Doctor in Bansal Hospital
Patient Review Highlights
I was amazed that other doctors before him were not able to even diagnose my problem, but Skand Trivedi did it immediately and gave me a pacemaker treatment for it. It has been quite some time that i was suffering . I was panicked, because I never thought I will need pacemaker like this. The overall atmosphere in the Bansal Hospital is very soothing. he is very patient with all her patients. One of my colleague referred him
Never thought I will suffer from something hypertension like this. I have consulted so many doctors , but no one was able to solve my hypertension. Finally I consulted Dr Skand Kumar, with his treatment, I am completely cured from the problem. During the complete hypertension treatment program he always supported and motivated me.
I am a heart patient and I had a heart attack last month. I consulted Dr Trivedi, he suggested stent insertion in my heart. I followed his advice and I am perfectly fine now. I owe him a big thank for the treatment. I appreaciate the way he treated me.
Records says he is "BEST" & his true non duplicate nature, CATHLAB experiences, truthness, uncoated straightforward words, makes him brilliant in d field of cardiology. # "HATSOFF 2 DIS CARDIOLOGIST N HIS TEAM" #UNDEFEATED UNIVERSAL SOUL @D
I went to dr Skand Kumar Trivedi at Bansal Hospital in Bhopal for my angiography that had to be done by him as I was fearing coronary artery disease. He did it very nicely and gave me very valuable advices. Thanks to him.
A heart attack is caused if the blood flow to the heart is somehow obstructed by fat deposits, cholesterol or other substances, thereby, forming a plaque in the arteries. The disruption in this flow of blood destroys a part of the heart muscle and may prove to be fatal if not treated right on time.
Not every heart attack starts with a sudden crushing pain in the chest. In fact, about 30 per cent of the cases haven’t yielded any such symptom. However, the signs may vary from one person to another:
- Heart attack might start slowly causing only mild discomfort or pain initially. The symptoms happen to be sudden and intense, persisting for several hours.
- Mostly heart attack induces pain on the left side or the center of the chest. The discomfort generally persists for a few minutes. It can even result in a feeling of indigestion or heart burn, fullness, squeezing and pressure which can turn from mild to severe.
- One might also experience an aching sensation in the upper stomach, jaw, neck, shoulders, back or both of the arms.
- Shortness of breath is one of those very common symptoms.
- Other common symptoms include excessive sweating, exhaustion, vomiting, nausea, sudden dizziness or light-heartedness.
How can you tell a heart attack from a mere panic attack?
Panic attack occurs even more suddenly and induces intense fear, extracting extreme reactions for something relatively harmless. Once the attack subsides, one usually feels week on the knees and tender near the gut. Some of the symptoms exclusive to a panic attack include a feeling of detachment, numbness, hot flashes, chills and tightness experienced in and around the throat, tremors (primarily of the hands) and a constant fear of losing control or of an impending danger.
Although many indications of a heart attack might happen to overlap with those of a panic attack, there are still a few noteworthy differences between the two. Watch out for those signs and get yourself diagnosed properly.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease.
Causes of increased blood pressure:
- Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN)
- Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN.
Other Causes of secondary hypertension are:
- Kidney problems
- Thyroid hormone disorders
- Congenital heart defects
- Chronic alcohol abuse
- Adrenal gland tumours
- Chronic use of medications like birth control pills, pain killers, etc.
Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are:
- Family history
- Being obese or overweight
- Sedentary lifestyle
- Alcohol consumption
- Excessive salt intake
- Stress levels
- Ethnic background
- Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure.
- Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken.
- If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings.
This includes a combination of diet and lifestyle modifications.
- Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements.
- Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously.
- Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Cholesterol is one of those terminologies that need a clear and fresh understanding, right from scratch. It is nothing but obvious and common for you to primarily know about the ill effects of cholesterol and what it does to your body; from increasing the risks of cardio-vascular diseases to adding to your waistline. However, it is time we all got a fresh perspective on what cholesterol is.
So, to start off, what is actually cholesterol?
It is waxy substance produced by the liver which plays an important role in the proper functioning of the cells, digestive process and synthesis of Vitamin D in the body. As cholesterol is a fat based substance that does not dissolve in blood, it is transported, throughout the body, by a protein called the ‘lipoprotein’. The lipoproteins that carry cholesterol are of two types: Low-Density
Why is LDL ‘bad’?
LDL is known as ‘bad’ cholesterol as it is responsible for plaque formation that reduces flexibility of the arteries and tends to clog them.
Why is HDL ‘good’?
HDL is known as the ‘good’ cholesterol because it gets rid of excessive LDL from the arteries and transports them to the liver where they can be broken down. Too much of bad cholesterol in the body can lead to clogged arteries that may result in stroke or a heart attack. Now that you know that too much LDL cholesterol is bad for you, you need to keep it under control while raising the good cholesterol (HDL) levels.
In order to do that, you need to make certain modifications in your lifestyle.
Some of them can be:
- Eat foods that are good for the heart: Avoid eating saturated fats and trans-fats as they raise LDL levels in the body. Instead, choose foods that are rich in the heart healthy monounsaturated fats such as almonds and olive oil. Also, include foods that are rich in Omega-3 fatty acids such as fish oil; these fatty acids increase HDL levels in the blood.
- Exercise regularly: Exercise not only helps you to lose calories but also increases the good cholesterol levels in the body. Aim for 20-30 minutes of cardiovascular exercises in the form of brisk walking, running or cycling to keep your heart muscles healthy.
- Stop smoking: Smoking can cause the blood vessels to narrow down, thus increasing blood pressure, owing to the constriction of the blood vessels. Quit smoking right away and your ticker will thank you for it. Remember to limit alcohol consumption as well.
- Maintain optimal weight levels: It’s time to get rid of all the excess fat from the body, especially the visceral fat (abdominal fat). Obesity increases the risk of heart diseases and also has a negative effect on the cholesterol levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.
What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.
The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.
What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-
- Joint Hypermobility Syndrome
- Faulty Gene
- Siogren’s Syndrome
Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:
- Orthostatic Hypotension: Orthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
- Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
- Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.
When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.
Some people have a sore throat which they think will go away sooner rather than later. Well, while it may not seem serious, rheumatic heart disease means that it could potentially be! But, how exactly?
A sore throat usually comes about on account of bacteria affecting the region of the throat.
Sometimes what can happen is that the same bacteria can go all the way to the heart and damage the valves of it. This is very serious as the health of a person fundamentally depends on the health of his or her heart!
When a sore throat does not seem to be getting better even after about three days go by, the first thing which is to be done is to see a doctor. This is due to the fact that delays can result in the situation getting worse. As a result of this, treatment can get more complex. And who wishes to compound their own miseries, after all?
Children who are aged between five and fifteen years of age are at risk of rheumatic heart disease. Now, while it is true that children are likely to fall sick more often than adults as their immune systems may not be all that strong, a special eye is to be kept out for rheumatic heart disease. The general symptoms which a parent should look out for are a sore throat, a cough and a fever. The tough part is that these symptoms appear which a range of other conditions!
When it comes to knowing that rheumatic heart disease is what is affecting a person, a special blood test is taken and if there is a need, an ECG and some other measures confirm rheumatic heart disease. Penicillin is a wonder drug and it is used in the treatment of rheumatic heart disease, as well. It is the general form of treatment, in fact, and people with the disease are often put on a course of injections. This means that they need to have an injection every 28 days for a month so as to make sure that there is no further damage which can affect the valves of the heart. The importance of this cannot be impressed enough.
It is unfortunate that in many cases, people only discover that they have rheumatic heart disease once they reach adulthood. The valves of the heart may be leaking or significantly damaged by the time that the discovery is made. Is it not a lot better to save oneself from this sort of situation? If you wish to discuss about any specific problem, you can consult a Cardiologist.
Sudden cardiac death occurs when your heart stops functioning unexpectedly and suddenly. When this happens if you experience sudden cardiac arrest and blood stops flowing to the brain and other vital organs. Sudden cardiac arrest usually results in death if it is not treated within minutes.
Occurring during a heart attack, the sudden cardiac arrest should not be mistaken for a heart attack. The immediate cause of sudden cardiac arrest is usually an abnormality in your heart rhythm, which is the result of a problem with your heart's electrical system. Your heart has its own electrical stimulator, which is a specialized group of cells called the sinus node located in the upper right chamber of your heart. The sinus node generates electrical impulses that flow in an orderly manner through your heart to synchronize heart rate and coordinate the pumping of blood from your heart to rest of your body.
If something goes wrong with the flow of these electric impulses through your heart, a condition known as arrhythmia occurs, causing your heart to beat too fast or too slow or in an irregular manner. Often these interruptions in rhythm are momentary and harmless. But if it is severe it can lead to a sudden stop in heart function.
Ventricular fibrillation is the most common life threatening arrhythmia which is the uncontrolled twitching or quivering of muscle fibers. It must be treated immediately to save a person's life. It can be treated by delivering a quick electric shock through the chest.
There are many risk factors that increase the risk of sudden cardiac death including the history of previous heart attacks, coronary artery disease, smoking, hypertension, high cholesterol, obesity and diabetes. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Heart failure occurs when the heart fails to pump blood around the body and organs for oxygen and nutrients. As blood moves through the heart and body at a slower rate, pressure in the heart increases. The chambers of the heart stretch to hold more blood to be able to pump through the body. This helps the blood to move but eventually the heart muscle walls weaken, unable to pump blood efficiently. The kidneys, in response cause the body, to retain fluids. The leakage of fluid in the tissues and the organs congests the heart, leading to heart failure.
Any of the following conditions can be responsible for weakening the heart and causing heart failure.
1. Coronary artery disease: this is a disease of the arteries supplying blood and oxygen to the heart that causes decreased blood flow to heart muscle. If the arteries get blocked or narrowed (due to the buildup of fatty deposits), the heart fails to get oxygen and nutrients, which may eventually lead to heart failure.
2. Heart attack: if the artery becomes suddenly blocked or the plaques formed by fatty deposits rupture, it can lead to a heart attack. This happens due to the formation of a blood clot which may block blood flow to an area of heart muscle.
3. High blood pressure: high blood pressure puts an extra strain on the heart for it to work harder to circulate blood throughout the body. As a result, the heart muscle may become stiff or weak to effectively pump blood.
5. Other diseases: chronic diseases like diabetes, HIV, hyperthyroidism or a buildup of iron or protein can also lead to heart failure. If you wish to discuss about any specific problem, you can consult a Cardiologist.
The term 'chest pain’ is a very common term and is usually used in day to day life. Basically, chest pain refers to the pain that may generate in your chest, shoulder and can travel to your ribs, jaws and towards your arms. The feeling of the pain can be sharp or dull, depending on the severity of your condition and cause.
There can be several reasons behind chest pain. You need to conduct a few tests to examine the real cause of the chest pain. It is always advised by health experts to take the symptoms of chest pain very seriously in order to avoid any serious problem in the future. Most of the severe and life-threatening diseases behind chest pain involve lung and heart problems. People having serious heart problems often feel discomfort, followed by pain in their chest area.
- Feeling of fullness and tightness in the chest region
- Burning or crushing pain, which travels from the chest to jaw, hands and back region.
- Breathing problem
Usually, it is very tough to distinguish whether the pain is associated with a heart problem or not. But generally chest pains which are not related to heart problems involves symptoms like
- Sensation in your mouth
- Problem in swallowing food
- Pain that worsens when you cough
- Burning sensation in your chest
Common causes of chest pain
- Angina: Angina is a medical condition described as a feeling of discomfort or pain in the chest region. This situation occurs when your heart muscles don't receive blood, which contains rich oxygen. Angina is a symptom of Coronary Heart Disease (CHD). The pain can take place in your shoulder, jaw, neck and arms also.
- Lung problems: People with lung disorders can encounter various types of chest pains. But some common causes are:
- Pleurisy: It is a type of medical condition, which occurs due to inflammation of the lining of chest and lungs. Due to this, you feel a sharp pain at the time of breathing, coughing or sneezing.
- Pneumonia: It is a type of lung infection, which causes chest pain.
- Pneumothorax: It is a type of lung disorder, which occurs when a portion of your chest gets collapsed.
- Asthma: It is a type of condition, which occurs due to shortness of breath and causes chest pain while coughing, sneezing and breathing.
- Gastrointestinal problem: Gastroesophageal reflux disease (GERD) is also a common reason for chest pain such as burning sensation in your heart.
- Other causes of chest pain: There are several other reasons of chest pain such as muscle strain, ribs injury, shingles, anxiety and panic attacks. It is always important to visit a physician whenever you encounter any of such chest pain symptoms. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Coronary artery disease is the disease in which the major blood vessels (coronary arteries) that supply blood, nutrients and oxygen to your heart get damaged or disease stricken. It is mostly caused due to the coronary artery getting plagued or inflamed. The consequent reduction in blood flow to the heart causes the various symptoms of coronary artery disease like angina (chest pain), short breath etc.
Here is a list of a few symptoms that help in identification of the coronary artery disease.
1. Angina - Pressure or tightness may be felt in or near the area of the chest that results in pain. It is mostly felt in the middle or left side of the chest.
2. Shortness of breath - Another symptom of coronary artery disease is short breath, fatigue and a feeling of exertion.
3. Heart attack - Complete blockage of the coronary artery results in a heart attack that is a prominent symptom of coronary artery disease. A person may feel heavy pressure in the chest, pain in the shoulder or arm, sweating etc. prior to getting a heart attack.
Coronary artery disease occurs when damage or injury is done to the inner layer of the coronary artery. This damage causes plaque, which are deposits made of fat, cholesterol and other cellular waste materials to accumulate near the damaged area of the artery. This process is known as atherosclerosis.
The various causes that result in coronary artery damage are listed below.
- High blood pressure
- High cholesterol
- High stress
- Physical inactivity. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.
Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.
Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.
Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.
- Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
- Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
- A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
- Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
- Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
- Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life. If you wish to discuss about any specific problem, you can consult a Cardiologist.