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Balloon Angioplasty Procedure
Cardiac Ablation Procedure
Cardiac Catheterization Procedure
Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Treatment of Hip Disorders
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Vascular Surgery Treatment
Angioplasty Stent Surgery
Preventing Stent Surgeries
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I have blood pressure problem. It just high and low in one day. Can you suggest what is the way to control it?
I am suffering from chronic constipation with hypertension and parkinson's. What is cure. Am 64 years old.
I suffer from restlessness at the time of sleep. Heart beat suddenly increases. It starts feeling like a mild earthquake is occurring as body shake a little. I had ecg done 1 month ago reports were normal.
My chest is aching from months in the middle I went x ray but nothing three times I did consult doctor but he gives me pain killers , I have habits of chewing tobbaco from 2 years help! I also have some feeling under my ear but doctor said its nothingnothing inside Help.
I have got high blood pressure in last two months. How may I got relief from this. My age is 22 years.
I get pain in my chest very frequently, which last for 5-10 mins, it is usually on the left side. I am doubting for any of the heart disease. Kindly help.
My father was detected with localized prostate cancer last year and was followed by a heart attack later. He then have to undergo angioplasty with a non-drug eluting stent. Over one year has passed and his Stress test reports are excellent now as per cardiologist. Can he undergo a radical prostatectomy (prostate cancer surgery ) now or it will be risky for him to undergo surgery? Thank you.
Hi I am 35 years old woman. I am having problem of chest pain. I do MRI lipid profile BNP test every thing is normal. But my chest is paining and from last week my left hand and leg also paining. I want to know that if every report is normal so can I have heart problems if all test is normal.
I had my lipid profile done and LDL C is 139. My question is whether high LDL C indicates any damage done to arteries already ?
Precaution should be taken during plastic surgery. I had undergone heart surgery can I do the plastic surgery to the heart. Can do plastic surgery on the heart surgery part to become normal.
I am unable to breath normally. I am facing difficulty in breath for last 1 week. Is this any disease or what is it. Why I can not I breath properly. I do not have cough. Cold. Fever. Acidity. But why is this happening?
I am 50 yrs old. My latest HBA1C result is 6.4. Also triglycerides is 307 though cholesterol is 178. Please advice regarding corrective.
Hi my husband was suffered from heart attack in 2000 due to not taking suitable treatment at that and now from last 16 years he is eating medicines regularly three time in a day. Now medicine start showing side effects like weakening of food pipe etc. Now what we do to reduce side effects.
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
- Stay calm.
- Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
- ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
- Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
- ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
- ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
- EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.
What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
Related Tip: "Why Do You Get Palpitations? How to Get Immediate Relief?"
Feeling tensed frequently. Especially after getting up. Feeling blood pressure high especially in the head region. Irregular breathing. Less concentration. Unable to calm mind. Taking thyrox 50 medicine daily. Is it bcos of the medicine?
What is CABG?
CABG or Coronary Artery Bypass Grafting is a surgery done to improve blood flow to the heart. In most instances there is a fatty plaque (CAD or Coronary Artery Disease) in the vessels of heart which reduces the blood flow required for normal function. The plaque may grow or harden with time and reduces oxygen-rich blood reaching the heart. Lowering of the amount of oxygen reaching the heart may result in Chest Pain - called Angina. The plaque may even rupture and form clots on its surface. The clot formed may mostly or even completely block the blood flow - leading to Heart Attack or Myocardial Infarction.
In CABG, a normal vein or artery from the patient's body is connected to the blocked coronary artery. Thereby bypassing the obstructing plaque and creates a new path along which blood can now reach the heart.
What are other options for Treatment of CAD?
Other than CABG options for treatment of CAD include - Lifestyle changes, Medications, PCI or Balloon Angioplasty.
PCI is a nonsurgical option where the blocked artery can be opened and generally a stent is placed at the point of blockage to keep the blood flowing.
Goals of CABG
CABG is done to achieve the following
1. Reduce the symptoms (Chest Pain, Breathlessness etc)
2. Improve quality of Life and helps to resume a more active Lifestyle
3. Improved pumping action of the heart
4. Reduce chances of Heart Attack
5. Improve chances of survival
Who needs CABG?
CABG is a surgical treatment for CAD.
Your doctor may recommend CABG if other treatments have not worked or he judges it good in his clinical opinion.
Decision will be based on factors such as -
1. Severity, Location and number of blockages
2. Response to other treatments
3. Your quality of Life and severity of symptoms
4. Other Medical conditions that you might have
5. Your Age and Medical History
Medical Tests that may be required to determine the need are -
3. Coronary Angiography
CABG is a relatively safe Surgery. The safety of the procedure will depend on your age, existing heart function, and experience of the Doctor.
What to expect before
You will need to undergo a few tests to prepare you for CABG such as - Blood tests, Chest X-Ray, ECG, Echocardiography or maybe Coronary Angiography. Doctors that perform CABG are Cardiothoracic Surgeons.
Things to ask your Doctor at this Stage -
1. What you can eat or drink
2. What activities are you allowed to do (e.g. smoking)
3. What medicines to take (Share all the medicines that you are taking for any other conditions)
4. As the outlook for surgery is heavily dependent on the number of procedures a Doctor has performed - it will be a good idea to get information about his clinical experience.
If you have already undergone all the tests - surgery may be done on the same or a day after the admission.
What to expect after
You will require admission into ICU typically for 1 or 2 days, to monitor your progress better after the surgery. You will be given oxygen therapy while hospitalized. You may also be asked to wear Compression Stockings while your movement is limited.
After you leave ICU you will require admission in the hospital for about 4 - 6 days.
Recovery at Home
Things to ask your doctor before leaving the hospital.
1. How to care for incision wounds and stitches.
2. How to identify signs of infection
3. How to identify conditions for which you need to call the Doctor right away.
4. When to make follow-up appointments
Common side effects of CABG wear off within 4 - 6 weeks but may include.
1. Discomfort in area from where the vein was taken
2. Itching and swelling at incision wounds
3. Fatigue, Loss of Sleep, Loss of Appetite
Full recovery from CABG takes 6 - 12 weeks.
Your doctor will advise you when you can resume specific activities. If your work is not too demanding physically, it is common to return to work after 6 weeks. You can resume sexual activities after 4 weeks and drive after 4 - 8 weeks.
At you follow up visits you will require to undergo tests such as ECG, Echocardiography etc. to see how much your heart has improved. CABG is not a cure for CAD. A complete Treatment will always involve Lifestyle changes, Reducing weight, Medications, and Cardiac Rehabilitation Exercises. Your doctor will prepare a treatment plan for you including these things. Be sure to pay attention to them as religiously as your Surgery.