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Madras Medical Mission

Cardiologist Clinic

#4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai Chennai
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Madras Medical Mission Cardiologist Clinic #4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai Chennai
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Madras Medical Mission
Madras Medical Mission is known for housing experienced Cardiologists. Dr. Siva Kumar Pandian, a well-reputed Cardiologist, practices in Chennai. Visit this medical health centre for Cardiologists recommended by 75 patients.


08:30 AM - 12:00 PM


#4-A, Dr. J.Jayalalitha Nagar,Mogappair, Chennai
Mogappair Chennai, Tamil Nadu
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I had pain in left side chest. It is very light pain but it's become more when any force is applied on the body. It becomes good when we sleep moving right side.

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I had pain in left side chest. It is very light pain but it's become more when any force is applied on the body. It b...
Crushing pain usually in the center or left side of the chest and is not relieved by rest. Sweating, nausea, shortness of breath, or severe weakness may accompany the pain.
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How To Recover Quickly After Heart Surgery?

MS, Fellowship in Minimal Access Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), FALS(Fellow Advanced Laparoscopic Surgery)
General Surgeon, Srinagar
How To Recover Quickly After Heart Surgery?

Once the heart surgery is complete, the initial recovery process from the wounds and incisions can take almost two months. The doctor will give you instructions on how to take care of yourself post-surgery so you recuperate faster and be back in the pink of health.

Road to recovery

  1. The first step is to take care of the wounds; make sure that you keep the area of the incision dry. Avoid taking baths for the first few days. If you notice any sign of infection such as redness around the area, pus oozing out or high fever, then do not waste time consult a doctor. Experiencing symptoms such as the breastbone shifting and cracking when you move should not be disregarded at all.
  2. Post-surgical pain is another area that you need to address. The area adjoining the incision can be painful till the first few weeks pass and there may be pain and stiffness in the surrounding muscles as well. In case of a bypass surgery, the legs may hurt if the veins from the legs were used as grafts. The pain and the soreness will recede with time.
  3. Avoid heavy activity for the first two months post-surgery. Start with small tasks, and gradually build up your activity levels so that the body gets used to it. Avoid activities such as standing for 15 minutes or more at the same place and lifting heavy things. Make sure to consult your physiotherapist before you start with light exercises such as walking.
  4. The recovery process also depends on the type of food you eat; because eating healthy food can certainly rev up the recovery process. Initially, you may not feel like eating much, so get your appetite up in a gradual manner. It is best to avoid any junk meal at this point in time as that can adversely affect your body’s metabolism even further. It is important that you get the required amount of rest so that your body can recuperate.

High Blood Pressure - Its Myths And Facts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
High Blood Pressure - Its Myths And Facts!

High Blood Pressure
High blood pressure is also called as hypertension. Blood pressure is the total force that is exerted against the arteries walls as the blood flows through the arteries. If you have a high blood pressure problem then you should visit a doctor. High blood pressure can lead to various health complications if left uncontrolled or untreated. These health problems include loss of the vision, kidney disease, stroke and heart problem. It is a common problem. But it is important to diagnose it early so that treatment can be provided on time. You should check your blood pressure regularly as it would help you and your doctor to find the changes if any. Hypertension can be treated with the help of prescribed medicines or by making some changes in the lifestyle related to health.

Symptoms of High Blood Pressure
It is not necessary that people will experience symptoms in case of high blood pressure. Many people do not experience the symptoms. That is why it is generally known as a silent condition. When blood pressure reaches around 180/110 mmHg then it becomes a medical emergency called a hypertensive crisis. You will experience the symptoms at this stage. Check out various symptoms of high blood pressure that you may experience:

- High blood pressure may lead to nosebleeds.

- A headache, breathlessness, nausea, vomiting, and dizziness are some of the symptoms that you may experience due to a hypertensive crisis.

- Blurred or double vision is one of the symptoms or signs of high blood pressure.

- A condition of hypertensive crisis may lead to palpitations or forceful or irregular heartbeats.

- Children with high blood pressure may experience various symptoms including blurred vision, headache, nosebleeds, fatigue or Bell's palsy in which it becomes hard to control the muscles on one side of the face.

- Very young babies and newborns can also have high blood pressure. They experience various signs including respiratory distress, irritability, seizure, lethargy, and failure to thrive.

Causes of High Blood Pressure
A person has high blood pressure when the arteries walls receive a lot of pressure on a constant basis. High blood pressure causes are categorised in two categories including essential high blood pressure and secondary high blood pressure. Essential high blood pressure has no cause while secondary high blood pressure has an underlying cause. As per some evidence, there are some factors that can be responsible for essential high blood pressure. Check out some of the causes of essential high blood pressure and secondary high blood pressure:

- The more your age is the higher the risk of developing high blood pressure.

- If you have someone in your family who has the problem of hypertension then you are at a greater risk of developing high blood pressure.

- Both obese and overweight people are prone to develop hypertension or high blood pressure in comparison to other people who have a normal weight.

- Adult men are more prone to high blood pressure than adult women. Though, after the age of 60 years, both women and men are equally prone to develop high blood pressure.

- Lack of physical exercises may lead to hypertension or high blood pressure.

- Due to smoking, the blood vessels can become narrow leading to high blood pressure. Smoking also minimises the content of oxygen in the blood due to which the heart has to pump the blood faster to compensate, leading to high blood pressure.

- People who consume alcohol regularly are at more risk of developing high blood pressure than other people who do not consume alcohol.

- High salt intake increases the chances of developing hypertension or high blood pressure.

- Having a high-fat diet may lead to an increase in blood pressure.

- If a person has some stress from a long-term then it can create a serious impact on blood pressure.

- People with diabetes have greater chances of developing high blood pressure.

- As per some research, it has been noticed that if you have psoriasis then you are at a risk of developing diabetes and high blood pressure.

- Pregnant women are at risk of developing high blood pressure or hypertension than women who are not pregnant and are of the same age.


How is it diagnosed?
High blood pressure or hypertension can be easily diagnosed by taking a reading of blood pressure. Generally, most of the doctors check your blood pressure during your routine visit. You should get your blood pressure checked regularly, especially whenever you visit a doctor. If your doctor finds that you have high blood pressure then your doctor will ask you to take more readings regularly over the course of some days or weeks. It is not possible to give high blood pressure diagnosis just after one reading. That is why your doctor wants to check your blood pressure over the course of some more days. The level of blood pressure changes throughout the day. Sometimes blood pressure elevates due to stress that you may have during your examinations. So, your doctor wants more readings in order to confirm the diagnosis. If your doctor notices that your blood pressure remains elevated then your doctor may ask you to get more tests done to find out underlying conditions. These tests include:

- Urine test

- Screening for cholesterol

- Other blood tests

- Electrocardiogram (EKG or ECG) test for recording the electrical activity of your heart

- Ultrasound of your kidneys or heart

Doctors ask you to get these tests done in order to know about the secondary issues leading to high blood pressure. Tests will also help to find out the effects that elevated blood pressure may have had on the organs of an affected person.


Check out various ways that may reduce the chances of developing high blood pressure or hypertension:

- You should add healthy food items to your diet. You should eat a lot of vegetables and fruits every day. Your goal should be to add 10 servings of vegetables and fruits in a day.

- You should avoid foods which have high-sugar such as flavoured yoghurts, sodas, and cereals.

- You should monitor your blood pressure regularly as it helps to avoid various complications associated with hypertension.

- You should set goals in order to lose the weight. It will be more beneficial for you if you would be specific about your goals.

- You should reduce the intake of salt or sodium.

- Excessive drinking can lead to elevated blood pressure so you should reduce or avoid the consumption of alcohol.

- You should not drink plenty of those beverages which contain caffeine.


Treatment of High Blood Pressure
The treatment that is provided by your doctor depends on many factors including its severity, type of hypertension, causes of hypertension, chances of developing cardiovascular disease or stroke. Your doctor provides you with the best treatment as per your condition.

- Primary treatment options for hypertension: If your doctor finds out that you have a problem of primary hypertension then should make some changes in your lifestyle as it would help you to reduce your elevated blood pressure. If lifestyle changes only do not work for you then your doctor may prescribe you some medicines.

- Secondary treatment options for hypertension: If your doctor finds out the underlying cause of elevated blood pressure then your doctor would focus on treating that particular condition. If there is some medicine that is the cause of high blood pressure then your doctor will recommend you some other medicine with no side effects. There is a possibility that hypertension continues even after treating the underlying cause. In such case, your doctor would suggest you some lifestyle changes and prescribe medicines to reduce the elevated blood pressure. Your doctor continuously works with you to evolve your treatment plan as it is not necessary that what worked earlier will work now.

If the hypertension is not treated at the right time the excessive pressure on the artery walls can lead to damage of the blood vessels as well as some other vital organs. The factors on which the extent of damage depends are the severity of hypertension and for how long it has not been treated. Check out various complications associated with high blood pressure:

- heart attack and heart failure

- the problem in brain functioning and memory functioning

- thickened, narrow, or torn blood vessels in the eyes

- blood clots

- kidney disease

- metabolic syndrome

- aneurysm

- stroke      


Check out some of the common myths about high blood pressure:

Myth #1. There are people in my family with high blood pressure so I cannot do anything to prevent it.

It is a fact that if someone in your family has the problem of high blood pressure then you are more prone to develop hypertension or high blood pressure. But it is wrong to say that you cannot prevent high blood pressure if it runs in your family. Lifestyles changes help people to avoid high blood pressure even if it runs in their family.

Myth #2. I am a patient of high blood pressure and my doctor checks my blood pressure whenever I visit him so I need not check it at home.

Blood pressure keeps on fluctuating. If you record and monitor the blood pressure at home then you will able to provide important details to your doctor. This will help your doctor to decide whether the treatment plan is working or not. It is important that you take blood pressure readings daily, every morning and evening, or as per your doctor suggestion. 


High blood pressure or hypertension is a common problem. People generally ignore high blood pressure in its earlier stage but this should be avoided. High blood pressure can lead to severe health complications if left untreated for a long time. The common symptoms of high blood pressure are nosebleeds, vomiting, nausea, dizziness, and more. A high-fat diet, high salt intake, smoking, and lack of physical exercises are some of the possible causes of high blood pressure. Your doctor can easily find out that you have high blood pressure by taking a reading. If your doctor finds out that you have elevated blood pressure then he or she may ask you to get more readings. Once your doctor notices that the readings are continuously high then your doctor will ask you to get some tests done including urine test, blood tests, electrocardiogram test, ultrasound of kidneys and heart, and more in order to be confirmed about the diagnosis. A lot of complications are associated with high blood pressure including stroke, kidney disease, heart failure and blood clots. People have many myths or misconceptions about high blood pressure. If someone in your family has high blood pressure then you cannot do anything to prevent it is one of the common myths.

Tachycardia - All About It!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Tachycardia - All About It!

Tachycardia is also known as tachyarrhythmia. It is a common type of heart rhythm disorder. For adults, the normal resting heart rate is between 60 - 100 beats per minute. In tachyarrhythmia, the heart rate is greater than 100 beats per minute. The heart rate generally rises during exercise or when you take a lot of stress. But in case of tachycardia, the heartbeats are faster than normal in the upper or lower chambers or both while at rest. Various treatment options are available including medications and surgery to treat the heart disorder of tachycardia. Sometimes, people are not able to recognise the symptoms of tachycardia. Tachycardia can lead to serious heart problems or complications if not treated properly on time or left untreated. Heart failurestroke, sudden cardiac arrest, or death can be some of the serious complications of tachycardia. So, if you find out that you are suffering from the symptoms of tachycardia then should visit the doctor at the earliest for a diagnosis.

Due to the fast heartbeat rate, your heart is not able to pump the blood properly to your body. This can lead to various symptoms or signs of tachycardia:

-  Pain in the chest

-  Low blood pressure

-  Dizziness

-  Fainting

-  Shortness of breath

-  Lightheadedness

-  Rapid pulse rate

-  Heart palpitations

-  Sudden weakness

Sometimes, people do not experience the symptoms at all. They get to know about it from their doctor after the physical examination or electrocardiogram test.


Tachycardia happens when something disrupts the normal electrical impulses that control the rate of pumping action of your heart. Many things can cause the problem of tachycardia. Sometimes, it becomes hard to recognise the exact cause of tachycardia. Check out the various causes of tachycardia:

-  Drinking too much alcohol and beverages that contain caffeine can lead to the problem of tachycardia.

-  Many heart diseases including heart valve disease, heart failure, heart muscle disease, coronary artery disease, tumours, or infections can lead to the tachycardia.

-  Congenital heart conditions which are present at the time of birth can lead to tachycardia.

-  Sudden stress or hypertension can cause tachycardia.

-  Tachycardia can also happen due to smoking, the consumption of cocaine and some other recreational drugs.

-  Side effects can happen due to the intake of certain medicines which can result in tachycardia.

-  Electrolytes are the mineral-related substances required for conducting electrical impulses. The imbalance of electrolytes can lead to tachycardia.

-  Overactive thyroid, high or low blood pressure, fever, anaemia, certain lung diseases and more are some of the other causes of tachycardia.

How is it diagnosed?
As soon as you experience any or some of the symptoms of tachycardia, you should visit the doctor. The doctor will conduct a physical examination in order to diagnose the problem. Your doctor will ask you about your medical history and health habits. You may be asked to get some tests done including:

-  Electrocardiogram (ECG or ECK): It is a painless test done to diagnose tachycardia. The small sensors (electrodes) are attached to your chest or arms in order to record the electrical activity of your heart. This test helps your doctor to know what type of tachycardia you have and how problems in your heart leading to a fast heart rate. This test provides the information for a limited time period. If your doctor wants more information then he may ask you to use portable ECG devices.

-  Holter Monitor: It is a portable ECG device. This device helps to record your heart's activity for around 24 hours. You can easily carry this device in your pocket. It can also be worn on a belt or shoulder strap. If your doctor wants to check the record of your heart activity for a longer period then he may ask you to use this device.

-  Event Monitor: It is also a portable electrocardiogram device helps to monitor your heart activity for a few months or weeks. You wear this device for the whole day but it allows you to record the heart activity at the certain times. Whenever you experience the symptoms of fast heart rate, you have to push a button on the device in order to record. There are some monitors that automatically sense your abnormal heart rhythms and start recording your heart's activity. By the help of this, your doctor is able to see the activity of your heart at the time of your symptoms.

-  Electrophysiological test: This non-surgical test is done to confirm the diagnosis and to pinpoint the location where the problem is. In this test, a doctor inserts electrodes tipped catheters into your arm, groin or neck and guided through blood vessels to various spots in your heart. Electrophysiologist does this test in the EP lab.

-  Stress test: In the stress test, extra stress is given to you in order to check how your heart functions when it works hard. During this test, your doctor may ask you to do exercise may be on a treadmill or stationary bicycle and at the same time, your heart activity would be monitored.

-  Tilt-table test: If the electrocardiogram and Holter monitor fail to diagnose the problem then your doctor may perform a tilt-table test. This test helps to monitor the rhythm of the heart, blood pressure, and heart rate.

-  Blood tests: Blood tests help to know if thyroid problem or other substances leading to tachycardia.

-  Chest X-ray: Chest X-ray is done to check if your heart is enlarged. By the help of this test, the still images of your heart and lungs are taken to check their condition.

A healthy lifestyle can reduce the risk of tachycardia. The problem of tachycardia can be prevented by making some changes in health habits including:

-  You should quit smoking.

-  The intake of beverages that contain caffeine should be reduced.

-  You should reduce the consumption of alcohol.

-  Exercise and weight loss can also reduce the risk of tachycardia.

-  Avoid the situations that give you stress.

-  Avoid having spicy and fatty food and stick to a healthy diet.

The treatment depends on the cause of your tachycardia. It also depends on your age and health record. In tachycardia, the treatment is given to slow down the fast heart rate and minimize the complications that can arise in the future. The following treatment options are available for the people suffering from tachycardia:

Ways to slow down a fast heartbeat:
-  Vagal manoeuvres: It is an action performed to slow down your heart rate. Your doctor may ask you to perform this action during an episode of a fast heartbeat. The vagal nerve regulates your heartbeat and vagal manoeuvres affect this nerve. Manoeuvres include coughing, heaving as if you are having a bowel movement and putting an ice pack on the face.

-  Medications: If vagal manoeuvres do not show any result then your doctor may give you an injection of an anti-arrhythmic medication for restoring the normal heart rate. Your doctor may also recommend you pill version of an anti-arrhythmic drug.

-  Cardioversion: In this, an electric current is given to your heart through electrodes placed on your chest. This helps to restore a normal heart rhythm. This treatment method is used when there is an emergency or vagal manoeuvres and medications do not work with your type of tachycardia.

Ways to prevent episodes of a fast heart rate:
-  Catheter ablation: In this, doctor inserts catheters tipped with electrodes into your arm, neck or groin and guide them through the blood vessels to your heart. This method is used when an extra electrical pathway is the cause of increased heart rate.

-  Medications: Your doctor may ask you to have anti-arrhythmic medications in pills version regularly to prevent a fast heart rate. Calcium channel blockers and beta blockers are the other types of drugs that may be prescribed by your doctor as an alternative to or in combination with anti-arrhythmic medications.

-  Pacemaker: Pacemaker helps in treating some types of tachycardias. A pacemaker is a small device that is implanted under your skin through a surgery. An electrical pulse is emitted by this device whenever it senses an abnormal heartbeat. The electrical pulse helps your heart to resume a normal beat.

-  Implantable cardioverter: In this, a device of pager size named implantable cardioverter-defibrillator is implanted in your chest through a surgery. This device helps continuously to monitor your heartbeat, detect an increase in heart rate and deliver calibrated electrical shocks, if required, in order to restore a normal rhythm of the heart. This treatment is recommended if you are having a life-threatening tachycardia.

-  Surgery: Doctors recommend surgery when all the other options do not work or when surgery is required to treat another heart disorder. Open-heart surgery is generally done to damage an extra electrical pathway leading to tachycardia. The maze procedure is another type of surgery in which a surgeon makes small cuts in heart tissue.

-  Ways to prevent blood clots:

-  Blood-thinning medication: Those people who suffer from the heart disorder of tachycardia have a great risk of developing a blood clot. A blood clot can cause a heart attack or stroke. For this purpose, your doctor may prescribe you blood thinners to reduce the risk of developing a blood clot.


The various complications that are associated with tachycardia are:

-  Blood clots: This is one of the common complications of tachycardia. Due to tachycardia, the risk of developing blood clots increase. Blood clots formation can lead to a stroke or heart attack.

-  Heart failure: If your condition of tachycardia is not controlled on time then it can make your heart weak. Weak heart increases the chance of heart failure. In heart failure, the heart does not pump the blood properly to all the organs of the body. Due to this, the body of the person can be affected from the left side, right side or both the sides.

-  Sudden death: Sometimes, ventricular tachycardia can lead to sudden death.

-  Other complications: The other complications of tachycardia are fainting, dizziness, tiredness, fatigue, and shortness of breath.

Myth #1:
 If your heart rate is higher than the normal resting heart rate then it means you are stressed out.

In tachycardia, the heart rate is greater than the normal resting rate. It is true that stress can spike your heart rate. But heart rate can also rise due to other causes including fever, anemia, thyroid disease, consumption of alcohol and beverages containing caffeine, smoking and more.

Tachycardia is a heart disorder in which the heart rate is higher than the normal resting heart rate. The normal resting heart rate is between 60 - 100 beats per minute for adults. People who suffer from tachycardia experience the heart rate of greater than 100 beats per minute. Sometimes, people are not able to recognize tachycardia as they do not experience the symptoms at all. Your doctor can help you to diagnose tachycardia through the physical examination and various tests. As soon as you experience any or some of the symptoms of tachycardia, you should reach out to the best doctor. Fever, high or low blood pressure, lung diseases, anemia, consuming alcohol, smoking, drinking beverages having caffeine, thyroid disease and various heart diseases can lead to tachycardia.

What Is Bradycardia?

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
What Is Bradycardia?

The normal rate of heart beats for humans is from 60 to 100 beats per minute. This is when the person is in a normal situation or at rest. The rate goes higher in conditions like exercising, stress etc. However, when the person is at rest and still gets the beat count less than 60, then it could be due to the condition of Bradycardia. This does not mean that it is an alarming situation whenever the count goes below 60, but it could be just a sign that something is not right with the electrical system related to the heart function.

There are three major types of Bradycardia, described as follows:
-  Sinus Bradycardia: The sinus node is the natural pacemaker for the heart. Its normal function is to generate the electrical signals for 60-100 times in a minute. When this node fails to function or gets delayed in generating the signals, then it is the condition of Sinus Bradycardia. This kind of Bradycardia is more prominent among children and athletes. It could be very slightly present that many times it goes unnoticed. Most of the causes that are listed below apply to this kind of bradycardia.

-  Sick Sinus Syndrome: This category of bradycardia leads to the irregular or abnormal rhythm of the heart. When the person has irregular heart rates or when they feel a sudden rise and fall (or slow and fast) heart rates, they might be suffering from sick sinus syndrome. This category of bradycardia is not as prevalent as sinus bradycardia. People with existing heart diseases, or who have gone through heart surgeries are a bit susceptible to sick sinus syndrome since their sinus node might have got damaged or affected. Even though when people face usual wear and tear of heart tissues, it can lead to this disease.

-  Heart block: The electrical signals in the heart need to flow to the chambers so that the oxygen-rich blood can flow properly. In case of heart block, the signals are not properly transferred among cells. In fact, the flow of the signal can completely stop in case of heart block. The medical term for this condition is Atrioventricular block. It depends on what degree it is present in. there is a mild degree or first degree which can cause no issues and is considered as closed to normal. Then, there is a third degree which is the most critical stage and is also referred to as “complete heart block”. In such a situation, the patient should be treated immediately. Generally, doctors don’t let the patients reach this stage provided patients take precautions and reports to the doctor timely. Though this disease can be by birth as well and it could also be caused by a heart attack. Other causes include inflammation of muscle in the heart, narrow arteries or coronary diseases and rheumatic fever. The rheumatic fever is very common in those children who don’t get proper treatment for strep throat.

Bradycardia Symptoms
Because of Bradycardia, the oxygen supply is not properly managed by the body, because of which some organs might not get enough of oxygen. Following are the symptoms of Bradycardia:

-  Fainting: Lack of oxygen can cause people to faint or feel the near-faint feeling.

-  Dizziness or light-headed feeling

-  Shortness of breath: Even when the physical work is done is not much, people with Bradycardia experience shortness of breath. This can also be accompanied by pain in the chest in some cases.

-  Misperceptions or difficulty in concentrating: The mind cannot focus well when the oxygen supply is not proper which leads to confusions and a non-alert mind.

-  Loss of memory: People can face a hard time remembering things.

-  Tiredness: Though some people get tired easily because of other reasons as well and one of the reasons could be Bradycardia.

Bradycardia Causes:
-  Ageing can cause heart tissues to damage which can lead to Bradycardia

-  The heart tissues can also get damaged because of some current/past heart disease or even heart attack.

-  It could also be by birth that the heart has this disorder.

-  The tissues in the heart can catch some infection-causing disorders of this kind. This is also known as Myocarditis.

-  If the person has gone through any heart surgery, then it might have left the heart vulnerable to Bradycardia.

-  Thyroid glands which do not produce enough hormones can also be a cause. This condition is called hypothyroidism.

-  Some chemicals like Calcium, potassium might not be present in the blood in balanced amounts, causing abnormal heart beat rates.

-  Disturbances in breathing while sleeping over a long time.

-  Fevers like rheumatic fevers or any such inflammatory condition can also cause Bradycardia.

-  Any drugs which can have an impact on blood pressure, heart rhythm or used to treat psychosis can affect the heartbeat leading to Bradycardia.

All the above factors can have some impact on the electrical signals which are generated by the sinus node. The sinus node is basically a pacemaker (which is biologically present in the heart) and generates signals which in turn makes the heart to beat. So, if the sinus node acts slower than usual, or fails to perform its action, then it causes abnormal heartbeats.

Another cause of Bradycardia is the blockage of electrical signals in the pathway to and from the heart. To understand or visualise the meaning of ‘pathway’, it is important to understand how the heart works. The heart consists of four chambers which are divided into lower and upper ones. The upper ones are also known as atria. This is where the sinus node is situated. When this node generates the electrical signals, it causes the atria to contract which pumps the blood into the lower chambers of the heart. Those electric impulses reach the AV, which is the atrioventricular node. This further transfers the signal to some cells which in turn sends them to right and left ventricle. The right ventricle is responsible for sending blood which does not have much oxygen in it to the lungs and left ventricle is responsible for sending blood full of oxygen to the body. This is how the signals play a vital role in the body and those signals can be affected by multiple factors stated above.

How Bradycardia is Diagnosed?
Bradycardia can be a bit tricky to diagnose because the symptoms might not be present all the time. They could come and go. The testing used to diagnose Bradycardia is an electrocardiogram. This testing, also known by the name EKG, helps in measuring the electrical signals generated in the heart.

The symptoms might or might not appear while testing. If they do appear, then the diagnose because apparent, otherwise, the doctors need to observe and investigate more. For that purpose, they sometimes recommend wearing a monitor which monitors the heart beats for 24 hours. Other ways by which doctors diagnose is closely examining the symptoms in different situations and asking about the family history of the patient. It is important for the patient to be able to provide all the information to the doctor to avoid any misdiagnosis.

Bradycardia Prevention 
Prevention methods of Bradycardia are same as those of heart diseases. Take the necessary measures to avoid any kind of heart diseases. If you already have a heart disease of any kind, then you might need to monitor your heart beats during the day and even in the night. If there are any discrepancies found, you should consult the doctor immediately before Bradycardia takes over. Early detection can reduce the risk of having this disease. Following are the generic ways to keep your heart healthy and avoid any kind of heart diseases:

-  Adopt a diet which has low sodium content in it.

-  Maintain the body weight as per the BMI index. Being overweight is a very common reason for heart diseases. Keeping the weight under control will not ensure that you are safe from heart diseases, but greatly reduces the chances of catching them.

-  Stay active- do some form of physical activity every day for at least 30 minutes.

-  Quit smoking if you are a smoker.

-  Avoid processed sugars at all costs. Things like cakes, chocolates, brownies, cookies, candies etc. should be avoided. These things can be replaced by natural sugars like fruits or dried fruits like figs etc.

-  Eat lots of fruits and vegetables which aids a low-fat diet. Fruits are rich in vitamins and have good fibre which aids digestion and keeps the body hydrated.

-  Keep an eye on cholesterol and sugar levels and keep them under control always. Differentiate between good and bad cholesterol and get yourself checked timely to notice any changes and progress in your controlled diet. The cholesterol levels can be maintained by eating nuts and avoiding fried food like fries etc. Junk food of all kinds mostly have a good amount of bad cholesterol and should certainly be avoided.

-  Use of alcohol also needs to be monitored. If you must drink at all, the allowed dosage is one drink per day for women. It could be two drinks for men, but that applies to very healthy individuals and varies greatly from the condition of one individual to other. Based on your health condition, your doctor can advise the allowed limits of alcohol consumption.

-  Taking drugs (recreational) is strictly not recommended, irrespective of how small their quantity is or how less often they are taken.

-  Try to stay stress-free. Stress has a direct impact on heart and it also affects your gastrointestinal system.

Even while you practice all the above steps, going for regular check-ups and reporting any noticeable irregularities will be an ideal thing to do.

For people having a mechanical pacemaker, immediate consultation with the doctor is advisable since it could be the pacemaker which is not performing as expected.

Also, for people who already have any kind of heart disease, they should take their treatment plan very seriously and report to the doctor about any changes or unexpected events for further diagnoses. Neglecting the abnormalities by considering them a result of heart disease is not advisable.

Treatments for Bradycardia
The treatment plan is only devised by the doctors after careful examination. They base their decision on the original cause of Bradycardia. Treating the cause or the ‘underlying condition’ can heal this disease. This is like eliminating the disease from its roots. Also note that if there are no symptoms found but heartbeat is at times lower than 60, then the doctor might not take any action at all, also depending upon the person’s health history. But for most cases, the doctors will advise you to keep an eye on the heart rates in case if changes drastically or needs attention later.

If there are any medications which are causing the heart to slow down, the doctor might reduce the dosage to see if that positively impacts the heart. Doctors can also use a pacemaker, which keeps the heart rate in control.

Complications in Bradycardia
Below complications can be caused if the patient had symptoms of Bradycardia:

-  Fainting quite often.

-  Issues with heart when it tries to pump the required amount of blood- which can eventually lead to heart failures.

-  Sudden heart attack or even demise.

Myth #1:
It is often believed that if the heart rate is slow, it implies that the heart is weak. It is not always the case. There are certain reasons why people get this disease which is not related to the heart. For example, calcium content or disorders with Thyroid gland are also reasons for Bradycardia but they don’t imply a weak heart. When the heart tissues catch the infection, in those cases it can be said that heart is weak, but chances are that it is a temporary condition and can be fixed with the help of treatments.

I am 42 year old male and have bp for last 5 years, but I took tablet olvance 20 for last 1 year now I feel normal can I stop the tablet for few days and and then continue.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
I am 42 year old male and have bp for last 5 years, but I took tablet olvance 20 for last 1 year now I feel normal ca...
Yes you can, but continue to measure bp regularly once every 2 months. Restart when it rises again.
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I am 35 years old suffering from HOCM (enlarge heart) my ecg is not normal, is it curable bby homeopathy please advice.

BHMS, Dr. Hari Singh Gaur Central University, Sagar
Homeopath, Sagar
I am 35 years old suffering from HOCM (enlarge heart) my ecg is not normal, is it curable bby homeopathy please advice.
Homoeopathic medicine depand on symtams .so that detail fir present condition. Homoeopathic very useful heart problem.
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Sometimes I have breathing problem while yawning. Could you recommend some home remedies?

Homeopath, Noida
1. Do saline gargles daily. 2. Whenever possible do steam inhalation also. 3. Cover your nose and mouth with hanky for at least 30 sec when you go in dusty areas also when you go in and out of AC. As our nose is the most sensitive part of our body, When there is temperature difference between two rooms or inside n outside, then if we not protect our nose, it gets affected. 4. Drink Hot Liquids --Hot liquids relieve nasal congestion, prevent dehydration, and soothe the uncomfortably inflamed membranes that line your nose and throat. 5. Sleep With an Extra Pillow Under Your Head-- Elevating your head will help relieve congested nasal passages. If the angle is too awkward, try placing the pillows between the mattress and the box springs to create a more gradual slope. Homeopathic treatment has very encouraging results and gives relief in long term please ask for consultation with detailed information so that I can help you better.
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Sir I am 40 years old. I have bp problems. I take eslotel2. 5 for last 3 winter it increases 150/100 or140/100 something like that. What should I do.

General Physician, Jaipur
Sir I am 40 years old. I have bp problems. I take eslotel2. 5 for last 3 winter it increases 150/100 or140/1...
1. Increase physical activity 2. Check you lipid profile regularly 3. And one most important thing you have to take your medicine on regular basis.
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I have shivering on my tongue end and fire like irritation in my chest I have completed full body checkup but didn't found any flaw I can't able to know what is the problem I also have lower back pain and nerve pain in limbs please suggest me to found out my problem.

BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I have shivering on my tongue end and fire like irritation in my chest I have completed full body checkup but didn't ...
Exercises to Help Your Back Pain Go Away for Good Back curl: Lying on your back, pull one knee towards your chest and hold for 15 seconds. Side-to-side twist: Still lying on your back, bend your knees and place your feet flat on the floor. Bridge: Still lying on your back with your feet flat on floor, lift your hips and torso off the floor into a bridge.
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