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Dr. Bharat B. Kukreti - Cardiologist, Gurgaon

Dr. Bharat B. Kukreti

89 (10 ratings)
MBBS, MD - Medicine, DM - Cardiology

Cardiologist, Gurgaon

17 Years Experience  ·  800 - 1000 at clinic
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Dr. Bharat B. Kukreti 89% (10 ratings) MBBS, MD - Medicine, DM - Cardiology Cardiologist, Gurgaon
17 Years Experience  ·  800 - 1000 at clinic
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Angioplasty and stenting has been effective in treating heart attack, stroke and gangrene. For pa...

Angioplasty and stenting has been effective in treating heart attack, stroke and gangrene. For patients suffering a heart attack or stroke, the procedure can save lives. Angioplasty and stenting can also improve the quality of your life by reducing angina and other symptoms of heart disease.

read more
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.

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

C-1, Sushant Lok- 1, Sector-43, Phase- IGurgaon Get Directions
800 at clinic
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Heart Disease - Is The Problem Due To Genes Or Lifestyle?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Heart Disease - Is The Problem Due To Genes Or Lifestyle?

Heart disease is a very broad term and includes various heart conditions ranging from muscular, circulatory, to nervous conditions. For an individual to develop any heart disease, there are two definite sets of risk factors – the fixed ones and the variables. The fixed ones are those that cannot be majorly modified and include genes and advancing age. The variable ones are the lifestyle changes and include factors like stress levels, smoking, food habits, physical activity, etc.



There is a debate ongoing whether heart disease is genetic or a lifestyle condition. To sum up,

  1. Heart disease definitely has a genetic component to it.
  2. It can be seen in people who do not have a genetic predisposition but have a lifestyle that can trigger any type of heart disease.
  3. There are instances where even though there was a family history of heart disease, changes in lifestyle prolonged its onset and also reduced the severity of some symptoms.
  4. In patients where the heart disease has already onset, the prognosis and also the symptom management can be vastly improved. This, in turn, ensures reduced morbidity and mortality.

On one hand, in countries like USA, mortality and morbidity rates are declining due to heart diseases. On the other hand, there are developing countries where the incidence of heart disease is on the rise. The ability to predict family history and genetic correlation is not well established in these geographies, as heart disease as a condition does not date back to more than a couple of generations. Therefore, it is difficult to establish a strong family history and so it is more likely it is due to the new, altered lifestyle. It is highly likely that the heart disease did indeed run in families but it was never documented as an illness or a cause of death.

Lifestyle changes which affect the genetic makeup for heart disease:

  1. Poor eating habits which include loads of processed foods, non-nutritious foods, high levels of sugar and fats. Changing this to a diet rich in nutrition and antioxidants can help in controlling heart disease risk.
  2. Weight management: A sedentary lifestyle is a very big risk and managing weight is essential to reducing heart disease risk. An active lifestyle is definitely known to reduce the risk of heart disease.
  3. Smoking is known to be a big risk for not just heart disease but multiple other health conditions, cutting down smoking can prolong the onset of heart disease.
  4. Stress is the new risk factor for all disease conditions, this definitely helps curtail the risk for heart disease, even if there is a strong family history.

So, while there is definitely a genetic connection, lifestyle changes can help in managing heart disease.

2647 people found this helpful

Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

  1. Shortness of breath: This may occur while you are exercising or performing activities which are mildly exerting.
  2. Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
  3. Angina or chest pain: You may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
  4. Heart attack: Heart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.

Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

  1. Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
  2. Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
  3. Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
2645 people found this helpful

Bradycardia - Does The Treatment Depends Upon The Factors That Lead To It

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Bradycardia - Does The Treatment Depends Upon The Factors That Lead To It

Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.



For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.

A moderate heart rate may make you:

  1. Feel blurry eyed or woozy.
  2. Feel short of breath and feel that it’s harder to work out.
  3. Feel tired.
  4. Have neck pain or an inclination that your heart is beating or rippling (palpitations).
  5. Feel bewildered or experience difficulty concentrating.
  6. Black out, if a moderate heart rate causes a drop in pulse.

A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.

How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:

  1. In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
  2. In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
  3. In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.

Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:

  1. Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
  2. Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
  3. Getting more fit in case you have to, and maintaining a solid weight.
  4. Not smoking.
  5. Overseeing other medical issues, for example, hypertension or elevated cholesterol.
2776 people found this helpful

Benefits Of Angioplasty

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

Angioplasty and stenting has been effective in treating heart attack, stroke and gangrene. For patients suffering a heart attack or stroke, the procedure can save lives. Angioplasty and stenting can also improve the quality of your life by reducing angina and other symptoms of heart disease.

2420 people found this helpful

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.
3 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.

2909 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.


 

3148 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