Latest news with #Circulation
Time of India
20-05-2025
- Health
- Time of India
8 powerful nuts and seeds that help lower cholesterol naturally
Managing your cholesterol doesn't have to be difficult, especially when you are eating the right foods. A handful of nuts and seeds can cut the LDL or bad cholesterol levels and boost your heart health. With their high fibre content and healthy unsaturated fats, even a small amount packs a powerful nutritional punch. These tiny superfoods are loaded with nutrients and incredibly easy to incorporate into your daily diet. Here are some of the best nuts and seeds to naturally lower your cholesterol levels. Almonds They haven't gained a flawless reputation without a reason. Almonds with their rich vitamin and antioxidant profile are the true nutritional powerhouse that could kick bad cholesterol out of your system and increase the amount of good cholesterol. Almonds are low in saturated fatty acids, rich in unsaturated fatty acids, and contain fiber, phytosterols, and plant protein, all the nutrients that can work wonders for your heart health. Soaking almonds can help unlock their true nutritional potential and get rid of anti-nutrients. Pecans A handful of pecans not only taste delightful in between your meals, they could also silently protect your heart from risk many factors. According to a study published in American Journal of Clinical Nutrition, people at risk of metabolic syndrome—a group of conditions that raise the risk of heart disease, stroke, and type 2 diabetes, who ate pecans had lower cholesterol levels and better overall diet quality. With their unique polyphenol content compared to some of the other tree nuts, pecans are one of the most heart-healthy nuts. Hazelnuts Hazelnuts are packed with omega-3 fatty acids and antioxidants that shield the body from oxidative stress, which can increase blood pressure. Hazelnuts are rich in phenolic chemicals, which lower inflammation, cholesterol and support cardiovascular health. They may also guard against cancer. Walnuts A fistful of walnuts can do wonders for your heart health and help lower bad cholesterol levels. If you enjoy their crunchy, earthy flavor, a new study gives you even more reason to make walnuts a part of your daily diet. According to a study published in the American Heart Association journal Circulation, people who consumed about half a cup of walnuts every day for two years could lower their LDL, or "bad," cholesterol levels efficiently. Brazil nuts One of the most powerful nuts for cutting cholesterol is Brazil Nut. Heart-healthy, high-fibre, and mineral-rich, the nuts are known to reduce total and LDL cholesterol levels. They have 0mg of cholesterol per serving and are considered a good source of monounsaturated fats, which can help improve cholesterol levels. According to National Institutes of Health, their high selenium content lend them cardioprotective effects. Chia seeds Tiny but mighty, chia seeds are packed with soluble fibre and omega-3 fatty acids that help lower bad cholesterol and promote heart health. It's no surprise they feature in countless healthy recipes favored by weight-loss enthusiasts. From smoothies to baked goods, these versatile seeds are a nutritional powerhouse that support overall well-being. Sunflower seeds Crunchy, nutty, and a superb heart-healthy choice, sunflower seeds are rich in phytosterols—plant compounds that help block the absorption of cholesterol in the intestines. Studies have shown that diets high in phytosterols can lower LDL cholesterol by up to 10%. They are a great source of vitamin E, a powerful antioxidant that protects blood vessels from damage and inflammation. A study published in the Journal of Agricultural and Food Chemistry says sunflower seeds are one of the richest dietary sources of phytosterols. Sprinkle it over salads, include in your trail mixes, or add them to yoghurt, sunflower seeds make for a perfect addition to your daily diet. Peanuts Despite being a legume, peanuts have cholesterol-lowering effects similar to tree nuts. They're rich in monounsaturated fats, which have been shown to reduce LDL (bad) cholesterol while maintaining or increasing HDL (good) cholesterol. A study published in The American Journal of Clinical Nutrition found that including peanuts in a moderate-fat diet significantly lowered total and LDL cholesterol in participants. Ways to lower cholesterol naturally (without medication) One step to a healthier you—join Times Health+ Yoga and feel the change
Medical News Today
20-05-2025
- Health
- Medical News Today
Heart attack: More sleep, exercise, less sitting can help lower risk
Written by Corrie Pelc on May 20, 2025 — Fact checked by Kevin Cyr, MD To prevent a second heart attack, replace 30 minutes' sitting time with exercise, a new study suggests. Image credit: Maskot/Getty Images. About one in five people who have experienced a heart attack will have another within 5 years. Heart attack survivors are also at an increased risk for other cardiovascular issues, such as heart failure, which can be lowered through lifestyle changes like exercising more. A new study says people who are too sedentary after experiencing a heart attack are at a higher risk of having another one or another cardiovascular event. Researchers report the risk of a secondary cardiovascular event can be lowered by replacing 30 minutes of sedentary behavior with light-intensity or moderate-to-vigorous-intensity physical activity, or sleep. 'The risks for heart attack survivors are still substantial,' Keith Diaz, PhD, the Florence Irving Associate Professor of Behavioral Medicine at Columbia University Medical Center in New York City, a certified exercise physiologist, a volunteer member of the AHA's Physical Activity Science Committee, and lead author of a new study told Medical News Today . 'Even those survivors who receive the most advanced treatments and medications still have significant risk. That's why it's urgent to find additional ways to reduce this risk,' Diaz explained. Adding to this list is a new study recently published in the journal Circulation: Cardiovascular Quality and Outcomes — for which Diaz is the lead author — which reports that people who are too sedentary after experiencing a heart attack are at a higher risk of having another one or another cardiovascular event. However, they can lower their risk of a secondary cardiovascular event by replacing 30 minutes of sedentary behavior with light-intensity or moderate to vigorous-intensity physical activity, or sleep. For this study, researchers recruited more than 600 adults between the ages of 21 to 96 who had been treated at a hospital for a heart attack or chest pain. Study participants were asked to wear a wrist accelerometer for an average of 30 consecutive days after leaving the hospital to measure how much time they spent sedentary vs moving. 'In our previous research, we noticed that a number of heart attack survivors were quite fearful of exercise,' Diaz said. 'Many of the bodily sensations of intense exercise can remind survivors of their heart attack, causing them to fear and avoid it. As a result, we were finding that many survivors were extremely sedentary, spending over 13 hours a day sitting.' 'Given all that has been learned from research on the health hazards of sitting, we were concerned that heart attack survivors were unknowingly increasing their risk of having another event,' he continued. 'That's why we decided to investigate the link between sedentary behavior and secondary heart attack risk.' At the study's conclusion, Diaz and his team found that study participants who spent an average of more than 14 hours a day being sedentary more than doubled their chances of having another cardiac event or to be hospitalized again within a year after their first cardiac event. 'This finding highlights that sedentary behavior is a toxic, harmful behavior which can impact recovery and future health risk after a heart event,' he explained. 'A big misconception among both patients and physicians is that sedentary behavior doesn't matter as long as you are getting your exercise in. Many people focus solely on meeting exercise recommendations, treating it like a checkbox. 'I got my 30 minutes in, so I'm good and don't need to move [for] the rest of the day.' But exercise is just the tip of the iceberg. It only accounts for [approximately] 2% of the day for those who actually do it.' – Keith Diaz, PhD 'Our study found that patients who spent more time sitting after a heart event had a higher risk of cardiac events and death within a year, irrespective of exercise levels,' Diaz added. 'In other words, even if you're exercising, long periods of sitting can still pose a serious health risk. Reducing sedentary time throughout the day is really important for optimal recovery after a heart event,' he emphasized. On the flip side, researchers discovered that participants who replaced 30 minutes of sedentary behavior with light-intensity physical activity daily lowered their secondary heart event or death risk by 50%. Furthermore, substituting 30 minutes of sitting with moderate to vigorous activity every day cut their risk by 61%. 'The large reduction in risk from replacing sedentary time with light-intensity activity really underscores an important public health message: doing something is better than doing nothing,' Diaz said. 'Movement itself, regardless of intensity, can be beneficial after hospitalization. This is especially relevant for people recovering from a heart event who may find moderate or vigorous activity difficult or scary,' he added. 'While exercise still provides the best 'bang for your buck' in terms of the greatest health benefits, our findings are good news for people who may not have the time, ability or desire to exercise,' he continued. 'The road to a healthy lifestyle after a heart event is more accessible and achievable than we thought and is not just for gym regulars.' Diaz and his team also found that if participants replaced 30 minutes of sedentary time with an extra 30 minutes of sleep, they slashed their secondary cardiac event risk by 14%. 'Sleep is healthier than sitting,' Diaz explained. 'It's a restorative behavior that helps the body and mind recover which is especially important after a serious health event like a heart attack. Many patients struggle to find time or feel too intimidated to engage in intense physical activity.' 'Our findings offer an encouraging message,' he added. 'Even getting an extra half hour of sleep, rather than spending that time sitting on your phone or watching one more episode on Netflix, can support recovery and reduce risk. For all the couch potatoes out there, this is a small, doable step that can still make a meaningful difference for your health.' MNT also had the opportunity to speak with Christopher Berg, MD, a board certified cardiologist at MemorialCare Heart and Vascular Institute at Orange Coast Medical Center in Fountain Valley, CA, about this study, who commented that the results are concerning, but not all that surprising. 'We've long known that too much sitting is bad for cardiovascular health,' Berg, who was not involved in this study, explained. 'But this research adds an important layer: It's not just how much time patients are sedentary — it's also how that time is accumulated. Long, uninterrupted periods of inactivity appear particularly harmful.' 'What really stood out to me was the authors' statistical approach that suggested that even replacing 30 minutes of sedentary time with light activity, moderate exercise, or even sleep was associated with a lower risk of heart events and death,' he continued. 'That's a powerful message that I'll be using in [the] clinic to encourage patients to stay active.' 'Still, it's important to be cautious with these results,' Berg added. 'This was an observational study, so we can't say for sure that [more] sedentary behavior caused the bad outcomes. People in the most sedentary group were generally older and had more health problems, which may have contributed to their risk. That said, the message is still a good one: if you've had a heart attack — or even just a scare — staying active in some form is likely beneficial.' Heart Disease Cardiovascular / Cardiology Sports Medicine / Fitness
Associated Press
19-05-2025
- Health
- Associated Press
After cardiac event, people who regularly sit for too long had higher risk of another event
Research Highlights: Embargoed until 4 a.m. CT/5 a.m. ET Monday, May 19, 2025 ( NewMediaWire ) - May 19, 2025 - DALLAS — People who sit or remain sedentary for more than 14 hours a day, on average, may have a higher risk of a cardiovascular event or death in the year after treatment at a hospital for symptoms of a heart attack such as chest pain, according to new research published today in the American Heart Association's peer-reviewed scientific journal Circulation: Cardiovascular Quality and Outcomes. Previous research from the study authors found that people who had experienced a heart attack were spending up to 12 to 13 hours each day being sedentary, defined as any awake activity that involved little-to-no physical movement. In this study, the researchers used a wrist accelerometer to track the amount of time each participant spent moving or being sedentary for a median of 30 days after discharge from a hospital's emergency department. Wrist accelerometers measure the acceleration of motion in three directions — forwards and backwards, side-to-side, and up and down. These measurements allowed the researchers to infer the intensity of a participant's physical activity, and they provide more accurate measurements of the participants' time spent moving, rather than asking participants to remember. Some examples of moderate intensity physical activities are brisk walking, water aerobics, dancing, playing doubles tennis or gardening, and examples of vigorous-intensity activities are running, lap swimming, heavy yardwork such as continuous digging or hoeing, playing singles tennis or jumping rope. 'Current treatment guidelines after a cardiac event focus mainly on encouraging patients to exercise regularly,' said study lead author Keith Diaz, Ph.D., the Florence Irving Associate Professor of Behavioral Medicine at Columbia University Medical Center in New York City, a certified exercise physiologist and a volunteer member of the American Heart Association's Physical Activity Science Committee. 'In our study, we explored whether sedentary time itself may contribute to cardiovascular risk.' Researchers followed more than 600 adults, ages 21 to 96, treated for a heart attack or chest pain in the emergency department at a single hospital system in New York City. Participants wore a wrist accelerometer for a median of 30 consecutive days after hospital discharge to measure the amount of time they spent sitting or being inactive each day. Additional cardiac events and deaths were evaluated one year after hospital discharge via phone surveys with patients, electronic health records and the Social Security Death Index. The study was focused on understanding the risk of sedentary behavior and identifying modifiable risk factors that may improve long-term outcomes in this high-risk group. The analysis found: 'We were surprised that replacing sedentary time with sleep also lowered risk. Sleep is a restorative behavior that helps the body and mind recover, which is especially important after a serious health event like a heart attack,' Diaz said. 'Our study indicates that one doesn't have to start running marathons after a cardiovascular event to see benefits. Sitting less and moving or sleeping a little more can make a real difference. More physical activity and more sleep are healthier than sitting, so we hope these findings support health professionals to move toward a more holistic, flexible and individualized approach for physical activity in patients after a heart attack or chest pain.' Physical activity and sleep are both key components of the American Heart Association's Life's Essential 8, a list of health behaviors and factors that support optimal cardiovascular health. Poor sleep is a known risk factor for cardiovascular disease, which claims more lives each year in the U.S. than all forms of cancer and chronic lower respiratory disease combined, according to the American Heart Association's 2025 Statistical Update. In addition to sleep duration, a recent scientific statement from the Association highlighted the importance of sleep continuity, sleep timing, sleep satisfaction, sleep regularity, sleep-related daytime functioning and sleep architecture in cardiometabolic health. The study had several limitations, including that the definition of sedentary behavior was based only on the intensity level of physical movement, meaning that the study may have overestimated the time participants spent in sedentary behavior. Additionally, there was no information about participants' income and characteristics of the neighborhoods where they live, which limits the study's ability to account for social and environmental factors including participants' risk of one-year cardiac events and deaths. Also, hospital discharge information about whether patients were sent home, referred to rehabilitation or referred to other care centers such as skilled nursing facilities were not collected. This limited the study's ability to fully assess whether the patients' settings had an impact on their recovery. 'This study provides further support for a 'sit less, move more' strategy and – important for patients recently hospitalized for acute coronary syndrome who may have barriers to more intense exercise – found that increasing light-intensity activities by 30 minutes a day was related to dramatic reductions in the risk of a cardiac event within the next year,' said Bethany Barone Gibbs, Ph.D., FAHA, a professor and chair of the department of epidemiology and biostatistics at the School of Public Health at West Virginia University in Morgantown, West Virginia, and immediate past chair of the American Heart Association's Physical Activity Committee. 'This study found that replacing sedentary time with light intensity activities, like tidying up the house or strolling at a slow pace, was nearly as beneficial as moderate-to-vigorous intensity physical activities, like biking or doing aerobics. In addition, replacing just 30 minutes of sedentary behavior with any intensity of physical activity more than halved the risk of having a cardiac event over the one-year follow-up,' she said. 'These findings suggest sitting less and doing anything else – like taking a walk, cooking, playing with your dog or gardening – will help you stay healthier.' Study details, background and design: Co-authors, disclosures and funding sources are listed in the manuscript. Studies published in the American Heart Association's scientific journals are peer-reviewed. The statements and conclusions in each manuscript are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. The Association receives more than 85% of its revenue from sources other than corporations. These sources include contributions from individuals, foundations and estates, as well as investment earnings and revenue from the sale of our educational materials. Corporations (including pharmaceutical, device manufacturers and other companies) also make donations to the Association. The Association has strict policies to prevent any donations from influencing its science content. Overall financial information is available here. Additional Resources: ### About the American Heart Association The American Heart Association is a relentless force for a world of longer, healthier lives. Dedicated to ensuring equitable health in all communities, the organization has been a leading source of health information for more than one hundred years. Supported by more than 35 million volunteers globally, we fund groundbreaking research, advocate for the public's health, and provide critical resources to save and improve lives affected by cardiovascular disease and stroke. By driving breakthroughs and implementing proven solutions in science, policy, and care, we work tirelessly to advance health and transform lives every day. Connect with us on Facebook, X or by calling 1-800-AHA-USA1. For Media Inquiries and AHA/ASA Expert Perspective: 214-706-1173 John Arnst: [email protected] For Public Inquiries: 1-800-AHA-USA1 (242-8721) and
Time of India
13-05-2025
- Health
- Time of India
Heart rhythm disorder traces to bacterium lurking in gums: Study
Tokyo: New research shows that the gum disease bacterium P. gingivalis can slip into the bloodstream and infiltrate the heart. There, it quietly drives scar tissue buildup -- distorting the heart's architecture, disrupting electrical signals, and raising the risk of atrial fibrillation (AFib). Clinicians have long noticed that people with periodontitis, a common form of gum disease, seem more prone to cardiovascular problems. One recent meta-analysis has linked it to a 30% higher risk of developing AFib, a potentially serious heart rhythm disorder that can lead to stroke, heart failure, and other life-threatening complications. Globally, AFib cases nearly doubled in under a decade, rising from 33.5 million in 2010 to roughly 60 million by 2019. Now, scientific curiosity is mounting in how gum disease might be contributing to that surge. Researchers have discovered DNA from harmful oral bacteria in heart muscle, valves, and even fatty arterial plaques. Among them, P. gingivalis has drawn particular scrutiny for its suspected role in a growing list of systemic diseases, including Alzheimer's, diabetes, and certain cancers. It has previously been detected in the brain, liver, and placenta. But how it manages to take hold in the heart has been unclear. This study, published in Circulation, provides the first clear evidence that P. gingivalis in the gums can worm its way into the left atrium in both animal models and humans, pointing to a potential microbial pathway linking periodontitis to AFib. "The causal relationship between periodontitis and atrial fibrillation is still unknown, but the spread of periodontal bacteria through the bloodstream may connect these conditions," said study first author Shunsuke Miyauchi, assistant professor at HU's Graduate School of Biomedical and Health Sciences. "Among various periodontal bacteria, P. gingivalis is highly pathogenic to periodontitis and some systemic diseases outside the oral cavity. In this study, we have addressed these two key questions: Does P. gingivalis translocate to the left atrium from the periodontitis lesion? And if so, does it induce the progression of atrial fibrosis and AFib?" added Miyauchi. To simulate how P. gingivalis might escape the mouth and create problems elsewhere, researchers created a mouse model using the bacterium's aggressive W83 strain. They divided 13-week-old male mice into two groups: one had the strain introduced into the tooth pulp, the other remained uninfected. Each was further split into subgroups and observed for either 12 or 18 weeks to track the cardiovascular risks of prolonged exposure. Intracardiac stimulation -- a diagnostic technique for arrhythmia -- revealed no difference in AFib risk between infected and uninfected mice at 12 weeks. But by week 18, tests showed that mice exposed to the bacterium were six times more likely to develop abnormal heart rhythms, with a 30% AFib inducibility rate compared to just 5% in the control group. To see if their model accurately replicated periodontitis, the researchers examined jaw lesions and found its telltale signs. They detected tooth pulp decay and microabscesses caused by P. gingivalis. But the damage did not stop there. They also spotted the bacterium in the heart's left atrium, where infected tissue had turned stiff and fibrous. Using loop-mediated isothermal amplification to detect specific genetic signatures, the team confirmed that the P. gingivalis strain they had introduced was present in the heart. In contrast, the uninfected mice had healthy teeth and no trace of the bacterium in heart tissue samples. Twelve weeks after infection, mice exposed to P. gingivalis already showed more heart scarring than their uninfected counterparts. At 18 weeks, scarring in the infected mice had climbed to 21.9% compared to the likely ageing-related 16.3% in the control group, suggesting that P. gingivalis may not just trigger early heart damage, but also speed it up over time. And this troubling connection was not only seen in mice. In a separate human study, researchers analysed left atrial tissue from 68 AFib patients who underwent heart surgery. P. gingivalis was found there, too, and in greater amounts in people with severe gum disease. (ANI)
The Irish Sun
10-05-2025
- Health
- The Irish Sun
At just 35 with a toddler and newborn, I was left on the brink of death by hidden condition that strikes stressed mums
IT was supposed to be a special time - Victoria Warnes had just given birth to her second child, and was enjoying that new-baby bliss. But six weeks after her son arrived, the mum-of-two noticed something strange when she was out in the park with her family. 3 Victoria Warnes suffered a heart attack at age 35 Credit: Supplied 3 The mum-of-two had just given birth to her son, Wills Credit: Supplied With very little warning, Victoria suffered a type of She had a tear in a major artery going into the heart - which can lead to a 'I was walking the kids around the park in a double pushchair and when I picked up the pace, 'I'm a pretty fit person, so it didn't feel right for me. Read more real life "And then I noticed when I was going up and down the stairs that my chest was starting to ache even more.' Victoria, now 42, went to her local NHS hospital but was told there was nothing wrong with her. 'My husband reminded me we have private healthcare and so I got an appointment to see somebody,' she adds. 'Luckily, there was a cancellation, so I was seen that day rather than two weeks later, as a fortnight later I would have been dead; it would have been a different scenario altogether.' Most read in Health Most people who have SCAD do not have usual risk factors for heart disease such as It can be misdiagnosed or there may be a delay in diagnosis - it is unclear how common it is. But SCAD is responsible for approximately 25 per cent of My heartburn was the first sign of a heart attack that led me to crash my car Roughly 10 per cent of SCAD cases occur during or around pregnancy, sometimes called pregnancy-associated SCAD (P-SCAD). It can strike during pregnancy, but the most risky period is one month after delivery, according to a review of 82 patients over 37 years, published in the journal Circulation. The review reported 13 maternal deaths caused by SAD since 1984. Victims don't have typical risk factors but emotional Victoria says hers was a combination of pregnancy hormones and stress. She had just given birth to her second son, Wills, who is now seven, when she suffered P-SCAD. Victoria's first birth caused her a huge amount of trauma when her little girl, Olivia, now 10, was breech. Heart attack symptoms in women can be quite different to how they are in men and they do go unrecognised Victoria She tells Sun Health: 'It wasn't actually worked out that she was breech until I had been in excruciating labour for a couple of days. 'I was in excruciating pain and was largely just ignored. It was an emergency situation. 'I realised that she was still in the breech position and she was delivered by emergency C-section and was resuscitated three times at birth. 'That was the start of my experience with traumatic births. 'I was very much told afterwards that I hadn't dealt with the pain of labour very well and Olivia's been left to deal with the lifelong consequences of a traumatic birth and oxygen deprivation.' Three years later, Victoria planned for her second birth to be a C-section 'after the horrors of my first birth'. 'To all intents and purposes it was a lot smoother and my son was delivered fairly straightforwardly,' she says. 'It wasn't until a couple of weeks later that I started experiencing exertional chest pains.' Concerned, Victoria visited her local NHS hospital but says they couldn't find anything wrong with her, despite the fact she was still experiencing the exertional chest pain. So she saw a private doctor - which the mum credits as saving her life. 'I saw a cardiologist and they said, 'This is really weird - you're fit, healthy and you're fine in yourself, but you've got this chest pain',' says Victoria. A CT scan revealed a tear in a major artery going into Victoria's heart, called scar SCAD. 3 Victoria experienced chest pain when out walking her toddler and newborn in a double pram. She says had she not seen a private doctor she could be dead Credit: Supplied She was seen by Harefield Hospital in West London and had surgery to patch her artery up. She says: "I was in hospital for a few days and the after effects have been chest pain and spasms, which mentally caused a lot of stress with the fear of having another heart attack - this lasted almost a year. "I have early scans to check my heart." Victoria says she feels she wasn't diagnosed initially because she is a woman. 'Heart attack symptoms in women can be quite different to how they are in men and they do go unrecognised," she says. 'So when I went to my local NHS hospital, for example, they didn't attribute what I was going through as being something that could be a heart attack, especially, being 35 years old. 'There's definitely The BHF says it is a myth that men and women have different heart attack symptoms. However, there is a gap in heart care. "Misconceptions around symptoms may make women less likely to seek and receive treatment," it says, which "may also delay diagnosis, making poor outcomes more likely". When to call 999: Heart attack symptoms The most common signs of a heart attack are: sudden and persisting pain or discomfort in the chest that feels like pressure, tightness or squeezing the pain may spread to either arm, the neck, jaw, back or stomach you may also feel sick, sweaty, light-headed or short of breath. If someone is having a heart attack, treatments to restore blood flow to the affected part of the heart muscle must be given as soon as possible to help limit the extent of damage to the heart. If you think you're having a heart attack, call 999 immediately. Source: Victoria is working on a campaign called 'I remember telling my midwife I was traumatised at the time, and I was simply told. 'Well, you're alive and your baby's alive, so on you go',' she says. 'We're preconditioned to not make a fuss. 'We're preconditioned to be told, 'This is your role, you give birth and then you go and you crack on, no matter what the consequences are'. 'If you're alive and breathing, you take your baby home, you get on with it and you don't make a fuss.' The mum says she has had a huge response from other women who have had similar experiences. Victoria promised herself that if she got out of her operation alive and had a second chance, she would do something with purpose and meaning. She founded The Modern Antenatal Revolution™ and 'I started that seven years ago and now we teach midwives and health visitors and people wanting career changes all over the UK and beyond to run and teach these classes in their local areas,' Victoria says.
