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Dr. Niraj Gupta

Cardiologist, Gurgaon

600 at clinic
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Dr. Niraj Gupta Cardiologist, Gurgaon
600 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Niraj Gupta
Dr. Niraj Gupta is a renowned Cardiologist in Medanta, Gurgaon. He is currently associated with Family Clinic in Medanta, Gurgaon. You can book an instant appointment online with Dr. Niraj Gupta on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 34 years of experience on Lybrate.com. You can find Cardiologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Family Clinic

Sector 39, Gurgaon. Landmark: Opp. Medanta Hospital, GurgaonGurgaon Get Directions
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Medanta-The Medicity

Rajeev Chowk, Gurgaon Sector-38. Landmark: Near Cafe Coffee Day, GurgaonGurgaon Get Directions
600 at clinic
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Emphysema - Know The Life Expectancy and Stages!

MD, MBBS
Pulmonologist, Delhi
Emphysema - Know The Life Expectancy and Stages!

If you are facing difficulties in breathing, especially in the process of exhaling, you are suffering from emphysema. Emphysema is a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. It occurs as a result of several triggers, smoking being the most common one. Emphysema is a type of chronic obstructive pulmonary disease. People with this condition struggle to exhale, which implies that there is some obstruction in the air flow. This disease has no permanent cure but by quitting smoking, you can stop it from getting worse.

Stages
The progression and severity of emphysema occurs with the staging systems. The staging of the condition can help in developing a prognosis.

The Gold emphysema staging system
Gold is a major emphysema staging system created by a group known as the Global Initiative for Chronic Obstructive Lung Disease. The amount of air a patient can exhale forcefully in one second is determined during this stage. It is also referred to as the forced expiratory volume or FEV1.

The staging is as follows:

  • Stage 1: Mild emphysema (FEV1 greater than 80% of normal)
  • Stage 2: Moderate emphysema (FEV less than 80%, but more than 50% normal)
  • Stage 3: Severe emphysema (FEV lesser than 50%, but more than 30% normal)
  • Stage 4: Extremely severe emphysema. (FEV lesser than 30% of normal or lesser than 50% normal, with low levels of oxygen in the blood.

The BODE emphysema staging system
The condition affects several abilities. The BODE index, an acronym for BMI (body mass index), obstruction, dyspnea (breathlessness), exercise capacity (health index) is another staging system for emphysema in which the emphysema’s impact on several areas of life are measured. They include the following:

  1. Body mass index (B)
  2. Airflow limitation or obstruction (O), which is measured by pulmonary function tests
  3. Breathless or dyspnea (D), which is assessed thoroughly via a questionnaire
  4. Exercise capacity (E), which is measured to check how long a person with emphysema can walk in a span of six minutes

Life expectancy
The prognosis of emphysema is impossible to be determined in any person individually. The staging system helps to identify the severity of the condition, but the future cannot be predicted. Not many studies have been undertaken for the determination of the effects of emphysema on life expectancy. The best research that has been carried out included around 100 people, which is very less. The condition varies largely among people, even if they are in the same stage.

The statistics available on emphysema are not reliable enough for individuals who wish to know their life expectancy. It is considered that if a patient falls in a higher stage, his/her long-term life expectancy is less. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3303 people found this helpful

I am 26 years old female. I have been experiencing chest pain on left side since the past two days. That is causing a lot of discomfort.

MBBS
General Physician, Mumbai
I am 26 years old female. I have been experiencing chest pain on left side since the past two days. That is causing a...
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and follow up with findings.
1 person found this helpful
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Is Egg yolk increase good cholesterol or bad cholesterol in body. If I am doing gym of 2 hrs daily and eat 6 egg daily. Please explain me.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Is Egg yolk increase good cholesterol or bad cholesterol in body. If I am doing gym of 2 hrs daily and eat 6 egg dail...
Avoid egg yellow take garlic and onion plenty over some time egg yellow collects bad cholesterol. Though only 20%of food cholesterol eaten is absorbed. Take soya tofu it's good protein.
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Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

Multi-Speciality Clinic
Cardiologist, Hyderabad
Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

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

3752 people found this helpful

I am asking for my mother. She is fit. But high cholesterol & taking lipvas20. I want to know which healthy diet & supplements that she can take to keep her bones and body fit.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I am asking for my mother. She is fit. But high cholesterol & taking lipvas20. I want to know which healthy diet & su...
Your mother is already taking the basic medications like shelcal and calcirol required to maintain calcium and vitamin D levels in body so that bones remain healthy, for a diet rich in calcium please consult a dietician. Also you can get her blood levels of calcium and vitamin D checked, if even after 6 weeks of supplementation they are low then consult an orthopedician for injectable calcium etc.
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My blood pressure always high whenever I measure it recently I donate blood at that time it was 138.5/90 And yesterday I measure due to illness it was 160/90 Kindly suggest me how to control my bp Thanks.

BHMS
Homeopath, Faridabad
My blood pressure always high whenever I measure it recently I donate blood at that time it was 138.5/90
And yesterda...
Hello, Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take homoeopathic medicine - Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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I am 48 years old male. Normal health, All blood parameters are normal except BP (140/90, take medicines daily), cholesterol/Triglycerides (hereditary, 210/170, take stain daily) and now sugar fasting has elevated to 105 (no family history) plus have fatty liver (blood chemistry normal, What do you suggest to correct the above. Will Liver cleansing help.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 48 years old male. Normal health, All blood parameters are normal except BP (140/90, take medicines daily), chol...
high cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines .
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I have small daut if diabetic have high cholesterol levels and he did not know that after how many days are months wil take to block heart arteries. please tel me.

BAMS
Ayurveda, Bangalore
I have small daut if diabetic have high cholesterol levels and he did not know that after how many days are months wi...
HI, It is difficult to tell the exact duration. In some , the deposition may occur fast and in some it may be very slow. It also depends of the nature of the food intake. The more the intake of fats, the more faster is its deposition and blockage of the arteries.
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