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Dr. Thirumalai

Cardiologist, Chennai

Dr. Thirumalai Cardiologist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Thirumalai
Dr. Thirumalai is a trusted Cardiologist in Tambaram, Chennai. You can meet Dr. Thirumalai personally at Gajanan Hospitals Pvt Ltd in Tambaram, Chennai. You can book an instant appointment online with Dr. Thirumalai on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 25 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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No.29, Kakkan Street, Tambaram. Landmark: Near To Vidhya Theater, ChennaiChennai Get Directions
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New dietary guidelines issued by AHA say that Cholesterol is not a risk factor for heart problem. If that is so, then what causes blockages in the arteries? Should one stop worrying about the cholesterol figures? What are the revised ideal figures for serum cholesterol?

MBBS
General Physician, Mumbai
New dietary guidelines issued by AHA say that Cholesterol is not a risk factor for heart problem. If that is so, then...
Its a known factor that atherosclerotic plague due to high LDL cholesterol levels cause myocardial infarction and we have to select the people with keeping proper record of stress test with lipid profile reports
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I have been suffering from the symptoms of anxiety ie. Frequent heart palpitations, slight pain in left chest. Medication is making me feel more panic and terribly drowsy. What shall I do now? How shall come out this panic attacks of anxiety without pills?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have been suffering from the symptoms of anxiety ie. Frequent heart palpitations, slight pain in left chest.
Medica...
Yoga, meditation, focus on work, eating healthy and exercise moderately, reading, writing, watching good programmes with less violence and hobbies help a person cope with anxiety, palpitations without pills. Get heart tested for basic tests like ecg, echo, stress test and blood tests for sugar and total lipids.
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I am 30 years old. I have cholesterol problem. It was so intolerable for me. How can I overcome this problem.

BHMS
Homeopath, Pune
I am 30 years old. I have cholesterol problem. It was so intolerable for me. How can I overcome this problem.
Do regular exercise eat healthy non oily non spicy diet n stay stress free then your cholesterol will not be intolerable to you.
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Multivessel Stenting Vs Bypass Surgery - Which is Better?

DM Cardiology
Cardiologist, Delhi
Multivessel Stenting Vs Bypass Surgery - Which is Better?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to a cardiologist without much delay.

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My age is 24 and hight 5.5ft n weight 61 kg. Sometimes i suffer from high blood pressure problem. Please give some suggestions.

BHMS
Alternative Medicine Specialist, Mumbai
Dear , Think of addressing the stress that is causing you this issue. You can learn precise affirmations and breath techniques which will help you addressing your stress and deeper issues related to the stressful situations.
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After seeing the angiogram report one doctor says to go for open heart surgery whereas other doc says to put stent. How to get a conclusion as my family in distress. How safe is the open heart surgery. Pls advise.

MD - General Medicine
General Physician, Bangalore
After seeing the angiogram report one doctor says to go for open heart surgery whereas other doc says to put stent. H...
Hi, the decision depends on the type of block, number of vessels blocked, extent of block, location of block. It also depends on the expertise of the cardiologist. As stenting is less invasive, non surgical, involves less hospital stay, it is the preferred method of treatment.
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Hello sir good afternoon I wanna know about Dyspnea disease what is it? And is there any treatment of it? My friend is suffering from this problem. She is Gasping from doing a little thing .so please tell me sir this is serious problem or it may be solve from some treatment. Please suggest me sir. And also tell which type of diet we should follow for her. Thanks.

DM Cardiology
Cardiologist, Delhi
Dear lybrate-user, Dyspnoea, means breathlessness. It could be due to heart or lung related problems. I would advise you to show your friend to a good physician.
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SIR MY TRIGLYCERIDES IS TESTED BY PHOTOMETRY 272 mg/dl. VLDC CHOLESTROL TESTED BY CALCULATED 54.34 mg/dl. TC/HDL CHOLESTROL RATIO 5.3 mg/DL. NON HDL CHOLESTROL 160.5 mg/DL. IS IT ANY SERIOUS PROBLEM.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
SIR MY TRIGLYCERIDES IS TESTED BY PHOTOMETRY 272 mg/dl.
VLDC CHOLESTROL TESTED BY CALCULATED 54.34 mg/dl.
TC/HDL CHOL...
yes sir it is bad for your heart. High cholesterol is a major risk factor for coronary heart disease, a cause of heart attacks, and reducing blood lipid levels lowers the cardiovascular risk.4 High levels of LDL lead to a build-up of cholesterol in the arteries, whereas HDL carries cholesterol to the liver for removal from the body.2 A build-up of cholesterol is part of the process that narrows arteries, called atherosclerosis, in which plaques form and cause restriction of blood flow.2 High cholesterol levels are a result of modifiable and non-modifiable risk factors. Two major risk factors, diet and exercise, are highly modifiable, meaning that something can be done to change these risk factors and reduce the likelihood of having high cholesterol.2 Limiting intake of fat in the diet helps manage cholesterol levels. In particular, it is helpful to limit foods that contain:2 Food sources of cholesterol Meat, cheese and egg yolks are sources of cholesterol. Cholesterol (from animal foods, such as egg yolks, meat and cheese) Saturated fat (found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods) Trans fat (found in some fried and processed foods). Being overweight or obese can also lead to higher blood LDL levels, with regular exercise helpful in managing this risk factor.2 The primary causes of high cholesterol are genetic - very high LDL levels are found in the inherited condition familial hypercholesterolemia.5 Abnormal cholesterol levels may also be secondary to the following:5,6 Diabetes Liver or kidney disease Polycystic ovary syndrome Pregnancy and other conditions that increase levels of female hormones Underactive thyroid gland. Drugs that increase LDL cholesterol and decrease HDL cholesterol (progestins, anabolic steroids and corticosteroids).
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How to get rid of the blood pressure tablets as I am fed up of that all please consult me?

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
How to get rid of the blood pressure tablets as I am fed up of that all please consult me?
You need tablets to control b. P. Mediation will help your frustration. Exercise. Plenty of vegetables and fruits. Low salt and sugar. Blood lipids test. Regular check will ensure long life.
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What is the symptoms to avoid heart attacks? What is the symptoms to avoid brain stoke?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
What is the symptoms to avoid heart attacks? What is the symptoms to avoid brain stoke?
Keep your body healthy, do not eat unhealthy fats. To keep your brain healthy take healthy diet rich in omega - 3 and avoid sun for long hours to avoid brains stroke.
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I have blood pressure of 150/92 how I can reduce it to 130/84? my age is 49 yrs. Pls guide me medically.

BHMS
Homeopath, Faridabad
I have blood pressure of 150/92 how I can reduce it to 130/84? my age is 49 yrs. Pls guide me medically.
Hi, Take Rauvolfia 1x, 2 tabs daily morning empty stomach. Drink plenty of liquids and cut down your fat, salt and sugar intake. go for a morning walk daily at least for 30 minutes. Take a sound sleep and try to avoid anger. Revert after 15 days with feedback.
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I have very fit but having lots pain my chest and stomach and in back kindly guide me please.

MBBS
General Physician,
I have very fit but having lots pain my chest and stomach and in back kindly guide me please.
you might be having infestation of intestinal parasites like hook warms, round warms, tape warms. normally one should get dewarming done at least once a year if not six monthly. it is a single dose medication like albendazole or mebendazole do get it done on consultation with a doctor near your locality. it will be alright.
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Is COMPLETE LEFT BRANCH BLOCK IN Heart is a serious condition. What are the remedies to overcome. Just today My ECG report says LBBB (U, aVL,V6) QRS is 212ms. Please suggest me. I'm very scared. Previously I dint had any problem. But today when I went to general check up to my family doctor he took ECG suggested to come on next week. Pls let me knw is this a serious condition.

MBBS
General Physician, Ahmednagar
Is COMPLETE LEFT BRANCH BLOCK IN Heart is a serious condition.
What are the remedies to overcome. Just today My ECG r...
Patients with LBBB require complete cardiac evaluation, and those with LBBB and syncope or near-syncope may require a pacemaker. Some patients with LBBB, a markedly prolonged QRS (usually > 150 ms), and systolic heart failure may benefit from a biventricular pacemaker, which allows for better synchrony of heart contractions.[6]
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I'm very low pressure person. Please give something suggestion. And some food eating formula for good health" strong health, strong Salman body.

MSc
Dietitian/Nutritionist, Chandigarh
I'm very low pressure person. Please give something suggestion. And some food eating formula for good health" strong ...
Depending on the reason for your low blood pressure, you may be able to take certain steps to help reduce or even prevent symptoms. Some suggestions include: Drink more water, less alcohol. Alcohol is dehydrating and can lower blood pressure, even if you drink in moderation. Water, on the other hand, combats dehydration and increases blood volume. Follow a healthy diet. Get all the nutrients you need for good health by focusing on a variety of foods, including whole grains, fruits, vegetables, and lean chicken and fish. If your doctor suggests using more salt but you don't like a lot of salt on your food, try using natural soy sauce or adding dry soup mixes to dips and dressings. Go slowly when changing body positions. You may be able to reduce the dizziness and lightheadedness that occur with low blood pressure on standing by taking it easy when you move from a prone to a standing position. Before getting out of bed in the morning, breathe deeply for a few minutes and then slowly sit up before standing. Sleeping with the head of your bed slightly elevated also can help fight the effects of gravity. If you begin to get symptoms while standing, cross your thighs in a scissors fashion and squeeze, or put one foot on a ledge or chair and lean as far forward as possible. These maneuvers encourage blood to flow from your legs to your heart. Eat small, low-carb meals. To help prevent blood pressure from dropping sharply after meals, eat small portions several times a day and limit high-carbohydrate foods such as potatoes, rice, pasta and bread. Your doctor also may recommend drinking caffeinated coffee or tea with meals to temporarily raise blood pressure. But because caffeine can cause other problems, check with your doctor before drinking more caffeinated beverages
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Dr. I am DB and also Hypertensive _ B P.Currently my BP is in control with Navistar SA an d Telma 40. For Sugar I am on Nova Mix 18/ 16 units Morning and night Plus I am taking Amyril 2 mg And Inogla 20 mg twice Some how Sugar is fluctuating. Currently I have Post Herpes Neuralgia and Taking gabapin 400 twice. Its been eight weeks and no cure Pain in under control -- any advice -- Blisters due to herpes has dried out V S sudhakar.

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
Dr. I am DB and also Hypertensive _ B P.Currently my BP is in control with Navistar SA an d Telma 40. For Sugar I am ...
Dear lybrate-user ji, Please take powerful immunity modulator natural ingredient in capsules called Reimmugen which is made from Cow Colostrum. It is known to reduce the aggravation of viral/infections and help in overcoming the irritation, weakness form such infections, especially in chronic high risk cases as yourself.
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Before 5 day old I wake at 10.30 am and suddenly I fall in the ground. Then doctor came and checked out me and told my bp is low and some injuries occurred on my neck and head after I take medicine then after 5 minute I vomit so pls tell what wrong with me.

MBBS
General Physician, Kochi
Before 5 day old I wake at 10.30 am and suddenly I fall in the ground. Then doctor came and checked out me and told m...
Simply it may be gastritis, t is not the fault of medicines, you have to take adequate food before taking any pain killers and antibiotics. And you hve to take some antacids for that with antibiotics, diet too you have to care,
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I am 44 years old female and I had kidney problem. I am using medicines since last 1 year. I am not getting no changes. Creatinine- 5.4 Urea - 102 Hb - 11.4 Hypertension - 140/80 What should I do now.

MBBS
General Physician, Cuttack
I am 44 years old female and I had kidney problem. I am using medicines since last 1 year. I am not getting no change...
Your blood urea and creatinine level is very high. You may need dialysis. Consult nephrologist for advice and treatment.
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