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Dr. Joy Thomas

Cardiologist, Chennai

600 at clinic
Dr. Joy Thomas Cardiologist, Chennai
600 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Joy Thomas
Dr. Joy Thomas is a trusted Cardiologist in Perumbakkam, Chennai. You can consult Dr. Joy Thomas at Global Hospital And Health City in Perumbakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Joy Thomas on Lybrate.com.

Lybrate.com has a number of highly qualified 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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Global Hospital And Health City

Plot No 439, Cheran Nagar, Perumbakkam, Gowrivakkam, Guindy, Landmark: Near Shollinznumur Junction. embassy residency, ChennaiChennai Get Directions
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My wife is 57 yrs old and she has been diagnosised as" dilated cardiomyopathy" patient. As per echo, the pumping rate is only 25 percent. On taking angiogram, no blocks have been noticed. She is a sugar patient as well as asthma. She also has bp. Apart from medicines, whether there is anything required to be done? how to get the pumping rate to the required level?

MD - Medicine, MBBS
Cardiologist, Panchkula
Cardiomyopathy is weakness of cardiac muscles. When the blockage in the cardiac vessels has been ruled out it can be manged with drugs. Although a normal ef may not be achieved but it can be significantly improved with medicines.
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My wife is suffering from low blood pressure in routine she is in her 6th month of pregnancy before pregnancy she never had this problem. She is having good diet eating fruits taking rest properly but still consistently suffering from low bp is it normal or not will it put any negative effect on the baby.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
bp low because of imbalance diet and nutritional insufficiency.first advice her to take proper diet rich iron,calcium,folic acid,vitamin and protein supplements.take plenty of fluid and walk in morning atleast for 15 min.try to avoid constipation.
3 people found this helpful
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I have cholesterol 262, hdl-46, triglycerides-284, ldl-159, vldl-57. I am male, 29 yrs is the cholesterol very high? should I go in for some medication? how can I reduce? other details: height 5: 10, weight 81.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
yes your cholesterol is very high with ldl,vldl, you should be take medicines for it. tab. ecosprin 150 mg tab. atrovas 10 mg at night after meal. take low fat/oily food, alcohol intake ,avoid non-veg., take green veg., whole grain food.
1 person found this helpful
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Frequent heart palpitations with giddiness and fatigue. Duration of palpitations is half an hour n body shaking during palpitations. What is this condition. Is it related to heart problem.

MBBS
General Physician, Chandigarh
It can be either because of anxiety or some heart related problem please consult a cardiologist and get clinically checked.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

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.

1 person found this helpful

Hlw sir I am 18 years Old boy. I have Blood pressure 160/104. Its very for me. Than what I have do next.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Take sarpgandha vati twice a day. Yogendra ras. Akik bhasm works very good in case of hypertension. Avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.
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Hello sir I m suffering from chest pain past 1week. And also long breathing problem please give me a solution. My age 25.

MBBS
General Physician, Cuttack
1.For your age pain chest could be due to anxiety, stress, Physical and mental strain,hyper acidity, muscular problem 2. Avoid stress and strain 3.Do regular exercise, reduce your weight if over weight. 4.Control your diet. Avoid oily/spicy/fried and junk food,high calorie and cholesterol rich diet.Take small frequent meals(5-6 meals/day instead of three heavy meals).If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5.Do Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6.Have sound sleep for 7-8 hours daily. 7.Avoid smoking,alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10.if you have recurrent attack of chest pain check your BP, take ECG and consult cardiologist 11.Consult me for further advice
1 person found this helpful
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Hi My name is ANAND I am 26 years old, I have heavy acidity problem (daily) so please tell me the solution for controlling the acidity 2. Some times heart pain also starts to me so what can I do for that please give me the solution.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Heart pain is also due to acidity .. Take sompraz D twice daily before meals...for Acidity.. Avoid fast foods ..outside foods etc Syp mucaine gel after foods will also help
1 person found this helpful
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I am 29 year old woman, now a days I am feeling very weak n giddiness. Wen I am checking my BP it will be 90_99 (systolic) and 55_65 (diastolic) since two weeks. Till today BP didn't became as above 110/70. Wen I sitting simply I am feeling sleepy. I forgot each simple things also. Can you tell me wat can I do.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, you running under low blood pressure. You need to raise your BP to 120/80 or 110/70 at lease. Tk, a pinch of salt with 1tsfl of sugar mixed with 1 glass of water, twice, dly, measure your BP, again on 4th day, please. Tk healthy diet rich in protein, carbohydrate, Iron, fats. Tk, Homoeopathic medicine:@ Lycopodium 30-6 pills, thrice. Report, wkly, your feedback matters for further follow up, please. Tk, care.
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I have high blood pressure 140/90. Have being taking olmesar 20 from past 6 months. 1 per day. Now recently I m noticing a mild chest pain when I climb or jog or get angry. Please advise what should I do.

Dnb Family Medicine
General Physician, Delhi
Hi if you are a patient of high blood pressure, then you are on the risk side of developing heart problems, so if you are getting chest pain as explained by you, its basically called as exertional chest pain. You should get done one ecg, then stress echo to see any heart problem during exertion. And then consult a cardiologist do not worry, you will be fine, these probs have treatment.
8 people found this helpful
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Whenever I go to market specially in summer season I feel like fainting and when I check my blood pressure it shows below the normal parameter. I want to know how to overcome from this problem.

BHMS
Homeopath, Faridabad
Hi, Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood. Hypotension is generally considered if systolic blood pressure less than 90 millimeters of mercury (mm Hg) or diastolic less than 60 mm Hg. However, in practice, blood pressure is considered too low only if noticeable symptoms are present. Causes: Low blood pressure can be caused by low blood volume, hormonal changes, widening of blood vessels, medicine side effects, anemia, heart problems or endocrine problems. Management: Meditation, yoga, or other mental-physiological disciplines may reduce hypotensive effects. Taking enough of sleep and rest. Treatment: The treatment for hypotension depends on its cause. Chronic hypotension rarely exists as more than a symptom. Asymptomatic hypotension in healthy people usually does not require treatment. Adding electrolytes to a diet can relieve symptoms of mild hypotension. A morning dose of caffeine can also be effective. In mild cases, where the patient is still responsive, laying the person in dorsal decubitus (lying on the back) position and lifting the legs increases venous return, thus making more blood available to critical organs in the chest and head. Take homoeopathic medicine - Schwabe’s Angioton/ 3 times a day for 1 month.
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At time of sleeping I feel pain suddenly on left side of my chest and also on legs.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest
1 person found this helpful
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Successful Tips To Control Blood Pressure

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Successful Tips To Control Blood Pressure

Hypertension or increased blood pressure is one of the modern lifestyle diseases. The changing lifestyles including altered dietary habits and lack of physical activity are the main reasons for the high incidence of hypertension. With this, it brings a host of complications including other chronic diseases like diabeteskidney failurerisks of stroke and heart attacks.

Alternative medicine proposes quite a number of remedies in addition to just increased physical activity. Read on to know more about how you can eat healthier and control your blood pressure.

  1. Eat walnuts: As most books and media depict, heart disease is directly related to physical reaction towards stress. Regular eating of walnuts helps control this response, thereby controlling blood pressure. It is also a great source of antioxidants and fibre, which adds to its heart-healthy features.

  2. Load up on minerals: Eating a diet rich in calcium, magnesium, and potassium is extremely beneficial for the heart. Sweet potatoes, bananas, dry fruits, dairy products, etc., have shown to reduce blood pressure extremely well in various experiments.

  3. Avoid salt: While the natural sea salt is almost out of use, most of us have switched to the processed variety, which is devoid of all minerals. This is one of the major contributors for increased blood pressure. Studies have shown that reducing salt intake helps in a big way in controlling blood pressure. Most of us are also used to adding extra salt so the food tastes better. This should be avoided. With increased consumption of processed food items, everything from bread to cookies to cheese has salt, which also should be reduced, and if possible, avoided.

  4. Have a colourful meal: Load up your plate with peppers, berries, dry fruits, and organic fruits and vegetables. Pomegranate juice is believed to control angiotensin, converting enzyme, which is responsible for controlling hypertension. They are also rich in antioxidants and help control blood pressure by reducing inflammation.

  5. Know your cholesterol: While cholesterol is generally used with a negative connotation, it is not always true. There is good and bad cholesterol and the bad one should be avoided. Watch out for labels, and ensure you are eating less of the bad cholesterol. Good cholesterol is required for the production of hormones and proper functioning of the body.

  6. Watch your medicines: While it is easy to just pop an ibuprofen when there is a headache or a back ache, it is advisable to watch out. These are best avoided in the long run, as they can induce hypertension and induce heart disease.

In addition, meditation, relaxation, green tea, dark chocolate, red wine, music, and quitting smoking are also shown to be helpful in controlling blood pressure. If you wish to discuss about any specific problem, you can consult a general physician.

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I ak facing a heart problems. Have undergone bypass surgery which the best way to remain fit.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
after bypass surgery the person feels like a normal after about 3 months. eat well and reduce bad fats and sugars and salt despite BP and blood sugar levels under control. no smoking or exposure to pollution. fresh oxygen through plants . simple exercise like walking and take your medicines in time good luck.
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Iam 29 years old female I usually get pain in left part of the chest while walking I can not even walk for 5 min. What. Could be the reason behind this.

MBBS, cc USG
General Physician, Gurgaon
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management
2 people found this helpful
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What is the reason of being pain in bones and feeling weakness and blood pressure is low?

MBBS
General Physician, Cuttack
It could be due to 1.severe physical exertion 2.Check your Hemoglobin, Bp 3.take good nourishing diet 4. Drink plenty of water 5. Get your self physically examined by doctor. 6. consult me for further advice
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I am 36 weeks pregnant and diagnosed with a blood pressure of 130/100. Is this severe. How can we manage high blood pressure in pregnancy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi lybrate user, is130/100 your first reading of BP please take repeat BP after rest .at least two reading. if normal then wait for onset of labor. if still BP is on high 130/100 then you need to start medicine for control of BP. then their is need for termination of pregnancy with induction of labor depending on clinical examination finding.
1 person found this helpful
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Can a person who has gone through a triple bypass surgery use a hot water bag if having persistent cough on chest? (phlegm+cold) Also if there is water retention in both legs, what can be done to solve this issue?

MBBS
General Physician,
Direct hot water bag in the chest should be avoided instead you can have hot fomentations. Have plenty of homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevent infection. Have warm saline gargle twice daily. Thatbwill take care of cogh and cold. Regarding swelling of keg there may be some kidney problem. For that you can consult nephrologists.
1 person found this helpful

Please provide me some diet chart as per my cholesterol cholesterol total-226 mg/dl triglyceride-309 mg/dl HDL-32 mg/dl LDL-132 mg/dl VLDL-62 mg/dl Non HDL-194 mg/dl.

Nutrition - Management of Weight & Lifestyle Related Disorders
Dietitian/Nutritionist, Delhi
Take out time for some physical activities such alike brisk walking, swimming, yoga, deep breathing etc. In diet you need to restrict all junk foods, refined cereals, spices. Oil which you can use is olive oil and strictly avoid ghee, butter etc. If you are non-vegetarian then you have to restrict red meat and you can have chicken, fish twice a week that too prepared at home. You can eat egg white and have to avoid egg yolk. Avoid peanuts, cashews, pista. You can have 5-6 soaked almonds and 30 gm walnut. Include green vegetables in Your diet. Team Nutrihealth.
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I'm 27 years old m suffering from dizziness from 1 and half years continue, I even could not eat meet n junk food if I eat I feel dizzy. There is little pain on my feet n burn when I walk. My eyes blur when I feel dizzy. I have check my BP in hospital its normal but whn I check in pharmacy it shows 110/150 I don't no whom to trust. I am scared whether I m going to have heart attack. Please help!

CCH, CGO, BUMS
Unani Specialist, Udham Singh Nagar
Check your bp 3days continuesly on same instrument do your hb tlc serum calcium and till then take vertigan 8mg twice a day and some multivitamin take gud sleep do exercise you will feel better.
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