Doctor in Dr. Rajiv Kumar Srivastava
Mitral Valve Replacement Surgery
Vascular Surgery Treatment
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Management of Bicuspid Aortic Valve
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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I found the answers provided by the Dr. Rajiv Kumar Srivastava to be very helpful. Thank you for your valuable output
Dr. Rajiv Kumar Srivastava provides answers that are very helpful. Thank u sir
Dr. Rajiv Kumar Srivastava provides answers that are very helpful. Thank u sir
I am 39 year old female. I removed my gallbladder 2013. Now I feel pain in left (under chest). Any problem. Please give me any answer.
Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.
Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.
Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.
Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.
Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.
There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:
- A waist circumference of more than 35". This is also called abdominal obesity
- A triglyceride level higher than 150 mg/dL
- A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
- High blood pressure
- High blood sugar. This could also be a sign of diabetes.
While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.
Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.
The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.
In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.
Hypophysitis (autoimmune inflammatory disorder)
Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.
Impaired hormone secretion by the pituitary gland is caused by genetic mutations.
Sheehan’s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.
Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.
Reduced sex drive
Dwarfism in children
Increased sensitivity to cold temperature
Reduction in body hair or facial hair
Hormone replacement drugs include:
Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.
Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.
Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.
Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My Wife has high cholesterol, doctor prescribed rusovas, after taking rosuvas f10 for 3 days her ankle are swollen, we have stopped the medication, it’s been 1 week but her ankle are still swollen and painful.
My age 30. I before 3 month taken inderal la tablet reason for migraine. When I start to take tablet I had chest pain, I stop that but till now I had pain. Today I had left chest pain, left hand, shoulder pain. Went hospital ecg is normal. But borderline T abnormal, inferior lead is given that ecg. My doubt is lungs had cold that's y I had pain chest, chest bone also. Please explain that. Any problem for lungs?
Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.
What are the different types of Atrial fibrillation?
- Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
- Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
- Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
- Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.
What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.
What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:
- Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
- High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
- People with a history of obesity can get this disease
- Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
- People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.
How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:
- ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
- Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
- Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation.
I had cardio by-pass surgery in 2013 ; since there I had taken all the related medicines without break. But recently I am severely suffer from panting or gasping. I walked 200 metres then I suffer from gasping. Also I climb up my house stairs I felt with this. Then I went to my doctor who was done my surgery. There he done all related tests on me. The results are here } In 2D echo: -Mitral valve: Normal -Aortic Valve: Sclerosis -Pulmonary valve: Normal -Tricuspid valve: Normal -left atrium: 3.6 cm Left ventricle: -- Edd-5.8 cm Esd:-4.6 cm Ef-40% Lvpwd-1.0 cm Right atrium and ventricle: Normal Aorta :2.4 cm Pulmonary artery: normal IAS :intact Ivs: 1.0 cm Svs/ivc/cs: normal Pericardium: normal Doppler study :PJV: 0.7M/SEC, pat: 141m/sec, Ajv: 2.4m/sec Conclusions: Post CABG POOR echo window RWMA: Hypokinesia of Lad Territory Moderate LV dysfunction Aortic sclerosis mild As. Hence by these results wht is problem to me? Is it serious one? How should I became healthy by reduce this?
For keeping your heart healthy avoid worries, mental tension. Calm your mind with breathing techniques. Meditate to talk your innerself. Diet should have sufficient fibers and fresh fruits. Regular excercise will save your heart and ultimately life. You can save your heart and others also.
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:
- Aortic and pulmonary valves which controls blood flow from the ventricles to the aorta and to the lungs respectively
- 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.
- The heart needs to put extra pressure to pump out blood into the aorta
- The left ventricle therefore grows thicker
- 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.
- 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
- Avoiding over-exertion
- Heart-healthy diet can be taken to prevent further damage
- Reduce sodium intake
- Quit smoking
If the stenosis is severe, then surgery is the only definitive treatment measure. Valve surgery can be either a
- Balloon valvuloplasty – the valve opening is enlarged
- 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.