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Dr. Trivikram

Cardiologist, Hyderabad

150 at clinic
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Dr. Trivikram Cardiologist, Hyderabad
150 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Trivikram
Dr. Trivikram is one of the best Cardiologists in Kachiguda, Hyderabad. You can visit him/her at Sreedhars Healthcare & Research Centre in Kachiguda, Hyderabad. Book an appointment online with Dr. Trivikram on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 43 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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English

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Sreedhars Healthcare & Research Centre

3/2/230,Opposite Mahankali Temple, Nimboliadda, Kachiguda, HyderabadHyderabad Get Directions
150 at clinic
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My Fasting sugar remains at around 125 to 130 and PP at around 100-110 ? Why? Pancreas/Insulin seems to be responding to food but why is it high empty while fasting ?

BHMS, MD - Homeopathy
Homeopath, Chennai
Whether you have been diagnosed with diabetes or simply monitor your blood sugar levels to track your health, fasting and postprandial blood glucose levels are frequently measured. Since your fasting blood sugar is taken before eating a meal and your postprandial blood sugar is taken after the meal, your fasting level should be lower than your postprandial level. But if the numbers are reversed and your fasting blood sugar levels are higher than your postprandial levels, it could indicate a serious health problem.
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Last month, my ECG showed some problem. THen TMT showed minor jerk in 4th quadrant. One cardiologist advised me for angiography followed by angioplasty. Other cardiologist told me" Nothing panic right now to opt for angiography immediately" I am bit nervous. BP high around 160/98, Taking tazloc 80 (12.5). Other medicine include Blood sugar and ecosprin AV 75/20. Pladvise me the urgency of angiography.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Last month, my ECG showed some problem. THen TMT showed minor jerk in 4th quadrant. One cardiologist advised me for a...
If your ECG and TMT both showed problem (but without looking at the ECG and TMT graph, I can only assume that the interpretation is correct) then it will be sensible to get an angiography done. You should also get a Echocardiography test done too. Angiography will help in finding out with 100% surety if the changes in the ecg are due to a heart block or is it just a false positive. If in angiography there is no blockage then you can be assured, in case there is blockage then it can be treated. When done by experienced intervention cardiologist angiography has very minimal risks associated, so instead of stressing so much get your angiography done and end the worry.
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My Blood pressure will increase while I running time causing problem as my both eyes are rounded. I not able to see picture clearly. Picture looking same like cloudy. My running stamina suddenly slow. My breath is going to high that not in control. My leg not move more 1-2 step after its happen. I fall down suddenly. Kindly how I control it?

BHMS
Homeopath, Vadodara
My Blood pressure will increase while I running time causing problem as my both eyes are rounded. I not able to see p...
Dear lybrate-user do exercise under supervision or professional trainer. Don't do hard exercises. Go step by step in selection of exercise. Do meditation & yoga. I can help you whenever you need medicinal support.
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My blood pressure is 137/85 right after a 5 km walk and jogging. Would it be considered normal or not?

BHMS
Homeopath, Secunderabad
My blood pressure is 137/85 right after a 5 km walk and jogging. Would it be considered normal or not?
You need to keep monitoring it on a regular basis at different times and check after resting for 10 mins. See the trend. Now a days it's considered normal ( ideal ) if it ranges from 110/70 to 120/80 mm hg. One cannot judge high or low by taking a single reading. Please focus on a healthy lifestyle ( healhty and balanced diet and daily exercise ) which will help you to keep the BP within normal range. If it goes 130/90 mm hg more often then you need to become alert and restrict salt intake and all junk food and packeged food ( as they contain lot of salt and preservatives ).
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Ways To Treat Hypertension!

MBBS, MD - Medicine, ACLS, Post Graduate Course In Rheumatology, Masters in Psychotherapy and Counselling
General Physician, Jaipur
Ways To Treat Hypertension!

Hypertension or High Blood Pressure (HBP) is a long-term or chronic health condition where the pressure of the flow of blood is always high in the arteries. High blood pressure can develop over many years and affects everyone at some point in life but if not treated for a very long time, it can escalate the risks of a number of cardiovascular problems and chronic kidney disorders.

Types

1. Primary Hypertension - High blood pressure caused by genetic, prenatal or other natural causes like aging (people over 60 develop HBP) is known as primary hypertension.

2. Secondary Hypertension - Secondary hypertension is that which is caused due to specific conditions, like kidney disorders, lung disorders etc.

Causes

Blood pressure depends on the amount of blood pumped by the heart and the radius of the blood vessels. The delicate balance can get disturbed due to a number of factors.

Primary hypertension may be caused by genetic factors. There are 35 identified genetic loci related to blood pressure. Mutations in these can cause chronic HBP. Other factors like maternal smoking, deficiency of vitamin D, deficiency of calcium, insufficient breast milk consumption also increase the risk of HBP.

Secondary hypertension is caused by a variety of conditions like hypothyroidism, hypothyroidism, nephritis, asthma, sleep apnea, depression, pregnancy etc. Overconsumption of caffeine, alcohol, sodium and illegal drugs may also be responsible for high blood pressure.

Symptoms

Hypertension may not show any warning symptoms for several years while it continues to develop. A few tell-tale signs are frequent throbbing headaches, shortness of breath, nosebleeds, excessive sweating but these only occur when there is an extremely serious medical complication.

Treatment and Prevention

Hypertension is a common condition, especially after the age of 40. Medication may help control severely high blood pressure to an extent but certain lifestyle changes go a long way in both preventing and treating the disorder. Some of them are:

  1. Taking regular blood pressure readings after the age of 25. A normal blood pressure is not more than 120/80 mm Hg
  2. Obesity causes hypertension. A normal Body Mass Index of <  23 kg /sq. m. is to be maintained
  3. The daily diet should include at least 4 to 6 portions of fruits and vegetables
  4. Salt intake is to be limited
  5. Drinking and smoking are to be minimized
  6. Stress and burnout should be avoided

Apart from the pointers mentioned above it is also important that you must not stop taking your medications on your own even if the blood pressure is normal, and take calcium and magnesium supplements along with it. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

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What is the meaning of endplate damage D12-L5? It was a digital radiography of spine. Please explain.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
What is the meaning of endplate damage D12-L5? It was a digital radiography of spine. Please explain.
End plates serve as the interface between rigid vertebral bodies and pliant intervertebral disks. Because the lumbar spine carries significant forces and disks don't have a dedicated blood supply, end plates must balance conflicting requirements of being strong to prevent vertebral fracture and porous to facilitate transport between disk cells and vertebral capillaries. Consequently, end plates are particularly susceptible to damage, which can increase communication between proinflammatory disk constituents and vascularized vertebral bone marrow. Damaged end plate regions can be sites of reactive bone marrow lesions that include proliferating nerves, which are susceptible to chemical sensitization and mechanical stimulation. Although several lines of evidence indicate that innervated end plate damage can be a source of chronic low back pain, its role in patients is likely underappreciated because innervated damage is poorly visualized with diagnostic imaging.
1 person found this helpful
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Through halter ECG it was noticed that my heart bit is fluctuating at different intervals from 48-55-65-95.Often I feel dizziness, weakness in walking & uneasiness.Is it due this reason? If so, what is its treatment? i

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Consult a cardiologist who is expert in electrophysiology study of heart rhythm.Yes your problem can be due to this heart rate fluctuation.
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I am 60 years, been smoking since college. I have chest congestion and a bit of breathing problem. No stamina and run out of breath even when taking excitedly. Chest x ray is clean. I understand there is a way of cleaning lungs of nicotine. Please help.

MD - Consultant Physician
Cardiologist, Kolkata
I am 60 years, been smoking since college. I have chest congestion and a bit of breathing problem. No stamina and run...
You are in hot bed. Smoking causes 1. Chronic bronchitis resulting in asthma, copd, may turn into lung cancer, 2. Heart disease. 3. Cancer in mouth, gastric cancer. 4. Different types of bone disease, cerebro vascular disease what not. Stop it. If you love you family please stop it immediately.

Irregular Heartbeat - Signs And Symptoms To Be Alert For!

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Irregular Heartbeat - Signs And Symptoms To Be Alert For!

Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.

Causes
Several conditions cause strain and damage to the heart. These include the following:

  1. High blood pressure or hypertension
  2. Heart attack
  3. Valvular diseases
  4. Coronary artery disease
  5. Medical problems like heart failure, lung diseases, high level of thyroid or pneumonia
  6. Heart surgeries
  7. Excess consumption of alcohol

Symptoms
The primary symptoms of atrial fibrillation include the following:

  1. Light-headedness and dizziness
  2. Shortness of breath
  3. Feeling weak and fatigued
  4. Feeling as if the heart is pounding, fluttering or racing (known as palpitations)
  5. Feeling that the beating of the heart is uneven
  6. Chest pain and fainting

In many cases of atrial fibrillation, the symptoms may be absent.

Diagnosis
Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.

Treatment
The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:

  1. Blood thinning medicines for the prevention of a stroke.
  2. Heart rate control medicines which will prevent irregular beating of the heart.
  3. Rhythm control medicines for restoring the heart’s rhythm to normal.
  4. A process known as cardioversion may be used to bring the heartbeat to a normal rhythm. This can be carried out by medicines or an electric shock therapy known as electrical cardioversion.
  5. In case of severe symptoms, ablation may be carried out where the affected areas of the heart are destroyed by the creation of a scar tissue.

For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.

3176 people found this helpful

I am having pain in chest when I take stress, or do anything stressful work like closing shutter, climbing stairs. Also having pain in head on back side from last few days. Also having acidity problem. Am I having any disease? My weight is 78 around. Please let me know which are the tests I should have done? So I go for full body check up? I am 27 year old. Acidity happens only in night.

BHMS
Homeopath, Pune
I am having pain in chest when I take stress, or do anything stressful work like closing shutter, climbing stairs. Al...
Hello frnd your weight is above the normal you need proper check up. Like blood pressure, ECG,n cholesterol level also, for that you have to consult good physician or cardiologist. For acidity you can take tab rantac, and need loose weight start walking and avoid heavy and rich fat diet.
1 person found this helpful
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