Doctor in Kulkarni Hospital & ICU
Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
Submit a review for Kulkarni Hospital & ICUYour feedback matters!
I am 60 year old having high blood pressure for last 5 years. Taking medicines pinohm H 40. Now I was detected diabetes. Hb1c is 8.5 And fasting 175 and pp is 230. Dr. advised to take glynase mf 5 mg/500 mg. Is it proper? please advise.
1) High Dietary Salt/Sodium intake - >5gms salt/>2.3 gms of salt per day increases the risk of developing BP at early age.
2) Smoking or consuming tobacco products like khaini etc (even occasional consumption can be harmful).
4) Lack of exercise and physical activity - Daily 30-40 mins of exercise or brisk walking is absolutely essential to remain healthy and avoid BP and heart problems.
5) High Cholesterol can lead to blockages in arteries of various organs, which in-turn leads to high BP. Hence getting cholesterol checked annually can help in diagnosing it timely.
I am 32 years old my family has history of BP, Heart diseases ,i am regular in gym I just want to ask that is there any general medicines which we can use in order to prevent from BP heart disease ,control cholesterol.
Good evening sir or mam, I have cholesterol. I am also going for walk. Please advice or give me diet chart. I have also weight gaining. 90 kg se 91 kg ho gya hai sir.
Renovascular hypertension is also known as renal hypertension. This can be defined as a rise in blood pressure because of partial or complete blockage of the renal arteries. It may be caused by a blockage in only one artery or multiple arteries. This condition does not usually exhibit any symptoms unless it is a long-standing condition. Renovascular hypertension may be caused by a narrowing of one or both renal arteries or fibromuscular dysplasia. It can also be affected by kidney disease.
Without treatment, renal hypertension can affect a number of other organs. In extreme cases, it can even be fatal by causing kidney failure, heart attacks or a stroke. Hence, an early diagnosis and treatment is a must. Medication is usually the first form of treatment advised by a person. This takes the form of ACE inhibitors and angiotensin II receptor blockers. However, in some cases, taking both types of medication may still not be enough to reduce renal hypertension. In such cases, surgical procedures may be required. Surgery has longer lasting results and it helps control hypertension to a much higher degree as compared to medication. The results of a surgical procedure are also quicker.
The most common surgical procedures used to treat this condition include:
- Angioplasty: This is a minimally invasive procedure that does not always require hospitalization. The procedure involves threading a catheter through a large artery in the groin and taking it to the renal artery. The catheter is then used to inflate a balloon in the renal artery for a few minutes. This helps widen the artery and increase the blood flow rate.
- Stenting: This can be considered an extension of an angioplasty. Along with the balloon, a wire mesh stent is also expanded in the renal artery. Though the balloon is later deflated and removed the wire mesh is left in place. This helps keep the artery open and improves blood flow.
- Bypass Surgery: This procedure is an open abdominal procedure for which the patient is put under general anesthesia. A bypass surgery is usually considered only if an angioplasty and stenting are not viable forms of treatment. This procedure involves sewing a healthy blood vessel in place beside the renal artery and redirecting blood flow to this blood vessel. This blood vessel may be harvested as part of the aorta. Bypass surgery is the most effective form of treatment and has the longest lasting results. In case you have a concern or query you can always consult an expert & get answers to your questions!
1. What is a Pacemaker?
Pacemaker is a small battery operated device that can be used to keep the heart beating when the normal electrical conduction of heart becomes diseased. It consists of one pulse generator which contains the battery as well as software and is implanted under muscle or skin under the shoulder. And wires which are connected to the heart and act as electrical wires for conduction.
2. What are the types of pacemakers?
There are many types of pacemakers available today.
- Temporary Pacemakers - these are used temporarily when there is a reversible cause of disease or as a bridge before the permanent pacemaker can be implanted.
- Permanent pacemakers - these are small devices which can be implanted permanently in the body by making a small cut in the body. They are available in many different types.
- Capsules pacemakers - These are small capsule shaped devices which can be put in heart and control the conduction from there.
3. What are the different types of permanent pacemakers?
Many varieties of Permanent pacemakers are available in the market and are advised depending on the type of disease. The cost varies depending on the type and models. Single chamber pacemakers - which pace only one chamber of the heart. requiring only one wire. Dual chamber pacemakers - which pace both chambers of the heart and require two wires. MRI compatible version of all these pacemakers are now available as well.
4. How is pacemaker implanted in the body?
The procedure is done with local anaesthesia, in a cath-lab and can take 2-3 hrs. A small cut is put under the shoulder and the device is put beneath the muscle plane. The cut is then stitched and dressing is done. The stitches are cut or dissolve (if dissolvable sutures are used) in 5-10 days and the patient is discharged the next day after implantation on some pain killers and antibiotics. A small 5 cm scar can be seen at the implant site, and in case sutures are done by a plastic surgeon even that may not be visible.
5. Can I do normal activities after getting a pacemaker implanted?
Yes. The patient can walk and travel right from the next day after the procedure. There are few precautions that are advised for a month and after that you can do all of your routine normal activities. You can use electrical equipments, microwaves, phones etc. In fact people play tennis, do swimming and other sports after pacemaker. You will be provided with a list of precautions post procedure. And will need to get routine follow up every 3-6 months with your cardiologist for checking of device parameters and battery life.
When the battery of device becomes low the cardiologist will advice you for a pulse generator replacement. In case you have a concern or query you can always consult an expert & get answers to your questions!
What is High Blood Pressure?
High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control. In case you have a concern or query you can always consult an expert & get answers to your questions!