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Dr. Akhilesh Pandey

Cardiologist, Delhi

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Dr. Akhilesh Pandey Cardiologist, Delhi
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Akhilesh Pandey
Dr. Akhilesh Pandey is a renowned Cardiologist in Saket, Delhi. You can visit him at Max Super Specialty Hospital-Saket in Saket, Delhi. Book an appointment online with Dr. Akhilesh Pandey and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 33 years of experience on Lybrate.com. You can find Cardiologists online in Delhi 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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Hindi

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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
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Ways To Deal With Acute Coronary Syndrome

DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
Ways To Deal With Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

5 people found this helpful

After quitting tobacco my stomach paining and gas with this iam having back pain &right chest pain what to do and this symptoms how much take time.

MBBS
General Physician, Cuttack
After quitting tobacco  my stomach  paining and gas with this iam having back pain &right chest pain what to do and t...
Take bland diet , avoid spicy food, take one tablet of ranitidine 150 mg twice daily before food. If no relief consult doctor
1 person found this helpful
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I am a 18 year old student. Yesterday I was not able to sleep properly because of the pain iny left arm.In the morning area around my heart starts aching. Even a slight movement is painful. Is it a symptom of heart attack? Can I get heart attack at age of 18.

DM Cardiology
Cardiologist, Delhi
I am a 18 year old student. Yesterday I was not able to sleep properly because of the pain iny left arm.In the mornin...
Dear lybrate-user, it is not a symptom of heart attack. It looks like a muscular pain, and would subside after taking painkillers.
2 people found this helpful
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I am 46 years. There is pain in my left hand and arm and in chest what is problem tell me.

BPTh/BPT
Physiotherapist, Kota
I am 46 years. There is pain in my left hand and arm and in chest what is problem tell me.
Ap shoulder roller excercise kijiy with weight kiiyye. Half kg kijiye fir pully excercise kijiye ap cardiologist ko diiikaiyee jaruriii h i. Hope you will fit nd fine.
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Is there any treatment for muscle pain in chest? I have been suffering from 6 months.

MBBS
General Physician, Mumbai
Is there any treatment for muscle pain in chest? I have been suffering from 6 months.
Dear lybrateuser, - Avoid exertion, exercise, lifting weight till pain subsides - do hot fomentation three times a day on affected area - apply pain killer gel three times a day, apply lightly do not rub - if pain is more take a pain killer tablet after meals.
1 person found this helpful
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How many in a week whisky can be taken and how much quantity can be taken to keep heart healthy. What type of food should be consumed along with it. Can you please let me know about this.

MBBS
General Physician, Ahmednagar
How many in a week whisky can be taken and how much quantity can be taken to keep heart healthy. What type of food sh...
Alcohol is poisonous to the body. Diet: it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required. Watch your weight: controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes heart diseases, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics. Smoking: Another risk factor for diabetes onset, palpitation, sleeplessness.Quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting. Stress management: there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent complications like heart disease and stroke and promotes well-being.
9 people found this helpful
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Sir meri echo tmt or ecg sb puri trh se normal h pr jab me sota hu rat ko to heart beat sunayi deti h jisse teji se chalti h or sunai deti h jese to sir ye kya h thoda detail me bataye please

Bams
Ayurveda, Sonipat
Sir meri echo tmt or ecg sb puri trh se normal h pr jab me sota hu rat ko to heart beat sunayi deti h jisse teji se c...
lybrate-user you suffer from anxiety check your cholesterol level do suryanamskar regularly Use arjun tea for healthy heart avoid more intake of salt.
4 people found this helpful
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I am not able to do sex properly .some times in good but sum times not able to do .I have high blood pressure is high blood pressure effect on sex.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am not able to do sex properly .some times in good but sum times not able to do .I have high blood pressure is high...
Hi Soak 10 almonds over night in water. On the next day, peel off the skin, and blend the almonds in a blender with 1 cup of cow hot milk (or crush them in hot cow milk) and add a little bit of saffron, ginger and cardamon to it. Drink this every morning. Take pranacharya heman syrup 2-2 tsf twice a day. Take pranacharya heman capsule 1-1 twice a day.
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I am 42years female and have acidity for years and I use zentac 150mg for relief. Can I use the medicine for years? And also I get pain mostly near to my heart and it proceeds to my back bone. When I take medicine I am relieved from the pain. I am not a diabetic and my blood pressure is under control.

MBBS, MD - Community Medicine, diploma clinical cardiology
Cardiologist, Jaipur
I am 42years female and have acidity for years and I use zentac 150mg for relief. Can I use the medicine for years? A...
If you are on this medicine for long, now you should change it as some advanced medicine are available which can control acidity more effectively than zentac. Rest is dietary modifications and stress free life will help you alot perticularly acidity.
6 people found this helpful
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