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Dr. Juvale N I

Cardiologist, Mumbai

Dr. Juvale N I Cardiologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Juvale N I
Dr. Juvale N I is a popular Cardiologist in Mumbai, Mumbai. You can consult Dr. Juvale N I at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Juvale N I on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 37 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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Im 27 years old. Very much disturbed. Im suffering frequent heart palpitations since 2 years. Did do ecg test, thyroid and blood test, everything normal. But palpitation doesn't seem to go. Please help.

MBBS
General Physician, Mumbai
Im 27 years old. Very much disturbed. Im suffering frequent heart palpitations since 2 years. Did do ecg test, thyroi...
Dear Lybrateuser, - Your problem could be due to anxiety, fear, excess intake of tea, coffee or consumption of alcohol, tobacco if you do so since your tests are normal - do regular exercise, walking, jogging, swimming, also include yoga, meditation & deep breathing for 5-10, min in your schedule - have a balanced nutritious diet with more of fruits & vegetables, have 7-8 glasses of water in a day - if not much relief get your blood serum electrolytes, calcium levels done, consult a cardiologist. -
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

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.

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I am from delhi. Kindly let me know precautions needed to keep heart healthy. Also list test required to be done ?

MBBS
General Physician, Ahmedabad
I am from delhi. Kindly let me know precautions needed to keep heart healthy. Also list test required to be done ?
What is your age? basic test is ecg, serum lipid profile. Eat less oil. Spicy. Junk/fried food. Do regular exercise. Ask privately for more details with your bp/sugar reports.
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Hi Doctor, My husband age is 39 weight is 66 kg height is 5 feet 4 inches. He is suffering from insomnia for past 1 year and now his bp is in level 170/110 as he is not getting adequate sleep. We took ECG as his bp level is high but it looks normal. Please advice how to cure insomnia and will curing that reduce blood pressure.

BHMS
Homeopath, Agartala
Now first you do tmt and 2decho. Blood for kft. Let. Tsh. Lipid profile. Serum electrolytes and calcium. Bp shoud be check below 140/90. Must. So add more bp medicine according your doctor advise. For time being kali phos 12x natrum phos 3x both are good brand (adel/swab) 5tab each 3_4 times daily.
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What to eat when cholesterol is increasing day by day?

MBBS
Cardiologist,
What to eat when cholesterol is increasing day by day?
Diet-no fry, fatty fast food, avoid yolk of egg also alcohol good exercise or gym & proper statin group of medicine.
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I am a heart patient my bypass surgery had done in 2008 I am also a diabetic patient please suggests me tablets.

MBBS
General Physician, Mumbai
I am a heart patient my bypass surgery had done in 2008 I am also a diabetic patient please suggests me tablets.
Dear lybrateuser, - To prescribe any medication for you there is requirement of your complete medical history, present status & latest investigation results.
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I am 24 year old boy. My left chest is paining constant. Nd persistent cough since one month. What causes it?

MBBS
General Physician, Cuttack
I am 24 year old boy. My left chest is paining constant. Nd persistent cough since one month. What causes it?
1. Do a complete blood examination like cbc, esr, mantoux test, x ray chest, sputum examination for afb (3 samples) 2. Consult chest physician with report. 3 do warm saline gurgling 3-4 times daily 4. Avoid smoking if you smoke 5.
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My mom is a diabetic patient from 5 years. Please suggest some diet. How to balance the sugar level?

MBBS
General Physician, Mumbai
My mom is a diabetic patient from 5 years. Please suggest some diet. How to balance the sugar level?
We need to control her sugar levels by medication exercise and following a diabetic diet with low glycemic index levels
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My mother is suffering from high blood pressure. On 11th oct her bp was 170, on 12th oct it was 150 and on 13th oct it was 160 .so what remedy should we take? Before this their was no such problem infact her parents also do not have BP problem.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My mother is suffering from high blood pressure. On 11th oct her bp was 170, on 12th oct it was 150 and on 13th oct i...
Please consult a doctor for correct prescription of BP medication. Variations of 10 points plus minus is not to worry about. Human body responds to natural situation and change in mind state, food and fatigue will affect BP But at her age, and at those measurements for BP, it is best she takes some medication as soon as possible.
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Hypertension: Causes, Risk Factors and Treatment

MBBS
General Physician, Mumbai
Hypertension: Causes, Risk Factors and Treatment

Hypertension or high blood pressure can be defined as a condition wherein the thrust of the blood against the walls of the arteries is excessively high, thereby, increasing chances of health hazards. The amount of blood that is pumped by the heart and the resistance put up by the arteries usually determine one’s blood pressure count. For instance, if the heart pumps excess amount of blood while the arteries shrink, the blood pressure can soar high. High blood pressure or hypertension may give rise to symptoms such as nosebleeds, short breaths or headaches.

Causes
There are two types of hypertension, one is primary and the other is secondary. For essential or primary hypertension, there is no significant reason and the condition slowly develops over years. The secondary one appears all of a sudden as a result of a repressed condition such as thyroid or kidney problems, defective blood vessels and certain medications such as pain-killers, cold relievers, pills for birth control and others.

Other factors responsible for hypertension are:

  1. As you age it increases
  2. Family history
  3. Being obese or overweight
  4. Being physically inactive
  5. Consuming too much of sodium or salt in your diet
  6. Little intake of potassium and Vitamin D in meals
  7. Being subject to high levels of stress
  8. Chronic medical disorders such as diabetes
  9. Alcohol or drug abuse

Treatment

Medications:

  1. Thiazide diuretics can be administered. These help to flush out excess water and sodium from the body in order to reduce excessive volume of blood thrusting against the arteries.
  2. Beta blockers ease the workload of the heart by opening up the blood vessels.
  3. Angiotensin-converting enzyme (ACE) inhibitors help inhibit the production of chemicals narrowing the blood vessels.
  4. Angiotensin II receptor blockers (ARBs) are used to obstruct and curb the action of the chemicals contracting the blood vessels.
  5. Calcium channel blockers help to loosen the blood vessel muscles
  6. Renin inhibitors can delay the production of an enzyme called ‘renin’ by the kidneys that increase one’s blood pressure

Lifestyle changes:

  1. One should follow a well-balanced diet that comprises of less salt.
  2. There is no substitute to regular exercises. Exercising regularly helps one maintain a balanced body weight that further reduces the chances of this condition.
  3. Abstaining from smoking and limiting alcohol intake helps provide that holistic cover to all the treatment modes mentioned above.
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I have high blood pressure of 150/100. Even I got two heart stroke, so kindly help me.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
I have high blood pressure of 150/100. Even I got two heart stroke, so kindly help me.
Take half lemon juice in warm water daily eat raw 2 to 3 garlic clove daily include one raw onion daily in your diet dont use salt inspite use black salt in diet learn acupressure for best result.
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I have been pain since last 2 week in my lower side of left chest. And sometimes it's huge, even I can't move my left arm also due to pain. Is it gastric problem or else?

MBBS
General Physician, Cuttack
I have been pain since last 2 week in my lower side of left chest. And sometimes it's huge, even I can't move my left...
it may be a muscular pain. 1.Take crocin 500mg one tablet sos after food upto a maximum of 3 tablets daily 2.Apply volini gel twice daily 3.Give warm compress locally 4.if no relief, consult doctor for advice and treatment
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My cholesterol level is 220 what should I go for, a medicine or use food items?

MD - Internal Medicine, MBBS
Endocrinologist,
My cholesterol level is 220 what should I go for, a medicine or use food items?
High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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I understand that psyllium husk (Sat Isabgol) reduces bad cholesterol. Is this true? If true, is there any scientific backup on this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I understand that psyllium husk (Sat Isabgol)  reduces bad cholesterol. Is this true? If true, is there any scientifi...
Isabgol also helps to prevent heart attacks by regulating the serum cholesterol. Isabgol forms a thin layer on the intestines and prevents the absorption of cholesterol in to the arteries. Thus the cholesterol levels in the body is maintained.
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I am 50 years old lady. Height 5ft. Wt 78 kg. I want to reduce my wt. My BP reading is 140/90. I want to control that too. What am I to do at home?

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
I am 50 years old lady. Height 5ft. Wt 78 kg. I want to reduce my wt. My BP reading is 140/90. I want to control that...
Keep exercising. Plenty of vegetables & fruit. Less than 2 g salt. Avoid junk food. Cut on sweets and deep fry foods. Stop smoking. Take anti b. P tabs. Prescribed by your doctor. Meditation yoga is zumba dancing.
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While getting from bed in morning my right side chest is paining? May I know the reason.

MBBS, cc USG
General Physician, Noida
While getting from bed in morning my right side chest is paining? May I know the reason.
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management
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My uncle has started taking alcohol from 2 weeks before that to 2-3 bottles at a time. He takes sleeping pills for sleeping. He has diabetes, blood pressure, thyroid (i do not know the correct spelling, half of the pancreas had been cut off. My main ques is what can we do so that he stops taking alcohol and sleeping pills. It would be very helpful if you answer my ques.

MBBS
General Physician, Cuttack
My uncle has started taking alcohol from 2 weeks before that to 2-3 bottles at a time. He takes sleeping pills for sl...
Since he has already suffered from pancreatitis and half of the pancreas is already removed, he should stop taking alcohol totally other wise he will have serious problem. Let him attend alcoholic anonymous programme near to your locality, where they conduct various counselling sessions with a group of alcoholic to get rid of alcohol. Many people have benefited by attending the programme. Consult physician for further advice.
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Hi For low bp problem, age -40, gender -female, what should be do?

DM Cardiology
Cardiologist,
There is no medicine for low bp. The only advice is to take salty food, and lots of fluids, which would increase the bp.
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I am 58 years old. My weight is 75 kg. My belly is 41 inches, increased in last 6 months. I am suffering from high border line ldl/total colastoral. Doctor has advised atorvasttin 10 mg once in a day. I want to take ayurvedic treatment. I am also suffering from high bp 145/100 average. Please advise me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 58 years old. My weight is 75 kg. My belly is 41 inches, increased in last 6 months. I am suffering from high bo...
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. FOR BP...TAKE TELMA-40 ONCE A DAY.
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