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Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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My breast size used to be 38 and since I started to have sex occasionally, it is pushing 42 now. As a result of which, I always or may be most of the times have pain in shoulders and back, sometimes even unbearable. What all should I do or can be done to get rid of the pain? What all options do I have? Thanks. And moreover, from the last couple of days, I find unusual hardness in both my breasts as a whole and not any specific area, I can belly touch them. They hurt a lot. What do I do? Please help. Thanks again.
I have a problem with my heart. When I ran away for doing something I am getting tired. What should I do?
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
- Stay calm.
- Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
- ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
- Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
- ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
- ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
- EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.
What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
Related Tip: "Why Do You Get Palpitations? How to Get Immediate Relief?"
I am 27 years old. Normally I drink more water but whenever I drink any liquid thing or water after that i'll go for urine frequently 3-4 times after every 10-15 minutes. I have done all test like thyroid, sugar etc. All reports are normal. I want to know that is it normal or not.
Sir, my blood as on 27/04/2015 are as follows: fasting=94, pp=116, bun=14, creatinine=1.2, uric acid=4.6, cholesterol=148, usg of k. U. B=rt. Kidney: measures 95mm, a52x33mm cyst noted. Lt. Kidney=107mm. A 26mm cyst noted. No hydronephrosis or detectable echo reflective calculas in both the kidneys. Prostate measures 3.7x2.9x2.8cms. Wt. 16 gms. Total psa ii= 0.53ng/ml. Normal voiding pattern, uroflometry=qmax 14ml/sec, voided vol 598ml, post void residue 51ml. Please Advise.
A stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult(CVI), or brain attack, can occur when a part of the brain is deprived of blood flow. When brain cells are deprived of oxygen they begin to die, due to which the functions controlled by that part of the brain also stops, which results in different types of disabilities among stroke survivors.
There are two types of strokes
- Ischemic stroke
The first is caused when a brain aneurysm or a weak blood vessel bursts. Most of the time, this type of stroke leads to death. The second one happens when a clot blocks the flow of blood to the brain. Patients suffering from stroke suffer from various side-effects, the most common ones being paralysis or loss of feeling in a certain part of the body, problem in understanding or talking and loss of vision on one side. The side-effects start showing up immediately after a person has had a stroke.
In certain conditions, blood flow to a certain part of the brain stops for only some time and hence the body suffers stroke-like symptoms which only last a couple of hours before disappearing. This is known as a transient ischemic attack (TIA). Unfortunately, the effects of a stroke can be debilitating and also permanent. Hence, it's important to know the symptoms of a stroke and rush the patient to a doctor as soon as possible. Sometimes early treatment can save a lot of damage.
The primary symptoms of stroke are as follows:
- Confusion and problems while talking and comprehension
- Headache along with alteration of consciousness or vomiting
- Numbness of the face, arms or legs, especially on one side of the body
- Issue with seeing, through one or both eyes
- Inability to walk with stability, including disrupted coordination
- Problems with the bladder and bowel control
- Acute depression
- Body temperature fluctuates, and pain worsens with movement
- Paralysis on one side of the body along with fatigue
- Problem in expressing or controlling emotions
Diagnosis of stroke
Several tests are carried out to determine the type of stroke, such as
- Physical examination, which involves observing the patient's overall condition.
- Blood tests
- CT scans
- MRI scans
- Cerebral angiogram
Stroke is a fatal brain disease and can cause permanent damage to your system so its best to check with doctor to know how you can prevent it.
I m 30 yr old women. Sometimes I feel mild pain around chest and heart. What should I do. I take pan 40 on empty stomach. Having hypothyroidism. Also nose is blocked when wake up with lot sneezing n breathlessness. Pls help.
A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life.
Signs and symptoms of a panic attack-
Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home.
The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour.
A full-blown panic attack includes a combination of the following signs and symptoms:
Shortness of breath or hyperventilation
Heart palpitations or racing heart
Chest pain or discomfort
Trembling or shaking
Feeling unreal or detached from your surroundings
Nausea or upset stomach
Feeling dizzy, light-headed, or faint
Numbness or tingling sensations
Hot or cold flashes
Fear of dying, losing control, or going crazy
I am currently residing in kuwait and am from mumbai. I am 51 years old. My weight is 85 kgs. I have high bp 180/190 for which I take 1 tablet a day zestril (contents: astrazeneca) 20 mg. I have cholestrol in liver for which I take lipanthyl (contents: recipharm fontaine) 145 mg. I have high blood sugar too around 200. I have high tg in blood for which I take proton (contents: pantoprazole) 40 mg. I have slip disk problem in l4 and l5 which causes lot of pain. Please suggest me what to eat and what to do to improve my condition. Thank you so much for the help.
I am 35 year old male and I have chest pain from last two months. I have taken painkillers but no effect of that. I have acidity also. So what I do?Please suggest.
Nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, lack of adequate fruits and vegetables in diet and sedentary lifestyle. These account for over 90 percent of the population–attributable risk of a first heart attack.
In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10–year risk of a first heart attack event is 6 percent or greater.
Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one-half, and after several years it begins to approach that of nonsmokers.
A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. The Heart Care Foundation of India recommends walking 80 minutes in a day and with a speed of 80 steps per minute.