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Dr. Dhanapal

Cardiologist, Chennai

500 at clinic
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Dr. Dhanapal Cardiologist, Chennai
500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Dhanapal
Dr. Dhanapal is an experienced Cardiologist in Nandanam, Chennai. You can meet Dr. Dhanapal personally at Oxymed Hospital Pvt Ltd in Nandanam, Chennai. You can book an instant appointment online with Dr. Dhanapal on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 42 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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Oxymed Hospital Pvt Ltd

786, Anna Salai,Huma Hospital Building, Nandanam. Landmark: Opp To YMCA College Ground, ChennaiChennai Get Directions
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I have chest pain (left) since 4 days and have pain left side of stomach since 2 days. To whom I need to meet and what reports I should ask in clinical lab ?

BHMS
Homeopath, Faridabad
I have chest pain (left) since 4 days and have pain left side of stomach since 2 days. To whom I need to meet and wha...
Hello, take natrum phos 6x, 5 tabs thrice daily before meals and bc no. 25, 5 tabs thrice daily after meals for gastric problem. If the pain persists then go for an ultrasound abdomen test. Take care.
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Doctor. Actually I consulted. The cardiologist. In vellore, and also in hyderabad. They said that. My pumping is little bit low. Please help me with better solution!

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Doctor. Actually I consulted. The cardiologist. In vellore, and also in hyderabad. They said that. My pumping is litt...
Mix arjuna & punarnava powders equally. Take 1 tsf in 1 cup milk & 1 cup water. Boil till 1 cup remains. Then strain & drink daily. Have 1 amla in the morning.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HEART ATTACK

A heart attack occurs when the flow of blood to the heart is blocked, most often by a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). The interrupted blood flow can damage or destroy part of the heart muscle.

A heart attack, also called a myocardial infarction, can be fatal, but treatment has improved dramatically over the years. It's crucial to call 911 or emergency medical help if you think you might be having a heart attack.
Common heart attack signs and symptoms include:

Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
Nausea, indigestion, heartburn or abdominal pain
Shortness of breath
Cold sweat
Fatigue
Lightheadedness or sudden dizziness
Heart attack symptoms vary

Not all people who have heart attacks have the same symptoms or have the same severity of symptoms. Some people have mild pain; others have more severe pain. Some people have no symptoms, while for others, the first sign may be sudden cardiac arrest. However, the more signs and symptoms you have, the greater the likelihood you're having a heart attack.

Some heart attacks strike suddenly, but many people have warning signs and symptoms hours, days or weeks in advance. The earliest warning may be recurrent chest pain (angina) that's triggered by exertion and relieved by rest. Angina is caused by a temporary decrease in blood flow to the heart.

A heart attack differs from a condition in which your heart suddenly stops (sudden cardiac arrest, which occurs when an electrical disturbance disrupts your heart's pumping action and causes blood to stop flowing to the rest of your body). A heart attack can cause cardiac arrest, but it's not the only cause.

When to see a doctor

Act immediately. Some people wait too long because they don't recognize the important signs and symptoms. Take these steps:

Call for emergency medical help. If you suspect you're having a heart attack, don't hesitate. Immediately call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital.

Drive yourself only if there are no other options. Because your condition can worsen, driving yourself puts you and others at risk.

Take nitroglycerin, if prescribed to you by a doctor. Take it as instructed while awaiting emergency help.
Take aspirin, if recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting.

Aspirin can interact with other medications, however, so don't take an aspirin unless your doctor or emergency medical personnel recommend it. Don't delay calling 911 to take an aspirin. Call for emergency help first.

What to do if you see someone having a heart attack

If you encounter someone who is unconscious, first call for emergency medical help. Then begin CPR to keep blood flowing. Push hard and fast on the person's chest ? about 100 compressions a minute. It's not necessary to check the person's airway or deliver rescue breaths unless you've been trained in CPR.
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.

During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery.

Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection).
Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack.

Heart attack risk factors include:

Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack.
High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more.
High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack.
Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes ? not producing enough insulin or not responding to insulin properly ? causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack.
Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk.
Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure.
Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however.
Stress. You may respond to stress in ways that can increase your risk of a heart attack.
Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack.
A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease.
A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack.
Complications

Heart attack complications are often related to the damage done to your heart during a heart attack. This damage can lead to the following conditions:

Abnormal heart rhythms (arrhythmias). If your heart muscle is damaged from a heart attack, electrical "short circuits" can develop, resulting in abnormal heart rhythms, some of which can be serious, even fatal.
Heart failure. The amount of damaged tissue in your heart may be so great that the remaining heart muscle can't do an adequate job of pumping blood out of your heart. Heart failure may be a temporary problem that goes away after your heart, which has been stunned by a heart attack, recovers. However, it can also be a chronic condition resulting from extensive and permanent damage to your heart following your heart attack.
Heart rupture. Areas of heart muscle weakened by a heart attack can rupture, leaving a hole in part of the heart. This rupture is often fatal.
Valve problems. Heart valves damaged during a heart attack may develop severe, life-threatening leakage problems.
TESTS & DIAGNOSIS
----------------------------
Ideally, your doctor should screen you during regular physical exams for risk factors that can lead to a heart attack.

If you're in an emergency setting for symptoms of a heart attack, you'll be asked to describe your symptoms and have your blood pressure, pulse and temperature checked. You'll be hooked up to a heart monitor and will almost immediately have tests to see if you're having a heart attack.

Tests will help check if your signs and symptoms, such as chest pain, indicate a heart attack or another condition. These tests include:

Electrocardiogram (ECG). This first test done to diagnose a heart attack records the electrical activity of your heart via electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor or printed on paper. Because injured heart muscle doesn't conduct electrical impulses normally, the ECG may show that a heart attack has occurred or is in progress.
Blood tests. Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Emergency room doctors will take samples of your blood to test for the presence of these enzymes.
Additional tests

If you've had a heart attack or one is occurring, doctors will take immediate steps to treat your condition. You may also undergo these additional tests:

Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs.
Echocardiogram. During this test, sound waves directed at your heart from a wand like device (transducer) held on your chest bounce off your heart and are processed electronically to provide video images of your heart. An echocardiogram can help identify whether an area of your heart has been damaged by a heart attack and isn't pumping normally or at peak capacity.
Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart. The dye makes the arteries visible on X-ray, revealing areas of blockage.
Exercise stress test. In the days or weeks after your heart attack, you may also undergo a stress test. Stress tests measure how your heart and blood vessels respond to exertion. You may walk on a treadmill or pedal a stationary bike while attached to an ECG machine. Or you may receive a drug intravenously that stimulates your heart similar to exercise.

Your doctor may also order a nuclear stress test, which is similar to an exercise stress test, but uses an injected dye and special imaging techniques to produce detailed images of your heart while you're exercising. These tests can help determine your long-term treatment.

Cardiac computerized tomography (CT) or magnetic resonance imaging (MRI). These tests can be used to diagnose heart problems, including the extent of damage from heart attacks. In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of your heart and chest.

In a cardiac MRI, you lie on a table inside a long tubelike machine that produces a magnetic field. The magnetic field aligns atomic particles in some of your cells. When radio waves are broadcast toward these aligned particles, they produce signals that vary according to the type of tissue they are. The signals create images of your heart.

10 people found this helpful

His heart rate is always 75 bpm he os only 26old is this normal pulse rate? Or he should worry? How to lower it? Pls guide.

BHMS
Homeopath, Delhi
His heart rate is always 75 bpm he os only 26old is this normal pulse rate? Or he should worry? How to lower it? Pls ...
Heart rate in a normal human being ranges from 60-90 beats/minute. In conditions of excessive physical strain in may increase upto 130 beats/minute. Your friend is having a perfect heart rate and there is no need to worry about it at all.
2 people found this helpful
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Hi Team, My Lipid profile as follows, it shows some values are on border line high. So can you please suggest how to reduce them. Is there any difficulties I will face these values if it will not be reduced. PFB report details. TEST NAME, TECHNOLOGY, VALUE, UNITS, NORMAL RANGE 1. TOTAL CHOLESTEROL PHOTOMETRY, 228, mg/dl, 125 - 200 2. HDL CHOLESTEROL - DIRECT PHOTOMETRY, 36, mg/dl, 35-80 3. TRIGLYCERIDES PHOTOMETRY, 242, mg/dl, 25 - 200 4. LDL CHOLESTEROL - DIRECT PHOTOMETRY, 153, mg/dl, 85 - 130 5. VLDL CHOLESTEROL CALCULATED, 48.4, mg/dl, 5 - 40 6. TC/ HDL CHOLESTEROL RATIO CALCULATED, 6.4, Ratio, 3.0 - 5.0 7. LDL / HDL RATIO CALCULATED, 4.3, Ratio, 1.5 - 3.5 8. NON-HDL CHOLESTEROL CALCULATED, 192.2, mg/dl, < 160.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Hi Team,
My Lipid profile as follows, it shows some values are on border line high. So can you please suggest how to ...
If you do not control at this stage, the limits may be breached. However, lifestyle and food habit changes will set these right without the need of medicines. If need be you may start herbominerals for reducing levels. Gradual effect of herbominerals will have no side effects. Once you start allopathic for lipid reduction, chemical changes caused in body may require you to continue for long/ lifetime and definitely with side effects. If you need further advise, pl consult.
1 person found this helpful
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Since last 20-25 days saas meri phoolti h kabhi kabhi and aaj to thoda chest pain bhi huan 2-3 sec ke liye 2-3 baar whats the problem.

MBBS
General Physician, Mumbai
Since last 20-25 days saas meri phoolti h kabhi kabhi and aaj to thoda chest pain bhi huan 2-3 sec ke liye 2-3 baar w...
Dear lybtateuser, - Your problem could be due to excess weight, follow dietary precautions & do regular exercise to loose weight - have more of fibrous food in your diet including vegetables & fruits, whole grains, avoid fried, processed & junk food - do regular exercise like brisk walking, jogging for 30-40 min, also do yoga & deep breathing for 10-15 min daily morning as it will help in weight reduction & give relief from breathing problem.
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My uncle recently been for by pass heart surgery. Now after surgery what the careful steps he should follow and how often he should visit hospital for checkup, are there any chances of heartattack again in future. Are there any other health issues after the surgery?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My uncle recently been for by pass heart surgery. Now after surgery what the careful steps he should follow and how o...
Bypass surgery gives a new life. Person has to be careful about food, exercise and other factors that lead to heart attack like smoking and pollution and stress. You know about heart surgery and someone after surgery must have explained about aftercare about diet and exercise. If not do get back here for guidance. Yes person leads a normal life 3 months after surgery, may be it works like a shock treatment because people contribute more to self and society.
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I had missed my period since 2 weeks, and feeling exhausted, irritable, hypertension, weakness, Dr. what I do.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
I had missed my period since 2 weeks, and feeling exhausted, irritable, hypertension, weakness, Dr. what I do.
eat pine apple u need to take a balanced diet consult with doc do yoga and exercise eat plenty of water eat more vegetables

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

DM Cardiology
Cardiologist, Delhi
Dear , everybody has some or other forms of stress, but it does not lead to chest pain. If you are having chest pain, get a tmt done and show me the reports.
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Whenever I woke up in early morning I my rib cage hurts also in chest I don't know why but after 30 mins it gets in normal condition.

MD PHYSICIAN
General Physician, Delhi
Whenever I woke up in early morning I my rib cage hurts also in chest  I don't know why but after 30 mins it gets in ...
It might be possible you are suffering from muscle spasm, costochondral inflammation. Sleep on comfortable mattress. If it persist consult to get investigated for ECG and other to rule out underlying pathology.
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I have a little chest pain in right side from past 6 years. It is slight but feels like punctured by pin. Defence doctors have taken x rays, ECG, blood test, etc. But every report came normal. What should I do.

MBBS
General Physician, Mumbai
I have a little chest pain in right side from past 6 years. It is slight but feels like punctured by pin. Defence doc...
It seems to be a muscular pain and do exercise regularly and For pain take tablet paracetamol 650 mg
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My bp is high, on medication now, I want to reduce my weight fm 82 to 72 kg. Guide me.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
1. Whole-grain bread. Research shows that people who follow a weight-loss program incorporating whole-grain breads, cereals, and other foods lose more body fat from the abdominal area than those who eat only refined-grain foods, like white bread and rice. 2. Low-fat milk and yogurt. Scientists have found that the more calcium in fat cells, the more fat those cells will burn. In one study, two groups of overweight mice were put on a restricted-calorie diet, but one also got calcium supplements. The no-calcium mice lost 8 percent of their body fat, compared to 42 percent among the mice that did get calcium. 3. Lean protein. Good sources of protein, such as lean meats, eggs, and beans, help keep your blood sugar stable. The result? you? ll feel full longer and get a boost in energy? and that will help you burn more belly fat. Consult me in private for detailed treatment and to ascertain your personality symptomatically.
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Irregular Heartbeat - Signs You Are Suffering From It!

MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Irregular Heartbeat - Signs You Are Suffering From It!

Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.

Causes
Several conditions cause strain and damage to the heart. These include the following:

  1. High blood pressure or hypertension
  2. Heart attack
  3. Valvular diseases
  4. Coronary artery disease
  5. Medical problems like heart failure, lung diseases, high level of thyroid or pneumonia
  6. Heart surgeries
  7. Excess consumption of alcohol

Symptoms
The primary symptoms of atrial fibrillation include the following:

  1. Light-headedness and dizziness
  2. Shortness of breath
  3. Feeling weak and fatigued
  4. Feeling as if the heart is pounding, fluttering or racing (known as palpitations)
  5. Feeling that the beating of the heart is uneven
  6. Chest pain and fainting

In many cases of atrial fibrillation, the symptoms may be absent.

Diagnosis
Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.

Treatment
The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:

  1. Blood thinning medicines for the prevention of a stroke.
  2. Heart rate control medicines which will prevent irregular beating of the heart.
  3. Rhythm control medicines for restoring the heart’s rhythm to normal.
  4. A process known as cardioversion may be used to bring the heartbeat to a normal rhythm. This can be carried out by medicines or an electric shock therapy known as electrical cardioversion.
  5. In case of severe symptoms, ablation may be carried out where the affected areas of the heart are destroyed by the creation of a scar tissue.

For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.

3839 people found this helpful

I am a 41 year old non smoker and a non drinker I have pain in the inner side of the left ribs which increases as I breathe please suggest something for the issue.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am a 41 year old non smoker and a non drinker I have pain in the inner side of the left ribs which increases as I b...
take aciloc 150 mg 2 times a day for 2 weeks. do ecg, x ray chest pa . inform report. consult physician.
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Dr, My wife survived a stroke back in Sep 15. Her speech is returning slowly but her motor movements are very slow, can you suggest any exercises to help her recover fast and get rid of raised hands all the time. Any help on her will be appreciated.

PDDM, MHA, MBBS
General Physician, Nashik
The general recommendation is that survivors exercise at least three days a week for 20 to 60 minutes, but that depends on their individual functional capacity. For many stroke survivors, multiple 10- to 15- minute bouts of moderate-intensity exercise may be better tolerated. Simple activities that slowly build endurance and strength, such as walking around the neighborhood or engaging in household chores, add up and make a difference.
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I have a diet problem whenever I eat at lunch or dinner within an hour I go to toilet n also gastric problem it feels like my heart is going to attack now. please solve this problem with home remedies if possible.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kochi
I have a diet problem whenever I eat at lunch or dinner within an hour I go to toilet n also gastric problem it feels...
Avoid spicy food, pickles etc. Take food on time. Do not fill your stomach. Do not over eat reduce quantity of dinner and also take it by at least 7 pm. Do not drink cool and carbonated drinks. If at all not reducing try herbal medicines.
1 person found this helpful
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I am 24 years old female. 2 months back I had ecg and chest x-ray which was normal. But I still feel pain in my chest sometimes. What can this be about?

MBBS
General Physician, Mumbai
I am 24 years old female. 2 months back I had ecg and chest x-ray which was normal. But I still feel pain in my chest...
Dear lybtateuser, - Your chest pain could be due to acidity, anxiety or sedentary habits - chew your food well, do not skip meals, have meals on time, have 4-5 small meals rather than three large meals, have dinner 2-3 hrs before bedtime, avoid spicy, fried, sour & junk food - have 7-8 glasses of water for proper digestion - do regular exercise like walking, jogging, also do yoga & deep breathing exercise for 10-15 min in the morning - have syrup gelusil, 2 teaspoonful half an hour after meals three times a day.
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