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Dr. A.L. Narayanan

Cardiologist, Chennai

400 - 700 at clinic
Dr. A.L. Narayanan Cardiologist, Chennai
400 - 700 at clinic  ·  ₹ online
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. A.L. Narayanan
Dr. A.L. Narayanan is a popular Cardiologist in Nungambakkam, Chennai. He is currently practising at Idhaya Clinic in Nungambakkam, Chennai. Book an appointment online with Dr. A.L. Narayanan on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 34 years of experience on Lybrate.com. You can find Cardiologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#180, NSK Salai, Vadapalani. Landmark: Vijaya Forum Mall & Near Hotel Green Park & Opp Kamala Theater, ChennaiChennai Get Directions
400 at clinic
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New No. 24, Old No. 47, Vaithyanathan Street Off Veerabathran Street Nungambakkam, Chennai - 600034 , Landmark - Near honnur kote, ChennaiChennai Get Directions
700 at clinic
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Goin for a aortic heart valve replacement. Please advise on recovery period and precautions.

C.S.C, D.C.H, M.B.B.S
General Physician
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Goin for a aortic heart valve replacement. Please advise on recovery period and precautions.
YOu need to rest for the period advised and then start doing minimum exercises and follow your doctor's advice fully
1 person found this helpful

I have hypothyroidism and high triglycerides. Please give me a diet chart for curbing TSH and high cholesterol. I need a diet chart since morning as I am a banker with very busy schedule with 9 to 9. Request you to help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I have hypothyroidism and high triglycerides. Please give me a diet chart for curbing TSH and high cholesterol. I nee...
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in b vitamins, like whole grains, may also help. Flax oil, selenium: tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or brazil nuts, can be beneficial. Tyrosine: this amino acid is used by the thyroid gland to produce t3 and t4. Taking a supplement may help, avoid few foods in hypothroidism i. E. Caffeine products tea, coffee, tabcco, alcohol / wine, kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take some relax during work. Proper follow up you can feel better and reduce weight also. And 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.

Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
1 person found this helpful

Is heart attack realeted to diabetes?

Certificate in Laparoscopic and Thoracoscopic Surgery, Fellowship in Paediatric cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist
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Is heart attack realeted to diabetes?
Diabetics have a higher chance of heart disease, but there are other reasons also. If your sugar is well under control you will be fine for a long time as long as there are no other risk factors.
30 people found this helpful

I'm a smoking cigarettes but I had alot of pain in my chest during lying and waking up from bed I consult a doctor before he just says smoke less it should be cured but I don't feel better?

MBBS
General Physician
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I'm a smoking cigarettes but I had alot of pain in my chest during lying and waking up from bed I consult a doctor be...
you are having smokers coughing syndrome by way of bronchitis and pharyngitis. which can be allergic also. so best thing to try and leave smoking otherwise it will worsen your bronchial problems. and as it is smoking is a precursor of malignancy do warm saline gargle regularly. Three times daily. if possible. have homemade freshly prepared lemon juice which is rich in vitamin C thereby increasing your body autoimmune system which prevents infection. have lot of water go for regular morning walk followed by free hand exercises. It will improve.
1 person found this helpful

I am 28 years old men suffering from lower tibia pain" pain in both leg" doctor suggests zerodol sp and pan 40 but I don't want pain killer, I want to cure this from the root. My all reports are normal what to do?

MBBS
General Physician
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I am 28 years old men suffering from lower tibia pain" pain in both leg" doctor suggests zerodol sp and pan 40 but I ...
Dear lybrateuser, -apply ice compress on the part which pains, can apply any pain relieving gel 3-4 times a day, give rest to the limb if pain is more after walking, apply shin splint while walking -consult orthopedician for exact diagnosis & medication.

Father had mild heart attack on 25th and he did not inform us about the pain & after today check ups of echo n angiography report found 90 percent blockage in main artery n been suggested go for bypass in 15 days & for 15 days medicine is prescribed. Please suggest shall we go for immediate and any precautionary steps.

MBBS
General Physician
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Father had mild heart attack on 25th and he did not inform us about the pain & after today check ups of echo n angiog...
Please Tell me about his present status like breathlessness, chest pain, sweating etc Send me Lipid profile report, ecg, 2d echo reports on Lybrate So that I can guide you precisely Meanwhile Please have patience, continue the medicine Give him Lauki ie kaddu juice (fresh and non sour) 20 ml twice daily.

Blood pressure problem. What can i do?

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist
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Blood pressure problem. What can i do?
Check cholesterol, ecg echo, take less salt, less than 2g per day. Take your heart for a walk. Exercise like walking is good. If you are not a diabetic take fruits, and plenty of vegetables.

There is a weird problem in my chest. When ever I bend down or do some work. It feels like a muscle pain. Can you tell me what that might be?

cc USG, MBBS
General Physician
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There is a weird problem in my chest.
When ever I bend down or do some work.
It feels like a muscle pain. Can you tel...
Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management

I have some heart pain. Because I am smoker in life is there any problem.

MBBS
Cardiologist
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I have some heart pain. Because I am smoker in life is there any problem.
You know smoking causes premature heart pain, stop smoking it will disappear. If not by a month investigation required.

MY SUGAR LEVEL IS ALWAYS BELOW 200 MAY I TAKE 1 OR 2 DATES PER DAY ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Who told that dates have no role in increased blood sugar levels Ok take dates but at your own risk.

C.S.C, D.C.H, M.B.B.S
General Physician
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Types of High Blood Pressure
=======================
High blood pressure comes in many different types. Each type depends both on the cause of the high blood pressure and how the high blood pressure can be treated. When describing these types, doctors often use the word 'hypertension' instead of 'high blood pressure. Because of this, when talking about the types, I will use the word 'hypertension' also.

Types of Hypertension (High Blood Pressure)

Essential Hypertension
-----------------------------
is the most common type. There is no specific and underlying cause for essential hypertension. Lifestyle factors and other risk factors all increase a person's chance of getting essential hypertension.
Secondary Hypertension
--------------------------------
is caused by another health condition such as diabetes, kidney problems or tumors. Once the other condition is controlled, blood pressure usually returns to normal.
White Coat Hypertension
---------------------------------
is caused by a person's anxiety or stress levels being very high. Some people get anxious each time they see the doctor and have blood pressure readings higher than normal.
Isolated Systolic Hypertension
---------------------------------------------
is hypertension in which only the systolic (upper) reading is high. This occurs in people over age 65 and is caused by a hardening of the arteries.
Labile Hypertension
---------------------------
is when a person's blood pressure changes often. These changes can be caused by emotions or stress.
Malignant hypertension
------------------------------
is a rare form of hypertension that is an emergency situation. Symptoms set in very quickly and there is a risk ofseizures, stroke of even death.
4 people found this helpful

I am 52 years now and I am having cholesterol. What should I do?

MD - Internal Medicine, MBBS
Endocrinologist
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I am 52 years now and I am having cholesterol. What should I do?
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. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain foods, Use GARLIC in foods daily ,. Cod liver oil. Take anti cholesterol medicines . one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.

I have frequent headaches and body pain. I have border diabetic and slight bp.

MD - Alternative Medicine
Alternative Medicine
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Please do savasana for 10 minutes in morning n before sleep cut to use of sugar, bakery products, cold drink, cold water to maintain diabetic with proper exercise n regular go for test in every two months

Hi I am 29 years old and I am suffering from chest pain and back pain exactly behind heart. What can I do?

PDDM, MHA, MBBS
General Physician
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Please get an xray chest pa view and ecg done and attach the reports. Dr. Surbhi agrawal Consultant physician and diabetologist
1 person found this helpful

I am from n mumbai and today my papa did angiography had shown 3 blockages in heart report will come on monday Dr. has advice him to go for angioplasty or angioplasty I wanna know is there only way to go for angioplasty or angioplasty these both are so costly can't afford it so tell me the another possible way or minimum possible cost of angioplasty where I can go if situation arises as we are not financially ready for this situation or shall I take any health insurance on urgent basis?

MBBS
General Physician
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I am from n mumbai and today my papa did angiography had shown 3 blockages in heart report will come on monday Dr. ha...
If you have an orange ration card than angioplasty will be done free of cost through Rajiv Gandhi Yojana Scheme and there are many hospitals who are affiliated with the scheme and you can also get it done at Godrej Hospital, vikhroli
8 people found this helpful

Sir I am a criminal lawyer doing practice in Mumbai my age is 45 complete my hight is 5.9 and weight is 92 k g I am suffering from heart problem I heart is only 20% pumping what to do for weight loss Dr told me reduce your weight I am totally non alocohol

BHMS, CCH, CGO, PGNAHI
Homeopath
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Hello, Homoeopathic treatment is best for you.It has no side effects. We provide treatment for weight loss as well as heart complaints. But what is the reason for less ejection fraction(less pumping capacity) according to your Doctor? Can you mail or whatsapp me all your reports? Dr. Doshi 9822333091 www.homeocure.in email:- drshailesh@homeocure.in

C.S.C, D.C.H, M.B.B.S
General Physician
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Heart disease start in the YOUNG AGE

Autopsy studies of young people who died in accidents have shown that by the late teens, the heart blockages, the kind of lesions that cause heart attacks and strokes are in the process of developing.

The best opportunity to prevent heart disease is to look at children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.

The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.

Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of HDL cholesterol, the "good" kind that helps keep arteries clear, go down in boys but rise in girls.

Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.

Any protection that the young women have for cardiovascular protection can be wiped out by obesity; hence, obesity in girls at any cost should be handled on priority.
2 people found this helpful

When I go for cycling or brisk walking my heart beats faster and tightness in the test. I went hospital ECG echo tmt done in November all are normal and my lipid is hdl 47 ldl is 57 tgl is 182 and total cholesterol is 140. Can igo again tests or what?

Diploma in Cardiology
Cardiologist
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When I go for cycling or brisk walking my heart beats faster and tightness in the test. I went hospital ECG echo tmt ...
Hi Mr. Actually after any excercise anyone can fast heartbeat but how much your heart beating going up once you have to check check your pulse at that time. If its 180 to 200 then you have to worry.
17 people found this helpful

Hello, I m 25 yrs old and hv frequent low bp problems, wat shud I do. Last detected 90/60.

MBBS
General Physician
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Many times bp 80/60 is also normal-- if you have no symptoms than dont worry. Take adequet liquids--tea coffee/soups.//ors.
3 people found this helpful
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