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Showing posts with label redOrbit. Show all posts

Wednesday, 4 September 2013

Listening To Music Is Good For Your Heart

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September 2, 2013

Image Credit: Sergey Nivens / Shutterstock 
     
Michael Harper for redOrbit.com – Your Universe Online

Those with cardiac disease may do well to start listening to their favorite songs as a part of their treatment.

A study from the European Society of Cardiology recently found listening to music improved their heart’s capacity for exercise by 19 percent. Combining exercise with music does even more to improve heart health and improves exercise capacity by 39 percent. Music was also found to improve overall heart function significantly.

Deljanin Ilic, lead investigator and professor with the Institute of Cardiology at the University of Nis in Serbia, attributes these improvements to endorphins released by the body when listening to music. Like other studies before, Ilic’s study also investigated how different types of music affect the body and which type of music might best benefit the heart.

In a statement, Ilic said she was interested to discover what kind of effect, if any, music had on not only the heart, but the deepest parts of the heart, inside the blood vessels.

“Exercise training has been shown to improve endothelial function and is the cornerstone of a multifaceted programme [sic] of cardiovascular rehabilitation,” said Ilic in a statement. “However, little is known about the role of music in cardiovascular rehabilitation or the effects of listening to favorite music on endothelial function.”

Ilic and team recruited 74 patients with cardiac disease to take part in the musical study. The subjects were split into three smaller groups. The first group took exercise classes which focused on cardiovascular regimens. The second group took the same classes, but listened to whichever music they chose for thirty minutes a day. The final group only listened to music and did not perform any cardiovascular exercises. At the end of the study, those who only exercised improved their exercise capacity by 29 percent. Overall improvements to the heart were measured by the endothelial response, or the way the tissue inside the blood vessels respond to an increase in blood flow.

“When we listen to music we like then endorphins are released from the brain and this improves our vascular health,” explained professor Ilic in an interview with The Telegraph. “There is no ‘best music’ for everyone – what matters is what the person likes and makes them happy.”

Though it’s the endorphins and therefore whatever makes a person happy that makes the most heart-healthy music, Ilic does say some kinds of music might illicit a more “joyous” and therefore healing effect than others. She suggests music with aggressive tendencies or fast rhythms might not be the best to calm ones nerves and release the heart-healthy endorphins.

“It is also possible that it is better to have music without words, because it is possible that the words themselves can upset the emotions.”

Professor Ilic specifically mentioned classical music as a suggestion for heart healthy tunes.
Though the study was carried out on a small number of subjects with cardiovascular disease, professor Ilic believes the general principle could still be at play for those without any difficulties of the heart. Though listening to music alone was shown to improve heart functions, Ilic continues to recommend regular exercise as the best way to improve endothelial and other functions of the heart.

Source: Michael Harper for redOrbit.com - Your Universe Online
 

Tuesday, 3 September 2013

How To Stop Bleeding In The ER Caused By Warfarin

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August 5, 2013

Prothrombin complex concentrates (PCCs) are faster and more effective than fresh frozen plasma at reversing hemorrhage caused by the anti-coagulant warfarin, despite plasma being the most commonly used therapy.  A literature review published last month in Annals of Emergency Medicine suggests that physicians in the United States should join those around the world in following recommendations of multiple specialty organizations to use PCCs as the first line of defense in this common and life-threatening emergency (“Rapid Reversal of Warfarin-Associated Hemorrhage in the Emergency Department by Prothrombin Complex Concentratesâ€).

“The typical remedies for hemorrhage caused by warfarin are slow and unpredictable,†said author Kenneth Frumkin, PhD, MD of the Naval Medical Center in Portsmouth, Va.  “By contrast, prothrombin complex concentrates reverse warfarin anticoagulation in minutes rather than hours. Its relative underuse in the U.S. compared to other countries seems to derive from lack of familiarity and infrequent availability.â€

PCCs (products made from pooled human plasma) were initially developed to treat hemophilia. They can be infused rapidly and generally reverse anticoagulation three to five times faster than fresh frozen plasma, which must be thawed. Recombinant Activated Factor VII (Factor rVIIa), while approved in the United States only for surgery or bleeding in hemophiliacs, has been used to reverse warfarin-associated bleeding. Factor rVIIa works faster than fresh frozen plasma, but carries more risk and costs much more.

“The April 2013 approval by the Food and Drug Administration of a form of PCC specifically intended for warfarin reversal should expand the use of these life-saving products,†said Dr. Frumkin.

The views expressed by Dr. Frumkin are his own, and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, the national medical society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research, and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. For more information, visit www.acep.org.

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Source: American College of Emergency Physicians