Welcome to the Health Expert Interview page! Here we will be interviewing various Health Experts on different health topics, to help learn about ways to be preventive, or help manage health issues and questions.
February is American Heart Month, and we would like to welcome Cardiologist, Dr. Vimal I. Nanavati, MD for our Health Expert Interview. Dr. Nanavati is a Board Certified Invasive and Interventional Cardiologist and Fellow Of The American College of Cardiology, (FACC), and Fellow of the Society for Cardiovascular Angiography and Interventions, (FSCAI), with over 15 years of experience, and currently practices in the San Diego, CA area. He has also been a frequent media contributor for expert advice on heart related topics for several Television News Stations throughout California. We are very grateful to him for joining us to provide his expertise in helping us understand more about heart disease and ways to prevent it.
P. Mehta, RD/Healthfulfilling.com Approximately how many cases of heart attack do you see in your practice in a year (or month)?
Dr. Nanavati, MD, FACC, FSCAI 4 to 6 per month
P. Mehta, RD/Healthfulfilling.com Of those, how many could possibly have been prevented if the patient had made lifestyle changes, such as healthier eating, exercise, weight loss, cessation of smoking, improved cholesterol levels, decreasing blood pressure, or better management of diabetes?
Dr. Nanavati, MD, FACC, FSCAI 90%
P. Mehta, RD/Healthfulfilling.com Of the patients you treat for heart attack, what percentage have had prior risk factors such as high blood pressure, diabetes or both conditions?
Dr. Nanavati, MD, FACC, FSCAI 95%
P. Mehta, RD/Healthfulfilling.com What is the average age or age range of the patient who comes in with a first heart attack?
Dr. Nanavati, MD, FACC, FSCAI 48 to 68
P. Mehta, RD/Healthfulfilling.com Is there general data indicating how many of first heart attacks are fatal?
Dr. Nanavati, MD, FACC, FSCAI First heart attacks are often fatal. 17% die immediately. 30% don't make it to hospital alive. Of the remainder that do make it to hospital, 10% die before they go home. These are staggering statistics. However, they are better than 20 years ago when 50% of patients didn't make it to hospital alive from an acute heart attack. What does that mean? Prevention and knowing BLS (Basic Life Support) is critical to saving your loved ones life. Prevention of heart attacks is key.
P. Mehta, RD/Healthfulfilling.com What is your advice for middle aged adults who are overweight and may have other additional risk factors for developing a heart attack?
Dr. Nanavati, MD, FACC, FSCAI See a Cardiologist., get a lipid panel, and a stress test. Seek out a Registered Dietitian who has experience in cardiac nutrition to get heart healthy eating information. Losing weight is a critical intervention you can do to prevent a heart attack though it is not the only thing you need to do.
P. Mehta, RD/Healthfulfilling.com What are other critical things that people should do to help prevent a heart attack?
Dr. Nanavati, MD, FACC, FSCAI 1. Stop smoking. 2. Lose weight 3. Get screened by a Cardiologist. 4. Exercise program 5x per week. 5. Get Diabetes under control. 6. Get on a heart healthy eating plan.
P. Mehta, RD/Healthfulfilling.com Given the alarming numbers and percentages of people with risk factors having heart attacks (diabetes, overweight, hypertension), it appears quite clear that many people are not keeping optimal health. In your opinion, what is causing people to not take care of themselves or be proactive about improving their health?
Dr. Nanavati, MD, FACC, FSCAI My opinion is stress. Stress and heavy work load to make ends meet in this economy are the two factors preventing people from maintaining a healthy lifestyle. You notice people who are stressed eat more junk food, don't bother to work out and sleep less.
P. Mehta, RD/Healthfulfilling.com What age should Cardiologist screening, and/or stress test begin?
Dr. Nanavati, MD, FACC, FSCAI Males over the age of 40 especially with strong risk factors for CAD (family history, smoking, overweight, etc). With females, usually after menopause since the incidence of coronary events rise exponentially in females after menopause. However, that doesn't mean pre-menopausal females are safe. Even they need to be vigilant. If they have multiple risk factors, they should also be screened, especially if they feel any kind of discomfort. Women tend not to have the typical symptoms of heart attack that we all are familiar ( chest pain, jaw pain). Their symptoms tend to be more insidious and often mistaken for other problems. Thus we tend to be more vigilant with symptoms of females.
P. Mehta, RD/Healthfulfilling.com Dr. Nanavati, thank you for taking the time to give our visitors valuable guidance on preventive heart health and the imperative information on the statistics of heart attack and heart disease. We hope to have you join us again.
For more information on heart disease, please visit the website of Dr. Nanavati, FACC, FSCAI, at www.heartcare4life.com.
************************************************************************** Health Expert Interview Archives: