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Balloon Angioplasty Procedure
Cardiac Ablation Procedure
Cardiac Catheterization Procedure
Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Treatment of Hip Disorders
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
Vascular Surgery Treatment
Angioplasty Stent Surgery
Preventing Stent Surgeries
I am suffering from palpitations and anxiety from last 3 years. From last one and half year i am consulting doctor from apollo delhi and doctor says to meet me in every month or between two months. It costs much as i am not financially too strong. So i want some help as i am in confusion what to do. So please give me your advice. Thanks
I have several problem with my BP. Sometime it become high and sometime low. What can I do for that.
I am suffering from dry cough from last two weeks. I have chest pain whenever I cough hard. Can you suggest me how to overcome this?
I have pain in right part of chest near breast from last 10 days. Pain is like pinching and when I touch that area with slight pressure I feel the pain. There is no trouble in breathing and taking food. Last 20 days ago I have donated the blood and last 4 month ago also I have donated the blood. Pain is frequently and disappear. I have habit of drinking less water. Please give the preventive advice.
How to lower triglyceride level down without any medicine. My triglyceride level is 220, LDL 105 and HDL 42. Please suggest me. Thanks.
Hello doctor, from past few months my blood pressure is around 160 /90 or 150/80 or 160/80 im non diabetic as per my four months prior report that time it was fasting 75 post meal 112. My weight is 104. What should I do to cure my bp problem. My age is 34 and have bp tendency running in my family. Is there any serious health issues with me or can I cure my bp or I will have to be on medication through out my life. I have high cholesterol. My march report showed ldl 151. Hdl 43 triglycerides 295 Im taking atorvastatin daily from last 5 months for cholesterol.
I have a sugar & high BP patient from, last 20 days my Blood pressure not control so what can I do for control the BP.
I am a diabetic and. Hypertensive. But suddenly I find my BP as low as 95/70 for last one week please advise.
2D Echo shows, Left Ventricle EF is 55% and I conclusion it is written as LV RWMA+ and Grade 1 diastolic dysfunction. Is it something serious?
Hi doctor I have been suffering from heavy breathing difficulty for the last 1month, I was under an ayurvedic treatment cause of some allergy for the last month, right now everyday I feel Breathing difficulty, I taste blood, my hands shiver, when I talk loud I feel to vomit day by day I'm weakening.
My father have very high blood pressure 180/100 and its not decreasing even after taking medicine can u please recommended me medicine and foods that he can take to lower down his blood pressure.
Hi. I'm suffering from high BP since couple of days, then doctor advised me to avoid salty items as much as you can. Then again visit for 2nd check up after 1 week. If it will continue then you have to take medicine, which I don't want to opt now, because it should be continued then forever. So, please suggest some useful tips for the same to get rid of this as soon as possible. Regards,
I am 19 years old and I am suffering from chest pain everyday. I consulted with many doctors but no relief. What should I do to get relief from this pain?
Hello sir, am 30 years old house wife having problem of high heartbeat at night times and same time upper back ache along with uncomfortable burps all the day. Dr. has suggested medicine for gas problems but after using them also no improvement seen. Kindly suggest me some guidance and refer me good Dr. in KPHB Hyderabad.
Good quality of sleep decreases heart rate and blood pressure thus decreasing work of heart lack of sleep keeps the heart rate and blood pressure elevated.both are linked to increased incidence of heart disease. Lack of sleep increases insulin resistance and the risk of type 2 diabetes Mellitus and also increases C-reactive protein a protein associated with inflammation.
Both diabetes and C-reactive protein are associated with higher incidence of coronary artery disease.
Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is
Average of two or more properly measured readings at each of two or more visits after an initial screen:
Normal < 120 mm Hg SBP AND DBP < 90 mm Hg
Prehypertension 120 -139 mm Hg SBP OR DBP 80 to 89 mm Hg
Stage 1 HTN 140 -159 mm Hg SBP OR DBP 90 to 99 mm Hg
Stage 2 HTN >/= 160 mm of Hg SBP OR DBP >/= 100 mm Hg.
Prevalence of prehypertension among adults in United States is approximately 37 percent.
Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.
People diagnosed with hypertension represents “tip of an iceberg”.
Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable if treated at an early stage.
Why hypertension should be diagnosed and treated ?
Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.
Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.
Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.
Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.
Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.
Screening for hypertension: optimal interval for screening is not known.
2007 USPSTF( United States Preventive Services Task Force) guidelines recommend
Screening every two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg
Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg
How to manage Prehypertension:
TROPHY stydy( TRial Of preventing Hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.
Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.
Major non pharmacological therapies that aid to decrease blood pressure are:
Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduce BP by 5 to 20 mm hg per 10kg weight loss.
Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.
Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.
Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.
Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.