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Dr. Narayanaswamy

Cardiologist, Chennai

500 at clinic
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Dr. Narayanaswamy Cardiologist, Chennai
500 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Narayanaswamy
Dr. Narayanaswamy is a renowned Cardiologist in Mogappair, Chennai. You can meet Dr. Narayanaswamy personally at Frontier Lifeline Pvt Ltd in Mogappair, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Narayanaswamy on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 36 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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English

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Frontier Lifeline Pvt Ltd

R 30 C, Ambattur Industrial Estate Road, Mogappair, Landmark: Opp to Bharath Petrol Pump & Next To Chennai Public School, ChennaiChennai Get Directions
500 at clinic
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Diagnosing the Cause of Chest Pain!

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Delhi
Diagnosing the Cause of Chest Pain!

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.
The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3446 people found this helpful

I played the cricket them a danger ball short on my chest so very danger pain on chest and head so please tell me

BHMS
Homeopath, Sindhudurg
I played the cricket them a danger ball short on my chest so very danger pain on chest and head so please tell me
Homoepathic treatment arnica 200 4pills 3 times mag phos 30x 4pills 3 times you can Consult Dr. if injury is severe.
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Hi Patient is 82 years pressure 140/50 pulse 60, occationaly comes down to 40. Take delnip20 after breakfast daily. Please advice

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Give carbo veg 200 just 1 dose buy medicine from good homeoedicine shop/ german company schwabe is very good. Food fruit juice daily all boiled food lunch & dinner dinner by 8. 30 pm mineral water daily 3-4 ltrs silicea 6x / 6 tabs 3 times daily / 3 weeks report me after 2 weeks.
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I had undergone CABG surgery on 1st of December. Can you please suggest whether I can consume couple of pegs of Whiskey in a Corporate party. If not now then when can I consume moderate intake of Alcohol?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I had undergone CABG surgery on 1st of December. Can you please suggest whether I can consume couple of pegs of Whisk...
I suggest you must not take alcohol. It is bad for your health. Even at corporat parties you should not take it.
1 person found this helpful
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I am a female of 20 years old as I checked my bp. Level from home and come to. Know that my bp level is 137 and also I am having a pain on left side of chest and back and also. Have frequent headache. How can I get from. This.

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, Pune
I am a female of 20 years old as I checked my bp. Level from home and come to. Know that my bp level is 137 and also ...
Dear from your description, it is more likely a case of old acidity. Eat food on time and chew properly. Drink 3 litets of water spread thruout the day. Eat minimum 2 fruit before meals daily and get adequate exercise.
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Today morning suddenly my chest is very pain and it continuing full day and also now. What is the reason and how to improve it?

MBBS
General Physician, Mumbai
Today morning suddenly my chest is very pain and it continuing full day and also now. What is the reason and how to i...
Dear lybrateuser, - At your age chest pain could be due to acidity, anxiety or sedentary habits - avoid spicy, fried, sour & junk food, also do not consume more than 1-2 cups of tea/ coffee per day - chew your food well, do not skip meals, have meals on time, have dinner 2-3 hrs before bedtime - have 7-8 glasses of water for proper digestion - do regular exercise, play games, do yoga & deep breathing to keep your body fit.
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Sometimes I am felling breathless ness. Choking throat. When I drink alcohol breathless ness are worsen. What is the reason behind this pls help.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Heartburn it's called as Hyperacidity sometimes cause such issue.. Chest tightness and feeling like breathing difficult
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Am suffering from stomach pain from last 5 years, now am feeling very pain in some times. I visited many hospitals about this, all are suggested ultrasound scanning. They told no problem. Some times am feeling in morning times and it will ok after taking break fast. If I sit in bend position my stomach will start paining. I have no problem in food taking and Motion. I have tilting or pining feeling in right side of chest (in line of heart)

MBBS
General Physician, Hyderabad
Am suffering from stomach pain from last 5 years, now am feeling very pain in some times. I visited many hospitals ab...
Hi! Acute gastritis is your problem Ultrasound is a useless test for you As you told u had pain subsided after food so it is typically gastritis Please get yourself upper GI endoscopy It is been 5 years already So please get the test by consulting gastro specialist Thank you.
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I have diabetes and high blood pressure I need precautions and food limits to keep it in control Thank you.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I have diabetes and high blood pressure
I need precautions and food limits to keep it in control
Thank you.
You need to know the low and high glycaemic foods, that is foods that increase /delay the rise in blood sugars. For example white bread has a high gi (glycaemic index) as compared to whole wheat bread. Portion size of your diet will depend on your sugar level, body weight etc. For high bp, you need to cut down all your non veg, processed and bakery products. Certain natural foods are also high in sodium content that needs to be cut down by leeching it.
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My left side chest is very pain. And sometime I feel very bad plzz help me. What can I do?

MBBS, cc USG
General Physician, Gurgaon
My left side chest is very pain. And sometime I feel very bad plzz help me. What can I do?
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
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I am 58 years old and had acute iwmi 7 months ago, had angioplasty done immediately, very little heart damage, lvef 65% was regulary going to gym before the attack, can I go to gym and do weight training again.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
If unr not having chest pain and other anginal symptoms, you can do limited activities which will indeed help but not much strenuous activity.
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Total cholesterol 235 HDL 54 LDL 148 Triglycerides 242 VLDL 483 Sir /madam herbal medicine tell me Pls help me.

BAMS
Ayurveda, Ambala
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.
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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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I have pain in my chest since last night. Please give me suggestion. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have pain in my chest since last night. Please give me suggestion. What should I do?
Dear take 2 tab pudin hara twice a day with water and get an ECG done. Drink plenty of fluids and water. Take light meals. It can be due to gastritis or due to muscular spasm at ur age.
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Please provide some tips and medicine's in Ayurveda & Natural therapy for heart disease.

BHMS
Homeopath, Thane
Please provide some tips and medicine's in Ayurveda & Natural therapy for heart disease.
Hi, take r-2 drops (dr reckeweg and company, germany) 10 drops in 1/4th cup of water drink twice a day 1/2 an hour before meals.
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