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Dr. Bharat B. Kukreti - Cardiologist, Gurgaon

Dr. Bharat B. Kukreti

90 (10 ratings)
MBBS, MD - Medicine, DM - Cardiology

Cardiologist, Gurgaon

16 Years Experience  ·  800 at clinic
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Dr. Bharat B. Kukreti 90% (10 ratings) MBBS, MD - Medicine, DM - Cardiology Cardiologist, Gurgaon
16 Years Experience  ·  800 at clinic
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Here are Causes, Symptoms, and Treatment of Chest Pain<br/><br/>Good evening friends, I am Dr. Bh...

Here are Causes, Symptoms, and Treatment of Chest Pain

Good evening friends, I am Dr. Bharat B. Kukreti. I am a CI consultant intervention Cardiology at Paras Hospitals, Gurgaon. Today, we will discuss heart problem manifestation, chest pain.

We all have experienced chest pain at some point in time. It is such a common syndrome that everybody has gone through it at some point. The important thing here is that chest pain may be associated with a wide variety of disease which may range from a very simple gastritis to a very lethal heart attack. So the problem with chest pain is that we can’t identify whether we are going through a heart attack or just another chest pain. So, this is what we will be discussing today.

First of all, How your chest pain occurs in a heart attack? A heart attack patient will typically about chest pain in a sensation of heaviness or squeezing or burning in the central chest or the left side of the chest which is radiating to either one arm or both arm or shoulders or jaw. It may be associated with a very profuse sweating and a sensation of restlessness, breathing difficulty or the sometimes patient may just faint. These all will be the symptoms of an ongoing heart attack.

Important thing is that these symptoms can be because of a heart attack but sometimes heart attack can occur even without the proper symptom which you can identify. Then, it becomes a difficult situation to identify how we know that it is a heart attack. So, once somebody is having a chest pain, you should first consult a doctor and get an E. C. G. done and to see whether the chest pain seems to be of heart region or something else. So, what can this something else be? This something else, that is a differential diagnosis of the chest pain may be apart from heart these other structures like lungs, they may be bone, they may be the muscular origin and the chest pain may be of neurological origin and sometimes just simple gastritis can give you a very severe chest pain also.

So, out of all these probabilities, the heart disease probability is the most dangerous. So that’s why once somebody has chest pain, it’s important to rule out the heart problem first so that life can be saved. So, if somebody is having chest pain, the first thing to be done is E. C. G. and it is to be seen by a qualified doctor to see whether the E. C. G. is suggestive of a heart problem or not. There is one interesting fact here. Up to 50% of the first E. C. G.s of the heart patients may be normal. So the first normal E. C. G. does not rule out a heart attack. Diagnosis for ruling out a heart attack is a systematic approach which includes Serial ECGs; Serial ECG means ECG now, ECG at half an hour, ECG at one hour, ECG at two hours, thus several ECGs and then afterward Cardiac Enzyme Test is done.

So, we will discuss this diagnosis and treatment part of chest pain or rather heart attack in our subsequent video, ok? You can contact me for chest pain problems or any other cardiac related problems into Paras Hospital, Gurgaon or you can contact me through Lybrate.


 

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Bharat B. Kukreti
Dr. Bharat B. Kukreti is a well-known cardiologist with an experience of over 15 years. He did his MBBS from KGMC Lucknow, his MD from GSVM Kanpur and his specialization in cardiology from All Institute India of Medical Sciences (commonly known as AIMS), New Delhi. Dr. Bharat B. Kukreti deals with patients suffering with heart blockage due to increased levels of LDL cholesterol. He attends patients who suffer from heart diseases due to diabetes, hypertension, excessive smoking and sedentary lifestyle. He is a specialist in dealing with and implanting devices in cases pertaining to the heart not only in adults but children as well. Dr. Bharat B. Kukreti has performed over 20000 coronary angiographies, over 5000 angioplasties including peripheral and renal angioplasties, 250 valvuloplasties and 500 pacemakers and ICD implantations. Dr. Bharat B.Kukreti is one of the most eminent cardiologist and is currently practicing in Paras Hospital, sector 43, Gurgaon.

Info

Specialty
Education
MBBS - KGMC, Lucknow - 2001
MD - Medicine - GSVM Kanpur - 2005
DM - Cardiology - All India Institute of Medical Sciences, New Delhi - 2009
Languages spoken
English
Hindi

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Pinnacle Superspeciality Clinic

C-395, Sushant Lok, Phase - I, Vyapar Kendra, C-Block RoadGurgaon Get Directions
800 at clinic
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Paras Hospital

C-1, Sushant Lok- 1, Sector-43, Phase- IGurgaon Get Directions
800 at clinic
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Sudden Death Due to Heart Problem - Is It Possible?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Sudden Death Due to Heart Problem - Is It Possible?

When the normal functioning of the heart shuts down suddenly due to heart disease or any other cardiovascular condition, then this is known as sudden death due to a heart problem. Every year, there are over 100,000 deaths globally due to this reason, as per various medical studies. Sudden Cardiac Arrest or SCD is a cause of death for many adults who may or may not be suffering from chronic heart disease. Let us find out more about this condition.

- Difference between Sudden Cardiac Death (SCD) and Heart Attack: A myocardial infarction or heart attack can happen when there is a blockage in one of the arteries of the heart which prevents the passage of blood and oxygen to the heart's varied chambers. When the oxygen present in the blood does not reach the heart in adequate amounts and on time, it can lead to a heart attack. In the case of SCD or sudden cardiac arrest, the problem happens due to a shutdown of the heart after a malfunction in the electrical systems which can lead to varied irregularities. 

Accelerated heartbeats, fluttering and quivering of the ventricles which are also known as ventricular fibrillation, as well as other similar causes can ensure that the blood does not reach the heart on time, which can lead to sudden death. The patient usually loses consciousness within the very first few minutes as the blood does not reach the brain.

Symptoms: There are a number of symptoms that are associated with this phenomenon. While losing consciousness is one of the first signs, others include a racing heartbeat as well as heart rhythm problems and dizzy spells. The symptoms usually take place suddenly without prior warning and lead to a complete shutdown of the heart and its functions.

Causes: The main cause of SCD is a condition known as arrhythmias which is basically characterized by abnormal heart rhythms and vertical fibrillation which leads to disorganized impulses to be released from the ventricles due to which the heart cannot pump blood properly. It can lead to death within a matter of minutes if it remains untreated.

Revival: On an emergency basis, the patient will have to be given CPR by an expert at the emergency unit of the hospital. This is a manual process of retrieving the patient by pumping the chest and breathing into the patient's mouth. Portable defibrillators can also be used to revive the patient in such cases.

Risk Factors: Patients who have suffered heart attacks in the past and have a family history of heart disease and heart attacks, are at maximum risk when it comes to SCD. Also, factors like obesity and diabetes can increase the risk.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3141 people found this helpful

Health Tip

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Health Tip

Whether angioplasty and stenting is absolutely necessary or can be avoided depends on the sypmtoms, signs, ecg , acho and angiography findings of the patient.

  • Most of the times in situation of acute heart attack angioplasty with stenting is the life saving procedure. In heart attack patients angioplasty is the swiftest and surest procedure to open the artery ugently and thus is a life saving procedure. Angioplasty performed in heart attack situation is called a Primary Angioplasty and should be done as fast as possible as it reduces death rates as well as future disability rates.
  • In chronic stable patients who have not suffered a heart attack and were found to have coronary stenosis on angiography Angioplasty and stenting can be avoided based on clinical scenario. In such situations careful treatment with medicines is to be started in consultation with cardiologist. This treatment should be carefully and regularly followed in guidance of your cardiologist. There are many patients who do well on medicines alone.
2 people found this helpful

Symptoms and Diagnosis of Heart Attack

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Symptoms and Diagnosis of Heart Attack

A person usually gets a heart attack when there is a blockage in the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a cardiologist. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease

  2. ECG suggestive of heart attack

  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period.

2907 people found this helpful

Chest Pain

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Play video

Here are Causes, Symptoms, and Treatment of Chest Pain

Good evening friends, I am Dr. Bharat B. Kukreti. I am a CI consultant intervention Cardiology at Paras Hospitals, Gurgaon. Today, we will discuss heart problem manifestation, chest pain.

We all have experienced chest pain at some point in time. It is such a common syndrome that everybody has gone through it at some point. The important thing here is that chest pain may be associated with a wide variety of disease which may range from a very simple gastritis to a very lethal heart attack. So the problem with chest pain is that we can’t identify whether we are going through a heart attack or just another chest pain. So, this is what we will be discussing today.

First of all, How your chest pain occurs in a heart attack? A heart attack patient will typically about chest pain in a sensation of heaviness or squeezing or burning in the central chest or the left side of the chest which is radiating to either one arm or both arm or shoulders or jaw. It may be associated with a very profuse sweating and a sensation of restlessness, breathing difficulty or the sometimes patient may just faint. These all will be the symptoms of an ongoing heart attack.

Important thing is that these symptoms can be because of a heart attack but sometimes heart attack can occur even without the proper symptom which you can identify. Then, it becomes a difficult situation to identify how we know that it is a heart attack. So, once somebody is having a chest pain, you should first consult a doctor and get an E. C. G. done and to see whether the chest pain seems to be of heart region or something else. So, what can this something else be? This something else, that is a differential diagnosis of the chest pain may be apart from heart these other structures like lungs, they may be bone, they may be the muscular origin and the chest pain may be of neurological origin and sometimes just simple gastritis can give you a very severe chest pain also.

So, out of all these probabilities, the heart disease probability is the most dangerous. So that’s why once somebody has chest pain, it’s important to rule out the heart problem first so that life can be saved. So, if somebody is having chest pain, the first thing to be done is E. C. G. and it is to be seen by a qualified doctor to see whether the E. C. G. is suggestive of a heart problem or not. There is one interesting fact here. Up to 50% of the first E. C. G.s of the heart patients may be normal. So the first normal E. C. G. does not rule out a heart attack. Diagnosis for ruling out a heart attack is a systematic approach which includes Serial ECGs; Serial ECG means ECG now, ECG at half an hour, ECG at one hour, ECG at two hours, thus several ECGs and then afterward Cardiac Enzyme Test is done.

So, we will discuss this diagnosis and treatment part of chest pain or rather heart attack in our subsequent video, ok? You can contact me for chest pain problems or any other cardiac related problems into Paras Hospital, Gurgaon or you can contact me through Lybrate.


 

3143 people found this helpful

What Are Blockages in Heart Arteries

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
What Are Blockages in Heart Arteries

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.

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.

4964 people found this helpful
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