Doctor in Max Super Speciality Hospital
Treatment of Heart Attack
Mitral Valve Replacement Surgery
Coronary Angioplasty Treatment
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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Dr. Gaurav Minocha provides answers that are knowledgeable. Thanks
Cardiopulmonary resuscitation or CPR is an activity that should be learnt by everybody. It’s a skill that comes handy at the time of the crisis. Owing to the fact that 90 percent of the overall cardiac related conditions occur outside the hospital, learning CPR becomes essential. A person with the knowledge of CPR can save the life of a patient in those crucial seconds when life hangs in the balance. Here is a brief know how about CPR and the way it is done:
Before CPR is started:
It is necessary to tap the patient on the shoulder and ask if he is fine. If the answer is not in the affirmative, seeking medical help is the best possible alternative. If medical help such as ambulance is out of reach, starting the CPR is the best possible way to go.
CPR for children above 9 years:
The patient should be laid on their back and the person intending to give the CPR should kneel next to the shoulder and neck of the patient. The heel of one hand should be placed to the center of the chest of the patient. The heel of the other hand should be placed over the lace and first fingers together. The elbow of the person intending to give the CPR should be kept straight and the shoulder should be aligned directly over the hands. Thus, begins the process of compression as hard as possible. The aim should be to compress at least 100 times within a single minute. The chest should be given the chance to arise fully in between each compression. One small hat tip in this regard is to give the CPR in the disco mode. One beat at a time.
CPR for infants and children below 9 years:
Before starting the CPR, the head should be tilted backward and the chin should be lifted upward to open the passage for the airway. In case the breathing is absent, either of the below-mentioned rescue breaths should be applied:
- For a child, the nose should be shut and mouth should be completely sealed.
- For an infant, the seal is applicable on the mouth and the nose both.
This should be followed by blowing in the mouth till the chest has a visible rise. There should at least be 30 chest compressions given to the patient within a minute. While For a child the chest should be pushed with one or two hands, for an infant, the chest should be pushed with no more than three fingers. The above steps should be repeated three to four times. In case you have a concern or query you can always consult an expert & get answers to your questions!
Beating heart surgery is known to help improve the lives of many individuals each year. The surgery is done on the heart while your heart continues to beat. It is usually recommended in the case of a coronary artery disease.
Beating Heart Surgery or Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Surgery (OPCAB) is a bypass surgery performed on your heart while it is beating. When your arteries cannot supply adequate blood to your heart and other body parts, you are required to undergo a CABG surgery.
Your heart will not be stopped during the surgery and your lungs will continue to function during the surgery to ensure proper blood flow. A tissue stabilization system is used to immobilize the area of the heart on which the surgeon needs to work.
What happens before a beating heart surgery?
A complete health check with chest X-rays, blood work, an electrocardiogram (ECG), and a coronary angiogram is done. The ECG detects the source of the problem. An angiogram is like an X-ray which uses a dye to show all the arteries that supply blood to the heart. These tests help the surgeon decide whether the patient is fit for the surgery and where the blocks are in the arteries.
What happens during a beating heart surgery?
The surgeon cuts a section of healthy vein or artery from a part of your body and treats it. This is the graft that will be used to create a bypass in the blood circulation of the heart. One end of the graft is attached to an area above the artery blockage in your heart. The other end is fixed to the area below the blockage. Once the graft is perfectly attached, the bypass is created and the blood flow to your heart is restored.
The trickiest part in a CABG surgery is to suture or stitch the muscles of the beating heart. Hence, the stabilization system to keep the heart steady during the surgery is used. The stabilization system is made up of a heart positioner and a tissue stabilizer. The heart positioner guides and holds the heart in a fixed position, which provides easy access to the blocked arteries. The tissue stabilizer holds the area of the heart steadily while the surgeon can perform the surgery.
What happens after a beating heart surgery?
While your duration of stay in the hospital may vary depending on the outlook of your surgery, you will be in the Intensive Care Unit (ICU) so as to be monitored throughout the day. Once you are stable and alert, you will be transferred to the room, where you will be taken care of till you are stable to be discharged. Specific instructions on diet, incision care, medications, activity, and other routine will be given. In case you have a concern or query you can always consult an expert & get answers to your questions!
There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).
Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.
People who need a heart transplant:
A heart transplant may be essential in the following cases.
- A congenital heart disorder (a person born with a heart problem).
- Defective or diseased heart valves.
- Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
- Problems in the coronary artery.
- Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
- A heart transplant that failed previously.
- Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).
However, under the following circumstances, a heart transplant may not be a wise idea
- People with infections or chronic lung or kidney disorders.
- A case of cancer in the past.
- Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.
The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.
- The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
- In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
- The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
- Once the implantation takes place (without any complications), the surgeons sew the heart into place.
- The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
- To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
- If no complications develop after the transplant, the patient is discharged within a fortnight.
In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. In case you have a concern or query you can always consult an expert & get answers to your questions!
Now days frequently I am getting Hugh BP 150/100 OR 140/90. KINDLY ADVISE ME HOW TO OVER COME ON THIS. Due to this I am getting saviour headache.
Hello Doctor I have bad cholesterol more than its required because of that I am having fluctuations in bp and unable to do work so what I can do.
I am 60 years old. For the last 3 months I got chest pain while walking. When I take rest, pain is relieved and after that I can walk further. It occurred during walk only. My lipid profile is normal. ECG and TMT are normal. My hemoglobin is 12 but main worry is about platelets. From three months back it was 75000, it raised to 125000 and again decreased to 89000. When it was 125000 I felt better. Daily I am walking half an hour. My weight is 84 kgs. Can you please tell me the problem I am facing and remedial measures and test for this. My sugar level fasting is 140. I am taking the following medicines: 1. Glykind (iOD) Telmikind 40.(1OD) Cap. Metolar XR 50 (1OD) Lipikind 20 (1OD). antacid 40 (morning. Discontinued after taking 2 months). Please advise.
Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.
Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:
1. It may feel like you are suffering from indigestion or gas or fullness and pressure.
2. It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.
3. You feel better after a little rest or some medication.
4. It doesn't last for too long, at the most five minutes.
5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.
Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4. If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol
Steps You Must Do To Manage the Pain and Resultant Effects
1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.
2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.
3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.
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