8 Ways to Lower Your Heart Disease Risk

There are a lot of ways to lower your chances of getting heart disease. Taking action will improve your health and possibly will save your life. These are 8 ways to get on track.

1. Quit smoking. Smoking is a major cause of heart disease. A person’s chance of heart disease increases with the number of cigarettes they smoke. If you smoke, you are much more likely to die if you do have a heart attack.

2. Improve cholesterol levels. You’re more likely to get heart disease if you have:

  • Total cholesterol level over 200
  • HDL (“good”) cholesterol level under 40
  • LDL (“bad”) cholesterol level over 160
  • Triglycerides over 150
  • Cholesterol is not the only thing that matters. Your doctor will consider the big picture, including all your potential risks. To help lower cholesterol levels, eat a diet low in cholesterol, saturated fat, and refined sugars and high in fiber.

3. Control high blood pressure. High blood pressure significantly increases the risk of coronary heart disease, stroke and kidney disease. Exercise and healthy eating as well as avoiding salt is one of the ways to control your blood pressure. It is important to get your blood pressure checked regularly.

4. Get active. Regular physical activity makes you less likely to have a heart attack or develop heart disease. It also helps to control other heart disease risk factors like high blood pressure, high cholesterol, and being overweight. Check with your doctor before starting a new exercise program, especially if you are not active now.

5. Follow a heart-healthy diet. Eat foods that are low in fat and cholesterol. Eat more fruits, vegetables, whole grains, beans, nuts, legumes, and other plant-based foods. The fiber is good for your cholesterol, and you will get vitamins from the natural way, which are from foods.

  • You can still eat fish (especially salmon or tuna, which are high in omega-3 fatty acids), poultry, and meat, but make it lean and keep the portions modest. Also limit salt and sugar.

6. Get to a healthy weight. Losing extra weight is good for your heart. It can also help you lower high blood pressure and manage diabetes.

7. Control diabetes. Diabetes greatly increases the risk of heart disease. The high glucose in the bloodstream can damage the arteries, causing them to become stiff and hard. Get tested and get treated.

8. Manage stress and anger. It is normal to get angry now and then as everyone has stress. Managing your stress and handling your anger in healthy ways puts you back in charge.

Source: WebMD, American Heart Association

MERS-CoV Common Symptoms

MERS-CoV is a zoonotic virus, which has entered the human population in the Arabian Peninsula on multiple occasions from direct or indirect contact with infected dromedary camels or possibly camel-related products (e.g. raw camel milk). Several studies have shown that MERS-CoV-specific antibodies are widespread in dromedary camel populations in the Middle East and Africa. The evidence from animal seroepidemiologic surveys suggests that MERS-CoV has been circulating in camels for decades.

– WHO –

PPP Molecular Pathology Symposium 2018

Pantai Premier Pathology held its first Molecular Pathology Symposium on 22 July 2018. With the theme: Embracing Personalized Medicine.

The symposium was held at Hilton Petaling Jaya Hotel, and well attended by about 150 local and overseas delegates from diverse specialties including oncologists, clinical haematologists, pathologists, physicians, medical officers, medical lab technologists, scientists, research officers and academicians.

It started with an opening address by En Mohd Hareeff Bin Muhammed, Chief Executive Officer of Pantai Premier Pathology. En Hareeff emphasised on the importance of gathering from various fields and to ensure the latest molecular modalities and treatments can be accessible to local patients.

Hence, the aim of this symposium is to discuss the current lead in oncology as well as the practicality of modern molecular technologies to aid clinicians in their patient management by congregate experts from diverse fields of oncology.

The whole event was divided into 5 sessions, in which the first 4 sessions covered the topics of Immunotherapy: Next Step, Molecular Pathology, Haematology Oncology and Case Study Presentation. The last session was the panel discussion on the current updates and challenges in molecular diagnostic era. It was chaired by Prof. Dr. Teo Soo-Hwang, Chief Executive Officer of Cancer Research Malaysia (CRM). While the panellists consist of Chief Executive Officer of Pantai Premier Pathology, Head of Oncology & Radiotherapy Department of HKL, Consultant Clinical Oncologist of Beacon Hospital, Head of Pathologist Malaysia of HKL, Consultant Clinical Haematologist of Pantai Hospital KL and Consultant Oncologist of Gleneagles Kuala Lumpur.

The symposium could not have been held remarkably respective contribution from Pantai Premier Pathology’s partners which include Interscience, ScienceVision, Sysmex, Roche, Qiagen, Biomed Global, Biomedia, MSD, and Gleneagles Kuala Lumpur. They had been sponsoring the occasion and even opened their booths allocated to showcase their products and services from various industries such as molecular diagnostics, genomic solutions, biomedical and life sciences provider, scientific testing and research-based healthcare provider.

 

THANK YOU TO OUR HONOURED GUESTS AND EXPERTS

 

Speakers

Dr. Tho Lye Mun, Consultant Clinical Oncologist, Sunway Medical Centre

Shaun Peterson, Global Commercialization Marketing Manager, Clinical Diagnostics Promega Corporation

Ms. Holly A Tillson, Field Application Scientist Manager ArcherDX, USA

Dr. Tan Swee Jin, Manager Scientific Affairs, Sysmex

Dr. Espen Walker, Medical Affairs Director, Roche

Dr. Subramanian Yegappan, Consultant Haematologist, PHKL

Prof. Dr. Noraidah Masir, Consultant Pathologist, HUKM

Dr. Hayani Abdul Wahid, Consultant Radiotherapist and Oncologist, Mahkota Medical Centre

Dr. Guan Yong Khe, Consultant Haematologist, Pantai Hospital Ayer Keroh

 

Panellists

 

En Mohd Hareeff Bin Muhammed, CEO of Pantai Premier Pathology Sdn Bhd

Dr. Ros Suzanna Ahmad Bustaman, Head of Oncology & Radiotherapy Department, HKL

Dato’ Dr. Ibrahim Abd Wahid, Consultant Clinical Oncologist, Beacon Hospital

Dr. Ami Talib, Head of Pathologist Malaysia, HKL

Dato’ Dr. Vijaya Sangkar, Consultant Clinical Haematologist, Pantai Hospital KL

Dato’ Dr. Fuad Ismail, Consultant Oncologist Gleneagles Kuala Lumpur

 

Chairpersons

Dr Mastura Md Yusof, Consultant Clinical Oncologist

Dato’ Dr. Sharifah Noor Akmal, Consultant Pathologist

Dr. Zubaidah Zakaria, Head of Cancer Research Centre (CaRC), IMR

Dr. Lam Kai Seng, Consultant Oncologist

Prof. Dr. Teo Soo-Hwang, CEO of Cancer Research Malaysia (CRM)

World Diabetes Day 2017 Campaign : HbA1c

HbA1c

Glycated hemoglobin (HbA1c), also called A1C, is a test measuring of the amount of glucose attached to the hemoglobin (Hb) in red blood cells. The higher the glucose levels over the previous 2-3 months, the higher the A1C.

In Pantai Premier Pathology, our HbA1c is measured by a High Performance Liquid Chromatography (HPLC) method, which is a NGSP-certified method and Gold Standard in HbA1c testing. This HPLC method is traceable to DCCT reference, providing us the true HbA1c value but not a calculated HbA1c value. The results generated by this HPLC method are free from interference by haemoglobin variants, and not affected by HbC, HbS, HbE or HbD trait.

The American Diabetes Association (ADA) recommends using HbA1c to diagnose diabetes using a NGSP-certified method of a cutoff of HbA1c ≥6.5%. Point of Care (POC) assay methods are not recommended for diagnosis.¹

Using A1c as a Screening Test for Diabetes
Measurement of glycated haemoglobin levels revealed that A1c assay showed the least variance in normal subjects compared to plasma glucose levels. OGTT is the “gold standard” for diagnosing diabetes, it is known to be poorly reproducible and is cumbersome to perform. Using A1c level to diagnose diabetes is convenient since therapeutic decisions are also based on this value, regardless of the findings of the OGTT.²

Diagnostic Values for Pre-diabetes and Type 2 Diabetes Mellitus Based on A1c²:
Normal : <5.6% (38 mmol/mol)
Pre-diabetes: 5.6-6.2% (38-44 mmol/mol)
Diabetes: ≥6.3% (45 mmol/mol)

Recommendation
Screening for diabetes using fasting plasma glucose (FPG) or A1c should be performed annually in
those with risk factors and those >30 years.²

References:
1. ADA position statement on the United kingdom prospective Diabetes Study
2. MOH. (2015).Clinical Practice Guidelines on Management of Type 2 Diabetes Mellitus (5th ed.)

Malaysian Menopause Society Conference 2017 – “Clinical Update on Menopause”

Malaysian Menopause Society Conference 2017

“Clinical Update acheter cialis on Menopause”

 

Date: 25th & 26th March 2017

Venue: Hotel Pullman Kuala Lumpur Bangsar

 

Please download the booklet here.

A guide to understand your blood test report

A guide to understand your blood test report

Have you gone for a medical check-up before? If yes, do you understand what does the blood report tells you?

Basically, your test results will be interpreted together with your personal medical history. All these information are essential in diagnosing a disease or even to check for your health condition. Below are some of the most commonly requested blood test and the descriptions:

No. Blood test profile Description
1. Full Blood Count (FBC)

The test might include:

  • Total Red Blood cell
  • Total White Blood Cell
  • Differential Count
  • Haemoglobin
  • Haematological Indices (MCH, MCV, MCHC, PCV)
  • Platelet Count
FBC measures the amount of different types of blood cells. An FBC test alone cannot provide a definitive diagnosis of a condition but it helps to give important “clues” about possible problems. For example;

  • A low platelet count might be caused by a viral infection or an autoimmune condition where the immune system attacks healthy tissue.
  • A high platelet count might indicate inflammatory conditions, infection or a problem with the bone marrow.
2. Erythrocyte Sedimentation Rate (ESR) ESR is often used to aid diagnosis in conditions associated with inflammation such as arthritis, endocarditis, Crohn’s disease and etc.It is used together with some other tests to confirm presence of infection in your body.
3. Blood Glucose Monitoring your blood sugar level by regular blood glucose tests is very important especially for diabetic patients. If the blood glucose levels become too high, a range of serious complications may appear such as kidney related diseases or nerve damage.It is important for you not to eat for at least 10 hours before the test so that your blood sugar level would not increase during the test.
4. Lipid Profile

The test might include:

  • Total Cholesterol
  • HDL-Cholesterol
  • LDL-Cholesterol
  • Triglycerides
  • Cholesterol/HDL Ratio
This test is to provide a picture whether you are at risk of developing cardiovascular diseases (CVD) such as stroke or heart attack.High cholesterol level can effect on your health because it increases your risk of having heart attack, stroke or etc.

Same as blood glucose test, this test also requires fasting before blood sampling.

5. Thyroid Function testThe test involves:

  • Thyroid Stimulating Hormone (TSH)
  • Free T4 (FT4)
  • Free T3 (FT3)
Lower or higher-than-average levels of these hormones means that you have thyroid problems or at risk of developing one in the future.

  • A high TSH level with a low FT4 level: Hypothyroidism (under-active thyroid).
  • A low TSH level with a high FT4 level and a high FT3 level: Hyperthyroidism (over-active thyroid).
  • Abnormal TSH levels together with normal FT4 levels indicate you may be at risk of developing a thyroid disorder.
  • A low TSH levels together with a low FT4 levels can indicate a disorder of the pituitary gland

 

6. Liver Function TestThe test mainly includes:

  • Total Protein
  • Albumin
  • Globulin
  • A/G Ratio
  • Total Bilirubin
  • Alkaline Phosphatase
  • Alanine Transaminase (SGPT)
  • Aspartate Transaminase (SGOT)
  • Gamma-Glutamyl Transferase (GGT)

 

All these indicators are enzymes and proteins that will be elevated due to the damaged of the liver. This profile can help to diagnose certain liver conditions, including:

  • Hepatitis
  • Cirrhosis
  • Alcohol-related liver diseases
7. Renal ProfileThis test might include:

  • Urea
  • Creatinine
  • Glucose
  • Sodium
  • Potassium
  • Chloride
A renal profile is a diagnostic test that is designed to collect information about kidney function. Any abnormalities will be compared to your medical history.

The test profile here shows just a basic blood profile and might vary depending on the doctor’s request. The results need to be counter check with medical history and physical examinations in order to get a clearer picture of one’s health conditions.

(Source: www.nhs.uk, www.btf-thyroid.org, www.wisegeek.com)

Dr. Zaidi Zakaria

Head of Medical Services,

Pantai Hospital Ampang.

Diagnosed with Breast Cancer? So What’s Next?

If you are diagnosed with breast cancer, your doctor may order additional lab test to assist with prognosis. The 2 most common are the hormone receptor test and the HER2/neu test. Results for these 2 tests can provide insight into which cancer treatment options may be most effective for you. We ask Dr Norraha Abd […]

How to lead a stress free life

“If you ask what the single most important key to longevity is, I would have to say it is avoiding worry, stress and tension. And if you didn’t ask me, I’d still have to say it.”

– George F. Burns-

What is stress?

Stress is a worried or nervous feeling that stops you relaxing, caused, for example, by pressure at work or financial or personal problems. Stress is a common problem that affects almost all of us at some point in our lives.  Stress is your body’s way of responding to any kind of demand. It can be caused by both good and bad experiences. When people feel stressed by something going on around them, their bodies react by releasing chemicals into the blood. These chemicals give people more energy and strength, which can be a good thing if their stress is caused by physical danger. But this can also be a bad thing, if their stress is in response to something emotional and there is no outlet for this extra energy and strength. This will discuss different causes of stress, how stress affects you, the difference between ‘good’ or ‘positive’ stress and ‘bad’ or ‘negative’ stress, and some common facts about how stress affects people today.

What Causes Stress?

Many different things can cause stress from physical (such as fear of something dangerous) to emotional (such as worry over your family or job.). Identifying what may be causing you stress is often the first step in learning how to better deal with your stress.

How Does Stress Affects You?

Stress can affect both your body and your mind. People under large amounts of stress can become tired, sick, and unable to concentrate or think clearly. Sometimes, they even suffer mental breakdowns.

Simple tips on reducing stress:

1. Let go of the need to feel in control.

A lot of our stress comes from feeling the need to be in control of events that are sometimes out of our control. Let go of the need to be in control all the time. This will take so much unnecessary stress out of your life.

2. Go for a walk.

If you feel you are stressed out, go for a walk out in nature. This will help clear your mind and reconnect with yourself.

3. Work on letting go of attachments to things.

For so many of us, stress is the result of having attachments to things. A lot of times these things are material objects, e.g., if you spill something on your new outfit, let it go! Is a trip to the dry cleaners really worth killing brain cells over?

4. Avoid getting into arguments.

Why get into an argument if it’s going to stress you out all day? Avoid getting in arguments if you can. This one tip will reduce so much unnecessary stress in your life.

5. Take a different route to work with less traffic.

Who cares if it takes a few minutes longer? For many of us traffic equals stress, so if adding a few extra minutes to your commute means less stress then find a new route to work!

6. Find humor in everything.

Charlie Chaplin said, “A day without laughter is a day wasted.” If you find yourself in a stressful situation, there is always a way to find some type of humor in it.

7. Cultivate a positive attitude.

A positive attitude will not only make you happier, but it also help you deal with stressful events.

If you change the way you look at things, the things you look at change.” – Wayne Dyer

8. Smile.

If you find yourself getting stressed out over something just smile! It will help you to change your perspective on the event, and become happier!

9. Listen to music.

Find some type of music you like that helps you relax. Just sit back, tune in, and relax!

10. Practice meditation.

Countless studies have shown meditation to be one of the greatest tools to combat stress. Find some time everyday to do just a minute of meditation. You’ll become happier, more focused, and you’ll also help prevent health future problems that are brought on by stress.

11. Just Breathe

Try to control your own heart beat when you are nervous and stressed. Breath as slow as you can. You can try this simple breathing exercise when you feel you are stressed:

    I.       5 seconds of inhale

 II.        3 seconds of holding your breath

III.       8 seconds of exhale

 

Cheong Kar Hui

Psychology Counselor

Pantai Hospital Ampang

(source : www.lifestressrelease.com, www.mindbodygreen.com)