Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 37 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.
Book Clinic Appointment with Dr. Vikas Kohli
Submit a review for Dr. Vikas KohliYour feedback matters!
I am 44 years old and suffering from BP (170/90, kidney problem and a diabetic patient. Please advice.
Dear Doctor, I am a gross diabetic and hypertensive and have undergone cabg heart bypass ten years back. I am a professional working in a nationalized bank in supervisor cadre as officer. Since three months my feet and upper feet are burning and I feel that blood may shootout any time in that intensity of pain. There are frequent swellings in the ankles and feet, and unbearable pains in the entire day and more in the nights. I am using mixtard40 insulin 30am 16pm units, metformin, and silica-t and metyxyl for Blood pressure and also one nurokind one in the morn I in the evening. Yet no relief. Please advice for correction.
Cholesterol is part of your body.
Your cells walls are made of it;
Your brain is made of it;
Vital hormones, like testosterone and progesterone, are made from it;
Your body can't digest fat without it;
Your body can't produce vitamin d without it.
So please eat healthy and wisely
I am suffering from hypertension. BP rages systolic 157- 163 and diastolic 95-103. I had taken losar medicine way back to 2- 2.5 years but then left. Now from last one month I am taking homeopathic medicine R85 but I found that in morning BP is normal and in evening it rises the level as discussed earlier. Please advise should I prefer allopathic medicine and should I go to cardiologist or homeopathic. Any test is required in this condition.
I am unable to breath normally. I am facing difficulty in breath for last 1 week. Is this any disease or what is it. Why I can not I breath properly. I do not have cough. Cold. Fever. Acidity. But why is this happening?
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat.
It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
Normal (Benign) -
These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures.
Palpitations are more likely to be abnormal In people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
Call for help. (If u are alone avoid driving, use a taxi or auto) Go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospita
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists.
They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
ECG - Taken during palpitations and when the patient is normal is a very helpful tool.
Holter - Externally applied recorder which continuously records heart rhythm for 24 hrs.
ELR - Extended looper recorder, is like holter, but it records rhythm for longer durations.
ILR - Internal loop recorde is attached within the body for recording rhythm for long duration.
EPS - Electrophysiology study, is the most sure shot test to diagnose, identify and treat
What is EPS?
EPS stands for Electrophysiology study. By this test a trained electro-physiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation.
It is a simple and safe procedure of 2-3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.
In the procedure electro-physiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient -
Cardioversion - where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.