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Doctor in Dr Sandip Rungta Clinic
Dr. Sandip Rungta
Services
Angiography Procedure
Treatment of Hip Disorders
Heart Pacemaker
Stent Surgery
Bypass Surgery
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Cardioversion Procedure
Intra - Arterial Thrombolysis Procedures
Photobiomodulation Therapy
Treatment Of Restenosis
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| CHOLESTEROL |
Cholesterol is a type of fat found in the body and is needed for vital body functions such as building new cells, producing hormones & insulation. The liver makes all the cholesterol which is required by the body. Cholesterol is of two types:
LDL means a high chance of cardiac disease, while HDL means less or decreased risk Cholesterol increases the inflammatory disease of the arterial walls called as atherosclerosis in which there is blocking of artery due to fat deposition, which ultimately leads to heart attack. Normal levels: 200 mg|dl |
| CAUSES: |
| SIGN & SYMPTOMS: |
They are hard to find and high cholesterol is quite often detected in routine tests only Pain in chest Obesity Diabetes Impotency may be due to arteries affected by excessive blood cholesterol. Muscle pains An increase in the blood level of cholesterol does not have any obvious symptoms. But is a risk factor for other conditions such as angina (pain in chest), Atherosclerosis, Heart disease, Highblood pressure & Stroke |
| DO & DONT'S: |
Check your diet. Not more than 30% of total calories should be from fat. INSTRUCTIONS FOR LOW CHOLESTEROL DIETS. 1. Do not use any hydrogenated fats e.g. ghee, butter, margarine (unless specified), vanaspati, coconut oil, and palm oil. Use instead safflower (karadi) oil, soya bean oil, sunflower oil, dietary, saffola, mazola or corn oil. 2. Avoid egg yolks and foods containing egg yolks e.g. mayonnaise, cakes, sauces, although egg white only is permitted. 3. Avoid all foods baked with fat (shortening lard etc.)e.g. cakes, pies, doughnuts etc. 4. Avoid whole milk, cream, cheese, whole milk curds and sweets made with concentrated milk e.g. gulab jamun, shrikhand, Mawa, chocolates et. Use only skimmed milk and its preparations, paneer made from skimmed milk can be used 5. All organ meats are to be avoided e.g. kidney, liver, brain, sweetbreads etc. Fat should be trimmed of all meat before use. Deskin chicken before cooking. Avoid pork, ham and bacon. Avoid shellfish, clams, prawns, lobsters, fish roe, and fish liver oil. Use, fish and deskinned chicken. Meat used should be lean and its use judicious. Stews and meat stock if made earlier can be chilled and the congealed fat should be scraped off and discarded. 6. Nuts all nuts are permitted except groundnut, cashew nuts which must be avoided. 7. Decrease the use of refined foods in your diet, e.g. maida, cornflour, spaghetti, macaroni etc. Increase and include instead, high fiber foods e.g salads, greens, chapattis (made with atta), leafy vegetables etc. 8. Roast and boil foods on a rack so fat can drain off. Make use of non-stick vessels/pan and decrease consumption of fats and oils whilst cooking INSTRUCTIONS. 1.Follow maintenance Diet-Controlled carbohydrate, controlled and modified fat, low cholesterol Control the carbohydrate foods that you eat. Carbohydrate (sugar and starch) foods are limited. This means that sugar is not allowed, jaggery, honey and refined foods e.g. macaroni, spaghetti, bread, biscuits should be limited. Free Foods i.e. Foods Allowed. Clear Soup Soda Coffee Flavoring Essence Herbs Vinegar Mustard Spices. Suggestions for Meals away from Home. When you eat out daily, it is wise to select one particular restaurant some of your food requires special preparation. A regular customer is more like to receive special attention. MEAT: Trim off all fat. The safest choice is a chop, steak, chicken (deskinned) or fish. Request that the meat be made without fat. e.g. Tandoori Chicken, grilled kababs, tikkas. VEGETABLES: Most Vegetables are not limited. However, avoid those that are made in cream (malai) e.g. Vegetable Makhanwalla; cheese or whole milk. Ask that your serving of vegetables be made without fat. SALAD: Avoid salads with creamy dressings, mayonnaise, and cheese. Instead, take Kachumber or mixed salads etc. FAT: Limit the amount according to your diet plan. BREAD: Limit according to your diet plan. Avoid, rolls, biscuits, muffins, take instead phulka, chapattis, bhakri etc. BEVERAGE: Skim Milk, Thin lassi (non-sweet) lie juice (non-sweet), fresh lime and soda, coconut water, tomato juice (not tinned, non-sweet) tea/coffee (non-sweet) these are allowed. DESSERT: For dessert choose a fresh fruit (not tinned) e.g fresh papaya slice, watermelon slice, plums cherries, fresh orange etc. |
| CONSULT YOUR DOCTOR: |
If you see soft, yellow skin growth on yourself or your children. If you experience symptoms due to increase in cholesterol contact For example Pain in chest. Pain in legs. Dizziness Unsteady gait A thick speech. |
Open heart surgery is a complicated heart procedure. Howeevr, it is still an important surgical procedure to fix critical heart ailments.
Here is a quick fact-checker about this procedure:
- The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
- Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
- This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
- The recent trend is that the doctor can achieve the same result with beating heart CABG where heart does not need to be stopped just to avoid the complications of heart lung machine Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Subsequently, the patient is taken off from the heart-lung machine.
- The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
- It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg.
- The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
- One has to usually deal with heightened emotions after an open-heart surgery.
The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.
How are they performed?
Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.
Which one is better?
In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.
Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.
This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.
All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.
If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay.
