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Dr. Anupam Bhambhani

Cardiologist, Hyderabad

Dr. Anupam Bhambhani Cardiologist, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Anupam Bhambhani
Dr. Anupam Bhambhani is one of the best Cardiologists in Jubilee Hills, Hyderabad. He is currently practising at Apollo Health City in Jubilee Hills, Hyderabad. Book an appointment online with Dr. Anupam Bhambhani on has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 27 years of experience on You can find Cardiologists online in Hyderabad 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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How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

4569 people found this helpful

I am having Thyroid problem & Morning Toilet not clear I am having Sex problem (ED) less blood flow in pennis so erection is not hard also borderline hypertension Recently skin is becoming bad and marks. Less serum/vitamin C production I am already involved in sports (swimming) and physique normal.

C.S.C, D.C.H, M.B.B.S
General Physician,
You have to do a TFT test and inform me the results .Erectile dysfunction (ED) is a condition in which man has trouble in keeping or getting an erection. It is a common male sexual dysfunction. It becomes more common as you get older but it is not a part of aging. MECHANISM OF ERECTION An erection starts in the brain. Physical and mental stimulation is required for an erection to begin. This stimulation causes nerves in the brain to send chemical messages to nerves which are present in the penis which results in the free flow of blood into the penis. This leads to high pressure in the penis which in turn traps the blood within both corpora cavernosa and then the penis expand. This causes the penis to sustain an erection. When the inflow of blood is stopped, then it opens outflow channels and then penis becomes soft. Then an erection is said to be reversed. CAUSES OF ERECTILE DYSFUNCTION Erection is a complex process which involves hormones, brain, emotions, muscles, nerves and blood vessels. Problem with any one of these can lead to erectile dysfunction. Sometimes stress and mental health can also lead to erectile dysfunction. Combination of Physical and Psychological issues can lead to erectile dysfunction. Some medicines like antidepressants can also cause this and if you are taking any medication you have to discuss with your treating doctor to change or stop medicine if possible PHYSICAL CAUSES OF ED •Heart disease, high blood pressure, High cholesterol. •Parkinson's disease, obesity, alcoholism, atherosclerosis. •Use of tobacco, surgeries that affect the pelvic area or spinal cord. •Treatments for prostate cancer. PSYCHOLOGICAL ISSUES OF ED: Depression, anxiety, stress and other mental health conditions are some of the psychological issues which causes erectile dysfunction. SYMPTOMS OF ERECTILE DYSFUNCTION •Trouble in getting erection •Difficulty in keeping erection •Reduced sexual desire To Prevent ERECTILE DYSFUNCTION By decreasing the chances of developing several diseases like diabetes, heart disease and hypertension, chances of developing erectile dysfunction can be decreased to some extent. By eating healthy diet, erectile dysfunction can be managed. By doing Exercise daily and by avoiding smoking, risk for developing erectile dysfunction can be decreased. If you do not have any diseases it is only your mind that is preventing your erection. So you need to be calm and stop worrying about it and keep on doing normally.
1 person found this helpful
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I am 22 year old male and I have problem in breathing sometimes (chest gets heavy and I can't sleep or walk). What should I do? Please suggest.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take chest AP view x ray and ECO and consult Cardiologist and take appropriate therapy best wishes
1 person found this helpful
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I feel a little pain under my right rib cage. Some time it pain and sometimes not.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.
1 person found this helpful
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Is the symptoms of high BP? is anger is the symptom or what else how can we whether it is due to high bp?.

Cardiologist, Chandigarh
Hi, No anger is not usually the symptom of blood pressure, reverse may happen like bp may increase due to anger. Blood pressure is usually asymptomatic and it may sometimes cause headaches, tremors and uneasiness, chest pain, sweating.
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I have tension headaches, migraine headaches, or cluster headaches and you have to take over-the-counter painmedication frequently or in high doses. I often disabled by your pain and are having trouble performing daily activities.

PG Hom, London, BHMS
Homeopath, Mumbai
Hello lybrate-user, instead of taking strong painkiller tablets for your headache, why don't you try taking homeopathic medicine? you can take homeopathic belladonna 200, 4 pills three times a day whenever you get headache. This medicine has no side effect and will relieve you of your complaints very fast.
1 person found this helpful
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I am 46 years man suffering acidity & constipation 15 years treatment under ayurvedic sometimes allopathic. Now suffering anxiety, feeling of heart attack, fear.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Get tested for heart anyway by ecg and halter tests plus blood pressure and blood tests done for sugar and lipids and get back here with reports. You will get more guidance from any of us here on the forum. Eat more fiber through fresh fruits and vegetable and fruits plus eating according to constitution. Take more proteins like milk and curds. All of these items are available in the market according to seasons, take bananas as natural laxative, do take safe medicines if need be, whether ayurveda or allopathic.
2 people found this helpful
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I have hypertension and read a lot about ashwagandha and shilajit for its benefits related to overall health along with reproductive health. I also read a lot where it was written ashwagandha helps relieve anxiety and Lowers blood pressure along with giving energy. Can I use both.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. I see you are only 28. You must have been diagnosed hypertensive just because of your stress and life style. There may not be any negative physical health conditions associated with hypertension. Moreover, the more you try to reduce your hypertension, the more you are becoming anxious, and therefore, actually worsening your hypertension. Therefore, please don't worry. Physical exercise, controlling the salt intake, controlling stress and anxiety, changing life style, being happy etc can clear the whole problem. I suggest online health counseling. Take care.
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I am done ECG echo tmt lipid thyroid since one week back all are coming normal but in echo report shows tachycardia and GRADE 1 DIASTOLIC DYSFUNCTION WHAT WAS IT and in early mornings I feel palpitations and tightness in chest is it is OK once we done all tests need not to worry.

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist, Delhi
Dear grade 1 diastolic dysfunction in echo is a very common finding in otherwise healthy individuals. If you do not have breathlessness, this can be ignored. More important is to control all other risk factors like high blood pressure, diabetes, diet, exercise etc. Tightness in chest, if on exertion, can be a symptom of heart blockage and these test, that you have done do not rule it out. You need to do stress test for that.
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My daughter has been coughing a lot since last night. She is complaining of pain in throat and chest. During daytime the coughing is less, but it increases during the night. This has been happening for the last two days and has been taking Alex junior for the last 2 days. Also, she has been taking foracort 400 (1 puff twice a day) for last one month and asthalin puff on need basis. Please advice.

Ear-Nose-Throat (ENT) Specialist, Gandhinagar
It seems it is allergy....Nasal Allergy: It is very common now a days…it is of two types –Seasonal and perineal. Seasonal allergic rhinitis occurs according to changes in atmosphere . Antihistaminics and decongestants can help you.
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Hello sir I am suffering from heart palpitation problem sometimes heart beating low sometime it's high during 7 months I am suffering from this and pain also all the reports are normal than what is the problem.

BAMS, MD Ayurveda
Sexologist, Lonavala
Try the following remedy it will surely help you Causes: Low levels of magnesium in the blood (hypomagnesemia) Low levels of potassium in the blood (hypokalaemia) Myocarditis – inflammation of the heart muscle 2. Turmeric is another spice that can help treat clogged arteries and make your heart healthy and more functional. Curcumin, the main component of turmeric, has anti-inflammatory and antioxidant properties that help prevent blood platelets from forming clots. Moreover, turmeric extracts can lower the level of low-density lipoproteins (LDL), or ‘bad’ cholesterol, to reduce buildup in the arteries. It can also relax blood vessels and reduce the risk of a heart attack or stroke. It will surely help you.
4 people found this helpful
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I am 44. I am suffering from hyper tension. My BP is 136/86. I take omlegest am40 and contact10 daily. My lipid profile shows normal. But hdl is low-36. Give suggestion.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
We have homeopathic and biochemic medicines for same as craetg, vale, etc. Meditate, live stress free, eat lots of garlic. If you cant have it get it homeopathically allium sativum,(biochemic) nat phos, avoid all types of fats and red meat. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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I am 21 years old unmarried girl completed my engineering final year. I have got pain in left chest, left arm, left jaw, left hand ring fingr. Does this mean I may get an heart attack? n I even have fast breathing. Wat shud I do prevent it. Please repl am really worried. Thank you in advance.

General Physician, Delhi
You should go for ECG to rule out any cardiac problem. But I don't think it is a cardiac problem. It might be due to cervical so also consult a nearby orthopaedic
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My mom is 53 years old, her total cholesterol is- 229 mg% hdl cholesterol -direct is 33 mg%, ldl cholesterol -direct is 329mg%. Please suggest the treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello dear High triglycerides and 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. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
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I have a pain in my left chest after a long run. I want to know how this happen n how can I protect from this.

MD-Physician, PGDCC
Cardiologist, Jaipur
Hello, this could be due to some congenital heart defect. It can be due to anemia and commonly due to muscle spasm. Check hb levels, and do a 2d echo to rule-out the heart disease.
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I am 31 year male having discomfort in heart like pain sometimes and squeezing effect without pain. I took ecg, echo, treadmill test all three shows normal, some say it is anxiety, some say it is due to ulcer which is yet to be tested and get conformed (ulcer. Pls let me know a test that will find out the exact reason.

General Physician, Cuttack
If ECG,ECHO,Tread mill test are normal you don't have to worry. However consult cardiologist for further advice. Follow the advice given below age pain chest could be due to anxiety, stress,Physical and mental strain, hyper acidity or muscle pull 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5.Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain .6. Drink plenty of water and take rest .7.if you have recurrent attack of chest pain take ECG and consult cardiologist
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I have frequent pains in my chest and I'm not able digest food what I should do to prevent this? I want medicine and treatments for this?

General Physician, Cuttack
It could be psychological and may be due to anxiety and tension. Reduce your tension.Take digestive enzyme to improve your tension m consult doctor
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How to normalise blood pressure to normal rate when it decreases down, Also name some health diet taken to improve blood pressure?

Alternative Medicine Specialist, Delhi
Dear lybrate user, in order to normalize low blood pressure take a hand full of raisins (kishmish) and put them in a bowl of water in the night, every next morning chew these resins on by one and drink the remaining water at the end. Continue it at least for forty days, go to bed early and get up early, go for a morning walk, take your dinner at least two hours before going to bed. Avoid lascivious thoughts literature and media. And don't forget to give your feedback about this post.
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I am suffering from gas problem for the last one week. I have also chest pain during the gas problem. Can suggest any method to avoid this pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, *To combat extra acid in your stomach baking soda is an effective and a commonly available antacid. The basic nature of soda neutralizes the excess hydrochloric acid in the stomach forming salt and water. Mix half teaspoon of baking soda in half a glass of water and drink the solution on an empty stomach. It will get you fast relief from gas and indigestion. *Drink warm water. *Avoid maida, dry, junk foods.
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I am a pregnant women in this time I am suffering with a side pain down from my chest and up from the stomach portion in the left side more compare to right side this occurs suddenly while I am sitting without any support or sometime it occurs while in sleeping mode also can you please tell me the reason and how to get cure.

General Physician, Mumbai
Dear lybrateuser, -Your problem could be due to gastroesophageal efflux disorder -take some diatary precautions & habit modifications -take 4-5 small meals including snacks instead of three large meals, avoid spicy, fried food, citrus fruits like orange, lemon, chocolate, coffee -lye down after 2-3 hours after meals, have dinner 3 hrs before bed time -at night time raise the pillow end 4-5 inches if there is problem during sleep, have 6-7 glasses of water for proper digestion -take antacids if your doctor advises .
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