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Lokmanya Tilak Municipal Medical College, Mumbai

Cardiologist Clinic

Lokmanya Tilak Municipal Medical College, Mumbai Dr. Babasaheb Ambedkar Road, Sion (West), Mumbai, Maharashtra - 400022 Mumbai
1 Doctor
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Lokmanya Tilak Municipal Medical College, Mumbai Cardiologist Clinic Lokmanya Tilak Municipal Medical College, Mumbai Dr. Babasaheb Ambedkar Road, Sion (West), Mumbai, Maharashtra - 400022 Mumbai
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Lokmanya Tilak Municipal Medical College, Mumbai
Lokmanya Tilak Municipal Medical College, Mumbai is known for housing experienced Cardiologists. Dr. Pratap J Nathani, a well-reputed Cardiologist, practices in Mumbai. Visit this medical health centre for Cardiologists recommended by 86 patients.

Timings

MON-SAT
09:30 AM - 04:30 PM

Location

Lokmanya Tilak Municipal Medical College, Mumbai Dr. Babasaheb Ambedkar Road, Sion (West), Mumbai, Maharashtra - 400022
Sion Mumbai, Maharashtra - 400022
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Doctor in Lokmanya Tilak Municipal Medical College, Mumbai

Dr. Pratap J Nathani

MBBS, MD , DM
Cardiologist
33 Years experience
Available today
09:30 AM - 04:30 PM
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Hereditary Heart Diseases - 10 Must Know Things To Manage It!

MCh - Cardio Thoracic & Vascular Surgery, MBBS, MS - General Surgery
Cardiologist, Bhopal
Hereditary Heart Diseases - 10 Must Know Things To Manage It!

While you may be worried about being affected with coronary diseases just because your forefathers suffered from it, there are various factors that are absolutely in your sole control. With a little change in lifestyle and following a well-regulated routine, you can easily keep your hereditary cardiac diseases at bay.

  1. Take a Healthy Diet Regularly: Increase the amount of green leafy vegetables and colourful fruits in your regular diet as they are rich in phytonutrients and other anti-oxidants, vitamins, fibres, minerals as well as anti-inflammatory molecules that would increase your immunity.
  2. Regulate Your Blood-Sugar Level: Studies show that blood sugar is a great contributor to cardiac diseases. So try to replace your high-carb diet with loads of fibre, protein and healthy fats to keep your blood-sugar level in control.
  3. Increase the Intake of Fibre: Try to increase the amount of fibre in your food chart by having lots of fresh fruits and vegetables, nuts and soya so that it amounts up to at least 50 grams a day. You may even include fibre supplements in your diet.
  4. Stay Away From Processed and Junk Food: We know you are crazy about fast food, but you must also include sodas, processed jams, fruit juices and soft drinks as well, which are the greatest contributors to diabetes and in turn lead to heart diseases.
  5. Increase the Intake of Omega-3 Fatty Acids: Try to include cold-water fish like sardine, salmon and herring along with flax seeds and sea weeds. This 'good' fat would keep your cholesterol level in check and lower down the amount of malicious LDL levels and transform them into harmless LDL particles.
  6. Get Rid of all Hydrogenated Food: This implies that you should abstain from having cookies, margarine, baked stuff and crackers. Don't be fooled by the label saying, "no trans-fat" and instead look for healthy coconut, olive or sesame oil.
  7. Abstain from Consuming Alcohol: Alcohol can do no good to any organ of your body. Instead, it triggers the amount of triglycerides, causes fatty liverand creates sugar imbalance in your body. By reducing alcohol consumption you can reduce inflammation, which causes various chronic diseases.
  8. Have good quality supplements: Along with having a healthy diet and workout, you must try to take in multivitamin and mineral supplements regularly to keep fit and active all around the year.
  9. Exercise Regularly: Researches report that a minimum of half an hour's exercise is required by our body regularly. After all, the heart is a muscle, and you must work out regularly to keep it healthy for a longer span.
  10. Manage your Stress Levels: Stress alone can lead to a fatal heart attackwithout prior signal. Take the time out to indulge in yogameditation, tai chi or anything that would keep your stress levels under control and help you to lead a happier, healthier life.

These 10 easy ways will help you to prevent cardiac diseases; but you must consult a responsive cardiologist at the earliest.

4 people found this helpful

Bp systolic 138 and diastolic 80 what should I do to reduce blood pressure. It this hypertension or not.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Bp systolic 138 and diastolic 80 what should I do to reduce blood pressure. It this hypertension or not.
According to new guidelines you are but not according to old guidelines which I follow Your High BP is a lifestyle disease which does not need any medicines and can be reversed naturally through lifestyle and diet changes only Medicines will not work for any lifestyle disease. They only put a temporary fix and do not cure permanently. Change your doctor if he is not offering natural solutions to reverse high BP, and telling you to take medicines lifelong which is wrong unless you have developed the complications of high blood pressure. Identify the triggers of BP and fix them with individualized dietary plans .General guidelines may or may not work for everybody. BP medicines can cause serious side effects Read about your medicines otherwise you will land up with new complications. Doctors lack nutrition knowledge, may have vested monetary interests ,do incomplete lab testing and do not find the root cause of high BP. Never believe in the lies told by doctors that you have to take BP medicines lifelong. They are completely misguiding you. Master health check ups and Full body checkups done in high tech hospitals and labs are incomplete because they are doing tests based on your disease or symptom and never focused on the whole patient and the root cause of the disease you have. Send feedback with name ,contact number and take consultation, if you want to reverse your high BP without medication naturally. Get rid of your BP medications for ever by fixing the root cause of elevated BP and this needs a consultation for detailed history taking, doing the right testing and getting the right dietary plan and advice from me the only lifestyle and wellness trained Physician from USA. Get educated and never medicated for BP. Let food and lifestyle be your only medicine to reverse your high blood pressure permanently.
1 person found this helpful

My son 12 years he suffering from breathing problems he is not breathing with mouth while sleep.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
It can be of multiple reasons. The most common one is the obstruction of nose due to the presence of tissue called Adenoid. It is present in child hood and slowly becomes smaller. It is usually bigger is children with allergic problems causing the feeling of nose block which make the child breath through mouth. The said symptom can also cause due to nasal septum bend. Using medication can resolve the adenoid issue to a great extend.

Hi, My father age is 70 year. He had blood pressure problem. Bp is 110 / 200. Medicine bhi le rahy hai. Fir bhi normal nahi ho rha hai. Losartan name ki dwai bhi lete hai. Aur koi bimari bhi nahi hai. please suggest some treatment.

BHMS
Homeopath, Hyderabad
Hi, My father age is 70 year. He had blood pressure problem. Bp is 110 / 200. Medicine bhi le rahy hai. Fir bhi norma...
Please go for a review with the doctor (sometimes it important to go for review and monitor the situation till it gets better ). You can discuss about your father's lifestyle and try to implement healthy lifestyle changes. Read more about it from the internet and adapt the good habits (especially adapt healthy diet and exercise ). If needed your doctor will change the medicine and observe for the body to respond.

Cholesterol - The Actual Monster Of Fast Moving Society!

BHMS Bachelor of Homeopathic Medicine and Surgery
Homeopath, Delhi
Cholesterol - The Actual Monster Of Fast Moving Society!
CHOLESTEROL

Cholesterol is a type of fat found in the body and is needed for vital body functions such as building new cells, producing hormones & insulation.
The liver makes all the cholesterol which is required by the body.
Cholesterol is of two types:
  1. LDL (bad)
  2. HDL (good)

LDL means a high chance of cardiac disease, while HDL means less
or decreased risk
Cholesterol increases the inflammatory disease of the arterial walls called as atherosclerosis in which there is blocking of artery due to fat deposition, which ultimately leads to heart attack.
Normal levels: 200 mg|dl
 
CAUSES:
  • Hereditary i.e. it runs in the families
  • Obesity.
  • Sedentary lifestyle (no walk no exercise)
  • Mental stress.
  • Diabetes
  • Steroids abuse
  • And other diseases of the thyroid (Hypothyroidism), kidney & liver.
SIGN & SYMPTOMS:

They are hard to find and high cholesterol is quite often detected in routine tests only
Pain in chest
Obesity
Diabetes
Impotency may be due to arteries affected by excessive blood cholesterol.
Muscle pains
An increase in the blood level of cholesterol does not have any obvious symptoms. But is a risk factor for other conditions such as angina (pain in chest), Atherosclerosis, Heart disease, Highblood pressure & Stroke
 
DO & DONT'S:

Check your diet. Not more than 30% of total calories should be from fat.
INSTRUCTIONS FOR LOW CHOLESTEROL DIETS.
1. Do not use any hydrogenated fats e.g. ghee, butter, margarine
(unless specified), vanaspati, coconut oil, and palm oil. Use instead safflower (karadi) oil, soya bean oil, sunflower oil, dietary, saffola, mazola or corn oil.
2. Avoid egg yolks and foods containing egg yolks e.g. mayonnaise, cakes, sauces, although egg white only is permitted.
3. Avoid all foods baked with fat (shortening lard etc.)e.g. cakes, pies, doughnuts etc.
4. Avoid whole milk, cream, cheese, whole milk curds and sweets made with concentrated milk e.g. gulab jamun, shrikhand, Mawa, chocolates et. Use only skimmed milk and its preparations, paneer made from skimmed milk can be used
5. All organ meats are to be avoided e.g. kidney, liver, brain,
sweetbreads etc. Fat should be trimmed of all meat before use.
Deskin chicken before cooking. Avoid pork, ham and bacon. Avoid shellfish, clams, prawns, lobsters, fish roe, and fish liver oil. Use, fish and deskinned chicken. Meat used should be lean and its use judicious. Stews and meat stock if made earlier can be chilled and the congealed fat should be scraped off and discarded.
6. Nuts all nuts are permitted except groundnut, cashew nuts which
must be avoided.
7. Decrease the use of refined foods in your diet, e.g. maida, cornflour, spaghetti, macaroni etc. Increase and include instead, high fiber foods e.g salads, greens, chapattis (made with atta), leafy vegetables etc.
8. Roast and boil foods on a rack so fat can drain off. Make use of non-stick vessels/pan and decrease consumption of fats and oils whilst cooking

INSTRUCTIONS.
1.Follow maintenance Diet-Controlled carbohydrate, controlled and modified fat, low cholesterol
Control the carbohydrate foods that you eat. Carbohydrate (sugar and starch) foods are limited. This means that sugar is not allowed, jaggery, honey and refined foods e.g. macaroni, spaghetti, bread, biscuits should be limited. Free Foods i.e. Foods Allowed.
Clear Soup Soda
Coffee Flavoring Essence
Herbs Vinegar
Mustard Spices.

Suggestions for Meals away from Home.
When you eat out daily, it is wise to select one particular restaurant some of your food requires special preparation. A regular customer is more like to receive special attention.

MEAT:
Trim off all fat. The safest choice is a chop, steak, chicken (deskinned) or fish. Request that the meat be made without fat. e.g. Tandoori Chicken, grilled kababs, tikkas.

VEGETABLES:
Most Vegetables are not limited. However, avoid those that are made in cream (malai) e.g. Vegetable Makhanwalla; cheese or whole milk. Ask that your serving of vegetables be made without fat.

SALAD:
Avoid salads with creamy dressings, mayonnaise, and cheese.
Instead, take Kachumber or mixed salads etc.

FAT:
Limit the amount according to your diet plan.

BREAD:
Limit according to your diet plan. Avoid, rolls, biscuits, muffins, take instead phulka, chapattis, bhakri etc.

BEVERAGE:
Skim Milk, Thin lassi (non-sweet) lie juice (non-sweet), fresh lime and soda, coconut water, tomato juice (not tinned, non-sweet) tea/coffee (non-sweet) these are allowed.

DESSERT:
For dessert choose a fresh fruit (not tinned) e.g fresh papaya slice, watermelon slice, plums cherries, fresh orange etc.
 
CONSULT YOUR DOCTOR:

If you see soft, yellow skin growth on yourself or your children.
If you experience symptoms due to increase in cholesterol
contact For example
Pain in chest.
Pain in legs.
Dizziness
Unsteady gait
A thick speech.

I feel pressure on chest while climbing the stairs my heart starts pounding and throat and mouth gets dry. Please suggest me.

MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
I feel pressure on chest while climbing the stairs my heart starts pounding and throat and mouth gets dry. Please sug...
Hello, and sorry to hear how you are feeling. It may be an overall fitness issue. However, if you are getting these symptoms, it might be worthwhile getting an exercise treadmill test done. This way, the heart rate and blood pressure can be monitored when you are walking up a slope on the treadmill. The doctor will be able to see if you have any problems then.
2 people found this helpful

Hello sir, my spouse is suffering from low bp for long. At that time more vomiting occurs and and she couldn't take anything to eat even water also. How can we treat this?

MBBS
General Physician, Mumbai
Dear lybrate-user, - To raise her BP she should have plenty of oral fluids including 2-3 litres of water per day - have a well balanced diet with more of fruits, vegetables including green leafy ones, whole grains instead of refined ones, protein foods - sprinkle a pinch of salt on food before consumption - also check blood hemoglobin & thyroid hormone levels if not done so - also should do regular exercise like walking & yoga daily for 20-30 min.

I am facing sharp spikes in chest for few seconds. This has been happening since 2 days. Left ribs are also having pain. Pain is felt when in turn in sleep too. I don't smoke or drink. Age 30, no family history. Are these syptomls related to cardiac?

BHMS
Homeopath, Noida
I am facing sharp spikes in chest for few seconds. This has been happening since 2 days. Left ribs are also having pa...
Do this pain aggravates when exerting or walking etc. With breathlessness and is better when you rest. Are you having any type of cold or cough or breathlessness. What are other symptoms that you r experiencing. It can be cardiac or lungs may be involved or gastric in origin. You need to consult some general physician for a checkup. As you should not ignore these symptoms.

Open Heart Surgery - What All Should You Know

MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Open Heart Surgery - What All Should You Know

Open heart surgery is a complicated heart procedure. Howeevr, it is still an important surgical procedure to fix critical heart ailments.

Here is a quick fact-checker about this procedure:

  • The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
  • Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
  • This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
  • The recent trend is that the doctor can achieve the same result with beating heart CABG where heart does not need to be stopped just to avoid the complications of heart lung machine Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Subsequently, the patient is taken off from the heart-lung machine.
  • The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
  • It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg.
  • The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
  • One has to usually deal with heightened emotions after an open-heart surgery. 

Multivessel Stenting Vs Bypass Surgery - Which Is Better?

MBBS, MD - Medicine, DNB (Cardiology)
Cardiologist, Pune
Multivessel Stenting Vs Bypass Surgery - Which Is Better?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed?

Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better?

In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay.

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