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Dr. Gautam Singh

Cardiologist, Delhi

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Dr. Gautam Singh Cardiologist, Delhi
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Personal Statement

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.
More about Dr. Gautam Singh
Dr. Gautam Singh is one of the best Cardiologists in Krishna Nagar, Delhi. You can consult Dr. Gautam Singh at Ashok Nursing Home in Krishna Nagar, Delhi. Save your time and book an appointment online with Dr. Gautam Singh on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 31 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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English
Hindi

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Ashok Nursing Home

Shop No. F3/15, F-3/16, Vijay Chowk, Krishna Nagar. Landmark: Near ICICI Bank ATM, DelhiDelhi Get Directions
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I am 65 yrs old male, weight 87 kg, height 165 cm (5 ft-5 inches) suffering from diabetes for last almost 15 years, taking amaryl mp1, one tab. In morning, mostly sugar remains under control only morning fasting is 125 -130, post meals 170-180. And 3 months average around 7, 2 I want to know the correct diet plan for me to reduce my weight and reduce morning /fasting sugar level also for information I am suffering from other problems as given below suffered with heart problem 3.5 years back and gone under by pass surgery. Now on ecosprin150 mg, atorec 20 mg, seloken xl 25 mg, suffering from prostate/stricture in urethra- problem taking urimax0.4 mg.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
As you are diabetic since many years now your blood vessels are becoming weak n not working properly day by day. Due to which you have to go for by pass. Now due to old age your prostate also developed due to which urine problem occurred. You have to go for turp for prostate. To control your diabetes more effectively n keep your vessels clean you must add our herbal medicine. Also for weight reduction we can help you.
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Hi My blood report, vldl is 28 mg/dl, ldl cholesterol direct 60. 7, tsh 6. 83, hba 1c 5. 9%, what is your opinion ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It means that you r in the pre diabetic phase and also yr tsh levels increased. I will not suggest you to start any medicine but I will recommend you certain changes you should follow in your life style for 2 months and then gets yr tests done again and report me. Eat little at a time every 2-3 hourly. Don? t eat too much at a time brisk morning walk for 30 minutes regularly dinner 2 hours before going to sleep 10 minutes evening walk after dinner avoid sweets, mango, grapes, cold drinks in particular exercise kapal bhati pranayam for abdomen under expert guidance daily for 5 minutes reaching to daily 15 minutes in 2 months procedure o sit in a comfortable crossed leg posture, sukasana (using padmasana or vajrasanais the best) and keep your back straight. Rest your hands on the knees using gyana mudra or chin mudra. O inhale deeply trough your nose, this will expand you abdomen. O exhale using a great force so that your abdominal muscles contract to the maximum o these exhalations are similar to your breath outs, but they should be forceful o make sure while exhaling, the air should be pushed out of your lungs by contracting the diaphragm o after exhalation again do inhalation, but this time with out any effort. To do this just relax your lungs, they will automatically expand and fill with air o one cycle of kapalabhati pranayama include one deep inhalation, then forceful exhalation and an effortless inhalation. O a learner can practice up to three rounds, each with 15 exhalations. Small breaks between each round are allowed.
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Heart Disease and Pacemaker

DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Jaipur
Heart Disease and Pacemaker

The treatment of heart disease has come a long way and one of the more important and fairly common devices used to correct rhythmic problems of the heart is a pacemaker. A pacemaker is a device which is put inside the chest or sometimes even the abdomen to send electrical pulses to the heart to keep it beating at a normal rate.

Pacemaker for heart failure

However, the implications in case of heart failure make the usage of the pacemaker much more complicated. In such cases, the device used is a special type of pacemaker which is also called a bi-ventricular pacemaker. This device sends electrical signals to pump the ventricles of the heart so that they can pump at the same time.

There are many factors to be aware of before undergoing this treatment. Some of the factors to consider are mentioned below.

  • Requirement for a pacemaker in case of heart failure - When a patient has heart failure, their ventricles or lower chambers of the heart aren't able to pump enough blood into it. This could be due to physical problems with the heart or problems with the electrical system within it which cannot function normally. The doctor will perform multiple tests to determine whether a patient is the right candidate for a pacemaker for heart failure.
  • The procedure - In most cases the device is fitted into the chest and it is done without an open heart surgery. Precautions and post operative care for a minor surgery should be followed. The doctor makes a minor incision on the chest and then inserts the device along with three leads which are connected to the ventricles to ensure they keep pumping properly. Sometimes another device known as the ICD or the implantable cardioverter-defibrillator may be put in to shock the heart back to a normal rhythm in extreme cases where the change of sudden death from high heart rate is a possibility.
  • Immediate post operative care - As mentioned above, the surgery involved in putting a pacemaker is a minor one and the patient is usually discharged in next 2-3 days or may be more depending on the comorbidities & complexity of the scenario. However, in most cases, people can go home the next day fairly easily although some monitoring is done for the next few days with daily reporting.
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I am 20 years old male and my blood pressure is low I am many Medicon take but no relief.

BAMS
Ayurveda, Ambala
I am 20 years old male and my blood pressure is low I am many Medicon take but no relief.
For Maintain normal blood pressure follow these instructions: • Anaemia is a cause of low BP so check your hemoglobin level (Hb) if this is low so eat green leafy vegetables, beetroot and fruits like pomegranate. • Eat an apple daily it maintain your BP normal. • Take your meal daily do not skip meal. • Drink 8 - 9 glass of water daily. Hydrate your body well with drinking proper amount of water because dehydration is also cause fall of BP. • When you feel that your BP is low then take 2 teaspoons of Glucon D and add a pinch of salt mix it in one glass of water and drink it. You can repeat it after 2 hours. This will maintain electrolyte balance and your BP. You can drink a cup of tea. • Drink a glass of milk daily. It maintain your stamina. • Take a multivitamin capsule daily for 15 days. • Eat a teaspoon of gulkand daily and maintain your blood sugar level. • Do long breathing pranayams daily and do not take stress.
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Sir I'm taking telista 40 since 2 years. For my hypertension. I have also anxiety problem .so my heart rate gets increased many times. I feel uncomfortable. I was taking inderal before 5 years. Can I take inderal now with telmisartan.

MBBS, PGDCC (Dip. Cardiology)
Cardiologist, Surat
Sir I'm taking telista 40 since 2 years. For my hypertension. I have also anxiety problem .so my heart rate gets incr...
Better to switch to prolomet xl 50 mg instead of telista. It will take care of both HTN and palpitations.
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Dear sir, My father is a diabetic patient and last year he had gone through bypass heart surgery. Is there any way so that we can know before any further blocking occurs. And also please suggest how to remove blockage permanently using Allopathy or ayurvedic medicine or if by some natural methods or process. What is the cure for this blockage.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Dear sir,
My father is a diabetic patient and last year he had gone through bypass heart surgery. Is there any way so...
Hello, Thanks for the query. A person with diabetes is more likely to get coronary artery blockage, because dyslipidemia is more common in diabetes. So it is very essential to keep blood glucose in strict control, with fasting glucose < 100 mg, PP around 160 to 170 mg & HbA1c% <7. Plus person has to take a balanced healthy diet. Also do necessary exercise as advised. There is also the need for taking medications to control lipid levels. In other words, the person has to follow a very disciplined life. Refrain from smoking and alcohol. There is no permanent CURE for these conditions. Patient has to learn to live with those. Thanks.
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My wife is 60 years of age and suffering from high BP. She is taking telmiride h 40_mg medicine daily but after some times she is complaints for coughing. Previously she was taking repace h and same coughing complaint was there. We think coughing is side effect of medicine. Kindly advise suitable medicine.

Pulmonologist, Jaipur
My wife is 60 years of age and suffering from high BP. She is taking telmiride h 40_mg medicine daily but after some ...
The cough is less common with ace blockers than with ace inhibitors. Review your diagnosis of drug induced cough. Better give a trial by stoping Telmiride-h and switching to other group of anti hyertensive drug like anlodepine selective beta blockers.
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Hi, I am 35 years, 65 Kg, height 5’6”, male from India. I am having sharp pain in chest slightly leftwards for last 10 years. Sometimes this pain is also felt simultaneously in left shoulder or left arm or left head. Duration of this pain is 1- 5 seconds, mostly while resting but its frequency and intensity is not certain. Sometimes it occurs while warming up or cooling down. Also noticed, that it is related to cold weather. Sometimes left part of head is numb and has pulsating pain. I do exercise, vegetarian except eggs, almost no dairy product, and no processed food. No tea coffee, no alcohol. Been smoker till 2008, quit. Had stomach acidity issue till 2012 but no more at all. There is no problem at all exercising in fact I feel great and energized doing it. None of my maternal or paternal relative have BP or cardiac issue except my younger brother who underwent dental’s procedure due to Aortic Dissection in march 2013, but he have a genetic condition called Marfan’s Syndrome, no other family member have this. I always thought it is muscular or gastro related, so it never bothered me until November 2015. Last November on two successive nights I woke up feeling my chest pounding hard. Checked my BP and Heart rate everything normal on both occasions, but was not able to sleep well those nights every time fall asleep it woke me up I can feel my heartbeat and whole body is shaking in rhythm with it but my heart rate was absolutely normal. On third day all this panicked me I checked my BP it was raised so went to physician, BP 150/90 he told me its anxiety or due to some food, gave medicines for BP, anxiety and antacids. It helped me sleep, symptoms are as it is but milder now. Next day went to see cardiologist, I was too worried, he checked my BP 170/100, and did ECG, Tropnin T and ECHO all normal. Gave medicines for BP, anxiety and five days later did TMT, also normal. My BP came normal next day of visiting cardiologist and never rose again. I also assumed it to be anxiety and stopped all medications, in 30-40 days everything was normal except that sharp occasional pinching which I was having for years but now more frequent. Summers of 2016 was ok not much issue. In july 2016 suddenly foul smell (like from dead bodies) started coming from my lower centre chest. This smell is totally different from my body odor and it continued after that till date. This November I felt some itching in centre chest on at least five different occasions while doing sudden exertion from rest like climbing a floor or getting up from chair or bed and rushing to open door. On night of 28-nov-2016, I felt sudden tightening in my left upper chest for 1 or 2 seconds, during sexual exertion, it felt like something had grabbed it tried to find the muscular nature by examining different chest and shoulder muscles but didn’t find anything wrong. Checked BP it was normal. On 1-dec consulted cardiologist, was nervous, BP 170/90, I denied testing this time but he said in the wake of new event we have to do all tests again. LIPID, HBAC, ECG, ECHO, Tropnin T, Na & K, TMT all normal. But this time ECG machine interpretation was “acute MI (inferior)” and Tropnin T level was 13.65 against normal value of 14. Does this is anything to worry about? What is that bad smell? As symptoms are intensifying year after year, what may be the cause? What further investigation can be recommended, if any? Cold weather increases it, why? Why pinching and heaviness is felt on left chest mostly while resting?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Hi, I am 35 years, 65 Kg, height 5’6”, male from India. I am having sharp pain in chest slightly leftwards for last 1...
It is serious, if the ECG and Trop I value that you have mentioned is what it is. It means you have probably had a heart attack. Please take it seriously and go and consult a cardiologist for an angiography without any delay.
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Female, I'm 50 plus, high blood pressure and having calcium and vitamin Deficiency please suggest a good oil, as I know refined oil are not good, pure olive oil is not available. So which oil and Which brand.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Female, I'm 50 plus, high blood pressure and having calcium and vitamin Deficiency please suggest a good oil, as I kn...
Hi Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH Calcium and vitamin deficiency can be dealt with any simple supplements as for OIL I shall suggest refined rice bran oil especially because its heat stable so have less changes of causes health problems Get back to me with a detailed history and old / new records for a better individualized advice.
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