Mai Dr Pramod Kumar Sharma, Max Smart Saket City hospital me Senior Cardiac surgeon ki pad par hu. Merese bahut saare patient aate hai aur baar baar yahi poochte hai ki doctor saab ye angina pain kya hota hai? Heart attack hota kyun hai? Unka jawaab dene ke liye, unko ye samjhata hoon ki angina jo hota hai ki jab dil ke andar jab khoon ki supply kam ho jati hai aur, dil jo hai it’s like a pump. Pump ke andar aapko chalane ke liye energy chahiye, energy aati hai usko apni supply mine se. Jab vo apni supply dheere dheere khoon ke naliya sikudne ki wajah se kam ho jaati hai toh patient ko angina shuru ho jaata hai. Aur agar suddenly wo nali band ho jati hai to patient ko heart attack ho jata hai.
Ab sawal ye uthta hai ki ye hota kyun hai? Angina ya heart attack dono ek hi beemari ke do roop hai. Dono ke kaaran ek hi hai. Pehla kaaran jo hota hai wo hota ki jisko hum bolte hai non-modifiable factor. Non-modifiable factor hai isko hum bolte hai ki patient ko vanshanugak problem hai. Matlab uske pitaji ki taraf ya mataji ki taraf kisi ko bhi family me agar ye problem rahi hai heart attack ki, angina ki toh usko jo aage santaan aati hai unko hone ke kafi kafi chances rehe hai. Dusra hota hai modifiable factor. Modifiable factor me bahut saare factor hai jaise ki patient agar diabetes hai usko control nahi kar rahe hai properly, patient ko blood pressure hai usko properly control nahi kar hai, patient ko cholesterol bahut jaada rehta hai, hyperlipidaemia jisko bolte hai usko properly control nahi kar rahe hai ye jo factor hote hai iske alava jin do cheezo pe mai bahut jyada mai stress dena chahunga aur samjhana chahunga jo ki bahut aasani se aap bacha bhi sakte ho aur bahut dangerous hai.
Ek sabse badi problem hai smoking ki, smoking ek itni katarnaak cheez hai jo ki aam taur par logbagh samajhte hai ki smoking se cancer hi hota hai. Smoking se cancer to hota hi ye har aadmi jante hai, par har aadmi ye nahi jante hai ki smoking se khoon ki naliya sukad jati hai, khoon gaadha ho jata hai aur khoon ka bahaav kam ho jata hai. Uski wajah se patient ko jo stroke bhi ho sakta hai, jisko hum bolte hai brain attack ya heart attack bhi ho sakta hai. Jisko hum normal bahasha me hum bolte hi hai har log jante hi heart attack kya hota hai. To ye do cheeze hai agar aap smoking karte hai to aap ko bahut jayada chances hai ki heart attack ya brain attack hone ke chances bad jate hai.
Dusra mai bolunga ki humara jo life style hai, life style modification ka bahut bada role hai, heart attack ya angina ko prevention ke liye. To life style hum log ka bahut change hogaya hai. Aaj kal logbagh raat der tak jagte rete hai. Proper need nahi le paate hai, proper relaxation nahi ho paata hai, mind ka relaxation nahi hota, tension bada rehta hai. Yeh sab cheeze aaj kal itni jyada ho gayi hai ki jiski wajah se aap dekh rahe hai ki din pratidin heart attack aur angina ki problems badti jaa rahi hai.
Agar aap ko is baare me koi consultation karna hai to lybrate is a very good forum. You can interaction with the lybrate people, you can have my advice on internet by posting your questions.read more
Doctor in Max Smart Super SpeciaLity Hospital
Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
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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Patient Review Highlights
I am suffering from dry caught for last two weeks. When I get caught. My chest is paining. Headache also. What Should I do.
A heart attack allows you to get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:
1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come to your medication routine. Your existing dosages may be adjusted and you'll possibly prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines but when you have to take them. Its best you know exactly why are taking each of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.
2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.
3. Go for cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also benefit from exercises that'll be taught by a certified exercise specialist.
4. Making lifestyle changes: Quitting smoking is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioural scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.
Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.
A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).
But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!
Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.
Regular use of 750 mgs of vitamin c helps to prevent deposition of LDL in blood vessels
If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart. In case you have a concern or query you can always consult an expert & get answers to your questions!
Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.
The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.
The different types of cardiomyopathy are:
- Hypertrophic Cardiomyopathy: This is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
- Dilated Cardiomyopathy: This form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
- Restrictive Cardiomyopathy: This disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
- Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
- Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.
Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.
Modes of surgery for treatment of cardiomyopathy include:
- Septal myectomy
- Heart transplant
Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.
Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms.
Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities.
If your child has a congenital heart defect, it means that your child was born with a problem in the structure of his or her heart. Some congenital heart defects in children are simple and don't need treatment. Other congenital heart defects in children are more complex and may require several surgeries performed over a period of several years.
There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.
If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.
- The skin is pale gray or blue in color due to excessive venous flow in the system
- Excessive sweating
- The child is exerting to breathe regularly
- Rapid breathing causes added load on the heart accompanied by a grunting noise
- Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
- Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
- Shortness of breath, even during feeding
- Clubbed fingernails
- Lethargy and low energy, even with feeding, therefore very poor feeding pattern
- Chest pain, which may cause the newborn to cry incessantly
- Low weight gain, as they feed less
In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:
- Swelling of the hands, feet, and ankles due to fluid accumulation
- Lowered energy levels, leading to easy fatigue
- Shortness of breath with even minimal physical activity
- Inability to exercise
- Developmental delays and changes in growth milestones
- Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
- Pulmonary hypertension
- Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.
Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention. If you wish to discuss about any specific problem, you can consult a cardiologist.When to see a doctor
Serious congenital heart defects are often diagnosed before or soon after your child is born. If you notice that your baby has any of the signs or symptoms above, call your child's doctor.
If your child has any of the signs or symptoms of less serious heart defects as he or she grows, call your child's doctor. Your child's doctor can let you know if your child's symptoms are due to a heart defect or another medical condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.
Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.
Call a Doctor
The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.
After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.
If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.
Use an Automated External Defibrillator (AED)
If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful? Esp. For all the joints etc.
Women, who have been thinking that cardiac diseases are something that doesn’t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren’t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like heart attack are killing as many women as men.
Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated.
You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.
Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:
If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.
Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.
You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack. Consult an expert & get answers to your questions!