Hello, welcome everybody, this is doctor Bolad, board certified physician in cardiology, interventional
cardiology and internal medicine, certified by the American Board of Internal Medicine.
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People with chronic gum disease and periodontitis have two to three times the risk of having
a heart attack, stroke and other cardiovascular diseases. However, not everyone with gum disease
develops heart disease. A significant dose-dependent association between periodontitis and coronary
heart disease was found in men less than 60 years of age independent of other cardiovascular
risk factors. Also, a significant association between the number of teeth at baseline and
risk of coronary heart disease exists, with participants with fewer teeth at baseline
having higher incidence of coronary heart disease at follow-up.
Insufficient sleep on the long term has a significant negative impact on health, especially
cardiovascular health. The American Heart Association, recognizes lack of adequate sleep
as a risk factor for adverse cardiometabolic profiles and poor outcomes. Poor sleep is
associated with the development of CORONARY ARTERY DISEASE among healthy middle-aged adults.
Insufficient sleep is also a predictor of development of HEART ATTACKS as demonstrated
in this study. Insufficient sleep is also a predictor of development of CARDIOMETABOLIC
RISK FACTORS, including central obesity, high glucose and high blood pressure. Insufficient
sleep is also a predictor of development of ATRIAL FIBRILLATION, which is a heart arrhythmia
manifested by irregularity of the heart beating. Cardiac disease complicates a small percentage
of all pregnancies in developed countries in the range of 1 to 4 percent of pregnancies
in the United States. Maternal heart disease is a major cause of maternal morbidity and
death. Pregnancy is associated with several cardiocirculatory changes that can significantly
impact the heart. These changes begin early in pregnancy and reach their peak during the
late second trimester, and then remain relatively constant until delivery. Pregnancy can lead
to PERIPARTUM CARDIOMYOPATHY. This leads to heart failure that affects women late in pregnancy
or in the early puerperium. The cause of peripartum cardiomyopathy is unknown, with possible causes
including altered prolactin processing, genetic, inflammatory, hormonal, hemodynamic, and autoimmune
factors. The clinical presentation is similar to other forms of heart failure with shortness
of breath and accumulation of fluid in the lungs and other parts of the body including
the legs. HIGH BLOOD PRESSURE can develop in pregnancy. This is referred to as GESTATIONAL
HYPERTENSION and it is defined by the new onset of hypertension at or after 20 weeks
of pregnancy. Most women with gestational hypertension have a drop in blood pressure
to within normal levels within the first week after delivery. If blood pressure returns
to normal by 12 weeks postpartum, their diagnosis is changed to TRANSIENT HYPERTENSION OF PREGNANCY.
If they remain hypertensive at the 12th week after delivery, they are given the diagnosis
of CHRONIC HYPERTENSION, which happens in approximately FIFTEEN PERCENT OF CASES.
Obstructive sleep apnea is a common sleep-related breathing disorder characterized by repetitive
episodes in which breathing stops and starts. Patients with obstructive sleep apnea are
often overweight and studies have demonstrated a consistent association between sleep apnea
and the occurrence of multiple heart diseases. Obstructive sleep apnea has been associated
with the development of HIGH BLOOD PRESSURE. A dose-response association between sleep-disordered
breathing at baseline and the presence of high blood pressure four years later exists,
independent of known confounding factors. Obstructive sleep apnea is also associated
with the development of CORONARY HEART DISEASE AND HEART FAILURE. The severity of obstructive
sleep apnea is an independent predictor of the incidence of ATRIAL FIBRILLATION hospitalization.
Atrial fibrillation is irregularity of the heart beating that predisposes individuals
to clot formation in the heart and can lead to stroke. Independently obstructive sleep
apnea has been found to be strongly associated with ISCHEMIC STROKE in men with mild to moderate
sleep apnea. Depression is an independent risk factor for
cardiovascular disease and cardiac death in otherwise healthy subjects. Multiple studies
suggest that there is a severity-response relationship, such that more severe depression
is associated with a greater risk of heart disease. Depression has been found to be associated
with increased incidence of coronary artery disease, increased incidence of heart attacks
and increased incidence of cardiac death. If you have any questions about what I presented
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This is Doctor Bolad, helping you with your heart health, thanks for watching, and talk
to you soon.