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Balloon Angioplasty Procedure
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Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Mitral Valve Replacement Surgery
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I consult with many doctors but none of the doctors resolves my problem which is CHEST PAIN will you send the solution of my problem with some medicine?
I have pain in my chest since 2-3 months I have shown to doctor he said according to reports low calcium and vitamin D.
Hi madam, my wife is 28 weeks pregnant, she had high blood pressure due to that we admitted in boring hospital , doctors are saying due to high bp a sufficient blood is not passing to the baby, they are saying baby is weak due to less amount of blood , we have to deliver the baby now only or else it will be problem for both mother and baby, even though if we deliver we can't save baby , I don't know what to do, pls suggest me I want to save both baby and the mother pls reply me soon pls pls.
I am 24 years girl. Suddenly my heart beats in creases and feel very fear. As in something is going wrong. Please suggest advice for such sytoms.
My wife is 42 years old. She has a mechanical MVR surgery done in 2006. 13 days ago she had a Left MCA Brain stroke. ICA, MCA block. Now she is completely fine. She is taking warf still her previous surgery. What PT INR range should we kept? We confused. Thanks.
This is general question? I am going to study bsc cardiac technology I want to know is this a good course Will you explain it briefly ? What are we going to study about heart or ECG.
My creatinine level is 1.4,Which are the foods that I should completely avoid, please mention by name if you can. My age is 56. I am an indian. I am on medication for BP and cholesterol (olmatec20 and atorav10 mg) and also omnic OCA's 0.4 for prostate. Can I take ragi ie millet. Thank you.
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.
I am suffering from fever for the last 2 week And I have chest pain whenever I cough hard. Can you suggest me what should be done?
Hello doctors, my age is 31. My BP is 150/100. What are the preventive measures to take in order to avoid or delay hypertension. Also I have thyroid problem.
I am having pain in the middle of the chest area and in the heart area. Actually the pain is shifting from middle area to left side. When he takes the tablet (tryptomer, as prescribed) the pain shifts from left area to middle. Please suggest.
Hi sir. Am 28 years old male. One or another problem I been facing since 5 years. I has chest pain and operated for ASD in 2014 and operated for sinus problem on 2015. In between this faced problem in working more and standing for even 20 to 30 minutes.. Dr. suggested for cod liver tablets I took those. And problem had reduced temporarily. I was unable to stand for more time, unable to work more due to tiredness. I masturbate 3 or 4 times in a week and Since 5 years I have been suffering from seasonal allergy for which I recently started homeopathy medicine. But recently since one month I have been suffering from erectile dysfunction. before that I was good enough on bed. I worried lot as my marriage is near. It erects but not like before and fail to becomes harden. I have feelings and urge of sex but it is not hardening and size of penis wen it erects also become small compare to one months ago's erected size. On recommendations of homeopathy Doctor I stopped masturbating since 10 days. I had chest pain 20 days ago. I went to Dr. and checked with ECG, TMT, Echo, sugar test, blood urea test, cholesterol test and digital x ray test. Dr. you r perfectly all right.. I sleep 7 to 8 hours in a day. Reasonable workload. No more tension.. Please suggest me to gain previous situation.
My blood pressure is 60/100. Is it normal? What are the diets that will be helpful to bring it to normal.
Chandraprabha Vati is a tablet, used in Ayurvedic treatment of diabetes, diseases of urinary track, and many other disease conditions. It is widely used in Ayurvedic practice, across India.
Chandraprabha Vati uses:
It is used in Ayurvedic treatment of urinary tract infection, difficulty in urination, urinary calculi.
It helps to relieve constipation, bloating, abdominal colic pain, low back pain.
It is useful in treating cold, cough, rhinitis, bronchitis, asthma and such other respiratory diseases.
It is used to treat eczema, dermatitis, pruritis and allergic skin conditions.
It is useful to treat piles, liver, spleen diseases, anaemia and fistula.
It helps to relieve teeth problems like caries, eye infections.
It is used to treat semen defects and gynaecological problems.
It helps to relieve indigestion, improves strength, it is a natural aphrodisiac and anti aging Ayurvedic medicine.
Effect on Tridosha – balances Vata, Pitta and Kapha.
Chandraprabha Vati dosage: (500 mg tablet) – 1 – 2 tablets 1 – 2 times a day, before or after food or as directed by Ayurvedic doctor.
Chandraprabha Vati side effects:
People with high BP should take this medicine only under medical care, since this medicine contains salt as ingredient.
Over-dosage may cause slight burning sensation in abdomen.
Sir I want to ask that how can we manage our fitness. Now my age is 22 years & my cholesterol is high.
My daughter is 17 has PCOD. She feels lethargic at times, low blood pressure and pain in stomach is it because of this only?
Autopsy studies of young people who died in accidents have shown that by the late teens, the heart blockages, the kind of lesions that cause heart attacks and strokes are in the process of developing.
The best opportunity to prevent heart disease is to look at children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.
The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.
Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of HDL cholesterol, the "good" kind that helps keep arteries clear, go down in boys but rise in girls.
Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.
Any protection that the young women have for cardiovascular protection can be wiped out by obesity; hence, obesity in girls at any cost should be handled on priority.