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Cardiac Ablation Procedure
Cardiac Catheterization Procedure
Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Mitral Valve Replacement Surgery
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Treatment of Hip Disorders
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Hi I am 45 years old female and I have to much of chest pain which strikes till my back what should I do.
I am 62 old male. BP medicine taking stamlo 5 & tenormin 25 .no diabetic. Now days I have acidity problem. Pl.advice medicines.
I am a 50 year old man and taking medicines for bp for last 6 months. While the bp still remains high, 145/95, there has been a side effect of erectile dysfunction, almost like impotence. I am taking natrilix, metpure xl 50 in mornings and thelma 40 in the evening. What should I do, firstly to get bp to lower than 140/90 constantly, and to get over the erectile problem. I am having a less salt diet for last 3 months, exercising at least 5 days a week, which includes, brisk walk and jogging. My weight is normal for the age. Ht/wt is 169 cms, 65 kegs. There is hypertension in my family, both my father and elder brother are hypertensive.
I have 2 stent and right branch complete blocked. For the past 10 days I am having pain in the left hand and left shoulder joint. Is the pain related to the heart.
5 reasons you should include bajra in your diet
1. Powerful for controlling diabetes:
Pearl millet is very powerful in controlling diabetes. Because of its high fibre content, it tends to digest slowly and release glucose at a slower rate as compared to other foods. This helps in maintaining healthy blood sugar levels for a long period of time.
2. Weight loss:
Being high in fibre content, it takes a longer time for the grain to move from the stomach to the intestines. This way, bajra curbs hunger for a long span of time.
3. Reduces cholesterol:
It contains phyto chemical, which is called phytic acid believed to increase cholesterol metabolism. It also stabilises the level of cholesterol in the body.
4. Helps in digestion:
Bajra is rich in insoluble fibre that aids digestion. It also reduces secretion of bile acids and is linked to a lowered risk of gallstone formation.
5. Helps prevent cancer:
Bajra has cancer-protecting properties. A study showed that regular intake of bajra protects pre-menopausal women from developing breast cancer.
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 < 120 mm Hg SBP AND DBP < 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 >/= 160 mm of Hg SBP OR DBP >/= 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 >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 <120 mm Hg and DBP < 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 BP 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.
I am 29, I am gaining too much weight, I also do hard exercise, go for a walk as well. Some times I can not leave the bed early due to low blood pressure. What should I do.
In between the chest sometimes left side and sometimes right side of the chest I have pain please suggest me. What I do?
Hello sir, I am suffering from chest pain and my body feels so much tired please suggest me how I cure it.
Sir I am 47 years man from 3-4 days I had strong pain below abdomen and also burning urine I meet some doctor he prescribed medince for 5 days but I didn't had any relief in pain and from yesterday I had blood urine. Fully blood and at present. In Dubai for my job .again I went to. Doctor and he asked for blood test where I learned my serum. creatine is 1.36mf/dl I. Never had any medical history before I have hypertension since 7-8 years and intake tenormin 25 mg daily Am allergic to. Brufen and its salt Please guide me what should I domhaving pain again Today Am worried about my health as is any disorder in my kidney Do I need to come. Back. India for treatment is there any serious problem. Please guide Thanks
Hello, I am 43 years old, recently I found in my reports that I have LDL Cholesterol 145. Pls suggest how to control and reduce it.
Hello sir, I am 46 yrs old. Suddenly my sugar level increase. How to reduce this. I have cholesterol & uric acid.
What are the real symptoms of having stress and high blood pressure and how to get rid from pain in head?
What you can do: After undergoing angioplasty or bypass surgery, it’s important to correct the problems such as high cholesterol or blood pressure, a poor diet, smoking, or lack of exercise. I advise cardiac rehabilitation with Artery Clearance Therapy and External Counter Pulsation (for details see educational websites www.chelation.in and www.SibiaMedicalCentre.com or post your queries at firstname.lastname@example.org or call Mb: 9814034818.