FORMULAS AND RULES FOR PREVENTION OF HEART ATTACKS Akshaya Srikanth*, Chandra Babu.Singanamala

One can prevent heart attacks. Nine preventable risk factors are responsible for 90% of heart attacks. They are (in order of importance) 

1. Increased LDL/HDL ratios (elevated bad LDL and low good HDL cholesterol levels)
2. Smoking
3. Diabetes
4. Hypertension
5. Abdominal obesity
6. Psychosocial (stress or depression)
7. Failure to eat fruits and vegetables daily
8. Failure to exercise
9. Failure to drink adequate water

One can prevent heart attack by following Doctors excellence formula of eighty

1. Keep lower BP, bad cholesterol levels, resting heart rate, fasting sugar and abdominal girth levels all less than 80.
2. Keep kidney and lung functions more than 80%.
3. Engage in recommended amounts of physical activity (minimum 80 minutes of moderately strenuous exercise per week). Our recommendation is to walk 80 minutes a day and for 80 minutes per week the speed should be 80 steps per minute
4. Eat less and not more than 80 gm or ml of caloric food each meal.  Follow a healthy diet (high fiber, low saturated fat, zero trans fat, low refined carbohydrate, low salt, high in fruits). Refined carbohydrates are white rice white maida and white sugar.
5. Observe cereal fast 80 days a year.
6. Doing 80 cycles of pranayama a day
7. Spend 80 minutes to yourself every day (relaxation, meditation, helping others etc)
8. Do not smoke or be ready to spit out 80,000 Rs for treatment. Not smoking or else you will have to spend 80,000 on your illness.
9. Those who drink, does not want to stop and there is no contraindication, limiting alcohol use to no more than 80 ml per day for men (50% for women) or 80 grams per week. 10 grams of alcohol is present in 30 ml or 1 oz of 80 proof liquor.
10. Take 80 mg of aspirin if prescribed for prevention.
11. Tale 80 mg atorvastatin for prevention when prescribed.

One can prevent diabetes by controlling five lifestyle factors. They are

1. Follow a healthy diet
2. Maintain an optimal body weight (less than 23 x height in meters x height in meters)
3. Engage in recommended amounts of physical activity.
4. Limiting alcohol to recommended amount.
5. Not smoking.

Rules

1. Rule of 30 seconds: Chest pain, burning, discomfort, heaviness in the center of the chest lasting for over 30 seconds and not localized to a point unless proved otherwise is a heat pain.
2. Rule of pin pointing finger: any chest pain which can be pin pointed by a finger is not a heart pain.
3. Rule of forty: First onset acidity or first onset asthma after the age of 40, first rule out heart attack or heart asthma
4. Rule of 300:  Chew a tablet of water soluble 300 mg aspirin and take 300 mg Clopidogrel tablet at the onset of cardiac chest pain. You will not die.
5. Rule of ten:   Within ten minute of death for the next ten minutes do effective chest compression with a speed of (10 x10) 100 per minute. 80% people can be saved.
6. Rule of 180: Reach hospital within 180 minutes in heart attack for receiving clot dissolving angioplasty or clot dissolving drugs

Prepared and Presented by
Akshaya Srikanth, Dr.S.Chandra Babu*
Pharm.D* Internee, Asst.Prof of Medicine
RIMS MEDICAL COLLEGE, KADAPA, A.P

India