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Dr. Krishna Subramony Iyer

Cardiologist, Delhi

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Dr. Krishna Subramony Iyer 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. Krishna Subramony Iyer
Dr. Krishna Subramony Iyer is one of the best Cardiologists in Okhla, Delhi. He is currently associated with Escorts Heart Institute & Research Centre Ltd in Okhla, Delhi. Save your time and book an appointment online with Dr. Krishna Subramony Iyer on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 41 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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Escorts Heart Institute & Research Centre Ltd

Okhla Road. Landmark:- Near Holy Family HOspital, DelhiDelhi Get Directions
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How to reduce obesity, bp and sugar and what are the diets need to be followed? Please. Share.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How to reduce obesity, bp and sugar and what are the diets need to be followed?
Please. Share.
1. Lose extra pounds and watch your waistline Blood pressure often increases as weight increases. Being overweight also can cause disrupted breathing while you sleep (sleep apnea), which further raises your blood pressure. Weight loss is one of the most effective lifestyle changes for controlling blood pressure. Losing just 4.5 kilograms can help reduce your blood pressure. Besides shedding weight, you generally should also keep an eye on your waistline. Carrying too much weight around your waist can put you at greater risk of high blood pressure. In general: • Men are at risk if their waist measurement is greater than 40 inches (102 centimeters). • Women are at risk if their waist measurement is greater than 35 inches (89 centimeters). These numbers vary among ethnic groups. Ask your doctor about a healthy waist measurement for you. 2. Exercise regularly Regular physical activity — at least 30 minutes most days of the week — can lower your blood pressure by 4 to 9 millimeters of mercury (mm Hg). It's important to be consistent because if you stop exercising, your blood pressure can rise again. If you have slightly high blood pressure (prehypertension), exercise can help you avoid developing full-blown hypertension. If you already have hypertension, regular physical activity can bring your blood pressure down to safer levels. The best types of exercise for lowering blood pressure include walking, jogging, cycling, swimming or dancing. Strength training also can help reduce blood pressure. Talk to your doctor about developing an exercise program. 3. Eat a healthy diet Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm Hg. It isn't easy to change your eating habits, but with these tips, you can adopt a healthy diet: • Keep a food diary. Writing down what you eat, even for just a week, can shed surprising light on your true eating habits. Monitor what you eat, how much, when and why. • Consider boosting potassium. Potassium can lessen the effects of sodium on blood pressure. The best source of potassium is food, such as fruits and vegetables, rather than supplements. Talk to your doctor about the potassium level that's best for you. • Be a smart shopper. Read food labels when you shop and stick to your healthy-eating plan when you're dining out, too. 4. Reduce sodium in your diet Even a small reduction in the sodium in your diet can reduce blood pressure by 2 to 8 mm Hg. The effect of sodium intake on blood pressure varies among groups of people. In general, limit sodium to less than 2,300 milligrams (mg) a day or less. However, a lower sodium intake — 1,500 mg a day or less — is appropriate for people with greater salt sensitivity, including: Anyone age 51 or older Anyone diagnosed with high blood pressure, diabetes or chronic kidney disease To decrease sodium in your diet, consider these tips: • Read food labels. If possible, choose low-sodium alternatives of the foods and beverages you normally buy. • Eat fewer processed foods. Only a small amount of sodium occurs naturally in foods. Most sodium is added during processing. • Don't add salt. Just 1 level teaspoon of salt has 2,300 mg of sodium. Use herbs or spices to add flavor to your food. • Ease into it. If you don't feel you can drastically reduce the sodium in your diet suddenly, cut back gradually. Your palate will adjust over time. 5. Limit the amount of alcohol you drink Alcohol can be both good and bad for your health. In small amounts, it can potentially lower your blood pressure by 2 to 4 mm Hg. But that protective effect is lost if you drink too much alcohol — generally more than one drink a day for women and for men older than age 65, or more than two a day for men age 65 and younger. One drink equals 12 ounces of beer, five ounces of wine or 1.5 ounces of 80-proof liquor. Drinking more than moderate amounts of alcohol can actually raise blood pressure by several points. It can also reduce the effectiveness of blood pressure medications.
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Heart Transplant - When Is It That You Have To Go For It?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart Transplant - When Is It That You Have To Go For It?

There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).

Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.

People who need a heart transplant:
A heart transplant may be essential in the following cases.

  • A congenital heart disorder (a person born with a heart problem).
  • Defective or diseased heart valves.
  • Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
  • Problems in the coronary artery.
  • Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
  • A heart transplant that failed previously.
  • Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).


However, under the following circumstances, a heart transplant may not be a wise idea

  • People with infections or chronic lung or kidney disorders.
  • A case of cancer in the past.
  • Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.

The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.

  • The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
  • In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
  • The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
  • Once the implantation takes place (without any complications), the surgeons sew the heart into place.
  • The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
  • To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
  • If no complications develop after the transplant, the patient is discharged within a fortnight.

In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. If you wish to discuss about any specific problem, you can consult a Cardiologist.

2589 people found this helpful

Homeopathic Remedies for High Blood Pressure

BHMS
Homeopath, Kolkata
Homeopathic Remedies for High Blood Pressure

Hypertension or high blood pressure in common parlance is caused by irregular blood circulation in the blood vessels. High blood pressure has been an established cause for several fatal and critical heart diseases. Middle aged individuals are more prone to heart diseases caused by high blood pressure. Doctors also caution those with stressful lifestyles to keep the blood pressure levels in control. While there are prescribed drugs aimed at curing high blood pressure troubles, a large number of people are reposing their trust in homeopathy for treating high blood pressure.

Among a long drawn process of cures, homeopathic treatments are extremely effective and trustworthy methods:

  1. Aconitum: Certain high blood pressure conditions have sudden outbursts. It inflicts a fear of dying and acute anxiety disorder. Aconitum abates such situations.
  2. Argentum Nitricum: At times high blood pressure occurs due to anxiety and mental agitations. Argentum Nitricum is an effective remedy in curing such conditions.
  3. Natrum Muriaticum: Certain high blood pressure conditions arise due to suppressed anger and stress. Harrowing events of the past and unsolved issues can induce heightened blood pressure levels. Natrum Muriaticum is a perfect solution for such troubles.
  4. Veratum Viride: Veratum Viride helps in reducing arterial tension and normalizing cardiac palpitations.
  5. Natural Supplements: For a variety of ailments caused by high blood pressure, homeopathy offers certain natural supplements like Co enzyme, Hawthorne, Omega-3, Vitamin E for remedying blood pressure concerns. It improves heart function and prevents blood clotting.
  6. Ignatia: To heal high blood pressure caused by emotional upsurges, grief and trauma, Ignatia can be perceived as a useful remedy.
  7. Belladonna: This is an emergency medical condition caused by vigorous throbbing of arteries which may progress to haemorrhaging. Belladonna goes a long way in taming such untoward medical emergencies.
  8. Lachesis: Certain bodily changes result in high blood pressure, especially in the cases of women. During the onset of menopause, high blood pressure becomes a common concomitant. Lachesis is used to treat such issues.
  9. Glonoinum: On certain occasions blood pressure level shoots up due to heat and excess exposure to the sun. Glonoinum is aimed at controlling the blood pressure levels in those situations.
3301 people found this helpful

I am sufferring from bp (160, blood sugar (fasting 189, pp283) and bilateral sn loss 60%, my age is 60+

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello it appears that your diabetes is not in control. If diabetes is severe and uncontrolled, lot of complications can occur related nervous system, blood vessels and heart. Please get your lower limbs for extent of neuropathy then treatment can be planned. Also check your hba1c periodically.
1 person found this helpful
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Diagnosing the Cause of Chest Pain!

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Delhi
Diagnosing the Cause of Chest Pain!

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.
The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3448 people found this helpful

I have got angiography done last year, again I want to confirm, if there is a change in the report, can I do it now?

Certificate in Laparoscopic and Thoracoscopic Surgery, Fellowship in Paediatric Cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist, Bangalore Rural
I have got angiography done last year, again I want to confirm, if there is a change in the report, can I do it now?
Yes, you can. But it is not without risk. I suggest a ct angiogram if you are keen to know about the coronaries. But why? if you have any problems the cardiologist will advice you. Relax and see your doctor regularly. Dr. Benedict bangalore.
1 person found this helpful
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Coronary Artery Disease - 7 Ways You Can Prevent it

Fellowship in Paediatric Cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist, Bangalore
Coronary Artery Disease - 7 Ways You Can Prevent it

The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls.

This attracts more and more fat molecules to settle down. This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.

This condition, known as coronary artery disease, is becoming a major cause of deaths.  While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.

Preventive measures:

1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease.  This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar. Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.

2. Exercise:  Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management.  Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.

3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.

4. Alcohol consumption:  While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no.  Binge drinking especially is shown to cause heart attacks.

5. Weight management: Check with your doctor on what is ideal BMI for you and work out a plan to keep your weight under check.

6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them.  Keep a constant check to ensure your readings are managed well.

7. Watch out:  Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.

Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life. If you wish to discuss about any specific problem, you can consult a cardiologist.

6 people found this helpful

I am 42 years male. My blood pressure is always high (100/140. May I take sexual energy tonic?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD-Ayurveda
Ayurveda, Delhi
I am 42 years male. My blood pressure is always high (100/140. May I take sexual energy tonic?
You can take some kind of ayurvedic tonics for boost your sexual functions but don't take intense sexual arousal products which can raise your blood pressure. For best suitable product for you. You can contact me through private chat.
1 person found this helpful
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How I cure heart diseases. When I face tingling in hand and feed. heaviness in left chest.

MBBS
General Physician, Mumbai
How I cure heart diseases. When I face tingling in hand and feed. heaviness in left chest.
Dear Lybrateuser, - The cure will depend on the type & extent of your problem - you should have a well balanced diet with more of vegetables & fruits, whole grains, low fat dairy, lean meat, have a handful of mixed nuts - avoid fried, processed & junk food, restrict salt & sugar intake - do regular exercise like walking, jogging for 30 min, also include yoga & deep breathing for 5-10 min daily morning - destress yourself by reading, listening to music, follow a hobby - get regular checkup done, BP, blood sugar, cholesterol & other relevant investigations as advised by your doctor.
1 person found this helpful
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