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H e a rt A tta ck By Ihor Magun, M.D., F.A.C.P A heart attack, also referred to as a myocardial infarction, is one o f the most common diagnoses in hospitalized patients. The cause is insufficient blood supply, usually caused by the formation o f a clot. This clot blocks the blood supply, producing an area o f death in the heart muscle. Once the heart muscle dies, the condition is irreversible. Arteriosclerosis is a chronic disease which causes arterial walls to thicken and harden. This interferes with blood circulation and can cause a heart attack. Angina pectoris refers to the narrowing o f a coronary (heart) artery, which reduces blood flow and causes symptoms o f chest pain or tight ness. Angina causes no direct damage to the heart, but the condition can also lead to heart attack. Myocardial infarction can occur at any time o f the day, however, it most frequently occurs within a few hours o f awakening. Pain is the most common symptom. Patients usually describe this pain as a heavy, crushing feeling - as if someone were sitting on the chest area. The pain typically involves the central portion o f the chest. It can radiate to both arms, although the left arm is most frequently affected. It can also radiate to the base of the neck, the jaw , and the front o f the abdomen. The discomfort is often accompanied by other symptoms - weakness, sweating, nausea, or vo miting. Painless myocardial infarction, most often seen in the elderly or in people with diabetes, can also occur. These people may have no overt symptoms, and the condition is often discovered incidentally during routine electrocardiograms. Preventing heart attacks means being aware o f risk factors and taking measures to reduce them before heart disease is manifested. Good blood pressure control, good cholesterol control, no smoking, limited alcohol intake, adequate exercise, good control o f sugar in diabetics, and regular evaluations and testing in individuals at high risk for heart disease are critical. The use o f aspirin, because o f its favorable anti-platelet clot forming properties, is extremely helpful to certain individuals. However, the appro priate recommendations for its use should first be discussed with your physician. Carrot Lemon Soup 1 large onion, minced 1 large garlic clove, sliced 1 Vi pounds carrots 3 medium tomatoes 1 large potato 6 tablespoons unsalted butter 3 cups chicken broth 1 cup water V a cup chopped parsley 1 teaspoon salt V a teaspoon pepper V a cup lemon juice 1 cup light cream • Peel and slice carrots. Peel potato and cut into small pieces. Cut tomato into small pieces. • Saute onions and garlic in butter until softened (do not brown) • Remove from heat and add salt, pepper, parsley and stir till well combined • Add chicken broth, water, carrots, potato and tomato. • Bring to a boil, then simmer for 45 minutes. • Strain soup, setting liquid aside. • Puree vegetable pieces. • Blend pureed vegetables, broth and light cream and simmer • Add lemon juice ju st before serving • Garnish each serving with carrot curls Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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