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क्या होती है पल्स रेट

आपकी हृदय गति, या पल्स रेट, आपके दिल की प्रति मिनट धड़कन की संख्या है। सामान्य पल्स रेट एक व्यक्ति से दूसरे व्यक्ति में भिन्न हो सकती है। अपने को जानना एक महत्वपूर्ण ह्रदय-स्वास्थ्य का संकेत हो सकता है। यह जरुरी नहीं है पल्स रेट का पता तभी लगाया जाय जब आप एथलीट हों।

यहां तक कि अगर आप एथलीट नहीं हैं, तो आपकी हृदय गति के बारे में ज्ञान आपको अपने फिटनेस स्तर पर नजर रखने में मदद कर सकता है। यह आपको स्वास्थ्य समस्याओं के बारे में समझ को विकसित करने में भी मदद कर सकता है।

जैसे-जैसे उम्र बढ़ती है, आपकी पल्स रेट और नियमितता में परिवर्तन हो सकता है और यह हृदय की स्थिति या अन्य स्थिति का संकेत दे सकता है जिस पर ध्यान देने की आवश्यकता है।

पल्स रेट कहां से नापी जा सकती है और इसकी सामान्य रेंट क्या है?

आपको पल्स रेट का पता लगाने के लिए ये पता होना चाहिए कि आपकी पल्स कहां है। पल्स की सबसे बेहतर ढंग से महसूस करने के लिए कुछ खास स्थान हैं। जैसे-

कलाई

अपनी कोहनी के अंदरुनी हिस्से में

गर्दन के किनारे

पैर के ऊपर

तरीका

सबसे सटीक रीडिंग प्राप्त करने के लिए, अपनी उंगली को अपनी पल्स पर रखें और 60 सेकंड में बीट्स की संख्या गिनें। आपकी आराम करने वाली हृदय गति वह हृदय है जो आपके लिए आवश्यक सबसे कम रक्त पंप करता है क्योंकि आप व्यायाम नहीं कर रहे हैं। यदि आप बैठे या लेटे हैं और आप शांत, तनावमुक्त हैं और बीमार नहीं हैं, तो आपकी हृदय गति सामान्य रूप से 60 (धड़कन प्रति मिनट) और 100 (धड़कन प्रति मिनट) के बीच होती है। यह पल्स रेट 18 वर्ष और उससे अधिक आयु के लोगों के लिए होती है। 6-17 वर्ष के बीच के व्यक्तियों के लिए, सामान्य पल्स रेट 70-100 बीट प्रति मिनट है।

अधिकतम पल्स रेट

किसी को भी अधिकतम हृदय गति जानना आवश्यक है। इस तरह, उसे पता होगा कि पल्स रेट इस अधिकतम संख्या की सीमा को पार नहीं करनी चाहिए। यदि यह सीमा पार होती है तो यह आपके दिल के लिए खतरनाक हो जाता है।

इससे जानने के एक फार्मूला है। आप इस फार्मूला से आसानी से अपनी अधिकतम हृदय गति की गणना कर सकते हैं।

यह फार्मूला है - 220 - आपकी उम्र।

यानी आपको अपनी उम्र को 220 में से घटना है। उदाहरण के लिए, यदि आप 40 वर्ष के हैं, तो आपकी अधिकतम हृदय गति 180 बीट प्रति मिनट होगी।

ये तो हुई अधिकतम की बात लेकिन अगर हृदय गति 60 से कम है तो यह बीटा ब्लॉकर जैसी दवा लेने का परिणाम हो सकता है। कम हृदय गति उन लोगों के लिए भी सामान्य है जो बहुत अधिक शारीरिक गतिविधि करते हैं या बहुत पुष्ट हैं। सक्रिय लोगों की हृदय गति कम होती है (40 जितनी कम) क्योंकि उनके हृदय की मांसपेशियां बेहतर स्थिति में होती हैं और उन्हें स्थिर धड़कन बनाए रखने के लिए अधिक मेहनत करने की आवश्यकता नहीं होती है। कम या मध्यम मात्रा में शारीरिक गतिविधि आमतौर पर आराम करने वाली नाड़ी को ज्यादा नहीं बदलती है।

क्या दिल की धड़कन की दर स्थिर रहती है?

नहीं, आपकी पल्स रेट कुछ कारकों पर निर्भर करती है। यह ज़ोरदार शारीरिक गतिविधियों के दौरान या जब आप तनाव में होते हैं या डर या क्रोध जैसी मजबूत भावनाओं को महसूस करते हैं तो यह बढ़ जाएगा।

बीएमआई में बदलाव के साथ आपकी नाड़ी की दर भी बदल सकती है जैसे कि जब आप वजन बढ़ाते या घटाते हैं। आपके स्वास्थ्य की स्थिति भी आपकी नाड़ी की दर निर्धारित करती है।

पल्स रेट को प्रभावित करने वाले अन्य कारक

हवा का तापमान: जब तापमान (और आर्द्रता) बढ़ता है, तो हृदय थोड़ा अधिक रक्त पंप करता है, इसलिए आपकी नाड़ी की दर बढ़ सकती है, लेकिन आमतौर पर एक मिनट में पांच से 10 धड़कनों से अधिक नहीं।

शरीर की स्थिति: आराम करने, बैठने या खड़े होने पर आपकी नाड़ी आमतौर पर एक जैसी रहती है। कभी-कभी जब आप पहले 15 से 20 सेकंड के लिए खड़े होते हैं, तो आपकी पल्स थोड़ी ऊपर जा सकती है, लेकिन कुछ मिनटों के बाद यह स्थिर हो जानी चाहिए।

भावनाएँ: यदि आप तनावग्रस्त, चिंतित या"असाधारण रूप से खुश या उदास" हैं, तो आपकी भावनाएँ आपकी नब्ज बढ़ा सकती हैं।

शरीर का आकार: शरीर का आकार आमतौर पर पल्स रेट नहीं बदलता है। यदि आप बहुत मोटे हैं, तो आपको सामान्य से अधिक रिलैक्स पल्स रेट दिखाई दे सकती है, लेकिन आमतौर पर यह 100 से अधिक नहीं होती है।

दवा का उपयोग: दवाएं जो आपके एड्रेनालाईन (बीटा ब्लॉकर्स) को अवरुद्ध करते हैं, आपकी नाड़ी को धीमा कर देते हैं, जबकि बहुत अधिक थायरॉयड दवा या बहुत अधिक खुराक इसे बढ़ा देगी।

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यदि आप अपनी हृदय गति (और निम्न रक्तचाप) को कम करने या एर्रेदमिया (अतालता) को नियंत्रित करने के लिए बीटा ब्लॉकर पर हैं, तो आपका डॉक्टर आपको अपनी हृदय गति की निगरानी करने के लिए कह सकता है। अपनी हृदय गति पर नज़र रखने से आपके डॉक्टर को यह निर्धारित करने में मदद मिल सकती है कि खुराक को बदलना है या किसी दूसरी दवा पर स्विच करना है।



यदि आपकी नाड़ी बहुत कम है या फिर आपको अचानक तेल पल्स रेट का सामना करना पड़ रहा है तो आपको डाक्टर की जरुरत है। खासकर यदि इसकी वजह से आपको कमजोरी,चक्कर आने या बेहोशी महसूस हो रही है।

पल्स रेट और रोग

यदि आप अपनी पल्स रेट में लगातार उतार-चढ़ाव देखते हैं? यह अर्रेदमिया (अतालता या अनियमित दिल की धड़कन) नामक हृदय विकार का संकेत हो सकता है। यदि आपकी समान्य यानी आराम की अवस्था वाली हृदय गति 100 बीट प्रति मिनट से अधिक है, तो आपको टैकीकार्डिया हो सकता है। यदि आप शारीरिक रूप से सक्रिय नहीं हैं और फिर भी आपकी पल्स रेट 60 बीट प्रति मिनट से कम है, तो यह ब्रैडीकार्डिया का संकेत हो सकता है। इन स्थितियों में तत्काल उपचार की आवश्यकता होती है।

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This may not be an emergency, rest, medicines, second opinion will be helpful please post list of medicines and your full ecg echo and blood reports also for better assessment.

I am sorry to hear about your concern but will be happy to assist you. Living with this condition can stir up a whole range of feelings, from fear and sadness to anxiety, depression, and even anger. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

1. Dr. Rajiv bajaj

Https://wwaw. Lybrate. Com/delhi/doctor/dr-rajiv-bajaj-cardiologist-1

Mbbs, md - internal medicine, dm - cardiology, fellowship in ep

42 years experience 700 - 1600 at clinic 500 online

He is known for his knowledge as an expert in cardiovascular disorders and is a respected doctor in the field of atrial and vascular diseases. For many years, he has also been providing cardiac electrophysiology services to patients. As an experienced cardiac physician/cardiac interventionist, Dr. Rajiv acquired clinical training and a field-specific speciality. ;

He completed his mbbs in 1980 from cmc, vellore; md-internal medicine in 1984 from aiims, new delhi; dm in cardiology in 1988 from aiims, new delhi; and fellowship in emergency medicine in 1996 from st. Michael's hospital in toronto, canada. As a senior interventional cardiologist, he worked at batra hospital and performed clinical work at several other known institutions.

He is honoured with numerous accolades and recognition on a global scale thanks to the japi medicine quiz. At present, he shows his interest in diseases caused by lifestyle biology. He was also awarded the p. Koshy prize in medicine. He has more than 25 papers published in national and international journals, and got certificates of merit in physiology and pharmacology. He is a member of the national and state cardiology society of india's executive council and an active participant in the indian cardiology society (csi).

2. Dr. K. K. Sethi

Https://www. Lybrate. Com/delhi/doctor/dr-k-k-sethi-cardiologist

Mbbs, md - medicine, dm - cardiology

51 years experience 1500 at clinic ;

He is a leading expert in atrial vascular illnesses and a reputable physician in the field of cardiovascular disorders. As a cardiologist along with his humble nature he has treated patients for many years.

He also acquired clinical training and a speciality in mbbs at hospital of the maulana azad dental college in 1971. Other than this he completed his md in cardiology from the same hospital in 1979 as well dm-medicine in 1976. He is also a member of the cardiological society of india (csi) and the asian pacific society of cardiology (apsc).

3. Dr. Subrata lahiri

Https://www. Lybrate. Com/ghaziabad/doctor/dr-subrata-lahiri-cardiologist-2

Mbbs, md - medicine, dnb (cardiology), fellow of european society of cardiology

30 years experience 800 - 1500 at clinic 1000 online ;

He is known as a leading expert in atrial vascular illnesses and as a reputable physician in the field of cardiovascular disorders. As an experienced cardiologist, he has treated his patients for many years. His patients also love his attitude and polite nature towards them. He acquired clinical training and a field-specific speciality from calcutta university as an mbbs in 1992. He completed his md from pandit bhagwat dayal sharma, post graduation from the institute of medical sciences in 1997, and dnb in cardiology from national board of examinations, new delhi in 2004.

As an international associate of the american college of cardiology, he has garnered various awards and recognition on a global scale. Fellow of the european society of cardiology, the cardiological society of india (csi), the indian medical association, and the national academy of medical sciences.

4. Dr. Aman makhija

Https://www. Lybrate. Com/delhi/doctor/dr-aman-makhija-cardiologist

Dm - cardiology, mbbs, md - medicine, training in electrophysiology

23 years experience 1000 - 1500 at clinic 500 online

As a leading expert in atrial vascular illnesses and as a reputable physician in the field of cardiovascular disorders, he has treated his patients successfully with excellent results. He has also worked as a cardiac electrophysiologist for many years, providing care to patients.

He got his dm in cardiology from one of the best colleges of india, kgmc, lucknow university in 2008, md from maulana azad medical college in delhi in 1999. He has been trained in cardiac electrophysiology and cardiologist. He worked as a junior resident in medicine and assisted with serious illnesses at several hospitals, as a senior resident in medicine at maulana azad medical college, delhi, as a senior resident in cardiology at king george medical university, lucknow. ;

He holds positions as a consultant cardiologist and electrophysiologist at sir ganga ram hospital in delhi and has received numerous honours and recognition on a global scale, including the hukum chand memorial award in anatomy, the av gandhi award. Since 2016, he has been an ibhre certified cardiac device specialist, a member of the asia pacific heart rhythm society, and an associate member of the cardiology society of india.

5. Dr. Vinay sanghi

Https://www. Lybrate. Com/delhi/doctor/dr-vinay-sanghi-cardiologist

Fscai (int card), facc (card), facp (int medicine), mbbs

28 years experience 500 at clinic 500 online

He is a renowned cardiovascular disorder specialist and a reputed physician in the field of atrio-vascular diseases. He has also been treating patients for years as an interventional cardiologist. He is well-known for being an expert of cardiovascular disorders and a respected doctor in the area of atrial and vascular diseases. As an interventionist, he has treated patients for many years. ;

He received cardiologist clinical education and specialisation in the field of cardiology and earned his mbbs from osmania medical college in hyderabad in 1994. He is known as an expert of cardiovascular diseases, interventional cardiology, and peripheral vascular disorders. He acquired numerous accolades and recognition on a global scale.

The consumer research council of america has certified him as a top cardiologist for carotid angiograms and interventions. Facp, facc, fscai, fsvm (fellow of the society of vascular medicine), and fellow of the european society of cardiology are few among his more achievements. As a cardiologist, he received clinical education and a specialty in the field and won various appraisals and international recognition through the american board of certification.

6. Dr. Vishal rastogi

Https://www. Lybrate. Com/delhi/doctor/dr-vishal-rastogi-cardiologist

Dm - cardiology, md-internal medicine, mbbs

26 years experience 1000 at clinic

As a cardiologist, he has treated patients for many years with his satisfying treatment results. He has received training in clinical practice and a speciality in dm cardiology at maulana azad medical college, new delhi in 2004, md- internal medicine at ims of bhu, 1999 and mbbs from ims of bhu in 1996. ;

He assists patients with serious ailments as a consultant at fortis escorts heart institute, where he works in clinics at several locations. He belongs to both the european society of cardiology's heart failure association and the cardiological society of india (csi).

7. Dr. Devendra kumar agrawal

Https://www. Lybrate. Com/delhi/doctor/dr-devendra-kumar-agrawal-cardiologist

Md - internal medicine, mbbs, dm - cardiology, fscai (int card)

17 years experience 500 - 1000 at clinic 500 online 

As a leading expert in atrial vascular illnesses and as a reputable physician in the field of cardiovascular disorders, Dr. Devendra is giving hopes as well as hundred percent best results. As a cardiologist, he has treated patients for many years. He acquired clinical training and md in internal medicine from aiims, new delhi in 2008, mbbs from sawai mansingh medical college, jaipur in 2005; dm in cardiology at the university of delhi in 2012; and fscai (int card) from usa. 

As an associate consultant at fortis hospital, shalimar bagh, he assisted with critical illnesses at several institutions and worked in the clinical field. He has been a dm senior resident at the gb pant postgraduate institute of medicine and has done clinical training in delhi.

8. Dr. R. R. Mantri

Https://www. Lybrate. Com/delhi/doctor/dr-r-r-mantri-cardiologist

Dnb (cardiology), dm - cardiology, md - general medicine, mbbs

39 years experience 1000 - 1500 at clinic 500 online

He is known for being a leading expert in atrial vascular illnesses and as a reputable clinician in the field of cardiovascular disorders. As a cardiologist, he has treated all of his patients effectively for many years. He was trained clinically and specialised in the field of cardiology by the national board of examination in 1993.

He worked as a consultant at sir ganga ram hospital, and as an electrophysiologist at orchid hospital. He has done dm in cardiology from sanjay gandhi memorial hospital and mbbs from jawaharlal nehru medical college, ajmer in 1987. He also worked at various well reputed institutions clinically and assisted with serious illnesses.

9. Dr. Rajneesh jain

Https://www. Lybrate. Com/delhi/doctor/dr-rajneesh-jain-cardiologist

Dm - cardiology, md - internal medicine, mbbs

37 years experience 2000 at clinic 

He is well-known as a leading expert in atrial vascular illnesses and as a reputable physician in the field of cardiovascular disorders. As a cardiologist, he has treated patients for many years. He acquired clinical training and a field-specific speciality. He got his md in internal medicine from gmc, amritsar in 1990 and mbbs from government medical college, amritsar in 1985 and also dm in cardiology from gb pant in 1995.

10. Dr. Tarlochan singh kler

Https://www. Lybrate. Com/delhi/doctor/dr-tarlochan-singh-kler-cardiologist

Sr. Fellowship in electrophysiology & pacing, m. R. C. P. (u. K.), dm - cardiology

47 years experience 500 - 1500 at clinic

As an expert in atrial vascular illnesses and as a reputable physician in the field of cardiovascular disorders, Dr. T. S. Kler has worked hard to treat his patients with satisfying results. As an expert in cardiology, he has treated many of his patients effectively for many years. 

He completed clinical training and obtained a speciality from st. Luke's medical centre and sinai samaritan hospital in the usa in 1993, m. R. C. P. (u. K.) from royal college of physicians in 1989, dm in cardiology from pgimer, and received clinical education and a speciality in the field of research. His patients are very much happy with his treatment results, so without any query, just make an appointment with him for a happy and healthy life.

I am sorry to hear about your concern but will be happy to assist you. In heart failure, the main pumping chambers of the heart (the ventricles) may become stiff and not fill properly between beats. In some people, the heart muscle may become damaged and weakened. The ventricles may stretch to the point that the heart can't pump enough blood through the body. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

I am sorry to hear about your concern but will be happy to assist you. A total cholesterol level of 240 mg/dl or above is high. A normal cholesterol level is under 200 mg/dl. Between 200 mg/dl and 239 mg/dl is considered borderline high. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

You should not take any medicine without doctor's advice as it may be harmful. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

Heart failure is a phrase that can induce fear into anyone. People usually think it is a death sentence but it is not. With proper care, you can survive with this condition and live a normal life.

What is Heart Failure?

Heart failure can happen for two reasons. The muscles of the heart cannot function properly. Either the heart cannot pump sufficient blood to the different parts of the body, or the blood flow to the heart reduces and it cannot fill with enough blood. Heart failure is the outcome of ischemic heart disease, diabetes, high blood pressure or excessive alcohol consumption.

Most people are not aware that there are several stages of heart failure-

Stage A- It is the pre-heart failure stage. It means that you have a strong possibility of suffering a heart failure unless you live a healthy life. Your chances increase when you or other people that you are related to by blood, have high blood pressure, diabetes or cardiac ailments.

Management of this stage of heart failure comprises-

Regular exercise

Treatment of hypertension or diabetes

Abstinence from alcohol and smoking

Sufficient sleep

Stress control

Stage B- It is the early stage of heart failure. Your heart is already beginning to show signs of distress.

You can manage stage B heart failure with-

All the measures adopted for stage A

Medication like enzyme inhibitor or receptor blocker

Surgery like coronary artery bypass or valve repairment

Stage C- In this stage, your blood flow is disrupted. You begin to display the symptoms of heart failure like breathlessness, exhaustion and swelling of the limbs. You may even suffer systolic heart failure.

To survive this stage you need to-

Follow all the measures adopted for stage A

Take the same medicines as for Stage B

Reduce the intake of salt and fluids

Monitor weight

Take diuretics and digoxin pills

Surgery such as an implantable defibrillator

Stage D- This is the most advanced stage of heart failure. It takes a lot of care, medicines and surgery to live through this stage. Treatment means-

All the treatment options of stages A, B and C

A surgical intervention like a heart transplant, implanting a heart pump or ventricular assistance devices

Heart failure in all but the last stage can easily be survived with exercise, medicines, and surgery. The last stage is the most dangerous. However, people still have a shot at life but it requires a lot of care and attention.

I think we need to have more detailed discussion about your medical condition before i conclude my answer. Let's have a detailed discussion for better advice and medication plan.

You should not take any medicine without doctor's advice. It maybe harmful and can lead to other complications. But we have to look into the details of the problem. Let's have a detailed discussion for better advice and healthy lifestyle.