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Dr. Mukesh

MBBS

Cardiologist, Hyderabad

300 at clinic
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Dr. Mukesh MBBS Cardiologist, Hyderabad
300 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Mukesh
Dr. Mukesh is a renowned Cardiologist in Dilsukhnagar, Hyderabad. Doctor has completed MBBS . Doctor is currently practising at G.B.R. Hospital Multispeciality in Dilsukhnagar, Hyderabad. Book an appointment online with Dr. Mukesh on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 34 years of experience on Lybrate.com. Find the best Cardiologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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G.B.R. Hospital Multispeciality

No 8, Prabhat Nagar, Chaitanyapuri, Dilusukhnagar, Landmark: Beside Fruit Market Road, HyderabadHyderabad Get Directions
300 at clinic
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G.B.R. Hospital Multispeciality

No 8, Prabhat Nagar, Chaitanyapuri, Dilusukhnagar, Landmark: Beside Fruit Market Road.Hyderabad Get Directions
300 at clinic
...more
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Coffee and Heart Beats

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Coffee and  Heart Beats
Contrary to current belief regular caffeine intake does not lead to extra heart beats, which causes stroke or heart related morbidity and mortality in rare cases scientists, including one of the indian origin have found
Excessive premature atrial contractions (pacs) have been shown to result in atrial fibrillation, stroke and death while excessive premature ventricular contractions (pvcs) have been shown to result in increased heart failure, coronary artery disease and death
10 people found this helpful

Angioplasty - Know More About It!

Multi Speciality
Cardiologist, Delhi
Angioplasty - Know More About It!

Angioplasty is referred to as a cardiac procedure, which involves widening the narrowed section of a coronary artery. Usually performed by an interventional cardiologist, this procedure is performed in a cardiac catheterization lab, short for a cath lab. An interventional cardiologist takes extra care to review the risks, in addition to obtaining your counsel prior to preparing you for the procedure. The physician also refers to your medical history in order to determine the amount of anesthesia that should be used.

What happens during the procedure?
Although mild sedatives will be administered to help you relax, the process requires you to remain awake throughout the procedure. The procedure of angioplasty involves cardiac catheterization. The doctor numbs the intended site through medications and inserts the catheter. Following such the doctor inserts a thin sheath in your artery, oftentimes in your groin or arm. A long, narrow, empty tube known as a catheter, is then carefully guided through the sheath, through the blood vessels and into the arteries near the heart. 

A little amount of liquid is then injected through the catheter, which is moved through the chambers, valves and vessels of the heart. This movement is then pictured with the help of X-rays, with which the doctors can diagnose the condition and working of the coronary arteries and the heart valve.

The surgical procedure lasts for around 1.5 - 2.5 hours, but the preparation and post - surgical procedures may take several hours. A patient is usually made to stay overnight to be monitored by medical personnel.

What to expect before an Angioplasty?
Most people are made to undergo a blood test and electrocardiogram before having an angioplasty. Usually scheduled a day before the procedure, such tests usually require separate appointments. Usually patients are restricted to eat since 12 hours before the exam.

What happens post-procedure?
After the procedure, you will be instructed to remain flat for 5-6 hours without bending your legs, so as to prevent bleeding. The nurse will instruct you as to when you can get up from your bed. You may not be permitted to drink or eat until the groin sheath is removed as such can cause nausea. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3604 people found this helpful

Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

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.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

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.

1 person found this helpful

I am having higher than normal triglycerides level in blood along with raised ldl fraction of cholesterol in blood. My uric acid is marginally higher than normal. Kindly advise what to take or do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having higher than normal triglycerides level in blood along with raised ldl fraction of cholesterol in blood. M...
Cholesterol level should be measured at least once every five years in everyone over age 20. The screening test that is usually performed is a blood test called a lipid profile. Experts recommend that men ages 35 and older and women ages 45 and older be more frequently screened for lipid disorders. The lipoprotein profile includes: Total cholesetrol LDL (low-density lipoprotein CHOLESETROL also called "bad"CHOLESTETROL HDL (high-density lipoprotein cholesterol, also called "good" cholesterol) TRIGLYCERIDES (fats carried in the BLOOD from the food we eat. Excess calories, alcohol, or sugar in the body are converted into TRIGLYCERIDES and stored in fat cells throughout the body. 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 i.e.play 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 . Cap. Ecosprin gold-10 at night daily.
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Home remedy for Chest Pain

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Home remedy for Chest Pain
Omega-3 fatty acids

Omega 3 pills

If you have a heart disease, high cholesterol or a family history of heart problems, then you need to increase your intake of foods rich in omega-3 fatty acids.

These healthy fatty acids help lower triglycerides (fats in the blood) and prevent angina. Plus, due to their antioxidant and anti-inflammatory properties, omega-3 fats have a profound effect on heart health.
86 people found this helpful

Hi, I feel acute pain just below my right rib cage Everytime after running for a while. What's the problem?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi, I feel acute pain just below my right rib cage Everytime after running for a while. What's the problem?
Chondrocondritis or muscular sprain can be a cause of pain ,non sterodal anti inflammatory medicine are advised along with corticosteroid for 3 days!

I drunk alcohol few days before from that day my chest and lungs is not having problem (jalan ) when ever I eat any thing weather It is hot or cold. What should I do?

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I drunk alcohol few days before from that day my chest and lungs is not having problem (jalan ) when ever I eat any t...
Previously you drunk now you stop. You do not face any problem. It is psychological problems. Burning sensation comes from day only. It will repeated it is your feeling. So do not feel and do not worry. It is better to stop the alcohol in future also. It is best for your personality. Ok best wishes.
1 person found this helpful
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Hello I'm 22, years old. When I walk and do hard work then my heartbeats missing. But this happen once or two in a week. Many time I feel pain in left arm and shoulder and right hand also. Echo cardiograph, stress test, holter, lipid profile are normal. So what can I do?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Bangalore
Hello I'm 22, years old.
When I walk and do hard work then my heartbeats missing. But this happen once or two in a we...
skipping a beat is a common phenomenon in the young and can have numerous causes. a careful history and evaluation can help you with a diagnosis. feel free to consult if you would like my assistance
3 people found this helpful
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She had high blood pressure 220-130. Her 2d echo test revealed as under:- E.A ratio reversed LVEF 65% Evidence of concentric left ventricular hypertrophy noted Evidence of Diastolic dysfunction present Please advise what it means and how serious it is?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
She had high blood pressure 220-130. Her 2d echo test revealed as under:-
E.A ratio reversed
LVEF 65%
Evidence of con...
Your Echo report is just showing the impact of high blood pressure on the heart, and even though it is not very serious at present, itis a sign that you should start getting treated for BP and get it under control or else it will keep harming other body organs as well. Consult a local cardiologist for proper evaluation of cause of BP and for starting treatment. Also start exercising daily, begin gradually, increase to 45 mins daily, avoid smoking, drinking and salt rich food and caffeine.
6 people found this helpful
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Benefits of Drinking Warm Water

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
Benefits of Drinking Warm Water
Heart attacks and
Drinking warm
Water.

Study shows reasons why chinese and japanese are more healthy inspite if they having weaker genes than indians.

This is a very good article. Not only about the warm water after your meal,
But about heart attack's. The chinese and japanese drink hot tea with their
Meals, not cold water, maybe it is time we adopt
Their drinking habit while
Eating. For those who like to drink cold water, this
Article is applicable to
You. It is very harmful to have cold drink/water during a meal. Because,
The cold water will solidify the oily stuff that you
Have just consumed. It will
Slow down the digestion. Once this'sludge'
Reacts with the acid, it will break down and be
Absorbed by the intestine faster than the solid food. It will line the intestine. Very soon, this will turn into fats
And lead to cancer. It is best to drink hot soup
Or warm water after a meal.

French fries and burgers
Are the biggest enemy of heart health. A coke after that gives more power to
This demon. Avoid them for
Your heart's & health.

Drink one glass of warm water just when you are about to go to bed to avoid clotting of the blood at night to avoid heart attacks or strokes.
1 person found this helpful

Mera blood pressure 6 month main 5-7 bar bad gaya hai muje samaz nahi a raha kya muje high bp ki bimari hai Jyada tar 120/80 130/90 raha hai aam dino main Or colestrol 190 hai.

Advanced Aesthetics
Ayurveda, Gulbarga
Mera blood pressure 6 month main 5-7 bar bad gaya hai muje samaz nahi a raha kya muje high bp ki bimari hai
Jyada tar...
Aapka blood pressure normal tension mat lo aapke age ke hisab se thikh hai aur morning 40min walk karo uss se normal rahega blood pressure.
3 people found this helpful
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Can mild high BP be cured with homeopathic or ayurvedic remedies along with exercises and lifestyle changes.

BAMS, MD (AM) , Panchakarma, Yoga
Ayurveda, Gurgaon
Can mild high BP be cured with homeopathic or ayurvedic remedies along with exercises and lifestyle changes.
Hi yes you can control your high blood pressure with ayurvedic medicine and exercises. And follow a good diet.
1 person found this helpful
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I am 22 years old boy. I have severe chest pain at night before sleeping. I work in office from 10am to 4pm. I travel 20 kms daily by bus. I just want to know whether my chest pain is ok or its critical?

MBBS
General Physician, Cuttack
I am 22 years old boy. I have severe chest pain at night before sleeping. I work in office from 10am to 4pm. I travel...
For your age pain chest could be due to anxiety, stress, Physical and mental strain. Avoid stress and strain. Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind. Take paracetamol 500mg one tablet sos after food, drink plenty of water and take rest. if you have recurrent attack of chest pain take ECG and consult docto
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Dear Doctor I am suffering fr Acute hypertension so please give me the proper treatment.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Dear Doctor I am suffering fr Acute hypertension so please give me the proper treatment.
Simply by saying Hypertension doesnot make you eligible for a medicine.Hypertension is an after effect of a problem going on in your body. If we remove this problem with Management and medicines,your hypertension will be automatically controlled. Please undergo following Blood tests empty stomach and answer my following questions CBC,ESR,LIPID PROFILE,RFT 1.From when are you suffering from or when you first got to know about your hypertension 2.What are your dietary habits,and oils that you use in your house 3.What is the nature of your job 4.Are you a smoker or alcoholic,give details 5.What about your sleep history 6.I also want to know about your Marital status 7.Any member from your family suffering from hypertension or any heart or other disease presently or in past/. Please answer following questions so that I could find the reason for your hypertension and help in selection of most appropriate homoeopathic medicine.
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Low cholesterol control rakh ne k liye kya karna chahi a? Red wine se fayda hoga.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Low cholesterol control rakh ne k liye kya karna chahi a? Red wine se fayda hoga.
Nahi... alcohol is pure energy and an it can increase the cholesterol... To keep it in check you will need to control the diet and have some routine exercise... If it is already high then you will need to take proper treatment... If you have heredity of high cholesterol then also treatment is necessary even though now having normal..
1 person found this helpful
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Hi, My wife suffering from low BP. She fell ill often. Her body, especially stomach will get swell and easily get tension and some times she fell down. Please advise her.

MBBS
General Physician, Mumbai
Eat nutritious food and have adequate fluid intake and take physical rest and we have to do few investigation after clinical examination and can take ors solution
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I'm 42 years man. Having 300 plus bad cholesterol level. Pure vegetarian. Does exercise. Doesn't smoke or drink. How can I lower down it .suggest some dietary supplements or wt should I have.

MBBS
General Physician, Mumbai
I'm 42 years man. Having 300 plus bad cholesterol level. Pure vegetarian. Does exercise. Doesn't smoke or drink. How ...
We should start with medication after clinical examination and few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
2 people found this helpful
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I always feel like I have just finished a running exercise and my heart beat and my breathing rate is not normal. What steps can be taken to reduce this.

bachelor of physiotherapy
Physiotherapist, Delhi
I always feel like I have just finished a running exercise and my heart beat and my breathing rate is not normal. Wha...
Never be in haste to reduce weight. If running is stressful why don't you try half an hour cycling and walk in morning. Keep watch on your weight. you can Do simple exercises. P.S : I am advising you on the basis of your height and weight.
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My serum cholesterol is 210 vitamin d3 60 serum est 20 I use to smoke ganja 6 to 8 cigarette per day, I am trying to leave this habit but still unable to do that. Please advice me (food & work out) tips for good health.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
First of all just give up smoking, try this: when you inhale cigarette smoke just witness and observe smoke filling your lungs going down filling you your body going deep in you then while exhaling witness and observe smoke coming out from where ever possible places deep in your body it went and coming out from your mouth just be witness to it and observe then a whack that what you are witnessing and observing to. A lethal smoke! you were unable to see, unable witness the damage it caused to lungs, the cancer causing chemicals it left in your body, lungs, carcinogens in your body. So dear better leave it, life is beautiful! you wont get chance to renew, its single entry. Try using (homeo) go tox, use as directed on pack. Can consult me privately for detailed treatment.
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