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Dr. Siva Kumar Pandian

Cardiologist, Chennai

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Dr. Siva Kumar Pandian Cardiologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Siva Kumar Pandian
Dr. Siva Kumar Pandian is an experienced Cardiologist in Mogappair, Chennai. You can consult Dr. Siva Kumar Pandian at Madras Medical Mission in Mogappair, Chennai. You can book an instant appointment online with Dr. Siva Kumar Pandian on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 38 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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Madras Medical Mission

#4-A, Dr. J.Jayalalitha Nagar,Mogappair, ChennaiChennai Get Directions
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My total cholesterol 387 mg/dl triglycerides 1767 mg/dl which is very high, pls. Advise me how to manage .

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS, MRCP (UK)
Internal Medicine Specialist, Kolkata
My total cholesterol 387 mg/dl
triglycerides 1767 mg/dl
which is very high, pls. Advise me how to manage .
Thank you for the query firstly I would like to know whether you have any comorbidities like diabetes, hypertension or thyroid problems. I shall answer your question in points. 1. A total cholesterol of 387 mg% is very high. It should preferably be below 200 mg%, if not lesser. The ldl component should be ideally below 100 mg% (though 120 mg% is acceptable). You need to start on the statin group of drugs as soon as possible. 2. A tg level of the 1767 mg% is risky not only for the cardiovascular system but also for the pancreas. Fenofibrate drugs can help in reducing tg. 3. You need to adopt the following lifestyle measure - avoid alcohol (can lead to raised tg level), avoid refined carbohydrate and saturated fats (ghee and butter). Do not take carbonated beverages. Adopt a daily exercise regime, and target for weight reduction. 4. Some precautions you need to take. Get some basic tests done like blood sugar profile (uncontrolled diabetes can cause deranged lipid profile), liver function test, thyroid profile, usg upper abdomen (to check for fatty liver or pancreatic abnormalities) and 12 lead ecg. 5. It is important to know the family history. Such high levels of cholesterol and lipid profile can occur due to familial dyelipiedemia. Sure that next time when you check the lipid profile, remain on a strict 12 hours fasting. Regards.
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Sometime feeling very week and not easily walk. Sometime feel palpitation. Always pressure high and not steady.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Sometime feeling very week and not easily walk. Sometime feel palpitation. Always pressure high and not steady.
Very common problem, usually some minor ailment. Ample Rest, balanced diet, and if not better, meet a Dr. Measure BP monthly on fixed date, and always after resting for 10 mins. Any BP less than 145 is ok, it varies for everybody and that is normal.
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The 6 Things that Make You Prone to Heart Diseases the Most

MBBS, MD - Medicine, DNB Cardiology
Cardiologist, Delhi
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6 Things that make you prone to heart diseases the most

Every year almost 2 lakh people opt for heart surgeries in India; and as of 2015 there were about 30 million people in the country suffered from heart diseases. There are several factors that increase the threat of heart diseases, among which some can be controlled and some can't. On one hand, where factors like being a man, old age, being a woman in the post-menopausal phase of life, and a family history of heart diseases are beyond your control; other risks can be minimized by making some lifestyle changes. 

Although natural processes like ageing, which narrow down your arteries and weaken the heart muscles increase the risk of heart diseases here are 7 factors, which dramatically increase your chances of getting heart diseases, while you are still young.

1. Genetic Factors: 
If someone in your family is already suffering or has suffered from a heart disease, especially at a young age, it increases your probability of getting a cardiovascular disease.

2. High Levels of Cholesterol in the Blood:
Chances of formation of plaque on the inner walls of the arteries increase with increasing levels of bad (LDL) cholesterol in the blood. This may be a major cause of the heart disease, atherosclerosis, which happens due to accumulation of fatty substances inside the arteries. 

3. Smoking:
Smoking causes constriction of your blood vessels and may damage their inner lining due to the effect of nicotine on them. This can put you at high risk of developing atherosclerosis. Moreover, studies suggest that people who smoke are twice as prone to heart attacks in comparison to non-smokers.

4. Hypertension:
If your blood pressure level is usually above normal, it can give rise to thickened arteries, which, in turn, can reduce the passage for the flow of blood through the vessels. This damages your heart health to a large extent and makes you prone to heart diseases.

5. Diabetes:
Uncontrolled diabetes increases your chances of getting a heart attack, especially because diabetes almost goes hand in hand with diabetes and obesity, which are risk factors of heart diseases.

6. Stress:
If you fail to keep your levels of stress and anger in check, they may have a damaging effect on your arteries. This can make way for strokes and heart attacks in the future.

'Consult'.

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Dear Doctor, I am having diabetic and hypertension for the last 12 years. I am 51 years old. I am presently taking the following medicines: Glycomet GP 0.5 mg 2-0-2 Zita 100 mg 1-0-0 Atorva 10 0 -0-1 Olmax 40 1-0-0 Revelol am 5 /50 - 0-0-1 Presently on a recent checking my BP levels and cholestrol levels seems to be fine and normal. BP 90/130 Total Cholestrol : 118, Trigliceride: 127 ,LDL : 60 ,HDL :45. I presume my BP and cholestrol and BP levels are fine with these numbers. My concern is diabetics. Earlier 3 years back my medication was Pioglit 15 , after its so called ban, doctor changed the medicine to Glycomet GP 0.5 mg which i am using for the last three and half years. My fasting & pp sugar initially even after medication happens to be 130 / 170 levels. However during the last 4 months my sugar started shooting up , partly due to official preoccupations. My HbA1c levels are nearing 8 and morning fasting levels ( vary between 170 to 200) depending on the food what i take at night. Doctor asked me to increase the dosage of medicine and now i am using Glycomet GP 0.5 mg 2-0-2 instead of earlier 1-0-1. Zita i am using only 100 mg. I am not seeing any change in sugar levels. I s the combination right ? should i need to change it ? Please guide. Since i have a touring job for 15 days a month, i resort to outside food and i do walking. Please guide.

Vaidya Visharad
Sexologist, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com

My husband had bypass on 2004 dec. 2014 dec we took ct scan. The result came like this. 1 new artery right side had a block. What we can do for this. Please dr help us by saying the treatment ?

BHMS
Homeopath, Secunderabad
Nothing to worry jesintha, homoepathy medicines will help to reduce arterial blockages. Take one tablespoon of ground cinnamon daily along with medicines. It helps to reduce the cholesterol.
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Hai doctor. My name is swalih.In some days I have heart pain. What is the reason for this heart pain.

MBBS
General Physician, Mumbai
Hai doctor. My name is swalih.In some days I have heart pain. What is the reason for this heart pain.
Dear lybrateuser, -At your age it is unlikely to be heart pain, it could be due to acidity -take some precautions like, avoid spicy, fried & junk foods -have meals on time, do not skip meals, chew your food well, do not lye down for at least ah hour after meals -have 7-8 glasses of water for proper digestion -if not much improvement then consult a doctor.
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I am suffering from saviour problem of sitting. Soon after sitting for 5 mins I get below problems 1.back pain 2. Pain above stomach and below chest 3.breathing problem and start forgetting works. 5. Low mood continuously for many days But this not happen if I don't sit and everything is perfect if I keep walking or standing. What's the reason and cure.

MBBS, PG-Diploma In Clinical Pathology
General Physician, Sri Ganganagar
I am suffering from saviour problem of sitting. Soon after sitting for 5 mins I get below problems 1.back pain
2. Pai...
Dear you may be having vitamin b12 and vitamin D3 deficiency. Get them checked along with esr crp and thyroid profile. And consult me then.
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I have done CABG heart surgery on 15th of July Now I have pain near soothes and I am not able to breath properly.

MD- INTERNAL MEDICINE, MBBS
General Physician, Delhi
I have done CABG heart surgery on 15th of July Now I have pain near soothes and I am not able to breath properly.
It is a normal phenomenon after a bypass surgery. Give hot fomentation, take a tablet of crocin, apply volini spray & prform your light duties. You will recover fast, don't worry.
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How to get rid of BP without tablets? I am taking medicines for the last 2 years with regular check-up, but doctor told to continue the medicine. Now BP is 120/80, 110/80, 100/80 at office. When check it up with doctor it comes 140/90.

BAMS
Ayurveda, Ambala
How to get rid of BP without tablets? I am taking medicines for the last 2 years with regular check-up, but doctor to...
To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
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Mera blood pressure 145/110 rahta that aur pero (legs) me sujan (swallowing) ho jata tha. At that time doctor ko dekhane par unhone ENVAS 5 aur ECOSPRIN 75 lene ko kya. From 2 years I am eating it but bp remains like 145-150/110-115. Please suggest something. Which medicine should I take. Help me.

MBBS
General Physician, Cuttack
Mera blood pressure 145/110 rahta that aur pero (legs) me sujan (swallowing) ho jata tha. At that time doctor ko dekh...
Your Blood pressure is not controlled with the medicine you are taking. Get your BP checked by doctor and consult physician for change of medicine
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