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Dr. Manish Yashwant Shirsata

Cardiologist, Mumbai

Dr. Manish Yashwant Shirsata Cardiologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Manish Yashwant Shirsata
Dr. Manish Yashwant Shirsata is a popular Cardiologist in Mumbai, Mumbai. He is currently practising at MAMTA CLINIC in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Manish Yashwant Shirsata on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 32 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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B Wing, Room No 5, 1st Floor, Rail View Building, Near Chembur Flyover, Chembur, MumbaiMumbai Get Directions
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Recently, I have got checked my lipid profile. The readings are LDL-52, HDL-17, Triglycerides-54, Total cholesterol-88. What do my numbers tell? I daily spend around 3-4 hours in exercise, eat healthy food and do what not. My question is. How to improve my HDL, which is quite low?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Recently, I have got checked my lipid profile. The readings are LDL-52, HDL-17, Triglycerides-54, Total cholesterol-8...
Fallow me long time join my 5 point programme. Exercise regular low cholesterol high omega 3 coloured fruits and veg. Salads nuts.
2 people found this helpful
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When I do exercise I feel breathlessness ecg and chest xray are ok. What are the reason and what is the treatment for breathing problems.

MBBS
General Physician, Chandigarh
When I do exercise I feel breathlessness ecg and chest xray are ok. What are the reason and what is the treatment for...
It is normal to feel heavy breathing during exercising once you get used to it it will improve in the meantime do breathing exercises to improve your lung capacity.
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Diabetic Bph grade, stone formation, erectile dysfunction, BP. Please advise.

MD - General Medicine
Sexologist,
Detailed history and examination will solve the problem. Can discuss with your diabetologist or a sexologist.
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Hi Doc My BP is 161/80. My age is 40. What precaution shud I take and how to get it down. Ive not started any medication yet. I also consume alcohol as well. No exercise regime exists with me. Please advise.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
Hi Doc
My BP is 161/80. My age is 40. What precaution shud I take and how to get it down. Ive not started any medicat...
Dear It seems you are stressed leading to 160 systolic BP. You need stress management, good rest and sleep. Beet root in diet will help. A two time regular meall, no snacking, no sugar tea coffee will help a lot. Pl donot eat between meals. This will show results in 3-6 months. Light exercises, pranayam will help. We can talk details Vm.
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Feeling pain in the centre of chest since morning. What may be the cause?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Pain is complex phenomenon , so there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers,There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions.Being also a General Physician, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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How we can stop the medicine of hypertension. It is possible or not. Or is it a life time medicine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How we can stop the medicine of hypertension. It is possible or not. Or is it a life time medicine.
Myself is a homoeopath and according to me everybody should be aware and consious about his health and harmful effects of long term medication on our body.Medicines are always for the time being and should be discontinued once our condition is normal with certain exceptions like diabetes,chronic heart diseases,etc to name a few.Hypertension is a symptom of an underlying problem and instead of treating underlined cause we start taking BP medicines thus suppressing it daily and our underlying problem either remains the same or start increasing unknowingly .We go on increasing the dose of BP without knowing that our BP increases not due to exhaustion of effect of previous BP medicine but the underlying problem had increased and one day it proves fatal for life.But who cares,this is the problem of indian medicinal system,no regulation,no doctor-Patient interactions.Just see your own example,at 35 you are taking medicines for BP and this is just the middle of second phase of your life.Just adopt natiropathy in your life.Our kitchen is full of natural ingridients.The question is who will guide .Myself is a homoeopathand I advise you to start homoeopathic medicines along with for your BP problem and slowly start reducing the allopathic dose of BP medicine while taking homoeo medicine and once allopathic medicine is out of your life,we can slowly reduce dose of homoeo medicine and ultimately stop it.I mean to say that rather than taking the prescribed medicines blindly,start using natural resources that God has gifted us.It will be beneficial for our future generations also,
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I am 40 Years of Age, Male, I wanna to ask the Question from you that I am diabetic patient as well as High Blood Pressure so Question is that how to prevent these diseases what precaution should I take? Thanks With Regards.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Ulhasnagar
I am 40 Years of Age, Male, I wanna to ask the Question from you that I am diabetic patient as well as High Blood Pre...
Both the medical conditions require a lifestyle change which includes proper eating habits, indulging urself in regular exercises and regular medical checkups. If a proper meal plan which I suggest is followed, you can surely reverse your diabetes n regulate your normal blood pressure within just 1 month. Even insulin dosage gets reduced too. For a detailed conversation regarding your meal plans.
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I am 47 year old man, my diastolic pressure observed since last 5 years is above 90 and sometime observed 106 as well? Now I have started medicines since last 3 months to control and it is about 88, but sometime still observed 95. What could be the reason and how to control? I diagnosed cholesterol in March 2016 9total 189, but triglyceride was 219 instead of limit 150, I am taking Tonact Tg to treat and now it is @128, shall I continue medi to control cholesterol as well?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 47 year old man, my diastolic pressure observed since last 5 years is above 90 and sometime observed 106 as well...
Mr. Lybrate-user usually ideal bp should be maintained around 120 - 130 systolic and 70 to 80 mm hg of diastolic. Higher than recommended diastolic pressure is no good, does not allow proper relaxation of the heart. As regards triglycerides, which are in control with 128 mg, still it is better to continue the treatment. Also it is essential to exercise regularly, which help in maintaining lipids in normal range. Thanks.
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Im getting light chest pain from 1 year like gas formation in chest. What shld I do?

BAMS, MD Ayurveda
Sexologist, Lonavala
Im getting light chest pain from 1 year like gas formation in chest. What shld I do?
During chest pain, chew 8 to 10 fresh basil leaves or drink a cup of basil tea to get relief. To prevent chest pain and improve the condition of your heart, take 1 teaspoon of fresh basil juice along with 1 teaspoon of honey daily on an empty stomach
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Hi doctor, I am from bombay but staying in kuwait for business, my age is 50 years and my weigh is 85, in my blood report tg level is high, there is cholesterol in liver is high, sugar is high, my blood pressure always high like 180 to 200. So, what should I do and which type of food I avoid please advice me. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor, I am from bombay but staying in kuwait for business, my age is 50 years and my weigh is 85, in my blood re...
It appears you are suffering from high blood sugar, (diabetes), high bp and dyslipidemia. You seem to also have fatty liver. These conditions must be properly taken care of. You also are obese (bmi 31.227). Please let me know are on any medication now if so what are taking? further how much exercise do you do every day? please furnish this information to help you properly. As regards the food you have to restrict deep fried foods, sweets and even red meat. Total caloric intake also has to be curtailed to reduce excess weight. Avoid tobacco in any form and alcohol completely. I await your information.
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is statin safe for long period

MD - Consultant Physician, MBBS
Cardiologist,
No medicine is 100% safe. Like all medications, statins can cause side effects. Common side effects (which affect up to 1 in 10 people) include: • nosebleeds • sore throat • a runny or blocked nose (non-allergic rhinitis) • headache • feeling sick • problems with the digestive system, such as constipation,diarrhoea, indigestion or flatulence (passing wind) • muscle and joint pain • increased blood sugar level (hyperglycaemia) • an increased risk of diabetes Uncommon side effects which may affect up to 1 in 100 people include: • being sick • loss of appetite or weight gain • difficulty sleeping (insomnia) or having nightmares • dizziness – if you experience this, do not drive or use tools and machinery • loss of sensation or tingling in the nerve endings of the hands and feet (peripheral neuropathy) • memory problems • blurred vision –if you experience this, do not drive or use tools and machinery • ringing in the ears • inflammation of the liver (hepatitis), which can cause flu-like symptoms • inflammation of the pancreas (pancreatitis), which can causestomach pain • skin problems, such as acne or an itchy red rash • feeling unusually tired or physically weak Rare side effects which may affect up to 1 in 1,000 people include: • visual disturbances • bleeding or bruising easily • yellowing of the skin and eyes (jaundice)
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She has had bypass heart surgery two and half years back. Now her bad cholesterol has gone up to 480. She is taking state 20. Now what to do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
She has had bypass heart surgery two and half years back. Now her bad cholesterol has gone up to 480. She is taking s...
Take care of diet, no medicine works unless fats are not given up in food. Continue with medicines. There are certain conditions in which high cholesterol is genetic and we have to take extra care about food. Try giving her 1) apple cider vinegar 2) fresh lemon juice + spoon of honey with a glass of warm water to be taken on empty stomach every morning 3) juice of pomegranate. These do help bring down cholesterol & blood sugar. Continue with medicines and get checked for total lipid profile after a month.
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My mother has a high cholesterol levels is there any medicine made of fish oil to reduce it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My mother has a high cholesterol levels is there any medicine made of fish oil to reduce it?
FICH OIL OMEGA-3 capsules are avaliable in market under variouss brand names.Omega-3 helps in reducing blood cholestrol level.
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Can I stop taking BP medicine if BP becomes normal after 2 years of medication (ramistar 2.5)

BHMS
Homeopath, Delhi
Can I stop taking BP medicine if BP becomes normal after 2 years of medication (ramistar 2.5)
Your b appears to be normal because of medication. If you will stop the medication, chances are that you b might get increased. Therefore you must consult doctor.
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I am 44 years old my cholesterol level, HDL is 33. LDL is 125 triglycerides is 292. What I can do.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am 44 years old my cholesterol level, HDL is 33. LDL is 125 triglycerides is 292. What I can do.
avoid fatty diet. do regular exercise. take rosuvas 5 mg in night. repeat test after 6 month. be follow up with doctor.
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I'm 29 years old male, I attended medical test for going abroad at that test, my ECG report is abnormal, problem mentioned is wpw syndrome, what is meant by wpw syndrome, This is critical problem or not? How I cure this problem, kindly send me answer, Thank you.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm 29 years old male, I attended medical test for going abroad at that test, my ECG report is abnormal, problem ment...
There's an electric circuit in the heart which is responsible for normal beats of heart. In wolff-parkinson'white syndrome, there's an extra electrical pathway between your heart s upper chambers, atria and lower chambers, ventricles and it causes a rapid heat beat -tachycardia, it's present at birth and fairly rare and present in 4 out of 1 lakh people, the episodes of increased heart beat are not life threatening and most people experience symptoms between ages of 11 and 50. Though not life threatening but serious heart problems can occur. Treatment is a catheter based procedure, known as ablation, it can permanently correct the heart rhythm problems.
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It all started from severe head aches then chest pain. Had medicines. Ecg was normal.in cholesterol test LDH was little high. Now the current position is headaches with weakness nd blur vision sometimes. When the body heats up there is no headache. Its been 2 months but he is not getting out of this. please help.

MS - Ophthalmology
Ophthalmologist, Rewa
It all started from severe head aches then chest pain. Had medicines. Ecg was normal.in cholesterol test LDH was litt...
Dear l u:- you might be suffering from migrainous headache & hyper cholesterolaemia. Low oily & fatty meals, low salty meals is recomendated. Take regullar aerobic exercises, coloured fruits & vegetables, plenty of water.
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I'm 68 yrs male, height: 5' 4, weight: ~75kg, taking medicine (one tab telma40) for hypertension for the last 10 yrs or so (amlopres 5 was added for the last 4-5 yrs). Bp used to be in the vicinity of 140/85 (with above medication). Since a month or so, my bp shot up to: 160-175/90-105 (on an average). I an feel little heaviness in my head and eyes. What should I do? pleas advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm 68 yrs male, height: 5' 4, weight: ~75kg, taking medicine (one tab telma40) for hypertension for the last 10 yrs ...
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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How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

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Good day doctor I am 66 years, I have gone through open heart bypass surgery 5 years back doing fine since then keepannuallycheck health check as per doctors advise I keep changing cooking oil, eg one month I use olive oil next month sun flower oil then ground nut oil etc at times we usemusteredoil also. What you suggest. Which dry fruit.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Good day doctor I am 66 years, I have gone through open heart bypass surgery 5 years back doing fine since then keepa...
Every thing can't be guided by doctors after they perform special surgery like a bypass surgery which is like a new life given and healthy years added but only if patients do learn to take care of their health and share responsibility. Regarding oils, each one of oils you have mentioned is heart or health friendly for normal persons also. My own choice is mustard oil, small amount to saute the vegetables in an iron based thick vessel and then cook by steam using cooker if need be, it retains the nutrients and taste and doesn't give a look of boiled vegetables to be taken by patients because after bypass surgery one should learn to live as normal a life as possible but with caution. If frying to be done occasionally, use groundnut or soy oil and don't reuse it. Keep it aside to cook vegetables, as only a spoon will be used for half a kilo. Olive oil is good but for western style of cooking and we aren't sure about purity of the oil sold to us in india. Do eat good fats everyday, like a spoon of desi ghee or butter and a katori of assorted nuts. There's no need to change oils or follow the ads on tv, remember no oil is zero cholesterol.
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