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Dr. Rajiv Karnik

Cardiologist, Mumbai

560 - 1200 at clinic
Dr. Rajiv Karnik Cardiologist, Mumbai
560 - 1200 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rajiv Karnik
Dr. Rajiv Karnik is a trusted Cardiologist in Mulund West, Mumbai. He is currently practising at Dr Karnik Clinic in Mulund West, Mumbai. Save your time and book an appointment online with Dr. Rajiv Karnik on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 43 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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Office No 306, 3rd Floor, Marathon Chambers P K Road, Paanch Rasta,Mulund West,Landmark:Above Manoranjan Sadi Shop, MumbaiMumbai Get Directions
1200 at clinic
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#96, Road # 31, King's Circle, sion (E). Landmark: Near Gandhi Market, MumbaiMumbai Get Directions
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I have minors pain at centre of the chest. What should I do? And what is the reason behind the pain?

MBBS
General Physician, Mumbai
I have minors pain at centre of the chest. What should I do? And what is the reason behind the pain?
For pain take tablet paracetamol with rantac and it can be a muscular pain or pain due to oesophagitis
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Respected Sir Madam, I have suffered with anxiety and sleeping disorder from last two months. Taking alprazolam 0.25 twice a day. Now feeling better. But sometimes a day I feel my heart beat rate fast and difficult to get in sleep at night and daily face night mares at night. Kindly suggest me can I use etizolam instead of alprazolam.

BAMS, MD Ayurveda
Sexologist, Lonavala
Respected Sir Madam, I have suffered with anxiety and sleeping disorder from last two months. Taking alprazolam 0.25 ...
I am recommending you an following remedy which will surely help you natural home remedy using almonds, milk, saffron and honey: 1. Soak 8-10 almonds in water overnight 2. Peel off the skin and crush them in the morning 3. Add 1 tsp of crushed almonds to 1 cup warm milk 4. Add a pinch of soaked saffron 5. Add 1 tbsp of honey 6. Mix well 7. Drink once every day surely you will get results.
2 people found this helpful
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Hi What test is more reliable? conventional angiography or ct coronary angiography?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Definitely conventional angiography. Ct only shows any blockages but cannot show whether the blood is able to negotiate the blockages adequately enough to reach the heart. Hence, in order to know how critical the blockage is, conventional angiography has more utility and experience.
1 person found this helpful
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Namaskar, I am a male age 63 years old. No diabetes. No drinks, food veg but occasionally non-veg (say once in a month) I take a tablet named Repace A for blood pressure for last 8 years. My question is regarding Cholesterol which is always in the range of 325-350. I have tried some allopathy statin drugs ,but the side effects are tremendous muscle pain, so presently for last one year I take Abana tabs of Himalaya drug. Request your advice.

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
Namaskar, I am a male age 63 years old. No diabetes. No drinks, food veg but occasionally non-veg (say once in a mont...
Dear Relaaax Cholesterol is made in liver as per body needs. Food does not alter this. Statins don't help. Regular exercise, haldi milk will help you to maintain cholesterol.
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Sir I have pain in the right side of chest. What can I do. But pain in winter season.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir I have pain in the right side of chest. What can I do. But pain in winter season.
It can be sprained or acidity and check an ecg anyway. As it is in winter it will be allergic bronchitis.
2 people found this helpful
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Dear Doctors, I am 42 year old male. 1. I have hyper tension (140/100) for the last 5 years and I am taking medicine for the same. But I need permanent solution to stop medicine and to keep control my BP. 2. I have small small pimples in my face and neck. What should I do? Kindly suggest.

Diploma in Cardiology
General Physician, Kolkata
Dear Doctors, I am 42 year old male. 1. I have hyper tension (140/100) for the last 5 years and I am taking medicine ...
You cant stop medicine, take fat free, salt restricted, high fiber diet, go for free hand exercise daily after consulting a cardiologist.
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I have infection in my chest due to some dust and polluted air, so I cant breath well while doing some work or anything now I want to Ask you to how I can get relief from this.

MBBS
General Physician, Mumbai
I have infection in my chest due to some dust and polluted air, so I cant breath well while doing some work or anythi...
Apart from taking symptomatic treatment take tablet Histafree M twice a day for five days and increase your immunity by taking Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Sintems of heart attack how to cure it and immediate action to cure it and suggest some medicine.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sintems of heart attack how to cure it and immediate action to cure it and suggest some medicine.
Symptoms include tightness or pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety. Women are more likely to have atypical symptoms than men. People may experience: Pain areas: in the area between shoulder blades, arm, chest, chest, jaw, left arm, or upper abdomen Pain types: can be crushing, like a clenched fist in the chest, radiating from the chest, sudden in the chest, or mild Pain circumstances: can occur during rest Whole body: dizziness, fatigue, light-headedness, clammy skin, cold sweat, or sweating Gastrointestinal: heartburn, indigestion, nausea, or vomiting Chest: discomfort, fullness, or tightness Neck: discomfort or tightness Arm: discomfort or tightness Also common: anxiety, feeling of impending doom, sensation of an abnormal heartbeat, shortness of breath, or shoulder discomfort
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My brother is of 25years oldHe has habit of smoking. Sometimes he feels pain in chest How to take care of this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My brother is of 25years oldHe has habit of smoking. Sometimes he feels pain in chest How to take care of this?
give him tab. nicotex daily . it will stop his smoking. for chest pain checkup x ray chest , cbc, give him tab. diclomol sos for pain. after test consult again.
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My age is 42. I have a bp 90 and 140 from last five years. Some doctor says it is ok and some says it is on the higher side. I took many precautions to make it down as I walk 30-40 min daily. I drink maximum fluids. I avoid salt. But still it remains the same. Is it harmful. Pls suggest how I can take it down if it is high. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My age is 42. I have a bp 90 and 140 from last five years. Some doctor says it is ok and some says it is on the highe...
Mr. Lybrate-user, ideally bp should be systolic 120 to 130 (when heart is contracting), diastolic 60 to 80 mm hg, (when heart is relaxing. At your age it good to have bp as 130 / 80.131 to 139 and 81 to 89 is considered as prehypertension. So you will have to see that it is closer to 130 / 80 mm hg. One of the most important aspect is to reduce salt intake to just about 3 g a day. Avoid processed foods, deep fried foods and high fat foods.
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Hi..My age is 30, male,and I have just done some blood test. Yesterday. In my report Ldl and triglycerides come high i.e. 108 and 241 respectively. Hdl low-34. Homocysteine 54. Low vit D- 19 B12-303 Bp borderline 140/90. And Hb1c rft, lft,cbc are within normal range. I have consumed lots of junk food in last two months. please plz help me on it to come out from this.

MD
Yoga & Naturopathy Specialist, Delhi
Hi..My age is 30, male,and I have just done some blood test. Yesterday.
In my report Ldl and triglycerides come high ...
You know the answer. Stop junk foods. Once attacked it becomes cumbersome to get rid of such problems. Go to Bapu Bhawan on Tadiwala road in Pune or go to Urli Kanchan Nature cure center near Pune for a few days.
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Sir I have high blood pressure about 150/110 normally. What should I do to control. I am doing regular exercise and controlling my diet also. Which specialist I have to consult. Kindly assist me.

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
Sir I have high blood pressure about 150/110 normally. What should I do to control. I am doing regular exercise and c...
Dear lybrate-user, A good GP can help you plan the medication and treatment you need. Do not self medicate. Continue with your exercise and diet. This will help you all your life. Regards.
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My mother had stroke due to brain hamreg 3 months back she is diabetic and suffering from low bp often, due to this we are unable to treat her paralysis condition please suggest some tips to maintain her bp.

BAMS, MD Ayurveda
Sexologist, Lonavala
you can go for following remedy it will help you Natural home remedy using watermelon seeds and cuscus powder: 1. Take 1 tsp of dried watermelon seeds 2. Add 1 tsp of cuscus powder 3. Crush the mixture 4. Have this once in the morning and the evening 5. Consume for 3-4 weeks Surely you will get results.
1 person found this helpful
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Whenever I cause or inflict pain /hurt to a person or whenever I get depressed, my left side of chest pains and a hollowness ensues. What is the solution of this?

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
Whenever I cause or inflict pain /hurt to a person or whenever I get depressed, my left side of chest pains and a hol...
You are hurting persons then going to depression status. You are unable to control your moods properly. Because of your psychological problems it affects on physical aspects also. You need behaviour therapy. There is need of change your behaviour. Better to consult psychologist in bangalore. You have to change your behaviour. Anger management techniques are helpful when anger comes divert it towards other aspects. Take anything or talk to your friends. Change the place or move from the place. Walk when you feel anger. Take new things when anybody hurt to you. Smile when anybody hurt to you. Maintain calmness is also good. Do not argue do not react the situations. Feel always comfortable. Control mouth movements. Eat chicklets when mood spoils. Take any fruit juice or ice cream. Take rest. Sleep properly. If you follow these techniques no need to consult any psychologist. If you unable then consult. Practice yoga and meditation. Ok best of luck.
1 person found this helpful
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Acute pain in outer thigh, pain in finger joints. Her weight is 80 kg and is 47 years old with slightly high blood pressure and cholesterol problem and pain in foot thumb joint. Please suggest me best medication?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Acute pain in outer thigh, pain in finger joints. Her weight is 80 kg and is 47 years old with slightly high blood pr...
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. you should be avoid bad habits ,fatty meal/oily foods/junk/fast foods/alcohol/smoking/noo-veg. take whole grain meal/oats/dalia/green veg./fruits/juice/ use garlic . you can take also cap. ecosprin gold-10 at night. and consult cardiologist.
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Hello , My ECG shows normal only. But TMT is positive for Inducible Ischemia with my duck thread mill score is zero. Risk is moderate. Please help me.

MBBS, Fellowship From the College of General Practioners
General Physician, Mumbai
Hello , My ECG shows normal only. But TMT is positive for Inducible Ischemia with my duck thread mill score is zero. ...
You need to visit a qualified Cardiologist & get his opinion. Once he gives you a green signal that nothing invasive has to be done & you can be treated on medicines alone. I will advice you on your rehabilitation & improving the quality of life.
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I am 52 years old male & insulin dependent diabetic from last 15 years and suffering from pressure sole which takes 7-10 months to heal. What should I do to prevent myself from pressure sole ?

PG Hom, London, BHMS
Homeopath, Mumbai
Hello, you must use soft sole chappals or shoes. Dr. Scholl has got good options for soft inner soles. You must use it everyday inside your shoes or chappals. Also avoid standing for long time.
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I am 18 years old boy. Because my friends crazy thing i got a problem they are pressing my chest so I have feeling that like a stone's in my chest those are getting hard what I want to do.

MBBS
General Physician, Chandigarh
I am 18 years old boy. Because my friends crazy thing i got a problem they are pressing my chest so I have feeling th...
Stop fidgeting with your body you will develop unnecessary complications just leave it like that it will get alright in sometime.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HEART ATTACK

A heart attack occurs when the flow of blood to the heart is blocked, most often by a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). The interrupted blood flow can damage or destroy part of the heart muscle.

A heart attack, also called a myocardial infarction, can be fatal, but treatment has improved dramatically over the years. It's crucial to call 911 or emergency medical help if you think you might be having a heart attack.
Common heart attack signs and symptoms include:

Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
Nausea, indigestion, heartburn or abdominal pain
Shortness of breath
Cold sweat
Fatigue
Lightheadedness or sudden dizziness
Heart attack symptoms vary

Not all people who have heart attacks have the same symptoms or have the same severity of symptoms. Some people have mild pain; others have more severe pain. Some people have no symptoms, while for others, the first sign may be sudden cardiac arrest. However, the more signs and symptoms you have, the greater the likelihood you're having a heart attack.

Some heart attacks strike suddenly, but many people have warning signs and symptoms hours, days or weeks in advance. The earliest warning may be recurrent chest pain (angina) that's triggered by exertion and relieved by rest. Angina is caused by a temporary decrease in blood flow to the heart.

A heart attack differs from a condition in which your heart suddenly stops (sudden cardiac arrest, which occurs when an electrical disturbance disrupts your heart's pumping action and causes blood to stop flowing to the rest of your body). A heart attack can cause cardiac arrest, but it's not the only cause.

When to see a doctor

Act immediately. Some people wait too long because they don't recognize the important signs and symptoms. Take these steps:

Call for emergency medical help. If you suspect you're having a heart attack, don't hesitate. Immediately call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital.

Drive yourself only if there are no other options. Because your condition can worsen, driving yourself puts you and others at risk.

Take nitroglycerin, if prescribed to you by a doctor. Take it as instructed while awaiting emergency help.
Take aspirin, if recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting.

Aspirin can interact with other medications, however, so don't take an aspirin unless your doctor or emergency medical personnel recommend it. Don't delay calling 911 to take an aspirin. Call for emergency help first.

What to do if you see someone having a heart attack

If you encounter someone who is unconscious, first call for emergency medical help. Then begin CPR to keep blood flowing. Push hard and fast on the person's chest ? about 100 compressions a minute. It's not necessary to check the person's airway or deliver rescue breaths unless you've been trained in CPR.
A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks.

During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery.

Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection).
Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack.

Heart attack risk factors include:

Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack.
High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more.
High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack.
Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes ? not producing enough insulin or not responding to insulin properly ? causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack.
Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk.
Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure.
Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however.
Stress. You may respond to stress in ways that can increase your risk of a heart attack.
Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack.
A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease.
A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack.
Complications

Heart attack complications are often related to the damage done to your heart during a heart attack. This damage can lead to the following conditions:

Abnormal heart rhythms (arrhythmias). If your heart muscle is damaged from a heart attack, electrical "short circuits" can develop, resulting in abnormal heart rhythms, some of which can be serious, even fatal.
Heart failure. The amount of damaged tissue in your heart may be so great that the remaining heart muscle can't do an adequate job of pumping blood out of your heart. Heart failure may be a temporary problem that goes away after your heart, which has been stunned by a heart attack, recovers. However, it can also be a chronic condition resulting from extensive and permanent damage to your heart following your heart attack.
Heart rupture. Areas of heart muscle weakened by a heart attack can rupture, leaving a hole in part of the heart. This rupture is often fatal.
Valve problems. Heart valves damaged during a heart attack may develop severe, life-threatening leakage problems.
TESTS & DIAGNOSIS
----------------------------
Ideally, your doctor should screen you during regular physical exams for risk factors that can lead to a heart attack.

If you're in an emergency setting for symptoms of a heart attack, you'll be asked to describe your symptoms and have your blood pressure, pulse and temperature checked. You'll be hooked up to a heart monitor and will almost immediately have tests to see if you're having a heart attack.

Tests will help check if your signs and symptoms, such as chest pain, indicate a heart attack or another condition. These tests include:

Electrocardiogram (ECG). This first test done to diagnose a heart attack records the electrical activity of your heart via electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor or printed on paper. Because injured heart muscle doesn't conduct electrical impulses normally, the ECG may show that a heart attack has occurred or is in progress.
Blood tests. Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Emergency room doctors will take samples of your blood to test for the presence of these enzymes.
Additional tests

If you've had a heart attack or one is occurring, doctors will take immediate steps to treat your condition. You may also undergo these additional tests:

Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs.
Echocardiogram. During this test, sound waves directed at your heart from a wand like device (transducer) held on your chest bounce off your heart and are processed electronically to provide video images of your heart. An echocardiogram can help identify whether an area of your heart has been damaged by a heart attack and isn't pumping normally or at peak capacity.
Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart. The dye makes the arteries visible on X-ray, revealing areas of blockage.
Exercise stress test. In the days or weeks after your heart attack, you may also undergo a stress test. Stress tests measure how your heart and blood vessels respond to exertion. You may walk on a treadmill or pedal a stationary bike while attached to an ECG machine. Or you may receive a drug intravenously that stimulates your heart similar to exercise.

Your doctor may also order a nuclear stress test, which is similar to an exercise stress test, but uses an injected dye and special imaging techniques to produce detailed images of your heart while you're exercising. These tests can help determine your long-term treatment.

Cardiac computerized tomography (CT) or magnetic resonance imaging (MRI). These tests can be used to diagnose heart problems, including the extent of damage from heart attacks. In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of your heart and chest.

In a cardiac MRI, you lie on a table inside a long tubelike machine that produces a magnetic field. The magnetic field aligns atomic particles in some of your cells. When radio waves are broadcast toward these aligned particles, they produce signals that vary according to the type of tissue they are. The signals create images of your heart.

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