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Dr. Sunil Singh Nigam

MBBS

Cardiologist, Delhi

0 - 1000 at clinic
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Dr. Sunil Singh Nigam MBBS Cardiologist, Delhi
0 - 1000 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sunil Singh Nigam
Dr. Sunil Singh Nigam is a popular Cardiologist in Saket, Delhi. He studied and completed MBBS . He is currently associated with Max Super Specialty Hospital-Saket in Saket, Delhi. Book an appointment online with Dr. Sunil Singh Nigam on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 27 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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MBBS - - -

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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
1000 at clinic
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Max Super Speciality Hospital

#1,2, Press Enclave Road. Landmarks: Select City Mall, near Malviya Nagar Metro Station. Delhi Get Directions
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I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 215. And also I checked hba1c is 10.1. What is my status and can I able to control without medicine. Past one month without medicine only I reduce the sugar level. Kindly guide me.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 2...
With diet control blood glucose levels will drop. However, with such high hba1c you will need medicines. The dosage of medicine can come down over time. But at present it is imperil ice that you start treatment.
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I am a bybass patient, done in 20.01.2012. Still I am finding pain in chest. It will go or not. Dieting is necessary. May I take hot drinks or not. I need your guidence.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
The reason of pain could be reduced blood supply to your heart. It can go away with proper ayurvedic cardiac supplements. For details feel free to contact us at 9270777731 Regards
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I am 25 years old, I have some problem regarding heart beat. Heart beat skips for 2/3 beats and feel some sort of suffocation at that time. It usually happens twice a week.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
1. Consult a physician in person take an ecg, bp, pulse rate. If there are missed beats in ecg then you take tablets to regular it. Since you are a young man you should take more care.
2 people found this helpful
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My chest is left side insisted. I am anemia patient. Chest Ecg is normal. I am Nuro patient.

MBBS
General Physician, Mumbai
My chest is left side insisted. I am anemia patient. Chest Ecg is normal. I am Nuro patient.
To increase your Heamoglobin value apart from medication eat green vegetables, jaggery, carrots, beet etc and follow up with reports.
1 person found this helpful
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I am having hyper tension 160/120 3 months back. And I was advised to take medications. Now Bp became normal. My fear is that do I need to take medications for my whole life. I am taking telimartsan 40 mg tablet.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having hyper tension 160/120 3 months back. And I was advised to take medications. Now Bp became normal. My fear...
you have to take medicines for BP for life like once you get spectacles, it's difficult to view minus them. accept it that bp can be controlled and not cured. if bp is under control, do continue with medicines they protect the heart from attack and brain from stroke also reduce salt and take more potassium through citrus fruits like oranges and lemon juice and water reduce stress and anxiety related issues with the help of yoga and meditation reduce weight also
1 person found this helpful
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Coronary Heart Disease And Sugar Or Carb Relation

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
Coronary Heart Disease And Sugar Or Carb Relation

The primary cause of coronary heart disease (which causes a heart attack) is inflammation of the coronary arteries (the arteries which carry oxygenated blood to your heart). Before I move on to explain what is inflammation, let’s see what is atherosclerosis.

  • Atherosclerosis is an inflammatory response initiated by damage to the innermost layer (known as the endothelium) of the arteries, which faces the bloodstream.
  • Atherosclerosis is a disease which causes narrowing of the walls of the arteries which is characterized by plaque build up. This plaque build up inside the arteries results in blockage of the blood flow or sometimes formation of blood clots. This plaque blood clots can result in partial or complete blockage of blood flow. When all this happens inside the coronary arteries, it is called coronary heart disease which is the main danger as it can lead to a heart attack.
  • As we see here that the underlying cause of blockage is the plaque build up. Let us see how this plaque is built up:
  • Once damage occurs to the inner layer of the coronary artery, the body’s natural repair mechanism takes over. This mechanism begins with circulating levels of low- density lipoproteins (ldls) into the damaged area. Let me stress that this occurs whether a person has high or low ldl-cholesterol!
  • Once ldls move into the damaged area of the endothelium, there is an inflammation response initiated by the body (inflammation response is a protective response of the body). This attracts the immune cells to the damaged site. This, in turn, produces growth factors, which cause muscle cells to multiply and invade the damaged area of the blood vessel. Eventually, the conundrum of ldl, immune cells, muscle cells and debris from the initial damage form “plaque.”

So as we see above, the primary cause of plaque build up is inflammation of arteries, and this plaque formation can happen, whether a person has low or high ldl levels, we are getting closer to the point of understanding that it’s not the cholesterol, but inflammation that is the primary cause of the blockage, which causes heart attack.

Now the question is what causes inflammation in the body?

  • Inflammation is not just restricted to the arteries, but every cell of the body, and the prime cause of this is sugar is inflammatory. Imagine spilling sugar syrup on your keyboard and see what happens. Inside the body also, sugar does similar things. People with chronically high sugar levels (type-2 diabetics or even pre-diabetics) are suffering from inflammatory stress in the body. That is why injuries or wounds in diabetics take longer time to heal and surgeries become critical!
  • And when I talk about sugar here, it is not only the refined sugar in the diet but also the excess intake of all carbohydrates in the body, which leads to chronically elevated blood sugar and insulin levels in the body.
  • So a person (specially a sedentary person) having predominantly excess carbohydrates and sugar in the body, even if taking a diet low in fats, is still at a greater risk of heart disease even though his saturated fat intake is low. That is why a type-2 diabetic is at a greater risk of having a heart attack. This is due to inflammation of arteries. And since this inflammation is not only limited to arteries but every cell of the body, often these people suffer from lethargy and low and energy levels due to inflammation in the intestinal cells, which restricts proper absorption of vital nutrients like vitamins, minerals in the body and the hormones get affected leading to lethargy.
  • This inflammation or damage to arterial walls can be caused by a few other factors as well like:
  • High intake of omega-6 fats (like vegetable oils, soybean oil etc) high intake of alcohol, smoking, high free radical damageincreased cortisol (ie stress) lack of vitamin c and other anti-oxidants.

Blood tests

  • If you really want to know the true health status of your cardio-vascular system that a mere lipid profile will not give you the true picture. A couple of blood tests that need to be added are:
  • Hba1c (glycated hemoglobin): hba1c test is an indicator of how well the sugar levels are controlled in the body in the span of 3 months. The excess sugar molecules bind with hemoglobin and the resultant molecule is called glycated haemoglobin. The life span of this molecule is 3 months. The normal value of hba1c is 6. Anything more than that means the sugar levels are chronically elevated beyond normal in the last 3 months.
  • C-reactive protein: this test indicates the level of inflammation in the body. This substance is produced by the liver which increases in the presence of inflammation in the body.
2 people found this helpful

I have done CABG (by-pass-surgery) in Dec 13. Still now I am suffering with heavy chest pain. What should I do?

MBBS
General Physician, Mumbai
I have done CABG (by-pass-surgery) in Dec 13. Still now I am suffering with heavy chest pain. What should I do?
For your chest pain -- if possible do a fresh stress test and if it is negative than we can rule out the cardiac cause for your chest pain.
1 person found this helpful
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I am 30years old male, 62kg, 156cms. My BP 135/80, is it high bp and how to control it for normal range, please suggest me.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
I am 30years old male, 62kg, 156cms. My BP 135/80, is it high bp and how to control it for normal range, please sugge...
Hi, lybrate-user. Your bp is in the pre hypertensive stage. Some call it high normal bp also. Although you do not need medicine at this stage, but maintaining healthy lifestyle may help you reduce your bp. Which means you should exercise at least 30 minutes of moderate intesity either aerobics or light wt training, eat healthy diet containing less fats, salt and sugars and more of veg and fruits, avoid smoking, reduce stress and sleep adequately.
8 people found this helpful
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Atherosclerosis- A Condition That May Lead To Heart Diseases

Non Invasive Services
Cardiologist, Mohali
Atherosclerosis- A Condition That May Lead To Heart Diseases

Deadlines to meet, personal commitments to attend, quick and unhealthy bites on the go, and hardly any time for your health. All these results in many lifestyle conditions, heart problems being predominant among them. Thousands of people in the India suffer a heart attack in a year. Don’t you think knowing the reasons behind heart problems is important to avoid suffering from one? Read on to know about Atherosclerosis, a condition that eventually leads to a block in an artery.

What is Atherosclerosis?
When the arteries start narrowing as a result of the plaque buildup, it is known as Atherosclerosis. It is also referred to as arteriosclerosis, which means that the arteries become very hard.

The blood vessels that are responsible for carrying oxygen and the necessary nutrients from the heart to the entire body are the arteries. As you grow older, the cholesterol and the fat starts getting deposited in the arteries, which lead to the formation of plaque.

Arteries are lined by the cell layer which is known as the endothelium. Atherosclerosis starts to develop when there is damage caused to the endothelium. This leads to the lipoproteins of low density getting accumulated in the wall of the artery. These lipoproteins are known as atheroma.

The pieces of the plaque may break off, and the flow of blood through the arteries is restricted due to the blood clot. Atherosclerosis may cause stroke, heart attacks, heart failure, and peripheral vascular disease if it is not treated properly. This disease can occur in any artery that is located in any of the body parts, which include the kidneys, the legs, or the heart.

What exactly happens?
Atherosclerosis starts when the arteries located in part of a person’s body become hard and narrow due to the buildup of excess fat in the artery walls. These damages lead to the development of plaque. The plaque starts creating a bump on the wall of the artery.

As the disease starts to progress, the bump starts to get bigger. This leads to a blockage. This process goes on throughout the patient’s body, placing his heart at a great risk. This may also lead to stroke or other serious health problems.

Once the disease starts progressing, it may lead to the rupture of the plaque lining. This causes the LDL cholesterol and the other unwanted substances to spill out in the blood stream. This leads to the blood clot, and the blood clot, in turn, may travel to any other body part, blocking the flow of blood to the nearest organ. The plaque can either stay in the wall of the artery, or it may start growing in the path of the flow of blood.

Prevalent causes-
This disease progresses very slowly, and it may start developing in a person from his/her childhood. In adults, atherosclerosis is generally caused due to a high blood pressure, smoking, resistance to insulin, diabetes, obesity, or inflammation due to other diseases or lupus.

Maintaining a proper diet and exercising regularly can help to keep atherosclerosis in check.

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

4029 people found this helpful

I have high blood pressure problem from many years and I have tried many medicines for the same. What else can I try doing?

BAMS
Ayurveda, Ambala
I have high blood pressure problem from many years and I have tried many medicines for the same. What else can I try ...
Dear, To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily. • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
13 people found this helpful
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