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Dr. Arvind

MBBS

Cardiologist, Delhi

500 at clinic
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Dr. Arvind MBBS Cardiologist, Delhi
500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Arvind is a popular Cardiologist in Max Hospital Saket, Delhi. Doctor has completed MBBS . You can meet Dr. Arvind personally at Max Multi Speciality Center - Panchsheel Park in Max Hospital Saket, Delhi. Save your time and book an appointment online with Dr. Arvind on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 25 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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MBBS - - -

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Max Multi Speciality Center - Panchsheel Park

N-110, Panchseel Park. Landmark: Near Panchseel Club & Near Hauzpauz Metro Station, DelhiDelhi Get Directions
500 at clinic
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Max Multi Speciality Centre - Panchsheel Park

N-110, Panchsheel Park. Landmark: Near Panchsheel Club & Near Hauz Khas Metro Station Delhi Get Directions
500 at clinic
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C.S.C, D.C.H, M.B.B.S
General Physician,
HEART ATTACK

A heart attack occurs when the flow of blood to the heart is blocked, most often by a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). The interrupted blood flow can damage or destroy part of the heart muscle.

A heart attack, also called a myocardial infarction, can be fatal, but treatment has improved dramatically over the years. It's crucial to call 911 or emergency medical help if you think you might be having a heart attack.
Common heart attack signs and symptoms include:

Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
Nausea, indigestion, heartburn or abdominal pain
Shortness of breath
Cold sweat
Fatigue
Lightheadedness or sudden dizziness
Heart attack symptoms vary

Not all people who have heart attacks have the same symptoms or have the same severity of symptoms. Some people have mild pain; others have more severe pain. Some people have no symptoms, while for others, the first sign may be sudden cardiac arrest. However, the more signs and symptoms you have, the greater the likelihood you're having a heart attack.

Some heart attacks strike suddenly, but many people have warning signs and symptoms hours, days or weeks in advance. The earliest warning may be recurrent chest pain (angina) that's triggered by exertion and relieved by rest. Angina is caused by a temporary decrease in blood flow to the heart.

A heart attack differs from a condition in which your heart suddenly stops (sudden cardiac arrest, which occurs when an electrical disturbance disrupts your heart's pumping action and causes blood to stop flowing to the rest of your body). A heart attack can cause cardiac arrest, but it's not the only cause.

When to see a doctor

Act immediately. Some people wait too long because they don't recognize the important signs and symptoms. Take these steps:

Call for emergency medical help. If you suspect you're having a heart attack, don't hesitate. Immediately call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital.

Drive yourself only if there are no other options. Because your condition can worsen, driving yourself puts you and others at risk.

Take nitroglycerin, if prescribed to you by a doctor. Take it as instructed while awaiting emergency help.
Take aspirin, if recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting.

Aspirin can interact with other medications, however, so don't take an aspirin unless your doctor or emergency medical personnel recommend it. Don't delay calling 911 to take an aspirin. Call for emergency help first.

What to do if you see someone having a heart attack

If you encounter someone who is unconscious, first call for emergency medical help. Then begin CPR to keep blood flowing. Push hard and fast on the person's chest ? about 100 compressions a minute. It's not necessary to check the person's airway or deliver rescue breaths unless you've been trained in CPR.
A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks.

During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery.

Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection).
Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack.

Heart attack risk factors include:

Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack.
High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more.
High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack.
Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes ? not producing enough insulin or not responding to insulin properly ? causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack.
Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk.
Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure.
Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however.
Stress. You may respond to stress in ways that can increase your risk of a heart attack.
Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack.
A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease.
A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack.
Complications

Heart attack complications are often related to the damage done to your heart during a heart attack. This damage can lead to the following conditions:

Abnormal heart rhythms (arrhythmias). If your heart muscle is damaged from a heart attack, electrical "short circuits" can develop, resulting in abnormal heart rhythms, some of which can be serious, even fatal.
Heart failure. The amount of damaged tissue in your heart may be so great that the remaining heart muscle can't do an adequate job of pumping blood out of your heart. Heart failure may be a temporary problem that goes away after your heart, which has been stunned by a heart attack, recovers. However, it can also be a chronic condition resulting from extensive and permanent damage to your heart following your heart attack.
Heart rupture. Areas of heart muscle weakened by a heart attack can rupture, leaving a hole in part of the heart. This rupture is often fatal.
Valve problems. Heart valves damaged during a heart attack may develop severe, life-threatening leakage problems.
TESTS & DIAGNOSIS
----------------------------
Ideally, your doctor should screen you during regular physical exams for risk factors that can lead to a heart attack.

If you're in an emergency setting for symptoms of a heart attack, you'll be asked to describe your symptoms and have your blood pressure, pulse and temperature checked. You'll be hooked up to a heart monitor and will almost immediately have tests to see if you're having a heart attack.

Tests will help check if your signs and symptoms, such as chest pain, indicate a heart attack or another condition. These tests include:

Electrocardiogram (ECG). This first test done to diagnose a heart attack records the electrical activity of your heart via electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor or printed on paper. Because injured heart muscle doesn't conduct electrical impulses normally, the ECG may show that a heart attack has occurred or is in progress.
Blood tests. Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Emergency room doctors will take samples of your blood to test for the presence of these enzymes.
Additional tests

If you've had a heart attack or one is occurring, doctors will take immediate steps to treat your condition. You may also undergo these additional tests:

Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs.
Echocardiogram. During this test, sound waves directed at your heart from a wand like device (transducer) held on your chest bounce off your heart and are processed electronically to provide video images of your heart. An echocardiogram can help identify whether an area of your heart has been damaged by a heart attack and isn't pumping normally or at peak capacity.
Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart. The dye makes the arteries visible on X-ray, revealing areas of blockage.
Exercise stress test. In the days or weeks after your heart attack, you may also undergo a stress test. Stress tests measure how your heart and blood vessels respond to exertion. You may walk on a treadmill or pedal a stationary bike while attached to an ECG machine. Or you may receive a drug intravenously that stimulates your heart similar to exercise.

Your doctor may also order a nuclear stress test, which is similar to an exercise stress test, but uses an injected dye and special imaging techniques to produce detailed images of your heart while you're exercising. These tests can help determine your long-term treatment.

Cardiac computerized tomography (CT) or magnetic resonance imaging (MRI). These tests can be used to diagnose heart problems, including the extent of damage from heart attacks. In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of your heart and chest.

In a cardiac MRI, you lie on a table inside a long tubelike machine that produces a magnetic field. The magnetic field aligns atomic particles in some of your cells. When radio waves are broadcast toward these aligned particles, they produce signals that vary according to the type of tissue they are. The signals create images of your heart.

10 people found this helpful

I get pain in my chest very frequently, which last for 5-10 mins, it is usually on the left side. I am doubting for any of the heart disease. Kindly help.

MBBS, cc USG
General Physician, Gurgaon
I get pain in my chest very frequently, which last for 5-10 mins, it is usually on the left side. I am doubting for a...
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician for Further Management
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Since last 20-25 days saas meri phoolti h kabhi kabhi and aaj to thoda chest pain bhi huan 2-3 sec ke liye 2-3 baar whats the problem.

MBBS
General Physician, Mumbai
Since last 20-25 days saas meri phoolti h kabhi kabhi and aaj to thoda chest pain bhi huan 2-3 sec ke liye 2-3 baar w...
Dear lybtateuser, - Your problem could be due to excess weight, follow dietary precautions & do regular exercise to loose weight - have more of fibrous food in your diet including vegetables & fruits, whole grains, avoid fried, processed & junk food - do regular exercise like brisk walking, jogging for 30-40 min, also do yoga & deep breathing for 10-15 min daily morning as it will help in weight reduction & give relief from breathing problem.
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Suddenly I got hypertension in night next-day I went to Dr. And diagnosed myself then fatty lever condition is identified. I take medicine of hypertension for 15 days. After it when I went to Dr. He just told me that you should have to continue your medicine all the life long. What should I do now.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Suddenly I got hypertension in night next-day I went to Dr. And diagnosed myself then fatty lever condition is identi...
Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- 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. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.
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I'm 25 year old male I have cholesterol. How long can I take medicine? What are the side effects? Is long term harmful? Please doctor help me I need help.

B.A.M.S
Ayurveda, Banaskantha
I'm 25 year old male I have cholesterol. How long can I take medicine? What are the side effects? Is long term harmfu...
In case of cholesterol better to modify life style and start regular early morning exercise instead of medication. Indian bread desi cow ghee traditional made also helps to improve good kind of cholesterol.
1 person found this helpful
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My husband smokes 30 cigarette per day (classic mild. He has done his ECG. It was normal but left portion of his heart pardon me for not knowing the exact term of that portion ,has bit of problem which right now is not an issue but in future it can lead him to heart disease that's what doctor said. What to do.

Psychiatrist, Ambala
My husband smokes 30 cigarette per day (classic mild. He has done his ECG. It was normal but left portion of his hear...
It's important that your husband understands the possible consequences of smoking everyday. Your support is of allmost importance. He can start replacing cigarettes with nicotine gums and slowing reduce the number of gums and cigarettes he is using. However, the initiative to quit should be from him.
1 person found this helpful
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I am 37 year old male. I have last one month neck pain. My cholesterol level is 240. Body getting to much pain. Gas trouble also in my body. How can I reduce this pains.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 37 year old male. I have last one month neck pain. My cholesterol level is 240. Body getting to much pain. Gas t...
I think you reduce your cholesterol levels. And you can put collar neck. And take tab. Hifanac p1-0-1 /wk. And apply move spray.
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I am using bp meds always my diastolic pressure 80 or less than but systolic some times shows as 130-140 with 80. It is normal or not?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
it's normal systolic rises during slight action like climbing stairs diastolic is more important as it's likely to remain stable when proper medicines for controlling bp are suiting you reduce intake of salt and take more potassium through citrus fruits like oranges and lemon juice and seasonal vegetables and fruits
2 people found this helpful
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After Playing badminton or any physical exercise my heartbeat/pulse elevate above 100 and it took 4 to 5 hours to recover to normal value of 80-85. I am worried I am suffering from cardiovascular problem. My resting heartbeat is around 70. Please guide me.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
After Playing badminton or any physical exercise my heartbeat/pulse elevate above 100 and it took 4 to 5 hours to rec...
You are normal. Heart rate goes up when you play/exercise and it comes down slowly after that. It may take many hours after that to come to normal. So just relax, you are perfectly fine.
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