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Dr. Asa

Cardiologist, bishnupur

100 at clinic
Dr. Asa Cardiologist, bishnupur
100 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Pacemaker For Heart Failure And Its Implications

DM (CARDIOLOGY), MD (MEDICINE), MBBS
Cardiologist, Gurgaon
Pacemaker For Heart Failure And Its Implications

The treatment of heart disease has come a long way and one of the more important and fairly common devices used to correct rhythmic problems of the heart is a pacemaker. A pacemaker is a device which is put inside the chest or sometimes even the abdomen to send electrical pulses to the heart to keep it beating at a normal rate.

Pacemaker for heart failure

However, the implications in case of heart failure make the usage of the pacemaker much more complicated. In such cases, the device used is a special type of pacemaker which is also called a bi-ventricular pacemaker. This device sends electrical signals to pump the ventricles of the heart so that they can pump at the same time.

There are many factors to be aware of before undergoing this treatment. Some of the factors to consider are mentioned below.

  • Requirement for a pacemaker in case of heart failure - When a patient has heart failure, their ventricles or lower chambers of the heart aren't able to pump enough blood into it. This could be due to physical problems with the heart or problems with the electrical system within it which cannot function normally. The doctor will perform multiple tests to determine whether a patient is the right candidate for a pacemaker for heart failure.
  • The procedure - In most cases the device is fitted into the chest and it is done without an open heart surgery. Precautions and post operative care for a minor surgery should be followed. The doctor makes a minor incision on the chest and then inserts the device along with three leads which are connected to the ventricles to ensure they keep pumping properly. Sometimes another device known as the ICD or the implantable cardioverter-defibrillator may be put in to shock the heart back to a normal rhythm in extreme cases where the change of sudden death from high heart rate is a possibility.
  • Immediate post operative care - As mentioned above, the surgery involved in putting a pacemaker is a minor one and the patient is usually discharged in next 2-3 days or may be more depending on the comorbidities & complexity of the scenario. However, in most cases, people can go home the next day fairly easily although some monitoring is done for the next few days with daily reporting.
3409 people found this helpful

My HDL cholesterol level is 32 & triglycerides serum is 199 & Surge fasting 179 for which I have taken tonact 10 mg once daily and Glycigon M twice daily could you please tell me the dose correct or I will have to change the medicine. Expecting early reply.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
My HDL cholesterol level is 32 & triglycerides serum is 199 & Surge fasting 179 for which I have taken tonact 10 mg o...
Consult with blood sugars f and pp hba1c ecg bp. Please pay rs180. Prepaid for consult. Diabetic diet no sugar whole grains high fibre methi karela jamun saragwa kankora.
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Hi, my mom is 53 years old and she is a patient of high blood pressure and blood sugar. Please advise me remedies without any medication. Thanks.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Hi, my mom is 53 years old and she is a patient of high blood pressure and blood sugar. Please advise me remedies wit...
Without medication it is hard to control sugar and blood pressure. Any how avoid sugar, junk food,fried food and fruit juices. Exercise regularly.
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I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . for uric acid take tab. zyloric 100 mg once a day. tab. bencid 500 mg once a day. tab. naprosyn 500 mg sos for pain.
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As per the last medical test done as per my company policy, my Cholesterol is 203.28, Triglycerides is 285.99, HDL is 37.2, LDL is 125.22, Cholesterol - VLDL is 40.86. It seems these are on a higher side. While some have advised medications, I do not want to be under continued medication but willing to do some lifestyle changes and exercise regime. Kindly advise.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
As per the last medical test done as per my company policy, my Cholesterol is 203.28, Triglycerides is 285.99, HDL is...
Rt. You are over wt bmi being apprx 26. Lipid profile needs to be improved, you can try following life style changes for 3 months, and then rpt the test avoid alcohol. Reduce body wt, stop smoking, diet- no ghee, butter, potato, rice, sugar, no fast food, more fruits and vegetable, dry fruits, daily min 35 mts brisk walk daily 365 days. Intimate progress after 1 month.
5 people found this helpful
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This is for my Mom. She is 53 years old. Her foots are cracked since 10 years. Body is Dry skin nature. Takes several creams like Vasceline, Herbolene etc. Ate some tablets too. She is a high bp patient, now taking Amgaurd 5mg. Now she's in trouble to walk and attend other programs. There's no other diseases or medicines used. Please give us a hopeful reply from you. Thank you.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
This is for my Mom. She is 53 years old. Her foots are cracked since 10 years. Body is Dry skin nature. Takes several...
Hi lybrate user. At first you have to follow some basic things so that you get better results in a short period of time. 1) take food two times in a day only 2) drink only 100-150 ml of lukewarm water during meals 3) avoid late night sleeping habits 4) avoid oily, spicy, salty, junk, fast and fermented foods. A) take half tsf of avipattikar churna and half tsf of lavanbhaaskar churna after meals. B) apply paste of tankan, lemon juice and honey on cracked heels. C) take 30 ml of aloe vera juice along with 30 ml of trifala juice and 30 ml of lukewarm water at night before sleep. Do all these things for thirty days and reply me for further suggestions. Thanks.
1 person found this helpful
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Hello. I am 48 years few days back I went for lipid profile test. Total cholesterol was 267. Tricychilde-200, LDL-130, HDL-45 should I take medicine? Fasting blood sugar 85, TSH 6.0. Please advise.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Hello. I am 48 years few days back I went for lipid profile test. Total cholesterol was 267. Tricychilde-200, LDL-130...
no, try to control it with diet and exercise first for 2-3 months. if no results, then only start medicines
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my lipid profile report is Sr. cholesterol Total 248.9Sr. HDL cholesterol 62.4Sr. LDL cholesterol 134.9Sr. VLDL-cholesterol 51.6Sr. triglyceride 257.6. I want to know how can I bring my cholesterol under control.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
my lipid profile report is Sr. cholesterol Total 248.9Sr. HDL cholesterol 62.4Sr. LDL cholesterol 134.9Sr. VLDL-chole...
you can take tab. atorvas-10 at night after meal for 30 days. You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. Welcome in lybrate.
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My cousin have severe chest pain and when he consulted a doctor he diagnosed and asked to take a echo cardio gram. And when the echo cardio gram results says that there was a left ventricle diastolic dysfunction. Actually what it means. Can yo explain this.

MBBS, MBA (Healthcare)
General Physician, Delhi
My cousin have severe chest pain and when he consulted a doctor he diagnosed and asked to take a echo cardio gram. An...
it indicates that filling of blood in left ventricle is less. and ejrction fraction ie pumping is low.
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I'm 28 . I have cholesterol problem. I'm taking medicines for the same from last 2 months. But stil the cholesterol level is high. I want to know whats the reason of rise in cholesterol level. In my family no one has heart problem.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm 28 . I have cholesterol problem. I'm taking medicines for the same from last 2 months. But stil the cholesterol l...
some families have cholesterol. others have high cholesterol due to wrong eating habits by taking more fats. you can reduce by taking less of bad fats like street food , packed foods but do take a spoon of good fats like pure ghee/butter and a katori of assorted nuts to give you good fats and proteins. drink fresh lemon juice plus spoon of honey with warm water everyday on empty stomach. you can have lemon juice during the day also. apple cider vinegar does reduce cholesterol. dilute it with water or juice. some people claim that pomegranate juice or fruit does help reduce cholesterol.other fruits with fiber also absorb cholesterol and reduce it. no juices -real or synthetic. eat fresh and natural. try all of the above as none has any side effects but do not take medicines to lower cholesterol.
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I am Moideen, my mother was died 3 weeks ago by heart attack. Now I am also feared about heart attack. What type of pf symptoms are expressed during heart attack?

BAMS, MD Ayurveda
Sexologist, Lonavala
I am Moideen, my mother was died 3 weeks ago by heart attack. Now I am also feared about heart attack. What type of p...
Try the following remedy it will surely help you Natural home remedy using milk, almonds and rose petals: 1. Take 1 glass cold milk 2. Crush 4-5 almonds 3. Crush 5-7 dried rose petals 4. Add 2 tsp of crushed almonds to the milk 5. Add 2 tsp crushed rose petals 6. Mix well 7. Drink this when thirsty This is very helpful for you.
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I am having a minor chest pain on my right side since few days. I smoke. ANd just after smoking I get an instant cough for once or twice and sometimes I feel a bit weak and lazy. What can be done to overcome this problem sir or madam whomever addressed.

M.Ch. CVTS
Cardiologist, Ahmedabad
I am having a minor chest pain on my right side since few days. I smoke. ANd just after smoking I get an instant coug...
Occasional pain on right side not relayed to exertion is probably non cardiac origin. Smoking at this young age can reduce your life span considerably. You are exposing yourself to the risk of heart attack, lung cancer, copd and many more diseases. All though your current medical problem might not be serious at present smoking can land you in serious trouble 10-20 years down the line.
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My uncle is a heart patient so what type of curiosity we taken for heart patients.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My uncle is a heart patient so what type of curiosity we taken for heart patients.
A heart patient needs to follow the following to maintain good health and quality life. 1. Healthy diet 2. Salt restriction 3. Regular activity as per doctors advice 4. Weight control 5. Avoiding stress 6. Stop and avoiding smoking 7. Regular sleeping most importantly 8. Taking drugs regularly.
2 people found this helpful
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Is it possible to get rid of hypertension without medicines, how can one achieve that.

BAMS
Ayurveda, Ambala
Is it possible to get rid of hypertension without medicines, how can one achieve that.
To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily. • Do exercise daily, jogging and long walk. Start time of exercise with 5 minutes and increase time slowly. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
6 people found this helpful
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My wife has a high blood pressure measuring 140/90 and its some times goes up. I tried ayurvedic medicine but its not working. Please suggest some good medicine which can control her bp.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My wife has a high blood pressure measuring 140/90 and its some times goes up. I tried ayurvedic medicine but its not...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days.
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How can I reduce my weight? Now I am 56 years of age, weight 70 kg. I have hypertension, no blood sugar, cholesterol is slight high, to maintain it I am taking 2 pieces of garlic.

MSc
Dietitian/Nutritionist, Chandigarh
How can I reduce my weight? Now I am 56 years of age, weight 70 kg. I have hypertension, no blood sugar, cholesterol ...
Being a dietitian my views: there is no single diet chart for everyone. To plan a specific diet we do collect lot of information like height, weight, food frequency, digestive history, medical history, likes, dislike, lifestyle, eating habits. Remember one thing to follow a diet it should be personalized according to person's body type and not generalized. Starting with there is no pills or powder or shake which can help you to lose weight in a healthy way. To lose weight eat an hour within walking up and dinner at least 2 hours before you sleep. Avoiding eating anything after dinner. Breakfast should be your king size have good complex carbohydrates and protein rich. Eat every 2 hours small frequent meal do help in weight loss. And do not overeat. One can come to ideal body weight with few lifestyle modification. Have green tea only 2 cups a day. For exercise I would say diet plays 80 % role and exercise plays 20 % role in losing weight. Personal advise on gym. You should not make your body habituated with machines rather do simple walk or surya namaskar or planks. So only with healthy eating one can lose weight.
2 people found this helpful
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I smoke daily. Im having a chest pain since 2 weeks. How can I stop smoking? Plzzzzz help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I smoke daily.
Im having a chest pain since 2 weeks.
How can I stop smoking?
Plzzzzz help me.
You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.
1 person found this helpful
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My mother have problem of High pressure, sometimes she becomes angry and it also effect on her sleep, what should I do?

MBBS
General Physician, Delhi
My mother have problem of High pressure, sometimes she becomes angry and it also effect on her sleep, what should I do?
her problem appears to b stress induced high bp what r her b p readings what treatment is she taking?
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Want a Healthy Heart - 11 Foods You Must Have!

Master in Food & Nutrition, B.Sc. - Home Science
Dietitian/Nutritionist, Faridabad
Want a Healthy Heart - 11 Foods You Must Have!

While every organ in the body needs to be cared for, the heart assumes a very special place. What is good for the heart can be good for the whole body and the reverse is equally true. The effects of a diet that is unhealthy for the heart is definitely unhealthy for the whole body.
With lifestyle changes like heart disease, diabetes, obesity and stroke are on the rise, the importance of eating a heart healthy diet has assumed all new levels of importance. The following are some of the heart healthy foods that should be a part of everybody’s diet.

  1. Fatty fishes: Salmon, sardines and mackerel are loaded with generous amounts of Omega-3 fatty acids and reduce the risk of arterial plaque buildup. They are also rich in antioxidants. Eating fish at least twice a week is recommended; for non-fish eaters, supplements of Omega-3 fatty acids are recommended.
  2. Oatmeal: Oats again are rich in Omega-3 fatty acids, folate and potassium. It is also rich in soluble fibre and is believed to lower bad cholesterol and keep the arteries free of plaque. It soaks up the cholesterol in the digestive system and helps manage cholesterol.
  3. Avocado: This creamy fruit has loads of monounsaturated fat which helps lower the levels of bad cholesterol and improve levels of good cholesterol. They also improve absorption of other carotenoids like lycopene and beta-carotene, which are also extremely heart friendly.
  4. Berries: Blueberries, strawberries, and other berries reduce the risk of heart attack by almost one-third. These are rich in compounds like anthocyanins and flavonoids which are proven antioxidants. They relax the blood vessels and reduce blood pressure and reduce the incidence of heart attacks.
  5. Dark chocolate: Chocolate which contains 60-70% cocoa is rich in polyphenols, which helps blood pressure, clotting, and inflammation.
  6. Olive Oil: Loaded with monounsaturated fats, this helps reduce levels of bad cholesterol and reduce the risk of heart disease. The extra-virgin variety is preferred for cooking in place of regular vegetable oils.
  7. Nuts and seeds: Almonds, walnuts, pistachios, peanuts, and macadamia nuts are packed with mono and polyunsaturated fats, fibre, and vitamin E. Flaxseed is rich in omega-3 and omega-6 fatty acids and can be added to oatmeal or eaten raw.
  8. Soy: Soy products, including tofu and soy milk, are ideal for adding protein and reducing cholesterol and polyunsaturated fats, fibre, vitamins, and minerals.
  9. Legumes: These are high in omega-3 fatty acids, calcium, and soluble fibre.
  10. Spinach: Helps with its rich content of fibre, folate, lutein,and potassium. In fact, most vegetables have a beneficial effect.
  11. Green tea: Rich in antioxidants, it reduces the risk of heart disease and stroke.

Include some of the heart healthy foods and see your heart smile!!

7 people found this helpful

I am extremely stressed because of some personal issues over the last couple of weeks. And I have an occasional chest heaviness. Sometimes it subsides with taking an antacid. Please guide what needs to be done.

DM Cardiology
Cardiologist, Delhi
Dear , everybody has some or other forms of stress, but it does not lead to chest pain. If you are having chest pain, get a tmt done and show me the reports.
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