Anxiety and Heart Disease – Is There a Connection?

anxiety

anxiety

Anxiety attacks and heart attacks are often misdiagnosed by the person having them. They feel very similar and are both terrifying.

If you have experienced an anxiety attack you know that it is based in your heart center. You feel it in your chest often in the form of butterflies and even heart palpitations. You may even have an elevated heart rate level during times of raised anxiety and trouble breathing normally.

Anxiety is not healthy, especially on an ongoing basis. Stress can make you physically sick as well as emotionally. When chronic, anxiety can increase your risk for heart issues.

While normal types and amounts of stress are healthy and motivating, being anxious now and then is normal. If it becomes chronic that it may pose a negative threat to your wellbeing.

40 Million people in the USA experience anxiety yearly. Generalized anxiety disorder is defined by at least 6 months of excessive worrying or feeling anxious about unrelated events. Approximately 5% of adults meet the criteria for this disorder. The incidence is higher, coming in at 11% among those with coronary artery disease and 13% of those with heart failure.

It has not been established whether anxiety sets off heart disease or vice versa. It is known that chronic anxiety can change the way the body reacts to stress. This happens via hormones and physiological reactions meant to keep us safe – known as the flight or fight response.

If your fight or flight response is constantly engaged it can lead to heart issues as well as adrenal burn out which may, in turn, cause other endocrine system issues.

Confusing Anxiety for a Heart Attack

A panic attack is so very similar in feel to a heart attack people often mistake them. Upon a trip to the ER, you will receive a diagnosis of non-cardiac chest pain. As many as 1 in 3 people will experience this in their lifetime.

What Can You Do?

The best answer medical professionals have found so far is a combination of medication and talk therapy. A cognitive behavioral therapist will help you identify unwanted thoughts and establish what is anxiety based and what is something that genuinely needs to be looked at and considered.

Medications work as a temporary bandaid to allow you to get through tough anxiety-filled times while working through the root cause with a therapist or on your own using tools such as automatic writing, meditation, yoga, or other relaxation healing based activities.

The best advice is never to ignore chest pain of unknown source. It is far better to be safe than sorry. If you are in the Tampa Florida area and looking for a cardiologist we invite you to check out the physicians at Tampa Cardiovascular Associates. www.tampacardio.com 813-975-2800.

Cough Remedies for That Cough That Just Lingers

cough florida dr kaster

cough florida dr kasterThis year seems to be “Year of the Cough”. Many of us, despite the rising temperatures, have this lingering nagging cough, that simply refuses to leave. What can you do about it?

For many weeks now there have been reporting in the state of Florida of irritating cough that simply lingers. Coughing helps to clear the throat of irritants and phlegm. It can also be a symptom of allergies, bacterial infection, or a virus. There is a lot of air pollution in Florida right now and that is not helping.

If you still have a productive cough (coughing up phlegm) after more than two weeks you need to pay attention as it could be a bacterial infection. Bacterial infections may require treatment. Bacterial infections can be treated with medications as well as IV fluids in order to rehydrate. On the flip side, upper respiratory infections are viral. They have to run their course naturally.

There are several natural ways in which you can help your body fight off invaders.

Take a look at the best cough helpers.

Fluids – Be sure to drink plenty of liquids. Hydration is vital as your body works to fight off a virus or bacteria. Your condition should begin to improve. If it does not, or if it gets worse, you develop a fever, or cough up blood please seek medical help.

Honey 
– Mix 2 teaspoons of honey with herbal non-caffeinated tea, lemon, and warm water.  The honey is soothing while the lemon can help as a decongestant. Honey is a natural antibiotic.

Peppermint – Peppermint acts as a decongestant, a throat soother, and helps to break down and eliminate mucus. Peppermint also holds antibiotic properties.

Probiotics – Probiotics will help support your immune system function and calm sensitivities to allergens like pollen while balancing your internal flora.

Thyme – This household herb helps relieve cough and aids in healing bronchitis. It can help to relax the muscles in the throat while soothing and relieving inflammation. To make some thyme tea: add 2 teaspoons of crushed thyme to 1 cup of boiling water, allow it to steep for 10 minutes, cool a bit, and drink. You may strain it, but it will not hurt to drink the thyme itself.

Bromelain – That’s right, grab some pineapple or head to the health food store for a supplement. Bromelain can help suppress cough and loosen that mucus in your throat. (Do not take if you are already on antibiotics or blood thinners).

Chiropractic Adjustments – Surprisingly chiropractic adjustments can help you fight off a cough as well. When your body is fully in alignment your nervous system is able to fully revitalize all organs as intended. This can help your body heal more quickly and keep your immunity high so you do not catch every cold and cough that comes through.

For more great health information visit www.drkasters.com and check out the blog!

Elevate Your Health By Cutting Out The Sugar

sugar-tampa-cardio

sugar-tampa-cardioNot much was known about the dangers of sugars to the body until recent years.

The dangerous effects of a loaded sugar diet are becoming more widely known, however, many are still unaware. They still view candy, soda, cookies, cakes, pies, and other sweets all just like food. While there is other nutritional value to it, that sugar included adds up quickly.

“Sugar is bad”. We all keep hearing it but rarely do you get the explanation behind the statement. Let’s look into it and see why it’s been deemed “bad”.

Your dental health is likely to suffer


Sugar loves your teeth, but it’s a one-way relationship. Sugar sticks to your teeth and feeds the bacteria found there. Over time, teeth can decay and rot as a result.

You overwork your liver

Sugar is just plain bad for your liver. Excess sugar consumption has a similar effect on the liver as drinking mass amounts of alcohol. This is because of the high fructose content in sugar, which turns into fat, and after becoming lodged in the liver, it can often develop into non-alcoholic fatty liver disease.

Type II Diabetes, coming up!

High amounts of sugar in your diet can result in insulin resistance. Insulin resistance can result in an excess of glucose in the blood which is toxic. This can cause a number of conditions to develop, perhaps the worst of which is type II diabetes.

Cancer connection
Sugar feeds cancer cells. Numerous studies have shown that there is a connection between sugar in excess and cancer. Once again relating to insulin – sugar creates elevated insulin levels, creating an environment where the body can’t properly regulate the abnormal growth and multiplication of unwanted cells, thus, potentially leading to cancer.

It becomes an addiction

Sugar attaches to the same pleasure centers in the brain that result from doing heavy drugs and is equally addictive. It may be hard for people to practice moderation when it comes to junk food. Quitting cold turkey can actually lead to withdrawal symptoms. It’s best to ease it out of your diet if you are a big sugar fan.

Sugar contributes to obesity. If you eat a lot of sugar, you will have a higher tendency to become overweight. Fat gained from sugar consumption attaches around your gut, earning itself the nickname “sugar belly.”

Contributes to Heart Disease

That’s right. Consuming sugar excessively over time can lead directly to heart disease.
Heart disease is the #1 killer worldwide, and recent studies show that a diet high in sugar could be a major contributing factor.

My cause other issues

Sugar can raise your blood glucose and insulin levels

Sugar leads to obesity

Sugar can make you depressed.

Sugar contributes greatly to your overall mental health

Sugar can bring on anxiety
Sugar has even been related to memory issues especially later in life.

For further guidance please make an appointment with the onsite nutritionist available at Tampa Cardiovascular Associates by calling (813) 975-2800. Not only are our physicians dedicated to keeping your heart health at its best, but we’ll do anything we can to help you improve your everyday quality of life through important lifestyle choices. www.tampacardio.com.

Update! Sleeping with the TV on Can Disturb Circadian Rythems and Lead to Health Issues

sleep-with-tv-on

sleep-with-tv-onMany people leave the television on for noise as they go to sleep, but the question becomes, is this bad for our health?

It’s a common practice and most don’t ever think twice about it. The problem is when your tv is left on, even quietly, in a room where you are trying to sleep it interrupts your ability to get to the level of REM (Rapid Eye Movement) sleep. This is the deep sleep where your brain and body are able to regenerate and heal.

The exposure to the blue high-frequency Calvin scale light readings that the RGB output of a tv screen produce is a nonnatural daylight effect which can mess with your circadian rhythms and natural ability to fall asleep and stay asleep. One recent study found that exposure to nonnatural light cycles may have other health consequences besides insomnia including increased risk for depression and anxiety.

The other issue with the tv playing while you are sleeping is that during sleep even though your mind is “turned off” and you are sleeping, your subconscious still hears and takes in everything. They don’t call TV “Programming” for nothing. Your subconscious is literally being programmed. While you may be perfectly able to monitor what you watch while awake, show after the show comes on without you being able to change the channel while you are snoozing. This leaves a wide window open for shows containing violence, anger, sadness, remorse, anxiety, loud startling noises that could actually wake you anyway. These emotions can carry over into your own life and feel like they belong to you when in reality its nothing more than “programming”.

Many that sleep with the TV on becoming dependent on it to go to sleep creating bad sleep habits. Try other bedtime behaviors such as meditation, reading, journaling, or simply clearing your mind. Try a sleep mask to block out all light, and earplugs to get rid of the sound. Sensory deprivation is great for sleep.

It may take some time but you might be happily surprised once you make the adjustment at how much more rested you feel when you wake up and just how easily you are able to drift off once you get used to it.

If you have problems relaxing enough to go to sleep try natural sleep aids such as lavender, valerian, vervain, or melatonin. All are sold over the counter at any health food store and many grocery stores as well.

www.drkasters.com can help you sleep naturally with regular chiropractic adjustments, dietary changes, and supplementation. Give them a call today to schedule 239-332-2555.

Do You Take Aspirin Daily? – You Need To Know This!

aspirin-no-longer-recommended

aspirin-no-longer-recommendedCardiologists and General Practitioners are no longer recommending an aspirin regimen for the majority of the public.

For years aspirin has been the standard recommended protocol for seniors. Millions age 70 and up in the USA take one aspirin per day routinely as it was previously touted as the go-to answer by the American Heart Association as the best preventative measure to help protect against potential stroke and heart attack.

In a recent study which included 20,000 patients, the outcome contradicted previous results. The recommendation of 1 aspirin a day is no longer used for anyone who is not already at an elevated risk. This risk group includes those who have already had a heart attack or stroke in their past.

If you have had either a heart attack or stroke, stents inserted, or a propensity towards blood clots – aspirin can still be a lifesaver. If that isn’t the case there are better options.

“It’s much more important to optimize lifestyle habits and control blood pressure and cholesterol as opposed to recommending aspirin.” Said Dr. Roger Blumenthal, the doctor who co-chaired the new guidelines.

Aspirin – The New Findings

Anyone who is already at a risk for bleeding – someone who is on blood thinners, has diabetes, ulcers, heart disease, kidney disease, gastrointestinal tract issues, or is on non-steroidal anti-inflammatory drugs, steroids, or anticoagulants should not use aspirin at all. Not even just for a headache.

Aspirin – What is It?

It was discovered in1763 by Reverend Edmund Stone of Chipping-Norton, England. Aspirin is made from the chemical ingredient known as Salicylic acid made from the bark of the willow tree. 

A more natural approach 

Aspirin is used because it’s an analgesic.  An analgesic acts on the central nervous system to help alleviate pain. It is also an anti-inflammatory – when you can reduce inflammation, this also negates pain.

Salicylic acid, the same ingredient your aspirin tablets are made from, can be found right in your daily dietary intake. This is a list of foods that contain salicylic acid and can encourage your body to rely on a healthy natural alternative to aspirin in pill form.

Apples

Avocados

Blueberries

Broccoli

Cauliflower

Cherries

Chili peppers

Cucumbers

Currants (including dried currants)

Dates

Eggplant

Figs

Grapefruit

Grapes

Kiwi

Licorice (the herb, not the candy)

Meadowsweet (an herb)

Paprika

Peaches

Plums and prunes

Radishes

Raspberries

Spinach

Strawberries

Turmeric (the spice)

Willow Bark

Zucchini

If you are taking aspirin as a daily regimen preventatively consult your physician or cardiologist. Their recommendations very likely have changed thanks to modern research.

If you are in the Tampa Florida area visit www.tampacardio.com or call (813) 975-2800 to schedule a consultation.

Getting to Know Your Physician. They Make It Easy at Tampa Cardiovascular Associates!

Tampa-Cardiovascular-associates-tampa-bay-florida (1)

When it comes to choosing a doctor it’s important you find someone you feel like you can talk with and relate to.

Your heart is the very core of your being. Keeping it healthy is vital. That is why Tampa Cardiovascular associates were formed.  Our physicians are committed to providing the very best treatments, care, and diagnoses possible for all vein and artery related diseases.

All of our physicians maintain up to date board certifications and are Affiliate Associate Professors in the USF College of Medicine, Department of Cardiology, and Our office labs are certified by ICAEL, ICANL, and ICAVL.

Our advanced in-office testing includes a Phillips iE33 which allows us to perform 3D echocardiograms along with strain and speckle tracking. We also perform in house stress echocardiograms, nuclear stress testing (using a GVI nuclear stress machine which allows the patient the comfort of sitting up during testing), exercise stress testing, micro T wave alternans, electrocardiograms, Holter monitoring, event monitoring, tilt table testing, 24 hour blood pressure monitoring, and pacemaker/ICD checks.

You are in good hands with Tampa Cardiovascular Associates. Our staff consists of:

Dr. Asad Sawar

M.D., F.A.C.C.

Dr. Asad Sawar

Dr. Sawar joined the team at Tampa Cardiovascular Associates in 2009 and is currently a managing partner for the practice.

Following a residency in Cardiology at the University of South Florida, Dr. Sawar completed a Fellowship in Interventional Cardiology at Yale University.  He holds 3 Board Certifications in Interventional Cardiology, Cardiovascular Diseases, and in Internal Medicine, and is a Fellow of the American College of Cardiology (FACC).   Dr. Sawar is also a Clinical Assistant Professor at the University Of South Florida School Of Medicine. He has a keen interest in structured heart disease and is a senior member of the TAVR team which also performs MitraClip procedures. Dr. Sawar also performs Peripheral intervention, Vein intervention, Watchman procedure, Pacemaker Implant, Defibrillator Implant and performs complex angioplasty procedures of the heart.

Dr. Victor Feliz

M.D., F.A.C.C.

Dr. Victor Feliz

Dr. Victor Feliz was born in the Dominican Republic and grew up in Puerto Rico. He attended medical school at Universidad Nacional Pedro Henríquez Ureña in Santo Domingo, Dominican Republic. He completed his residency in Internal Medicine at Mount Sinai School of Medicine in Manhattan, New York. He completed a fellowship in Cardiology at the University of South Florida in Tampa after a fellowship in Geriatric Medicine. Dr. Feliz worked for several years at the VA medical centers in Tampa and Bay Pines. He is currently practicing at Florida Hospital-Tampa, Florida Hospital-Wesley Chapel and Tampa Community Hospital (former Town & Country). Dr. Feliz is Board Certified with the American Board of Internal Medicine in Cardiovascular disease, Internal Medicine and Geriatric Medicine. He has professional memberships with The American College of Cardiology, The Tampa Bay Latin American Medical Society and Colegio de Médicos de PR. He has special interests in Cardiac Catheterizations, Pacemaker, Echocardiography, and Venous Ablation. Dr. Feliz is fully bilingual in English and Spanish.

Dr. Vasco Marques

M.D., F.A.C.C, F.S.C.A.I, R.V.P.I

Dr. Vasco Marques

Dr. Vasco Marques went to medical school at Faculdade de Ciencias Medicas da Universidade Nova de Lisboa, Lisbon, Portugal. He did his rotating internship at Hospitals Civas de Lisboa, Lisbon, Portugal. His cardiology fellowship was done at Hospital Universitario Pulido Valente, Lisbon, Portugal. He then came to the United States and did his residency in internal medicine at the State University of New York, Brooklyn. Following this, he performed his fellowship at the University of Pittsburgh in cardiology and also his fellowship in interventional cardiology at the University of Connecticut Medical Center. He currently practices at Florida Hospital-Tampa, and Florida Hospital-Carrollwood. Dr. Marques is Board Certified with the American Board of Internal Medicine and is also board certified in Cardiovascular Disease and Interventional Cardiology. He has professional memberships with The American College of Cardiology, American Medical Association, American College of Phlebology, American Registry for Diagnostic Medical Sonography, and the Society of Diagnostic Medical Sonography. He has keen interests in Cardiac Catheterizations, Interventional Cardiology, Thrombectomy (clot removal), Peripheral Vascular Disease, and Venous Ablation.

Whether you need a Vein Specialist or a Cardiology Specialist you have come to the right place. Our physicians would love to meet you and take a look at your case so that they can help you form the very best health plan possible. Make an appointment today www.tampacardio.com 813-975-2800.

Spending time in a sauna provides great benefits for the heart and preventing disease

Diet and exercise. When it comes to heart health, these two lifestyle habits are known to truly help – or hinder – the health of your heart. We’ve all heard about the benefits of eating healthy and being active, but did you know that sitting in a sauna has health benefits for your heart? It does!

For centuries, saunas have been praised for their health benefits. While in a sauna, a person’s body temperature increases, which means the heart rate increases, as well. The cardiac output is higher. If the heart rate rises, but the vessels of the body relax, resistance is lowered. Blood flow to the skin will increase and decrease to other organs.

In one study, saunas created a significant decrease in blood pressure in patients with high blood pressure. Saunas had the same results as blood pressure medications. Other studies have shown that a sauna is beneficial for congestive heart failure patients. Patients felt improved after using a sauna.

In a study done at the University of Eastern Finland, frequent sauna visits were associated with lower death rates from cardiovascular disease and stroke. Time in the sauna may keep the heart healthy and even extend a person’s life. Other studies have shown that regular time in the sauna may benefit people with risk factors for heart disease such has high cholesterol and diabetes.

Saunas are not recommended for patients with low blood pressure, unstable angina, or those who just recently a heart attack.

Schedule an Appointment with a Tampa Heart Valve Surgeon

If you have a history of heart disease in your family or currently suffer from heart disease, talk to a heart valve surgeon; you may be a candidate for heart valve surgery. Dr. Peter Mikhail is a heart valve surgeon who specializes in mitral valve surgery and TAVR. To book a consult, click our heart valve surgery page or call 727-312-4844. He is based in New Port Richey, Florida, and treats patients in the Tampa and Clearwater area.

Understanding the basics of aortic stenosis

Aortic stenosis is a form of aortic valve disease. With this condition, the aortic valve’s flaps (cusps) have thickened or become stiff and could possibly fuse together, which narrows the valve. Because of this, the valve’s opening is narrowed and blocks or reduces blood flow from the heart into the aorta and to the rest of the body. Aortic stenosis is also referred to as a tight aortic valve.

When the aortic valve is tight, there is greater stress on the heart and less blood going elsewhere in the body. When a person has aortic stenosis, the aortic valve does not open properly, so it is harder for blood to leave the heart.

If a person has a serious case of aortic stenosis, the stress placed on the heart can potentially lead to heart failure and death. If the heart is working harder to pump the blood out because of the stenosis, the heart muscle becomes thicker, which can lead to congestion and congestive heart failure.

Most people who develop aortic stenosis are older in age. Over time, the aortic valve just becomes damaged from wear and tear. The degeneration of the aortic valve leads to a build up of calcium, which makes the valve become less mobile, which is what restricts the valve from opening easily.

Mild aortic stenosis usually isn’t a problem, but severe aortic stenosis can have bad side effects that can lead to worse complications. When a person has severe aortic stenosis and is experiencing symptoms or signs of heart weakness, he or she should seek treatment. Some signs and symptoms of aortic stenosis include chest pain, shortness of breath, dizziness, passing out, and fatigue. Patients with severe aortic stenosis need treatment or they will not survive past a few more years.

A heart valve specialist can determine the severity of your aortic stenosis. A doctor can diagnose your aortic stenosis through listening for a murmur through a stethoscope, listening for a certain type of pulse, from an echocardiogram, and through a stress test.

Aortic stenosis must be treated through surgery. Medicine cannot treat this condition. A patient will need either an aortic valve repair or an aortic valve replacement. Not everyone is an eligible candidate for this surgery. To get this surgery, the benefits must be greater than the risks for the patient.

Dr. Peter Mikhail is a heart valve surgeon who performs TAVR and mini-AVR on his patients with aortic valve stenosis and aortic valve disease. To learn more about this surgery, click his aortic valve surgery page.

Looking for an Tampa Aortic Valve Surgeon?

If you have aortic valve disease, it’s time to talk to a heart valve surgeon to see if you are a candidate for aortic valve surgery. Dr. Peter Mikhail is a heart valve surgeon who specializes in mini-AVR and TAVR. To book a consult, click our heart valve surgery page or call 727-312-4844. He is based in New Port Richey, Florida, and treats patients in the Tampa and Clearwater area.

Why do we sweat so much? What are the causes of sweat?

We all sweat, but we all sweat differently. Some people sweat more than others – and there’s nothing wrong with that! Unless, of course, you have a condition like hyperhidrosis, for which you should seek treatment to better manage your excessive sweating.

We can sweat in all areas of our bodies because we have about two to five million sweat glands. On average, a person will sweat 1.5 gallons per day. If you’re extremely active, you can sweat up to four gallons per day.

There are several different factors that affect how much we sweat.

  • Exercise – Exercise produces sweat because your body temperature rises during your workout, and sweating is your body’s response to cool the body down. When exercising, people sweat differently depending on oxygen uptake, cardiovascular fitness and aerobic endurance.
  • Genetics – The way you sweat can just be genetics. Your parents or siblings may have similar sweating patterns. Hyperhidrosis is a genetic condition.
  • Weight – The heavier you are, the more you will sweat. People with excess weight feel hotter and it can take longer to cool the body down than for a slimmer person.
  • Sweat gland placement – If you’re prone to sweating in a certain area, you may have a higher number of sweat glands there.
  • Gender – Men usually have more active sweat glands than women.

Sweating is a part of life and there are plenty of daily steps you can take to manage it –  antiperspirants (OTC and prescription), medications, surgery, Botox injections, and more.

Schedule an Appointment with a Hyperhidrosis Physician and Surgeon

If you’re concerned about the amount you sweat, talk to a doctor. A doctor can evaluate your symptoms and examine your body to determine if you have hyperhidrosis. You and your doctor can then come up with a treatment plan that will help you manage your sweat, so you can go about your daily activities without worrying about sweaty palms or armpit stains on your clothing.

Looking for a hyperhidrosis doctor? Dr. Peter Mikhail is a Tampa hyperhidrosis physician and surgeon with offices in Tampa and New Port Richey, Florida. To book a consult, click our Tampa hyperhidrosis treatment contact page or call 727-312-4844.

Does armpit hair effect how much I sweat?

If you have armpit hair and you sweat a lot, you’ve probably wondered if your hair affects the amount that you sweat. Does the hair make you sweat more? Should I shave my armpits? No, don’t shave your armpits, unless you want! Shaving your armpits will not make you sweat less; however, shaving (or trimming) can help make an antiperspirant more effective. By having little to no hair, you can also help reduce the sweat stains on your clothing.

Your armpits expel sweat for several reasons: stress, anxiety, nervousness, and to cool you down when your body temperature gets high. Your body will produce sweat whether you have armpit hair or not. The amount you sweat depends on the eccrine and apocrine sweat glands in your armpits. These two types of glands produce sweat depending on your exertion and stress levels, so the amount of hair has no effect on the production of sweat.

Armpit hair can make the sweat stains on your clothes worse. Why? Your armpit hair holds moisture more than your skin. Also, the hair keeps the antiperspirant from being absorbed into the skin, so you likely will sweat more. With armpit hair, your underarms probably will get wetter and armpit stains will appear more quickly than if you trimmed or shaved the hair off.

Whether you shave or not, remember to fully dry your armpit area before applying antiperspirant. A wet armpit can block the aluminum in the antiperspirant from being absorbed into the sweat glands.

If you like your armpit hair, you don’t have to shave your armpit hair to prevent sweaty armpits. Instead, try trimming the hair. By trimming the hair, you will help the antiperspirant absorb better into the skin.

Having a hard time managing your sweat? You will sweat whether you’re shaved or not. If you have hyperhidrosis, this sweat is excessive and can disrupt your daily life. If nothing you do helps your sweat, it may be time to contact a doctor.

Dr. Peter Mikhail is a Tampa hyperhidrosis physician and surgeon with offices in Tampa and New Port Richey, Florida. Dr. Mikhail will look at your symptoms to determine if you have hyperhidrosis and will discuss the best treatment plan for you. To book a consult, click our Tampa hyperhidrosis treatment contact page or call 727-312-4844.