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MITRAL VALVE BLOG

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Get up, and get moving! Exercise is essential to heart health. However, you don’t have to be overly athletic or a marathon runner to reap the benefits of exercise. According to the American Heart Association, a person can improve his or her overall cardiovascular health by participating in at least 150 minutes of moderate exercise or 75 minutes of vigorous exercise (or a combination of both) per week. Exercise comes in many different forms, from running and lifting weights to Zumba class and walking. For this article, we focus on the benefits from one particular type of exercise, Yoga.

Yes, yoga. This form of exercise is much more than a bunch of funny-looking body positions. People have been practicing yoga for more than 5,000 years to help rejuvenate the body and help themselves live a longer life. Yoga has been shown to have numerous benefits including helping reduce stress and bring clarity and peace to a person’s mind. Recently, a new study published in the European Journal of Preventative Cardiology said that yoga may help lower a person’s risk for heart disease in the same way as walking or another conventional exercise.

In this study, people of all ages and health conditions saw improvements in their health while participating in yoga. These people lost weight, lowered their blood pressure, and lowered their LDL (“bad”) cholesterol levels.

Yoga is physical but it also involves a lot of breathing exercises and meditation. These activities can all have positive effects on the heart and body.  Yoga’s impact on muscles and the mind can help control blood sugar, lower blood pressure, and calm the nervous system, which can reduce stress in the body.  Yoga can also help increase a person’s aerobic capacity, and has also been known to help people with atrial fibrillation have fewer episodes.

Yoga classes are available for people of all experience levels. If you have a health condition or aren’t in great shape, a beginner class is a great way to learn all the moves in a slow, controlled way that isn’t intimidating.  Hatha yoga is good for beginners, while Vinyasa yoga is better for those individuals who are more experienced and physically fit. Bikram yoga or Hot yoga, which is yoga in a room with a temperature of more than 105 degrees, is not recommended for people with heart conditions like heart disease.

If you currently have heart disease, talk to your doctor about taking a yoga class. If you’re a candidate for heart valve surgery, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the cities of Tampa, Clearwater, and New Port Richey of Florida. To book a consult, click here or call 727-312-4844.

 


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Good fats are good for your heart. Unfortunately, the word “fat” comes with a negative connation in today’s society. When someone hears a food has “fat” in it, he or she assumes the food is “bad,” which isn’t always the case. There are different types of fats in the food we eat. For this blog article, we will focus on the “good” fats, which are known as monounsaturated and polyunsaturated fats.

Monounsaturated and polyunsaturated fats are known to lower bad cholesterol levels, lower risk of heart disease, lower risk of stroke, and can also provide the body with the proper, essential fats it needs to function that the body cannot produce on its own.

In fact, consuming healthy fats in your daily diet can potentially give your body the same health benefits as taking a statin drug, according to the American Heart Association. A statin drug is a lipid-lowering medication, which can help reduce people’s risk of heart disease, other cardiovascular conditions, and death.

According to the American Heart Association, polyunsaturated fats can help lower a person’s heart disease risk the best, with monounsaturated fats coming in at second.

Here is a list of some great sources of polyunsaturated and monounsaturated fats:

 

  • Sunflower oil
  • Safflower oil
  • Olive oil
  • Peanut oil
  • Avocados
  • Flaxseed
  • Sunflower seeds
  • Walnuts
  • Tuna
  • Salmon
  • Sardines
  • Trout

Diet is extremely important to a person’s heart health. According to the American Heart Association, if a person decreases the amount of saturated fat (“bad” fat) he or she consumes, and increases the polyunsaturated and monounsaturated fat intake, he or she can help prevent diseases from forming in the heart and blood vessels.  Saturated fat is known to increase LDL (“bad”) cholesterol levels, which can lead to clogged arteries and cardiovascular disease. Overall, the American Heart Association recommends consuming mostly monounsaturated and polyunsaturated fats, while limiting saturated and trans fats.

If you’ve been diagnosed with heart disease, it’s still in your best interest to consume a healthy diet, rich in vitamins, minerals, and healthy fats. You want to keep your heart as healthy as possible. If you’re looking for a cardiac surgeon to treat your condition, Dr. Peter Mikhail specializes in treating patients with mitral valve disease and aortic valve disease. He works in the cities of Tampa, Clearwater and New Port Richey in Florida. To book a consult with Dr. Mikhail, click here or call 727-312-4844.


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Have a sweet tooth? Cupcakes. Chocolate. Ice cream. These sweet treats are certainly delicious, but they’re best eaten in moderation. Sugar is the main ingredient that makes these foods extra tasty. Unfortunately, too much of this ingredient is harmful to our bodies, including our heart.

According to a study published in JAMA Internal Medicine in 2014, a diet high in sugar can raise a person’s risk of dying of heart disease. Even if your weight is in a normal range, you can still be at a higher risk because of your sugar-heavy diet.  In this study, people who consumed 17 to 21 percent of their calories from this ingredient had a 38 percent higher chance of dying from heart disease compared to people who only had 8 percent of their calories coming from added sugar. The more sugar a person consumes, the higher the odds are for him or her to die from heart disease.

Most adults in America consume around 22 teaspoons of added sugar in their daily diet, which is well over the recommended amount. According to the American Heart Association, most women should consume no more than 6 teaspoons of sugar per day, and most men should consume no more than 9 teaspoons of sugar per day.

It’s easy to consume excess sugar in today’s world. Much of the packaged food out there is processed and made with added sugars. Some foods known for their high sugar count include: soft drinks, candy, cakes, cookies, donuts, bagels, fruit drinks, waffles, cereals, sports drinks, ice cream, sweetened yogurt, pies, pastries, and more.

When people consume too much added sugar, they also risk gaining weight, raising their blood pressure, and developing Type 2 diabetes. These high-sugar foods are usually devoid of quality vitamins and minerals, as well.

It’s OK to have these foods in moderation, but for daily sweet cravings opt for fruit instead.

If you currently have heart disease and are looking for a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the cities of Tampa, Clearwater and New Port Richey in Florida. To book an appointment, click here or call 727-312-4844.


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In America, heart disease is the leading cause of death for both men and women. Because of this startling fact, we want to share some statistics and facts about heart disease with you so you can be better informed on this serious condition.

  • One in four deaths in America is from heart disease. This means around 715,000 people die each year from this disease. In 2011, 787,000 people died from this condition.
  • The most common type of heart disease is coronary heart disease (CHD); CHD kills more than 370,000 people each year.
  • Around 735,000 Americans each year have a heart attack. In the United States, someone has a heart attack every 42 seconds.
  • Someone in America dies every minute from something related to heart disease.
  • High blood pressure, high cholesterol, and smoking are the top three key risk factors that can lead to heart disease.
  • Obesity, excess weight, excessive use of alcohol, poor diet, diabetes, and inactivity are also risk factors of heart disease.
  • Heart disease costs America around $207 billion every year.
  • Even if you don’t have any symptoms, you can still be at risk and/or have heart disease.
  • By the year 2030, around 23.6 billion will have died from a type of heart disease around the world.
  • 80 percent of heart attacks and strokes can be avoided by not smoking, being active, eating healthy, and maintaining healthy blood pressure and sugar levels.
  • Cardiovascular diseases kill more people than all forms of cancer combined.
  • In the last 30 years, more women have died from heart disease than men.
  • 15 percent of people who have a heart attack will die from the episode.
  • France, Australia, Switzerland, Japan and Israel have the lowest rates of heart disease deaths while Russia, Bulgaria, Romania, Hungary, and Argentina have the highest rates.
  • In the USA, states that have the highest rate of heart disease deaths include: Oklahoma, Louisiana, Mississippi, Alabama, Arkansas, Missouri, Tennessee, Kentucky, West Virginia, Maryland, Ohio and Michigan.

If you currently suffer from heart disease or have a high risk of developing it, it’s best to talk to your doctor about the best treatment plan for you. If you’re in need of a cardiac surgeon, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in the Tampa, Clearwater, and New Port Richey areas in Florida. To book a consult, click here or call 727-312-4844.


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Did you know a painkiller, one that’s probably in your medicine cabinet right now, can increase your risk of heart disease? Scary thought, right? Well, over-the-counter NSAIDs (nonsteroidal anti-inflammatory drugs) have been proven to increase the risk of heart disease through heart attacks and strokes. Studies have shown a 20 to 50 percent increase in risk of heart attack when using NSAIDs compared to when not using them.

It’s best to take these types of medications in small doses and for a short time so they will not have serious effects on your heart. Don’t become a regular user.

Common NSAIDs you can find in your home include ibuprofen and naproxen, the most common being Advil, Motrin and Aleve. Aspirin is a type of NSAID but not does not increase your chances of having a heart attack or stroke.  All these over-the-counter NSAIDs are used to treat pain and inflammation in the body.

If you currently suffer from any heart condition, you should take NSAIDs with caution, and definitely talk to your doctor about taking them.  For people with heart conditions, NSAIDs can potentially make your conditions worse. You don’t have to stop taking NSAIDs, especially if you’re in a lot of pain, but be mindful of how, when, and why you’re taking them.

Even if you currently don’t have a heart condition, be cautious when taking NSAIDS. If you truly need to take one for pain relief, aim to take the smallest dosage, and not for an extended period.

Studies haven’t proven that NSAIDs cause heart attacks, but some research shows that NSAIDs can increase blood pressure or raise the risk of a blood clot, which can lead to a heart attack.

Even though these NSAIDs are over-the-counter medications, you should be careful with them in the same way you would be with a prescription-level painkiller. Medication is medication, and too much of any kind can do you harm.

If you have heart disease and need surgery on your valves, Dr. Peter Mikhail performs mitral valve surgery and aortic valve surgery in and around Tampa, Clearwater, and New Port Richey, Florida. To book a consult, click here or call 727-312-4844.


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A good part of a person’s heart health is dictated by diet. The food we eat can either be our medicine or our poison. Of course, no one has the “perfect” diet. Moderation is key when choosing foods to eat. It is OK to eat some desserts and snack foods on occasion, so long as your diet is full of fruits, vegetables, healthy fats, whole grains, and lean proteins as well. Micronutrients are essential for your body to grow and thrive. Since our diets cannot be perfect on a daily basis, it is OK to supplement one’s diet with vitamins, although it is best to discuss taking vitamins and supplements with your doctor.

If you think you may be deficient in a vitamin, get tested. If you are deficient, your doctor will recommend what to do to get your numbers in a normal range. Many vitamins and supplements can be used to manage cardiovascular health and are a good idea to take to keep your heart in a healthy state, whether you have heart valve disease or not. It should always be your goal to work towards having a healthy heart.

Below, we share some of the best vitamins and supplements you can take that your heart will benefit from and to keep heart disease at bay, or to keep your heart from deteriorating further.

Omega-3 (Fish Oil) –  This supplement is great for people who are at risk for heart disease because it helps balance cholesterol and triglycerides.  It also helps slow the buildup of plaque in the arteries and is known to lower blood pressure.

Vitamin D – A Vitamin D deficiency can lead to heart problems, including raising the risk for a heart attack.

Coenzyme Q10 (CoQ10) – This supplement produces energy in the mitochondria of cells. It is also an antioxidant that fights off free radicals, and manages blood pressure and cholesterol. It also helps with the health of the arteries and heartbeat.

Magnesium – Magnesium helps support relaxation and dilation of vascular and arterial walls. It also helps move potassium and sodium through cells.

Other vitamins and supplements to take for heart health: Niacin, L-carnitine, and turmeric.

If you currently live with heart disease and are considering heart valve surgery, Dr. Peter Mikhail is a specialist in mitral valve and aortic valve surgery. He is based in New Port Richey, Florida. For more information on valve surgery, click here. To book an appointment with Dr. Mikhail click here or call 727-312-4844.


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By now, most people know that smoking cigarettes is not good for the body. However, many people associate smoking with only its negative impact on the lungs, teeth, and mouth area. This is far from the truth. Smoking can affect the entire body, including the heart. There are many studies out there that suggest cigarette smoking is a major cause for coronary heart disease, which could ultimately lead to a heart attack. One out of five deaths from heart disease is related to smoking.

When a person is smoking, the combination of smoke and nicotine raises blood pressure, decreases good (HDL) cholesterol, decreases a person’s ability to exercise effectively, and increases the likelihood for a blood clot.  Smoking also reduces the amount of oxygen that goes to the heart, increases heart rate, gives the blood a sticky consistency, and harms the blood vessels.

People who smoke and have a family history of heart disease have an even higher chance of developing heart disease themselves. The odds are not in a smoker’s favor. If you are a smoker, your chances of developing heart disease can double or even be quadrupled than if you didn’t. If you’re a woman, your odds are even higher as a smoker (25 percent more likely) to suffer a stroke.

If any one of these facts scares you, you may want to rethink putting that next cigarette in your mouth. Once you quit smoking, your risk for heart disease and stroke is cut down in half just after one year of being smoke free.

If you are diagnosed with heart valve disease, your doctor will recommend several lifestyle changes – quitting smoking will be one of them.

Heart valve disease can turn deadly if it leads to a heart attack or stroke, so it’s in your best interest to practice heart-healthy habits that will keep you healthier longer.

If you currently suffer from heart valve disease and are considering surgery, contact cardiac surgeon Dr. Peter Mikhail in Tampa, Clearwater, and New Port Richey, Florida. Dr. Mikhail specializes in mitral valve surgery and min-AVR, which are minimally invasive surgeries. To learn more about heart valve surgery, click here or call 727-312-4844 to book an appointment with Dr. Mikhail today.


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Heart disease is the leading cause of death in America. Each year, more than 600,000 people die from a form of this disease. Each year, more than 5 million Americans are diagnosed with heart valve disease. But, why? Why do so many people develop heart disease? When it comes to heart disease, there are a number of different risk factors that can lead a person to developing one of the many forms of heart disease. Below, we share with you some of the common risk factors associated with heart valve disease.

Genetics – Heart disease or abnormalities can commonly run in families, especially bicuspid aortic valve disease or mitral valve prolapse.

Age – As we get older, the heart valve ages as well. The flaps (leaflets) in the valves can thicken and harden as they get older which causes a restriction of blood flow. Men over 65 years old and women over 75 years old are at the highest risk for developing heart valve disease.

Heart attack – When a person has a heart attack, this can cause damage to the heart, and affect the function of the valves.

High blood pressure – If a person has perpetual high blood pressure, the heart works harder, so it becomes enlarged. The enlarged heart causes valves to stretch, which can keep the valves from closing correctly.

Cardiomyopathy – If the person has an enlarged heart, not only are the valves stretched, but the tissue ring around them also becomes stretched. If this does occur, leakage in the valves will happen.

Calcium deposits – Calcium deposits can start to build up in the mitral or aortic valves.

Rheumatic fever – Rheumatic fever can damage a person’s heart valves because it causes them to thicken so they no longer open and close properly.

If you fit one or more of these risk factors and are experiencing some symptoms, it may be time for you to contact a doctor. Dr. Peter Mikhail is a cardiac surgeon specializing in mitral valve surgery and mini-AVR. If you’re looking for a cardiac surgeon to perform your heart valve surgery, click here for more information or call 727-312-4844 to book an appointment with Dr. Mikhail.


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Heart valve problems don’t just develop and occur from poor dietary and lifestyle choices. Many times, patients who suffer from heart disease were born with heart valve deformities. For some, these deformities end up causing problems or raise concern later in life. For this article, we wanted to discuss the topic of bicuspid aortic valve disease, which is one type of heart disease.

When a person has bicuspid aortic valve disease, their valve has two flaps (leaflets) instead of three. Because of this missing flap, the valve does not function properly; however, it can function properly for many years in a person’s life. Even with this missing flap, a person may experience no symptoms for his or her entire life. How can a person be missing a flap? Much research has suggested this missing valve flap is due to a connective tissue disorder, which can also cause circulatory system problems. It is believed the two flaps develop in the womb and the defect usually is there from birth.

Even if a person is born with this defect, he or she often does not know about it until his or her adult years. As the valve gets older, symptoms occur; however, a murmur is usually present during childhood. It is a common disease that runs in families.  As a person ages, the valve and leaflets begin to thicken and restrict blood flow.  In older age, a person may experience chest pain, dizziness, shortness of breath, and fainting.

A doctor can determine if a person has bicuspid aortic valve disease by listening to the heart, by performing an echocardiogram, or by ordering CT scans or MRI of the heart. If a person is diagnosed, it is important to stay under the watch of a heart valve specialist. If this disease goes unwatched or untreated, a person can develop aortic aneurysms or heart failure.

About 30 percent of people with bicuspid aortic valve disease will develop complications. About 80 percent of people with this type of heart disease need surgery. Aortic valve surgery is performed on patients to repair or replace the diseased valve with a mechanical or biological valve.

If you’ve been diagnosed with bicuspid aortic valve disease and are looking for a heart valve surgeon, Dr. Peter Mikhail performs mini-AVR on patients. He works in Tampa, Clearwaters, and the New Port Richey areas of Florida. Mini-AVR is a minimally-invasive procedure. To learn more about mini-AVR, click here. To book an appointment with Dr. Mikhail, click here or call 727-312-4844.

 

 


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Dr. Peter Mikhail is a thoracic and cardiac surgeon in Tampa, Clearwater, and New Port Richey, Florida. Dr. Mikhail is Board Certified by the American Board of Surgery, The American Board of Thoracic Surgery and The Royal College of Physicians and Surgeons of Canada.

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