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Dr. Rajiv Agarwal  - Cardiologist, Delhi

Dr. Rajiv Agarwal

90 (73 ratings)
MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology

Cardiologist, Delhi

33 Years Experience  ·  500 at clinic  ·  ₹300 online
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Dr. Rajiv Agarwal 90% (73 ratings) MBBS, MD - Medicine, DM - Cardiology, Fellowship in Inter... Cardiologist, Delhi
33 Years Experience  ·  500 at clinic  ·  ₹300 online
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Though we may lack the power to change some risk factors , such as family history, sex or age ; h...

Though we may lack the power to change some risk factors , such as family history, sex or age ; however there are some key heart disease prevention steps one can take to reduce the risks associated with the same.

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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Rajiv Agarwal
I am a graduate of All India Institute of Medical Sciences, New Delhi with MD and DM Cardiology from same institution. Fellowship in Interventional Cardiology at University of Alabama, Birmingham, USA. Ex Associate Professor of Cardiology at AIIMS. 28 years experience as Interventional and Clinical Cardiologist.

Info

Education
MBBS - All India Institute of Medical Sciences New Delhi - 1985
MD - Medicine - All India Institute of Medical Sciences New Delhi - 1988
DM - Cardiology - All India Institute of Medical Sciences New Delhi - 1990
...more
Fellowship in Interventional Cardiology - University of Alabama at Birmingham, USA - 1993
Past Experience
Senior Director and Head, Cardiology at Max Smart Superspeciality Hospital, Saket
Head Cardiology, Director Cath Lab, Senior Consultant at Batra Hospital & Medical Research Centre
Senior Consultant and Head Cardiology at Mata Chanan Devi Hospital
...more
Senior Consultant Cardiology at Pushpanjali Crosslay Hospital
Associate Professor, Department of Cardiology at All India Institute of Medical Sciences
Fellow in Interventional Cardiology at University of Alabama at Birmingham
Pool Officer at Council for Scientific & Industrial Research
Languages spoken
English
Hindi
Awards and Recognitions
Pandit LC Richharya Oration
Commonwealth Scholarship
Professional Memberships
Cardiology Society of India
Fellow of The American College of Cardiology
Fellow of the Society of Cardiovascular Angiography and Interventions
...more
Indian Medical Association (IMA)
EAST DELHI PHYSICION ASSOCIATION

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Max Smart Super Specialty Hospital

Mandir Marg, 1,2, Press Enclave Marg, SaketDelhi Get Directions
  4.5  (73 ratings)
500 at clinic
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"Prompt" 1 review "knowledgeable" 5 reviews "Sensible" 1 review "Very helpful" 6 reviews "Practical" 2 reviews "Professional" 2 reviews "Well-reasoned" 2 reviews "Inspiring" 1 review "Thorough" 1 review

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What Are The Symptoms Of Aortic Valve Stenosis?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
What Are The Symptoms Of Aortic Valve Stenosis?

The heart is a wonderfully designed pump that takes care of proper functioning of the body. There are two separate channels, through which pure and impure blood flows through. Blood flow in these two designated networks is one-sided completely and controlled by valves. There are 2 sets of valves as below:

  1. Aortic and pulmonary valves which controls blood flow from the ventricles to the aorta and to the lungs respectively
  2. The mitral and tricuspid valves control blood flow from the atria (upper chambers) to the ventricles (lower chambers).

These valves are meant to be elastic and fibrous and open and close freely to allow for blood flow. Due to various reasons, they can become stenosed (hard and narrow) and depending on which valve is affected, complications arise accordingly.

The aortic valve is extremely important in that its proper functioning ensures that pure, oxygenated blood reaches various parts of the body. Due to various reasons, this valve may not open and/or close properly. Some causes include calcium deposits, advanced age, rheumatic fever, endocarditis, etc. With age or deposits, the valve opening can become narrow and reduce the amount of blood flowing into the aorta. The following symptoms and complications arise out of this.

  1. The heart needs to put extra pressure to pump out blood into the aorta
  2. The left ventricle therefore grows thicker
  3. The symptoms will take a long time to manifest, as the heart will work on alternate measures, but after a certain point, symptoms will show up including chest pain, fatigue with minimal exertion, shortness of breath, and racing heartbeats.
  4. As the heart has its own compensating mechanisms, symptoms show up when the condition is much serious. Therefore, onset of these symptoms requires immediate medical attention.

Diagnosis: This could be diagnosed with routine medical exam when the heart is being checked or it could only be diagnosed when the symptoms are seen as above. Treatment is easier in the earlier case, and requires more rigorous attention.

Management: If the stenosis is mild and was detected on routine exam, then it needs to be monitored periodically. Surgery is usually not done, unless it is very severe. However, preventive measures can be taken including

  1. Avoiding over-exertion
  2. Heart-healthy diet can be taken to prevent further damage
  3. Reduce sodium intake
  4. Quit smoking

If the stenosis is severe, then surgery is the only definitive treatment measure. Valve surgery can be either a

  1. Balloon valvuloplasty – the valve opening is enlarged
  2. Replacement – valve replacement is usually done as an open heart surgery.

Though aortic stenosis is a serious condition, it is also rare and can be managed by adopting an overall healthy lifestyle.
 

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Heart Disease Prevention

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
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Though we may lack the power to change some risk factors , such as family history, sex or age ; however there are some key heart disease prevention steps one can take to reduce the risks associated with the same.

2668 people found this helpful

Sir, my dad aged 79 yrs, suffered from TIA on 18 june, he is having sinus bradycardia with RT carotid artery plaque with TIA with BPH .He is taking these medicines right now Tab. clopitab A 75/75-OD, Tab. Orcibest 10 mg 1/2 TDS, Tab.Candace-h 2.5 OD, Tab U-speed 0.4 mg,Tab Nitrolong 2.6 BD, Tab. Etek plus OD, Tab.Sorbitrate 5 mg SOS. His holter monitoring was done which showed average heart rate 53bpm during the day, 49 bpm at night and 51bpm over complete recording. Maximum heart rate was 76 bpm at 13: 12:52, minimum heart rate was 39bpm at 23: 09:29, the standard deviation overall normal beats wad109. 0.In total 73985 beats were found which 1 were classified as ventricular beats. Kindly suggest what to do.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Did he suffer loss of consciousness at any time. If so, then we may do electrophysiology study in Cath Lab and consider pacemaker if results are abnormal. I assume the carotid artery narrowing is not significant and does not merit angioplasty. He needs treatment with aspirin, clopidogrel and statins. Avoid beta blockers. Might need Pacemaker in future. Regards.
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Is bradycardia curable with life style changes and healthy habits? Or phase maker is only the solution.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Is bradycardia curable with life style changes and healthy habits? Or phase maker is only the solution.
Some cases of bradycardia may be induced by beta blockers or other rate lowering drugs and are hence reversible. Bradycardia due to weak thyroid function, or high potassium level also may be reversed with specific treatment. Most cases of bradycardia are due to intrinsic disease in the wiring of the heart. Mild cases can be managed with healthy lifestyle. However, pacemaker is required if bradycardia is severe or symptomatic or if tests indicate chance of progression. Let your doctor judge what is best for you. Regards.
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I am having issue with hypertension having increase in blood pressure I am only 31 years of age.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
I am having issue with hypertension having increase in blood pressure I am only 31 years of age.
Please give full details of BP levels, since when, any associated factors like stress etc. Any associated medical problem. Depending on above, further course of investigation and treatment. You may contact a good physician or Cardiologist in your city.
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I have high triglycerides (289) and high HDL and VLDL. Im 37 years old. I need some non habit forming solution to lower this. I have started regular exercise and diet. My weight is 93 and height is 180 cm.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
I have high triglycerides (289) and high HDL and VLDL. Im 37 years old. I need some non habit forming solution to low...
You are you overweight. What is your blood sugar levels fasting and post meal. Often prediabetes may also contribute to your type of lipid abnormalities. Healthy diet avoiding sugar, fast food, bakery and confectionery products. Regular exercise. Lose weight 5-7 kg over next 3 months. If lipids remain high even after 3 months then we may think of medicines.
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I am slightly hypertensive and take cilacar 10 and Nodon 2.5 once a day. Suddenly this summer pressure has gone up and shot upto 180/80 on 1 day. Was also feeling giddy. Now doctor has increased cilacar to 30 mg daily and Nodon 2.5 mg daily for last 7 days. Earlier BP used to be around 130-140/70-84. Want your suggestion. There has been no change in life style.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
I am slightly hypertensive and take cilacar 10 and Nodon 2.5 once a day. Suddenly this summer pressure has gone up an...
You should monitor your BP over next few weeks. Get an ECG and kidney function test done to rule out any other cause of uncontrolled hypertension.
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Hy sir I am 24 year old male weight 65 kg Nd my BP is 130/90 But sometime when I see that my heart beat is 120/min or sometime 115/min My ecg echo all are normal But what's the region of heart palpitation.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Hy sir I am 24 year old male weight 65 kg Nd my BP is 130/90 But sometime when I see that my heart beat is 120/min or...
Anxiety is most likely reason for fast heart rate in your case. However you may get blood test done for Hb level and thyroid hormone also. Yoga and other exercise may help you.
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I had an ecg report with 105bpm. Diagnosis analysis saying "sinus tachycardia otherwise normal" I was quite stressed during the test. Is there any problem?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Slightly fast rate might be due to stress. Monitor your pulse rate. If it continues to be high even in relaxed, resting state then investigation and consultation are required. Meanwhile try to reduce stress by regular exercise, yoga, and adequate rest.
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