I am Dr. Nishith Chandra, Director, Interventional Cardiologist at Fortis Escorts Heart Institute, New Delhi, India. I am at this institute from last 22 years. Today I will discuss about the differences between cardiac arrest, heart failure and heart attack. Are these heart failure, heart attack, heart and cardiac arrest, they are same thing? No they are not the same thing. They denote totally different meanings. So what do you we mean by heart failure.
Heart failure means that heart is failing in its duty to pump enough blood. Heart is still beating, heart has not stopped, heart is beating. Then how do a person recognize heart failure. The most common symptom of heart failure is breathlessness, intense weakness and sometimes just spin. So this is heart failure. Heart does not stop during heart failure. Heart continues to beat but weak beating inefficiently.
Then the second term comes which is heart attack. What is heart attack? Heart attack is when the there is a blockage of one of the three arteries of the coronary arteries of the heart, then the person gets a heart attack and this is recognized by severe chest pain, severe excruciating chest pain which may or may not be complete with sweating, breathlessness, intense weakness or sense feeling of impending doom. So this is called heart attack. This is different from heart failure.
What is cardiac arrest? Cardiac arrest means when the heart suddenly stops. In both heart failure and heart attack, the heart continues to beat, but only in cardiac arrest the heart count stop suddenly. So this is the most dangerous of the all three situations so when the cardiac arrest occurs the person loses its consciousness because there is no blood supply to the brain and we have to resistant the person immediately.
What you can do at that time if you find somebody collapsing? Immediately start CPR, what we call cardio pulmonary resuscitation. For learning CPR you may contact us at Fortis Escorts Heart Institute or you can join your consult your nearest heart hospital. So if you learn, if you have learned CPR then you can revive the patient from cardiac arrest.
So now you have learned that these three terms cardiac arrest is different, cardiac heart failure is different and heart attack are different and these should be treated separately.
So if you need to consult me you can consult me either through www.lybrate.com or you can meet me personally at Fortis Escorts Heart Institute, New Delhi which is there in Okhla or at my personal clinic at sector 93 A, Expressway Noida.read more
I am Dr. Nitish Chandra. I am a director incubational cardiologist at Fortis Escort Heart Institute, New Delhi. I have been working here for the last 22 years. Today I would like to give a very simple tip after the heart attack that how much they should exercise.
This is a very common myth that after the heart attack patients should not exercise but after the heart attack treatment is over and the patient goes home, he should start exercising. Here, the patient says that, “We don’t have time; we are busy.” So the tip is that they should follow the Rule of 4. This rule means that they should exercise for at least 4 days in a week. During every day, they should exercise for 40 minutes and during that time they should cover a distance of 4 Kilometers. So this is what I the Rule of 4. The Rule of 4 means 4 times a week for 40 minutes each covering a distance of 4 kilometers. If a person does this much of exercise, then he can keep his heart healthy. So, you people should not have this excuse that “I don’t have time.” If you follow the Rule of 4, you can keep your heart healthy.
If you have any further queries or questions regarding heart and heart related illnesses, you can contact me on lybrate.com.read more
Doctor in Fortis Escorts Heart Institute
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 Fortis Escorts Heart InstituteYour feedback matters!
Patient Review Highlights
Dr. Nishith Chandra provides answers that are knowledgeable, inspiring and helped me improve my health. I read and increase my knowledge
I found the answers provided by the Dr. Nishith Chandra to be very helpful, knowledgeable, well-reasoned, caring and practical. Good
Dr. Nishith Chandra provides answers that are very helpful and prompt. Doctor is prompt & accurate in diagnosis.
M V V Satyanarayana
I found the answers provided by the Dr. Nishith Chandra to be very helpful. Thanks for answering
I found the answers provided by the Dr. Nishith Chandra to be very helpful. very helpful
Shariq Aftab Khan
I found the answers provided by the Dr. Nishith Chandra to be knowledgeable. Good
Dr. Nishith Chandra provides answers that are very helpful. Knowledgeable.
Dr. Nishith Chandra provides answers that are professional. Thanks i
he is a ver nice doc. and also very supportive.
Most people spend extremely busy lives, which do not allow them close to enough time to exercise and stay fit, but has more than enough stress. This is made worse by bad diets. Both these factors together lead to high blood pressure levels. While knowing that one has high blood pressure is not going to lead to much cheer at all, being told that it is linked to heart disease is going to make one feel worse. But, what exactly is the link?
High BP and Heart Disease
When a person has high blood pressure, it means that the heart has no option, but to work harder to make sure that blood circulates around the body. As such, the heart becomes stiff. Apart from that, the arteries, which carry fresh blood filled with oxygen, are gradually damaged. This is because the inner linings get damaged. So when you suffer from high blood pressure, heart attacks, strokes, heart failures and atherosclerosis are not uncommon.
As a result of having a high blood pressure, the muscles of the heart begin to weaken over time. Heart failure is what eventually happens. When it does happen, there is a fluid which starts filling up the body. A heart check-up may show an irregular heartbeat rate. Many people who are not familiar with the heart feel that a heart attack is the same as a heart failure. However, this is not the case. A heart attack can lead to immediate death, while heart failure implies improper pumping of blood.
A continuous excess pressure on the heart often results in an enlarged left heart. The left ventricle, which is a part of the heart, expands and this means some very serious things including the prospect of a heart failure, a heart attack or even a sudden and lethal cardiac arrest.
However, this is not the only side of things when it comes to heart disease. Coronary artery disease is a possible result of high blood pressure as well. This means that chest pain and heart attacks can occur due to this. Along with these two, an irregular heart rhythm, which is medically known as arrhythmia, can develop.
The health of a person means that even a part or aspect of him or her being abnormal can cause some far-reaching effects and high blood pressure leading to heart disease is a good example of it. So, it is best to make sure that one’s blood pressure levels are kept in an acceptable range!
In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you experiencing irregular and fluctuating heartbeats? Is your heartbeat too fast or too slow? If yes, then it signifies that you are suffering from arrhythmias or abnormal heart rhythms. This is a disorder which affects the heart rate or heart rhythm and the heartbeat becomes irregular.
Causes of abnormal heart rhythms
Arrhythmias occurs due to problems with the electrical conduction system of the heart. In this case, abnormal signals might occur; the electrical signals might get blocked or slowed down, or the electric signals may travel in different paths throughout the heart. Abnormal heartbeats are commonly caused by the following:
- Abnormal potassium levels in the body
- Heart attacks or due to a damaged heart muscle, owing to a previous heart attack
- Inborn heart diseases
- Cases of an enlarged heart and heart failure
- Overreaction of the thyroid gland
- Several other substances or medicines may lead to arrhythmias, such as alcohol, stimulant drugs, caffeine, nicotine, and antidepressant medicines or blood pressure medicines.
Diagnosis of abnormal heart rhythms
For the diagnosis of arrhythmias, your doctor will use a stethoscope to listen to your heartbeat. Several health monitoring devices are used to detect abnormal heart rhythms. These include the Holter monitor and the event monitor, or a loop recorder.
Other diagnosis tests which are required to be carried out include coronary angiography, ECG or electrocardiogram, and an echocardiogram. A test known as an electrophysiology can be undertaken for getting a closer look at the electrical system of the heart.
Treatment for abnormal heart rhythms
When a case of arrhythmias is severe, urgent treatment is required for restoring the heart’s rhythm to normal. The different forms of treatment are as follows:
- Electrical shock therapy such as defibrillation or cardioversion
- Implanting of a heart pacemaker for a short term
- Certain medications which are given through the veins or orally
- A group of medicines known as anti-arrhythmic drugs is used for the prevention of recurrence of the condition and to keep the heart rate from fluctuating continually.
- Cardiac ablation may be carried out for destroying some areas in the heart from where the rhythm problems are caused.
- An implantable cardiac defibrillator is used in people who are at a risk of facing cardiac death.
In case you experience abnormal heart rhythm, you must consult a doctor immediately. You should only start taking medicines and follow a treatment after it has been recommended by a doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!
For most people, putting on weight is easy, but losing excess weight can be quite a struggle. Obesity is one of the most common lifestyle ailments today and can trigger a number of health problems, including diabetes and cardiovascular diseases. It also affects your emotional health and self-confidence.
Patience and perseverance are crucial when it comes to weight loss. Natural remedies can be very helpful in losing and regulating weight, as they not only an alternative to strong medicines, but also promotes lifestyle that includes a healthy diet and regular exercise.
Here are a few natural remedies and preparations that can help you achieve a healthy body weight.
- Lemon infused water: Water infused with lemon juice and a spoon of honey on an empty stomach can help detox the body and boost metabolism. The lemon acid slows down the digestion process and helps the body to absorb nutrients that can regulate your blood sugar level and can keep you satiated for a long time after a meal. In addition to this, lemon water also helps stimulate liver functioning and aids in the removal of waste from the body.
- Physical exercise: Physical activity or exercise is the best way to keep yourself fit and reduce obesity. Physical activity can be in form of dancing, brisk walking, exercises, etc. anything that you like. However, you must do it daily and for at least 30 - 40 mins. Beginners can start from 15 to 20 mins in the initial phase and can gradually increase the time period.
- Ginger: Ginger is rich in chemicals that control the oxidation of fatty acids and regulates cholesterol metabolism. Thus, it suppresses fat accumulation and regulates cholesterol levels in the body. It also helps cleanse the colon thus, aiding in the digestion process. Ginger also increases the body heat and blood flow that helps the body burn fat faster.
- Eat right: Including lots of greens and fruits in your daily diet, will surely help you in maintaining healthy body weight. Foods especially, like tomatoes and carrots are great for weight reduction.
- Green tea: Drinking green tea daily is another way to reduce and manage your weight, as the caffeine and flavonoids present in it help in elevating the metabolic rate of the body also improves the insulin activity in the body.
If you wish to discuss about any specific problem, you can consult a doctor.
Cholesterol is a type of fatty acid that is produced by the liver. The body uses cholesterol to perform various activities such as synthesizing of hormones, bile acid and vitamin D. The natural approach of balancing cholesterol is not only to curb the cholesterol amount, but also to strictly control diet so that the secretion of cholesterol can be curtailed.
Here are a few natural tips that can help to lower cholesterol and restore normal body function of the body:
- Coriander: Coriander is considered to be one of the best herbal diuretic agents. It can revitalize the kidneys and help them perform better in terms of excretion of waste. The kidney, therefore, can flush the excess cholesterol from the body. Coriander can be consumed along with food on a daily basis.
- Garlic: Garlic again has been known to mankind for centuries and is extremely beneficial for people suffering from high cholesterol. Two cloves of garlic on a daily basis can completely neutralize the effect of high cholesterol in the blood. Apart from freeing up arteries, garlic has multiple other health benefits.
- Orange juice: Drinking Orange juice is an excellent way of reducing blood cholesterol level as it contains vitamin C, folate and flavonoids. Further, as per a study published by American Journal of Clinical Nutrition it is found that 750 ml of orange juice daily can help increase HDL, which is the good cholesterol in the body and it also reduces the LDL/ HDL ratio in people.
- Holy basil or tulsi: Holy basil is another popular and traditional Indian hub that is extensively used to treat high cholesterol in the bloodstream. They can eliminate excess cholesterol through the kidneys. It is used for preparing multiple medicines. It is a proven medicinal herb that is very efficient in dealing with excess cholesterol in the blood. They have the ability to disintegrate cholesterol from the body. 2-3 leaves of tulsi can be consumed on a daily basis. Consult an expert & get answers to your questions!
Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.
A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).
But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!
Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.
If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I have been diagnosed with high cholesterol non hdl is 183.3 total cholesterol is 236, triglycerides is 304 and vldl is 60.8. Apart from this my vitamin D is low 18, b12 is low 191, and iron is low. What should be my diet to fix this problem? What all should I eat and not eat? Age 30 years.
Women, who have been thinking that cardiac diseases are something that doesn’t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren’t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like heart attack are killing as many women as men.
Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated.
You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.
Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:
If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.
Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.
You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Low density lipoprotein or LDL is the bad cholesterol that adds to plaque development alongside triglycerides, which is another lipid. High density lipoprotein or HDL is the good cholesterol that diminishes plaque development. Plaque can hinder the blood supply to the heart, brain, legs or kidneys, leading to heart attacks, stroke or even death. To lower the cholesterol for a younger heart, you may follow the below steps:
- Reduced fats: Do without greasy meats such as bologna, salami, pepperoni and wieners; and greasy red meats such as ribs and prime cuts of hamburger, pork, veal or sheep. Likewise, you must abstain from skip skin on chicken or turkey. Stay away from full-fat dairy items including whole grain, cheese, cream, cream cheese and spread. These food items contain saturated fat and cholesterol. Both are connected with higher blood cholesterol and plaque development.
- Intake fiber: In particular, get used to food items which are high in dissolvable fiber. In the gut, dissolvable fiber can provide bulk to the bile and easily expel it from the body. Search for dissolvable fiber in oats, oat wheat, ground flaxseed, psyllium, grain, leafy vegetables, in addition to some whole grain oats.
- Go veggie: Pick no less than one meatless meal for every week. Substitute animal protein (meat, poultry, eggs, cheddar) for plant-based protein such as beans, lentils, tofu or quinoa. Consume these plant-based proteins with a plate of mixed greens, soup, panfry, or a burrito.
- Be aware of carbs: Following a low-carb eating routine can help you get in shape and decrease cardiovascular hazards. Pick high fiber sugars like oats, whole grain, starches, beans, lentils, and organic products, which will give you the energy you require, apart from keeping you feeling full.
- Lose some weight: In case you are overweight or stout, shed the additional pounds. Weight reduction brings down the LDL levels. Reducing even 10 to 20 pounds can have a positive effect.
- Move more: Do an hour and a half of cardiovascular exercise every day for an ideal heart wellbeing and weight reduction. Cardiovascular exercise implies any action that uses muscles in an efficient way and builds the heart rate. Strolling, cycling, paddling and swimming can be helpful. In case you discover an hour and a half overwhelming, begin with 30 minutes and work your way up a little at once. For a few people, 45 minutes to an hour of cardiovascular practice is sufficient.
- Pick the correct rhythm: Go for a direct level of work out. You will know you have achieved it when you can bear on a discussion when you work out, yet cannot sing. High intensity workout is better at raising HDL levels. However, it additionally expands your danger of wounds, making it difficult to keep working out.If you wish to discuss about any specific problem, you can consult a Cardiologist.
A heart disease is definitely something, which is serious. In most cases, it is the result of a person’s lack of prudence when it comes to staying fit and moderating what food items feature in the diet. But is this always the case? Well, not at all. Genetic or hereditary heart diseases, such as hypertrophic cardiomyopathy, long QT syndrome, very high cholesterol levels running in the family and many others, provide enough reason as to why not.
This is because a person cannot be blamed for a hereditary heart disease as the reason why this occurs is on account of the genetic makeup. So, the best way for one to know, if there is a risk of this sort of disease is to take a look at the family history with respect to the disease.
- Keep a record: One of the ways by which a person can get to know if there is a risk of a hereditary heart disease is by finding out, if a condition known as arrhythmia is prevalent in the family. This is a condition in which the heart has an irregular heart beat and can be potentially lethal. Other things which are to be watched out for include, but are not limited to, a track record of members in the family who have faced a heart failure at a young age, especially prior to them reaching the age of 50.
- Watch out for signs: It is not always true that the signs of hereditary heart diseases pertain to the heart. If a person has fainted or has had seizures, and an effective treatment could not be performed by making use of the normal medicines, which would generally be used in these circumstances, it could be taken as a sign of presence of hereditary heart disease.
- Get tested: To know if there is a risk of a hereditary heart disease, it is important that a person gets genetically tested. This is to be done so that the gene analysis can provide details as to which hereditary heart diseases a person has, along with the other members of the family. There are various tests for things such as HCM, ARVD and Marfan syndrome.
Apart from this, undergoing genetic counselling is also considered important. This is to keep a check on the worries of having a sudden heart attack as well as the concerns one may have about passing the genes relating to the heart disease to one’s offspring. This is one of the most necessary, but underrated things when it comes to dealing with a hereditary heart disease. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Heart ablation or cardiac ablation is a procedure done to treat irregular heartbeats or arrhythmias. It is performed by an interventional cardiologist, a doctor who specialises in doing procedures for heart problems and it involves threading long wires called catheters through a blood vessel into your heart. The irregular heartbeats is treated by delivering an electrical pulse using electrodes to specific areas of your heart.
A normal heart beats at a steady rate, but sometimes, your heart may beat too quickly, too slowly, or unevenly. These heart rhythm problems are called arrhythmias and one of the treatments for this heart problem is cardiac ablation. Other treatment modalities are medications and changes in lifestyle. Heart ablation is prescribed when the other treatments fail. Arrhythmias mostly happen in older people and in people who suffer from other heart problems like cardiomyopathy.
Here are answers to most frequently asked questions related to ablation
Who will benefit from heart ablation?
The beneficiaries include people who
- Suffer from arrhythmias that don’t respond to medicines
- Suffer from side effects from arrhythmia medicines
- Suffer from a specific kind of arrhythmia that respond very well to cardiac ablation
- Are at a high risk for cardiac arrest or other complications which can be fatal
Cardiac ablation is very helpful for patients who have certain kinds of arrhythmias like atrial fibrillation and ventricular tachycardia, which cause fast heartbeats.
How to prepare for cardiac ablation?
You will have to undergo extensive tests to record your heart’s electrical activity and rhythm. Your doctor will ask and record whether you have any other disease like high BP and diabetes.
If you are a woman and pregnant, you must not get this procedure done as it involves radiation. You will not be allowed to eat or drink anything after midnight, the night before the procedure.
How is heart ablation done?
Heart ablations are done in a special room known as an electrophysiology laboratory. It usually takes three to six hours and is usually done under general anaesthesia or local anaesthesia with sedation.
The catheters are threaded either from your neck, groyne or arm into your heart. Your cardiologist also injects a special contrast dye to help him see areas of abnormal muscle in your heart. He then uses a catheter with an electrode at the tip to give radiofrequency energy to the weak heart muscle to correct your irregular heartbeat.
You may have to stay overnight after the procedure.
- Blood clots
- Damage to heart valves or arteries
- The build-up of fluid around your heart
- Heart attack
Inflammation of sac surrounding your heart or pericarditis You will have to be monitored regularly after ablation to check for problems in your heart beats. If you wish to discuss about any specific problem, you can consult a Cardiologist.