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Dr. B.S. Vivek

Cardiologist, Delhi

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Dr. B.S. Vivek Cardiologist, Delhi
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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. B.S. Vivek
Dr. B.S. Vivek is one of the best Cardiologists in Rajender Nagar, Delhi. He is currently practising at Sir Ganga Ram Hospital-Delhi in Rajender Nagar, Delhi. Book an appointment online with Dr. B.S. Vivek and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 30 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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Sir Ganga Ram Hospital-Delhi

Sir Ganga Ram Hopital Road, Old Rajender Nagar. Landmark: Near Janakidevi Memorial College & Near Metro Station, 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

90 years old my father felt down due to lower sugar level 2 months back, present sugar and all other electrolytic conditions are normal but his conscious not retained till what is the reason?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can give him Dr. Reckeweg's r - 86 / 10 drops in little water thrice a day for one week. Revert back after one week with feedback.
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Halo dear sir/mam, my mom recently had an ECG of the heart, after she had symptoms of sudden breathlessness and palpitations, The ECG shows LBBB of the heart, now she has to go for Echogram. So I really request you please tell me how to treat it, and Is there anything to worry about? Also she has thyroid problem little higher and also cholesterol level of 225 Hope you really help soon with the best answers. thanks.

Md
General Physician, Bangalore
Halo dear sir/mam, my mom recently had an ECG of the heart, after she had symptoms of sudden breathlessness and palpi...
If LBBB is of new onset then it cannot be neglected and further investigation like echocardiogram and / or Coronary angiography or CT coronary angiography depending on echocardiogram reports should be done immediately to rule out acute heart related problems.
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Shortness Of Breath - Severe Asthma?

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi

The symptoms of a severe asthma attack may include: severe shortness of breath where you experience difficulty speaking, rapid breathing with the chest or ribs visibly having retractions, straining your chest muscles and working hard to breathe, nostrils that flare out & moving rapidly as you breathe.

In these situations you should seek for asthma treatment.

 

2 people found this helpful

Can BP medicine be repeated after 3 hours if the BP is not in control? Medicine name is triolmezest 20. please help.

M.B.B.S
General Physician, Pune
Can BP medicine be repeated after 3 hours if the BP is not in control? Medicine name is triolmezest 20. please help.
You can take another tab even if your bp won't be normal after 6 hrs as your tablet contains three different drugs to control your blood pressure but if your bp regularly shoots up even after taking medication you need to consult as other factors such as diet skeep stress need to be discussed for effective blood pressure control Hope you understand my concern.
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Dear Sir, I have not been able to reduce BP for a long time? Please suggest me something to reduce my bp.

DHMS (Hons.)
Homeopath, Patna
Dear Sir, I have not been able to reduce BP for a long time? Please suggest me something to reduce my bp.
Hello, You need to follow certain natural norms to lower down your BP apart from medication. Go for a walk in the morning to regulate blood circulation to combat your BP. Go for meditation to reduce stress in order to nourish your body conditioning the heart inorder to regularise your heart beat. Tk, plenty of water ro hydrate your body. Your diet be easily digestible on time to avoid gastric disorder that triggers BP & raised heart rate. All sorts of anti hypertensive medication be monitored. Avoid, additional salt,  junkfood,  alcohol & nicotine. Tk, care.
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My friend have moderate left side chest pain. Whenever it comes it relieve soon. He was under anxiety more then a year. Doctor advised him to take ecg. First ecg result as sinus tachycardia, lvh minimal voltage for criteria, may be normal variant. At that time his bp80/145. After 2 two weeks he took another ecg. It comes as normal. Bp 76/126. Is any fault in ecg machines? He confused.

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
My friend have moderate left side chest pain. Whenever it comes it relieve soon. He was under anxiety more then a yea...
Dear Prabhu the human body like every living creature is a dynamic entity. For the most healthy person also. All parameters will change on different times of a day or on different days. It is natural. The earlier bp reading was taken when he was stressed. The next when his is calm. So it is ok. Ideally, every doctor will take 3 readings in a day ir few days to plan average normal for that person. Eat right. Destress. Rest and exercise adequately and stay positive. Regards.
1 person found this helpful
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Starting last night after dinner (salad and quesadilla), I have had pain in my sternum area and under breast chest area. And when I was doing anything active today it hurt worse and was harder to breathe in deep. Any suggestions?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Starting last night after dinner (salad and quesadilla), I have had pain in my sternum area and under breast chest ar...
Causes: The most common cause of sternum pain is a condition called costochondritis. This occurs when the cartilage that connects your ribs to your sternum becomes inflamed. ... sharp pains or aches on the side of your sternum area. Suggestion: applying an ice pack to your chest. taking nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin) to reduce pain and inflammation. limiting your movement and avoiding any heavy lifting
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Pain in ryt chest since 1 mnth Pain in back rut side Pain in left upr limb radial side.

MBBS
General Physician, Jalgaon
Pain in ryt chest since 1 mnth
Pain in back rut side
Pain in left upr limb radial side.
Please It seems to be musculoskeletal pain Avoid heighted pillow Do neck and back exercises daily Or Do physiotherapy of cervical spine, right shoulder Take Tab hifenac TH 10 1 1 Tab pantop 5 1 Cap meganeuron OD plus 5 1 Apply ibugesic nano gel Twice a day Re Consult after 5 days.
1 person found this helpful
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I am suffering from chest pain on my heart side from last 3-4 days what should I do.

MBBS
General Physician, Mumbai
I am suffering from chest pain on my heart side from last 3-4 days what should I do.
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and follow up with findings
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