Dr. Ramesh Kawar is a Cardiologist in Malad West, Mumbai. Book Appointment, Consult Online, View Doctor Fees, Contact Number, User Reviews and Ratings for Dr. Ramesh Kawar | Lybrate

Formation of blood clots in the arteries of the lungs, heart or legs can actually kill a person. In such a case, the immediate medical action is necessary and the only way to deal with blood clots is thrombolysis. Thrombolysis or thrombolytic ther...

Thrombolysis - Know Reasons Behind It!

Improving Heart Health

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and ...

ECMO - Know More About It!

Preventing Heart Disease

The heart is a muscular organ and beats at regular intervals. This is known as heart rate, which indicates a person s overall health. In a normal healthy individual, it ranges from 60 to 100 depending on overall health status. A heart rate outside...

Too Slow Heart Rate - Know Risk Factors Of It!

Treating an Abnormal Heart Rhythm

It is natural to consider whether your heart is beating right and your blood pressure is normal. Also, many tend to think that the blood pressure and heart rate are related to each other. Admit it or not, you must have heard a lot about your heart...

Blood Pressure And Heart Rate - Know Misconceptions About Them!

Managing High Blood Pressure

Managing Low Blood Pressure

Heart ablation or cardiac ablation is a procedure done to treat irregular heartbeats or arrhythmias. It is performed by an interventional cardiologist, a doctor who specialises in doing procedures for heart problems and it involves threading long ...

Heart Ablation - Who Can Benefit From It?

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Myths and Facts Related to Heart Health

Mumbai

India

Maharashtra

Malad West, Mumbai

This is Dr. Ramesh Kawar and I m interventional cardiologist attach to Bombay Hospital, Beach Candy Hospital, Surana Group of Hospitals and in Malad Lifeline Hospitals. I m in the field of interventional cardiology from last 20 years doing an intervention for coronary and non-coronary situations. For vulvar situations, for congenital heart diseases and other interventional fields. Today we are going to talk on hypertension. As you know hypertension is a very common illness which is affecting as a non-communicable disease which is affecting Indian population at large. If you see the prevalence of hypertension in India in rural population is somewhere around 5-7% while in urban population it is around 10%. So a huge chunk of our population is suffering from hypertension. Unfortunately, diagnosis and the treatment of hypertension remains poorly managed in the sense that almost 25 % of our patients are not diagnosed. Though they are suffering from hypertension around to the latest ACCH guidelines. Almost 25% remains undiagnosed, roughly around 25% they are diagnosed but they are not treated properly. Similarly, around 25% of these patients who are diagnosed are treated poorly. Only 25% of our patients who are suffering from hypertension is are being treated properly. So there is a roughly 25% rule. It is important to treat patients with hypertension why? Because if we keep these patients untreated they are going to land up in a lot of cardiovascular disease problem like patients suffering from a stroke because of either ischemic stroke or bleed in the brain or they may suffer a heart attack like myocardial infarction or die from erythema because of hypertensive heart disease. They may also suffer from kidney problem and lead to end-stage renal disease and dialysis. They may suffer from a retinal problem with loss of vision. So it is very important to treat and control their blood pressure so as to prevent all these deadly diseases. Now there are various stages of hypertension. Normally we say that a patient whose normal blood pressure is less than 120mm systolic and less than 80mm diastolic then we call as stage 1 hypertension where your blood pressure systolic blood pressure is between 132-139. Earlier was 142-149 but now with the latest guidelines, 2017 ACCH guidelines recommend that any person who is having systolic blood pressure between 132-139 and a diastolic blood pressure of 80-89 is classified as stage 1 hypertension. And anything more than 140mm of systolic and more than 90mm of diastolic is classed as class 2 hypertension or stage 2 hypertension. Respective their stage we have to take a proactive step to control their blood pressure either by non-pharmacological means or by pharmacological means. Non-pharmacological means should we tried for each and every patient whatever stage is, it is very important and there are various ways in which you can control blood pressure. If you are obese then reduction of weight will help you in controlling your blood pressure, reduction of salts intake less than 2-3 grams per day will help you in reducing your blood pressure. Similarly increasing potassium intakes like fruits-vegetable lot of vegetables and fruits especially fruits containing citrus fruits like juicy fruits like oranges, sweet limes all these will help in bringing down your blood pressure. Regarding the salt intake, you have to avoid all the salty things like a pickle, pepper, baked products, processed foods, junk foods, you have to avoid all these to reduce your salt intake. Home cook food is best. Besides salts and potassium and weight reduction, other non-pharmacological majors which will help you in controlling your blood pressure is sedation of smoking if you are smoker, reduction of alcohol to less than 60ml per day for adult males and less than 30ml for women should encourage. Then also regular physical activities is very very important in controlling your blood pressure. You should walk to at least 30-45minutes of the brisk walk at least 5-6 days a week if not for all days but the minimum for 5 days a week and 30-45minutes of brisk walking. You can also do yoga, meditation and other things to control your blood pressure. If your blood pressure doesn t come under control with these majors then one can start with pharmacological treatments. You have to control your blood pressure by whatever means. Even if you have to take 1 medicine 2 medicines 3 or even 4 number of medicines it is very very important to keep them under control with the help of drugs which are very effective in controlling your blood pressure. If you control your blood pressure properly you are less likely to suffer from other cardiovascular disease mortality. So it is very very important to control your blood pressure. Be aware about your blood pressure and try to control it by whatever means which includes non-pharmacological treatment as well as pharmacological treatment. So to book an appointment with me you can contact me through lybrate.com.

This is Dr. Ramesh Kawar and I&rsquo;m interventional <a href='https://www.lybrate.com/cardiologist' target='_blank'>cardiologist</a> attach to Bombay Hospital, Beach Candy Hospital, Surana Group of Hospitals and in Malad Lifeline Hospitals. I&rsquo;m in the field of interventional cardiology from last 20 years doing an intervention for coronary and non-coronary situations. For vulvar situations, for congenital heart diseases and other interventional fields. Today we are going to talk on <a href='https://www.lybrate.com/topic/hypertension' target='_blank'>hypertension</a>. As you know hypertension is a very common illness which is affecting as a non-communicable disease which is affecting Indian population at large.

If you see the prevalence of hypertension in India in rural population is somewhere around 5-7% while in urban population it is around 10%. So a huge chunk of our population is suffering from hypertension. Unfortunately, diagnosis and the treatment of hypertension remains poorly managed in the sense that almost 25 % of our patients are not diagnosed. Though they are suffering from hypertension around to the latest ACCH guidelines. Almost 25% remains undiagnosed, roughly around 25% they are diagnosed but they are not treated properly.

Similarly, around 25% of these patients who are diagnosed are treated poorly. Only 25% of our patients who are suffering from hypertension is are being treated properly. So there is a roughly 25% rule. It is important to treat patients with hypertension why? Because if we keep these patients untreated they are going to land up in a lot of <a href='https://www.lybrate.com/treatment-of-cardiovascular-disease' target='_blank'>cardiovascular disease</a> problem like patients suffering from a <a href='https://www.lybrate.com/topic/stroke' target='_blank'>stroke</a> because of either ischemic stroke or bleed in the brain or they may suffer a <a href='https://www.lybrate.com/topic/heart-attack' target='_blank'>heart attack</a> like myocardial infarction or die from erythema because of hypertensive <a href='https://www.lybrate.com/topic/heart-disease' target='_blank'>heart disease</a>.

They may also suffer from kidney problem and lead to end-stage renal disease and <a href='https://www.lybrate.com/topic/dialysis' target='_blank'>dialysis</a>. They may suffer from a retinal problem with loss of vision. So it is very important to treat and control their blood pressure so as to prevent all these deadly diseases. Now there are various stages of hypertension. Normally we say that a patient whose normal blood pressure is less than 120mm systolic and less than 80mm diastolic then we call as stage 1 hypertension where your blood pressure systolic blood pressure is between 132-139.

Earlier was 142-149 but now with the latest guidelines, 2017 ACCH guidelines recommend that any person who is having systolic blood pressure between 132-139 and a diastolic blood pressure of 80-89 is classified as stage 1 hypertension. And anything more than 140mm of systolic and more than 90mm of diastolic is classed as class 2 hypertension or stage 2 hypertension. Respective their stage we have to take a proactive step to control their blood pressure either by non-pharmacological means or by pharmacological means.


Non-pharmacological means should we tried for each and every patient whatever stage is, it is very important and there are various ways in which you can control blood pressure. If you are obese then reduction of weight will help you in controlling your blood pressure, reduction of salts intake less than 2-3 grams per day will help you in reducing your blood pressure. Similarly increasing <a href='https://www.lybrate.com/topic/potassium-benefits-sources-and-side-effects' target='_blank'>potassium</a> intakes like fruits-vegetable lot of vegetables and fruits especially fruits containing citrus fruits like juicy fruits like oranges, sweet limes all these will help in bringing down your blood pressure.

Regarding the salt intake, you have to avoid all the salty things like a pickle, <a href='https://www.lybrate.com/topic/white-pepper-benefits-and-side-effects' target='_blank'>pepper</a>, baked products, processed foods, junk foods, you have to avoid all these to reduce your salt intake. Home cook food is best. Besides salts and potassium and weight reduction, other non-pharmacological majors which will help you in controlling your blood pressure is sedation of <a href='https://www.lybrate.com/topic/smoking' target='_blank'>smoking</a> if you are smoker, reduction of alcohol to less than 60ml per day for adult males and less than 30ml for women should encourage.

Then also regular physical activities is very very important in controlling your blood pressure. You should walk to at least 30-45minutes of the brisk walk at least 5-6 days a week if not for all days but the minimum for 5 days a week and 30-45minutes of brisk walking. You can also do <a href='https://www.lybrate.com/topic/yoga' target='_blank'>yoga</a>, <a href='https://www.lybrate.com/topic/meditation' target='_blank'>meditation</a> and other things to control your blood pressure. If your blood pressure doesn&rsquo;t come under control with these majors then one can start with pharmacological treatments. You have to control your blood pressure by whatever means.

Even if you have to take 1 medicine 2 medicines 3 or even 4 number of medicines it is very very important to keep them under control with the help of drugs which are very effective in controlling your blood pressure. If you control your blood pressure properly you are less likely to suffer from other cardiovascular disease mortality. So it is very very important to control your blood pressure. Be aware about your blood pressure and try to control it by whatever means which includes non-pharmacological treatment as well as pharmacological treatment. So to book an appointment with me you can contact me through lybrate.com.

Hypertension: How Does It Increase The Risk Of Major Diseases?

Causes and treatment of Coronary artery disease

Causes and treatment of <a href='https://www.lybrate.com/treatment-of-coronary-artery-disease' target='_blank'>Coronary artery disease</a>

Know More About Coronary Artery Disease

Dr. Ramesh Kawar is an experienced Cardiologist in Orlem Malad, Mumbai. He has been a successful Cardiologist for the last 29 years. He has done MBBS, MD - Cardiology, DM. You can consult Dr. Ramesh Kawar at Surana Hospital and Research Center in Orlem Malad, Mumbai. You can book an instant appointment online with Dr. Ramesh Kawar on Lybrate.com. Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 41 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.

Ramesh Kawar

Riddhi Vinayak Critical Care & Cardiac Centre

Ankur Hospital, Mumbai

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.

1 Text Consult

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Cardiology

Cardiologist

General Physician

Kalbadevi, Mumbai

Bombay Hospital

Bombay Hospital, Mumbai

Dr. Ramesh Kawar - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Cardiologist in Mumbai

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Dr. Ramesh Kawar

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Riddhi Vinayak Critical Care & Cardiac Centre

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Health Tips

Thrombolysis - Know Reasons Behind It!

ECMO - Know More About It!

Too Slow Heart Rate - Know Risk Factors Of It!

Blood Pressure And Heart Rate - Know Misconceptions About Them!

Heart Ablation - Who Can Benefit From It?

Clinic's Name	Fees
Riddhi Vinayak Critical Care & Cardiac Centre	₹ 1,200
Bombay Hospital	₹ 2,500