Symptoms and diagnosis of Coronary Artery Blockage
Hello everybody. This is Dr. Rohit Sane, medical Director, Madhavbaug. I've done my MBBS, I've done my fellowship in Cardiac Rehabitilation from Apollo Hospital. Today we'll be talking about the blockages in the coronary artery and the fate of these blockages in the coronary artery.
Many a times we're afraid by only the term Blockages. We need to understand the science of the whole disorder as such so as to treat it on good terms. Now what can a blockage do in my coronary artery, is a simple question. This blockage can either give me symptoms of chest pain or else the second symptom a blockage can give, a blockage patient can present with is breathlessness on exertion. So one is chest pain and other is breathlessness on exertion. Now, we need to know exactly what this blockage is affecting our heart muscles by, whether it's reducing down the blood supply and resulting into my angina or else chest pain or whether it has reduced down the efficiency of my cardiac muscles and leading to breathlessness on exertion.
To diagnose this what are we supposed to do after an angiography has been done is a very simple test called as the stress test. From a stress test we need to identify whether these blockages has lead to two different disorders, which of them has been started in our body is needed to be understood by a simple stress test. Now, these two disorders, one is angina which is a systemic heart disease and second is breathlessness on exertion called as chronic heart failure.
Now when we conduct a stress test you just need to walk about 9 minutes in a Bruss's protocol or else 15mins on a modified Bruss's protocol on a treadmill while the ECG is monitored by the doctor. When you walk on this treadmill for a specified protocol, for a specified duration of time, the ECG is monitored for ECG changes. If at all while walking you feel chest pain ir ECG changes that means the blockages are creating some problems with the blood supply to your heart muscle. But many a times you walk on the treadmill without getting chest pain, without getting ECG changes but at the same time while walking you feel a different type of symptoms called as breathlessness as you walk.
Consider you should be able to walk for 15mins in the treadmill and maybe after 9th minute you start feeling breathless on the treadmill and we've to stop it because of your breathlessness, then what do we infer from this is that your blockages are leading to a disease condition called as chronic heart failure, where in your heart muscle is not able to pump so as to commensurate with the requirement of your body. Hence, only diagnosing a blockage is not a complete diagnosis. Once a coronary angiography has been done and you've been diagnosed with blockages, the next thing that is needed to be done is to perform a normal exercise tolerance test by which you come to know what is the exact fate of these blockages. These blockages as I said earlier can either lead to angina or can lead to chronic heart failure which represents as breathlessness due to exertion. So, as soon as we conduct the stress test the right type of treatment whether on chronic heart failure or whether on systemic heart disease can be performed as to relieve you out of your symptoms.
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How to treat Coronary Artery disease?
Hello. This is Dr. Rohit Sane, Medical Director of Madhavbaug. I've done my MBBS, I've done my fellowship in Cardiac Rehabitilation from Apollo Hospital. Today we'll be talking about blockages and the available treatment options on this disorder. Normally we call this as blockages but the medical term for this is atherosclerosis or else coronary artery disease. Now whenever a blockage has been identified in you coronary artery the search for n number of treatment options begins. We need to understand what all treatment options are available for treating a blockage coronary artery. Now, as all of us know there are many invasive options in which we can invade the coronary artery with angioplasty or else we can open the whole thorasic cavity with bypass surgery. Or else there are non invasive therapies also.
Now we need to understand what to take as a decision when a coronary artery has been blocked. What will lead to our decision are typical simple parameters that we need to assess. Consider that I've been diagnosed with a coronary artery blockage. The next thing I'm supposed to do is to perform a stress thallium. Angiography helps me to diagnose whether I've a blockage in my coronary artery or not. Now once I've been diagnosed with a coronary artery the next thing I'm supposed to do is to undergo a stress thallium. Now, the question arises why. Stress thallium will give you two inferences, the first one whether this blockage has resulted into any damage in your coronary artery or not. And second whether this blockage is really blocking your blood supply to your heart muscles or not. Based on these two parameters we can take the next option whether to go for invasive therapy or whether to go for non invasive therapy.
Talking about non invasive therapy can the blood supply to the myocardium be increased with it? Yes. there are n number of invasive therapies which can help you to increase blood supply to the heart muscle. The only thing that decides whether to go for invasive or non invasive therapy would be some type of stress thallium or a normal stress test. A simple stress test where in you have to walk for about 15mins on a modified Bruss's protocol or else 9mins on Bruss's protocol with a typical ECG which is monitored by the doctor. If at all you get this stress tolerance test, whether it be thallium or a normal stress test, if you get your stress tolerance test done, based on this report we'll be able to take a decision whether to go for invasive or whether to go for non invasive therapy.
So, a simple parameter which is called as MET value, which is nothing else but the exercise tolerance capacity of your heart muscle. As your MET value is a clear indicator of your exercise tolerance capacity of your heart muscle, this will help us to decide whether to go for invasive or whether to go for non invasive treatment options. Thus, if at all a coronary blockage is identified in your heart with angiography the next thing you got to do is get a stress tolerance test done which will help you to take a good decision in the future.
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Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.
What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.
The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.
What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-
- Joint Hypermobility Syndrome
- Faulty Gene
- Siogren’s Syndrome
Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:
- Orthostatic Hypotension: Orthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
- Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
- Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.
When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.
Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.
1. Chest pain or discomfort - This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.
2. Excessive sweating - If you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.
3. Difficulty in breathing - Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.
4. Nausea and frequent stomach problems - If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.
5. Exhaustion - If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.
A heart attack is caused if the blood flow to the heart is obstructed. The disruption in the flow of blood destroys a part of the heart muscle and may prove to be fatal if not treated right on time.
Not every heart attack starts with a sudden crushing pain in the chest. In fact, about 30 per cent of the cases haven’t yielded any such symptom. However, the signs may vary from one person to another:
- Heart attack might start slowly causing only mild discomfort or pain initially. The symptoms happen to be sudden and intense, persisting for several hours.
- Mostly heart attack induces pain on the left side or the center of the chest. The discomfort generally persists for a few minutes. It can even result in a feeling of indigestion or heart burn, fullness, squeezing and pressure which can turn from mild to severe.
- One might also experience an aching sensation in the upper stomach, jaw, neck, shoulders, back or both of the arms.
- Shortness of breath is one of those very common symptoms.
- Other common symptoms include excessive sweating, exhaustion, vomiting, nausea, sudden dizziness or light-heartedness.
How can you tell a heart attack from a mere panic attack?
Panic attack occurs even more suddenly and induces intense fear, extracting extreme reactions for something relatively harmless. Once the attack subsides, one usually feels week on the knees and tender near the gut. Some of the symptoms exclusive to a panic attack include a feeling of detachment, numbness, hot flashes, chills and tightness experienced in and around the throat, tremors (primarily of the hands) and a constant fear of losing control or of an impending danger.
Although many indications of a heart attack might happen to overlap with those of a panic attack, there are still a few noteworthy differences between the two. Watch out for those signs and get yourself diagnosed properly.
Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.
Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.
Type 2 Diabetes and Pre-Diabetes
- What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
- Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
- Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
- If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
- Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.
Portion size control for pre-diabetics
- You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
- Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
- This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
- And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
- Remember, proper serving size is crucial to preventing full-blown diabetes.
- Let’s take a look at how you can do this as a pre-diabetic-
Essentially, portion control for pre-diabetics is geared towards managing
- Calorie intake, especially important for those carrying extra body weight
- Carbohydrate intake
Managing calorie intake
- Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
- Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
- This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
- Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.
Managing carbohydrate intake
- Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
- Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet. If you wish to discuss about any specific problem, you can ask a free question.
Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.
For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.
A moderate heart rate may make you:
- Feel blurry eyed or woozy.
- Feel short of breath and feel that it’s harder to work out.
- Feel tired.
- Have neck pain or an inclination that your heart is beating or rippling (palpitations).
- Feel bewildered or experience difficulty concentrating.
- Black out, if a moderate heart rate causes a drop in pulse.
A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.
How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:
- In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
- In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
- In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.
Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:
- Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
- Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
- Getting more fit in case you have to, and maintaining a solid weight.
- Not smoking.
- Overseeing other medical issues, for example, hypertension or elevated cholesterol. If you wish to discuss about any specific problem, you can consult a Cardiologist.
A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.
Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.
Call a Doctor
The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.
After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.
If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.
Use an Automated External Defibrillator (AED)
If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.
Weight loss is a major area of concern for many. From exercise to diet, sleep to lifestyle, everything needs to fall in order in order to ensure a safe and quick weight loss. While diet plays a crucial role in the weigh-loss process, there are some long-standing myths that are associated with the same. In this article, we will explore some of the myths.
- All calories are the same: All calories contain the same amount of energy. A different source of a calorie has a different effect on the body. Calories take different metabolic paths and have unique effects on the hunger and hormone of the body. While some calories are feeling, some are not. Some boost metabolism, some curb hunger. The notion that all calories are the same is untrue.
- The process of weight loss is linear: Many are of the belief that the process of losing weight is linear, which is not. There are weeks when the body weight increases instead of decreasing. This is entirely normal. The stomach might support more food or the process of work out can support more water than earlier. These are the few reasons that can lead to weight gain.
- Supplements help to lose weight: While the fat supplement industry is massive, their effect on the body is still doubtful. The main reason why people opt for these is the placebo effect. The best of supplements helps to curb hunger, thereby helping an individual to intake less amount of food and ensure weight loss. This being said, there are very few supplements which can directly help to reduce weight.
- Moving more and eating less leads to weight loss: This is yet another myth associated with weight loss. To lose calorie, it is imperative to sweat out as much as once can. Even eating less is a logical move to ensure weight loss happens. However, this process is most likely to fail. The weight lost via this process eventually comes back. The long-term solution for weight loss, therefore, is a diet plan and a sustained workout plan.
- Carbs result in weight gain: This is yet another myth related to weight loss. The truth is that not all carbs are bad. While refined carbs are directly related to weight gain, there are carbs from whole grain foods that are extremely healthy and can become an essential part of the weight loss program for the long run.
- High protein diet is efficient for weight loss: It is common myth that high protein diet is effective in weight loss as on a regular basis getting your calories from high protein foods like meat, eggs, and cheese is not a balanced eating plan. As, these foods are equally high in fat and cholesterol and consuming it can cause heart problems. When you consume high protein diet you tend to consume less of fruits, vegetables and whole grains, which may lead to constipation due to lack of dietary fiber and can cause lack of essential vitamins and minerals. Following a high protein diet can also make you feel nauseous, tired and weak.
- FAD Diet is the ultimate way to lose weight: Fad diets are not the best way to lose weight and keep it off. These diets often promise quick weight loss if you strictly reduce what you eat or avoid some types of foods. These diets may help you lose weight at first, but they are hard to follow. Most people quickly get tired of them and regain any lost weight.
- Eating late or just before going to bed tends to make you gain weight: It's not true. When it comes to weight gain or loss, it is not the time of day that makes the difference — it’s what you are consuming.
- "Low-fat /No-fat" diet is equal to "Low calories/No calories": The fact is that you have to count your calories more than the amount of fat in your food. So if you are having something rich in calories, it doesn’t matter whether it is low in fat. A lot of these fat-free products actually contain a lot of sugar, and frequent sugar spikes can lead to visceral fat deposition. Furthermore, you should not avoid fatty foods because they provide you with a sense of fullness.
- Dieting is the only way to lose weight: Combining exercise with a healthy eating plan is the right way to lose weight and keep it off in a healthy way. Regular exercise helps reduce your appetite and burns calories more efficiently. You should incorporate weight-training exercises to build lean muscle. This will act as your own built-in furnace to help you burn calories and lose body fat.
- Potatoes make you fat!: It was once thought that the key to weight loss was eliminating all high-carbohydrate foods, including pasta, rice and potatoes. We now know that carbohydrates are the body's preferred energy source. Eating a potato, or any type of carbohydrate-rich food, won't automatically make you fatter.
- "Magical Foods" help you lose weight: Some foods, such as grapefruit or kelp, are said to burn off body fat. This is not true. Dietary fibre comes closest to fulfilling this wish, because it provides a feeling of 'fullness' with minimal kilojoules. High-fibre foods such as fruit, vegetables, wholegrain breads and cereals, and legumes also tend to be low in fa
The key to weight loss is portion-control and maintaining the desired calorie balance by living a healthy lifestyle. If you wish to discuss about any specific problem, you can ask a free question.
The A1C test throws light on a person’s average blood glucose level for a stretch of 3 months. It goes by the name of HbA1C, glycohemoglobin or haemoglobin A1c test. This is the only test that is used for research and effective diabetes management.
How does it work?
The A1C measures the attachment of glucose to the haemoglobin. The latter is a protein that carries oxygen to all parts of the body. The RBC in the body keeps dying and regenerating. But, on an average, stays in the body for 3 months. Hence the A1C test tries to measure the count of glucose for 3 months to get a right count of the glucose. This is measured in terms of percentage, normal being less than 5.7 percent.
Can A1C measure type 2 pre-diabetes and diabetes?
In the year 2009, a group of scientists from the International Expert Committee suggested that it is entirely possible to detect type 2 pre-diabetes and diabetes. Earlier, only the blood glucose test could detect the pre-diabetes and diabetes. Since A1C test does not require fasting and can be undertaken at any time of the day, more and more people can undertake this test and refrain from the risk of undetected diabetes.
Why is testing required?
Testing is particularly essential since diabetes doesn’t show any early signs or symptoms. Testing ensures that diabetes is detected on time and unnecessary complications can be avoided. With right medicines, type 2 diabetes can even be prevented from occurring.
Has the test improved?
The A1C test has improved over the years. It has now been standardised. The accuracy of this test has been further increased by the National glycohemoglobin Standardisation Program. The major goal of the latter is to block the risk of getting complicated diseases such as blindness and diseases related to blood vessels.
A1C test be performed during pregnancy?
The A1C test can be performed during pregnancy to understand if a person had diabetes before becoming pregnant. Post the confirmation, OGTT is used to find out if a woman is suffering from gestational diabetes. Post the delivery, a woman should be tested to find out if the diabetes is persistent. The A1C test can be performed post 12 weeks of delivery rather than a blood glucose test to find out the persistence of diabetes in a pregnant woman.
A1C comes into play after detection of Diabetes?
The A1C test is used to monitor the glucose levels and detect the type 1 or type 2 diabetes to start with. Health care providers may ask a patient to undergo this test thrice to four times in a year. Based on the results of this test, medications of a patient is adjusted by a doctor.
Diabetes is a lifelong condition that has no cure but can be managed with treatment and control over one’s diet. If left untreated, this can be fatal and lead to a number of cardiac complications. The treatment plan for this disease must be customised to each individual’s overall health and requirement. It also needs to be analysed from time to time and changed if need be. A number of tests such as blood tests, A1C levels etc. help a doctor analyse this.
The most common reason your doctor may want to change your medication is if it does not help regulate your blood sugar levels or if it allows you to regain control of your blood sugar for a substantial period of time. In the first case, your doctor will change the medication to something stronger or medication that is more suited to your body’s needs. In case of the latter, the doctor will take you off some medicines and may reduce your insulin dosage. Thus, testing yourself regularly to ascertain your blood sugar levels is crucial to understanding how well your treatment plan is working.
All medicines have side effects associated with them and this gets more pronounced when you need to take the medication regularly for a long period of time. It is also important to note that medicines do not affect everyone in the same way. While some side effects are minor others can interfere with your quality of life. If a certain medicine has too many side effects, your doctor may choose to change it to something more suitable to you. Pharmacies are also constantly researching more effective ways to combat diseases like diabetes and hence when a better medicine becomes available, your doctor may choose to replace your existing medication with the new medicines.
Eating right and maintaining a healthy weight is a key aspect of managing treatment for diabetes. Hence, before changing your medication your doctor will first enquire about your lifestyle to ensure that you are eating right and exercising enough. If you have dangerously high blood sugar levels, he may prescribe insulin as a temporary remedy. If your blood sugar has net been controlled by the medication over a substantial time period, your doctor may advise you to begin taking regular insulin doses.
Whenever the doctor changes your medication plan look out for side effects from the new medication. This may include weight gain, nausea and fluid retention. In most cases, these side effects are temporary and resolve themselves as your body gets used to the new medication. However, if they do not subside after a while, talk to your doctor about it.
Palpitations is the feeling that you experience when your heart beats abnormally. Heart palpitations can be felt in the form of rapid, fluttering or pounding heartbeats. They can be frightening as when you palpate, you heart beats so hard that it even skips a beat and the sensations are so strong that they can be felt all through your chest, neck, and throat.
Palpitations are also common especially in young people because of abnormal electrical circuits in heart from birth. However, they may have normal hearts on Echo. Such palpitations are curable by a nonsurgical methods called Radiofrequency Ablation.
Palpitations can be triggered as a result of a number of reasons like stress, certain medications, exercise etc.
Here are a few prominent causes of heart palpitations.
Causes unrelated to the Heart -
- Anxiety, fear, and stress
- Consumption of alcohol and drugs like caffeine, nicotine etc.
- Consumption of street drugs likes cocaine, amphetamines etc.
- Certain medical conditions such as thyroid, anemia, dehydration, low blood pressure and low sugar levels etc.
- Hormonal changes that occur as a result of menstruation, pregnancy, menopause etc.
- Certain nutritional and herbal supplements
- Certain medications like asthma inhalers, diet pills etc.
- Abnormal levels of electrolyte
- Sensitivity to certain food items like some carbohydrates
Causes related to the Heart -
- Coronary artery disease
- Prior instances of heart attack
- Congestive heart failure (a condition wherein your heart's chambers get affected)
- Problems associated with the heart valves or the heart muscles
Immediate Relief Mechanisms-
It is crucial to go to the most easily available doctor to get an ECG done during palpitations as ECG will give an exact diagnosis, which helps in identifying the clear line of treatment. It is also advised to visit your healthcare provider/cardiologist to get an ECG done during palpitations. An ECG would give an exact diagnosis, which helps in identifying the clear line of treatment.
To know the exact reason causing palpitations ,Visit your nearest Madhavbaug Clinic and get a Stress ECG done with our expert medical guidance at affordable price !
Here are a few techniques that can help you in getting immediate relief from heart palpitations until you are able to visit a doctor in case of a serious condition.
- Cough it out
- Splash cold water on your face or take a cold shower
- Practice slow, deep breathing exercises
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