults. People with Type 1 are often thin or normal weight. Patients are prone to ketoacidosis, a dangerous buildup of acids in the blood. Regular insulin injections are required treatment. Source: National Institutes of Health Type 2 Diabetes Onset is primarily in people over 40 years old, but increasingly in younger patients. People with Type 2 are often obese. There is no ketoacidosis. Treatment involves healthy diet and exercise, diabetes medications, and sometimes insulin injections. Last fall, a covering doctor at her endocrinologist's practice started asking about her health history, childhood weight patterns, her recent struggles with her blood sugar and family history of Type 2 diabetes, of which there was none. That day, Ms. Kaplan Michaels got a new diagnosis. She didn't have Type 2 diabetes, she had Type 1. Ms. Kaplan Michaels, 44 years old, immediately dropped the oral medications that had upset her stomach. Instead, she increased her daily insulin injections. She also resumed eating carbohydrates. Within weeks, her energy was back. "At first I was relieved and then I was very angry," she says. "Nobody should have to go to four doctors to get a diagnosis for something that isn't that difficult to diagnose." Type 1 diabetes is an autoimmune disorder that attacks the body's ability to make insulin, which allows the body to properly process glucose. The disorder, once called juvenile diabetes, begins mainly in children and adolescents, but is increasingly occurring in adults. Type 1 diabetics need daily insulin injections to survive. If patients manage their blood-sugar levels well, they can live for decades without encountering the dangerous complications associated with the disease. Type 2 diabetes, by contrast, is brought on by inactivity and obesity, mainly in adults, and is characterized by the body's inability to make efficient use of insulin. Type 2 diabetes, which is beginning to occur in teenagers, can be kept at bay in some cases with lifestyle changes and is widely treated with oral medications to improve insulin absorption. Type 2 diabetics also can require insulin injections. "Most of my [adult Type 1 patients] have been misdiagnosed as having Type 2," says Robin Goland, co-director of the Naomi Berrie Diabetes Center at Columbia University Medical Center in New York. "Once the right diagnosis is made the patient feels much, much better, but they are distrustful of doctors and who could blame them?" An incorrect diagnosis usually occurs in the offices of primary-care doctors, many of whom haven't received adequate education in medical school about rising rates of Type 1 in adults and how to diagnose it. "It is not on their radar because they see so much diabetes and it is by far mostly Type 2," said Irl B. Hirsch, professor of medicine at the University of Washington Medical Center in Seattle.Estimates of the number of people with Type 1 diabetes in the U.S. range from 1.3 million to 2.6 million people, accounting for 5% to 10% of the total diabetic population. Incidence of Type 1 has been rising in the U.S. and in parts of Europe by about 2.5% to 4% a year for reasons scientists can't explain, according to several large-scale studies published in peer-reviewed medical journals. Scientists say Type 1 diabetes is caused by a combination of genetic and environmental factors but they don't know what the trigger is. After elevated blood sugars are detected, diagnosing which diabetes a person has usually is done by looking at the patient, assessing family history, weight and age, doctors say. "It's not a good way to make a diagnosis. You'd like to measure something that represents the disease process," says Jerry Palmer, director of endocrinology at VA Puget Sound Health Care System. To properly diagnose Type 1, doctors need to test for antibodies that indicate the presence of the autoimmune disorder. But few order such tests. Cherie Serota, 48, was told by her primary-care doctor in early 2009 that she was on the brink of having Type 2 diabetes. Weighing just 120 pounds, Ms. Serota, of Brookville, N.Y., didn't fit the profile of a typical Type 2 patient. She revved up her exercise regime and watched her diet. One night after Chinese takeout sent her blood-sugar levels high, she called her doctor who told her this was normal and not to eat Chinese food anymore. Eventually she stopped eating carbohydrates. "That really did me in," says the mother of three. "I had no energy." Six months later, feeling drained and now down to 113 pounds, the former fashion executive sought out an endocrinologist at New York University who told her she had Type 1. When she told her primary-care doctor, he was so surprised she made him call the specialist, she says. "I understand why I was misdiagnosed; it is a very small amount of people who are diagnosed as an adult," Ms. Serota says. Benjamin Jones, a 63-year-old retired probation officer, likely had the slow-onset form of the disease. For six years, Mr. Jones treated what had been diagnosed as Type 2 diabetes. He changed his diet and took three oral medications daily. An avid exerciser, Mr. Jones says for several years he was able to keep his blood-sugar levels in check in part by Rollerblading, swimming, playing tennis and basketball, and cycling. Still, rarely did his blood-sugar level dip below 120, which is high for a non-diabetic person.In some adults with Type 1, the loss of insulin-producing cells, located in the pancreas, is much slower than for children, making the onset of the disease more gradual. Some researchers consider the slow onset a distinct form of Type 1 called latent autoimmune diabetes in adults, or Lada. Because the disease progresses more slowly, it can be more easily confused with Type 2, researchers say. After a bad reaction to a flu shot earlier this year, Mr. Jones says his sugar levels surged to 500. He says he asked to be put on insulin, but his primary-care doctor refused, fearing that Mr. Jones could risk hypoglycemia, a condition in which blood sugars go too low. That was when Mr. Jones sought out a specialist at the Joslin Diabetes Center in Boston. He was immediately put on insulin, given an antibody test and told he had Type 1. "When your sugar is high you don't feel right. You feel on edge," Mr. Jones says. "I feel like a new person, like I should feel.


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how does sleep affect the heart

how does sleep affect the heart | Cardiac Rehabilitation |

The ASSOCHAM report 2012 said that because of the unhealthy lifestyle , 78% people are facing the problem of Insomnia.

People sleeping less than 6 hours a day are at a higher risk for lifestyle diseases. Inadequate sleep is not just an annoying fact of life. Studies show it raises the risk of cardiovacular disease. Inadequate sleep appears to contribute to cardiovascular disease and cardiovascular disease may disturb your sleep. This becomes a visciuos cycle.

Poor sleep gets you high blood pressure , atherosclerosis , heart attack , heart failure, stroke , diabetes , and obesity. Poor sleep increases c-reactive protein indicating  inflammation. Inflammation is the way body reacts to injury or infection or disease which may be part of the reason poor sleep affecting  cardiovascular system.  Poor sleep also increases your stress hormones.

On the other hand symptoms related to cardiovasular disease leads to poor sleep.

Following are the ways you can improve your sleep:

Get to bed and wake up at consistent times. Keep a consistent schedule of sleeping. Make sure the temperature of the bedroom is comfortable enough for you to get sleep. Darken the room with black-out curtains or switching off the lights. Treat your bedroom as special place used for sleep and sexual activity. e.g no TV in the bedroom. Turn off all the electronics, computers, laptops , phones etc. Avoid caffeine before sleeping. Limit alcohol intake. Avoid smoking. Exercise daily. Listen to relaxing music. Take a warm bath.

These all things will help you in having proper sleep. But always remember discuss with your doctor about your sleep regime if you are facing problems.


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Sex after heart attack

Sex after heart attack | Cardiac Rehabilitation |

It is understood that people with heart disease and their partners may have concerns about their sex life.

However, many people with a heart condition continue to enjoy sex and many people who have had treatment for their heart conditions are able to return to their sex life.

Like any other physical activity, having sex can temporarily increase the heart rate and blood pressure. This increases the work of heart and in people with coronary heart disease may temporarily lead to chest pain and breathlessness. However sex is just as safe as other equally energetic forms of physical activity or exercise.

If you have had a heart attack and had an uncomplicated recovery you can usually start sexual activity when you feel comfortable to do so—usually after about 4 weeks.

However, some couples may not feel ready after this time and prefer to wait longer.

If you had a heart attack, after you have recovered sexual activity presents no greater risk of triggering another heart attack.

If you had a heart surgery, you can have sex as soon as you feel you have recovered. For most of the people this is within few weeks but some people prefer to wait longer. Be careful about the chest wound.

To reduce the chance of angina symptoms during sex:

Start your sexual activity after 4 weeks of recovery. Avoid sex after heavy meal. Try not to be too energetic in the start of the activity. If you have NTG spray, keep it nearby, if you need it.

Loss of sex drive is common after heart attack. So do not worry. Some men experience impotence after heart attack. This may be result of emotional stress. Sometimes this may be because of certain medicines like B-blockers which affect your sex drive.

Impotence is a common problem, so if you have problem talk to your doctor or Cardiac rehabilitation consultant.

If you have a heart condition and if you are taking medicines for your heart condition you should be cautious about taking PDE-5 inhibitors such as “Viagra”.

Always check with your doctor beforehand.

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Sexual Health After Heart Attack !!

Sexual Health After Heart Attack !! | Cardiac Rehabilitation |
The most common concern among heart patients is sex. Almost half of the heart patients experience sexual problems after a heart event. There is fear that you will strain your heart, depression  or ...
Dr Rohinee A Motwani's insight:

The easiest way to solve your sexual problems post heart attack is communicate to your doctor and your partner. Cardiac rehabilitation is the best place you can do it.

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Is Your Fridge Heart Healthy?

Is Your Fridge Heart Healthy? | Cardiac Rehabilitation |
After our shopping very often we put rather dump everything in the refrigerator. Whatever we eat is been stored in the fridge. But how often have you thought of innovative ways that can keep you he...
Dr Rohinee A Motwani's insight:

"Take out little time to make your fridge healthy, and make eating fun for you and your family."

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Is Your Heart Ready For Cold Weather?

Is Your Heart Ready For Cold Weather? | Cardiac Rehabilitation |
If you have a heart disease, you have to take care of your heart throughout the year all 365 days. In addition to monitoring your symptoms, taking medications, following healthy lifestyle, having p...
Dr Rohinee A Motwani's insight:

When the temperature outside drops the heart has to work harder to maintain  body’s core temperature.

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Heart Health: Top 10 Benefits Of Getting Physically Active

Heart Health: Top 10 Benefits Of Getting Physically Active | Cardiac Rehabilitation |

In medicine if there is any magical cure then it would be exercise!! No other therapy will provide you as many benefits as physical activity.
Unfortunately we aren't taking enough efforts to get physically active.

Take your first step today towards heart health and get active.

Regular exercise will not only help your heart but also:
1. Physical activity helps you live longer and prevent many chronic diseases like heart disease, hypertension, diabetes, stroke, metabolic syndrome, breast cancer etc.
2. Physical activity improves cardio-respiratory and muscular fitness.
3. Physical activity reduces stress, anxiety, depression and improves your mood.
4. Physical activity raises the metabolism and helps you loose weight.
5. It maintains brain function when you are getting old.
6. It increases your sleep quality.
7. Physical activity helps you age gracefully by maintaining your looks.
8. It increases the density of bones.
9. Physical activity enhances digestion and  promotes regular bowel movements.
10. It increases the overall quality of your life.

This prescription would cost you nothing other than time!!

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Cholesterol | Cardiac Rehabilitation |

Cholesterol is a fatty substance found in the blood. It’s mainly made in the body and plays an important role in how every cell in your body works. However too much cholesterol in the blood can increase your risk of cardiovascular disease.

LDL & HDL cholesterol:

Cholesterol is carried around the body by proteins. These combinations of cholesterol and proteins are called lipoproteins:

LDL (Low density lipoproteins) is harmful/bad cholesterol

HDL (High density lipoproteins) is protective/ goodcholesterol

Having too much cholesterol in your blood can increase your risk of getting cardiovascular diseases. The risk is especially high if you have high levels of LDL & low levels of HDL.


Triglycerides are another type of fatty substance in the blood. They are found in foods such as dairy products, meat and cooking oils. They can also be produced by body either by fats store or in the liver.

People who are very overweight, eat a lot of fatty and sugary foods or drink too much alcohol are more likely to have a high triglycerides level. People with high triglycerides level are at higher risk for cardiovascular disease than low levels.

What causes High cholesterol?

A common cause of high cholesterol levels is eating too much of saturated fat.

Some people may have high cholesterol even though they eat healthy diet. i.e familial hyperlipidaemia.

The cholesterol which is found in some foods such as eggs, liver, kidneys and some sea foods eg prawns doesn’t usually make a very big difference. It’s more important that you eat foods that are low in saturated fats.

How can I reduce my cholesterol level?

Cut down on saturated fats Eat fish regularly Eat a high fibre diet Do regular physical activity
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