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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
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Treatment of Hip Disorders
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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Angioplasty Stent Surgery
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My mother had Hyper tension since decade. She intakes Lasocar-H 50 mg daily. 3 days ago, she felt her BP had gone down so she checked her bp in digital BP machine and found her BP to be in normal stage 100/60. So from last 3 days she skipped her medicine. Today when I checked her bp again, her bp shows 100/60 without intaking medicine. I am confused now to give her regular medicine or not? She feels dizzy nd her shoulder aches.
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
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.
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.
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.
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?
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?
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.
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?
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.
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.
How to control my hypertension which is making mess in my daily routine please suggest me some thing.
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?
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.
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.
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.