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COPD and Comorbid conditions!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
COPD and Comorbid conditions!
COPD or chronic obstructive pulmonary disease is one of those lung diseases that does not exist in a vacuum. It is associated with at least one or two comorbid conditions like pulmonary hypertension, osteoporosis, dementia, anaemia , hypertension, coronary artery disease (CAD) and depression. It is necessary to seek treatment on time to prevent the aggravation of the condition and development of these comorbid conditions.

Top 10 Cardiologist in Delhi!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Cardiac problems are very scary and what is more scary is choosing the top cardiologist in Delhi. There are so many cardiologist in Delhi and there are so many type of cardiologist depending on their area of specialization. Clinical cardiologists, adult cardiologist, paediatric cardiologist.

There are few cardiologist who specialize in procedures like electrophysiology, echocardiography, and interventional procedures such as stent placement and balloon angioplasty. Cardiologist are specialized in diagnosing any kind of disorder or dysfunctioning of heart and can perform minimally invasive surgeries like pacemaker implantation.

Here is the list of top 10 cardiologist in Delhi, who are specialized and experts at treating all kind of heart problems:

1. Dr. Anupam Goel

MBBS, MD (Gen. Medicine), DM (Cardiology)

Consultation fees: 1000

Dr. Anupam Goel is a senior Interventional Cardiologist. She is currently associated with Max Super Speciality Hospital, Saket. She has an experience of 25 years in this field. She has done several fellowships in cardiology and is engaged in the academic training, CMEs and as principal clinical investigator at various national and international levels. Her areas of expertise are: Percutaneous Coronary Angioplasty and Stent Implantation, Primary Angioplasty in Acute Myocardial Infarction, Acute Coronary Care, Clinical Cardiology and Coronary Angiography and Angioplasty via Radial Artery Route.

2. Dr. Nitin Kumar

CCT - Cardiology (UK), MRCP (UK), FHEA (UK), MBBS

Consultation fees: 800

Dr Nitin Kumar is a consultant cardiologist with 16 years of national and international experience. He is currently affiliated with Express clinic, Delhi and CREDENCE Super specialty Clinic in Gurgaon. His area of specialisation are transradial interventions (angiography and angioplasty through the wrist), treating acute heart attacks by Primary Angioplasty, management of acute coronary syndromes, complex angioplasty including bifurcation lesions, Intravascular imaging including IVUS and OCT, Fractional Flow Reserve assessment (FFR study) and Rotablation.

3. Dr. Rajiv Agarwal

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology

Consultation fees: 500

Dr Rajiv Agarwal is a Senior Interventional Cardiologist and currently works at Max Smart Super Speciality hospital as Senior Director and Unit Head, Department of Cardiology. He has 33 years of experience. His areas of interest are Coronary Interventions & Valvuloplasty, Electrophysiology Study, Device Implantation (including Combo device), Device closures and Peripheral Interventions and also including Bronchial and Renal Artery Embolization. He has been awarded several national and international awards for his contribution in the field of cardiology.

4. Dr. R. R. Mantri

DNB (Cardiology), DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: 1000- 1500

Dr. RR Mantri is a very reputed name in his fraternity. He is currently working as Director Cath Lab & Cardiac Arrhythmia Services, Department of Cardiology, Sir Ganga Ram Hospital, New Delhi. He has experience of more than 35 years as Interventional Cardiologist, Diabetologist and Electrophysiologist. His areas of clinical interest are treating patients suffering from congenital heart diseases, cardiovascular diseases, cardiac valve diseases, hypertension, artery blockages, heart failure, high cholesterol, diabetes due to obesity. He is a pioneer in Transradial Angiography in India.

5. Dr. Anil Saxena

DNB Cardiology, MD - Internal Medicine, MBBS

Consultation fees: 1000

Dr. Anil is currently practicing as Director, Cardiac Pacing & Electrophysiology at Fortis Hospital, Okhla. His areas of clinical interest are Electrophysiologic Study, Catheter RF Ablation of complex arrhythmias, 3D Mapping of Cardiac Arrhythmias with CARTO and Ensite, Implantation of Permanent Pacemakers, Implantation of ICD, Implantation of Biventricular pacemakers (CRT). Implantation of CRT-D (Combo Device), Lead Extraction and Coronary Angiography. He is not only member of some reputed national and international organisations, but also recipetents of many awards.

6. Dr. Viveka Kumar

DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: 1000

Dr. Viveka Kumar has 29 years of practice in the field of Cardiac interventions and Electrophysiology. In years of his practice he has done more than 7500 angioplasties and 2500 balloon valvotomy. He has also handled some complex cases of angioplasties. He is considered to be a pioneer of using advanced technologies like bifurcation and left main angioplasties with Rota Ablation. He has special interest in clinical research and has been associated with principal investigator or a sub-investigator in more than 14 national and international trials.

7. Dr. Ripen Gupta

MBBS, MD - Medicine, DM - Cardiology

Consultation fees: 1000 -1200

Dr. Gupta has 26 years of experience and is considered to be one of the most reputed cardiologists of Delhi. He was the first cardiologist to be awarded the Postdoctoral Fellowship of National Board in Interventional Cardiology instituted by National Board of Examinations. His areas of specializations are treatment of arrhythmia, coronary artery disease and dyslipidemia. He currently practices at Max super speciality, Saket and Dr Ripen Gupta's Clinic, Vasant Kunj, Delhi.

8. Dr. Rajneesh Jain

DM - Cardiology, MD - Internal Medicine, MBBS

Consultation fees: 1500 -2000

Dr. Rajneesh Jain is amongst the most experienced and best cardiologist in Delhi. In 35 years of practice he has handled and treated some very complicated cases of adult cardiac catheterization, angiography, and acute coronary emergencies. Some of other specializations are peripheral angiograms and angioplasty, percutaneous balloon valvuloplasty of all valves, permanent pacemaker implantation. He is currently associated with Sir Ganga Ram Hospital, Delhi.

9. Dr. Nishith Chandra

DM Cardiology

Consultation fees: 1000 -1500

Dr. Chandra, is currently working as a director interventional cardiology, at Fortis Escorts Heart Institute & Research Centre, New Delhi. In his 21 years of practice he is a famous and reputed name in the field. His areas of core interest and specialization are complex coronary interventions including Rotablation, Carotid Interventions, Balloon Valvotomies and Peripheral Vascular Interventions. One of his greatest accomplishment is setting up the Air Ambulance Unit of Escorts Heart Institute that has helped in treating more than 300 critically cases.

10. Dr. Rajiv Bajaj

MBBS, MD - Internal Medicine, DM - Cardiology

Consultation fees: 500

Dr. Rajiv Bajaj is currently associated with Batra Hospital, Delhi. He has experience of 38 years and is amongst the eminent doctors in the field of cardiology. He has performed numerous coronary angioplasties, more than 200 electrophysiology studies and 100 ablations including VT and flutter ablations in adults and pediatric population. His areas of interest are Coronary angioplasty, cardiac catheterization in permanent pacemaker implantations, electrophysiology, echocardiography.

Coronary Artery Bypass Grafting (CABG) - Know Its Type And Benefits!

MBBS, MD, DM, AFESC, FACC
Cardiologist, Guwahati
Coronary Artery Bypass Grafting (CABG) - Know Its Type And Benefits!
Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.
Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

The survival rate is higher in total artery CABG as compared to the traditional CABG.
It comes with long term benefits
The procedure is safe as well as feasible
1724 people found this helpful

My father age 72 is diagnosed with single vessel disease, 50-60 percent LCX stenosis. Can stenosis be corrected by medicines? Father taking ecosprin 75 mg daily.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My father age 72 is diagnosed with single vessel disease, 50-60 percent LCX stenosis. Can stenosis be corrected by me...
No vessel stenosis cannot be cured by medicines and need angioplasty and medicines can help alleviate the symptoms like pain if any . He needs Ecosprin to prevent blockage and heart attack
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4 Symptoms Of Coronary Artery Disease And Its Treatment!

DM - Cardiology, MD - Internal Medicine
Cardiologist, Agra
4 Symptoms Of Coronary Artery Disease And Its Treatment!
Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

Shortness of breath: This may occur while you are exercising or performing activities which are mildly exerting.
Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
Angina or chest pain: You may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
Heart attack: Heart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.
Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
2878 people found this helpful

Abnormal Heart Rhythms!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Abnormal Heart Rhythms!
Treatment of Abnormal Heart Rhythms

Homeopathic Treatment of Abnormal Heart Rhythms
Acupuncture & Acupressure Treatment of Abnormal Heart Rhythms
Psychotherapy Treatment of Abnormal Heart Rhythms
Conventional / Allopathic Treatment of Abnormal Heart Rhythms
Surgical Treatment of Abnormal Heart Rhythms
Dietary & Herbal Treatment of Abnormal Heart Rhythms
Other Treatment of Abnormal Heart Rhythms
What is Abnormal Heart Rhythms
Symptoms of Abnormal Heart Rhythms
Causes of Abnormal Heart Rhythms
Risk factors of Abnormal Heart Rhythms
Complications of Abnormal Heart Rhythms
Lab Investigations and Diagnosis of Abnormal Heart Rhythms
Precautions & Prevention of Abnormal Heart Rhythms


Treatment of Abnormal Heart Rhythms

Homeopathic Treatment of Abnormal Heart Rhythm

Homeopathy is safe and natural treatment to restore normal heart rhythm. It treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some common homeopathic medicines used for abnormal heart rhythm are:

China
Digitalis
Gelsemium
Zincum

Acupuncture & Acupressure Treatment of Abnormal Heart Rhythms

The pressure conducted with acupuncture helps relax the muscles and eliminate any built up stress that you may be experiencing. Acupressure allows you to treat yourself and relax different muscles and parts of your body.

Conventional / Allopathic Treatment of Abnormal Heart Rhythms

Conventional medicine employs surgery and drugs to treat the symptoms of heart diseases.

Surgical Treatment of Abnormal Heart Rhythms

Electrical Cardioversion an electrical shock is delivered to your chest wall that synchronizes the heart and allows the normal rhythm to restart.
Pacemaker it is a device that sends small electrical impulses to the heart muscle to maintain a suitable heart rate. It prevents the heart from beating too slowly.
Implantable Cardioverter Defibrillator (ICD) it delivers energy to the heart muscle to cause the heart to beat in a normal rhythm again
Catheter Ablation Ablation may be combined with other procedures to achieve optimal treatment.
Dietary & Herbal Treatment of Abnormal Heart Rhythms

Diet low in fat
Diet rich in vegetables and fruits
Vitamin C lowers blood pressure and cholesterol levels
Drinking green tea seems to have lowered levels of bad cholesterol and blood pressure

What is Abnormal Heart Rhythms?

An abnormal heart rhythm is an irregular heartbeat. It can occur with the normal heart rate, slow heart rate or with the rapid heart rate.

Symptoms of Abnormal Heart Rhythms

Dizziness
Fainting
Fluttering in the chest
Shortness of breath
Sensation of the heart racing
Weakness or feeling very tired

Causes of Abnormal Heart Rhythms

Heart failure
High blood pressure
Infection or fever
Emotional stress
Thyroid
anemia

Risk factors of Abnormal Heart Rhythms

Heart problems such as atherosclerosis
High blood pressure
Smoking
Stress
High cholesterol

Complications of Abnormal Heart Rhythms

Risk of death
Diagnosis of Abnormal Heart Rhythms

The following tests are done to diagnose Abnormal Heart Rhythms:

Electrocardiogram
Holter monitor
Event monitor
Stress test
Echocardiogram
Cardiac catheterization
Electrophysiology study (EPS)
Head-up tilt table test

Precautions &Prevention of Abnormal Heart Rhythms

Do not smoke
Limit your intake of alcohol
Stop using caffeine
Take diet low in fat and rich in vegetables, fruits
Reduce stress
3 people found this helpful

Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?
Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

Shortness of breath: This may occur while you are exercising or performing activities which are mildly exerting.
Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
Angina or chest pain: You may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
Heart attack: Heart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.
Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
2645 people found this helpful

I am taking daily blood thinning tablets ,WARFARIN ,can I take Neurozan tablets. Thank You.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
I am taking daily blood thinning tablets ,WARFARIN ,can I take Neurozan tablets. Thank You.
Yes. Continue to check INR monthly, so that you can be sure. There is govt policy that all vitamin pills should have composition which does not interfere with warfarin.
1 person found this helpful
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I have undergone angioplasty 4 months back. I under meditation of brilinta 2 tabs daily, atorvastatin 1 tab daily, ecosprin 75 daily, starpress xl 75 in morning and starpress xl 50 in evening. Is it possible for me to stop this medicines anytime soon. I did not have any heart attack, but had detected 95% block in my left artery during regular chest examination. My age is 40.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Brilinta and ecospirin are blood thinners. They are essential for stents. These can be adjusted, modified, but they cannot be stopped. All your medicines are generally required after stent. Please discuss on phone if you require specific instructions.
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Heart Blockage: What Are The Warning Signs?

Diploma In Cardiology, MBBS
Cardiologist, Vadodara
Heart Blockage: What Are The Warning Signs?
Heart Blocks are a result of plaque buildup in your arteries, which blocks blood flow and circulation to the heart, causing heart muscle damage and heightens the risk for heart attack and stroke.
Arteries which have smooth and elastic walls become thick and restrict blood flow from the cholesterol deposits over the years. Blood clots can also block the arteries that supply oxygen rich blood to the heart. These can eventually lead to strokes and heart attacks.

Some warning signs that you may be at risk of heart blockage:

1. Have you had a mild stroke: Plaque that accumulates in the carotid artery supplying oxygen rich blood to the brain can cause a stroke. People who have had strokes are more prone to heart attacks.
2. Do you often feel fatigue and dizziness: Reduced oxygen from poor circulation and blood flow can result in fatigue and tiredness as well as dizziness.
3. Experiencing shortness of breath: Poor blood flow can lead to shortness of breath from even mild forms of exercise or even from carrying out daily chores or walking.
4. Sudden chest pain: Chest pain or angina result from reduced supply of blood to the heart. It can be felt as pressure, tightness in the chest, squeezing in the chest, numbness or burning.
5.Unexplained lower back pain: This can result from pressure in the spine as a result of pinched nerves due to compressed vertebrae discs as a result of poor blood flow.
6.Erectile dysfunction in men: If an erection becomes difficult or impossible, it could be a warning sign of clogged arteries. These arteries supply blood to the pelvis area and help achieve an erection.
7. Calf pain: Blocked leg arteries can cause calf pain, especially in smokers . THis is an early sign of possible heart blocks.
8. Painful, numb and cold hands and feet: Plaque build up in the arteries of the extremities can cause numbness and coldness in the hands and feet.

Remember early detection is the key to prevent or delay heart attacks.
1841 people found this helpful