Nutrition. Vitamins. You.
PROTEIN (POWDER): THE IMPORTANT NUTRIENT WE ALL KNOW By: Allie Might, FMC, INHC, ATT Protein is that nutrient that everyone knows and everyone loves. But how well do we know all the proteins available? Let’s navigate through one of our favorite foods and discuss …
Nattokinase! Dr. Claire Arcidiacono, ND What the heck is Nattokinase? Where does it come from? What exactly does it do? Is it just for heart health or does it do anything else for us? These are just some of the questions that people have about …
What is Angina?
Dr. Claire Arcidiacono, ND
Angina or heart/chest pain is one of the first signs that many experience when they have heart disease. However there are other conditions that mimic angina. One of these is anxiety. Angina and anxiety share many symptoms including a feeling of chest pain, nausea, rapid heartbeat, breathlessness and a feeling that the heart is being squeezed. Because the two are so similar it is important to see a doctor to confirm what is causing the chest pain. As I always say it’s better to be safe than sorry. (1)
Now let’s do a quick review of symptoms. The general symptoms of angina include chest pain that may feel like its burning, squeezing or even just feels very full. There may be a feeling of pressure in the chest area. The pain may also radiate to the arms, neck, jaw, shoulder or back. There may be a feeling of dizziness, nausea, shortness of breath, and even increased sweating. Now remember how when I wrote about heart attack I mentioned that in some cases women are more likely to have atypical symptoms? Well that is also true with angina. Some women may have the typical symptoms or may present with more severe stomach pain, nausea, shortness s of breath, stabbing pain or pain in the jaw, neck or back. (2)
Now I know I spoke about how Angina and Anxiety resemble each other and even went over some of the symptoms of angina but what exactly is angina? Angina is a condition where there is chest pain caused by a decrease in the blood flow to the heat. General signs of angina are as I said a feeling of pain, squeezing, pressure and tightness in the chest. Angina is broken down into 4 types. These are stable, unstable, variant and refractory. (2)
Let’s start with the most common form of angina, stable angina. Stable angina is caused by activity or emotional stress. When you have stable angina the symptoms are often predictable because the same amount of activity will trigger angina to occur. The symptoms will improve with rest or medications. (3)
Unstable angina causes unexpected chest pain and occurs while you are resting. Unlike stable angina it is considered to be an emergency situation. Additionally unstable angina unlike stable angina is not relieved by rest or medication. (4)
Variant Angina is also known as Prinzmetal or vasospastic angina. In this case the angina occurs usually while you are asleep and resting. Unlike other forms of angina where coronary artery disease is the common cause of the decreased blood flow in variant angina the decrease in blood flow is caused by spasms of the coronary arteries. These spasms can be caused by medications, recreational drug use, tobacco and stress. This type of angina is considered rare and according to the American Heart Association accounts for only 2 out of every 100 cases of angina. (5)
The last type of angina is refractory angina and is defined as “a chronic condition of angina caused by coronary artery disease which cannot be controlled by a combination of medical therapy, angioplasty or bypass and the damage caused by ischemia is the cause of the symptoms.” (6) Ok I bet you read that and said ok now what does it all mean? It basically means that the treatments no longer help the angina pain because the decreased blood flow has caused damage to the heart and this damage not just the decrease in blood flow is what is now causing the symptoms.
Now that I’ve gone over the types of angina lets go over the most common risk factors for developing angina. Now I just want to point out that angina is a symptom of an underling heart problem. Having one of these will trigger angina. One of the most common is coronary artery disease (CAD). Now I won’t go into too much detail here because I plan on doing a whole blog on CAD. What I will say is that in CAD the coronary arteries become blocked thus blood flow is reduced. Angina is also caused by coronary microvascular disease where the tiny arteries that branch from the larger arteries are damaged. Lastly, spasms of the coronary arteries can cause angina. Now I know these are underlying heart conditions that can lead to angina but what are the risk factors? Well the risk factors include age, family history of angina, exposure to pollution, alcohol use and a poor diet. Having a history of metabolic syndrome, heart failure, heart valve disease, high blood pressure, cardiomyopathy and even anemia can all increase the risk of angina. (7)
One of the most severe concerns when dealing with angina is that it may be sign you are having a heart attack. This is why if you are having chest pain that lasts longer than a few minutes or isn’t relieved with medications it is important to go to the hospital just to be safe. (2)
Now when it comes to angina it is important to concentrate on our circulation:
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Mitral Valve Prolapse Dr. Claire Arcidiacono, ND Our next topic is one that will draw heavily upon the anatomy blog that I wrote a while ago. This topic is mitral valve prolapse (MVP). Do you recall how the heart was divided into left and …
ALLIE’S WEIGHT LOSS TIPS AND TRICKS By: Allie Might, FMC, INHC, ATT As we get into January, the hot topic always seems to be weight loss, as it’s probably one of the moth popular resolutions made…and also one that always seems to be one …
Omega 3s and the Heart!
Dr. Claire Arcidiacono, ND
Omega 3s are something that everyone has heard of. In fact many nutritionists including myself consider them to be essential to a healthy daily vitamin regimen. But many people I talk to ask a few simple questions and the first is usually why they are so important to our health? What are they and where do they come from? And just how do they help keep the heart healthy? Before I start to answer these questions I want to remind everyone that omega 3s are much more than just a heart supplement. In fact in our series on joints omega 3s were a frequent recommendation.
Let’s start with the simple question of why omegas 3s are so important. Well to start off they are very versatile in what they can be used to help with. Then there is the simple fact that the standard American diet is typically very low in omegas 3s. In fact studies have found that over 2/3s of US adults and 95% of US children do not consume enough omega 3s to meet their nutritional needs based on US dietary guidelines. (1) What this means is that most people are not getting enough omega 3s in their diet and can benefit from a supplement. But just what are omega 3s? They are a type of fat consisting of ALA, DHA and EPA. These fats are considered to be essential in our diet because they are essential for certain functions in our body and are important to keep us healthy yet they can’t be made by the body itself. In other words they can only be obtained by getting them in our diet. (2) Omega 3s are typically found in fish and other seafood. They are also found in nuts and seeds. Lastly certain fortified foods contain omega 3s. (3) Fish Oil, Krill Oil Advanced and Flax Seed are all supplements that contain omega 3s.
Everyone knows that omega 3s are good for our cholesterol. According to the Mayo clinic there is strong evidence that omega 3s reduce triglyceride levels in the blood. Additionally according to the Mayo clinic omega 3s can improve HDL or the good cholesterol. (4) Studies have found that omega 3s can help to lower triglycerides by between 25-34%. (5) Even for people with very high triglycerides studies have found that omega 3s can help to lower them. (6) Overall studies have concluded that omega 3s are helpful for triglycerides. (7) Due to the fact studies have found that omega 3s are helpful for both HDL and triglycerides I personally always recommend them for helping with cholesterol concerns.
In addition to helping with cholesterol studies have found that omega 3s can help to reduce the risk of blood clots. This appears to be due to the fact that omega 3s can affect platelet activity causing them to be less reactive. (8) This is important because blood clots can have series consequences. Omega 3s such as fish oil have also been found to be helpful when dealing with arrhythmias. According to Harvard those with a higher than average omega 3 level in their blood were approximately 30% less likely than those with low levels to develop AFib. (9)
Omega 3s have also been found in studies to help with blood pressure. According to the Mayo clinic omega 3s are very helpful for those with moderate to severe high blood pressure. (10) According to a study by the Cleveland heart lab omega 3s were able to help those with hypertension to either lower their medication or in some cases even avoid having to take medication at all. (11)
Omega 3s have also been found in studies to help patients with coronary heart disease. Other studies have found that omega 3s have a beneficial effect on the risks of having cardiovascular death, heart attack and even coronary artery disease. (12)
Overall in my clinical experience I find that omega 3s are an amazing supplement to add on to any protocol for heart health. Now one concern that comes up frequently when I discuss omegas is the smell and taste. A handy tip that works for me personally is to always refrigerate your omegas and take them with food. While they don’t technically need to be kept this way I find that this way prevents any odor.
In our next blog we will be talking about Mitral Valve Prolapse or MVP!
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