Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 32 years of experience on Lybrate.com. You can find Cardiologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Treatment of Hip Disorders
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
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Submit a review for Dr. Ashutosh VashisthaYour feedback matters!
Sir, pls suggest me medication for reducing/controlling LDL which is 98% in my lipid profile. Remaining factor are at normal.
31 year male total cholesterol 95, hdl 34, ldl 47. What it indicates. Hba1c 5.2.Thyroid normal. Low ldl is harmful, hdl is also at lowest normal value.
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
- Stay calm.
- Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
- ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
- Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
- ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
- ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
- EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.
What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.
- Ablations using many sophisticated computer softwares
- Device Therapy like ICD (Internal cardiac defibrillator)
- Combination of all the above therapies. If you wish to discuss about any specific problem, you can consult a Cardiologist.
As the nomenclature appears to indicate, Arrhythmia is a condition where the heartbeat of the affected person does not conform to the rhythm it is designed for. But there are cases of Arrhythmia where the normal heartbeat is available as well. The underlying causes of the condition can be many, including a disorder in the coronary artery and the person having suffered a heart attack or undergone a heart surgery. The irregular heartbeat is medically referred to as fibrillation.
The fact is Arrhythmia manifests itself in different types. They are as below:
- Atrial fibrillation: This is one of the most common forms of Arrhythmia and the condition is described as irregular beating of the arterial chambers. Atrial fibrillation is observed more in older people than the younger ones. The quivering of the chambers while contracting is described as fibrillation. There are cases where the heartbeat rate reaches 350 per minute.
- Atrial flutter: There is actually a fine difference between Atrial flutter and Atrial fibrillation. While in the former, the quivering appears to follow a pattern, in the latter, it is random and sporadic. In both the conditions, the pumping of blood through the arteries is irregular, which is a risky condition for the patient. The rate of heartbeat in the case of patients suffering from Atrial flutter can be as high as 250 to 350 per minute. There can be rare instances of people having both these conditions.
- Supraventricular and Ventricular tachycardia: In both these cases, the person suffers rapid heartbeat. In the case of the ventricular tachycardia, the underlying cause is said to be some abnormal electrical impulse and could be triggered by a scar suffered from an already occurred heart attack. In the case of the Supraventricular tachycardia, the heartbeats can be accelerated at rates of 200 beats per minute. Besides these, there are also Long QT syndrome and Bradycardia. Bradycardia is a condition where the rate of heartbeat is slow but the condition itself is not considered very serious by the specialists.
Complications Arising from Arrhythmia
As described the disease Arrhythmia basically relates to irregular heartbeat. And, this automatically results in reduced pumping of blood into the system. This process can lead to situations where sufficient blood does not reach the brain and that can lead to the person suffering a stroke. Depending on the individual cases strokes can sometimes lead to death as well.
The other two types, bradycardia and tachycardia described above, meaning slow or rapid pumping of the heart, can lead to a failure of the heart unless timely treatment is administered. There is also a school of thought, which seems to suggest there is a link between the fibrillation type Arrhythmia and the onset of Alzheimer’s. Consult an Expert & get answers to your questions!