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Treatment of Ischemic Heart Disease
Preventing Stent Surgeries
Treatment of Sick Sinus Syndrome
Treatment of Angina
Mitral Valve Replacement Surgery
Cardiac Ablation Procedure
Treatment of Infective Endocarditis
Treatment of Blockage, Atherosclerosis & Heart Att
Treatment of Long QT Syndrome
Treatment of Restrictive Cardiomyopathy
Treatment of Polyarteritis Nodosa
Vascular Surgery Treatment
Treatment of Hole in the Heart
Preventing Post Bypass Surgery Blockages
Treatment of Pregnancy and Heart Disease
Treatment Of Restenosis
Implantable Cardioverter-Defibrillators (Icds) Tre
Cerebral Palsy Treatment
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My father is in icu his lungs is working 25% and he got infection in both heart and lungs. He was not able to breathe properly he also sufferd frm diabetic and he suffered frm heart aatack 12 yr back. Now doctor is saying lungs heart is nt pumping properly pls tell me whether he recover or not ?
I have high cholesterol from last 6 years. But my age is 33 years only. I have tried to maintain my diet and weight. I go to gym and try to stay fit. But I started the cholesterol from one year only. So this is the first time that my cholesterol is under control. My hemoglobin is very high. Some items in haemogram has problems. Pls suggest me regarding my test reports. Thanks.
Hello sir, I am 46 yrs old. Suddenly my sugar level increase. How to reduce this. I have cholesterol & uric acid.
I am suffering from two parallel decease. 1 my heart rate is above normal. At times 100- 110 with out any stress or workout. And second I have tingling sensation in my hands as soon as I start driving. This sensation slowly start from hand, goes up the hand. And couple of times in the face. I have all the test related to heart and all blood test. And they all are negative. I am suffering from these problems since June 2015. Please advise.
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.