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Dr. Sadasivan Jaishankar Iyer

MBBS, MD - Medicine, DM - Cardiology

Cardiologist, Hyderabad

46 Years Experience  ·  400 at clinic
Dr. Sadasivan Jaishankar Iyer MBBS, MD - Medicine, DM - Cardiology Cardiologist, Hyderabad
46 Years Experience  ·  400 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sadasivan Jaishankar Iyer
Dr. Sadasivan Jaishankar Iyer is a trusted Cardiologist in Banjara Hills, Hyderabad. He has had many happy patients in his 46 years of journey as a Cardiologist. He is a MBBS, MD - Medicine, DM - Cardiology . You can consult Dr. Sadasivan Jaishankar Iyer at Care Hospital - Banjara Hills in Banjara Hills, Hyderabad. Save your time and book an appointment online with Dr. Sadasivan Jaishankar Iyer on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 42 years of experience on Lybrate.com. 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.

Info

Education
MBBS - University of Delhi - 1971
MD - Medicine - University of Delhi - 1977
DM - Cardiology - University of Delhi - 1980

Location

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H.No. 8-2-620/A/E, Road No.10, Banjara Hills. Landmark: Beside Rainbow Hospital & Opposite Karvy Building & Near Babu Khan Chamber, HyderabadHyderabad Get Directions
400 at clinic
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8-2-620/A/E, Road Number.10. Landmark : Opposite To Karvy Building And Near Babu Khan Chamber.Hyderabad Get Directions
400 at clinic
...more
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Hello sir, I am 42 and I want to reduce cholesterol and my tummy. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello sir, I am 42 and I want to reduce cholesterol and my tummy. Please help me.
You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. welcome in lybrate
89 people found this helpful
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Dear doctor I am suffering from ed. I am having high blood pressure and my creatinine is around 3. I tried taking shilajit gold but it didn't suit me. Request you to prescribe some medicine for my ed problem and it should also be safe on my kidney & health. Waiting for your reply

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
You could be suffering from sexual asthenia, premature ejaculation. 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'm 28 yrs old and my good n bad cholesterol both are high so what should I do is it normal to have cholesterol at this age. Even my periods are very irregular so is it related to cholesterol.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I'm 28 yrs old and my good n bad cholesterol both are high so what should I do is it normal to have cholesterol at th...
You have not specified readings! and its not related to irregular periods. 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.
3 people found this helpful
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Diabetes is a problem to me from 2003 in a mild form. My current HBA1C is at 7.2. I had also undergone a Angioplasty in 2007. I am on those BP, Cholesterol and Diabetes medicine. Is there any way I can get rid off the medicine for the Diabetes is what I am to look for. I am.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Diabetes is a problem to me from 2003 in a mild form. My current HBA1C is at 7.2. I had also undergone a Angioplasty ...
Mr. C lybrate-user, Looking at your weight and height you have grade 1 obesity with a BMI of 30.06 kgs/M2 (normal <23 kgs/M2). That itself is a major contributor for increased blood glucose and and hypertension. At your age HbA1c% should be ideally <6.8. Diabetes is a life long remaining condition, there is no cure. It can only be controlled by appropriate medication, diet control and regular exercise and weight reduction. Thanks.
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Hello sir In my chest max time pain. And in my left hand backbone pain and after doctor checkup in back bone is cracked. So please suggest best.

MBBS
General Physician, Chandigarh
Hello sir In my chest max time pain. And in my left hand backbone pain and after doctor checkup in back bone is crack...
Backbone fracture is a major issue please consult an orthopaedic surgeon and get it confirmed before taking any treatment it can not be done online.
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Hi actually smtyms my heartbeat gets higher n I feel lyk my heart area is block whim should I consult is it frm depression or heart problem?

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
Hi actually smtyms my heartbeat gets higher n I feel lyk my heart area is block whim should I consult is it frm depre...
Dear Lybrate user, Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Take care.
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The patient is 70 yes old. Suddenly her BP came down to 65. What we should do to bring her BP to normal. She is diabetic, hypertension, cardiac patient. She is taking medicines for these. Can any one please advice?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
The patient is 70 yes old. Suddenly her BP came down to 65. What we should do to bring her BP to normal. She is diabe...
Hello Sir, She can drink fluids. Also she should see her doctor so that he could reduce her BP tablet dose. She can increase her salt content for a few days and see Hope this helps you Thank you.
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My father has hand & leg mussels pain back pain every day they tried many balm and massage oil but pain relief temporary please give any suggestion about that pain he has BP and cholesterol problems.

MD - Homeopathy
Homeopath, Pune
My father has hand & leg mussels pain back pain every day they tried many balm and massage oil but pain relief tempor...
Hands & legs pain may be due to rheumatism. Please do the following tests ra factor, sr uric acid, x ray ls spine. If ra factor is negative, pain may also be a part sero-negative spondyloarthropathies. You can consult privately for detail advice.
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Hi, I'm facing chest pain/tightness also upper back pain over an year, all cardiac tests done results are normal everyone is saying is due to GERD im taking medicines for the same but results are not good ,Bp, lipid profile are normal what should I do?

MBBS
General Physician, Ahmednagar
Hi, I'm facing chest pain/tightness also upper back pain over an year, all cardiac tests done results are normal ever...
You are suffering from anxiety. Quietly think over it, what is it that is hurting u.It is psychological problem. So all reports are normal, because reports are related to body not mind. It is the subjectively unpleasant feelings of dread over anticipated events It is often accompanied by muscular tension,[3] restlessness, fatigue and problems in concentration. That is why you are feeling chest pain and tightness. A psychiatrist will definitely help you.
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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

Dear Dr. I have anxiety problem fell sometime shortness of breath. Going through stairs very slow otherwise big breathing problem. All heart test done normal. Not diagnosed. Pls.suggest me what to do. librium.or Montair-lc. Help me but not fully satisfied.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Dear Dr. I have anxiety problem fell sometime shortness of breath. Going through stairs very slow otherwise big breat...
Librium and montair lc are for different conditions. Pft to r/o asthma. Exercise, good food, sleep for 6 -8 hours.
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Cholesterol drugs: why keep taking them if my cholesterol levels are normal? Please tell me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Cholesterol drugs: why keep taking them if my cholesterol levels are normal? Please tell me.
if your cholesterol level is normal. but for precaution avoid high cholesterol in future. you should be do tests lipid profile on every 6 month.you may take low dose of your medicines.
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How to control my hypertension which is making mess in my daily routine please suggest me some thing.

BAMS
Ayurveda, Ambala
How to control my hypertension which is making mess in my daily routine please suggest me some thing.
Dear, To control & maintan BP normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. Start these exercises with 5 to 7 minutes increase time slowly. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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I am 57 years old (male) can you please tell me what should be my blood pressure at this age.

BHMS
Homeopath, Ajmer
Ideal 120/80 acceptable below 140/90 if it is above 140/90 you need consultancy with me at private question.
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I am 46 years old and was pressure free so far. Last week I had 90/140 pressure check up reading. I am diabetic- type 2. Is it beginning of high blood pressure? And how dangerous is it for me? What precautions should I take?

MD - Physicion
General Physician, Delhi
I am 46 years old and was pressure free so far. Last week I had 90/140 pressure check up reading. I am diabetic- type...
Its just the beginning, it can be controlled with healthy lifestyle modification without need for medications. U should start exercising for atleast 30 min a day 4 - 5 times a week. Do weight training and cardio like jogging (target should be atleast 10 km per week.) cycling ,skipping. It will also help you in controlling blood sugar.
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Hello, I am 17 years old and I am suffering from high blood pressure what maybe the reason for this, I have gone through all the test and they were normal.

Ayurveda, Lucknow
Hello, I am 17 years old and I am suffering from high blood pressure what maybe the reason for this, I have gone thro...
Rx (1) tab mukta vati-2 bd with arjunarishta-15ml (2) meditation in the morning. Cause may be anxiety and loss of sleep.
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Can the high LDL cholesterol patients can also intake ghee? Pls advice. We observed the LDL cholesterol as 146. Pls suggest us some healthy ways to maintain back the correct level of LDL with diet habits (food list) and exercises.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Can the high LDL cholesterol patients can also intake ghee? Pls advice. We observed the LDL cholesterol as 146. Pls s...
Ghee is a an absolute No for cholesterol deranged patients. Take a detailed diet consult for a healthy heart diet and exercise daily, begin gradually and increase to 45 mins daily. Quit drinking and smoking.
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Brown Bread Vs White Bread Vs Whole Grain?

diploma in dietitics
Dietitian/Nutritionist, Pune
Brown Bread Vs White Bread Vs Whole Grain?

Be it burgers, bagels, muffins, sandwiches or simple toasts, bread has made headway into the diets of a huge portion of the populace. Although a staple diet for many since time immemorial, the consumption of bread has increased extensively in the recent past. But, which type of bread should we intake to incur the best health impacts is a question that bothers many. The general assumption is that the wholegrain variety is the best alternative. However, the barrage of marketing tactics makes it impossible to distinguish the best variety from the others. 

There are a whole lot of myths surrounding the best variety of bread and you must choose wisely before settling for one particular type. It is expedient to look beyond the overt appearance or the name of the bread, one needs to be wary of the ingredient before taking a call.

Mostly, white bread is made out of refined flour which is often striped off essential nutrients and fibers. To worsen the situation, white bread is often bleached with certain chemicals to enhance its appearance.
Certain assumptions deem brown bread as the healthier option. Unfortunately, it isn't true always. More often than not, brown bread is simply white bread with artificial coloring added to it or is caramelized. They essentially add no surplus nutritional value.

Similarly, multigrain bread can often mislead the consumers about its health impacts. Unlike whole wheat bread, multigrain breads are usually chemically treated with softened grains. This does not effectively recover the lost nutrients of the bread.

Whole wheat bread has more pronounced health benefits. It contains more wheat germ and fibers in comparison to the more processed varieties of bread. Having evaded the toxic additives, it has relatively healthier effects on our blood sugar levels.

As you realize that the bread that you eat does not necessarily affect your health favorably, wisdom lies in seeking out the least harmful variety. In that context, rye bread or spelt bread contains greater amount of minerals. Besides, bread made from barley, oats and millets have greater mineral content than the commercially hybridized varieties and promote better health.

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My Father is suffering from High Sugar and High BP after the treatment of 2 year in this field so please suggest me how.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
My Father is suffering from High Sugar and High BP after the treatment of 2 year in this field so please suggest me how.
Once the fasting blood sugar is more then 126 mg/dl and pp blood sugar is more then 200 mg/dl, patient is diabetic and diabetes can be controlled only by medication and can't be cured. The same os with blood pressure once it crosses the prehypertensive state B.P>140/90 medicines can control it but can not revert it back to normal.
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