Silent Ischemia: Ischemia with No Pain

Ischemia is a condition in which the blood flow (and thus oxygen) is restricted or reduced in a part of the body. Cardiac ischemia is the name for decreased blood flow and oxygen to the heart muscle.
What is ischemic heart disease? It’s the term given to heart problems caused by narrowed heart arteries. When arteries are narrowed, less blood and oxygen reaches the heart muscle. This is also called coronary artery disease and coronary heart disease. This can ultimately lead to heart attack.
Ischemia often causes chest pain or discomfort known as angina pectoris.
What is silent ischemia?
Many Americans may have ischemic episodes without knowing it. These people have ischemia without pain — silent ischemia. They may have a heart attack with no prior warning. People with angina also may have undiagnosed episodes of silent ischemia. In addition, people who have had previous heart attacks or those with diabetes are especially at risk for developing silent ischemia.
Having an exercise stress test or wearing a Holter monitor – a battery-operated portable tape recording that measures and records your electrocardiogram (ECG) continuously, usually for 24-48 hours – are two tests often used to diagnose this problem. Other tests also may be used.






Best MdADVICE? Quit Smoking NOW!

Most smokers say they want to quit and many will make a New Year’s Resolution to quit in 2014. If this is your year to quit, here are five tips to help you along the way:
-Learn from past experiences. Most smokers have tried to quit in the past and sometimes people get discouraged thinking about previous attempts. Those experiences were necessary steps on the road to future success. Think about what helped you during those tries and what you’ll do differently in your next quit attempt.
-You don’t have to quit alone. Telling friends that you’re trying to quit and enlisting their support will help ease the process. Expert help is available from the American Lung Association and other groups. Friends who also smoke may even join you in trying to quit!
-Medication can help, if you know what to do. The seven FDA-approved medications (like nicotine patches or gum) really do help smokers quit. Most folks don’t use them correctly so be sure to follow the directions!
It’s never too late to quit. While it’s best to quit smoking as early as possible, quitting smoking at any age will enhance the length and quality of your life. You’ll also save money and avoid the hassle of going outside in the cold to smoke.
-Every smoker can quit. At the American Lung Association, we firmly believe that every smoker can quit. Each person needs to find the right combination of techniques for them and above all, they need to keep trying.