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Dr. Akilesh Srivastava

Cardiologist, Delhi

Dr. Akilesh Srivastava Cardiologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Akilesh Srivastava
Dr. Akilesh Srivastava is a renowned Cardiologist in Saket, Delhi. You can consult Dr. Akilesh Srivastava at Max Super Specialty Hospital-Saket in Saket, Delhi. Book an appointment online with Dr. Akilesh Srivastava on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 40 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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My mother is 50 years old. She is suffering from goat for last 13 years. At present suffering along with high BP and Stone problem period. We consulted many doctors over the period, but there is no complete relief from Goat. Everything is going on medicine and pain killer.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
My mother is 50 years old. She is suffering from goat for last 13 years. At present suffering along with high BP and ...
Dear This is metabolic disorder A proper diet plan will be needed. We need to discuss and study her health. Results will be seen in 3-6 months. Suplrmets will be needed Vm.
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I have high blood pressure problem from many years and I have tried many medicines for the same. What else can I try doing?

BAMS
Ayurveda, Ambala
I have high blood pressure problem from many years and I have tried many medicines for the same. What else can I try ...
Dear, To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily. • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
13 people found this helpful
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I am 20 year old male. From few days I am suffering a kind of intense chest pain. My heart aches badly. What can be the cause. What is to be recommended. P.S I am a moderate smoker. I puff few times a day.

MBBS
General Physician, Mumbai
I am 20 year old male. From few days I am suffering a kind of intense chest pain. My heart aches badly.
What can be t...
Dear Lybrateuser, - You have to stop smoking - get your BP, blood CBC, cholesterol, sugar, ECG checked - avoid fried, spicy, junk food, do not have tea/ coffee more than 1-2 cups a day, avoid alcohol, aerated beverages - do regular exercise like walking, jogging for 20-30 min, also do yoga, deep breathing for 5-10 min daily, it will help reduce your chest pain.
1 person found this helpful
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I am a hypertension patient my family doctor gives me medicine of blood pressure one in morning and one in night he says that I have to take that medicines life long my age is only 20.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am a hypertension patient my family doctor gives me medicine of blood pressure one in morning and one in night he s...
I will advise you to go for homoeopathic medicine as yours is not an age to continue with theseallopathic medicine and moreover homoeopathic treatyment is safe and permanent.Consult me.
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My fasting blood sugar is 115 and blood pressure is high 140 and low is 90. Kindly tell me blood sugar and blood pressure are Normal or abnormal for my health. If abnormal what to do so for get normal.

MBBS
General Physician, Cuttack
My fasting blood sugar is 115 and blood pressure is high 140 and low is 90. Kindly tell me blood sugar and blood pres...
Both Blood sugar and BP are slightly high.Follow the advice given below 1. Do regular aerobic exercise like brisk walk, Jogging, running, cycling for 30-45 minutes every day 2.Reduce your weight if overweight 3.Reduce salt intake, Take bland diet, avoid spicy, oily, fatty, cholesterol rich, high calorie diet and junk food. Avoid excess sweets, sugar and carbohydrate rich diet 4. Drink plenty of water 5. Take bland diet, plenty of green leafy vegetables, Fruits 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8..Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp regularly and consult Physician for treatment 10 consult me for further advice
3 people found this helpful
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Hello my age 25 male and height 5.4 weight 66kg last year. I was diagnosed with high bp arround 160/90. Dr. Gives me amcard at. I am taking it half tab daily and my bp goes to normal 118/70. But I am feeling now tired. Racing and pounding heart beat. Restless some time. So what to do. Should I stop one of drug amlodipine or atenolol.

MD - Consultant Physician
General Physician, Jaipur
What is your blood sugar levels. Have your doctor searched for a cause of high bp at this young age. You may be suffering from pheochromocytoma and getting racing and pounding heart beat. Consult me privately.
2 people found this helpful
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Hi ,I m 23 years old male. I have problem of isolated diastolic hypertension. Whenever I check my bp it is in the range of 130/100,140/100, the lower value I.e the diastolic blood pressure never falls to less than 100 ,which should be in 80 or 90 range. I wan to know the cause for this and medications for this diastolic blood pressure.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi ,I m 23 years old male. I have problem of isolated diastolic hypertension. Whenever I check my bp it is in the ran...
Hi at a age of 23 This is a high bp and should be dealt seriously Distole is the phase when heart relaxes and blood fills in the heart ,which is pumped after wards to various parts of body A elevated diastole means that your heart is not relaxing properly and is not filling up Start exercising 45 min a day Do not smoke Avoid ghee ,sarson oil instead use safolla and olive oil You will be prescribed medicines for bp for 3 month like beta blocker at1 antagonist but I can not write meds here due to company policy Message me in pvt wuery for that Do not worry you will be fine with medicines.
1 person found this helpful
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Dear doctor. If an overweight person reduces his weight by worrying or stress, what will happen to his health? And will his LDL OR HDL cholesterol level reduce? If it happens, is it good for his health?

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Dear doctor. If an overweight person reduces his weight by worrying or stress, what will happen to his health? And wi...
in anxiety or stress weight could be increased or decreased but lipid adversely effected by stress but mechanism are different
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My mom is 65 years old. She suffered from chest pain in july. The angiography report says "minor coronary artery disease" Dr.prescribed Atocor 20, Pantocid DSR and ecosprin 75. From few days my mom feel mild pain in chest again. I want to know that either my mom need any surgery like angioplasty or bypass. Or should be treated through medicine?

MBBS
General Physician, Mumbai
My mom is 65 years old. She suffered from chest pain in july. The angiography report says "minor coronary artery dise...
Dear Lybrateuser, - The pain if not controlled by medication will require further investigation & your treating cardiologist would decide if she requires angioplasty or bypass - she should follow a heart healthy diet with more of fibrous food like vegetables & fruits, whole grains, beans, legumes, nuts - she should be regular in her exercise schedule as given by the doctor.
1 person found this helpful
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I am 44 years old my blood report detail.(1. Serum tsh: 5.41.(2. Serum cholesterol-total: 215.(3. Triglycerides: 159.(4. Serum hdl-direct: 40. Serum ldl-direct: 153. please advise precautions and medicines. Thank you sir/madam.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 44 years old my blood report detail.(1. Serum tsh: 5.41.(2. Serum cholesterol-total: 215.(3. Triglycerides: 159....
eat low fat diet,low salty food,or low sodium intake , take whole grain foods,oats meal,plenty of water, 1 glass of water at night before bed. do not take stress and alcohol intake. you should be take medicines for your disease..tab. thyronorm 50 mcg before meal in morning daily. tab. ecosprin 75mg at night. tab. atorvas-10 mg at night.
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My grandfather have heart blocks three. What should they do angioplaatic or surgeries operation in age of 75.

BHMS
Homeopath, Hyderabad
My grandfather have heart blocks three. What should they do angioplaatic or surgeries operation in age of 75.
There is a very good natural procedure to remove heart blocks by consuming a household prepared medicine. Take below things ginger juice - 1 cup garlic puree - 1 cup lemon juice - 1 cup apple cider vinegar - 1 cup mix all the ingredients and heat it on low flame for 10-15 mints after evaporation of water content from it. Its becomes 3 cups of mixture then add 3 cups organic honey mix it properly and stored in glass water bottle and give him daily one teaspoon in the morning and one tea spoon in evening. If the patient is diabetic don't mix honey. If it is difficult to prepare above mixture, just consult homeopathy doctor there were good medicine in homeopathy to lowering the cholesterol, to remove blocks, and also improve the hearts health.
6 people found this helpful
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Hi doc, am 57, M.My resting BPM (pulse rate)>90&my recent HGB is 8.Am a BP patient and on med (now cilaheart 10) for more than 15 years. My lipid profile report: cholesterol-156, triglyceride-203, hdl-34.5,ldl-77, vldl-40.78.How to reduce my bpm, triglyceride,ldl&increase hgb, hdl?

MBBS
General Physician, Mumbai
Hi doc, am 57, M.My resting BPM (pulse rate)>90&my recent HGB is 8.Am a BP patient and on med (now cilaheart 10) for ...
I will suggest you to first increase your hemoglobin levels and than again recheck your lipid profile after two months and I will suggest you to take tablet orofer-xt twice a day after food for a month and follow up with finding.
2 people found this helpful
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Guidance for CAD, Heart Patients undergoing CABG

MBBS
General Physician, Delhi
Guidance for CAD, Heart Patients undergoing CABG

What is CABG?

CABG or Coronary Artery Bypass Grafting is a surgery done to improve blood flow to the heart. In most instances there is a fatty plaque (CAD or Coronary Artery Disease) in the vessels of heart which reduces the blood flow required for normal function. The plaque may grow or harden with time and reduces oxygen-rich blood reaching the heart. Lowering of the amount of oxygen reaching the heart may result in Chest Pain - called Angina. The plaque may even rupture and form clots on its surface. The clot formed may mostly or even completely block the blood flow - leading to Heart Attack or Myocardial Infarction.

In CABG, a normal vein or artery from the patient's body is connected to the blocked coronary artery. Thereby bypassing the obstructing plaque and creates a new path along which blood can now reach the heart.

What are other options for Treatment of CAD?

Other than CABG options for treatment of CAD include - Lifestyle changes, Medications, PCI or Balloon Angioplasty.

PCI is a nonsurgical option where the blocked artery can be opened and generally a stent is placed at the point of blockage to keep the blood flowing.

Goals of CABG

CABG is done to achieve the following

1. Reduce the symptoms (Chest Pain, Breathlessness etc)
2. Improve quality of Life and helps to resume a more active Lifestyle
3. Improved pumping action of the heart
4. Reduce chances of Heart Attack
5. Improve chances of survival

Who needs CABG?

CABG is a surgical treatment for CAD.

Your doctor may recommend CABG if other treatments have not worked or he judges it good in his clinical opinion.

Decision will be based on factors such as -

1. Severity, Location and number of blockages
2. Response to other treatments
3. Your quality of Life and severity of symptoms
4. Other Medical conditions that you might have
5. Your Age and Medical History

Medical Tests that may be required to determine the need are -

1. ECG
2. Echocardiography
3. Coronary Angiography

THE SURGERY

Outlook


CABG is a relatively safe Surgery. The safety of the procedure will depend on your age, existing heart function, and experience of the Doctor.

What to expect before

You will need to undergo a few tests to prepare you for CABG such as - Blood tests, Chest X-Ray, ECG, Echocardiography or maybe Coronary Angiography. Doctors that perform CABG are Cardiothoracic Surgeons.

Things to ask your Doctor at this Stage -

1. What you can eat or drink
2. What activities are you allowed to do (e.g. smoking)
3. What medicines to take (Share all the medicines that you are taking for any other conditions)
4. As the outlook for surgery is heavily dependent on the number of procedures a Doctor has performed - it will be a good idea to get information about his clinical experience.

If you have already undergone all the tests - surgery may be done on the same or a day after the admission.

What to expect after

You will require admission into ICU typically for 1 or 2 days, to monitor your progress better after the surgery. You will be given oxygen therapy while hospitalized. You may also be asked to wear Compression Stockings while your movement is limited.

After you leave ICU you will require admission in the hospital for about 4 - 6 days.

Recovery at Home

Things to ask your doctor before leaving the hospital.

1. How to care for incision wounds and stitches.
2. How to identify signs of infection
3. How to identify conditions for which you need to call the Doctor right away.
4. When to make follow-up appointments

Common side effects of CABG wear off within 4 - 6 weeks but may include.

1. Discomfort in area from where the vein was taken
2. Itching and swelling at incision wounds
3. Fatigue, Loss of Sleep, Loss of Appetite
4. Constipation

Full recovery from CABG takes 6 - 12 weeks.

Your doctor will advise you when you can resume specific activities. If your work is not too demanding physically, it is common to return to work after 6 weeks. You can resume sexual activities after 4 weeks and drive after 4 - 8 weeks.

Ongoing Care

At you follow up visits you will require to undergo tests such as ECG, Echocardiography etc. to see how much your heart has improved. CABG is not a cure for CAD. A complete Treatment will always involve Lifestyle changes, Reducing weight, Medications, and Cardiac Rehabilitation Exercises. Your doctor will prepare a treatment plan for you including these things. Be sure to pay attention to them as religiously as your Surgery.

3 people found this helpful

I am 23 years male I gets nervous when ever I met someone new my neck and head starts paining my blood pressure is high I. E, 160/100 my height is 160cm weight is 70.

I am 23 years male I gets nervous when ever I met someone new my neck and head starts paining my blood pressure is hi...
You take -- 1 cap ashwagandha 1 + tab sarpagandha ghan vati 1 with brahmahrasayan 25 gm bd before 1hr meal 2 cap. Arjunchhal 1 at sleeping time if night.
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Alsi is useful for prevent cholesterol or heart disease? Its not for harmful for body?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Alsi is useful for prevent cholesterol or heart disease? Its not for harmful for body?
Alsi is very useful in controlling blood cholesterol levels thus reducing the risk of heart diease.It i very ueful or our body.Alsi is packed with Omega-3 and omega-6 fatty acid alpha- linoleic acid, lignans, proteins and fibres. Alsi is the biggest source of omega-3 fatty acid on earth. . In Alsi, elements of vitamin-‘B’ group, selenium, calcium, magnesium, copper, zinc, potassium, iron, pholates, likopin, lutin, zeaxenthin, etc are present in ample measures
1 person found this helpful
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My husband is having pain to the left side of the chest. It feels usually in the morning. Should consult a doctor? He is 37 years.

BAMS, MD Ayurveda
Sexologist, Lonavala
My husband is having pain to the left side of the chest. It feels usually in the morning. Should consult a doctor? He...
It is better you get done with the check up till then you can do the following remedy During chest pain, chew 8 to 10 fresh basil leaves or drink a cup of basil tea to get relief. To prevent chest pain and improve the condition of your heart, take 1 teaspoon of fresh basil juice along with 1 teaspoon of honey daily on an empty stomach.
2 people found this helpful
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I get sudden heart palpitation, my bp raises to 135/90 and heart beat 85 - 95 p/min. I am getting white smoky phlegm always, pain and tightness all over my chest upto throat. I am 44 years old female. Please advise?

BAMS, MD Ayurveda
Sexologist, Lonavala
I get sudden heart palpitation, my bp raises to 135/90 and heart beat 85 - 95 p/min. I am getting white smoky phlegm ...
You can also try thes home remedies 1. Take 1 tsp of dried watermelon seeds 2. Add 1 tsp of cuscus powder 3. Crush the mixture 4. Have this once in the morning and the evening 5. Consume for 3-4 weeks Causes: • Obesity • High salt intake • Alcohol consumption • Mental or physical stress This is very helpful.
5 people found this helpful
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My cousin sister is 8 weeks 2 days pregnant. In a vaginal ultrasound there is no cardiac activity. One week before a vaginal ultrasound has done growth was good, cardiac activity was recorded. But now as I mentioned above after a week in a vaginal ultrasound there no cardiac activity and size is same as last week doctor said.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My cousin sister is 8 weeks 2 days pregnant. In a vaginal ultrasound there is no cardiac activity. One week before a ...
Wait for a week before taking a decision, it can / cannot be a blighted ovum syndrome, where natures prepares a nest in uterus but baby does not grow, but once heart beat was noticed -reason I am suggesting get another test done to make sure of presence of heart beat.
2 people found this helpful
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I have a pain around my heart area. Treatment for cholesterol is on but the pain is there.

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
I have a pain around my heart area. Treatment for cholesterol is on but the pain is there.
Please check with cardiologist if pain is inside chest and is worse on exertion. Sharing symptoms of chest pain for medicinal advise is not suggestive. Take care.
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Hi Doctor, I am 26 years men suffering from Hypertension for last 2 months. I am having pills also. But it is not getting control. And I am having healthy diet and taken all the test. No one is diagnosis what is the issue. And how to control it. Pls help me to come out from this.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Doctor, I am 26 years men suffering from Hypertension for last 2 months. I am having pills also. But it is not get...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause..Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days....
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