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Dr. Prretam Gupta

Cardiologist, Delhi

400 at clinic
Dr. Prretam Gupta Cardiologist, Delhi
400 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Prretam Gupta
Dr. Prretam Gupta is a popular Cardiologist in New Delhi, Delhi. He is currently associated with sunderlal hospital in New Delhi, Delhi. You can book an instant appointment online with Dr. Prretam Gupta on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 28 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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sunderlal hospital

Phase 3, Ashok Vihar, New DelhiDelhi Get Directions
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Sleep Apnea and Its Link to Heart Failure

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist, Delhi
Sleep Apnea and Its Link to Heart Failure

We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High Blood Pressure: When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy: As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as Cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia: An irregular heartbeat is also known as Arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, Arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous Positive Airway Pressure (CPAP): This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices: Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

4729 people found this helpful

What should I do if my blood pressure is high or low. What should I eat for that?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
What should I do if my blood pressure is high or low. What should I eat for that?
Meat and eggs cause blood pressure to rise more than any other food. The pressure is lowered and blood clotting diminished by taking a diet with a higher fruit content, lower protein and non-flesh diet. A natural diet consisting of fresh fruits and vegetables, instead of a traditional diet, is helpful in getting rid of the poisons from the body. A hypertension patient should start the process of healing by living on an all¬ fruit diet for at least a week, and take fruits at five-hourly intervals, thrice a day. He should take juicy fruits such as oranges, apples, pears, mangoes, guavas, pineapples and grapes. Milk may be taken after a week of a diet of fruits only. The milk should be fresh and boiled only once. The patient can be permitted cereals in the diet after two weeks. Vegetables are also good for a patient of hypertension. They should preferably be taken raw. If they are cooked, it could be ensured that their natural goodness is not destroyed in the process of cooking. Vegetables like cucumber, carrot, tomato, onion, radish, cabbage and spinach are best taken in their raw form. They may be cut into small pieces and sprinkled with a little salt and the juice of a lemon added to them so as to make them more palatable. The intake of salt should be restricted; in any case it should not be taken more than four grams or half a teaspoon per day. Baking powder containing sodium carbonate should also be avoided. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. Garlic also slows the pulse and modifies the heart rhythm besides relieving the symptoms of dizziness Numbness shortness of breath and the formation of gas within the digestive tract. The average dosage •should be two to three capsules a day to make a dent in the blood pressure. There I an important relation between dietary calcium and potassium and hypertension. It is found that people who take potassium rich diets have a low incidence of hypertension even it they do not control their salt-intake. They have also found that people with hypertension do not seem to get much calcium in the form of dairy products. The two essentia1 nutrients seem to' help the body throw off excess sodium and are involved in important functions which control the working of the vascular system. Potassium is found in abundance in fruits and vegetables and calcium in dairy products. The patient of hypertension should follow a plan of a well-balanced diet in which the constituents of food should be approximately in the following proportion: carbohydrate twenty per cent protein ten to fifteen percent fat five per cent and fruits and vegetables sixty to sixty-five per cent. In this plan one main meal should be based on raw foods while the second main meal may consist of cooked foods. Meals should be taken slowly and in a relaxed atmosphere. Food should be well masticated as the process of digestion begins in the mouth. The dinner should not normally be taken late.
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Dear doctor I am 44 years of age .male in last two three months I am feeling bit distress. The problem is that every evening I feel nerves as in just near the chest something twist, some time I feel there is sensation in back of head, and some time very twisting pain in left hand. Every symptom disappear automatically. But I am bit anxious about my health I meet with physician they suggested me alprazolam/ I am having some gas problem for which Doctors suggested me Rabeprazole tab.

MBBS
General Physician, Mumbai
Dear doctor I am 44 years of age .male in last two three months I am feeling bit distress. The problem is that every ...
Dear Lybrateuser, - Your problem could be due to stress & anxiety - relieve stress by doing regular exercise like walking, jogging, swimming, playing a game for 30-40 min, do yoga, meditation & deep breathing for 10-15 min daily morning - have a well balanced diet with more of fruits & vegetables as sometimes a deficiency causes such problems.
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I'm 25 years old male and I have cholesterol blood presume and uric acid problem, but as I take medication for these and I have pain in my back chest and legs, I can't rotate my neck properly. My doctor said me that I have muscle spasms. My ecg that I have made several times where normal.

Homeopath, Noida
I'm 25 years old male and I have cholesterol blood presume and uric acid problem, but as I take medication for these ...
Hello, uric acid are main cause of stone formation in kidney or gall bladder. Avoid high proteinous food like chana daal, mutton chicken, palak, paneer. Cholesterol can be controlled, avoid having ldl oil n have hdl oil. For stiffness, kindly go for exercise but not very hazardous one. Rotate your neck softly. Homoeopathic medicine are beneficial in it.
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Im high blood pressure and diabetes patient how I decrease both this by food and exercise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Im high blood pressure and diabetes patient how I decrease both this by food and exercise?
Mr Debu, For treating both hypertension and diabetes taking prescribed drugs is essential. If you are already on drug treatment, then only the diet control and exercise will provide additional benefit. If you are looking for only diet and exercise without any drug treatment, then i am not sure whether there is any benefit. For hypertension your diet should contain less of salt (not more than 2.3 g a day). Our average diet gives almost 8 to 10 g of salt. (Sodium chloride). This means all food preparations made at home should contain minimal salt, no salt on table, no salt to be added to salads or fruits. No processed foods as all those contain very high quantity of salt. No pickles and papads, no salty substances fried shave or chivada etc. For diabetes your diet should give exact calories based on your Ideal Body Weight, blood sugar levels and extent of daily physical activity.You should avoid sweets, deep fried foods, junk foods and pastries. Refrain from alcohol and smoking, red meat and egg yolk. Plus at lest 1 hour of exercise on all days of the week or at least on 5 days.
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Hi, I am having palpitation problem. heartbeat remains high in rest position 90+. Throat pain comes and goes automatically lasts for 30 minutes to some hours. ECG, TMT, CBC, Thyroid and vitamin test are normal. Dizziness and blurry vision remains usually. Feeling sleepy full day even after deep sleep at night. Please suggest.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hi, I am having palpitation problem.
heartbeat remains high in rest position 90+.
Throat pain comes and goes automati...
Heart rate uptil 100 beats per min is normal... Heart rate rises if u take lots of tension... Get ur echocardiography done to find out if there's any cardiac problem.. Otherwise it's normal
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I always feel negative in my life. I do not know what to do. Do you think I need doctors consultancy. please reply fast I do not open up that easily keep everything in my heart. Always feel suffering.

MBBS
General Physician, Chandigarh
I always feel negative in my life. I do not know what to do. Do you think I need doctors consultancy. please reply fa...
You sure can take a psychotherapist's help its good to identify your problem and as you have already done it and are willing to improve you should take help.
3 people found this helpful
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Sometimes I have a pain in my chest. What test Should I do and what treatment should be done For it.

MBBS
General Physician, Mumbai
Sometimes I have a pain in my chest. What test Should I do and what treatment should be done For it.
Dear Lybrateuser, - At your age chest pain could be due to acidity, anxiety or sedentary habit - avoid spicy, fried & junk food, do not have more than 1-2 cups of tea/ coffee per day - do not skip meals, have meals on time, chew food well, do not lye down immediately after meals, have dinner 2-3 hrs before bedtime - take syrup Digene gel, 2 teaspoonful half an hour after meals three times a day - have 8-10 glasses of water for proper digestion - do regular exercise like walking, jogging, also do yoga, meditation & deep breathing for 5-10 min daily morning to keep your mind & body fit.
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I am 20 year old suffering from constipation and gastric problem. And also feeling heavier chest and some pain in chest.

MBBS
General Physician, Chennai
I am 20 year old suffering from constipation and gastric problem. And also feeling heavier chest and some pain in chest.
Regularise your constipation you will be fine eat a little extra fibrous diet vegs, fruits and most important is to cultivate a habit to pass motion in the morning as soon a syou get up drink two large glasses of wqrm wqter when you get up and walk around for a while you have the urge sit in toilet and you will be fine do this every day for a week ar two you must get programmed it will take a few days just keep at it.
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Which one drink is good for the health out of beer, wine, wisky, vodka, rum, And I want to reduce the cholesterol in stomach place.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Which one drink is good for the health out of beer, wine, wisky, vodka, rum, And I want to reduce the cholesterol in ...
Up to 60ml of wine can be consumed safely daily not more. To reduce cholesterol in stomach area, you need to do 30 min of brisk walk/jogging/running daily reduce the amount of oil, ghee in good and totally stop fries food and junk food. Start taking 1 tsp of triphala churns daily at night with warm water after food regularly.
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I am suffering from toe and knee pain and I check uric acid level is 11 how can I reduce the uric acid and cholesterol level by naturopathy.Please tell.

BHMS
Homeopath, Ludhiana
I am suffering from toe and knee pain and I check uric acid level is 11 how can I reduce the uric acid and cholestero...
Take homoeopathic medicine:- 1. Urtica urens 30 (5 drops three times a day) 2. Chelidonium majus q (10 drops three times a day in half cup water) make a gap of 15 mins between both medicines. Take them for one month. Revert me back with feedback. For any other help consult me.
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My father is heart patient can you please tell me what food he want to eat. How to improve health.

MBBS, Dip. in Path.& Bact.
General Physician, Junagadh
My father is heart patient can you please tell me what food he want to eat. How to improve health.
Avoid salt, oil, butter. Take green vegetables, fruits. Take juice of lemon, pudina, lahsoon, tulsi. Eat regular food and avoid junk food. Do some regular exercise or walking as advised by cardiologist.
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I mild pain behind my head most of the time, my head is feeling very cold and my body also feeling very cold, I can't bear loud music or any kind of loud sound nor my head and not my heart, my heart beats is become fast by loud sound.

C.S.C, D.C.H, M.B.B.S
General Physician,
I mild pain behind my head most of the time, my head is feeling very cold and my body also feeling very cold, I can't...
It is intolerance to sound and you can use earplugs and avoid going near loud noises. If you have intolerance to cold you test your tsh as hypothyroidism can cause this.
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I am 45 years old my weight is 80kg, height 5, feet 9, inch my cholesterol level is high. Total cholesterol 271.38mg/DL HDL 43.07mg/dl, LDL195.6, mg/dl triglycerides 163.5mg/dl, VLD 32.63mg/dl, non hdl cholesterol 228.3mg/dl, total cholesterol hdl ratio 6.30, Total cholesterol LDL ratio 4.54, Please tell me what can I do.

BAMS
Ayurveda, Ambala
I am 45 years old my weight is 80kg, height 5, feet 9, inch my cholesterol level is high. Total cholesterol 271.38mg/...
To reduce cholesterol in body: * avoid butter, ghee & cream in your diet. * eat five leaves of kari patta and five leaves of neem once in a day. * avoid non veg food because it contain high fat content. * do not eat fast food and avoid cold drink. * do running and jogging daily for 15 minutes. Start with 5 minutes then increase time period slowly. Do morning and evening walk daily. * do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * add kali mirch (black pepper) in your breakfast. * drink 6 to 7 glass of water daily. * take sound sleep in night of 6 to 7 hrs. Do not take stress.
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I recently had viral fever along with vertigo and was hospitalized. At time time my bp was 89/53. My haemoglobin count is fine 12. But I feel dizziness and breathlessness very often. Also I've started excessive sweating in my palms. The sweat comes like water running over my hand. What should I do?

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
I recently had viral fever along with vertigo and was hospitalized. At time time my bp was 89/53. My haemoglobin coun...
Hi lybrate-user viral fever and dizziness may cause a problem called vestibular neuritis where the nerve responsible for balance may be affected by the virus. If you still feel dizziness you need to urgently do the tests mentioned below. Vestibular neuritis needs urgent treatment. Vertigo is a medical term which describes a sense if rotation even while stationary. It can often be confused with lightheadedness, generalised weakness, dizziness. Vertigo may be caused by problems in your peripheral (Ear &balance mechanism inside ear known as the vestibular system) or central nervous system.  A complete checkup is required to isolate the cause. Peripheral vestibular  system causing vertigo symptoms may need initial medications to stabilise followed by Vestibular Rehabilitation  exercises. A good quality  of life can be achieved if properly managed. * Pure tone audiometry  and tympanometry  can detect any problem in the ear nerves and tympanic membrane pressure (both of which can be abnormal in case of ear diseases) An Xray of the Cervical Spine (AP /Lat/Lat-oblique to check for cervical spondylitis CT brain and a complete  haemogram  are some of the baseline tests needed for a good evaluation  of vertigo. Hope this helps 
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I fallen down from top having chest pain continuously. Now that's pain gone to back. What I have to do?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I fallen down from top having chest pain continuously. Now that's pain gone to back. What I have to do?
Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana -- Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am 72 years. I am diabetic and taking medication for cholesterol etc. Since 4 days I have some pain in knee and thigh etc on the right side When I took Acetaminophen (crocin) it goes. But come back specially early morning. Is there any ayurveda medication for this? what is due to?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
I am 72 years. I am diabetic and taking medication for cholesterol etc. Since 4 days I have some pain in knee and thi...
Dear I understand, your diabetes is in control now. As regards pain in knee, the causes could be many and it is not correct to advise/ prescribe medication in particular without knowing the exact cause. In the interim however, I would advise you to take rest and not resort to any kind of strenuous and weight bearing physical activities that might exacerbate your pain. For the time being, do not stand or walk for long periods of time. At the same time, do consult a orthopedics doctor to examine and prescribe medications, as appropriate. Hope this helps. You may please connect with me in private for a natural medicine consultation after you have consulted a orthopedics doctor as advised above. I can then integrate & advise suitably so that you have a long lasting relief. All the best. Sincerely
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I had angioplast on my heart and one rca repaired by stenting since last six month. I am just 40 years old only. What can I do for future

MD, BHMS
Homeopath, Bhilai
For your future don't drop ecosprin for single day but can take lower doses of 100 and so on as it will dilute your blood. Always go for morning walk at least 20 min and little work out, don't use refined oil but use filtered oil like ground nut, mustered, olive, rice bran, sesame and coconut for eating. Thank you.
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I am 52 years and have shoulder pain and light chest pain since one week. Any advice please.

MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
I am 52 years and have shoulder pain and light chest pain since one week. Any advice please.
Could you describe the chest pain : Location? Is it sharp localized or heaviness with pressure. Does it also go to the shoulder, jaw or back. Do you have any burning in chest or regurgitation of food. Do you also have breathlessness? When do you get pain. What relieves the pain. It is very important to rule out chest pain due to heart problem by answering the above questions and by doing an ECG. Bone and joint problems can wait. Also, do you have history of any heart disease, diabetes, increased cholesterol, family history of any of these diseases. Do you smoke,drink or use tobacco? What is/was your occupation?
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