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Dr. Akhilesh Pandey

Cardiologist, Delhi

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 42 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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#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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Always feeling tiredness , always checkingy blood sugar it's showing 53,62 etc.But I'm not feeling guidnes or any other symptoms. .Why ths happening

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Pune
Good morning, always tired of sleep isn't the only thing sapping your energy. Little things you do (and don't do) can exhaust you both mentally and physically, which can make getting through your day a chore 1)You don't drink enough water 2)You're not consuming enough iron.An iron deficiency can leave you feeling sluggish, irritable, weak, and unable to focus. 3)skip breakfast .The food you eat fuels your body, and when you sleep, your body continues using what you consumed at dinner the night before to keep your blood pumping and oxygen flowing. So, when you wake up in the morning, you need to refuel with breakfast 3)You live on junk food Foods loaded with sugar and simple carbs rank high on the glycemic index (GI), an indicator of how rapidly carbohydrates increase blood sugar. Constant blood sugar spikes followed by sharp drops cause fatigue over the course of the day.
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My father in law age 53 year old having heart disease two artery is blocked more than 95 percent he has not good financial condition kindly advice the treatment and hospital as per situation.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father in law age 53 year old having heart disease two artery is blocked more than 95 percent he has not good fina...
Get him checked at NHI(EOK) in Delhi, they have reserved beds for EWS ,but do carry the certificate. Treatment of patient is not compromised because of status. Reasonable charges for disposables only , Excellent care by surgeons and team , If they advice bypass surgery , go for it without fear instead of multiple stents which will not be beneficial in the long run.
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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

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I have got mild Mr. and mild AR kind of Rheumatic heart disease and taking penicillin after every 3 weeks. How long I need to continue this injection. If I am taking this injection for the last 20 years and if I stop taking this injection I again get the pain in my throat. Pls suggest.

MBBS, MS - ENT
Ear-Nose-Throat (ENT) Specialist, Ahmedabad
I have got mild Mr. and mild AR kind of Rheumatic heart disease and taking penicillin after every 3 weeks. How long I...
Penicillin injections are not for throat problem it is for rheumatic heart disease and you have to continue that as per cardiologist's advice.
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I feel body very weakness and tiredness. I want to ask you what is the normal BP rate for my age.

BHMS
Homeopath, Jalna
I feel body very weakness and tiredness. I want to ask you what is the normal BP rate for my age.
Hi dheeraj normal bp range for you r age is between 120/80 to 140/90. Drink coconut water for weakness.
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Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnant so doctor lowers my bp medicine depin return 20 bt my bp never comes below 140/ 80. My doctor alsi prescribes me duphaston 10 mg. I have searched on net and got that it increases high bp sometimes. I am confused and taking the medicine and feeling worried to ask my doctor also if he will disappoint with my asking. Duphaston medicine is for protection. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnan...
What you are suffering is called hypertension. And it needs medicines because the body's bp needs to be regulated or else it will cause damage to the vital organs like brain, kidneys etc. Now that you are pregnant, the medicines must be continued, as they were. There is no need to reduce medicines unless you have symptoms related to it. As the medicines are reduced, the bp is remaining high, and not coming below 140/80. In a pregnant woman with hypertension usually there are chances of abortion, and intrauterine bleeding etc. Along with seizures (fits). Usually in pregnancy, the woman's blood volume rises and this happens from 5-7 month. During this period there is a chance of developing hypertension which is now called pregnancy induced hypertension. Since you already have high bp, if your bp increases after 20 weeks it will need special care of the fetal nourishment and growth must be monitored. Depin is safe in pregnancy and there are other drugs too which can be given. Talk to your doctor and ask the gynec about the reduced dose. If required take a second opinion. Usually in patients having previous abortions, progesterone is given to protect the pregnancy and prevent abortion. There are many types of progesterone. Natural micronised progesterone, injectable progesterone, and some synthetic progesterone. Duphaston falls in progesterone category. It is not known to cause high blood pressure but it has water retaining properties which may have alerted you. But you can talk about it to your gynec and doctor may change duphaston to other progesterones.
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I am 35 years old female. I have low blood pressure (120-55). What should I do and what should be normal blood pressure. What should I eat to improve my blood pressure.

BHMS
Homeopath, Faridabad
I am 35 years old female. I have low blood pressure (120-55). What should I do and what should be normal blood pressu...
Hello, take Angioton (Schwabe) ,15 drops with water twice daily. take lemon water with salt . Drink more water. Take a cup of the raw beetroot juice twice daily. It is one of the best home remedies for low blood pressure. Drinking a cup of strong black coffee can also help. 120/80 mmHg is the normal blood pressure of a healthy human being.
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He is patient of high blood pressure since last 5 years and paralysis also in Right side of body parts. Can please tell about the food chart which are good in this conditions.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
He is patient of high blood pressure since last 5 years and paralysis also in Right side of body parts. Can please te...
Diet rich in natural, fresh fruits on a daily basis will help increase the strength. Recent research indicates consuming edible Coconut Oil daily ( about 25 to 50 ml) helps in recovery from all kinds of Nerve, brain, function. Pomegranate daily (seed and skin also) has proves to aid in blood vessel health, reduction of wear-tear repair. Modern research indicate the following: Rock salt helps in body repair. Always maintain a healthy cholesterol ( 200 Mol) is essential for cellular and tissue repair . Low cholesterol leads to other diseases, so be careful not to let it drop below 180 M. Regular, simple exercise will keep the limb supple and stay positive. Listen to music, go for walks, be in company of happy people.
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I am high blood pressure patient. What type of food will help me to control my blood pressure?

BAMS
Ayurveda, Ambala
I am high blood pressure patient. What type of food will help me to control my blood pressure?
Dear, To control & maintan BP normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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How to control hyper tension. can you please tell me how can i keep it under control?

MD - Consultant Physician
Cardiologist, Kolkata
How to control hyper tension. can you please tell me how can i keep it under control?
Regular periodical check up with regular intake of medicines with chane of life style with normal physical exercise, no smoking.
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My mother is 60 years old. She has High BP. Kindly suggest ayurvedic medicine and an alternative to salt.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
My mother is 60 years old. She has High BP. Kindly suggest ayurvedic medicine and an alternative to salt.
Salt restricted diet is adviced in hypertension 3 gram salt can be taken daily, so you need not to stop the salt completely however a salt substitute like LONA salt can be used, it tastes similar to normal salt.
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I have a high blood pressure in the age of 20! please suggest mee remedies doctors.

BHMS
Homeopath, Noida
I have a high blood pressure in the age of 20! please suggest mee remedies doctors.
baryta carb 30+conium 200. thrice daily in homoeopathy. avoid oily food n table salt in diet. do regular exercise.
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Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Cardiologists recommend eating 5 to 6 walnuts daily to cut your risk of heart attack by half and add almost 3 healthy years to your life.
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MY SISTER IS HAVING PAIN IN THE LOWER PART OF CHEST RIB BONE. IS THERE ANY PROBLEM? She had no injuries over there and she is experiencing pain alot. Help me plz. Help me plz.

MBBS
General Physician, Mumbai
MY SISTER IS HAVING PAIN IN THE LOWER PART OF CHEST RIB BONE. IS THERE ANY PROBLEM? She had no injuries over there an...
Dear lybrateuser, - She should avoid exertion, bending, lifting weight till pain subsides - do hot fomentation three times a day - apply pain killer gel lightly over affected area three times a day - if still pain is more then take pain killer tablet after meals 2-3 times a day - if not much relief then get x-ray chest done, consult a doctor.
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My father had some problem in his heart. He often gets pain in his chest. His heartbeat become so fast sometime.

BHMS
Homeopath,
My father had some problem in his heart. He often gets pain in his chest. His heartbeat become so fast sometime.
Neha just get checked up his bp, ecg. If findings comes consult doc. If finds ok, then his problem could b due to indigestion also. Ask him about his stools. Gastric complains if any. Then report.
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I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 40 yrs old suffering from high blood pressure cholesterol and high uric acid.
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . for uric acid take tab. zyloric 100 mg once a day. tab. bencid 500 mg once a day. tab. naprosyn 500 mg sos for pain.
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I am suffering from chest pain for the last week can you suggest what should be done.

PGDHHM, MBBS
General Physician, Delhi
I am suffering from chest pain for the last week can you suggest what should be done.
Common Causes of chest pain are-- Acute gastritis,heart related problems, indigestion,lower respiratory infection,bronchitis. Treatment depends on the cause of it. If other complaints eg palpitations, Discomfort, heaviness, or pain with breathing or coughing,breathlessness,then it need to be evaluated clinically. Hope this helps u.
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I am 63 year old male, suffering from high B P ie 150/100 and this happened only few days back say 7-10 days and still it is high till today.

BHMS
Homeopath, Faridabad
I am 63 year old male, suffering from high B P ie 150/100 and this happened only few days back say 7-10 days and stil...
Hello, Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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Hi, I'm 22 years old. And I'm not sure if I have sinusitis. A lot of phlegm gets accumulated and it gives me headache and shortness of breath and sometimes makes heart beat faster. Would you please advice me some medication and home remedies to get rid of this problem.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hi, I'm 22 years old. And I'm not sure if I have sinusitis. A lot of phlegm gets accumulated and it gives me headache...
Inhale steam at least for 5 minutes morning and evening, do not swallow the phlegm, spit it out, do salt water gargles, drink a warm water glass of water + lemon juice + a spoon of honey everyday in morning, this increases immunity to fight illness. You can take anti allergic tablet like phenargan at bed time. Get back after a week, if no improvement, some investigations will be suggested to rule out infection.
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Hi I am 18 yrs old I go to gym and do a good workout but when I run on the treadmill after some time of running it hurts a little bit over the heart area and it feels like ant bite and later the pain increases but in 5 mins it gets alright the same happens if after a little activity this problem was from a long time but never gave any attention to it

BHMS
Homeopath, Vadodara
Dear, I think u have not any problem with heart. It is due palpitation when you work out. But consult physician and do ecg to relax your mind. Then contact me, I will help you in this problem.
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