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Dr. Avadhesh Khare - Cardiologist, Bhopal

Dr. Avadhesh Khare

86 (49 ratings)
MBBS, DM - Cardiology, MD - Medicine

Cardiologist, Bhopal

9 Years Experience  ·  500 at clinic  ·  ₹350 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Avadhesh Khare 86% (49 ratings) MBBS, DM - Cardiology, MD - Medicine Cardiologist, Bhopal
9 Years Experience  ·  500 at clinic  ·  ₹350 online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Avadhesh Khare
He has helped numerous patients in his 8 years of experience as a Internal Medicine Specialist. He studied and completed MBBS, DM - Cardiology, md medicine. You can book an instant appointment online with Dr. Avadhesh Khare on Lybrate.com.

Lybrate.com has a number of highly qualified Internal Medicine Specialists in India. You will find Internal Medicine Specialists with more than 43 years of experience on Lybrate.com. Find the best Internal Medicine Specialists online in Bhopal. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Nair Hospital Mumbai - 2009
DM - Cardiology - PGIMER RML Delhi - 2016
MD - Medicine - GMC Bhopal - 2012
Languages spoken
English
Hindi
Professional Memberships
American College of Cardiology

Location

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Avadhesh Narayan Khare Clinic

D-14, MLA Quarters, Near To SBI Bank, Jawahar ChowkBhopal Get Directions
  4.3  (49 ratings)
500 at clinic
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Lake City Hospital

B-27, Near Chetak Bridge, Sector-B, Kasturba NagarBhopal Get Directions
  4.3  (49 ratings)
500 at clinic
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Srijan Hospital

Raisen Road, Punjabi Bagh, Shanshah GardenBhopal Get Directions
  4.3  (49 ratings)
500 at clinic
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"Well-reasoned" 3 reviews "knowledgeable" 5 reviews "Very helpful" 7 reviews "Practical" 1 review

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Acute Coronary Syndrome - How To Diagnose It?

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Acute Coronary Syndrome - How To Diagnose It?

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms

The tell-tale signs of a heart attack are as follows:

  1. Chest pain and discomfort usually described as a tightness or burning in the chest region
  2. Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  3. Nausea and vomiting 
  4. Profuse sweating 
  5. Difficulty breathing 
  6. Dizzy or fuzzy feeling 
  7. Tired, extreme fatigue
  8. Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks, and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis

Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin, are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management

Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot - Using thrombolytics like clopedigrol 
  2. Nitroglycerin - To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy - Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required.

Educating people on how to identify a heart attack and manage it is very useful and can help save lives.
 

2785 people found this helpful

I have block arteries and i'm having difficulties in breathing. What medicine can I take?

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
I have block arteries and i'm having difficulties in breathing. What medicine can I take?
You need to share your angiography report and echo report. But it's better to consult cardiologist with bp pulse sugar check up. And other things. So one can give better opinion. With ecg also.
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Sir can I take rosufit 10 on daily basis. Last time when I've done lipid profile so doctor suggested me to have. Can this medicine can be taken on long term If not Then which are the medicines I've can take on daily basis for heart wellness.

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Sir can I take rosufit 10 on daily basis.
Last time when I've done lipid profile so doctor suggested me to have.
Can ...
You can continue it. Change in life style and wt loss. Recheck it. If it's significant then you might need to continue indefinite time. Get your HbA1c. On 6 month to yearly basis. If taking this medication.
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Heart Arteries - Know Blockages Of It!

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Heart Arteries - Know Blockages Of It!

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

Heart Valve Disease - Know Symptoms Of It!

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Heart Valve Disease - Know Symptoms Of It!

Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood in one direction and prevent the blood from flowing back into the ventricles of the heart.

Heart valve diseases can be classified as follows:

1. Valvular stenosis:
This condition occurs when the valves of the heart do 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.

2. 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:

1. 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 valves of the heart.

2. Congenital valve disease
This condition usually affects the pulmonary valve where the size of the valve is abnormal.

3. 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.

4. 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 disease are as follows:

1. Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
2. Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
3. Rapid weight gain: This condition can cause you to gain weight very rapidly.
4. It may cause swelling in your ankles, abdomen and feet.
5. This condition causes shortness of breath
 

2500 people found this helpful

I always have Pain left side in Chest. I have Done the ECG Test was Normal. But I Noticed that whenever I am in Stress the Pain will Start. My Cholesterol Level is a bit high n Uric Acid is also high. Do I have a Heart Problem. What Should I Do. Please Suggest.

MBBS, DM - Cardiology, md medicine
Cardiologist, Bhopal
I always have Pain left side in Chest. I have Done the ECG Test was Normal. But I Noticed that whenever I am in Stres...
Get tmt and echo done. Consult a cardiologist. If both normal. You have less likely hood of having heart trouble.
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I am 60 years old and I am suffering from slow heart beat as well I have thyroid and sugar as well BP. Last time I tame ECG. The lab tech he said to consult heart specialist.

MBBS, DM - Cardiology, md medicine
Cardiologist, Bhopal
I am 60 years old and I am suffering from slow heart beat as well I have thyroid and sugar as well BP. Last time I ta...
Just check weather you are on any beta blocker for hypertension. It can cause bradycardia. Just consulting doc with your current drugs you are on. Will help you easily.
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Modlip 10 has any side Effect Thyrox 50 has any Side Effect Can thyroid be cured by Simhasan Yoga?

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Modlip 10 has any side Effect
Thyrox 50 has any Side Effect
Can thyroid be cured by Simhasan Yoga?
Thyrox is form of hormone which already find in our body so rare chance of any side effect. Modlip you are taking low dose but still people get little weakness or sometime little derranged liver function test.
3 people found this helpful
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I am 49 year old male want to check for Blood Sugar and ketone in Urine. So what is the test I will have to undergo? Thanking you

MBBS, DM - Cardiology, md medicine
Cardiologist, Bhopal
I am 49 year old male want to check for Blood Sugar and ketone in Urine.
So what is the test I will have to undergo?
...
Urine routine examination from lab, or dip stick test in any hospital or such thing also available in medical store. Colour coding there which can help you.
3 people found this helpful
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