Doctor in Ace Heart & Vascular Institute
Clinical & Interventional Services:
Coronary & Peripheral Angiography
Coronary & Peripheral Angioplasty
Pacemaker / AICD Implantation
EP Studies / Radio Frequency Ablation
Pacing Therapy for Heart Failure
Open Heart / Bypass Surgery
Congenial Heart Surgery
CCU / Critical Care
Non Invasive Services:
Trans Esophageal Echo
24 Hr. ABPM(Ambulatory Blood Pressure Monitoring)
Pulmonary Function Test
Nuclear Studies of Kidney & Bones
Patient Review Highlights
I was worried as I was experiencing the hypercholesterolemia due to which I was facing number of problems. Thanks to Ace heart instit. I am totally satisfied with the results. They have a best team of cardiologist and has a broad knowledge in this field. Even in case of long queues, the staff was managing people in a very positive manner. So many doctors I consulted, but their treatment was the best. The guidance they gave has helped me immensely with my situation.
I was having very bad thoughts regarding my pacemaker treatment. I searched this Ace Institute online and saw his reviews. The staff was very attentive to my needs. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now.
A great human being n a wonderful doctor. A great master of his field
At the wee hours, when you experience a discomfort in your chest you tend to fear it is a heart attack. Though it may not necessarily be what you think, what you as a heart attack, it may actually be an angina attack.
Knowing the difference between a heart attack and an angina attack takes you a step further in dealing with either of the attacks.
Let’s get the basics right
Angina attack is a sign of coronary artery syndrome. Angina is characterized by pressure, squeezing tightness, heaviness, or pain in your chest. It can be a recurring ailment or an unexpected and acute health concern.
A heart attack is a condition which is a cause of concern. When parts of the heart do not receive oxygen-rich blood due to complete blockages of arteries, it results in a heart failure. It can prove to be fatal. The blockage of the arteries could be caused due to a blood clot or plaque formation.
The symptoms of angina and heart attack are similar. However, the two conditions are different from one another.
- Angina can be regarded as a beginning of a weak heart condition. An angina attack is a short-term non-fatal disease, whereas a heart attack is a fatal condition.
- Angina attack lasts for about ten minutes, while heart attack might last for more than twenty minutes.
- The damage caused by a heart attack cannot be reversed, and this condition also cannot be cured. It can just be treated with medication and lifestyle changes. As time passes, the condition may become worse. Angina attack can, however, be treated with drugs. Untreated angina can lead to a poor heart condition and ultimately a heart attack.
Signs and Symptoms in detail
Heart attacks can commence gradually and begin with only mild pain or distress. Signs can be moderate or severe and sudden. Traits also may come and go over long hours. Individuals who have diabetes may have no indications or very mild ones.
The most common symptom, in both men and women, is discomfort or chest pain. Women are likely to have nausea, shortness of breath, and vomiting along with other symptoms. They also experience chronic tiredness which can extend even for days sometimes along with pain in the shoulders, back, and jaw.
The chest pain and discomfort prevalent with angina may be expressed as pressure, compressing, fullness or pain in the core of your chest. Some people with angina symptoms relate angina as feeling like a clamp is clutching their chest or feeling like a huge weight has been put on their chest. For others, it may feel like heartburn or gastric pain.Angina is typically triggered by emotional stress, extreme cold, and physical exertion.
Both angina and heart attack can give you a chest pain as both of them are two demonstrations in the continuum of the similar disease, so knowing the difference between the two stands vital in diagnosing the correct condition and more importantly get the appropriate treatment. With timely treatment, either of the attacks can be survived.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Deadlines to meet, personal commitments to attend, quick and unhealthy bites on the go, and hardly any time for your health. All these results in many lifestyle conditions, heart problems being predominant among them. Thousands of people in the India suffer a heart attack in a year. Don’t you think knowing the reasons behind heart problems is important to avoid suffering from one? Read on to know about Atherosclerosis, a condition that eventually leads to a block in an artery.
What is Atherosclerosis?
When the arteries start narrowing as a result of the plaque buildup, it is known as Atherosclerosis. It is also referred to as arteriosclerosis, which means that the arteries become very hard.
The blood vessels that are responsible for carrying oxygen and the necessary nutrients from the heart to the entire body are the arteries. As you grow older, the cholesterol and the fat starts getting deposited in the arteries, which lead to the formation of plaque.
Arteries are lined by the cell layer which is known as the endothelium. Atherosclerosis starts to develop when there is damage caused to the endothelium. This leads to the lipoproteins of low density getting accumulated in the wall of the artery. These lipoproteins are known as atheroma.
The pieces of the plaque may break off, and the flow of blood through the arteries is restricted due to the blood clot. Atherosclerosis may cause stroke, heart attacks, heart failure, and peripheral vascular disease if it is not treated properly. This disease can occur in any artery that is located in any of the body parts, which include the kidneys, the legs, or the heart.
What exactly happens?
Atherosclerosis starts when the arteries located in part of a person’s body become hard and narrow due to the buildup of excess fat in the artery walls. These damages lead to the development of plaque. The plaque starts creating a bump on the wall of the artery.
As the disease starts to progress, the bump starts to get bigger. This leads to a blockage. This process goes on throughout the patient’s body, placing his heart at a great risk. This may also lead to stroke or other serious health problems.
Once the disease starts progressing, it may lead to the rupture of the plaque lining. This causes the LDL cholesterol and the other unwanted substances to spill out in the blood stream. This leads to the blood clot, and the blood clot, in turn, may travel to any other body part, blocking the flow of blood to the nearest organ. The plaque can either stay in the wall of the artery, or it may start growing in the path of the flow of blood.
This disease progresses very slowly, and it may start developing in a person from his/her childhood. In adults, atherosclerosis is generally caused due to a high blood pressure, smoking, resistance to insulin, diabetes, obesity, or inflammation due to other diseases or lupus.
Maintaining a proper diet and exercising regularly can help to keep atherosclerosis in check.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Claudication is commonly known as limping. It is one of the many significant indications of Peripheral Artery Disease (PAD). It can also happen to patients having vascular problems like aneurysms. Claudication is generally a painful and uneasy sensation in a set of muscles of the limbs, thighs, or backsides. The pain is usually increased by movement and calmed with rest.
Peripheral Artery Disease (PAD) is the result of atherosclerosis, the inurement of arteries from the build-up of cholesterol plaques that collect on the internal coating of the arteries. This is common at splitting points of the arteries in the limbs. Obstruction of the arteries from these plaques result in reduced flow of blood to the leg muscles. This could be a problem when moving or working out, the muscles in the limbs need increased blood flow in order to upsurge the oxygen to the blood cells. Atherosclerotic plaques result in reduced blood flow and diminished oxygen. Due to this, the leg muscles often end up aching and burning due to insufficient presence of oxygen. This pain is often felt as cramps to the patient.
Pain in the limbs is the key indicator of claudication. Aching can be shrill or dull, aching or accompanied by soreness or burning. The extent of the Peripheral Artery Disease, the position of the plaque, plus the action of the leg muscles (walking or exercising or resting) control the harshness of symptoms and place of discomfort or agony.
Severe pain in the calf region is the typical place for cramps. This is because atherosclerotic plaques usually start out in the arteries furthest from the cardiac muscle. If the obstruction or formation of plaque is way up the leg, the agony from claudication could be felt in the thigh area. If the issue is in the aorta, symptoms can include pain in the bottoms or groin area.
Treating Claudication includes remedial therapy. These therapy sessions may or may not involve revascularization or angioplasty. Patients with claudication are given medical treatment aimed at reducing the pain. However, reduction of risk issues, physical activity, and using medicines that could improve the possible distance a patient could walk, is the chief aim of treatment.
Debilitating claudication that stops patients from working or living a regular life usually finds a resort in revascularization measures. These procedures comprise of percutaneous angioplasty and a surgical method that circumvents the blockage. Stenting of the congested vessels is also an option. However, now there are plenty of medications that can help in reducing its symptoms and assist the patient in being freely mobile.
Victims of claudication can take care of their pain with prescribed exercises and fitness schemes.
When you see someone faint all of a sudden, it leads to chaos around, and you are perplexed not knowing the reason. The sudden fainting or loss of consciousness is Syncope. Syncopal episodes are generally prompted by an unexpected, momentary fall in the flow of blood to the brain, leading to a person passing out and losing muscle control.
Falling causes blood flow to return to the brain, resulting in the person regaining consciousness. The duration of Syncopal episodes is generally for a few seconds or minutes, and it can happen to anyone regardless of age. It does sound scary to lose consciousness suddenly but educating yourself about the signs and symptoms, and the possible causes are the best ways to cope with Syncope.
The trademark sign of syncope is that the patient regularly passes out. The symptoms leading to such a black out episode include:
- Legs feeling heavy
- Blurry vision
- Being puzzled
- Rising body temperature
- Dizziness and the person going pale
- Epigastric distress
- Drop in blood pressure
- Weak pulse
Syncope can be triggered by an unresolved medical ailment or from sudden changes in the environment. Falling unconscious can also be caused by emotional stress. Other causes include severe pain or an uncharacteristically low blood sugar. Many people faint when they see blood. Syncope can also be prompted by extreme dehydration coupled with low blood sugar. Syncope can be due to a genetic disorder and can also be caused by a medicinal side-effect.
Ways to cope with Syncope
A person who has had syncopal episodes earlier must know a few things especially when he/she lives alone or while at work or outside. A few tips to manage when you feel a syncope episode is approaching:
- When you start feeling the symptoms react with anti-gravity approaches instantly. Either sit down with your head in between knees or lie down so that the blood flow to the brain is recovered.
- Seek for a safe and secure place to faint. This is crucial so that you are least hurt in case you fell unconscious.
- If you had fainted, when you regain consciousness take time to get on foot. Lie down for some more time and ensure that the blood flow is restored.
- Stay hydrated after the episode and it is a good practice to stay well-hydrated always.
Syncope is fairly common, but it is generally people above eighty face a larger risk of being hospitalized due to it the problem. In case one thinks that he or she is facing syncopal episode, they must consult a doctor immediately and get all the necessary tests done to handle it properly.
Hypertension is indeed a growing issue in today’s world. Hypertension can adversely affect your body leading to grave health disorders. But with proper care, you can keep your blood pressure under control and thus save yourself from the harmful effects of it. Here are some facts about hypertension that you must know.
#1 Sleep apnea is common in patients with hypertension
Patients who suffer from hypertension are often seen to suffer from sleep apnea. In this condition, the person suddenly feels short of breath and stops breathing. They even feel drowsy throughout the day.
#2 Hypertension is very closely related to heart diseases
Cardiovascular diseases are quite attached to hypertension. People having hypertension are often found to have the problems of atherosclerosis, high cholesterol and even have the proximity to have a heart attack.
#3 Hypertension is one of the leading causes of death
One out of every five adults suffer from the problems of hypertension. According to various research works, it has been proven that most of the death cases above the age of 50 or 53 die due to hypertension or hypertension-related problems.
#4 Getting a pet can help in keeping blood pressure under control
Getting a pet has been proven to reduce the risk of hypertension. The humorous moments in life work together in reducing your risk towards reducing the risks of hypertension.
#5 Get adequate sleep
An adequate amount of sleep is vital not only for to manage hypertension but also to stay away from other health disorders, as well. Research has proven that if a person gets less than six hours of sleep each night, then he/she is bound to have higher risks towards hypertension.
#6 Avoid unnecessary stress
Don’t take too much stress in life. If you avoid stress, you will find most your health problems disappearing. You should never take any medications for reducing stress like amino acids or phenylalanine.
#7 Avoid taking unnecessary drugs
Some people start taking drugs to reduce their high blood pressure and bring it to a normal level. This is not good as it sometimes leads to another grave condition called hypotension. Hypotension, in turn, can lead to vomiting and nausea. Hence, regular follow-ups with your doctor are essential.
#8 Tendency to have stroke
People who suffer from hypertension also tend to have a stroke. Figuratively, around eight out of ten individuals who are having high blood pressure also suffer from a stroke.
#9 Living in a warm climate is recommended to people having hypertension
Research studies have proven that blood pressure also fluctuates with the weather. It stays on lower margins in the summer and at a higher range in winters. This is because, at a lower temperature, the blood vessels become constricted, and so they exert more pressure to normalize the flow of blood.
#10 Hypertension leads to kidney disease
One of the major risk factors for heart disease is the tendency to develop kidney disease.
These are some of the lesser known facts about hypertension.
A heart attack and Cardiac Arrest may sound like terms that have the same medical meaning. They are not. While a heart attack occurs when the flow of blood to the heart is blocked, a cardiac arrest occurs when the heart stops to beat. You might want to know the causes behind the conditions and the symptoms and signs that one may experience. Read on to know about them.
What is a heart attack and what is a cardiac arrest?
When the flow of blood towards the heart gets blocked, a heart attack occurs. This may be due to a clot in the arteries or plaque buildup on the walls of the arteries. A sudden cardiac arrest occurs when the affected individual's heart malfunctions as well as it stops to beat all of a sudden.
Thus, it is evident that heart attack is actually a circulation problem whereas cardiac arrest is an electrical problem. During a heart attack, blood rich in oxygen is not allowed to reach a particular part of the heart because of a blocked artery. If quick treatment is not done for reopening the blocked artery, then that specific section of the heart which receives nourishment from that artery tends to die.
In cardiac arrest, as the heart stops beating unexpectedly, so organs like brain, lungs, etc. also stop receiving blood. It results in a sudden fall in blood pressure as well as the circulatory system tends to collapse. Usually, the affected individual loses consciousness because the flow of blood to the brain decreases. Death might follow if emergency treatment is not carried out immediately.
Quite like the conditions are different, the symptoms are also different. Here are some of the most common symptoms of both heart attack and sudden cardiac arrest. It will assist you in understanding that both these health issues are different.
Symptoms of a heart attack:
Pressure or pain in abdomen or chest, trouble breathing, sweating, dizziness, chest tightening feeling, pain that spreads to arm or jaw, losing unconsciousness, heart palpitation, etc. are some of the basic signs. According to studies, nearly one-thirds of the heart attack patients do not undergo chest pain during heart attacks.
Particularly women experience atypical symptoms other than the ones that are mentioned above. Few of them include gastric pain, vomiting, nausea, breathing problem without any chest pain, getting unconscious, etc.
Symptoms of Cardiac Arrest:
Collapse, dizziness, trouble in breathing, chest pain, blue discoloration of face, etc. are the most common sudden cardiac arrest's signs. A huge number of people who experience cardiac arrest do not experience any symptoms at all.
Though both heart attack and cardiac arrest are linked to each other some way or the other, yet they are different. However, both the conditions need immediate medical assistance, an absence of which may prove fatal.
There is no fixed definition for the best diet. It solely depends on the health condition, requirement, and restrictions of a patient that a diet can be planned that can help deal with or prevent a particular health threat while ensuring overall good health.
Cholesterol is becoming a widely known threat responsible for inflammation and forming blood clots which may lead to strokes and heart attacks. Since it is a growing concern, it is recommended the patient follows a proper diet that can help in keeping the cholesterol level in the blood under control. To make such a best diet, below are few necessary and practical tips.
Opt For Healthier Fats
One must remember that the saturated fat found in the dairy products and red meat raise the level of the bad cholesterol or LDL, instead of reducing it. Receiving around 7 percent of the regular calorie need of the body is necessary from saturated fats. Therefore, one needs to opt for healthier saturated fats, such as canola or olive oils, monounsaturated fat products, low-fat dairy products, etc.
Increase the Intake of Fiber
The more the sources of fiber will be there in one’s diet, especially the soluble ones, the more health benefits one can have from that diet regarding the cholesterol reduction. Fresh fruits, oat bran, oats, beans, vegetables, and lentil are excellent sources of fiber and must be there in one's diet to make it the best.
Avoid having Trans Fats
Trans fats are known to increase the bad cholesterol(LDL) and reduce the good cholesterol (HDL). Therefore, eliminating sources of trans fats from one's diet will automatically contribute to keeping the cholesterol levels under control. Usually, it is the fried foods, various commercial products such as snack cakes, crackers or cakes, junk foods that are filled with trans fats and must be avoided.
Include Whey Protein
Whey protein has found to be a good source of reducing LDL or low-density lipoprotein and maintaining a balance in the overall cholesterol production inside the body. Therefore, including foods like ricotta cheese, yogurt, cereals, oatmeal, etc., each of them being rich in whey, can be a smart way of making one's diet more heart-friendly.
Add Omega 3 Fatty Acid Rich Foods
To make your diet a cholesterol reducer, try eating foods that are rich in omega 3 fatty acid. Though this particular fat is not associated with affecting the LDL cholesterol, it helps in the good cholesterol or HDL level in the blood, reducing both the triglycerides in the blood and blood pressure. Walnuts, ground flaxseeds, almonds, fishes like salmon, herring and mackerel are a few good sources of omega 3 fatty acid.
Apart from making the diet healthier and heart friendly, one should consider making some lifestyle changes such as to exercise regularly, to quit smoking, etc., to make the diet more effective and its results long-lasting.
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
Consult an Expert & get answers to your questions!
Sudden cardiac death occurs when your heart stops functioning unexpectedly and suddenly. When this happens if you experience sudden cardiac arrest and blood stops flowing to the brain and other vital organs. Sudden cardiac arrest usually results in death if it is not treated within minutes.
Occurring during a heart attack, the sudden cardiac arrest should not be mistaken for a heart attack. The immediate cause of sudden cardiac arrest is usually an abnormality in your heart rhythm, which is the result of a problem with your heart's electrical system. Your heart has its own electrical stimulator, which is a specialized group of cells called the sinus node located in the upper right chamber of your heart. The sinus node generates electrical impulses that flow in an orderly manner through your heart to synchronize heart rate and coordinate the pumping of blood from your heart to rest of your body.
If something goes wrong with the flow of these electric impulses through your heart, a condition known as arrhythmia occurs, causing your heart to beat too fast or too slow or in an irregular manner. Often these interruptions in rhythm are momentary and harmless. But if it is severe it can lead to a sudden stop in heart function.
Ventricular fibrillation is the most common life threatening arrhythmia which is the uncontrolled twitching or quivering of muscle fibers. It must be treated immediately to save a person's life. It can be treated by delivering a quick electric shock through the chest.
There are many risk factors that increase the risk of sudden cardiac death including the history of previous heart attacks, coronary artery disease, smoking, hypertension, high cholesterol, obesity and diabetes.
Heart failure occurs when the heart fails to pump blood around the body and organs for oxygen and nutrients. As blood moves through the heart and body at a slower rate, pressure in the heart increases. The chambers of the heart stretch to hold more blood to be able to pump through the body. This helps the blood to move but eventually the heart muscle walls weaken, unable to pump blood efficiently. The kidneys, in response cause the body, to retain fluids. The leakage of fluid in the tissues and the organs congests the heart, leading to heart failure.
Any of the following conditions can be responsible for weakening the heart and causing heart failure.
1. Coronary artery disease: this is a disease of the arteries supplying blood and oxygen to the heart that causes decreased blood flow to heart muscle. If the arteries get blocked or narrowed (due to the buildup of fatty deposits), the heart fails to get oxygen and nutrients, which may eventually lead to heart failure.
2. Heart attack: if the artery becomes suddenly blocked or the plaques formed by fatty deposits rupture, it can lead to a heart attack. This happens due to the formation of a blood clot which may block blood flow to an area of heart muscle.
3. High blood pressure: high blood pressure puts an extra strain on the heart for it to work harder to circulate blood throughout the body. As a result, the heart muscle may become stiff or weak to effectively pump blood.
4. Heart muscle weakness: this condition can have many causes including diseases, infections, drug and alcohol abuse. Genetic factors may also contribute to the weakening of heart muscles.
5. Other diseases: chronic diseases like diabetes, HIV, hyperthyroidism or a buildup of iron or protein can also lead to heart failure. If you wish to discuss about any specific problem, you can consult a Cardiologist.