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Dr. Onkar Tarnekar

Cardiologist, Mumbai

1600 at clinic
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Dr. Onkar Tarnekar Cardiologist, Mumbai
1600 at clinic
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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. Onkar Tarnekar
Dr. Onkar Tarnekar is one of the best Cardiologists in Malad West, Mumbai. You can visit him at Nirman Diagnostic Imaging Centre in Malad West, Mumbai. Save your time and book an appointment online with Dr. Onkar Tarnekar on Lybrate.com.

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Nirman Diagnostic Imaging Centre

1 C/D, Pushpa Chandra Apt, Bhadran Nagar, Malad West. Landmark: Near N.L. High School & Ridhi Vinayak Temple, MumbaiMumbai Get Directions
1600 at clinic
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What Are The Difference Between Multivessel Stenting and Bypass Surgery?

MBBS, MD - Cardiology, DM
Cardiologist, Mumbai
What Are The Difference Between Multivessel Stenting and Bypass Surgery?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay. If you wish to discuss any specific problem, you can consult a cardiologist.

2740 people found this helpful

Sir my heart is automatic some time stop for some seconds and again restart and sleeping time in left side likely heart is stop after some time and some time small pain in heart side.

MBBS, cc USG
General Physician, Gurgaon
Sir my heart is automatic some time stop for some seconds and again restart and sleeping time in left side likely hea...
Hi, Heart never stop even for a second in a human being life Get your following test done and review with reports 1. ECG 2. Thyroid function test
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I am taking primodil 5 mg for bp and ecosprinav75 for cholesterol now since last 15 days my bp is remaining high around 155 and 105 kindly tell me I have to change my dosage or medicines.

MD - General Medicine, PG Diploma Clinical Cardiology
Cardiologist, Mohali
I am taking primodil 5 mg for bp and ecosprinav75 for cholesterol now since last 15 days my bp is remaining high arou...
Yes you have to change medicine after one month of starting the medicine if there is no reduction in BP. Start walk regularly for 30 min daily. Take low fat low salt diet.
1 person found this helpful
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Hi I am 31 years old male. I recently did my tests and everything is fine accept my cholesterol is little bit on the higher side. My total cholesterol is 240. Please let me know what should I do to fix this problem. Thanks.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Hi I am 31 years old male. I recently did my tests and everything is fine accept my cholesterol is little bit on the ...
You have not mentioned your complete lipid profile report. Please mention that. Start with 1) Diet change (consult a dietician for healthy heart diet) 2) Start exercising target should be 45 mins of brisk walking daily. 3) Quit smoking if you do. 4) reduce alcohol intake. Repeat levels after 6 weeks of precautions, if still high you may need medications.
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Ge sir/madam, I had bp problem but d Few day before my BP was normal but from day I taste everything I ate as salty. Is it either due to bp or weakness or anything Else.

C.S.C, D.C.H, M.B.B.S
General Physician,
Ge sir/madam, I had bp problem but d
Few day before my BP was normal but from day I taste everything I ate as salty.
...
Dehydration may well be the cause of tasting salty .The taste of your saliva may change due to a blockage or infection in your salivary glands. This may not just affect the taste, but it will affect the production of saliva as well.The use of certain medications will also alter your taste.just like tears, mucus can travel through your nasal passages into your mouth. This usually happens when you have a cold or flu. You need to give more details and meanwhile take 15 glasses of water daily and see . I hope you do not have any disease or thyroid disease
1 person found this helpful
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I want to know about precautions of heart disease. .its starting just with minor heart attack. Doctor suggest simple medicine.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I want to know about precautions of heart disease. .its starting just with minor heart attack. Doctor suggest simple ...
First get investigated to know the extent of disease, blockages in blood vessels & do not presume that you are having a'minor' heart attack withot proof.
2 people found this helpful
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I am 39 yrs old man and I have gone through 100 checkups in all anf found less iron that is 25 (range 70- 100) also cholestral is high near 200 pls specify drug and exercises if possible.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 39 yrs old man and I have gone through 100 checkups in all anf found less iron that is 25 (range 70- 100) also c...
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 . take tab. folic acid-5 once a day for iron.
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I am 45 year old and have had angioplasty. What is the diet and exercise regimen which I should follow.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am 45 year old and have had angioplasty. What is the diet and exercise regimen which I should follow.
Live a Healthy Lifestyle Eat a healthy diet. Choosing healthful meal and snack options can help you avoid heart disease and its complications. Be sure to eat plenty of fresh fruits and vegetables. Eating foods low in saturated fat and cholesterol and high in fiber can help prevent high blood cholesterol. Limiting salt or sodium in your diet can also lower your blood pressure. Maintain a healthy weight. Being overweight or obese can increase your risk for heart disease. To determine whether your weight is in a healthy range, doctors often calculate a number called the body mass index (BMI).  Exercise regularly. Physical activity can help you maintain a healthy weight and lower cholesterol and blood pressure. Don't smoke. Cigarette smoking greatly increases your risk for heart disease. So, if you don't smoke, don't start. If you do smoke, quitting will lower your risk for heart disease. Your doctor can suggest ways to help you quit. Limit alcohol use. Avoid drinking too much alcohol, which causes high blood pressure.  If you have high cholesterol, high blood pressure, or diabetes, there are steps you can take to lower your risk for heart disease. Have your cholesterol checked. Your health care provider should test your cholesterol levels at least once every five years. Talk with your doctor about this simple blood test. Monitor your blood pressure. High blood pressure has no symptoms, so be sure to have it checked on a regular basis. Manage your diabetes. If you have diabetes, closely monitor your blood sugar levels. Talk with your health care provider about treatment options. Take your medicine. If you're taking medication to treat high cholesterol, high blood pressure, or diabetes, follow your doctor's instructions carefully. Always ask questions if you don't understand something. Talk with your health care provider. You and your doctor can work together to prevent or treat the medical conditions that lead to heart disease. Discuss your treatment plan regularly and bring a list of questions to your appointments.
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I am 27year old. I had pain in my chest since 15days. What is thae reason behind it. Please help me. I had not take any medicine.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 27year old. I had pain in my chest since 15days. What is thae reason behind it. Please help me. I had not take a...
get ur chest xray done immediately to rule out infection of the lungs as the cause of chest pain...also get an ecg done to rule out cardiac cause..if both are normal then ita most likely muscular chest pain which can be treated with simple muscle relaxants...but first get these investigations done
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Chest Pain - Reasons Behind It!

MD - Consultant Physician
General Physician, Jharsuguda
Chest Pain - Reasons Behind It!

A sensation of pain in the chest is almost automatically associated with having a heart attack. While it is true that it is one of the best indicators of a heart attack, there are quite a few other things which can cause one’s chest to pain and not all need to necessarily be as time critical as a heart attack. So, what are the various things one should be aware of when it comes to pain in the chest? In order to understand chest pain better, it is first very important to understand the various types of chest pain better! So, there is a sharp pain, its opposite which happens to be a dull pain, burning, aching, stabbing pain, as well as a crushing sensation.

Let’s start with the elephant in the room, which is medically known as myocardial infarction or referred to as the infamous heart attack. This occurs when the muscle cells, which are located in the heart die on account of not enough blood flowing through the heart. In simple terms, the best way to get to know that one is having a heart attack is when the person feels a seriously crushing pain in the centre or the left side of the chest. What could be said to be unique about this type of pain is that resting does not make it better.

  1. Another condition of the heart which is often mistaken by the layman for a heart attack happens to be myocarditis. Inflammation of the heart muscle leads to fatigue and a fast beating of the heart. The person would also experience some difficulty breathing.
  2. Heart disease can come in multiple forms and one of those is known as CAD or Coronary Artery Disease. When there is a blockage in the blood vessels of the heart, the pain [which is known as angina] is caused by this blockage. The probably solitary source of good news is that permanent damage to the heart is not caused by CAD!
  3. That being said, a heart attack is a greater possibility. The pain in the chest could spread to the jaw or the back, or even the arm. The sensation is that of the body part being squeezed. The first thing to be done when angina occurs is to rest in order to lower the pain.
  4. While these conditions have focused on the heart, pneumonia affecting the lungs can cause deep chest ache. It causes a cough and chills. There is also likely to be pus from the respiratory tract which is coughed up!
  5. Asthma is yet another respiratory issue which could cause chest pain! If you wish to discuss about any specific problem, you can consult a general physician.
3753 people found this helpful

I am 24 year old sex male. I am very thin boy I have a problem .every morning I wake up I face inhale problem in my chest like I feel I have asthma what to do for relief I use asthalin inhaler is inhaler cause any side affect. And I have nightfall problem (wet dream. What to do for stop getting wet drram please help.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am 24 year old sex male. I am very thin boy I have a problem .every morning I wake up I face inhale problem in my c...
Spirometry is advise to you as you have breathing problem. Wet dreaming is normal if you are not involved in sex or masturbation in excess. Do not be stressed for it.
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Dear sir/madam, I have high borderline cholesterol (221) and low hemoglobin (11.6). I am eating fatty and fried foods once in week only. That is also very rare. I am 25 year old and just married. If I try to control my food for reducing cholesterol it will negatively effect my hemoglobin count. How can I handle this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear sir/madam, I have high borderline cholesterol (221) and low hemoglobin (11.6). I am eating fatty and fried foods...
Hello dear patient. 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. Change life style . 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, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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I'm diabetic, also had an heart attack 3years back. I am alcoholic. If quit drinking, can I get attack again. Please Help me quit my habit.

MSc
Dietitian/Nutritionist, Hyderabad
I'm diabetic, also had an heart attack 3years back. I am alcoholic. If quit drinking, can I get attack again. Please ...
Yoga and diet will definitely help in diabetes. There are some asana and pranayam which will help you to control your blood sugar level, like 1 ardh matsyendrasana 2 purna matsyendrasana 3 vakrasana 4 kapalbhati and many more diet has key role in diabetes. Diabetic diet is different for person to person. It is depend of person lifestyle, his blood sugar level. Medication and many more factor. But here are some common tips 1 eat high fiber food like oats, bran, sprouts, beans 2 avoid eating refine flour and its product 3 eat fresh fruits instead of fruit juice. 4 after taking medicines take your meal within half hour.
2 people found this helpful
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I am 21 years old. My echo, lipid profile and tmt are normal, but I have been done 12 ecg. And they are abnormal. Aisa kis wajah se hai.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 21 years old. My echo, lipid profile and tmt are normal, but I have been done 12 ecg. And they are abnormal. Ais...
When sophisticated tests are normal, why do you bother about a basic test like ecg which shows different rates at 12 places. I will not suggest you to go for a 13th test.
7 people found this helpful
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I am 19 years of age! Idk why I get this feeling of butterflies inside my stomach and my chest! It's like something is pressuring into it again and again. I don't know if it's anxiety! How do I cure this?

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am 19 years of age! Idk why I get this feeling of butterflies inside my stomach and my chest! It's like something i...
Fear and anxiety are part of life. You may feel anxious before you take a test or walk down a dark street. This kind of anxiety is useful - it can make you more alert or careful. It usually ends soon after you are out of the situation that caused it.   When you're feeling anxious or stressed, these strategies will help you cope: Jog, walk, bike, or dance three to five times a week for 30 minutes. Set small daily goals and aim for daily consistency rather than perfect workouts. It's better to walk every day for 15-20 minutes than to wait until the weekend for a three-hour fitness marathon. Lots of scientific data suggests that frequency is most important.  Find forms of exercise that are fun or enjoyable. Extroverted people often like classes and group activities. People who are more introverted often prefer solo pursuits. Distract yourself with an iPod or other portable media player to download audiobooks, podcasts, or music. Many people find it’s more fun to exercise while listening to something they enjoy. Recruit an “exercise buddy.” It's often easier to stick to your exercise routine when you have to stay committed to a friend, partner, or colleague. Be patient when you start a new exercise program. Most sedentary people require about four to eight weeks to feel coordinated and sufficiently in shape so that exercise feels easier. For the biggest benefits of exercise, try to include at least 2½ hours of moderate-intensity physical activity (e.g. Brisk walking) each week, 1¼ hours of a vigorous-intensity activity (such as jogging or swimming laps), or a combination of the two.
1 person found this helpful
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Hi, I have a chest pain and my head is also paining that's why I ask you. Thank you.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Hi, I have a chest pain and my head is also paining that's why I ask you. Thank you.
You may take Bryonia 30 thrice a day only three drops in water one day only. Call back with the results and for further course of medicine.
1 person found this helpful
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i am suffering from high blood pressure problem . what should i do to control my BP.

BAMS
Ayurveda, Ambala
i am suffering from high blood pressure problem . what should i do to control my BP.
To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
3 people found this helpful
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Can I take the three medicine (lonol 50, hydrazide 12.5 & defidin) at a time regularly, as fly doctor advice me to take all these medicine of blood pressure regularly.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Can I take the three medicine (lonol 50, hydrazide 12.5 & defidin) at a time regularly, as fly doctor advice me to ta...
Yes you can take all these medications together in the morning regularly And if we talk about hypertension Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH Get back to me with a detailed history and  old / new records for a better individualized advice.
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If my bp hits 150/100 some time then what should I do? I am not taking any medicine.

BHMS
Homeopath,
If my bp hits 150/100 some time then what should I do? I am not taking any medicine.
Dear lybrate user, take homoeopathic mother tincture rauwolfia q, 30 drops, thrice daily, after meals, in a cup of water for your problem of high blood pressure. Also avoid mutton, beef, chicken, ghee, butter etc. Kindly remember that medication to control high blood pressure will affect your sexual performance & it will diminish your sexual power.
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