DIDAGELOS MATTHAIOS 27123/manthosdid@yahoo.gr LEIVADITIS VASILEIOS 27061/leivathites@hotmail.com CIRCULATORY SYSTEM Parts of the Circulatory System : The circulatory system consists of three parts : Heart Vessels Blood Heart is a muscular organ that pumps blood through the body Vessels are any of the arteries, veins and capillaries that carry blood through the body: Arteries are tubes that carry blood away from the heart. Veins are tubes that return blood to the heart. Capillaries are the connection between arteries and veins Blood is a fluid that carries oxygen and nutrients to the tissues and takes away carbon dioxide and metabolic wastes from them. How the circulatory system works : The circulatory system has three subsystems: Systemic circulation Pulmonary circulation Coronary circulation The systemic circulation starts from the left ventricle and ends at the right auricle. Blood, from the left ventricle, passes through the aortic valve, travels through the aorta, common arteries, arterioles and reaches the capillaries. In the capillaries, nutrients and oxygen are released to the body cells while carbon dioxide and metabolic wastes enter the circulation. From the capillaries start the venules. Venules continue as veins and end up as superior and inferior vena cava. The pulmonary circulation starts from the right ventricle and ends at the left auricle. Blood, from the right ventricle, passes through the pulmonary semilunar valve, travels through the pulmonary artery and reaches the lungs. There blood is supplied with oxygen and releases the CO2. After this oxygen-rich blood returns through the pulmonary vein to the left auricle. The coronary circulation consists of the right and left coronary arteries which start from the ascending aorta. Then blood is gathered from the major, minor and middle coronary veins and ends up at the right auricle. This is the way the cardiac muscle is supplied with blood. The Heart External structure of the heart: The heart is surrounded by a hymen which is called pericardium, a tough, double-layered sac. The inner layer of the pericardium, known as the epicardium, rests directly on top of the heart muscle. The outer layer of the pericardium is attached to the breastbone and other structures in the chest cavity and helps hold the heart in place. Between the two layers of the pericardium is a thin space filled with a watery fluid that helps prevent these layers from rubbing against each other when the heart beats. The heart is contracted by a special muscle which is called myocardium. Myocardium has common properties with both the skeletal and the smooth muscles: The Three Types of Muscles oType of Muscle Smooth Muscle Cardiac Muscle Skeletal Muscle Appearance Smooth Striated Striated Voluntary or Involuntary Involuntary Involuntary Voluntary Function Controls movement of internal organs. Controls contractions of the heart. As we notice, Both skeletal and cardiac muscle are striated and Both smooth and cardiac muscle are involuntary. Moves bones. Skeletal muscles work in pairs. When one contracts, the other relaxes. They are attached to bone by bands of tissue called tendons. Internal structure of the heart: The inner surfaces of the heart's chambers are lined with a thin sheet of shiny, white tissue known as the endocardium. The same type of tissue, more broadly referred to as endothelium, also lines the body's blood vessels, forming one continuous lining throughout the circulatory system. This lining helps blood flow smoothly and prevents blood clots from forming inside the circulatory system. How the heart works: The heart, a muscular organ, positioned behind the ribcage and between the lungs. Its size is about a clenched fist and it weights 280-350gr at the male adult and about 230-280gr at the female adult. The human heart has four chambers. The upper two chambers, the right and left auricles, are the receiving chambers for blood. They collect blood that pours in from veins. The lower two chambers, the right and left ventricle, are the pumping chambers for blood. The right and left sides of the heart are separated from each other by a wall of tissue. Each side pumps blood through a different circuit of blood vessels: The right side of the heart sends oxygen-poor blood to the pulmonary circulation, while the left side of the heart sends oxygen-rich blood both to the systemic and coronary circulation. Blood returning from a trip around the body has given up most of its oxygen and picked up carbon dioxide in the body's tissues. This oxygen-poor blood feeds into two large veins, the superior vena cava and inferior vena cava, which empty into the right auricle of the heart. The right auricle conducts blood through the tricuspid valve to the right ventricle, and the right ventricle pumps blood into the pulmonary artery through the pulmonary semilunar valve. The blood, oxygenated from the lungs, returns to the heart through the pulmonary veins, which empty into the left auricle. Blood passes from the left auricle through the mitruid valve into the left ventricle, from where it is pumped out of the heart into the aorta through the aortic semilunar valve, the body's largest artery. Smaller arteries that branch off the aorta distribute blood to various parts of the body. The four valves within the heart help prevent blood from flowing backward in the heart. The valves open easily in the direction of blood flow, but when blood pushes against the valves in the opposite direction, the valves close. Two of the valves are located between the auricles and ventricles, and are known as atrioventricular valves. The right atrioventricular valve is formed from three flaps of tissue and is called the tricuspid valve, while the left atrioventricular valve has two flaps and is called the bicuspid or mitral valve. The other two valves are located between the ventricles and arteries. They are called semilunar valves because they each consist of three half-moon-shaped flaps of tissue. The right semilunar valve, between the right ventricle and pulmonary artery, is also called the pulmonary valve. The left semilunar valve, between the left ventricle and aorta, is also called the aortic valve. Although the right and left halves of the heart are separate, they both contract in unison, producing a single heartbeat. The sequence of events from the beginning of one heartbeat to the beginning of the next is called the cardiac cycle. The cardiac cycle has two phases: diastole, when the heart's chambers are relaxed, and systole, when the chambers contract to move blood. During the systolic phase, the auricles contract first, followed by contraction of the ventricles. This sequential contraction ensures efficient movement of blood from auricles to ventricles and then into the arteries. If the auricles and ventricles contracted simultaneously, the heart would not be able to move as much blood with each beat. During diastole, both auricles and ventricles are relaxed, and the atrioventricular valves are open. Blood pours from the veins into the auricles, and from there into the ventricles. In fact, most of the blood that enters the ventricles simply pours in during diastole. Systole then begins as the auricles contract to complete the filling of the ventricles. Next, the ventricles contract, forcing blood out through the semilunar valves and into the arteries, and the atrioventricular valves close to prevent blood from flowing back into the auricles. As pressure rises in the arteries, the semilunar valves snap shut to prevent blood from flowing back into the ventricles. Diastole then begins again as the heart muscle relaxes-the auricles first, followed by the ventricles-and blood begins to pour into the heart once more. Arteries, Veins, Capillaries: All these are the “tubes” the circulatory system uses in order to carry blood throughout the body. However there are some interesting differences between these pathways of blood transportation. Arteries start from the left ventricle (with the ascending part of the aorta) and become smaller and smaller as they gradually change into capillaries. The main role arteries have to complete, is to help the motion of the blood and control its flow before it goes into the tiny capillaries. Arteries are able to perform this because of the smooth muscle fibers they have into their walls, which are thicker and stronger of the walls of the veins or of the capillaries. Capillaries represent arteries and veins and start Their wall consists of only is called endothelium. This gas exchange between the junction between after the arterioles. one layer of cells, that is to make easier the blood cells and tissues (blood O2 tissues CO2 blood) and also the exchange of metabolic products. Blood removes metabolic wastes from the tissues and supplies them with nutrients, achieving this with the help of two kinds of pressure: the hydrostatic pressure, which pushes water and nutrients out at the beginning of the vessel and the osmotic pressure that helps the water and the wastes enter within the vessel at its venous end. Capillaries continue then as venules that give the greater veins. Veins return blood to the heart but they can also be used as blood deposits at certain parts of the body, such as the skin, the liver or other organs and provide increased amounts of blood when necessary, for example in a sudden blood loss. Their wall contains a few smooth muscle fibers and is weaker than the artery wall although their lumen is wider. What is blood: Blood is the only liquid tissue of the body. It consists of four major elements: Red blood cells: These cells carry oxygen (O2) from lungs to body cells and carbon dioxide (CO2) from body cells back to lungs to be exhaled. They have no nucleus and live about 120 days. Their most significant protein is hemoglobin (Hb) which takes part in the gas exchange. Their shape is double concave and have great elasticity, so that they are able to pass through capillaries whose diameter is smaller than theirs. They are able to do this because of the protein spectrin that creates an flexible net at their inner surface. Their number is about 5.5 million per mm³ for males and about 4.5 million per mm³ for females. Their number is controlled by a hormone called erythropoietin which is produced by the kidneys. Platelets: They are small cytoplasmic fragments of mega cytocytes and help blood accumulation. Their principle role is to begin the process of coagulation with a sequence of reactions whenever a vessel is damaged. Their number is about 300.000/mm³. White blood cells (leukocytes): Their major role is to fight germs that infect the body. Their number is normally between 4.0008.000/mm³ and they are divided into to basic categories: Granular Non granular In the second category belong the monocytes and the lymphocytes. Lymphocytes become mature either in the bone marrow or in the thymoid gland and so they are called B- or T- cells and take part in the body defence with a special reaction called immune response. When an antigen (germ, polypeptide chain, nucleic acid) enters the body B-cells are differentiated into plasma cells which secrete antibodies in order to eliminate the antigen (humoral immunity). There are three types of T-cells: TH (Helper cells), TC (Cytotoxic cells) and TS (Suppresor cells). TC cells act as an army and attack germs or cells of the organism that have been infected by an antigen (cellular immunity). TH cells act as activators for both B and TC cells. TS cells are used in order for the immune response to be suppressed. Plasma: Plasma is a yellowish liquid that consists mostly of water and plays the role of the extracellular fluid for the blood cells. It also contains proteins and salts. Plasma also contains other small molecules, including vitamins, minerals, nutrients, and waste products. The concentrations of all of these molecules must be carefully regulated. Plasma is usually yellow in color due to proteins dissolved in it. However, after a person eats a fatty meal, that person’s plasma temporarily develops a milky color as the blood carries the ingested fats from the intestines to other organs of the body. Plasma carries a large number of important proteins, including albumin, gamma globulin, and clotting factors. Albumin is the main protein in blood. It helps regulate the water content of tissues and blood. Gamma globulin is composed of tens of thousands of unique antibody molecules. Clotting factors, such as fibrinogen, are involved in forming blood clots that seal leaks after an injury. Plasma that has had the clotting factors removed is called serum. Functions of blood: Summarizing we could tell that the main functions of the blood, that pose and its importance are: Transportation of oxygen, carbon dioxide, hormones, metabolic products (proteins, sugars, fatty acids, salts: Na, Cl, Ca etc.) PH’s regulation of the body’s liquids Coagulation of blood in a blood loss It takes part in the immune response and in the general defence of the body with its lymphocytes It helps the regulation of the body temperature with the contraction or not of the vessels Transportation: Erythrocytes carry the oxygen from the alveoli of the lungs to the tissues where they are supplied with carbon dioxide and release it at the lungs. Blood also carries hormones from one part of the body to another. Hormones are the chemical messengers of the body and regulate metabolism. PH: Normal blood pH ranges from 7,38 to 7,42. It is regulated by four systems : H2CO3/NaHCO3 = 1/20 NaH2PO4/NaHPO4 = 1/4 System of Hb/HbO2 System of plasma proteins Coagulation: As soon as an artery or vein is injured, the platelets in the area of the injury begin to clump together and stick to the edges of the cut. They also release messengers into the blood that perform a variety of functions: constricting the blood vessels to reduce bleeding, attracting more platelets to the area to enlarge the platelet plug, and initiating the work of plasma-based clotting factors, such as fibrinogen. Through a complex mechanism involving many steps and many clotting factors, the plasma protein fibrinogen is transformed into long, sticky threads of fibrin. Together, the platelets and the fibrin create an intertwined meshwork that forms a stable clot. This self-sealing aspect of the blood is crucial to survival. Immune response: In the blood we can find white blood cells which eliminate antigens that enter the body. Monocytes and neutrophils provoke the innate (non-specific) immunity, while B- and T- cells provoke the adaptive (specific) immunity. Temperature regulation: When blood reaches the skin there is a heat loss otherwise blood cannot reach the skin due to the contraction of the blood cells. Conditions associated with the heart: Angina Angina is chest pain caused by coronary heart disease, a partial blockage of the coronary arteries. If you have angina, your heart may not get enough blood, especially when you exercise or are under stress. Signs and Symptoms • Pressing or squeezing pain in the chest • Pain lessens in a few minutes when you rest or take medication prescribed by your health care provider What Causes It? Coronary heart disease is the root cause of angina. Some risk factors for developing angina are older age, male sex, menopause, family history of angina, diabetes, smoking, high cholesterol, high blood pressure, obesity, sedentary lifestyle, and stress. Diagnosis You will have an electrocardiogram (EKG), during which electrodes will be fastened to your chest with a sticky gel. Your health care provider may also suggest a stress test, in which the EKG is taken while you walk on a treadmill or use a stationary bicycle. Your health care provider may recommend coronary arteriography, where a catheter is inserted through a small incision to inject a dye that makes your blood flow visible on an x-ray image. Any blockages in and around your heart will appear. Treatment Plan There are two main goals in treating angina. The first is to allow you to perform moderate exercise without pain. The second is to treat the underlying heart disease and prevent it from getting worse. Drug Therapies Prescription • Nitrates—increase the size of blood vessels, thus allowing blood to flow more easily; also help beta-blockers and calcium-channel blockers to work more effectively; tolerance occurs with continued use • Beta-blockers—used for angina symptoms; reduce blood pressure, heart rate, and the force by which the heart pumps blood; serious side effects if medication is stopped suddenly • Calcium-channel blockers—used for angina symptoms; reduce blood pressure and the force by which the heart pumps blood; some also reduce heart rate • Cholesterol-lowering medications—slows blockage of arteries Over the Counter • Aspirin—allows blood to flow more easily Surgical Procedures If drugs are ineffective, you may need surgery. There are many different types of surgery to remove blockages from blood vessels or widen blood vessels so blood flows more easily. Complementary and Alternative Therapies Specific herbs and nutrients can help treat angina Nutrition Avoid saturated fats (meat and full-fat dairy products), refined foods, caffeine, and alcohol. Eat more fresh vegetables, whole grains, and essential fatty acids (coldwater fish, nuts, and seeds). Acupuncture Acupuncture can relieve symptoms and help treat underlying causes. Massage Massage can improve circulation to peripheral tissues. Myocardial infarction Myocardial infarction (MI) is also called a heart attack. A heart attack occurs when an artery leading to the heart becomes totally blocked. A heart attack is a medical emergency. What Causes It? Atherosclerosis, the process of plaque buildup in an artery until it becomes closed, is the most frequent cause of heart attacks. Heart attacks can also result from heartmuscle spasms or hereditary heart problems. The following increase your risk of having a heart attack. • Smoking • High-fat diet, excess body weight • Family history of early MI • Diabetes • Oral contraceptives • Hypertension (high blood pressure) • Being male, or a female who has gone through menopause • Cocaine or amphetamine abuse Diagnosis • You will have an electrocardiogram (EKG). • A health care provider will ask you about your symptoms and perform a physical examination. • You will have a blood test to evaluate your cardiac enzyme levels. Treatment Options Blood must be brought back to the affected area of the heart immediately. Three methods for doing this are drug therapy, angioplasty (using one of several methods to clear the blocked blood vessel, such as inflating a balloon inside it or holding it open with a device called a stent), and surgery. Drug Therapies Your health care provider may prescribe one or several drugs to help bring blood back to the blocked artery, keep your heartbeat regular, lower your blood pressure, control pain, and improve blood flow. • Streptokinase (SK)—improves widening of the coronary artery; takes 70 minutes to feel the effects; given intravenously • Tissue plasminogen activator—improves widening of the coronary artery; takes 45 minutes to feel the effects • Anisoylated plasminogens streptokinase activator complex— more expensive but longer anti-clotting activity than streptokinase • Heparin—improves widening of the coronary artery • Nitroglycerin—improves blood flow, helping to prevent blood clots that block arteries • Beta blockers—reduce cardiac rupture, new heart attacks, irregular heart beat; various side effects • Angiotensin-converting enzyme (ACE) inhibitors—reduce high blood pressure • Pain control—morphine sulfate, intravenous • Oxygen—by a tube inserted into your nose, as needed • Aspirin—improves blood flow, helping to prevent blood clots that block arteries; it works best if you chew it; various side effects; frequently prescribed Complementary and Alternative Therapies Alternative therapies are most appropriate to reduce your risk of a first MI, minimize damage from an MI, and reduce the risk of a subsequent MI. Herbs Herbs should not be used in place of immediate medical attention. Herbs can be used as general heart tonics and specifically applied to treating conditions associated with MI, such as atherosclerosis, congestive heart failure, high cholesterol levels, high blood pressure, and high fat levels in the blood. Homeopathy Homeopathy should never be used instead of immediate medical attention. Physical Medicine Physical medicine may be beneficial for rehabilitation. Acupuncture Acupuncture is useful for pain and rehabilitation. Massage Massage is beneficial for rehabilitation and prevention of MI. Following Up You may reduce your risk of heart attack by avoiding known risk factors. Get aerobic exercise (such as walking, biking, or swimming) for at least 20 minutes three times per week. If you haven't exercised much in the past, walking is a great way to start. Reducing stress can also help lower your risk of MI. Learn stress-reduction techniques such as deep breathing and meditation. Gentle exercise such as yoga and tai chi can also help you reduce your stress level. Eat a low-fat diet and stay at the proper weight. If you have diabetes or high blood pressure, follow your health care provider's instructions to keep it under control. If you are a woman and have gone through menopause, you may want to consider hormone replacement therapy—it can lower your risk of heart disease. Pericarditis Pericarditis is an inflammation of the pericardium, a sac surrounding the heart. The most common form is acute pericarditis, which can usually be treated without hospitalization. Common in adolescents and young adults, acute pericarditis affects males more than females. Pericardial effusion is a form that results when fluid builds up in the pericardium. It is a more serious condition that can require hospitalization and possibly surgery. Constrictive pericarditis is a form that is a chronic condition and worsens gradually over a long period of time. It may ultimately require surgery. Pericardial effusion and constrictive pericarditis can occur together. NORMAL ABNORMAL Signs and Symptoms The signs and symptoms of pericarditis vary somewhat. Acute pericarditis: • Chest pain • Fever • Flushed appearance • Muscle pain • Pain with swallowing • Feelings of anxiousness, discomfort, or uneasiness Pericardial effusion: • Difficulty breathing • A bluish skin color Constrictive pericarditis: • Difficulty breathing • Congestion in the lungs • Fatigue • Abdominal swelling What Causes It? Acute pericarditis and pericardial effusion have a large number of possible causes, including viruses, bacteria, fungi, cancer, trauma to the heart (such as chest injury), drug reactions, and radiation exposure. In many cases, however, the actual cause is unknown. Constrictive pericarditis usually results from repeated cases of acute pericarditis. What to Expect at Your Provider's Office Your health care provider will listen to your heart and lungs, take your pulse, and probably tap your chest and back. Your provider will probably order a number of tests, which may include blood work, an electrocardiogram, an echocardiogram, chest X ray, computed tomography (CT) scan, or magnetic resonance imaging (MRI). Treatment Options Pericarditis is usually treated with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen), but steroid medications may be prescribed. Complementary and Alternative Therapies Alternative therapies may have benefit as supportive treatments for some of the causes of pericarditis. Hawthorn (Crataegus monogyna) is a cardiac tonic with very low toxicity that could be used along with whatever therapy your provider deems most appropriate. Nutrition • Vitamin C (1,000 mg three times per day) may help decrease inflammation. It also aids in fighting infection, and is an antioxidant. • Coenzyme Q10 (50 mg bid) is an important antioxidant that may help prevent heart muscle damage and speed recovery. • Your provider may recommend sodium restriction if you have constrictive pericarditis. • If your pericarditis is of viral origin, your provider may recommend supplementation with vitamin A (300,000 IU/day for 3 days). • Flaxseed oil (3 g twice per day) helps decrease inflammation. • Avoid saturated fats, alcohol, and sugars, which can lead to increased inflammation and lowered immune function. • Consume at least five servings of fruits and vegetables per day. These foods are antiinflammatory and protect the heart. Herbs Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. • Hawthorn (Crataegus monogyna) can help prevent high blood pressure and hardening of the arteries. Dose is 60 drops tincture three times per day 1 tsp. berries steeped for 10 minutes in hot water, or 100 to 250 mg three times per day as a supplement. • Linden (Tilia cordata) is used for high blood pressure with nervous tension, and may be useful adjunctive treatment where there is anxiety. Dose is 1 tsp. dried blossoms per cup hot water three times a day or 60 drops tincture three times a day. • Blue monkshood (Aconitum napellus) has been described as an herbal remedy for pericarditis without significant effusion. CAUTION: As this herb can be highly toxic, even fatal, it is not recommended unless prescribed by an experienced health care provider. Homeopathy Some of the most common remedies used for pericarditis are listed below. Usually, the dose is 3 to 5 pellets of a 12X to 30C remedy every one to four hours until your symptoms get better. • Aconite for sudden, sharp pains accompanied by anxiety (especially fear of dying) and restlessness • Spongia tosta for the sensation that the chest will explode, anxiety, light-headedness, sweating; patient may be flushed • Cactus grandiflorus for the feeling that there is a band around the chest or a great weight on the chest; palpitations; feels better in the open air and worse at night Acupuncture Can be very helpful in decreasing inflammation, enhancing immune response, and regulating cardiac function. Following Up Your provider may order a follow-up X ray or electrocardiogram. What to do in order to maintain a healthy circulatory system: If you want your heart to be healthy for the rest of your life, follow this prescription: 1. Get plenty of exercise. 2. Follow a good diet. 3. Keep your heart clean and drug-free. People who don't follow this prescription often develop some form of heart disease Exercising Options The hardest part of an exercise routine is getting started. Once you've established a regular pattern of exercise, you'll find yourself following it. So, how do you get started? Well, first of all, consult your doctor. Your doctor can recommend the specific kinds of exercise for your own individual needs. Generally, however, these guidelines should get you going. First of all, exercise will only become a habit if it's fun! Pick something you will enjoy doing. If you like being with a group of people, try a team sport like basketball or soccer. You don't have to be a super athlete. Anyone can exercise. Social activities like dancing and mall-walking are also good. If you're more of a loner, try bicycling or swimming. Don't kid yourself. Be honest about what you realistically think you can do. If you have always hated to climb stairs, step aerobics probably isn't for you. Maybe a walk around the neighborhood would be more pleasant. Many people today are walking toward fitness. Consider your current state of physical fitness. If you haven't exercised in years, you'll definitely want to start with some modest activities. As you get adjusted, you can increase your activity. Consider your schedule. Are you a morning person? Then plan to exercise in the morning. If you're addicted to your snooze button, plan to exercise in the evening. Start with just a small block of time, maybe fifteen minutes. As you get into your routine, you probably won't mind increasing to twenty, and then thirty, minutes. In order to be effective, you'll need to repeat your exercise routine 3 or 4 times per week. Will you exercise at home or at a fitness center? Selecting a fitness center can be a challenge, but you may find the community support motivational. Will you need any special equipment? The variety of exercise equipment available for purchase today can be overwhelming. Be sure to buy the proper equipment. Finally, take it easy. Make sure that you exercise intelligently and cautiously. Follow some guidelines for beginners. Exercise should improve your health, not risk it. If you're still making excuses, at least try some of the Healthy Heart Tips for today. These simple, realistic activities can become the first step toward a healthier tomorrow. Healthy Eating For Healthy Living If you want to have a healthy heart, you have to learn how to eat a healthy heart diet. All of the food you eat effects the health of your heart. Learn which foods are heart smart and try to include them as a regular part of your diet. Consult your doctor for an eating plan that best suits your dietary needs. If you are of average health, you can probably follow the Food Pyramid eating plan. What's Your Favorite Healthy Heart Menu? No matter which eating plan you follow, the following guidelines are recommended: Total fat intake should be less than 30 percent of total calories daily. Saturated fatty acid intake should be less than 10 percent of total calories daily. Polyunsaturated fatty acid intake should be no more that 10 percent of total calories daily. Monounsaturated fatty acids make up the rest of total fat intake, about 10 to 15 percent of total calories daily. Cholesterol intake should be no more than 300 milligrams per day. Sodium intake should be no more than 3000 milligrams per day. Beware of chemicals in your food like caffeine, MSG, and other food additives. Don't forget that you can enjoy the taste of eating right. Healthy heart foods can be delicious! Purification The human heart's job is to pump nutrient-rich blood throughout your body. If you smoke, take drugs, or drink alcohol excessively, you are giving your heart extra work. How do you feel when you have too much work to do? Your heart cannot handle too much extra work over a long period of time. Over time, the health of your heart will suffer. Scientists have proven that smoking doubles your risk of having a heart attack and doubles, triples, or quadruples your risk of sudden cardiac death. Each year, over 300,000 Americans die of smoking-related heart disease. So, don't smoke. If you do, quit. The sooner you quit, the sooner your risk will start to decline. There is hope. Former smokers can completely lower their risk of sudden cardiac death within ten years of quitting. Because they are foreign substances, any drug can effect your heart. Even prescribed medications can. However, since prescribed medications are legal, doctors are able to control the effect a drug will have on your heart by controlling the dosage. With illegal drugs (cocaine, heroin, marijuana, amphetamines, etc.), YOU have to control the effect on your heart. Can you do that? Only if you don't take any. Even a small amount of a drug can be potentially fatal. So, don't use illegal drugs. If you do, quit. While drinking alcohol in moderation may not pose a risk, drinking excessively does pose a serious hazard to your heart. While alcohol flows in your blood stream, the nutrient-rich blood is less able to nourish the heart. If the alcohol content is excessive, your heart will be in danger. So, don't drink alcohol excessively. If you do, quit. One Among Millions What happens if you ignore the recommended healthy heart habits? Perhaps nothing. Many people live long lives without paying much attention to their heart. However, it is more likely that you will develop some form of heart disease. Millions of Americans suffer from some form of heart disease. The statistics are staggering. Commonly, people suffer from high blood pressure. Some suffer heart disease as a result of diabetes. Others develop an arrhythmia, murmur, or irregular heartbeat. Increasingly, women are becoming the greater percentage of heart disease sufferers. TERM Example in context Word class Dictionary information definition List of Medical words Greek translation pericardium a hymen which noun is called pericardium endocardium a thin sheet of noun shiny, white tissue known as the endocardium The inner layer noun of the pericardium, known as the epicardium Blood removes adjective metabolic wastes epicardium metabolic lumen although their lumen is wider noun hemoglobin most significant protein is haemoglobin noun erythropoietin a hormone called erythropoietin noun coagulation begin the process of coagulation noun antigen infected by an antigen noun The conical sac of fibrous tissue that surrounds the heart and the roots of the great blood vessels The lining of the interior surface of the heart chambers περικάρδιο The inner layer of the pericardium επικάρδιο Relating to metabolism, the whole range of biochemical processes that occur within us (or any living organism) the channel within a tube such as a blood vessel or to the cavity within a hollow organ such as the intestine The oxygencarrying pigment and predominant protein in the red blood cells A hormone produced by the kidney that promotes the formation of red blood cells in the bone marrow The process by which the blood clots to form solid masses μεταβολικός ενδοκάρδιο αυλός αιμοσφαιρίνη ερυθροποιητίνη συσσώρευση A substance that is αντιγόνο capable of causing the production of an antibody. The clear liquid that can be separated from clotted blood. The liquid part of the blood and lymphatic fluid, which makes up about half of its volume The word "coronary" comes from the Latin "corona" and Greek "koron" meaning crown Natural menopause occurs when the ovaries naturally decrease their production of the sex hormones estrogen and progesterone Examination of the arteries using xrays following injection of a radiopaque substance The practice of inserting needles into the body to reduce pain or induce anesthesia. ορός noun The word "diabetes" is borrowed from the Greek word meaning "a siphon." The 2nd-century A.D. Greek physician, Aretus the Cappadocian, named the condition "diabetes." He explained that patients with it had polyuria and "passed water like a siphon." διαβήτης adjective Transmitted or capable of being transmitted genetically from parent to offspring: κληρονομικός serum removed is called serum noun plasma Plasma is a yellowish liquid noun coronary coronary heart disease adjective menopause risk factors for developing angina are… menopause noun arteriography recommend coronary arteriography noun acupuncture Acupuncture can relieve symptoms noun diabetes What causes it ? : Diabetes hereditary hereditary heart problems πλάσμα στεφανιαίος εμμηνόπαυση αρτηριογραφία βελονισμός hypertension hypertension noun defined as a repeatedly elevated blood pressure TERM Example in Word class exceeding Dictionary 140 over context information 90definition mmHg atherosclerosis associated with noun A process of MI, such as progressive atherosclerosis, thickening and hardening of the artery walls as a result of fat deposits on their inner lining. List of Academic words υπέρταση Greek translation αθηροσκλήρωση accumulation help blood accumulation noun contraction regulation of the body temperature with the contraction Functions of blood noun without significant effusion It consists of four major elements adjective B-cells are differentiated into plasma cells double-layered sac verb Their major role is to fight germs Lymphocytes become mature adjective that pose and its importance are verb function significant element differentiate layer major mature pose noun noun noun adjective The process of growing into a large amount or heap The act of contracting or the state of being contracted The physiological activity of an organ or body part Having or likely to have a major effect; important A fundamental, essential, or irreducible constituent of a composite entity To make different by alteration or modification A single thickness of a material covering a surface or forming an overlying part or segment: Greater than others in importance or rank Having reached full natural growth or development To put forward; present Additional websites/bibliography: συσσώρευση σύσπαση λειτουργία σημαντικός συστατικό διαφοροποιώ στρώμα πρωτεύων ώριμος θέτω http://www.ivillagehealth.com/experts/infectious/qas/0,,417918_175476,00.html?arrivalS A=1&cobrandRef=0&arrival_freqCap=2 http://www.ivillagehealth.com/library/onemed/lister/0,,246953,00.html http://sln.fi.edu/biosci/healthy/healthy.html Encyclopedia “Microsoft Encarta 2000” Eyewitness Encyclopedia of Science 2.0