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Hello, Doctor I am here to ask you that if there is any problem when our heart rate per minute is 100 above (like 106, 110) at normal stage?
I take the medicines cyproheptadine and dexona for 2 months each tablet per day and now I quit it from 3 months ago but I feels my heart beats too harder I feels every beat while I am laying on bed and a pain in lover of heart I do not know which organ is this below heart . How can I overcome to this side effect.
Iam 55 years old. I have a high bp occured some time since 02 years. My both legs is swelling and left side of the whole body get tingling sensation since 02 years. What should I do, please advice me! thanks.
Angina or angina pectoris is the pain, discomfort or tightness in the chest that occurs when the blood flow to the heart muscle cells is not enough to meet its energy needs. It is not a disease itself but rather a symptom of the coronary heart disease.
What are the different types of angina?
1. Stable angina: It is the commonest form of angina. It can be triggered by stress or physical activity and usually only lasts a few minutes.
2. Unstable angina: It happens when you're resting or aren't very active. The pain is strong and long lasting, and may keep recurring. It may be a signal of an impending heart attack.
3. Variant angina: This might take place when you're asleep or at rest. This sudden tightening or narrowing of the heart's arteries causes a lot of pain.
How u know what your are experiencing is an angina pain?
You might be having angina pain if you suffer from one or more of these symptoms:
- Chest pain
- Pain in your arm, neck, jaw and back
- Numbness or loss of feeling in your arms, shoulders or wrists
Immediate Relief from Angina
If previously advised by a certified doctor, patients can take antiplatelet medicines which are blood thinners and prevent unstable angina. Final treatments include angioplasty (repair of a blocked blood vessel through surgery), insertion of a coronary artery stent (a tube that is used to treat weakened arteries) or a heart bypass surgery for serious complications. If you wish to discuss about any specific problem, you can consult a cardiologist.
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.
My brother is 16 years old. Today he got his echo reports. Reports seems to normal but in that MVP is seen and is written that it is thin leaflets. What does it mean. Is it normal or any danger please plzzzzzzzz do reply me. And if it's danger what should be done to cure it. Rest every valve are absoulty normal.
Hello sir, I have a health problem. Sometime I feel pain in my chest. So I wanted suggest it's a normal are something serious. So please give me a suggestion what should do?
She working out to lose weight, today she was feeling weak and her blood pressure has gone down please explain.Please tell.
There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).
Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.
People who need a heart transplant:
A heart transplant may be essential in the following cases.
- A congenital heart disorder (a person born with a heart problem).
- Defective or diseased heart valves.
- Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
- Problems in the coronary artery.
- Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
- A heart transplant that failed previously.
- Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).
However, under the following circumstances, a heart transplant may not be a wise idea
- People with infections or chronic lung or kidney disorders.
- A case of cancer in the past.
- Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.
The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.
- The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
- In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
- The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
- Once the implantation takes place (without any complications), the surgeons sew the heart into place.
- The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
- To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
- If no complications develop after the transplant, the patient is discharged within a fortnight.
In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Respected Doctor, I am 59 years old with controlled hypertension and controlled blood sugar. But I have a problem on glans of penis for last few years. On the surface of my glans of penis, very fine granular eruptions appear frequently and the surface becomes red and I feel uneasy. When I apply a skin lotion i.e. Surfaz N. Thereon once or twice for a day, it disappears as if there was nothing. Again after a week the same symptom appears and treated as above and so on. Likewise, it appears again and again and subsided when treated with the said lotion. Please advise me its permanent cure and oblige. Regards.
A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a ‘silent heart attack’, medically known as ‘silent ischemia’, occurring due to the shortage of oxygen supply to the heart muscle. The causes of a silent heart attack are similar to that of a heart attack.
- Conditions like:
- Lack of exercise
- Age, usually above 65
- Consumption of tobacco or smoking
- High consumption of alcohol
A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal. Diagnosis: The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram, Holter Monitoring or others. These tests can show certain changes which might be indicative of a heart attack. An analysis of one’s overall health and the symptoms can aid in deciding whether few more tests are required.
How would you prevent a silent heart attack?
1. Get your cholesterol and blood pressure count tested regularly.
2. Refrain from smoking.
3. Get your VO2 max checked regularly.
4. Live a healthy lifestyle: Refrain from smoking and excessive alcohol consumption; exercise daily, eat healthy.
5. Control high blood pressure, cholesterol, and diabetes
6. Be aware of your body and call on a doctor if you feel there’s anything which is bothering you. If you wish to discuss about any specific problem, you can consult a Cardiologist.
In 1995, I took marijuana dissolved in tea. The same night I got a fear attack. One week later my heartbeat increased to 140/second. I was prescribed propranolol 40 mg. Later I began to have panic attacks. Now everything is okay. I was diagnosed with psvt. Should I continue the medications. Hope its not serious. I have no high sugar and lipid profile is okay. Please do advice. Regards.
Mushroom is a type of fungi that hails from the Agaricus family. It is estimated that there are close to 1,40,000 types of mushroom, out of which science has been able to classify only 100 odd mushrooms for health benefits. From cutting down cholesterols to preventing cancers, increasing the strength of the immune system to helping in weight loss, there are numerous health benefits of mushroom. This article will explore why mushrooms are regarded so highly by health practitioners across the globe:
- Cholesterol levels: Mushroom does not possess any fat or cholesterol. They are rich in lean protein, fiber, and some very important enzyme. The lean protein found in mushroom helps to burn down the LDL cholesterol. Furthermore, it creates a good balance of LDL and HDL cholesterol so that the body can refrain from stroke, atherosclerosis etc.
- Preventing cancer: Mushrooms are mighty effective in blocking certain cancer types such as the breast and prostate cancer. Owing to their high linoleic acid and beta-glucans, they act as a very good anti-carcinogen. While linoleic acid can successfully suppress the excess estrogen which leads to breast cancer in women, the beta glucans can suppress the growth of cancer cells in the case of a prostate cancer.
- Diabetes: Mushroom is an ideal food for a diabetic patient. They do not possess cholesterol, consists of low fat, have high protein and a lot of minerals and vitamins. Apart from this, mushrooms possess a lot of fiber and water. The most critical component, however, is the natural insulin that mushroom has within itself. They help to break down the starch found in food items. Mushrooms have certain components that help in the proper functioning of the liver, endocrine gland etc. It ensures that the proper balance of insulin is maintained in the body.
- Bone health: Mushroom is a very good source of calcium. They ensure that adequate strength of various bones is maintained in the body. Regular intake of mushroom can ensure safeguard an individual from conditions such as osteoporosis, joint pain, and immobility.
- Blood Pressure: Mushroom variety such as the maitake and the shitake has a high amount of potassium content. The latter can successfully relax the blood vessels thereby, reducing the blood pressure. Increased potassium content also helps in knowledge retention and an improved memory. High blood pressure, on the other hand, can cause severe damage such as strokes, heart attacks etc.
- Selenium content: Selenium component is mushroom is one of the key ways to receive selenium for a vegetarian. Selenium helps in strengthening the bone, nail, tooth and hair. Selenium is also considered to be a very powerful antioxidant that can successfully get rid of free radicals in the body and strengthen the immune system. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
I was prescribed propranolol hydro chloride for psvt. Ciplar 40 mg. Around 20 years back. Now I have developed high b.p. As well. Does ciplar 40 mg also act as a medicine to reduce high b.p. In the long run? Or other medicines are required? Regards.
Hello sir, I am 24 years female, I have chicken pox from 11 days. And still did not heal and I dint consult a doctor yet. Rashes are on chest and hands and stomach. And I do not have fever but am getting sever hand pain because of swelling of blisters. What medicine should I use to heal my chicken pox?
Dr, How can I reduce my cholesterol level? Which types of food want to avoid and want to eat? Thank you.
Coronary Artery Disease - Symptoms and Causes
Coronary artery disease is the disease in which the major blood vessels (coronary arteries) that supply blood, nutrients and oxygen to your heart get damaged or disease stricken. It is mostly caused due to the coronary artery getting plagued or inflamed. The consequent reduction in blood flow to the heart causes the various symptoms of coronary artery disease like angina (chest pain), short breath etc.
Here is a list of a few symptoms that help in identification of the coronary artery disease.
1. Angina - Pressure or tightness may be felt in or near the area of the chest that results in pain. It is mostly felt in the middle or left side of the chest.
2. Shortness of breath - Another symptom of coronary artery disease is short breath, fatigue and a feeling of exertion.
3. Heart attack - Complete blockage of the coronary artery results in a heart attack that is a prominent symptom of coronary artery disease. A person may feel heavy pressure in the chest, pain in the shoulder or arm, sweating etc. prior to getting a heart attack.
Coronary artery disease occurs when damage or injury is done to the inner layer of the coronary artery. This damage causes plaque, which are deposits made of fat, cholesterol and other cellular waste materials to accumulate near the damaged area of the artery. This process is known as atherosclerosis.
The various causes that result in coronary artery damage are listed below.
- High blood pressure
- High cholesterol
- High stress
- Physical inactivity