Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 33 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.
Book Clinic Appointment
Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
Submit a review for Dr. Rajat KalraYour feedback matters!
My HBAIC is 8.4, TSH 1.10, GLUCOSE FASTING 138, TOTAL CHOLESTERAL 121, HDL CHOLESTEROL 43, LDL CHOLESTEROL 63 mg/dlhips is 8.4, TSH 1.10, GLUCOSE FASTING 138, TOTAL CHOLESTERAL 121, HDL CHOLESTEROL 43, LDLcholesterol 121, HDL CHOLESTEROL 43, LDL CHOLESTEROL 63 mg/dl The medicines are AZULIX 1 MF FORTE - TWO TABLETS PER DAY, TELEKAST F - ONE TABLET PER DAY AND RAPILIF D 8/0.5 PER DAY Please inform me whether these medicines can control my sugar and also cure my prostrate. With kin regards,
Me and my wife have blood pressure, cholesterol, vit d deficiency etc. We get our blood sample tested twice a year regularly to have assessment with recent one tested 10 days back. We need suggestions of a medicine specialist based on the test report which could be forwarded instantly. Will you please help.
Hi I am 25 years old working person I have blood pressure problem my bp higher gone 160/110 And I ca not sleep perfectly in night please give me the suggestions.
I have portal hypertension and I have been recommended to eat only 2g of salt in a day. Can anyone give a very healthy diet chart with low sodium and oil and some recommendation about this disease?
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.
I have been, diagnosed by ischemic dysfunction and, prescribed. Medicine flevdon. Mr. How long I have to take this medicine.
I am getting chest pain frequently what is the exact problem especially heart side of the chest I'm 24 year old.
The cases of heart disease are on the continuous rise in this century, lack of physical activities, unhealthy food and sedentary lifestyle is making the country at risk of heart disease. Although it could be avoided easily but due to ignorance we do not give our health the importance it deserve uand end up having a disease and the number of diseases keep on increasing every few years. Here are some health advises to keep your body healthy and away from heart diseases.
What are the symptoms of heart disease?
The following symptoms may arise when someone is having a heart disease.
- Shortness of breath
What are the causes of heart disease?
The main reason for heart disease is the shortness of blood and oxygen supply to the heart and your diet and lack of physical activity plays a huge role in heart diseases.
Other causes of heart disease include:
- High cholesterol
- High blood pressure
- Lack of physical activity
Now what can I do for for my problem?
The basic formula for prevention and treatment of heart disease is strategically redesigning the way you eat, live and think. You have to be health oriented; your aim should be minimizing the risk factors of heart disease.
The following tips might be handy.
Things to avoid:
- Do not use high concentration of sodium in the diet.
- Avoid excessive sugar and salt
- Alcohol and smoking
- Avoid oily food and fats
Things to do:
- Find an inspiration: It is hard to change your life, to change what you have been doing for many years. Seek motivation to stay fit and healthy, it could be the picture of your little child, your family, your career etc.
- Organic diet: try to keep your diet based around fresh, organic produce. Stay away from packaged fruits as long as possible. Fruits and vegetables having a high concentration of dietary fiber keep you healthy and light.
- Exercise: A habit of regular exercise keeps you fit and your body muscles toned. The aim of exercise should be to stay fit rather than getting a six pack abs or beefing up. You will look good when you are fit.
- Staying active: There is a lot of difference between staying active and exercising. You might be doing the exercise for half an hour and staying lazy for the rest of the day. Instead of sitting the whole day, try to walk, stand and move as much as possible. Learn to play an outdoor sport and play regularly.
My 20 year old daughter was found to have high BP for the past 5 months since April 2016 - 140/100 I checked her previous records and found BP to be normal (120/70) till Feb 2016. Already checked 24 hour urine test, scan and echo - all normal. So it has been diagnosed as primary and doctor wants to start calcium blocker. But I am concerned about the root cause due to such a young age. Please advise.
My mom age 45. Often complains that she feels as if something is pinching in her legs like from knees to feet. Which led to pain later She is heart patient.
1- Eat less salt.
2- Eat a healthy, well-balanced diet: increase intake of fruits, vegetables, potassium, and fiber
3- Exercise regularly and maintain a healthy weight
4- Manage your stress level: do something that helps you to relax when you feel stressed,
6- Limit alcohol intake: no more than two drinks per day.
I am 50 years and my bp is around 90/130. Sometimes it fluctuares to 98/135 do I need to start medication
I am 51 year, male, having diebetics for the last 10 years, I also have reflex problem and burning sensetion in the night, I take medicine for dieabatics and some times omez for aciditity and reflex off late I have been having omiting in the nights, and early in the morning while brushing my teeth, in the nights I wake up for urination, and urine stinks too much, suger level are 120 on fasting and 185 on ppbs, ecg is ok and I keep getting pain in chest.
My mother Tara Verma is 59 years old. She previously had problem of low BP. But one day in a routine check up we found that she had high BP. We instantly consulted the doctor. Doctor prescribed her coversyl, telmisartan like medicines. She started having it. After some months we decided to switch to ayurveda. She started having Patanjali Mukta Vati, Medha Vati and Famyfot Capsules as prescribed by the Patanjali Doctor. Actually recently I lost my father, her husband. She is feeling a little weakness also. On walking a small distance there is muscular pain in the thighs. She remains very dull and tensed nowadays. Please prescribe something which helps.
My cholesterol level is very high. I want to reduce it. How can I reduce my ldl cholesterol level in a weak.
Men who keep fit may find they delay normal age-related increases in blood cholesterol levels by up to 15 years, a new study suggests.
It is common for cholesterol levels to rise with age and then decrease later in life, the study authors explained in background notes. Previous studies have shown that high cholesterol levels can be a risk factor for heart disease. Regular physical activity can lower this risk.
?Exercise and being fit helps keep arteries clear by lowering ?bad? [LDL] cholesterol and boosting ?good? [HDL] cholesterol,?
?It also reduces other risk factors for atherosclerosis [narrowed arteries] and blood clots, such as high blood pressure, diabetes, obesity and stress,?
The study was published online May 11 in the Journal of the American College of Cardiology.
For the study, Sui and colleagues used data from health examinations performed during the Aerobics Center Longitudinal Study at the Cooper Clinic in Dallas. The long-term study ran from 1970 to 2006, and included just over 11,400 men, aged 20 to 90. Each took an exercise test on a treadmill to determine their baseline aerobic fitness level.
Researchers measured total cholesterol, LDL cholesterol, triglycerides (another type of blood fat), HDL cholesterol and non-HDL cholesterol (the total cholesterol level minus the good HDL cholesterol) in study participants.
Men with lower-than-optimal aerobic fitness had a greater risk of developing high cholesterol in their early 30s, the investigators found, while men with higher levels of fitness did not see high cholesterol develop until their mid-40s.
Men with what would be considered low aerobic fitness reached abnormal HDL and non-HDL cholesterol levels around their early 20s and mid-30s, respectively, while those with higher fitness experienced normal levels for the entire duration of the study, the researchers said.
Aerobic exercise uses the large muscles of the body and brings oxygen to those muscles for use during exercise. Some examples of aerobic exercise include brisk walking, running, biking, swimming, hiking and playing team sports, such as basketball and soccer.
?Exercise is a vital component of achieving lifelong cardiovascular health,? said Dr. Gregg Fonarow, professor of cardiology at the University of California, Los Angeles. ?Regular physical activity and maintaining physical fitness has been shown to be associated with a lower risk of [heart attack], stroke, and premature cardiovascular death,? he added.
The men in this study were considered ?highly fit.? Is this achievable for the general population? Yes, said Sui.
?Highly fit in this study refers to an individual who meets the current physical activity guideline levels of 150 minutes a week of moderate activity or 75 minutes a week of vigorous activity,? Sui explained.
Sui said this amount of exercise can be achieved by engaging in aerobic activity for 30 minutes a day, five days a week.
In other words, the men in this study were not professional athletes or marathon runners.
For those not currently exercising, the recommendation is to start slowly and progressively work up to the current physical activity guidelines, experts suggest.
While this study included just men, Sui feels the results would also apply to women.
?I don?t believe the results would be much different for women,? said Sui. ?Examining the age-related cardiovascular factors and identifying the modifiable factors in women are future projects.?
Because this study emphasizes the importance of exercise in prolonging health, Sui and colleagues concluded that health care providers should counsel patients on exercise for disease prevention.