Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 38 years of experience on Lybrate.com. Find the best Cardiologists online in Rishikesh. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Submit a review for Dr. B.C. JoshiYour feedback matters!
I am 55 taking tenolol 12.5 mg in the morning with that controlling my bp to 120/85 range or the past 10 years my recent blood test results shows blood urea nitrogen as 20.9 and bun sr creatinine ratio as 27.1 is that alarming. My ldl is 162 as well please give me the best advise and solution.
The treatment of heart disease has come a long way and one of the more important and fairly common devices used to correct rhythmic problems of the heart is a pacemaker. A pacemaker is a device which is put inside the chest or sometimes even the abdomen to send electrical pulses to the heart to keep it beating at a normal rate.
Pacemaker for heart failure
However, the implications in case of heart failure make the usage of the pacemaker much more complicated. In such cases, the device used is a special type of pacemaker which is also called a bi-ventricular pacemaker. This device sends electrical signals to pump the ventricles of the heart so that they can pump at the same time.
There are many factors to be aware of before undergoing this treatment. Some of the factors to consider are mentioned below.
- Requirement for a pacemaker in case of heart failure - When a patient has heart failure, their ventricles or lower chambers of the heart aren't able to pump enough blood into it. This could be due to physical problems with the heart or problems with the electrical system within it which cannot function normally. The doctor will perform multiple tests to determine whether a patient is the right candidate for a pacemaker for heart failure.
- The procedure - In most cases the device is fitted into the chest and it is done without an open heart surgery. Precautions and post operative care for a minor surgery should be followed. The doctor makes a minor incision on the chest and then inserts the device along with three leads which are connected to the ventricles to ensure they keep pumping properly. Sometimes another device known as the ICD or the implantable cardioverter-defibrillator may be put in to shock the heart back to a normal rhythm in extreme cases where the change of sudden death from high heart rate is a possibility.
- Immediate post operative care - As mentioned above, the surgery involved in putting a pacemaker is a minor one and the patient is usually discharged in next 2-3 days or may be more depending on the comorbidities & complexity of the scenario. However, in most cases, people can go home the next day fairly easily although some monitoring is done for the next few days with daily reporting. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Hello sir my self bhavana mehta I am 27 year old unmarried girl I have chest pain problem last one week please tell me doctor.
My wife is 55 years old. her echo cardiogram report is normal. Her ecg report speaks of STT changes, for which the doctor here told me to get a street Test, modified done. The stress test has come positive - it speaks of "significant ST segment depression over and above basal changes in exercise and early recovery, reverting to basal at the end of recovery" and concludes saying "stress test positive for inducible ischaemia by ST criteria, this could represent a false positive in view of baseline abnormality. Suggested clinical correlation and further evaluation as clinically appropriate" my doctor says that she is otherwise asymptomatic, with normal bp, triglycerides, non diabetic, no chest pain, no breathlessness, no palpitation, and may be because of baseline issues. But he has suggested for a ct scan coronary angiogram. I would like to know whether is angio is necessary, as I would not otherwise have liked to expose her to 64 radiation hazards, if avoidable. Please advise. Please tell me the charges and the digital payment path.
My 16 year old daughter is having mild fever ranging from 98 to 99.3 degrees since last 13 days. Her CBC report shows readings in normal range. It started with cold and cough. Now, she gets fever around 99 deg. Mostly during night. She is feeling very weak. Her blood sugar levels are on border line. Please advise.
I am 63 years old. Last month i. E. On 1 st april 2015 I had mild heart attack now I am on medication since 0ne month. I gone through blood test which shows esoniphil levels 13.5 and plate late count also shows more which abnormal I would like to know because of heart medication these levels shows high or there is any health problem. My bilirubin also high.
I am getting chest pain frequently what is the exact problem especially heart side of the chest I'm 24 year old.
Sir, I am suffering from High B.P. Since last 10 years. Using Lostat - H, daily at night. Recently I have consulted the Cardiologist for Regular check up. B.P is 146/80. And all are normal except Triglycerides are 158 mg/dl. And advised to take Telvas 40 mg, with Roseday - F 5.
I am 50 year old female, I have little swelling at my feet. I hv high bp since 9 yrs. I take 2 tabs olmesar 40 n stamlobeta. My sonagraph report ahows fatty liver grade 1. Uric acid is 8.8, xreatin level is 1.02, size of kidneys etc all normal. Bp also is normal at 130/90. I need solution for the edema.
I am 23 years old. Someone say that erectile dysfunction also occurs due to high level of cholesterol is this true? Can apple cider vinegar improve erectile dysfunction which reduce cholesterol level.
* Some time pain in my hearts like 2,3 times * how to strong my heart with natural process *what type of fruit and vegetables I will have to eat.
I am a 49 years female. I never had bp problem. For the last 20 days my bp is increased and it is constantly between 90-100 lower limit and upper limit 127 to 140. I have missed my periods also by 25 days. May be this is the period of menaupuse. Is this trend of bp is dangerous and please let me know if I need any medication?
Hello sir. I'm 26 years old. My question is that I have these secreted cholesterol on my hands. Any solution that it can be cleared. My grandmother, my mother also have this but mine is more.
A heart attack is usually characterised by the rupture of a plaque which can cause the spread of the cholesterol into the blood stream.
Cardiovascular diseases are a major cause of pain, suffering and death around the world, today. Heart attacks are caused by coronary heart disease. This is caused by the narrowing of the coronary artery when substances like cholesterol block it. If not treated and revived on time, a patient suffering from a heart attack can meet a fatal result.
So how can you prevent a heart attack?
- Cholesterol: We are all affected to some extent by what we eat. It is important to keep a check on your cholesterol, especially if it is on the higher side, so as to prevent a heart attack. Cholesterol is known to directly cause a heart attack, because if applies layer upon layer to the walls of the artery, and chokes them until they cannot handle the pressure any longer. So watch your food intake and bring down the blood lipid or fat levels with proper diet and exercise to alleviate the risk of a heart attack.
- Assess your Risk Factors: So are you at risk of heart disease and possible heart attack? This will very much depend on your medical history and allied ailments. If you are suffering from high cholesterol or even diabetes, your chances of having clogged arteries and a subsequent heart attack may increase manifold. Also, you may have a family history of heart diseases which can increase the risk of such ailments in your case. So, it is wise to assess your risk factors and take measures like regular checkups, medication where required and even other measures like diet and exercise.
- Blood Pressure: To prevent a heart attack, you can also keep your blood pressure in check. Constant spikes and dips can lead to a malfunctioning heart which can weaken the heart muscles and lead to a fatal result like a heart attack. Further, high blood pressure can lead to wear and tear of the inner lining of your blood vessels, which makes it that much more difficult for blood flow and circulation. So keep a blood pressure measuring machine or cuff at home, or visit your doctor regularly to keep tabs on your blood pressure.
While these basic measures can help take care of the immediate and most direct causes of heart attacks, you can also avoid passive and active smoking, and indulge in a good diet with plenty of exercise to keep your heart healthy.
I had Colonoscopy and Endoscopy with biopsy done yesterday. I was under Anesthesia during the process so I don't remember anything but after I came back home I have pain near my chest, pinching and poking kind of pain on some parts of stomach with gas and back pain. Is it normal? Doctor said there was no ulcer or any infection found.
Sir I have High Blood pressure and Cholesterol Problem can I Use cases Regularly. Please Tell me Sir.
I am 65 yrs old having sr. Creatinine and sr. Cholesterol 1.2mg/dl and 210mg/dl respectively. Please advice me to bring down the levels.
Cholesterol is one of those terminologies that need a clear and fresh understanding, right from scratch. It is nothing but obvious and common for you to primarily know about the ill effects of cholesterol and what it does to your body; from increasing the risks of cardio-vascular diseases to adding to your waistline. However, it is time we all got a fresh perspective on what cholesterol is.
So, to start off, what is actually cholesterol?
It is waxy substance produced by the liver which plays an important role in the proper functioning of the cells, digestive process and synthesis of Vitamin D in the body. As cholesterol is a fat based substance that does not dissolve in blood, it is transported, throughout the body, by a protein called the ‘lipoprotein’. The lipoproteins that carry cholesterol are of two types: Low-Density
Lipoprotein (LDL) and High Density Lipoprotein (HDL)
Why is LDL ‘bad’?
LDL is known as ‘bad’ cholesterol as it is responsible for plaque formation that reduces flexibility of the arteries and tends to clog them.
Why is HDL ‘good’?
HDL is known as the ‘good’ cholesterol because it gets rid of excessive LDL from the arteries and transports them to the liver where they can be broken down. Too much of bad cholesterol in the body can lead to clogged arteries that may result in stroke or a heart attack. Now that you know that too much LDL cholesterol is bad for you, you need to keep it under control while raising the good cholesterol (HDL) levels.
In order to do that, you need to make certain modifications in your lifestyle.
Some of them can be:
- Eat foods that are good for the heart: Avoid eating saturated fats and trans-fats as they raise LDL levels in the body. Instead, choose foods that are rich in the heart healthy monounsaturated fats such as almonds and olive oil. Also, include foods that are rich in Omega-3 fatty acids such as fish oil; these fatty acids increase HDL levels in the blood.
- Exercise regularly: Exercise not only helps you to lose calories but also increases the good cholesterol levels in the body. Aim for 20-30 minutes of cardiovascular exercises in the form of brisk walking, running or cycling to keep your heart muscles healthy.
- Stop smoking: Smoking can cause the blood vessels to narrow down, thus increasing blood pressure, owing to the constriction of the blood vessels. Quit smoking right away and your ticker will thank you for it. Remember to limit alcohol consumption as well.
- Maintain optimal weight levels: It’s time to get rid of all the excess fat from the body, especially the visceral fat (abdominal fat). Obesity increases the risk of heart diseases and also has a negative effect on the cholesterol levels.
In case you have a concern or query you can always consult an expert & get answers to your questions!