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To a Cardiologist :- My 95 year old father is unwell at Allahabad, Uttar Pradesh. He has a pacemaker and is a COPD case. His abnormal parameters are :- Serum urea - 51.4, Serum creatinine - 1.78, Uric Acid - 8.21, Hb - 10.8, BP - 175/82, Pulse rate - 82, Heart beat - 102, Oxy Saturation - 92%. There is water retention in his feet upto knees and fingers also. Please advise urgent oral medication.
Symptoms and diagnosis of Coronary Artery Blockage
Hello everybody. This is Dr. Rohit Sane, medical Director, Madhavbaug. I've done my MBBS, I've done my fellowship in Cardiac Rehabitilation from Apollo Hospital. Today we'll be talking about the blockages in the coronary artery and the fate of these blockages in the coronary artery.
Many a times we're afraid by only the term Blockages. We need to understand the science of the whole disorder as such so as to treat it on good terms. Now what can a blockage do in my coronary artery, is a simple question. This blockage can either give me symptoms of chest pain or else the second symptom a blockage can give, a blockage patient can present with is breathlessness on exertion. So one is chest pain and other is breathlessness on exertion. Now, we need to know exactly what this blockage is affecting our heart muscles by, whether it's reducing down the blood supply and resulting into my angina or else chest pain or whether it has reduced down the efficiency of my cardiac muscles and leading to breathlessness on exertion.
To diagnose this what are we supposed to do after an angiography has been done is a very simple test called as the stress test. From a stress test we need to identify whether these blockages has lead to two different disorders, which of them has been started in our body is needed to be understood by a simple stress test. Now, these two disorders, one is angina which is a systemic heart disease and second is breathlessness on exertion called as chronic heart failure.
Now when we conduct a stress test you just need to walk about 9 minutes in a Bruss's protocol or else 15mins on a modified Bruss's protocol on a treadmill while the ECG is monitored by the doctor. When you walk on this treadmill for a specified protocol, for a specified duration of time, the ECG is monitored for ECG changes. If at all while walking you feel chest pain ir ECG changes that means the blockages are creating some problems with the blood supply to your heart muscle. But many a times you walk on the treadmill without getting chest pain, without getting ECG changes but at the same time while walking you feel a different type of symptoms called as breathlessness as you walk.
Consider you should be able to walk for 15mins in the treadmill and maybe after 9th minute you start feeling breathless on the treadmill and we've to stop it because of your breathlessness, then what do we infer from this is that your blockages are leading to a disease condition called as chronic heart failure, where in your heart muscle is not able to pump so as to commensurate with the requirement of your body. Hence, only diagnosing a blockage is not a complete diagnosis. Once a coronary angiography has been done and you've been diagnosed with blockages, the next thing that is needed to be done is to perform a normal exercise tolerance test by which you come to know what is the exact fate of these blockages. These blockages as I said earlier can either lead to angina or can lead to chronic heart failure which represents as breathlessness due to exertion. So, as soon as we conduct the stress test the right type of treatment whether on chronic heart failure or whether on systemic heart disease can be performed as to relieve you out of your symptoms.
So, for more information log onto Lybrate. Thank you.
I am 24 years old male. My bp is 130/90. It has been checked several times through the last 1 year and its coming same. Is that a matter of worry that my bp is high?
I am 43 and having high BP and high sugar. Previously use to have sex 3 to 4 times a day with my partner but now after having this BP and sugar medicine it has dropped down. What is suggestion .also I am 110 kg by weight.
I am 26 year old and I am suffering from high blood pressure from past few months. How can I completely Ger rid of it.
I am sixtyfive years old having blood pressure and suffering from knee pain due to osteoarthritis. I will like to take homeopathy treatment only. Please advise. R S Wadhwa.
I have been diagnosed with anxiety neurosis. It feels very uncomfortable at my left chest. Multiple ECG done. Nothing found. I am very negative. Thinks negative. M I developing any heart issues or its just in my mind? Pls advice.
What should we to avoid heart attack. Is there any particular exercise any kind of food. Pls advice Thanks n regard. Kuldeep Sharma.
I am a 71 year old dental surgeon, still working in my own clinic. I am having blood sugar fasting 102 and pp 136. For the past six months I am taking cetapin 500 mg. Once daily in the morning. Lipid profile in the normal range for my age, bp 90/140 range. I do excercie daily. Recently I feel tired especially in the mornings and slight shivering of hands when I am writing and especially when I am putting my signature in front of others. Last when I bought a new I 20 car, i. Felt very nervous in signing the documents. Please advice me what steps I must take for my problems.
I am 60 years old and suffering from hypertension since 4 years and on medication since then. Previously I was taking s-numlo 5 and there was swelling in feet and legs. Since 1 month I am taking Temsan h 40 mg and there is no such problem. Recently I have been diagnosed with vit-d. Please tell.
My wife is 35 weeks pregnant. Her BP has increased to 150/110. Doctors suggest for labour. What are the consequences to go for late pre-term labour? What are the important checklist we should be ready with? What are the important suggestions for child and mother care after labour? Anything, if I am missing, please suggest.
I am an heart and diabetic patient. I am regularly going for walk for about 5 k. M. And doing exercises. I am not getting sufficient sleep at night and I am going for sleep during day time. Some time no sleep whole night.
What is the symptom of sugar and high blood pressure and flu as well, and what to do to keep blood pressure in control.
Our body cells are responsible for the essential breakdown of food into energy, as it is vital for our body functioning. Cells break down food into glucose and then convert glucose into energy through insulin, which is an important hormone in the body. Diabetes is associated with the inappropriate functioning of insulin and can be classified into two types: Type I and Type 2 Diabetes. In type I Diabetes, the body does not make enough insulin. In type 2 diabetes, the cell do not use insulin properly.
Both conditions cause blood glucose levels to rise in the body. Diabetes is more than one disease as it poses serious health risks. People with diabetes are at risk of developing a host of problems such as stroke, hypertension, nerve damage, skin, eyes and kidney problems. High amount of blood sugar level can cause damage to the blood vessels leading to blocked arteries restricting blood flow to the heart. Poor blood glucose control can lead to high blood pressure and other blood lipid abnormalities including high levels of HDL (good cholesterol) and triglycerides.
The link between cardiovascular disease and diabetes is well established by medical science. It is estimated that 65% of people with diabetes die of heart disease, which makes it a leading cause of all deaths among diabetic patients. Doctors refer to this connection as DHD- Diabetic Heart Disease. The term Diabetic Heart Disease covers coronary heart disease; narrowing of the arteries, heart failure; minimising heart’s capacity to pump enough blood and diabetic cardiomyopathy; alteration in the structure and function of the heart.
A sedentary lifestyle with little or no physical activity, smoking, stressful life and unhealthy eating habits all contribute to weight gain, high cholesterol, high blood pressure, heart diseases and diabetes. Thus, weight and lifestyle issues management is the best way to prevent and control such health risks.
Let’s look at some simple but effective ways towards a healthy lifestyle:
- Physical exercise: Adopt a 30 minute exercise rule to remain healthy and fit. For diabetic patients, a morning and evening walk is highly recommended. You could walk, run, gym, climb stairs, do yoga, aerobics or other physical activity that interests you.
- Eat healthy: Avoid fried and packaged foods as they are full of fats, salt and sugar. Include seasonal vegetables and fruits in your diet and drink plenty of water. Dieticians recommend eating a heart-healthy diet including superfoods like broccoli, spinach, berries and fibre rich meal.
- Weight management: Keeping weight under check is an effective way to prevent the risk of heart diseases. Consult a dietician for a customised diet plan as per your medical condition.
- Be positive: Stress is a silent killer and a major contributor to all lifestyle diseases. Remain calm and manage your negative thoughts to overcome stress.
Health is the ultimate treasure you have! Preserve it. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.