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Dr. Pramoth Roy

Cardiologist, Chennai

200 at clinic
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Dr. Pramoth Roy Cardiologist, Chennai
200 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. Pramoth Roy
Dr. Pramoth Roy is a renowned Cardiologist in Ramapuram, Chennai. You can consult Dr. Pramoth Roy at Roy's Heart Foundation in Ramapuram, Chennai. You can book an instant appointment online with Dr. Pramoth Roy on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 32 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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Roy's Heart Foundation

No 3/49,Valluvar Salai, Ramapuram. Landmark: Near Arasa Maram, ChennaiChennai Get Directions
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MY SON AGE IS 8 YEARS. SOMETIMES HE IS COMPLAINING OF ABNORMAL HEART BEAT. I HAVE DONE ECHO, THYROID, SUGAR TESTS, ALL THE TESTS ARE NORMAL. HE HAS ALSO ADINOIDS. PLEASE SUGGEST WHAT TO DO? THANKS.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
As echo, thyroid test and sugar test are normal specialy if echo does not show heart rhythm abnormality, then you should not worry. For adenoid if causing breathing problem, consult an ENT specialist.
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My father is suffering from heart disease. His heart is working only 24%. We did some tests echo n angiography. He smokes. But now from few days he is not smoking. Can you plzzz suggest that tht can really help my father.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is suffering from heart disease. His heart is working only 24%. We did some tests echo n angiography. He sm...
How can a doctor or a relative or a friend help a person who doesn't want to help himself. By smoking he has destroyed his heart and lungs and passed on second hand smoke to his near and dear ones. Tell him politely that besides stopping smoking he has to take extra care about diet with minimum salt and fats and do restricted exercise, remain cheerful and occupied.
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I am 55 years old cardiac patient with little high urea and creatinine from Varanasi. Dr. Bimal Chhajer is visiting here on 22nd june (day after 2moro) Wish to know your opinion and review about him and is it advisable to take his treatment. Matter may be treated urgent Thank you

MBBS
General Physician, Ahmedabad
I am 55 years old cardiac patient with little high urea and creatinine from Varanasi. Dr. Bimal Chhajer is visiting h...
he is working on ZERO OIL meal follow up. restricting oil is definitely helpful for Cardiac patient,, life style modifications /exercise all help., but you have to continue medicines and regular follow up. feel free to ask privately with details for more scientific suggestions.
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Electrical System of the Heart: Effects and Causes

DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Jaipur
Electrical System of the Heart: Effects and Causes

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:

  • Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
  • Sleep and rest reduce heart rate as the body is not needed to exert itself.
  • Release of adrenaline into the bloodstream causes the heart rate to spike up.

I am 50 years old man, disorder with diabetic, bp and cholesterol for the past 8 years. I have sex premature problem, not able to increase my sexual time and my penny also very small in normal time and expand during sexual time. I am rarely using sex pills for erection. Need advice for treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 50 years old man, disorder with diabetic, bp and cholesterol for the past 8 years. I have sex premature problem,...
avoid stress, go for walk daily. take green veg., digestive food, multivitamin,mineral foods,mineral water,fruits juice,take protein diet,amino acid foods. you can go for tests vit.B12, vit.D. mineral , amino acid.cbc. You can take syp. Noni 1 tsf in 1 glass of water once a day. Zenseng drop 6 drop in 1 glass of water twice of a day. Zenseng is natural medicines for all purpose in human body even sex.,it is not harmfull and side effects.
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I am 39 years old suffering in high cholesterol. Please advise steps to be taken care to control.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 39 years old suffering in high cholesterol. Please advise steps to be taken care to control.
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 .
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Dear sir 1-my father is 73 year have gone bypass surgery on 1995 in hospital, delhi. Triple vessel artery disease. Graft were implated. Having diabetic, bp. By Dr. Gk mani. 2-now on 15-jan-015 he again admitted to medical college, lucknow. For heart problem. Angio was done. All graft blocked. Medicine prescibed. Shock also given during angio. Dischrged. 3-(23-01-015)----150/80 pulse-100----(14-04-015)----110/60, pulse---90 4-renal dysfunction ---(14-02-015)---serum creatine---1.66, serum urea---84mg/dl---(14-04-015)--serum creatine---1.10, serum urea---34mg/dl 5-renal dysfunction---(02-03-015)---serum creatine---3mg/dl, serum urea---112mg/dl--(14-04-015)--normal 6-(04-03-015)---uric acid---9.8----(14-04-015)----2.5mg/dl 7-(18-03-015)---serum creatine---1.6, serum urea---46mg/dl---(14-04-015)--serum creatine---1.10 8-stomach pain on (18-03-15)---done ultrasound---given inj voveran for pain---found 4-6mm multiple stone in gallbalder. Dr. Advise for operation. Report shows---mild hepatomegaly, choleithiasis, fatty pancreas, hypoechoic bowel wall thckening in left illacfossa, inflammatory. There is pain frequently. And voveran inj have to be given. For pain relief. Now problem:-(19-04-015) 1-pain (inj voveran given. But again pain. For gallbalder. 2-constipation 3-uneasyness. Feeling heavyness. In chest. Abdomen. 4-weakness. Already medicine for heart is given. Please suggest me if its recommended for redo bypass surgery and gall bladder surgery? look foward to your reply thanking you

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Its already complicated much. And age is 73. The most important area of concern is gall stone colic. Kindly take homoeopathy for gall stone it might also help in his other clinical issues as well.
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How do I get rid of High Blood Pressure once and for all? Also, what are the methods available for me to check the condition of my heart and arteries?

DNB
General Physician,
You can't get rid of high blood pressure once for all. It has to be kept under control with suitable medicines for you according to your age and renal functions. Methods to assess condition of your heart and its blood vessels are stepwise 1. ECG 2. 2D ECHO 3. Stress test 4. If required Coronary Angiography
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I am patient of Low BP, it remains around 50-60 in lower side. Pls suggest what to do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Doctors often use the drug midodrine (orvaten) to raise standing blood pressure levels in people with chronic orthostatic hypotension. It works by restricting the ability of your blood vessels to expand, which raises blood pressure. Please Confirm cause for low bp you should do test echo, lipid profile,
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I am 61 yrs old man having good heaith but suffering from sugar, cholestoral, and bp. I am suffering heel pain since one yr. I took homeopathy medicin and phisiotherapy. I didn't take allopathy medicine for this but I take allopathy for other disease..

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 61 yrs old man having good heaith but suffering from sugar, cholestoral, and bp. I am suffering heel pain since ...
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.
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I have pain in my chest what should I do for relif please tell me which medicine should I take.

MBBS, cc USG
General Physician, Gurgaon
I have pain in my chest what should I do for relif please tell me which medicine should I take.
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 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
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I have a problem of hair fall and chest pain suddenly so I want to know what is the actual problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have a problem of hair fall and chest pain suddenly so I want to know what is the actual problem.
Chest pain and due to sprain or other noncardiac causes and regarding hair fall. In general, you lose about 50-100 strands of hair each day, but the loss is not visible as new hair grow in their place. However, if you lose more than a 100 strands in a day and more than 200 strands on the day you shampoo, you may be suffering from what is known as excessive hair fall. Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must. 4. Stress gives rise to certain conditions such as alopecia areata, telogen effluvium (hair loss caused post-pregnancy or surgery) and trichotillomania (an impulsive need to pull your hair out), which can cause you to lose significant amount of hair. To avert a hair loss crisis caused by stress, make it a point to do some simple stress-reducing exercises, such as meditation or breathing exercises. 5. Using hair styling products like hair colours and straighteners can cause you to experience hair fall problems. Your hair not only becomes dull and dry due to their use, but also becomes weak and brittle, leading to a gradual loss of hair. Regular oiling and use of homemade hair masks are some of the ways you can try to counter the negative effects of these hair styling products. 6. The drugs that are used in the treatment of cancer not only destroy the fast-growing cancer cells, but also the healthy blood cells in your body. For this reason, consuming foods that possess cancer-fighting properties (like oatmeal, tomato, almonds, garlic etc) is a sure-shot way of fighting the disease as well as averting any side-effects that may arise because of the treatment. 7. Alopecia areata. Lastly, hair fall can also be caused by alopecia areata, which is a kind of hair loss that takes place when your body’s immune system erroneously attacks your hair follicles, and prevents growth of new hair. 8. Genetics. The origin of your severe hair fall or baldness can be traced back to your ancestors. So, your genes can be a factor behind your hair fall problem. If this is the cause, your body then becomes unable to produce new hair. Apart from the changes that you can make in your lifestyle to address the causes of your hair fall, there are also techniques out there that you can employ to permanently treat your problem, such as platelet rich plasma, mesotherapy, stem cell therapy, ozone activated platelet rich plasma & hair transplant.
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My chest x ray show: white colour at the bottom in half left side of x-ray, I have no physical problem for this, doctor tried to extract fluid by inserting syringe on lungs but not coming any fluid, CT SCAN Report: 1) there is significant thinking of visceral and partial layer of pleura of left side (max thickness are 1.5cm) with evidence of small fluid collection in left pleural space. 2) Homogeneous areas of consolidation without air bronchograms in subpleural region of lower lobe in left lung. 3) Periaortic lymphadenopathy. I have taken 4 month DOTS for TB as per doctors prescription but white part of left side is not removing from x-ray. Suggest medicine also for quick recover.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My chest x ray show: white colour at the bottom in half left side of x-ray, I have no physical problem for this, doct...
I do not want to interfere in treatment but incidence of drug resistant TB is quite common in our country. I treat my patients by giving AKT4 for 2 months after doing Liver function tests (repeat after a month) AKT3 for 6 more months. I explain them to take liver friendly diet like it is given for Jaundice , lots of carbs + proteins like toned milk & milk products ,eggs but No heavy Non veg or other heavy foods. Total rest. No need to Isolate if it is Not an open case. Keep the person busy by teaching some crafts ,like knitting & embroidery for women but No exposure to kitchen heat/ sun. This is general rule for all , total cost comes to less than 1000/- yes one thousand only including tests. Why should a worker of my area travel to DOTS center? You have done the right thing for getting investigated and following the treatment so far. Talk to your doctors about your problem and do let us know.Lymph nodes in abdominal TB have also vanished after a month in one of our cases. In your case ,there is minimal fluid which does not need aspiration and removal,it will clear away and so will the other lymph nodes. After complete course of treatment for TB or during treatment ,some white shadows are seen ,may be these are healed patches but we have to go by totality 1) ESR coming down 2) no fever 3) appetite better 4) weight gain 5) improvement in general condition.
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I am 58 years of age. In Jan 15 I had pain in chest. I checked up, doctor told blood not reach to heart. I feel tire out on some walk. Please advise which food or fruit will help to grow and reach heart. The medicine which I take for that feel uneasy my stomach. Thanks for advise.

MBBS, MD - Aerospace Medicine, Eular Certification in Rheumatology
General Physician, Pune
I am 58 years of age. In Jan 15 I had pain in chest. I checked up, doctor told blood not reach to heart. I feel tire ...
Friend based on your symptoms you warrant a detailed evaluation of the heart and coronaries, no fruit or food is going to help, please visit a physician or a cardiologist and get your self treated before you get into some serious trouble and end up having a heart attack.
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My name is jawed and i am having gastric problem and left side chest burning I have e consulted cardiologist many times he told me that due to anxiety my heart beat increases and 2d echo and ecg are normal 4 cardiologist I have consulted and told me to go to psychiatrist what should I do I fear daily and have palpitations more often.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My name is jawed and i am having gastric problem and left side chest burning I have e consulted cardiologist many tim...
I do not agree with your cardiologist that you should go to a psychiatrist. I believe that palpitations are to be addressed as a problem even when no pathological reason related to heart has been found. If you're having palpitations it basically means that you have an undue awareness of your heart beat. Lot of these problems have to do with stress undoubtably. But leaving them to be tackled only as stress may have its own shortcomings. I would advise you to 1st cut down on intake of caffeine which we take in the form of tea coffee and cola drinks. Also ensure that you are taking a good nights sleep. Keeping yourself involved in stress bustingactivities would also ensure the relief of anxiety which causes increase in heart rate. Hope this helps you. Regards.
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I am a Type 1 Diabetic for the last 40 years and are insulin for last 38 years. I was injecting 80 units of Lantus Daily at 9 pm the last 12 years but now I am injecting 40 units of Lantus Insulin for the last 5. Years and got my Hb1ac tested last year in October and it was 6.7. Now I have come to know about Tresiba Insulin Kindly advise me that should I switch on to the new insulin Tresiba or remain on Lantus. I feel to mention here also that I had a first MI in 1989 and second attack in 2010. My Cholesterol level tested a month agao was 123 and LDL was 69. Hope your early advise.

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
I am a Type 1 Diabetic for the last 40 years and are insulin for last 38 years. I was injecting 80 units of Lantus Da...
Hi. You have described your case very well, thank you for that. As you have mentioned, your hba1c was very well controlled at 6.7 last year. You need to check in again now. If it again shows that your diabetes is very well controlled, then there is no such need of changing a very well suited insulin regiment and experiment with a newer one. Thank you. Take care.
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I am 18 years old and I have pricking pain in the heart since from last 3 months what should I do?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 18 years old and I have pricking pain in the heart since from last 3 months what should I do?
Pix liquida. 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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I am 26 years old female recently married on 17 march 2015. From last two week from suffering from serious headache. I thought it is bcoz of eye sight. But during ma medical test I found increase in blood pressure that was 160/100. I was shocked bcoz I had normal bp. But my parents are hypertensive tell me what I have to do?

DM Cardiology
Cardiologist, Delhi
Dear , keep a record of your bp for a week, if on an average it is higher than 140/90, then you should consult a cardiologist. In the mean time, reduce your salt consumption to less than 5 gems per day, and start exercising.
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