Dr. Purushotham Kotha's Health Education home page
Heart Smart Global is dedicated to raise awareness of the global population to the global burden of heart disease, metabolic syndrome, diabetes and stroke and provide our readers with evidence based health education and Life style modification tools.
Waist circumference is recognized and being used as a screening tool for identifying individuals at risk worldwide for developing heart disease, stroke, peripheral arterial disease (PAD) and diabetes. The IDF, WHO, NHLBI, AHA, ACC, WHF, IAS, Health Canada, Japanese Obesity society, Chinese Cooperative task force have published ethnic specific guidelines for waist circumference (abdominal obesity) for Caucasians, United States, Canada, Europeans, Europids, Asians, Japanese, Chinese, Middle East, Mediterranean, Sub-Saharan Africans, Ethnic central and South American populations.
Based on waist line, NCEP guidelines and Framingham risk score we have put together a composite risk profile for men and women of all ages and ethnicities. We developed an app for both apple and android phones and devices users that will reveal the Global facts about heart disease, diabetes and stroke and an individual's risk profile based on the number of risk factors including the waist line. This app also offers therapeutic life style changes (TLC) based on the risk profile of an individual.
To learn more, to calculate your composite risk of heart disease, diabetes and stroke and for your life style modification manual download our unique Iphone app 'heartsmart iglobal' onto your iphone, ipod or ipad from the App store. Download IPhone heartsmart iglobal Now
If you do not have Adobe Acrobat Reader on your computer, please click on the download link to install this on your computer....Download Acrobat Reader Now
HDVideo demo of heartsmart Iglobal Iphone App
Cardio Metabolic Syndrome Video by Dr. Kotha
Click on 'About Us' to learn about our Practice and services provided.
Please call or e-mail us with your suggestions and comments.
For Information on current clinical trials on high cholesterol, Dyslipidemias, Hypertension, Acute Coronary Syndromes,heart attack, Arrythmias, Metabolic Syndrome, Diabetes, Heart Failure, Peripheral Vascular Disease and Stroke please call us at 619 229 1995.
Early Deaths With Thrombolytic Therapy For Acute Myocardial Infarction in Corticosteroid-Dependant Rheumatoid Arthritis-- Purushotham Kotha, M.D; FACC et al. Clinical Cardiology 21.853-856(1998).-- Primary PTCA should be strongly considered for this high risk group! Please click on 'Staff' to see other publications by Dr. Kotha.
Know your Heart Disease and Stroke risk learn Prevention
To know your composite risk of heart disease, diabetes and stroke and to have your life style modification manual in the palm of your hand download our unique smart phone app 'heartsmart iglobal' onto your iphone, ipod or ipad from the App store. Download IPhone heartsmart iglobal Now
Heart Disease- a Global approach for a Global Problem
It is time for us to remind ourselves that cardiometabolic syndrome, heart disease and diabetes is still the number one public health and clinical problem on a global scale. Non smokers, Women and vegetarians are no exception!
The IDEA, International Day for Evaluating Abdominal obesity study examined 168,000 patients in 67 countries all around the World and confirmed that abdominal obesity (visceral fat) is convincingly the most important, independent and universal predictor of cardiometabolic risk in men and women of all ages, nationality and ethnicity.
Many studies over the last half century reported higher cardiovascular and all cause mortality in people with Cardio-Metabolic syndrome world wide.
The INTERHEART a case-control study( appx 15,000 patients with acute M.I and 15,000 controls) conducted in 52 develoed and developing countries identified nine easily measured and modifiable risk factors (current smoking, high ApoB/ApoA ratio, hypertension, diabetes, truncal obesity, low fruit and vegetable and high fat intake, lack of exrcise, alcohol consumption, and psychosocial factors) that account for over 90% of the risk of acute myocardial infarction in almost every geographic region and every racial/ethnic group worldwide and are consistent in men and women.
The age-adjusted prevalence of heart disease in Caucasians is highest in patients with both type 2 diabetes and metabolic syndrome (19.2%), followed by patients with metabolic syndrome but not type 2 diabetes (13.9%). Notably, the prevalence of heart disease is no higher in patients with type 2 diabetes but without metabolic syndrome than in individuals who have neither type 2 diabetes nor metabolic syndrome.
Obesity, cardiometabolic syndrome, heart disease, diabetes have become a global public health and clinical threat secondary to excess food consumption and sedentary lifestyle due to increasing prosperity and westernization of developing countries although Statins have been effective in Primary and Secondary Prevention of CAD by lowering LDL-C and by their pleomorphic effects.
Waist circumferece is being recognized and incresingly used as a screening tool for identifying cardiometabolic syndrome world wide. The IDF, WHO, NHLBI, AHA, ACC, WHF, IAS, Health Canada, Japanese Obesity society, Chinese Cooperative task force have published ethnic specific cut off points for waist circmference (abdominal obesity) for Caucasians, United States, Canada, Europeans, Europids, Asians, japanese, Chinese, Middle East, Mediterranean, Sub-Saharan Africans, Ethniccentral and South American populations.
Taking an aggressive approach to early detection using lipid, Coagulation and metabolic studies in asymptomatic and symptomatic individuals; family screening and pedigree studies; early use of cardiac stress tests; aggressive Primary and secondary Prevention with therapeutic life style changes and pharmacological intervention; regular follow up and counseling can all help change the natural course of CAD in all populations afflicted with CAD and prevent premature death and disability, and their socio-economic consequences.
The Lipid Coagulation and metabolic studies help us tailor a right diet and right drug to individual patient. One diet and one drug alone is not appropriate for all individuals.
Regular follow-up and counselling will help us to treat metabolic syndrome, diabetes and hypertension to goals and to identify disease progression and adverse events promptly to prevent premature death and cardiac disability.
In the U.S one in every three nine month old infant is overweight or obese and every one in three five year old child is obese! Dietary habits are established early in life and to educate and help prevent heart disease in children we must act now. BOGALUSA,PDAY,FELIC studies have confirmed the presence of fatty streaks, smooth lesions and early plaques in the coronary arteries and aorta of fetuses, children and young adults and their correlation to maternal hypercholesterolemia. Therefore it is never too early to intervene, and infact primordial intervevention may be the most optimal intervention when it comes to truly prevent ahterosclerosis!
The choice is between adapting therapeutic life style changes very early and use medications when necessary to live healthy and live longer or suffer the ravages of advanced atherosclerosis with angina, heart failure, chronic disability, Myocardial Infarction, Stroke, Peripheral arterial disease, premature and sudden cardiac death!
To facilitate rapid dissemination of information on cardiometabolic syndrome, heart disease and diabetes to people and health care professionals we created our dedicated Websites heartsmartglobal and heartsmartinfo.
We would like to encourage more research into basic science, clinical science and public health aspects of cardiometabolic syndrome and heart disease.
Please e mail, call or fax to inform us of your interest to actively participate in this mission to help our fellow men and women around the world to fight the number one public health problem.
We need volunteers to propagate our message, dietitians to give us heartwise menus and culinary tips, public health professionals to design effective strategies, to reach, educate and involve our communities, and physicians to screen, counsel and treat. For Updates and News Paper articles on heart disease please click on Patient Education.
Thank you for your attention and cooperation to deal with our number one public health and clinical problem.
Eat well but Eat Wise;
Walk at least two miles a day, every day of the week;
Learn and strive to handle your stress well and don't let it take control of you.
Sponsor Walkathons, community talks and health screenings!
Remember laughter is the best Medicine, it does not cost and does not need a prescription. Use it ad lib.
