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Never thought I will suffer from hypertension like this. Its been long I am facing this issue and due to this my health was degrading. Our family physician personally recommended Dr Manan. I am so much benefitted with his treatment, that i am perfectly fine now. He is not only good by proffesion but also a very nice person. Even in case of long queues, the staff was managing people in a very positive manner.
I had experienced minor heart attack in my past and I was quite worried about my condition. I consulted many doctors but the condition remain same. Later I got to know about Dr Manas Desai. His treatmnet was the best. I had a great experience and my condition has improved to some extent. And I am hoping for further improvement.
dr Manan H. Desai at Heart Care Clinic in Sola is one of the best doctors for angiography. He did my mother’s angiography and he is a very efficient and a very smart doctor. He is very precise too.
I found the answers provided by the Dr. Manan H. Desai to be very helpful. Nice
I found the answers provided by the Dr. Manan H. Desai to be very helpful. Gd
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How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.
What is ECMO?
ECMO is a life support device that is put in place when a patient’s heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.
Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.
How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warmed blood is either pumped into the body with the help of the machine or made to get back to the body through an artery.
How long can a patient be on ECMO?
- After seven days of being put on ECMO, there are chances of patient getting an infection.
- In case the patient contracts an infection, it is recommended to take the patient off ECMO support. If you wish to discuss any specific problem, you can consult a cardiologist.
Lifestyle is one of the best defences against heart disease. All you need to do to maintain good heart health is to just make simple but significant changes to your lifestyle. By doing so, you end up minimising the risk factors associated with heart disease such as coronary artery disease.
The lifestyle changes that you must make for a healthy heart are:
1. Be physically active - Research by Harvard University shows that watching television for 2 hours a day can increase your chances of developing heart disease by 15%. But if you exercise or indulge in some kind of physical activity for about 30 minutes every day, you can significantly improve the health of your heart as any kind of physical activity improves your blood circulation as well as blood pressure.
2. Maintain a healthy body weight - Having a low body weight or a high one can also put you at risk of getting heart disease. For a good heart health, you need to protect it from fatigue and damage. By keeping your weight at an optimum level, your blood circulation, as well as body fluids, end up working efficiently, protecting your heart from unnecessary strain.
3. Have a balanced diet - Foods that are low in calories but high in fibre and nutrients are what your heart needs to stay healthy. A very common cause of heart disease is the consumption of high cholesterol foods like processed meats, desserts, etc. Including seafood like tuna or salmon, whole grains, fruits and vegetables, and lean proteins such as chicken and fish to your diet can reduce your risk of developing heart disease.
4. Manage stress - Stress is another factor that causes you to have poor heart health. To prevent the damaging effect that stress can have on your heart, exercising is what you should do. This is because when you exercise, you release endorphins (brain chemicals that trigger a feel-good feeling in your body), which help in improving your physical and mental makeup. Additionally, exercising has also been found to reduce your chances of dying from a heart attack.
5. Quit smoking - Research reveals that smoking raises your chance of getting heart disease by about 2-4 times. It causes plaque (fatty deposits) to accumulate and harden in your arteries, making your heart to exert itself harder than normal. By kicking the habit, you reduce the strain that is caused to your lungs, thereby to your heart. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood to flow in one direction and prevent the blood from flowing back into the ventricles of the heart.
Heart valve diseases can be classified as follows:
- Valvular stenosis: This condition occurs when the valves of the heart does not open completely due to stiffness. As the opening is narrow, the heart has to work hard to pump blood. This condition may lead to heart failure.
- Valvular insufficiency: This is a condition where the valve does not close tightly. This causes some of the blood to flow back to the valve. As this condition deteriorates, the heart has to work harder to pump blood.
Types and Causes of valve diseases:
- Acquired valve disease: The structure of the valve changes due to various infections or rheumatic fever. Rheumatic fever is caused by bacterial infection that had not been treated. It tends to occur in children and cause inflammation of the valve.
- Congenital valve disease: This condition usually affects the pulmonary valve where the size of the valve is abnormal.
- Bicuspid aortic valve disease: It is a type of valve disease that impairs the aortic valve. Instead of the regular three cusps, the bicuspid valve only has two. This may cause the valve to be stiff or cause it to leak.
- Mitral valve prolapse: This condition causes the valve to flop back when the heart contracts. This condition also causes the leaflets of the valve to turn irregularly and cause it to stretch. This condition causes the valve to leak.
Symptoms: The symptoms of valve diseases are as follows:
- Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
- Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
- Rapid weight gain: This condition can cause you to gain weight very rapidly.
- It may cause swelling in your ankles, abdomen and feet.
- This condition causes shortness of breath. If you wish to discuss about any specific problem, you can consult a Cardiologist.
A heart transplant is an operation in which a failing, diseased heart is replaced with a healthier, donor heart. Heart transplant is a treatment that's usually reserved for people who have tried medications or other surgeries, but their conditions haven't sufficiently improved.
While a heart transplant is a major operation, your chance of survival is good, with appropriate follow-up care.
When faced with a decision about having a heart transplant, know what to expect of the heart transplant process, the surgery itself, potential risks and follow-up care.
Why it's done
Heart transplants are performed when other treatments for heart problems haven't worked, leading to heart failure. In adults, heart failure can be caused by several conditions, including:
- A weakening of the heart muscle (cardiomyopathy)
- Coronary artery disease
- Heart valve disease
- A heart problem you're born with (congenital heart defect)
- Dangerous recurring abnormal heart rhythms (ventricular arrhythmias) not controlled by other treatments
- Failure of a previous heart transplant
- In children, heart failure is most often caused by either a congenital heart defect or a cardiomyopathy.
Another organ transplant may be performed at the same time as a heart transplant (multiorgan transplant) in people with certain conditions at select medical centers. Multiorgan transplants include:
- Heart-kidney transplant. This procedure may be an option for some people with kidney failure in addition to heart failure.
- Heart-liver transplant. This procedure may be an option for people with certain liver and heart conditions.
- Heart-lung transplant. Rarely, doctors may suggest this procedure for some people with severe lung and heart diseases, if the conditions aren't able to be treated by only a heart transplant or lung transplant.
Factors that may affect your eligibility for a heart transplant
A heart transplant isn't the right treatment for everyone. Certain factors may mean you're not a good candidate for a heart transplant. While each case is considered individually by a transplant center, a heart transplant may not be appropriate if you:
- Are an advanced age that would interfere with the ability to recover from transplant surgery
- Have another medical condition that could shorten your life, regardless of receiving a donor heart, such as a serious kidney, liver or lung disease
- Have an active infection
- Have a recent personal medical history of cancer
- Are unwilling or unable to make lifestyle changes necessary to keep your donor heart healthy, such as not drinking alcohol or not smoking
What happens after the transplant?
Most people leave hospital within about four weeks of the operation, but depending on your condition, you may need to stay in hospital for longer.
In the first few months after your surgery you will need to spend a lot of time visiting the hospital – you might even need to stay near the transplant centre. Your transplant team will talk to you about practical arrangements for after your surgery.
Although you will be weak after the operation, recovery can be very quick. It is important to build up your level of activity gradually. You should avoid activities involving lifting and pushing until your breastbone is fully healed, which can take up to three or four months.
Once you feel fit and able, you can start doing things like light vacuuming or light gardening. If you wish to discuss about any specific problem, you can consult a cardiologist.