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Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
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My Blood Triglyceride level very high before 3 month its 430, my doctor proscribed me Tonact TG for two months. After tw0o month TG level down at 90 and I stop to use Tonact TG. I am regular doing Yoga but after 3 month my TG level goes high again its 240. And it is increasing. Is it any other problem associated with it or it is directly affect my heart. What kind of permanent treatment I should use to establish my TG under control value.
Cardiopulmonary resuscitation or CPR is an activity that should be learnt by everybody. It’s a skill that comes handy at the time of the crisis. Owing to the fact that 90 percent of the overall cardiac related conditions occur outside the hospital, learning CPR becomes essential. A person with the knowledge of CPR can save the life of a patient in those crucial seconds when life hangs in the balance. Here is a brief know how about CPR and the way it is done:
Before CPR is started:
It is necessary to tap the patient on the shoulder and ask if he is fine. If the answer is not in the affirmative, seeking medical help is the best possible alternative. If medical help such as ambulance is out of reach, starting the CPR is the best possible way to go.
CPR for children above 9 years:
The patient should be laid on their back and the person intending to give the CPR should kneel next to the shoulder and neck of the patient. The heel of one hand should be placed to the center of the chest of the patient. The heel of the other hand should be placed over the lace and first fingers together. The elbow of the person intending to give the CPR should be kept straight and the shoulder should be aligned directly over the hands. Thus, begins the process of compression as hard as possible. The aim should be to compress at least 100 times within a single minute. The chest should be given the chance to arise fully in between each compression. One small hat tip in this regard is to give the CPR in the disco mode. One beat at a time.
CPR for infants and children below 9 years:
Before starting the CPR, the head should be tilted backward and the chin should be lifted upward to open the passage for the airway. In case the breathing is absent, either of the below-mentioned rescue breaths should be applied:
- For a child, the nose should be shut and mouth should be completely sealed.
- For an infant, the seal is applicable on the mouth and the nose both.
This should be followed by blowing in the mouth till the chest has a visible rise. There should at least be 30 chest compressions given to the patient within a minute. While For a child the chest should be pushed with one or two hands, for an infant, the chest should be pushed with no more than three fingers. The above steps should be repeated three to four times.
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My name is Dr. Gaurav minocha. I am a cardiologist practising in New Delhi. So today I will be talking about coronary angiography which is a common test which is prescribed to patients with heart disease. There are many myths associated with the test. Many people are scared of the test and commonly they come back to us complaining that they might suggest or advice the test but would rather not go for it. So today I will be talking about some integrations, how the test is done and whether it is an actually complicated test or not. Firstly it is important to understand why the test is done? So angiography is a test which is done basically to diagnose heart disease.
So in patients having angima, chest pain heart condition are the patients who are candidates for this test. So mostly we would do a test like ECG, treadmill test, echo-cardiogram to ascertain whether you need an angiography and how soon it should be done. But then there are some conditions like in case of heart attack where we need to do it in an emergency and these patients do not give us much time. So in that situation, you have to realise that we do not have time to wait and discuss too much and we should go ahead with the angiogram because that is the procedure on the basis of which the treatment starts. Now how the test is done- basically we need to inject some contracts into the coronary artery which delineates the coronary artery and helps us to find out the blockages in the coronary artery.
There are two main routes that we use- first is the radial route which is through the hand and the second one is through the leg. Commonly, the femoral route or the leg route has been used but now I along with many other doctors have started using the radial route which is more comfortable for the patient and has fewer complications. We use local anaesthesia to numb the area through which we enter the artery and then we slide 2-millimetre caster through the artery into the heart and then we take injection into the heart recorded with the X-ray equipment.
The test itself takes around 15 to 30 minutes. It gives us a lot of information about the heart artery and according to that, we can decide whether the patient needs just a medical therapy, whether you need a Bypass surgery or in most situations, we can do the angioplasty. So the complications which are associated with the test or what the patients are scared of, but I can reassure you that the complications rates are less than 1%. The risk of dying which is the most common question asked to us is less than 1 per 1000. So it's a fairly safe test and gives us a lot of information so do not be scared of it. The recovery after coronary angioplasty is fairly fast.
We normally discharge the patient on the same day. Staying required is half a day. If we do it through the hand, we can discharge and you can go back in 2 hours and in case it is done through the groin then we need to keep you rested for half a day to 4-6 hours and once the bleeding is controlled then we can send you back to home. The implications of the test are that in case we find blockages in the heart arteries we may advice to go ahead with a coronary angioplasty wherein we may put in a thin wire and over it, we send a stent through the same route.
So it's preferable sometimes to do the angioplasty and stenting at the same stage. Some patients may require a bypass surgery which may be planned over the next few days and if you're lucky enough the arteries are normal then we can discharge you the same day. I would like to wind up by saying that it's a safe gold standard test for the diagnosis and treatment of heart diseases. Please do not be scared of it. It will be useful in your treatment.