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Dr. Nishith Chandra - Cardiologist, Delhi

Dr. Nishith Chandra

92 (686 ratings)
DM Cardiology

Cardiologist, Delhi

24 Years Experience  ·  1000 - 1500 at clinic  ·  ₹500 online
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Dr. Nishith Chandra 92% (686 ratings) DM Cardiology Cardiologist, Delhi
24 Years Experience  ·  1000 - 1500 at clinic  ·  ₹500 online
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Myths and Facts about Ballooning and Stenting (Angioplasty)

Myths and Facts about Ballooning and Stenting (Angioplasty)

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I am Dr. Nishith Chandra, Director, Interventional Cardiologist at Fortis Escorts Heart Institute...

I am Dr. Nishith Chandra, Director, Interventional Cardiologist at Fortis Escorts Heart Institute, New Delhi, India. I am at this institute from last 22 years. Today I will discuss about the differences between cardiac arrest, heart failure and heart attack. Are these heart failure, heart attack, heart and cardiac arrest, they are same thing?  No they are not the same thing. They denote totally different meanings. So what do you we mean by heart failure.

Heart failure means that heart is failing in its duty to pump enough blood. Heart is still beating, heart has not stopped, heart is beating. Then how do a person recognize heart failure. The most common symptom of heart failure is breathlessness, intense weakness and sometimes just spin. So this is heart failure. Heart does not stop during heart failure. Heart continues to beat but weak beating inefficiently.

Then the second term comes which is heart attack. What is heart attack? Heart attack is when the there is a blockage of one of the three arteries of the coronary arteries of the heart, then the person gets a heart attack and this is recognized by severe chest pain, severe excruciating chest pain which may or may not be complete with sweating, breathlessness, intense weakness or sense feeling of impending doom. So this is called heart attack. This is different from heart failure.

What is cardiac arrest? Cardiac arrest means when the heart suddenly stops. In both heart failure and heart attack, the heart continues to beat, but only in cardiac arrest the heart count stop suddenly. So this is the most dangerous of the all three situations so when the cardiac arrest occurs the person loses its consciousness because there is no blood supply to the brain and we have to resistant the person immediately.

What you can do at that time if you find somebody collapsing? Immediately start CPR, what we call cardio pulmonary resuscitation. For learning CPR you may contact us at Fortis Escorts Heart Institute or you can join your consult your nearest heart hospital. So if you learn, if you have learned CPR then you can revive the patient from cardiac arrest.

So now you have learned that these three terms cardiac arrest is different, cardiac heart failure is different and heart attack are different and these should be treated separately.

So if you need to consult me you can consult me either through www.lybrate.com or you can meet me personally at Fortis Escorts Heart Institute, New Delhi which is there in Okhla or at my personal clinic at sector 93 A, Expressway Noida.

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Here are some post heart attack tips <br/>I am Dr. Nitish Chandra. I am a director incubational c...

I am Dr. Nitish Chandra. I am a director incubational cardiologist at Fortis Escort Heart Institute, New Delhi. I have been working here for the last 22 years. Today I would like to give a very simple tip after the heart attack that how much they should exercise.

This is a very common myth that after the heart attack patients should not exercise but after the heart attack treatment is over and the patient goes home, he should start exercising. Here, the patient says that, “We don’t have time; we are busy.” So the tip is that they should follow the Rule of 4. This rule means that they should exercise for at least 4 days in a week. During every day, they should exercise for 40 minutes and during that time they should cover a distance of 4 Kilometers. So this is what I the Rule of 4. The Rule of 4 means 4 times a week for 40 minutes each covering a distance of 4 kilometers. If a person does this much of exercise, then he can keep his heart healthy. So, you people should not have this excuse that “I don’t have time.” If you follow the Rule of 4, you can keep your heart healthy.

If you have any further queries or questions regarding heart and heart related illnesses, you can contact me on lybrate.com.

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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nishith Chandra
Based in Delhi, Dr. Nishith Chandra is an intervention Cardiologist per excellence. Dr. Chandra is currently associated with Holy Family Hospital, Delhi. You can also avail his services Fortis Escorts Health Institute, Okhla, New Delhi. With 22 years of his experience, he has developed a standard of his own among his patients with an approach that uniquely blends personal and professional services together. An alumni of King George?s Medical College, Lucknow Dr. Chandra is a professional member of many reputed medical institutions including Cardiological Society of India, Delhi Medical Council and Indian society of Critical Care Medicine among others. As a way of acknowledging his contribution in his field, he was bestowed with numerous awards and recognitions including Best Case Award at TCT Asia Pacific Seoul in 2008. In his clinic, you can avail extensive varieties of treatments including Angiography, heart pacemaker, Cardioversion, Coronary Bypass Surgery, Bypass Surgery among others in a calm and comfortable environment. So, in order to get a wholesome remedy from your heart-disorders, it is recommended to contact Dr. Chandra.

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Education
DM Cardiology - King Georges Medical College LUCKNOW - 1994
Languages spoken
English
Hindi
Professional Memberships
Cardiological Society of India (CSI)
FSCAI(USA)
Delhi Medical Council
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Indian Society of Critical Care Medicine (ISCCM)
SCCM

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Fortis Escorts Heart Institute

Okhla Road, Opp Holy Family Hospital, OkhlaDelhi Get Directions
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1000 at clinic
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Chandra Heart Clinic NOIDA

SV 1, 8 GF ELDECO UTOPIA, Sec 93 ANoida Get Directions
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What Does Predictable Chest Pain Pattern Indicate?

DM Cardiology
Cardiologist, Delhi
What Does Predictable Chest Pain Pattern Indicate?

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.

1911 people found this helpful

What Is CGMS?

DM Cardiology
Cardiologist, Delhi
What Is CGMS?

With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy. 

What is CGMS: 

Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.

CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis. 

Whom is it for?

If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes

The Usage 

Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows. 

Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team. 

If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels. In case you have a concern or query you can always heal & get answers to your questions!

1795 people found this helpful

High Blood Pressure & Heart Problem - How They Are Related?

DM Cardiology
Cardiologist, Delhi
High Blood Pressure & Heart Problem - How They Are Related?

Most people spend extremely busy lives, which do not allow them close to enough time to exercise and stay fit, but has more than enough stress. This is made worse by bad diets. Both these factors together lead to high blood pressure levels. While knowing that one has high blood pressure is not going to lead to much cheer at all, being told that it is linked to heart disease is going to make one feel worse. But, what exactly is the link?

High BP and Heart Disease
When a person has high blood pressure, it means that the heart has no option, but to work harder to make sure that blood circulates around the body. As such, the heart becomes stiff. Apart from that, the arteries, which carry fresh blood filled with oxygen, are gradually damaged. This is because the inner linings get damaged. So when you suffer from high blood pressure, heart attacks, strokes, heart failures and atherosclerosis are not uncommon.

Complications
As a result of having a high blood pressure, the muscles of the heart begin to weaken over time. Heart failure is what eventually happens. When it does happen, there is a fluid which starts filling up the body. A heart check-up may show an irregular heartbeat rate. Many people who are not familiar with the heart feel that a heart attack is the same as a heart failure. However, this is not the case. A heart attack can lead to immediate death, while heart failure implies improper pumping of blood.


A continuous excess pressure on the heart often results in an enlarged left heart. The left ventricle, which is a part of the heart, expands and this means some very serious things including the prospect of a heart failure, a heart attack or even a sudden and lethal cardiac arrest.

However, this is not the only side of things when it comes to heart disease. Coronary artery disease is a possible result of high blood pressure as well. This means that chest pain and heart attacks can occur due to this. Along with these two, an irregular heart rhythm, which is medically known as arrhythmia, can develop.

The health of a person means that even a part or aspect of him or her being abnormal can cause some far-reaching effects and high blood pressure leading to heart disease is a good example of it. So, it is best to make sure that one’s blood pressure levels are kept in an acceptable range!

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

2143 people found this helpful

6 Common Causes of Abnormal Heartbeat!

DM Cardiology
Cardiologist, Delhi
6 Common Causes of Abnormal Heartbeat!

Are you experiencing irregular and fluctuating heartbeats? Is your heartbeat too fast or too slow? If yes, then it signifies that you are suffering from arrhythmias or abnormal heart rhythms. This is a disorder which affects the heart rate or heart rhythm and the heartbeat becomes irregular.

Causes of abnormal heart rhythms
Arrhythmias occurs due to problems with the electrical conduction system of the heart. In this case, abnormal signals might occur; the electrical signals might get blocked or slowed down, or the electric signals may travel in different paths throughout the heart. Abnormal heartbeats are commonly caused by the following:

  1. Abnormal potassium levels in the body
  2. Heart attacks or due to a damaged heart muscle, owing to a previous heart attack
  3. Inborn heart diseases
  4. Cases of an enlarged heart and heart failure
  5. Overreaction of the thyroid gland
  6. Several other substances or medicines may lead to arrhythmias, such as alcohol, stimulant drugs, caffeine, nicotine, and antidepressant medicines or blood pressure medicines.

Common symptoms of this condition apart from irregular heartbeat patterns include chest pain, fainting, dizziness and light-headedness, trouble in breathing and paleness.

Diagnosis of abnormal heart rhythms
For the diagnosis of arrhythmias, your doctor will use a stethoscope to listen to your heartbeat. Several health monitoring devices are used to detect abnormal heart rhythms. These include the Holter monitor and the event monitor, or a loop recorder.

Other diagnosis tests which are required to be carried out include coronary angiography, ECG or electrocardiogram, and an echocardiogram. A test known as an electrophysiology can be undertaken for getting a closer look at the electrical system of the heart.

Treatment for abnormal heart rhythms
When a case of arrhythmias is severe, urgent treatment is required for restoring the heart’s rhythm to normal. The different forms of treatment are as follows:

  1. Electrical shock therapy such as defibrillation or cardioversion
  2. Implanting of a heart pacemaker for a short term
  3. Certain medications which are given through the veins or orally
  4. A group of medicines known as anti-arrhythmic drugs is used for the prevention of recurrence of the condition and to keep the heart rate from fluctuating continually.
  5. Cardiac ablation may be carried out for destroying some areas in the heart from where the rhythm problems are caused.
  6. An implantable cardiac defibrillator is used in people who are at a risk of facing cardiac death.

In case you experience abnormal heart rhythm, you must consult a doctor immediately. You should only start taking medicines and follow a treatment after it has been recommended by a doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

2054 people found this helpful

5 Natural Remedies That Can Help Manage Obesity!

DM Cardiology
Cardiologist, Delhi
5 Natural Remedies That Can Help Manage Obesity!

For most people, putting on weight is easy, but losing excess weight can be quite a struggle. Obesity is one of the most common lifestyle ailments today and can trigger a number of health problems, including diabetes and cardiovascular diseases. It also affects your emotional health and self-confidence.

Patience and perseverance are crucial when it comes to weight loss. Natural remedies can be very helpful in losing and regulating weight, as they not only an alternative to strong medicines, but also promotes lifestyle that includes a healthy diet and regular exercise.

Here are a few natural remedies and preparations that can help you achieve a healthy body weight.

  1. Lemon infused water: Water infused with lemon juice and a spoon of honey on an empty stomach can help detox the body and boost metabolism. The lemon acid slows down the digestion process and helps the body to absorb nutrients that can regulate your blood sugar level and can keep you satiated for a long time after a meal. In addition to this, lemon water also helps stimulate liver functioning and aids in the removal of waste from the body.
  2. Physical exercise: Physical activity or exercise is the best way to keep yourself fit and reduce obesity. Physical activity can be in form of dancing, brisk walking, exercises, etc. anything that you like. However, you must do it daily and for at least 30 - 40 mins. Beginners can start from 15 to 20 mins in the initial phase and can gradually increase the time period.
  3. GingerGinger is rich in chemicals that control the oxidation of fatty acids and regulates cholesterol metabolism. Thus, it suppresses fat accumulation and regulates cholesterol levels in the body. It also helps cleanse the colon thus, aiding in the digestion process. Ginger also increases the body heat and blood flow that helps the body burn fat faster.
  4. Eat right: Including lots of greens and fruits in your daily diet, will surely help you in maintaining healthy body weight. Foods especially, like tomatoes and carrots are great for weight reduction.
  5. Green tea: Drinking green tea daily is another way to reduce and manage your weight, as the caffeine and flavonoids present in it help in elevating the metabolic rate of the body also improves the insulin activity in the body. 

If you wish to discuss about any specific problem, you can consult a doctor.

1981 people found this helpful

4 Natural Remedies That Can Help Lower High Cholesterol!

DM Cardiology
Cardiologist, Delhi
4 Natural Remedies That Can Help Lower High Cholesterol!

Cholesterol is a type of fatty acid that is produced by the liver. The body uses cholesterol to perform various activities such as synthesizing of hormones, bile acid and vitamin D. The natural approach of balancing cholesterol is not only to curb the cholesterol amount, but also to strictly control diet so that the secretion of cholesterol can be curtailed.

Here are a few natural tips that can help to lower cholesterol and restore normal body function of the body:

  1. Coriander: Coriander is considered to be one of the best herbal diuretic agents. It can revitalize the kidneys and help them perform better in terms of excretion of waste. The kidney, therefore, can flush the excess cholesterol from the body. Coriander can be consumed along with food on a daily basis.
  2. Garlic: Garlic again has been known to mankind for centuries and is extremely beneficial for people suffering from high cholesterol. Two cloves of garlic on a daily basis can completely neutralize the effect of high cholesterol in the blood. Apart from freeing up arteries, garlic has multiple other health benefits.
  3. Orange juice: Drinking Orange juice is an excellent way of reducing blood cholesterol level as it contains vitamin C, folate and flavonoids. Further, as per a study published by American Journal of Clinical Nutrition it is found that 750 ml of orange juice daily can help increase HDL, which is the good cholesterol in the body and it also reduces the LDL/ HDL ratio in people. 
  4. Holy basil or tulsi: Holy basil is another popular and traditional Indian hub that is extensively used to treat high cholesterol in the bloodstream. They can eliminate excess cholesterol through the kidneys. It is used for preparing multiple medicines. It is a proven medicinal herb that is very efficient in dealing with excess cholesterol in the blood. They have the ability to disintegrate cholesterol from the body. 2-3 leaves of tulsi can be consumed on a daily basis. Consult an expert & get answers to your questions!
2149 people found this helpful

What You Need To Know About Blockages in Heart Arteries?

DM Cardiology
Cardiologist, Delhi
What You Need To Know About Blockages in Heart Arteries?

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?

LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

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

1954 people found this helpful

I have been diagnosed with high cholesterol non hdl is 183.3 total cholesterol is 236, triglycerides is 304 and vldl is 60.8. Apart from this my vitamin D is low 18, b12 is low 191, and iron is low. What should be my diet to fix this problem? What all should I eat and not eat? Age 30 years.

DM Cardiology
Cardiologist, Delhi
I have been diagnosed with high cholesterol non hdl is 183.3 total cholesterol is 236, triglycerides is 304 and vldl ...
Cholesterol is a type of fat. It has both good and bad effects on the body. Your body uses cholesterol to make hormones and to build and maintain nerve cells. However, when your body has too much cholesterol, deposits of fat in the blood called plaque form inside blood vessel walls. The blood vessel walls thicken and the vessels become narrower (a condition called atherosclerosis). This change in the blood vessels reduces blood flow through the blood vessels, possibly leading to heart attacks or strokes. Most of the cholesterol in your blood is made by your liver from the fats, carbohydrates, and proteins you eat. You also get cholesterol by eating animal products such as meat, eggs, and dairy products. How is cholesterol measured? When you get your cholesterol checked, your health care provider will give you a number for your total cholesterol level. You can use the chart below to see if your total cholesterol is high.   Total Cholesterol Level (mg/dL) less than 200 good 200 to 239 borderline high 240 or above high When your cholesterol is measured and found to be high, your health care provider may also check the amount of LDL (low-density lipoproteins) and HDL (high-density lipoproteins) in your blood. LDL and HDL carry cholesterol through your blood. LDLs carry a lot of cholesterol, leave behind fatty deposits on your artery walls, and contribute to heart disease. HDLs do the opposite. They clean the artery walls and remove extra cholesterol from the body, thus lowering the risk of heart disease. LDL is called "bad" cholesterol. (You can think of "L" for "lousy" cholesterol.) HDL is called "good" cholesterol (think of "H" for "healthy" cholesterol). It is good to have low levels of LDL and high levels of HDL. The recommended levels of LDL are shown in the following chart:   Recommended LDL Cholesterol Level (mg/dL) Less than 160 For most people Less than 130 If you have an increased risk of heart disease Less than 100 If you have heart disease, diabetes, peripheral artery disease, abdominal aortic aneurysm, or symptomatic carotid artery disease For HDL, a level below 40 mg/dL is too low. The recommended HDL level is 45 mg/dL or higher. How can I control my cholesterol level? Cholesterol levels can usually be controlled by eating right, exercising, and not smoking. Follow these diet guidelines to help control your cholesterol: Reduce the amount of cholesterol in your diet. The American Heart Association recommends eating no more than 250 to 300 milligrams (mg) of cholesterol a day. Eat less fat. Fats should contribute no more than 30% of your daily calories. Only 10% of the fat you eat should be saturated fat. Some kinds of fats are better than others. Polyunsaturated and monounsaturated fats are better than saturated fats. Monounsaturated fats are found in olive oil, canola oil, and avocados. Polyunsaturated fats are found in fish and some vegetable oils. Saturated fat raises your blood cholesterol because it makes it hard for the body to clear the cholesterol away. Saturated fat is found in different amounts in almost all foods. Butter, some oils, meat, and poultry fat contain a lot of saturated fat. Adjust the amount of calories you eat and exercise regularly to maintain a lean body weight. To control the amount of fat and cholesterol you eat: Check food labels for fat and cholesterol content. Limit the amount of butter and margarine you eat.Use sunflower, safflower, soybean, canola, corn, or olive oil rather than tropical oils such as palm or coconut. Use salad dressings and margarine made with polyunsaturated and monounsaturated fats.Use egg whites or egg substitutes rather than whole eggs. Replace whole-milk dairy products with nonfat or low-fat milk, cheese, spreads, and yogurt. Eat skinless chicken, turkey, fish, and meatless entrees more often than red meat.Choose lean cuts of meat and trim off all visible fat. Keep portion sizes moderate. Avoid fatty desserts such as ice cream, cream-filled cakes, and cheesecakes. Choose fresh fruits, nonfat frozen yogurt, Popsicles, etc. Reduce the amount of fried foods, vending machine food, and fast food you eat. Limit the amount of nuts you eat, especially nuts high in saturated fat. Examples of nuts that are especially high in saturated fat are cashews, pistachios, and Brazil and macadamia nuts. Eat fruits and vegetables (especially fresh fruits and leafy vegetables), beans, and whole grains daily. The fiber in these foods helps lower cholesterol. Look for low-fat or nonfat varieties of the foods you like to eat, or look for substitutes. Exercise goes hand-in-hand with a healthy diet for controlling cholesterol. Exercise helps because it: Keeps your weight down. Decreases your total cholesterol level. Decreases your LDL (bad cholesterol).Increases your HDL (good cholesterol). A good exercise program includes aerobic exercise. Aerobic exercise is any activity that keeps your heart rate up (such as swimming, jogging, walking, and bicycling). You should get 20 to 30 minutes of aerobic exercise at least every other day. If you haven't been exercising, ask your health care provider for an exercise prescription and start your new exercise program slowly. If you smoke, quit. Smoking increases your risk of heart disease because it lowers HDL levels. High cholesterol may run in families. Know your family history and discuss it with your health care provider. In summary, to control your cholesterol level: Eat healthy. Get regular exercise. Don't smoke. Check your cholesterol yearly. For low Vit D, take Vit D Supplements, once a week, and spend atleast 20 min in sunlight.
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What You Need To Know About Heart Attack in Women?

DM Cardiology
Cardiologist, Delhi
What You Need To Know About Heart Attack in Women?

Women, who have been thinking that cardiac diseases are something that doesn’t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren’t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like  heart attack are killing as many women as men.

Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated. 

You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.

Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:

  1. Fatigue
  2. Shortness of breath
  3. Throat pain and jaw pain
  4. Pain in arms may be in one or both

If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.

Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.

You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack. If you wish to discuss about any specific problem, you can consult a Cardiologist.

1846 people found this helpful

Tips To Help You Lower Your Cholesterol!

DM Cardiology
Cardiologist, Delhi
Tips To Help You Lower Your Cholesterol!

Low density lipoprotein or LDL is the bad cholesterol that adds to plaque development alongside triglycerides, which is another lipid. High density lipoprotein or HDL is the good cholesterol that diminishes plaque development. Plaque can hinder the blood supply to the heart, brain, legs or kidneys, leading to heart attacks, stroke or even death. To lower the cholesterol for a younger heart, you may follow the below steps:

  1. Reduced fats: Do without greasy meats such as bologna, salami, pepperoni and wieners; and greasy red meats such as ribs and prime cuts of hamburger, pork, veal or sheep. Likewise, you must abstain from skip skin on chicken or turkey. Stay away from full-fat dairy items including whole grain, cheese, cream, cream cheese and spread. These food items contain saturated fat and cholesterol. Both are connected with higher blood cholesterol and plaque development.
  2. Intake fiber: In particular, get used to food items which are high in dissolvable fiber. In the gut, dissolvable fiber can provide bulk to the bile and easily expel it from the body. Search for dissolvable fiber in oats, oat wheat, ground flaxseed, psyllium, grain, leafy vegetables, in addition to some whole grain oats.
  3. Go veggie: Pick no less than one meatless meal for every week. Substitute animal protein (meat, poultry, eggs, cheddar) for plant-based protein such as beans, lentils, tofu or quinoa. Consume these plant-based proteins with a plate of mixed greens, soup, panfry, or a burrito.
  4. Be aware of carbs: Following a low-carb eating routine can help you get in shape and decrease cardiovascular hazards. Pick high fiber sugars like oats, whole grain, starches, beans, lentils, and organic products, which will give you the energy you require, apart from keeping you feeling full.
  5. Lose some weight: In case you are overweight or stout, shed the additional pounds. Weight reduction brings down the LDL levels. Reducing even 10 to 20 pounds can have a positive effect.
  6. Move more: Do an hour and a half of cardiovascular exercise every day for an ideal heart wellbeing and weight reduction. Cardiovascular exercise implies any action that uses muscles in an efficient way and builds the heart rate. Strolling, cycling, paddling and swimming can be helpful. In case you discover an hour and a half overwhelming, begin with 30 minutes and work your way up a little at once. For a few people, 45 minutes to an hour of cardiovascular practice is sufficient.
  7. Pick the correct rhythm: Go for a direct level of work out. You will know you have achieved it when you can bear on a discussion when you work out, yet cannot sing. High intensity workout is better at raising HDL levels. However, it additionally expands your danger of wounds, making it difficult to keep working out.If you wish to discuss about any specific problem, you can consult a Cardiologist.
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