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Dr. M.Anbarasu

Cardiologist, Chennai

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Dr. M.Anbarasu Cardiologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. M.Anbarasu
Dr. M.Anbarasu is a renowned Cardiologist in Mogappair, Chennai. You can consult Dr. M.Anbarasu at Madras Medical Mission in Mogappair, Chennai. You can book an instant appointment online with Dr. M.Anbarasu on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 40 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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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician
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Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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Sleep Deprivation Can Cause High Blood Pressure

I am 37 years old. Having hypertension, I am on Telmisartan 80 mg. But bp isn't under control. Now also it's 220/110. No other complications. I am a vegetarian and non smoker, non alcoholic. Kindly help me out.

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
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I am 37 years old. Having hypertension, I am on Telmisartan 80 mg. But bp isn't under control. Now also it's 220/110....
You need to go back to the GP who prescribed this medication to you to get it revised. Make healthy modification in your lifestyle like getting 45 mins of exercise which includes walking, simple cycling, climbing stairs, pranayama and meditation. You can make variations in daily routine so you do one each day to make it interesting. Make sure you get adequate salt, preferably rock salt in your diet. It is correct that you have to reduce salt, but some salt is essential for proper blood vessel health and other metabolism. These foods will help regain circulation health. Pomegranate juice 3 times a week. Coconut water daily. Honey as a topping on green salads. Proper Vitamin ACE either in food (preferable) or as supplement tablets that are of minor dosage. Try these for a month and do tell the changes in your health. For more information, take a consultation with us at Health Solutions.

I have chest pain after 7 days that pain is middle in the chest? what should I do?

cc USG, MBBS
General Physician
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I have chest pain after 7 days that pain is middle in the chest? what should I do?
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician for Further Management

I am 46 yrs old female suffering from hypothyroid frm last 6 yrs I take thyronorm 100 mcg at the same tym I have high bp on which I was suggested numlo at. It was going normal but frm last 6 months i'm putting on weight and hav developed gap in knees too. My tsh levels r normal. My diet is same and my concern is weight please guide me.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist
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Hi, an under-functioning thyroid is a hormonal disruption that could be fixed via good eating habits and an active lifestyle. At our clinic we do have several clients come in with a thyroid disorder which we successfully rectify with lifestyle intervention and behavioral modification. This would be a great platform for you to be on as well.

Sir I am 42 years old female. I had done my blood test last week. everything is ok except that my cholesterol i.e. 250. Pl. Suggest advice.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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Sir I am 42 years old female. I had done my blood test last week. everything is ok except that my cholesterol i.e. 25...
take pranacharya medohar rasayn twice a day....medohar guggul 2-2 twice a day...avoid oily and junk food...

Total cholesterol 235 HDL 54 LDL 148 Triglycerides 242 VLDL 483 Sir /madam herbal medicine tell me Pls help me.

BAMS
Ayurveda
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Total cholesterol 235
HDL 54
LDL 148
Triglycerides 242
VLDL 483
Sir /madam herbal medicine tell me Pls help me.
To reduce cholesterol& triglycerides in body : * Avoid Butter , Ghee & cream in your diet . * Eat five leaves of Kari patta and five leaves of neem once in a day . * Avoid non veg( chicken, fish) food because it contain high fat content. * Do running and jogging daily for 15 minutes . Start with 5 minutes then increase time period slowly.Do morning and evening walk daily . * Do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * Add Kali mirch( black pepper ) in your breakfast . * Drink 6 to 7 glass of water daily . * Take sound sleep in night of 6 to 7 hrs .Do not take stress . *Take one tablet of GUGGALU of HIMALAYA company once a day. You can consult me privately for more medicine treatment & doubts.

I am 22 years old man, Last day I written exam at the time of exam my heart getting pain and chest pain also after exam I drunk water then the pain was little bit decreased. What is the reason and tips to that solution.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I am 22 years old man, Last day I written exam at the time of exam my heart getting pain and chest pain also after ex...
It looks like acidity, pain got alright after water, drink some warm liquids more frequently. If pain does not stop, do write again, you will be suggested basic tests for heart.

My cholesterol report r as under t cholesterol 255 h d l. 57 l d l. 179 vldl. 18, 6 tc ratio. 4.5 triglycerides 93 I have calcium clot so what to do I regular taken rosavel20.

DM Cardiology
Cardiologist
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My cholesterol report r as under
t cholesterol 255
h d l. 57
l d l. 179 vldl. 18, 6
tc ratio. 4.5
triglycerides 93 I ...
Dear if despite rosavel 20 mg, your cholesterol levels are high, you must add ezetimibe 10 mg once a day.

How to reduce cholesterol? Is total cholesterol 261 alarming to start taking medicines? Can the medicine be withdrawn after a good control of level?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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How to reduce cholesterol? Is total cholesterol 261 alarming to start taking medicines? Can the medicine be withdrawn...
yes your cholesterol level is alarming you. your level is high. 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.

Sir my exams round the corner I need more study. When I was going to study I only read only 1 hour after that I can't concentrate on my study What I can do I have always pain or stress in my body what the problem when I was studying more than one hour then my head eye pain Mostly chest pain not properly breath dum sa lagta h How can I always fit and fine mentally or physical I wanted more growth in my life but these problems is break down me Please give me best solutions hope you will provide me many ans.

PGD Maternal Child Health, MBBS
General Physician
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Sir my exams round the corner I need more study. When I was going to study I only read only 1 hour after that I can't...
You are anxious, mainly because of your round the corner exam and apprehensive about your performence. Everyone has such problems lije headaches, weakness, occasional inability to concentrate etc. It is because of your anxiety that your thought process is not allowing you to concentrate and distracts you towards insecure feelings. First of all assure yourself about your capabilities on the basis of your past performances and tell yourself that you haVe done it in the past and so you can do it now too. With that resolve move ahead. You should eat normally at proper time and have a peaceful sleep of at least 6 hours. This will make you feel better towards your bodyaches and headaches. Avoid excess of tea or coffee, that initially stimultes your system but may cause lack of concentration.

What are the symptoms of heart attack, medicines that are to be kept for an immediate treatment?

MBBS, MD - General Medicine
General Physician
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What are the symptoms of heart attack, medicines that are to be kept for an immediate treatment?
Heart attack symptoms are chest pain like squeezing type or heaviness in chest, pain radiating to light&right hand, neck,epigastric region &back. Risk factors, family history, smoking alcohol, diabetes, hypertension.

I am 33 year old male, feeling chest pain back pain, light headedness, feeling anxiety, ECG, echo cardiograph, chest xray are normal, total cholesterol 239 LDL 161 HDL 41 VLDL 37 TRIGLYCERIDES 187.

MD - Medicine, Post Graduate Certficate in Ksharsutra & Ano-Rectal Diseases, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 33 year old male, feeling chest pain back pain, light headedness, feeling anxiety, ECG, echo cardiograph, chest ...
Hello there, 1) you are suffering due to dyslipidemia problem. 2) this may be one of root causes for chest pain. 3) correct all lipids level urgently by nap therapy. 4) healthy food & healthy lifestyle is must. 5) regularly monitor blood pressure & pulse every third day. Consult privately for proper management. One month course for dyslipidemia treatment will cost rs. 1800/=.

My mom will be going for an laser operation for kidney stone. She is having 2 stones, one in each kidney, 1 of 13 mm and other of 14, My question is will laser operation remove stones from the root ?

MBBS
General Physician
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My mom will be going for an laser operation for kidney stone. She is having 2 stones, one in each kidney, 1 of 13 mm ...
Dear lybrate user, -The kidney stones will be removed from the roots by laser but if she doesn't take precautions after that they can again form -she should have plenty of fluids including8-10 glasses of water per day to flush out the toxins & to keep the kidneys healthy, also avoid spicy, fried food & intake of calcium substitutes for a long period if she consumes them -get regular checkups & investigations done to avoid recurrence.

Doc these days I am taking ayurvedic treatment for stomach related disease. But two times I mark when I casually drink beer my heart rate increases and I am feeling very uncomfortable taking oxigine. Place seems me very suffocated.

MBBS
General Physician
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Doc these days I am taking ayurvedic treatment for stomach related disease. But two times I mark when I casually drin...
Consult a naturoveda centre it consist of ayurveda+homeopath+unani+yoga. Better ro avoid hard drinks during your treatment.

Chest paining because of smoking I smoke regular. And after smoke always I get headache. Seems so weakness in body. Now leaving smoke but some thing not gud in body.

MBBS, MD - Psychiatry
Psychiatrist
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Chest paining because of smoking I smoke regular. And after smoke always I get headache. Seems so weakness in body. N...
Hello lybrate user.....This is good that you can relate your problems to smoking cigarettes and the good news is that you definitely can quit it completely. The bad news is that smoking cigarettes for long time is nicotine addiction which causes structural changes in our brain due to which quitting it becomes difficult. Usually people start smoking with friends just for experimentation and later for enjoyment and still later to relieve stress in life, but what they forget is that gradually smoking becomes a compulsion in their life and then whenever a stressful situation arises they smoke. Nicotine hijacks the pleasure seeking center in our brain and this hence the previously pleasure giving food items or activities are no more pleasurable to the same extent. You start spending more and more time in obtaining and enjoying smoking cigarettes. We have medications which decreases craving and helps in quitting smoking completely. Along with medications making simple changes in lifestyle and bringing about stress management in life can have miraculous help in quitting smoking addiction. I hope that you quit smoking in the near future and resume a healthy life. Take care

Dr, please advise how to improve good cholesterol level ?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.

My cholesterol levels are high kindly guide what I have to do to reduce it.

MD - Internal Medicine, MBBS
Endocrinologist
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My cholesterol levels are high kindly guide what I have to do to reduce it.
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. 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. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily.

I have a discomfort, pain on my chest. When I turn my neck I get a piercing pain. My very recent Ecg, Echo and Chest Xray says it is all normal. Suffering with this problem for past 3weeks.

cc USG, MBBS
General Physician
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I have a discomfort, pain on my chest. When I turn my neck I get a piercing pain. My very recent Ecg, Echo and Chest ...
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg (if no drug allergy) one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 days Consult Physician for Further Management

I am diabetic from last 5 years. At present my LDL CHOLESTEROL triglyceride count is 310. Please prescribe medicine also.

Diploma in Diabetology, MBBS
General Physician
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I am diabetic from last 5 years. At present my LDL CHOLESTEROL triglyceride count is 310. Please prescribe medicine a...
Maintain ibw take balance d diet walk daily avoid sugary items fat food take high fibre low calorie food plenty vegetables and fruits in 2 / 3 servings add tablet rosuvas f bed time for 4 week s check sugar levels frequently for white discharge use beta dine pessaries.

Please suggest me a drug to prevent a possible heart block as a precaution only.

MBBS
Cardiologist
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Please suggest me a drug to prevent a possible heart block as a precaution only.
This is not simple to say, what type of block, is it associated with ischemic changes? get one ecg & go to cardioloist to decide proper diagnosis.
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