Chest Pain During Cardio: What You Need to Know

Staying healthy is a delicate balance of nutrition, exercise, lifestyle choices, and medical care. Physical activity alone can help maintain healthy blood pressure, improve your mood, promote healthy cholesterol levels, and improve blood circulation. However, if you’re keeping active to stay healthy, you may experience problems that make that harder to do, like chest pain.

There are a number of reasons you can experience pain in your chest during physical activity like cardio, and you should better understand why it can happen and what it means for your health. To that end, let’s explore the possible causes of chest pain, why it may occur during exercise, and how to prevent and manage the problem.

If you live in the Secaucus, Elizabeth, Paramus, or Lakewood, New Jersey, and you’re experiencing chest pain or other cardiovascular problems, Dr. Kunal Patel and our experienced medical staff at NJ Cardiovascular Institute can help.

Understanding chest pain

This is a broad term for different kinds of pain you can experience in your chest, ranging from a dull ache to a stabbing sensation.

Heart-related chest pain can be a crushing or burning feeling and can travel to different areas, such as the neck, jaw, or arms. It may also be accompanied by shortness of breath, cold sweats, lightheadedness, weakness, nausea, vomiting, or accelerated heartbeat.

If the pain is not related to heart problems, however, you may have other symptoms, like a sour taste while eating, problems swallowing, or pain when you cough.

Reasons for chest pain during exercise

Pain in the chest can result from issues with different systems in your body, including the cardiovascular, pulmonary, and digestive systems.

Cardiovascular problems

During cardio exercise, you breathe faster. Your heart pumps faster and harder to get the oxygenated blood to your muscles. If you have chest pain while exercising, it could be a sign of a serious medical condition, so it’s always best to see a heart expert like Dr. Patel. He can examine you and do testing to determine if your pain is heart-related or a result of another condition.

Cardiovascular causes of chest pain may include coronary artery disease, heart attack, mitral valve prolapse, coronary artery dissection, myocarditis, or pericarditis.

Pulmonary problems

Lung conditions that may cause your chest to hurt include pleuritis, lung abscess, pneumonia, pulmonary embolism, asthma, pulmonary hypertension, pneumothorax. Chest pain can also occur with chronic obstructive pulmonary disease (COPD), an umbrella term that includes chronic bronchitis, emphysema, or chronic obstructive asthma.

Digestive problems

Various problems in the digestive tract can also lead to chest pain, such as gastroesophageal reflux disease (GERD), esophageal contraction disorders, peptic ulcers, hiatal hernias, pancreatitis, and gallbladder conditions.

Prevention and treatment

The best way to prevent chest pain depends on the root cause of the pain. Some basic steps you can take to prevent heart-related chest pain include eating a balanced diet, avoiding smoking, managing your blood pressure, and adjusting physical activities in accordance to doctor’s orders.

If you have another condition, such as asthma, prevention may include using your medications and inhalers as prescribed and avoiding any allergy triggers.

If you do have chest pain while exercising or at rest, the treatment depends on the underlying condition that is triggering the pain. For example, for heart-related chest pain called angina, prescription medications that relax the arteries may help ease the pain. Pain caused by GERD may improve with medication that reduces stomach acid.

If you’re having chest pain while you’re walking, biking, or doing other physical activities, don’t ignore it. To find out why your chest hurts and what we can do to help, make an appointment with Dr. Patel and our team at NJ Cardiovascular Institute today.

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How to Make Heart-Healthy Choices This Holiday Season

The holiday season is a time for joy, gratitude, and celebration. And it's also a time when many people tend to indulge in rich, decadent foods and let their usual healthy habits slide.

While it's perfectly okay to enjoy some holiday treats, don’t let the coming months put your heart health at risk. Kunal Patel, MD, and our team at NJ Cardiovascular Institute are here to help you find a sustainable approach to heart-healthy choices, no matter the season.

Here are a few of our favorite tips and strategies for making heart-smart decisions and still savoring the holiday season.

1. Plan your meals

Planning your holiday meals in advance can make it much easier to stick to heart-healthy choices when you’re gathered around the table. Start by incorporating more fruits, vegetables, whole grains, and lean proteins into your menu so you’re getting essential nutrients and fiber, which help support heart health.

2. Choose heart-healthy ingredients and cooking methods

The way you prepare your holiday meals can have a big impact on heart health. Opt for cooking methods like baking, grilling, steaming, and roasting instead of frying or deep-frying. These methods use less oil and help preserve the nutritional value of the food.

Look for festive, heart-friendly recipes or modify traditional holiday recipes by using substitutions. Swap in healthy fats like olive oil or avocado oil. Choose whole grains over refined grains and opt for lean proteins like turkey or fish. When cooking at home, use herbs, spices, and citrus to add flavor without relying on excessive amounts of sugar or salt.

3. Enjoy alcohol mindfully

Alcohol can be part of holiday celebrations, but always remember to consume it responsibly. Sugary drinks and excessive alcohol consumption can contribute to weight gain and negatively impact heart health. So limit your alcohol intake, and consider alternating alcoholic beverages with non-alcoholic ones like sparkling water.

Stay hydrated by drinking plenty of water every day. Be aware of the potential interactions between alcohol and any medications you may be taking. If you have questions, don’t hesitate to consult with Dr. Patel and our team.

4. Prioritize physical activity

The holidays can mean a disruption in your usual routine, and it’s easy to start skipping workouts. Regular physical activity is a crucial component of heart health, so make sure your exercise habits don’t suffer this season.

Schedule time for your workouts, even if they're shorter than usual. Bundle up for a walk, engage in holiday-themed outdoor activities, or dance to your favorite holiday tunes. Regular exercise helps control your weight, lower cholesterol levels, and reduce your risk of heart disease.

5. Manage stress

The holidays can be stressful, and stress can negatively impact your heart health. Integrate stress-reduction techniques like deep breathing, meditation, or yoga into your days to help you stay calm and centered.

A well-rested body is better equipped to manage stress, so make quality sleep a priority, too. Aim for 7-9 hours of sleep per night to enjoy lower stress levels and enhanced overall well-being.

6. Don't skip your regular check-ups

Last but not least, don't neglect your regular check-ups. Routine cardiology care is essential for monitoring your heart health and catching any potential issues early.

At NJ Cardiovascular Institute, our Heart Smart Program is designed to help you protect and manage your heart health all year round. The holiday season can be a time of joy and celebration without the temptation of unhealthy indulgence — and we’re here to help.

Learn more about lifestyle changes for heart health with an appointment at NJ Cardiovascular Institute. Call one of our offices in Elizabeth, Lakewood, Paramus, and Secaucus, New Jersey, or send us a message online today.

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I Exercise Daily. Why Is My Blood Pressure So High?

It’s no secret that regular exercise is a cornerstone of any healthy lifestyle. It helps keep your weight in check, boosts your cardiovascular health, and even improves your mood — but when you exercise daily and you still face health issues, it can be frustrating and confusing.

You’re not alone. Even dedicated exercise enthusiasts can find themselves grappling with high blood pressure, a condition that seems contradictory to their active lifestyle. Kunal Patel, MD, and our team at NJ Cardiovascular Institute are here to help you find answers.

Here’s what you need to know about why high blood pressure can still develop and what you can do to get your numbers in check.

The connection between exercise and heart health

First and foremost, it's important to acknowledge the benefits that daily exercise has on your heart. Regular physical activity improves the efficiency of your heart, increases the flexibility of your blood vessels, and enhances blood flow — all of which are essential for optimal heart health.

While these benefits can lead to a reduction in blood pressure over time, there are instances where high blood pressure persists despite consistent exercise.

Factors beyond exercise: other possible causes of high blood pressure

Regular exercise is a great way to maintain heart health. But if your blood pressure is still high, a number of other factors could be at play.

Genetics

Genetics affect blood pressure regulation. That means if high blood pressure runs in your family, you might be more prone to developing it, even when you’re exercising regularly. Genetic predisposition can have a significant impact on your health and should be taken seriously.

Stress

Emotional stress contributes to high blood pressure. Daily life stressors, work pressure, and emotional strain can lead to elevated blood pressure. Along with exercise, engaging in relaxation techniques like meditation or deep breathing can help you manage stress.

Sleep pattern

Consistent poor sleep or sleep apnea can negatively impact your blood pressure. Aim for 7-9 hours of quality sleep each night to support overall cardiovascular health, and see a doctor if you have symptoms of sleep apnea.

Dietary choices

Certain dietary choices can elevate blood pressure, including high intake of salt and processed foods and low intake of potassium-rich foods. Healthy foods, on the other hand, complement your exercise routine, so strive to eat a balanced and nutrient-rich diet.

Alcohol and tobacco

Excessive alcohol consumption and smoking can significantly raise blood pressure, despite your exercise habits. Limiting your alcohol intake and quitting smoking are crucial steps for managing blood pressure numbers.

How to manage high blood pressure

If you have high blood pressure, it's crucial to consult a health care professional. Dr. Patel and our team assess your individual situation, including your exercise routine, other lifestyle habits, and medical history.

We can recommend appropriate tests and create a tailored blood pressure management plan that addresses your unique needs. Along with exercise, we may recommend:

Dietary modifications

Limiting alcohol

Quitting smoking

Stress management

Blood pressure medication

These methods can all work together to enhance your heart health and lower your blood pressure. We keep a close eye on your progress and adjust your treatment plan, if needed.

Remember that exercise is an essential piece of heart health, but high blood pressure can persist despite daily workouts. To find out what’s contributing to your high blood pressure and get a personalized treatment plan to take back control, talk to Dr. Patel and our team.

Call the NJ Cardiovascular Institute office nearest you or send us a message online to get started.

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4 Lifestyle Habits That Can Lead to Heart Disease

Heart disease is one of the most common chronic diseases in the United States, and it remains the top cause of death for both men and women. While certain risk factors — like age and family history — can’t be changed, heart disease is largely preventable.

In fact, your lifestyle is one of the biggest contributing factors to your heart health. Certain habits can lead to heart disease, and others can lower your risk and help you stay healthier throughout your life.

So, what do your habits mean for your heart health? Kunal Patel, MD, and our team at NJ Cardiovascular Institute can help you find the answer. We specialize in heart disease care in Elizabeth, Lakewood, Paramus, and Secaucus, New Jersey.

Here are four common habits that can increase your risk of heart disease, and how you can start making healthier choices today.

1. An inactive lifestyle

Regular physical activity is one of the best ways to maintain a healthy heart. But unfortunately, the rise of sedentary jobs and modern conveniences mean many people lead increasingly inactive lifestyles.

Lack of exercise contributes to weight gain, high blood pressure, and elevated cholesterol levels, all of which are risk factors for heart disease.

How to make heart-healthy changes

Strive to incorporate about 150 minutes of moderate-intensity activity into your weekly routine. You don’t have to become an athlete to see the benefits of a more active lifestyle, so try brisk walking, cycling, or any activity that gets your heart rate up.

Consider adding muscle-strengthening activities, like yoga or weightlifting, at least days a week, too. Remember to consult with your health care team before starting any new exercise routine.

2. An unhealthy diet

Keep in mind that atherosclerosis is a driving force behind heart disease. With atherosclerosis, plaque deposits made of fats, cholesterol, and minerals build up in your arteries, restricting blood flow to your heart and increasing your risk of heart attack and stroke.

A diet high in processed foods that contain unhealthy fats, sodium, and refined carbohydrates and added sugar aren’t good for your heart health and can lead to atherosclerosis. Excessive use of alcohol may also contribute to heart disease.

How to make heart-healthy changes

Start by taking a look at the foods you eat regularly. Limit your intake of baked goods, snack chips, and other processed foods, especially processed meats. Add more heart-healthy whole foods, like fruits, vegetables, beans, whole grains, nuts, and lean proteins. Limit your use of alcohol.

Over time, maintaining a balanced diet can significantly reduce your risk of heart disease.

3. Smoking and tobacco use

Smoking and tobacco use are two major risk factors for heart disease. The chemicals in tobacco damage your blood vessels, reduce oxygen levels in your blood, and raise your blood pressure. All of these factors contribute to cardiovascular problems and increase your risk of heart disease.

How to make heart-healthy changes

If you smoke or use tobacco, quit. If you don’t use tobacco, don’t start — and do your best to avoid secondhand smoke.

If you need help quitting, ask Dr. Patel and our team about smoking cessation programs. Remember, the benefits of quitting smoking are profound. Quitting can significantly reduce your risk of heart disease and other smoking-related health issues, including cancer.

4. Chronic stress

Chronic stress can take a toll on your heart, and it can even increase your risk of heart disease. When you’re under stress, your body releases hormones that temporarily raise your blood pressure and heart rate.

Over time, chronic stress can contribute to high blood pressure and inflammation, both of which increase your risk of heart disease.

How to make heart-healthy changes

Learn to recognize the stressors in your life, then start exploring healthy ways to manage them. Prioritize self-care, and consider trying exercise, deep breathing exercises, and spending time with loved ones to help reduce stress levels naturally.

Take a proactive approach to heart health

Heart disease is often preventable and taking a proactive approach is the best way to protect your health. The good news is that you don’t have to do it alone.

Dr. Patel and our team specialize in proactive cardiology care to identify and address your unique heart disease risk factors before they lead to significant health issues.

We do a comprehensive heart health assessment, where we review your medical history, assess your lifestyle habits, and conduct tests to measure your cholesterol levels, blood pressure, and other cardiovascular markers.

Based on the results of your assessment, we create a personalized risk factor management plan to address any existing or potential issues. This plan can include lifestyle modifications, dietary changes, exercise recommendations, and medications if necessary.

We work with you to implement these changes, and you have regular follow-up visits to track your progress and make any necessary adjustments to your heart health plan. Ongoing monitoring is the best way to detect any changes or emerging risk factors early, so we can intervene in a timely manner.

As we mentioned, heart disease is often a preventable condition, and adopting a heart-healthy lifestyle is key to reducing your risk. For more personalized guidance, schedule an appointment with Dr. Patel at NJ Cardiovascular Institute today.

Why Do I Have High Cholesterol If I Eat Healthy?

A healthy diet is often associated with a healthier heart. And while it’s true that your diet is an important element of heart health, it can be disheartening and confusing to follow a healthy eating regimen only to find yourself dealing with high cholesterol levels.

Cholesterol is a waxy, fat-like substance produced by your liver and obtained through certain foods. It’s essential for your body, but too much can increase your risk of heart problems.

At NJ Cardiovascular Institute, Kunal Patel, MD, and our team are here to help you understand the links between your diet and cholesterol levels. We’ll explore the risk factors associated with high cholesterol and discuss treatment options to help you manage the condition effectively — no matter what you’re eating.

Understanding cholesterol

Cholesterol is a substance that your body uses to make certain hormones, synthesize vitamin D, and construct cell membranes. You need some cholesterol for optimal health, but high cholesterol is a risk factor for a number of common heart conditions.

Lipoproteins in your blood transport cholesterol through your bloodstream. Low-density lipoprotein (LDL) is often referred to as "bad" cholesterol, and high-density lipoprotein (HDL) as "good" cholesterol.

If you have high LDL levels, cholesterol may build up inside the walls of your arteries. The buildup makes your arteries narrower, which forces your heart to work harder when it pumps blood throughout your body.

Diet isn’t the only factor affecting your cholesterol levels

Your diet plays a crucial role in cholesterol management. For example, eating a lot of sugary, processed foods may have detrimental effects on triglyceride levels and heart health.

Certain foods, like processed meats, baked goods, and fried foods are high in saturated fats and trans fats. If you eat a lot of these foods, your blood cholesterol levels may get too high. Healthier foods that contain saturated fats include meat and dairy from grass-fed cows.

On the other hand, some foods are linked to lower blood cholesterol. Whole grains, nuts, vegetables, and fruits may help keep LDL levels in check — but even if you eat a healthy diet, it’s still possible to have high cholesterol.

There are other factors that contribute to high cholesterol levels, like:

Genetics

Having a family history of high cholesterol can significantly increase your risk of high cholesterol levels, even despite your efforts to eat healthy.

Your age and gender

Your cholesterol levels tend to increase with age. Men are generally at higher risk than premenopausal women, but after menopause, women's risk catches up due to hormonal changes.

Your weight

Being overweight or obese may contribute to increasing your cholesterol levels. Excess weight can disrupt the balance of fats in your body and affect your LDL cholesterol, regardless of your diet.

Living a sedentary lifestyle

Lack of physical activity can affect the way your body metabolizes fats, leading to higher LDL cholesterol and lower HDL cholesterol levels.

Smoking

Smoking damages your blood vessels and reduces HDL cholesterol levels, making smokers more susceptible to high LDL cholesterol.

Your high cholesterol management options

If you have high cholesterol despite a healthy lifestyle, it’s essential to consult a health care professional for personalized guidance. Dr. Patel and our team specialize in diagnosing and treating high cholesterol, and we work with you to develop a plan to keep your cholesterol in check.

We start by evaluating your lifestyle. Regular exercise can have a positive impact on cholesterol levels by increasing your HDL cholesterol and improving your overall cardiovascular health. And even if you already eat healthy, there might be room for improvement.

Focus on consuming heart-healthy foods such as fruits, vegetables, whole grains, and lean proteins. Cut out trans fats completely and limit your intake of refined carbohydrates like white bread, cookies, and chips.

If excess weight is a contributing factor, losing weight through a combination of healthy eating and regular physical activity can help lower your cholesterol levels. If you smoke, quitting is one of the best ways to improve cholesterol levels and reduce your risk of heart disease.

Depending on the severity of your cholesterol levels and associated risks, we may prescribe medications like statins to help lower your LDL cholesterol and increase HDL cholesterol. Finally, it’s crucial to regularly monitor your cholesterol levels. We use blood tests to track how effective your treatment is and make any necessary adjustments.

High cholesterol levels can be perplexing — especially when you follow a healthy diet and lifestyle. By understanding the contributing factors and taking proactive measures, you can reduce your cholesterol levels and improve your overall well-being, and we’re here to help.

Schedule a consultation at one of our offices Elizabeth, Lakewood, Paramus, or Secaucus, New Jersey or send us a message online to learn more.

Intermittent Chest Pain: When to Worry

Experiencing chest pain is scary. But when the pain comes and goes, it can be difficult to know whether it’s a cause for worry.

Intermittent chest pain refers to any type of chest pain that occurs on and off, rather than constantly. It can be sharp or dull, lasting anywhere from a few seconds to several minutes. Sometimes, it’s accompanied by other symptoms like shortness of breath, sweating, or nausea.

If you have chest pain, you should always take it seriously. Kunal Patel, MD, and our team at NJ Cardiovascular Institute specialize in diagnosing and treating chest pain, and we’re here to help you find answers.

Here’s what you need to know about intermittent chest pain and when to go to the doctor for it.

Common reasons for intermittent chest pain

Some of the most common causes of intermittent chest pain are:

Acid reflux

Also known as heartburn, acid reflux often causes a burning sensation in your chest that’s easy to mistake for chest pain. Acid reflux happens when stomach acid flows back up into your esophagus. While it irritates the lining of your esophagus and causes discomfort, it doesn’t have anything to do with your heart.

Angina

Angina is a common type of chest pain that occurs when your heart doesn’t get enough blood and oxygen. Angina pain can be intermittent, and many people describe it as a tightness or pressure in the chest.

Pulmonary embolism

A pulmonary embolism occurs when a blood clot travels to your lungs and blocks blood flow. The condition can cause chest pain, shortness of breath, and other symptoms — and it’s a medical emergency that requires prompt care.

Panic attacks

Panic attacks are sudden, intense feelings of fear and overwhelm. One of the most common symptoms of a panic attack is chest pain, and some people say it feels like having a heart attack. Other symptoms can include rapid heartbeat, sweating, and shortness of breath.

Costochondritis

Costochondritis develops when the cartilage that connects your ribs to your breastbone gets inflamed. It can cause sharp, intermittent chest pain. Like panic attacks, the symptoms of costochondritis can easily be mistaken for a heart attack.

When to go to the doctor of intermittent chest pain

If you have chest pain, you should always go to the doctor to have it checked out. Even if it’s not a medical emergency, it’s always best to seek medical attention to rule out any serious conditions.

Dr. Patel and our team perform a physical exam, take your medical history, and do a series of diagnostic tests to determine the cause of your symptoms. These tests may include blood tests, imaging tests, or electrocardiograms.

Depending on your diagnosis, we may prescribe medications to manage your symptoms or treat an underlying condition. Lifestyle changes, like quitting smoking, maintaining a healthy weight, and exercising regularly, can also help manage your symptoms.

When to seek emergency medical care for chest pain

Not all causes of intermittent chest pain are serious, but some are. The situations where it’s especially important to seek immediate medical attention include chest pain that:

Is severe or persistent

Is accompanied by other symptoms

Occurs during physical activity

Occurs with a known heart condition

Severe chest pain or pain that comes along with other symptoms could be signs of a more serious condition. If you experience chest pain during physical activity or exercise, stop immediately and seek medical attention.

Last but not least, always seek medical care if you have new or worsening chest pain and you have a history of heart disease or have been diagnosed with a heart condition.

Intermittent chest pain can be a symptom of a variety of conditions. While not all cases of intermittent chest pain require immediate medical attention, it’s not easy to determine the right course of action on your own.

Schedule a consultation with Dr. Patel and our team at NJ Cardiovascular Institute to learn more and find a treatment plan that’s right for you. Call one of our offices in Elizabeth, Lakewood, Paramus, or Secaucus, New Jersey, or send us a message online today.