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Miot Hospital

Cardiologist Clinic

4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center, Chennai Chennai
1 Doctor
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Miot Hospital Cardiologist Clinic 4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center, Chennai Chennai
1 Doctor
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Miot Hospital
Miot Hospital is known for housing experienced Cardiologists. Dr. Robert Coelho, a well-reputed Cardiologist, practices in Chennai. Visit this medical health centre for Cardiologists recommended by 45 patients.

Timings

MON-SAT
09:00 AM - 05:00 PM

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4/112, Mount Poonamallee Road, Manapakkam, Landmark: Near Chennai Trade Center, Chennai
Poonamallee Chennai, Tamil Nadu
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Options to Angioplasty - A Scientific Understanding!

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Options to Angioplasty - A Scientific Understanding!

When a person suffers from the typical symptoms of heart weakness that includes breathlessness, weakness, sudden sweating, discomfort while doing minor exertions, chest pain, pain radiating along the arms, back, neck and shoulders and other symptoms, the Doctor will ask for investigations to study the heart.

The Heart is a muscular organ in the chest and like any other muscle in the body, it has its own unique blood vessel network that does the function of supplying nutrition to the heart muscles. Like any network, the Cardiac blood supply also begins with major vessels that branch off into minor and then very small blood vessels. It is these very small blood vessels that actually reach the muscle fiber to give nutrition.

When this is a problem with the free flowing blood to reach the muscle cells, the strength of the heart muscles reduces and the overall heart functioning is in trouble. Until now, it was commonly believed that cholesterol deposits make blockages in the blood vessels that cut off nutrition supply causing the heart to go into disease stage. Today, extensive research has proved that there are many reasons for hampered blood supply to heart muscles, and plaque formation (blockages caused by cholesterol deposits) need not be the reason for heart attacks entirely. Blood vessel disease called Atherosclerosis is the root cause.

In modern times, if the patient consults a cardiologist, the first line of investigation prescribed is the Angiography. This procedure requires the patient to be admitted to the hospital. Under anesthesia, the Doctor will make a cut/incision in a major blood vessel of the thigh joint or the arm. He will then insert a tube called catheter into the blood vessel and guide it through the major arteries till it reaches the important position from where the blood vessels that supply nutritious blood to the heart muscles is reached. At this position, a dye is pushed into the blood flow and a series of specialized X-rays are taken that will show the blood vessels.

In these images, it is the Doctor’s expertise that will identify positions where the blood flow is reduced, or disturbed. The dye has a short life span and is able to show flow dynamics only up to the secondary blood vessel network. The Doctor will determine which part of the heart blood vessels are affected based on these images, the length of the plaque, position and kind of blockage and derive the damage to heart, based on these anatomical visuals. The catheter is then removed; the blood vessel opening stemmed and the patient has to remain immobile in the hospital till the blood vessel improves. The Doctor will prescribe a list of medication that includes beta blockers, aspirins, statin and antibiotics.

Very often, if the Doctor decides, he will suggest the next procedure of Angioplasty immediately. This procedure involves pushing a mini wireframe tube called ‘stent’ or an inflatable balloon through the same catheter to the area of blockage. This balloon or stent is guided to the area of the blockage and mechanically expanded to push aside the plaque to help the blood flow resume. There are different kinds of balloon and stent procedures.

None of these procedures “removes” the blockage plaque. The procedure helps to resume blood flow in the major arteries only. 

No invasive therapy is safe and there is a lot of reports backed by Research Data from very reputed global authoritative organizations that highlight the unnecessary number of angio procedures being done as well as the side effects of these procedures within few months. (Many Stent Procedures Unnecessary” Heart Drugs Just as Good at Preventing Heart Attacks, Death in Some People, Study Shows By Charlene Laino: March 26, 2007 (New Orleans).

Can blockage affect a person after having angiography?

It is important for the patient and patient’s family to understand that the blockage formation process in the body does not reverse with an angioplasty or even a Bypass procedure. The patient suffers from the same kind of symptoms as earlier when new blockages form in different sections of the coronary network or very often, when a deposit / scar forms within the stent itself leading to hampered blood flow. This ‘reformation of blockages’ is referred to as restenosis. This is the greatest problem registered in current studies of patients after angio and bypass and this is seen within few weeks to after 10 to 14 months of the procedure.

The reformation of blockages or further formation of new sites with blockages depends on the individual patients health condition. Patients who are Diabetic, High BP, on certain kind of long term medication, obese, with bad lifestyle; all have the additional threat of secondary attacks.

Restenosis cannot be prevented with another stent or bypass procedure. The procedure only once again’ mechanically opens the blockage or in CABG, creates a bypass around the blocked blood vessel.

How can restenosis be prevented?

The only and best way to avoid restenosis is to make major changes in diet, exercise, weight management, stress management. It is also very important to be under the right kind of medication that will support the natural process done by the Liver and blood to reduce and wash out inflammation (that causes maximum problems in natural blood flow), repair blood vessels, reduce and remove existing blockages and scar tissue within blood vessels, add strength to the heart muscles.

Ayurveda has many proved medication combinations that include Arjuna (improves Heart muscle condition) Draksha (powerful anti-oxidant and liver repair) Dadimba (Pomegranate is known to participate in repair of blood vessels and rebuild damaged vessels called Angiogenesis), Ashwagandha (Cardio-protective) and Colostrum (powerful immunity modulator, participate in muscular and nerve repair, Angiogenesis Growth Factor, Endothelial growth Factor, Nerve growth factor, PDGF, natural Vitamins and Minerals).

These treatments are now available in select Ayurvedic treatment centres and are also being proved with clinical pre and post investigations to support their success.

These new studies and treatments options should be searched out by the patient and his/her family to understand the reason of blockages, the possible need and safety of invasive procedures, the option to medicine based treatments before undertaking any invasive procedure. Remember, it is scientific research that has clearly proclaimed that less than 30 -20% of all the angio’s performed are necessary or have lasting effect on their own.

3 people found this helpful

I want heart healthy and to peace full mind and to deep sleep those are how possible to get please give some idea and food and some tips like friendly.

Vedicgram Ayurveda
Ayurveda, Noida
I want  heart healthy and to peace full mind and to deep sleep those are how possible to get please give some idea an...
Take light food at night, apply oil on head and do a little head massage. Also do massage of foot. Have makhana kheer (fox nut) at night.
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Hi Doctor, I am 64 Yrs old. My BP level fluctuates between 80/120 and 90/130. I am taking tazloc 40 in the morning and Amlong 5 mg at night, I am regularly walking 5 kms regularly in the morning. Speed 6 Kms/hr. My cholesterol level 200. Sugar fasting 120 Do I need any medicines.

MBBS, MD( GEN.MED) , PGDDM, FID( DIAB)
Diabetologist, Kottayam
Hi Doctor,
I am 64 Yrs old. My BP level fluctuates between 80/120 and 90/130. I am taking tazloc 40 in the morning an...
Ok. U are in the prediabetes stage. So concentrate on your diet and exercise. Continue walking. Take low glycemic index diet. Better to keep cholesterol less than 160. No need to take any medicine right now but repeat FBS and HbA1C regularly. Keep HbA1C less than 6.4.
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Dear sir, I have got hypertension 138/97 average, I am having dizziness and eyes blurriness rarely not daily. Dizziness will be there almost daily. Do I need to take treatment or I can reduce it by exercise and by walking and yoga. Please suggest valuable respond to my question. Thanks and regards chandrashekar.

MD - General Medicine, PG Diploma Clinical Cardiology
Cardiologist, Mohali
Dear sir,
I have got hypertension 138/97 average, I am having dizziness and eyes blurriness rarely not daily. Dizzine...
You should start daily walk for at least 30 min. Follow low fat and low salt diet. Avoid junk food, cut in sugars. Check BP regularly. If after doing all this for a month BP is more then 140/ 90 mmhg then start medicine.
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Cholesterol - 6 Interesting Facts About It!

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Bangalore
Cholesterol - 6 Interesting Facts About It!

Do you know that cholesterol is found in baby formula and has got some surprising facts about them? Cholesterol is a waxy, fat like substance which is present in all your cells, and your body’s cholesterol level says a lot about the health of your heart in the future. Having high cholesterol increases your risk of acquiring heart diseases and hence, you should try to maintain a normal cholesterol level.
 

Here are some surprising facts about cholesterol, which you should know about:

  1. You cannot live without cholesterol: We are born with cholesterol in our bodies and infants get more cholesterol from mother’s milk. This is why cholesterol is added to baby formula. All the hormones and cells of your body need cholesterol for proper functioning. It also builds the cells and helps the liver to prepare fat processing acids.
  2. One out of three adults have high cholesterol: It is important for all people above the age of 20 to get a cholesterol checkup every five years. According to studies, around 32% of adults in the USA have got high cholesterol levels. Your cholesterol levels may also be affected by factors such as your diet and stress.
  3. High cholesterol can be genetic: Genetics is a major influencing factor in high cholesterol levels. Research has proven that almost 75% of high cholesterol cases are genetic in nature while 25% occur because of diet.
  4. Children can have high cholesterol as well: There is a common misconception that high cholesterol is an issue involving adults only. However, children may also have high cholesterol and it is recommended for you to get your child tested at an early age. For children who are obese and have a family history of heart attacks and high cholesterol, a selective screening is important.
  5. Sweating raises the levels of good cholesterol: Sweating is good for increasing the levels of good cholesterol in your body. You should follow a healthy diet including food items like avocado and salmon. Working out is also important for raising your HDL levels, which prevent heart disease.
  6. Supplements may help in lowering cholesterol levels: The first option for controlling your cholesterol levels is to work out regularly. If you are at a risk of heart attack or have hypercholesterolemia, you have to bank on supplements such as plant stanols and sterols. You can also take cholesterol reducing medications such as statins.

Earlier, the medical community was reserved about prescribing cholesterol lowering medicines and they were given only to critical heart patients. In modern day, statin treatment is recommended to people who have even little chances of heart attacks or stroke.

5 people found this helpful

I got heaviness, tightness, tension, pressure, discomfort in my below neck or upper chest, when I eat or drink something.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
I got heaviness, tightness, tension, pressure, discomfort in my below neck or upper chest, when I eat or drink someth...
Long term use of anti depression medicines causes nervous weakess and many other side effects safe ayurvedic treatment for anxiety and depression no side effects your problems of heaviness etc after foods may be due to acidity 'avoid oily fried and fast foods consult me for treatment.
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My friend have died due to an attack. What made that happen? He don't drink or smoke and he was healthy too. What may be the reason?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
My friend have died due to an attack. What made that happen? He don't drink or smoke and he was healthy too. What may...
Dear user. I can understand your emotions. Smoking or drinking are not the only causes of myocardial infraction (heart attack). A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks. Some specific causes of sudden cardiac death in young people include: Hypertrophic cardiomyopathy (HCM). This is a disease in which the heart muscle (myocardium) becomes abnormally thick, making it harder for the heart to pump blood. Don't be so depressed about it. Convince yourself that anything can happen with anyone anytime. Take care.
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How to eat garlic for health benefits like reducing cholesterol level, should I chew it or swallow it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Msc.Applied Psychology
Ayurveda, Bangalore
How to eat garlic for health benefits like reducing cholesterol level, should I chew it or swallow it?
Hi you can do one thing. Soak garlic in honey for some days. After a few days take one or two garlic along with little honey in empty stomach.
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I observed and feel last few days chest pain upper right, when I take rest in my bed or seat then I feel, recently I check ecg it's normal but cholesterol is 218.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I observed and feel last few days chest pain upper right, when I take rest in my bed or seat then I feel, recently I ...
Dear lybrate-user, Cholesterol at 218 is absolutely fine. It does not require any medication. You have to keep healthy lifestyle, proper exercise, diet, stress free life to stay healthy. The pain in your chest is likely to be anatomical. Do some shoulder, arm, neck rotation, extension and strengthening exercises gently. It should solve the problem regards.
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Hi my big brother age 35 and his bp 150 or 160 and 90/95 And he is taking Amlovas 5 on morning What we should doing.

MBBS
General Physician, Mumbai
Hi my big brother age 35 and his bp 150 or 160 and 90/95 And he is taking Amlovas 5 on morning What we should doing.
Dear Lybrateuser, - Along with medication your brother has to strictly follow lifestyle changes to bring his BP down - diet should contain more of fibrous foods, vegetables including green leafy & seasonal ones, fruits, whole grains like whole wheat, brown rice, oats, barley, low fat milk & milk products, lean meats especially fish like mackeral, tuna, sardines, salmon, soya products, mixed nuts like almonds, walnuts, pista, cashews - restrict salt & salty snacks, saturated & trans fat containg foods - do regular exercise like brisk walking, jogging, swimming, play game for 20-30 min, also do yoga, meditation & deep breathing for 5-10 min daily - destress by reading, listening to music, following a hobby - do regular checkups as advised by your doctor.
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Sir, My report about cholesterol as follows: Total cholesterol: 260 mg/DL HDL :34 LDL: 167 Triglycerides: 362 VLDL: 73 Non HDL: 226 How to control this?

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir, My report about cholesterol as follows:
Total cholesterol: 260 mg/DL
HDL :34
LDL: 167
Triglycerides: 362
VLDL: 7...
You have a slight increase only and need to reduce diet and do exercises. You have to check again after one month and if not normal you may need medicines.
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Hi doc, I have recently entered into 30 years and sometime I feel heaviness in my chest. This issue is since very long. I consulted one doctor as well but nothing came out in Ecg test. I feel muscle contraction. Can you suggest any health test which I should undergo.

MBBS, MD, Fellowship in Intergrative medicine
Integrated Medicine Specialist, Kochi
Hi doc,
I have recently entered into 30 years and sometime I feel heaviness in my chest.
This issue is since very lon...
Doing ECG alone does not rule out heart disease. A detailed history dietary ,medical, job, stress,family history as well as characterization of pain needed to be evaluated before giving proper advice .What lab tests were done .No mention about that There is no use of putting a band aid temporary fix. You have to go to the root cause and treat it. Take a consult for specific advice.
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I am suffering from dry cough for the last one week and I have chest pain when ever I cough hard. Can you suggest what should be done.

MBBS
General Physician, Mumbai
I am suffering from dry cough for the last one week and I have chest pain when ever I cough hard. Can you suggest wha...
Dear lybrateuser, - Do warm salt water gargles three times a day - avoid all cold fluids including aerated drinks, have more of warm fluids water, tea, coffee, soup - mix 1/4 teaspoon of turmeric powder in a cup of warm milk & have twice a day - take syrup Chericof, 2 teaspoonful three times a day - take tablet Sinarest, 1 tablet three times a day after meals - have a well balanced diet with more of fruits & vegetables including green leafy & seasonal ones, whole grains, protein foods to boost your immunity.
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Im having BP of 140. I wanna be a professional singer. Will my BP increase if I sing?

MBBS, PG Diploma In Emergency Trauma Care, fellowship in diabetology
General Physician, Bangalore
Im having BP of 140. I wanna be a professional singer. Will my BP increase if I sing?
Hello thanks for your Query. I don't think BP will increase by singing. stress will definitely increase it. 140 is borderline. Recheck when you are at complete rest. All the best for singer life ahead.
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My father is suffering from borderline high cholesterol the range is 200-239 mg/DL. I knw that the oily things is to be avoid but can anyone tell me that how much protein and carbohydrate needed to him on the daily basis and water .And also told me that how much calories is to be burn on the daily basis .And how many days to be overcome from this disease Thank you.

MD - General Medicine, PG Diploma Clinical Cardiology
Cardiologist, Mohali
My father is suffering from borderline high cholesterol the range is 200-239 mg/DL. I knw that the oily things is to ...
Just start walking daily for 30 min and continue taking low fat diet. As per latest guidelines carbohydrate should be cut from diet and include more proteins. For details about the diet you have to meet dietician for full evaluation and counselling. Usually if you follow low fat diet and regular walk it can be cured in 2 to 3 months.
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Chest Pain - How to Identify If It Is Related to a Heart Problem?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology, Interventional Cardiology and Cardiac Electrophysiology
Cardiologist, Delhi
Chest Pain - How to Identify If It Is Related to a Heart Problem?

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.

Symptoms
Chest pain which is related to any heart disease such as heart attack usually has symptoms like:

  1. Feeling of fullness and tightness in the chest region
  2. Vomiting
  3. Nausea
  4. Burning or crushing pain, which travels from the chest to jaw, hands and back region.
  5. Weakness
  6. 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

  1. Sensation in your mouth
  2. Problem in swallowing food
  3. Pain that worsens when you cough
  4. Burning sensation in your chest

Common causes of chest pain

  1. 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.
  2. 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.
  3. Gastrointestinal problem: Gastroesophageal reflux disease (GERD) is also a common reason for chest pain such as burning sensation in your heart.
  4. 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.
7 people found this helpful

My heart is beating faster than a normal beat and I am feeling weak on my hands its been more then 20 minutes.

BHMS, MD - Homeopathy, Post Graduation Diploma In Psychological Counselling, Certificate Course in Medical Transcription
Homeopath, Mumbai
My heart is beating faster than a normal beat and I am feeling weak on my hands its been more then 20 minutes.
Relax for a while. Do deep breathing. If symptoms still persists you can take my appointment here.
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I want flexibility in body & bones nerves & muscular how ?- I have blood pressure I am taking bp tablet every day I want to cure bp.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
I want flexibility in body & bones nerves & muscular how ?-
I have blood pressure I am taking bp tablet every day I w...
Hello Manju, as per your height (5 ft, 5 in) & weight (80 kg), you are 12-15 kg over-weight. If you reduce your weight, it will help to reduce your bp as well as put less pressure on your bones & legs. For that, reduce your carbohydrate intake (roti / rice / bread), increase your protein intake like paneer, soybean, eggs, milk, chicken ,all dals, sprouts. Reduce your sweet intake. Avoid fried foods & junk foods.
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Hi I am Sandeep my age is 28 last 3 months I having pain in chest left side I have taken ECG, TMT Everything is ok but pain is there what to do pls tell me.

MBBS
General Physician, Mumbai
Hi I am Sandeep my age is 28 last 3 months I having pain in chest left side I have taken ECG, TMT Everything is ok bu...
Dear Lybrateuser, - Since your cardiac investigations are normal your chest pain could be due to acidity - avoid spicy, fried, processed & junk foods, also restrict tea, coffee to 1-2 cups per day, also avoid alcohol & smoking if you do - chew your food well, do not skip meals, have meals on time, do not lye down for 1-2 hrs after meals, have dinner 2-3 hrs before bedtime - take tablet Pan 40, 1 tablet half an hour before breakfast every morning - have 7-8 glasses of water for proper digestion - do regular exercise like walking, jogging, swimming for 20-30 min, also do yoga & deep breathing for 5-10 min daily morning to keep your body fit. -
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