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Dr. S C Mishra

MD, DM - Cardiology

Cardiologist, Delhi

34 Years Experience
Dr. S C Mishra MD, DM - Cardiology Cardiologist, Delhi
34 Years Experience ₹ online
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. S C Mishra
Dr. S C Mishra is an experienced Cardiologist in Azad Nagar, Delhi. He has had many happy patients in his 34 years of journey as a Cardiologist. He studied and completed MD, DM - Cardiology. He is currently associated with Surya Hospital in Azad Nagar, Delhi. Book an appointment online with Dr. S C Mishra and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 34 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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Education
MD - Bhopal Medical College - 1982
DM - Cardiology - PGI Chandigarh - 1984
Languages spoken
English
Hindi

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Plz help me out with the follow Stress Depress Hypertension Not being able to open up with people Suggestions please.

BHMS
Homeopath
Ask Free Question
Plz help me out with the follow
Stress
Depress
Hypertension
Not being able to open up with people
Suggestions please.
Manage your routine. Start doing meditation. Have faith in yourself and others. Keep yourself in good company. If you take vegetarian diet, full of salad, vegatables and fruits, it will solve your problem further.
2 people found this helpful

I had chest pain and tightness, heavy sweating .went for cardiologist. Echo done. It shows mitral valve prolapse with trivial Mr. Is anything serious?

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician
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I had chest pain and tightness, heavy sweating .went for cardiologist. Echo done. It shows mitral valve prolapse with...
Thanks for your query. Yes, it is s erious condition which needs constant assessment and follow up. Please follow closely with your cardiologist and seek his advice and treatment. For more details contact me in private section.

Screening for Prehypertension

MD - General Medicine, MBBS
General Physician
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Guidelines for vary from time to time, but generally accepted classification of hypertension (jnc7) is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal lesser than 120 mm hg sbp and dbp lesser than 90 mm hg

Prehypertension 120 -139 mm hg sbp or dbp 80 to 89 mm hg

Stage 1 htn 140 -159 mm hg sbp or dbp 90 to 99 mm hg

Stage 2 htn greter than/= 160 mm of hg sbp or dbp greter than/= 100 mm hg.

Prevalence of prehypertension among adults in united states is approximately 37 percent.

Study done by yadhav s et al showed prevalence of prehypetension was 32.3 percent in india with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents 'tip of an iceberg'.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease (end organ failures) which would have been preventable if treated at an early stage.

Why hypertension should be diagnosed and treated?

Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: it is an entity where sbp greater than 120 -139 mm hg or dbp 80-89 mm hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension. People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 uspstf (united states preventive services task force) guidelines recommend

Screening every two years for persons with sbp lesser than 120 mm hg and dbp lesser than 80 mm hg

Yearly for persons with sbp 120-139 mm hg or a dbp 80 -89 mm hg

How to manage prehypertension:

Trophy stydy (trial of preventing hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment: as per jnc 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease, end organ damage, or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction: maintain normal body weight (bmi 18.5 to 24.9 kg/m2) this can reduce by 5 to 20 mm hg per 10kg weight loss.

Adopt dash eating plan: (dash- dietary approach to stop hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat. This can reduce bp by 8 to 14 mm hg.

Dietary sodium restriction: reduce dietary sodium intake to no more than 100meq/day (2.4 gm sodium or 6 gm of sodium chloride). This can reduce bp by 2 to 8 mm hg.

Physical activity: engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce bp by 4 to 9 mm hg.

Moderation of alcohol: limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce bp by 2 to 4 mm hg.
Screening for Prehypertension
1 person found this helpful

Is heart attack realeted to diabetes?

Certificate in Laparoscopic and Thoracoscopic Surgery, Fellowship in Paediatric cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist
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Is heart attack realeted to diabetes?
Diabetics have a higher chance of heart disease, but there are other reasons also. If your sugar is well under control you will be fine for a long time as long as there are no other risk factors.
30 people found this helpful

My Hdl level is 17, is it ok or how we can increase?

MD - Internal Medicine, MBBS
Endocrinologist
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My Hdl level is 17, is it ok or how we can increase?
Hello dear patient. High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take flax oil, omega-3 fatty meal or cap., take .green veg., whole grain.garlic,. Take anti cholesterol medicines .

I am 27 and my heartbeat increases when I do some physical work when run bike and after eating food as I noticed. I am not able to sleep for two months properly. Can increased heartbeat is the cause of insomnia ? please tell me the solution. I am not using any medicine.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I am 27 and my heartbeat increases when I do some physical work when run bike and after eating food as I noticed. I a...
Yes increased heart beat is the cause of insomnia and increase in heart beat is due to stress or over work or some underlying disease. Before I suggest medicines, get thyroid profile done, blood sugar and total lipids. Get back with reports. Do not take sleeping piils as they can be addictive. Look within to know the cause of stress if any and do share with us if you want to.
1 person found this helpful

Sir I have bp problem now this tym it has 160/70. Which tblt I should take regularly which have no side effect.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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Sir I have bp problem now this tym it has 160/70. Which tblt I should take regularly which have no side effect.
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning...
1 person found this helpful

How I do manage my blood pressure in my busy working days.

BHMS
Alternative Medicine
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How I do manage my blood pressure in my busy working days.
Take little almond oil and apply it softly around your eyes with the tip of your fingers. Just close your eyes for 10 mins, let the thoughts come and go but keep your eyes closed and tell yourself that you have done your best and will always do the best for yourself and family! trust yourself totally and believe in yourself completely. This won't happen in just one day but eventually you will always win!
2 people found this helpful

I'm a 17 year old girl, and have been experiencing sharp pain under my left breast when I breathe in. I thought it was a symptom of a heart attack, but I'm not experiencing nausea, anxiety, clammy skin, tiredness, etc. I have a little congestion in my chest of phlegm, and had a cough two weeks ago. I took nebulizer to solve my cough, but what should I do to solve this issue? Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I'm a 17 year old girl, and have been experiencing sharp pain under my left breast when I breathe in. I thought it wa...
Hello lybrate user regarding your pain in breast is not similar to heat pain and each and every pain is not heart attack. It may be because of gaseous discomforts or dry coughing. I would like to advise you to follow the regular routines of getting all dietary measures and daily behaviours -as well as yoga and exercise every day. Hot water sipping boiled with ginger, saumph and ajwayan every one hour for whole day. Use light diets and soups of carrots and beetroot with moong daal soups fried with cumin seeds and ghee and garlic. Oil massage over effected parts twice daily. Avoid oily or junk food stuff, sour products e. G. Pickles etc and nonveg. Make sure about your bowel should be cleared every day.
1 person found this helpful

I am having a pain on my chest for a while now. Sometimes it radiates from the armpit to the shoulders and sometimes to the left hand. Is it some heart related problem or something else?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am having a pain on my chest for a while now. Sometimes it radiates from the armpit to the shoulders and sometimes ...
Dear, Heart attack symptoms typically follow a classic pattern. This list includes several common signs and symptoms of heart attacks. The person does not need to have every symptoms told here to be having a heart attack, but if two or more of the symptoms are present then it is important to call emergency. Chest Pain The most common and regularly documented symptom of a heart attack is chest pain.The pain can feel like anything, but usually is dull or aching.Heart attack chest pain is usually very steady. It doesn’t typically increase or decrease with movement or palpation (touching or pushing on the chest). It likely will come on suddenly, without warning. Chest pressure Pressure or heaviness in the chest can be independent of chest pain, but often goes together. Pain in the arm, neck or jaw Shortness of Breathing Most often, pressure in the chest makes the person feel as if he or she is being suffocated.Heart attacks can also cause fluid in the lungs, which leads to severe shortness of breath. Sweating Heart attacks cause stress on the heart and it tells the brain, which leads to the “fight or flight” stress response. Nausea Like sweating, nausea is a very common response to stress. Fatigue The same decreases in blood flow that can lead to passing out or trouble breathing also cause fatigue. Syncope As a heart attack progresses, damaged heart muscle leads to a loss of blood pressure and decreased blood flow to the brain.
3 people found this helpful

I am 51 year male and have high cholesterol. What should I do?

MD - Internal Medicine, MBBS
Endocrinologist
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I am 51 year male and have high cholesterol. What should I do?
dear dharm ji You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. welcome

My father got 3 heart attacks last 2 and half months ago. And now he cannot be operated because there is a blockage in his heart. I need some advices and cautions please.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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My father got 3 heart attacks last 2 and half months ago. And now he cannot be operated because there is a blockage i...
Blockages in heart is a reason for heart attacks coming frequently, but it is not a reason to not get operated. Get in touch with a good doctor who will investigate for blockages and do operation. May be it looks like that you are scared of a heart operation and you are in denial that the doctor does not want to operate.
1 person found this helpful

I take Galvas met 50 + 500 B4 BF & Dinner My average Sugar level is fasting150 +- 10 and PP is220 +- 10 after two hrs. Please advice.

PGDHM, PGDCR, BHMS, DBMS, B.Sc
Homeopath
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If you take sugar pill once then take it for life time and maintain sugar diet and walk at least 2 hours in morning.

I am 48 years old male. Normal health, All blood parameters are normal except BP (140/90, take medicines daily), cholesterol/Triglycerides (hereditary, 210/170, take stain daily) and now sugar fasting has elevated to 105 (no family history) plus have fatty liver (blood chemistry normal, What do you suggest to correct the above. Will Liver cleansing help.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 48 years old male. Normal health, All blood parameters are normal except BP (140/90, take medicines daily), chol...
high cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines .

From last 10days I m suffering from pain at chest nearby shoulder. ECG has been normal what should I do.

cc USG, MBBS
General Physician
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From last 10days I m suffering from pain at chest nearby shoulder. ECG has been normal what should I do.
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg (if no drug allergy) one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP checked I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician/me for Further Management

My bp is low. so what can i do? Please help me.

MBBS
Cardiologist
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Normally nothing is to be done. But if you feel weekness you may take extra salt 1/2 tsp 3 times daily. & multi vitamins.

She is suffering from knee pain from 1 week when she does work she gets pain she is unable to sleep in nights due to pain and sometimes even her bp is also getting low.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist
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She is suffering from knee pain from 1 week when she does work she gets pain she is unable to sleep in nights due to ...
knee pain in teenage girls can be due to softening of the patellar lining. but if she has night pain then its wise to get it checked by an ortho surgeon to rule out other serious conditions like tumors which can occur in teens.
1 person found this helpful

My father is 54 years age. And his creatinine level is 9 due to high bp. What will be diet chart of him?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips blog on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.
1 person found this helpful

Dear sir, myra BP flakchuat karta hai (betaloc 5mg, synocal, khata hun) sarmy chakar atta hai, patmy gass banta h. DHANKAR ANYPAR TIK RHTA HUN, MYNE CHANCH KARWAY COLESTRAL, DAEBITEAS KUCH NHI H,(MY ROJ 180 ML WAEN wishki BHI PITA HUN, fild wark ky karan sirf ratmysopata hun (matar 5ganta) kybadh nind khlul jati h,

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Dear sir, myra BP flakchuat karta hai (betaloc 5mg, synocal, khata hun) sarmy chakar atta hai, patmy gass banta h. DH...
Limit your daily Whisky intake to 30 ml.Stop eating fried food .Daily early morning BRAMARI PRANAYAM for 10 minutes.Report me after 30 days.
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