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5 months ago

Dear Roma Ashfaq, Thank you for the question

Angioplasty with or without stenting is a nonsurgical procedure used to open clogged or narrow coronary arteries due to underlying atherosclerosis.

The procedure involves introducing an inflatable balloon-tipped catheter through the skin in extremities and inflating the balloon once it traverses the stenosed arterial site. It presses the intraluminal plaque of atherosclerosis against the arterial wall and widens the luminal diameter. It normalizes the blood flow to the myocardium and achieves the goal of angioplasty or percutaneous coronary intervention (PCI) by alleviating the chest pain.

Vitamin K, is a Fat-soluble vitamin that is stored in the liver, body tissues and bones. The main function of Vitamin K is coagulation of blood which helps in clotting of the blood. Vitamin K is also known as clotting vitamin.

When an individual has Hypercoagulation (thick blood) an anticoagulation medication (blood thinner eg.  Acitrom / Warfarin) is prescribed for thinning of the blood.  Vitamin K is known for the blood clotting properties, to make the medication effective it is important to consume consistent levels of Vitamin K in the daily diet. Sudden changes in the intake of Vitamin K may cause changes in the effectiveness of the medication.

Here are few vitamin K rich sources that should be avoided

• Green Leafy Vegetables (cooked & raw)- Palak (spinach), Methi leaves (Fenugreek leaves), Shepu, mustard greens, Kale, Lettuce, Parsley, Spring onion.
• Vegetables- Cabbage, Cauliflower, Broccoli, Red cabbage, Brussels sprouts
• Meat And Meat Products- Chicken liver, Beef liver, Egg yolk, Cheese.
• Other Foods-Kiwi, Figs, Prunes, Avocado, Soya beans.

Increased intake of high fat foods, leads to elevated levels of cholesterol in blood and may potentially increase the risk of cardiovascular disorders. Some of the factors include genetics, stress, sedentary lifestyle, medications, an underlying health condition etc. The type and quantity of fat in the daily diet also influences the level of cholesterol and triglycerides in the blood.

Certain foods like soyabean, fenugreek, garlic, onion, flaxseeds, oats and turmeric can be included in the daily balanced diet due to their antioxidant properties and biochemical compounds present in them.

Elevated plasma Triglycerides (TG)or Hypertriglyceridemia (HTG) concentration can be caused due to various factors like sedentary lifestyle, genetics, underlying health conditions, metabolic disorders, etc, it potentially increases the risk of cardiovascular diseases. For further diagnosis and assistance kindly contact your specialized health care professional.

Certain foods like flaxseed, Walnuts are characterized by a high content of MUFA, PUFA, vegetable protein, dietary fiber, vitamins (vitamins E,  folate, B1), minerals (magnesium, cooper, potassium, and selenium), they also contain phenolic acids, stilbenes, tocopherols, flavonoids, and melatonin which may potentially reduce risk of cardiovascular diseases.  

Here are few guidelines that can be considered for Cholesterol & Hypertriglyceridemia

• Have a Diversified Balanced Diet that includes all the food groups in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning.
• Try to incorporate the My plate Concept by dividing your plate into 4 quadrants, fill half of your plate with fruits and vegetables, the other two quadrants with cereals and protein. A small quantity of dairy intake is recommended.
• Consume minimum 5 servings of vegetables and 1 serving of fruit as they are rich in Fiber, essential minerals & Vitamins as well as they give you a feeling of satiety. Regular consumption of fruits has been linked to cardiometabolic health due to their high content of bioactive compounds that potentially reduces the risk of heart disease.

• Try to consume more of Whole grains, Millets and Multigrain foods as they are a good source of fiber.
• Prefer lean meat (chicken, Fish) over full fat red meat.
• Some oils such as rice bran oil, flaxseed oil, and sesame oil contain phytonutrients. These active compounds have the potential to lower blood TG concentrations. Mixed rice bran, flaxseed, and sesame oils with the purpose of improving blood lipid profile and cardiometabolic health
• Foods rich in antioxidant containing carotenoids and vitamin E may protect cardiovascular disease. Whole grains, fruits and vegetables are a good source of antioxidants.
• Limit intake of deep-fried foods. Method of cooking like baking, grilling, boiling, steaming is preferable over deep frying with excess fat/ oil.
• Try switching from saturated fats and trans fats to MUFA (mono-unsaturated fatty acids) & PUFA (polyunsaturated fatty acids) as they are essential fatty acids and are good for your health.
• Carbonated and alcoholic beverages to be limited or preferably avoided.
• Have your last meal at least 2-3 hours before Bed time.
• Try to follow a good sleep regimen in terms of both quantity and quality.
• Engage in at least 30-45 minutes of physical activity of moderate intensity such as walking for at least five days a week

For women, the estimated requirement of visible fats such as oil 20g/ml per day. It is always suggested to use a combination of oils either blended or by rotation. e.g. Groundnut oil, soya bean oil, sunflower oil, rice bran oil so that you get the benefit of all.

For a customised and personalised meal plan for specific conditions please contact your Health care professional or any registered dietician.

Hope we have answered your query.

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