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Dr. Anupam Goel  - Cardiologist, Delhi

Dr. Anupam Goel

91 (98 ratings)
MBBS, MD (Gen. Medicine), DM (Cardiology)

Cardiologist, Delhi

25 Years Experience  ·  1000 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Anupam Goel 91% (98 ratings) MBBS, MD (Gen. Medicine), DM (Cardiology) Cardiologist, Delhi
25 Years Experience  ·  1000 at clinic  ·  ₹300 online
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We are all aware that the incidence of heart disease is increasing in India. Generally, the avera...

We are all aware that the incidence of heart disease is increasing in India. Generally, the average age of heart patients in India is a decade younger, that means there are younger patients suffering from heart disease in India.

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Hello Friends!<br/><br/>I am Dr. Anupam Goel. I am a senior interventional cardiologist in Max Ho...

Hello Friends! I am Dr. Anupam Goel. I am a senior interventional cardiologist in Max Hospital, Saket, Delhi.

Today we will discuss a very important issue, I am not sure how best you can see this slide, this is just to say that the heart attack complains increase day by day and unfortunately it is affecting young people. By an estimate of WHO, in next 2 years means by the year 2020, in India, we will have maximum patients of hypertension, diabetes and heart disease. So, we are going to face an epidemic of heart disease. So, I just tell you how the heart disease happens. Normally, our heart arteries are very narrow smooth whole tubes structure. But all the year because of disease and cholesterol deposition the blockage happens and the channel for blood carrying, keeps on reducing. So, what exactly happens is less and less blood reaches the heart and heart is not even getting enough blood for its routine functioning. When this blood supply is interrupted that is when the heart attack happens because those cells of the heart don't get any blood. Suddenly and repeatedly, these holes will never be going to function again.

More important than heart attack itself because of awareness not many of us know about heart disease in women. Whenever we think of heart disease, we think about male but unfortunately, as we have more data, the heart diseases in men are reducing.

This is the data from the United State not from our on the country. Because of ignorance or prognosis, societies not aware of heart disease in women, the death in women are increasing because of heart disease. When we see the causes of death in women, cancers are a very important part but much more than that heart and circulatory disorders are the biggest reason any women will die. So, what we have is, heart disease is the no.1 killer in women. And heart disease causes 1 in every 3 deaths in women. Every 3rd one is dying because of heart disease. 90% of women are at the risk of developing heart disease but they are not aware of it. It suddenly affects them and causes the bad prognosis. Let's bust some myths. Most of us believe that the heart disease is of men. But heart disease can affect both men and women, in fact, 50k women in a year die because of heart disease.

The women die because of heart diseases as compared to all the cancers combined together. And because of under-diagnosis and treatment, even the doctors are less aware of it, women face more adverse outcome. And why would it happen? Because none of us relate to heart disease to women. So, they come to an emergency late. they keep on thinking that it could be gastritis or something else and they are busy taking care of each other. And it could also be because the heart disease presents differently in women.

In a man classical signs, you would all know. The heart attack would present as a heaviness or like an elephant sitting on the chest. But in women, it can very vague. They will be like not feeling well, palpitation and just unwell. It can't be just simple chest pain. So, most of the women just confused about their heart attack presentation and would be late in getting treatment. the good thing is 80-90% heart diseases are preventable. So, if we are aware, we are able to take care of the risk factors. There is a large proportion of heart disease which we can prevent.

So, we will discuss some important risk factors which can take care of to prevent disease. Some risk factors are non-modifiable. Like the family history of heart disease. if there is the strong history of heart disease and in one genetics than one is likely to have heart problems. So, it is advancing age. But there are a few risk factors which we can control. Like high blood pressure, high cholesterol, high sugar, smoking, more weight and some newer risk factors like CRP level and clotting factors. few of these which are relevant, diabetes, 2/3 of all diabetics will die of heart disease eventually.

Risk of having a heart problem in women, if she is diabetic as compared to the women who are non-diabetic and in men also, the risk of heart disease increases 3 times, if they are diabetic. So, diabetics have to be more conscious about their heart conditions. Than smoking. Smoking is one single most preventable risk factor which is responsible for heart disease. It is relevant in both male and female. Especially, a young woman who smokes is at the very high risk of heart disease. And if somebody is on oral contraceptive because of their age or anything, the risk of heart disease is compounded with smoking.

So, what smoking does, it causes the plaque. The cholesterol deposits the arteries to burst. They form a clot and causes a heart attack suddenly. it reduces good cholesterol. It gets burned by smoking which causes one to have more heart attack. And smokers who have a heart attack, they are more likely to die young. When one quite smoking, then the risk of developing a heart attack comes to 1/3 in the next 2 years. But you know, it takes almost 10-15 years for the risk to come back to normal as compared to somebody who has never smoked.

So, I request everybody to quit smoking. 3rd is physical inactivity. So, inactivity is a very important factor in our Indian culture to cause a heart attack. We should all exercise not because it burns calories and helps in weight loss but it increases good cholesterol. It helps us in keeping our heart healthy. One should try to stay active physically. Just get up in the morning and walk. Walking is a good exercise which will help you in preventing heart disease. One more important factor is obesity, BMI. if the BMI is less than 25% is normal.

Beyond that, it becomes overweight and predisposes one would have more and more heart attack. Heart attack increases almost 6 times as compared to a normal weight person in those persons who are very heavyweight. So, we should all be very careful about our own body weight. Till very recently we didn't know that women are at the highest risk of heart disease. Thanks to research and data which we have. Now we know women are more likely to have heart disease. The disease starts in early childhood. It is a gradual process. Small changes in our lifestyle can make a big difference. We all need to prevent it. So, we all should start with lifestyle changes but if one has risk factors, it is a good idea to see your doctor at earliest. I am with Max Hospital, Saket. If anybody needs any help for their heart health, please don't hesitate. You can contact me and come and see me.

Thank you so much. Take care of your health and your heart.

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Anupam Goel
Dr. Anupam Goel is a renowned Cardiologist in Saket, Delhi. He is currently associated with Max Super Specialty Hospital-Saket in Saket, Delhi. Don?t wait in a queue, book an instant appointment online with Dr. Anupam Goel on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 43 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.

Info

Education
MBBS - Maharishi Dayanand University Rohtak - 1993
MD (Gen. Medicine) - Maharishi Dayanand University Rohtak - 1997
DM (Cardiology) - king george medical college,, Lucknow - 2003
Languages spoken
English
Hindi
Professional Memberships
Associate Fellow of Asian Pacific Society of Interventional Cardiology.
International Associate Fellow of American College of Cardiology.

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Dr. Anupam Goel Opd @ Max Super Specialty Hospital-Saket

2, Press Enclave Road, Saket, Landmark : Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk MallDelhi Get Directions
  4.6  (98 ratings)
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Heart Attack In Young Age

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
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We are all aware that the incidence of heart disease is increasing in India. Generally, the average age of heart patients in India is a decade younger, that means there are younger patients suffering from heart disease in India.

1674 people found this helpful

Hi, My bp always remain high as I take low salt in diet then also my bp remain high which tablet to be taken ,presently i, am taking Amlopres at . Is there any remedy?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Hi,
My bp always remain high as I take low salt in diet then also my bp remain high which tablet to be taken ,present...
High salt is only one of the reasons of high BP, continue taking low salt and your BP medicine, be physically active and avoid smoking, also watch your kidney function test.
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My bp always remains around 140/70 with telma 40 once a day. Can I go for gym? And after doing gym sometimes I feel heavy headed with fluctuating nerves in my forehead and around my ears. What can I do for it?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
My bp always remains around 140/70 with telma 40 once a day. Can I go for gym? And after doing gym sometimes I feel h...
This could happen because of high BP after gym. You should do cardio exercises, not excessive, and avoid weights or isometric exercise. Also see a specialist for your proper check up.
1 person found this helpful
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My Hypertension of recent raises to 160/90 and I am 50 years old what could be the reason and how can I avoid it.

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
My Hypertension of recent raises to 160/90 and I am 50 years old what could be the reason and how can I avoid it.
Avoid high salt and fatty diet, be physically active, regularl walk or exercise, watch your weight and stop smoking if you do. See a specialist who would evaluate you and prescribe some tests to figure out the reason.
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Hi. I am taking Telma 80 AM since two weeks and now my blood pressure decreased to 66 to 110. Can I back the tablet and take half of Telma? Division of Tablet is not pro problem?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Hi. I am taking Telma 80 AM since two weeks and now my blood pressure decreased to 66 to 110. Can I back the tablet a...
Telma Am has two medicines in it, maybe you need one of these not two. See your doctor and get it adjusted as per your BP requirements.
1 person found this helpful
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78 years old now suffering by LVH the ejection function is 82% operation require or not, where it is bound to operate and cost of operation ,please suggest me what will be batter for me I am from bongaigaon ,assam.

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
78 years old now suffering by LVH the ejection function is 82% operation require or not, where it is bound to operate...
LVH itself doesn't need operation, it maybe some condition associated requiring surgery if someone suggested you that.
1 person found this helpful
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Sir I have taken two tablet for atorva 40 mg for high cholesterol. Now I am having excessive thirst and peeing issue. Is this reversible since I have stopped taking it?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Sir I have taken two tablet for atorva 40 mg for high cholesterol. Now I am having excessive thirst and peeing issue....
You should check your sugar levels and get your liver function test, also keep yourself well hydrated.
4 people found this helpful
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Hi, I am having high BP and taking medicine. When I am taking medicine my BP is normal. Should I stop taking medicine?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Hi, I am having high BP and taking medicine. When I am taking medicine my BP is normal. Should I stop taking medicine?
If your BP is normal with medicines, it means you need to continue these, for optimisation of medicines, suggest regular medical follow up.
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