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Dr. Samuel Mathews

MBBS

Cardiologist, Mumbai

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Dr. Samuel Mathews MBBS Cardiologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Samuel Mathews
Dr. Samuel Mathews is a popular Cardiologist in Mumbai, Mumbai. He is a MBBS . You can consult Dr. Samuel Mathews at Dr. Samuel Mathews@Breach Candy Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Samuel Mathews on Lybrate.com.

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MBBS - - -

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Breach Candy Hospital

# 60 A, Bhulabhai Desai Road, Breach Candy. Landmark: Next To Mahalakshmi Temple.Mumbai Get Directions
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How Does The Heart's Electrical Conduction System Work?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
How Does The Heart's Electrical Conduction System Work?

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:

  • Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
  • Sleep and rest reduce heart rate as the body is not needed to exert itself.
  • Release of adrenaline into the bloodstream causes the heart rate to spike up. If you wish to discuss about any specific problem, you can consult a cardiologist.
1885 people found this helpful

Sir my cholesterol is 179 and Ldl is 130 Hdl is 52 vldl is 15 triglycerides is 79 can I eat cow ,s ghee I am go for running 2.4 km and doing gym also .My weight is 54 kg height is 169 cm age 25.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD(Ayurveda)
Ayurveda, Guwahati
Sir my cholesterol is 179 and Ldl is 130 Hdl is 52 vldl is 15 triglycerides is 79 can I eat cow ,s ghee I am go for r...
Dear lybrate-user, Your lipid profile is within normal limit. Your weight with respect to your height is also OK. You can take ghee, butter etc. In moderation along with your regular exercise.
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Blockage in all arteries upto 90% for 7 years. Should I go through angiography again?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology, Interventional Cardiology and Cardiac Electrophysiology
Cardiologist, Delhi
Blockage in all arteries upto 90% for 7 years. Should I go through angiography again?
If you have symptoms of angina which has worsened than should go for angiography again otherwise continue medical therapy.
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I m 42 years old and have the problem of cholesterol more 190 (bad. Pl suggest me how it can be controlled.

BHMS
Homeopath, Faridabad
I m 42 years old and have the problem of cholesterol more 190 (bad. Pl suggest me how it can be controlled.
Hello, Take Allium sativum Q, 10 drops with water twice daily. Essentia Aurea , 15 drops with water once daily. Avoid, outside food, oily , spicy food. Drink plenty of water.
3 people found this helpful
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Dear Sir/madam, my wife is suffering with little chest pain from yesterday. She has also leg pain

BHMS
Homeopath, Delhi
Dear Sir/madam,
my wife is suffering with little chest pain from yesterday. She has also leg pain
Hi lybrate user. Chest pain can be due to gas or acidity also. Give her sauf (fennel) and water boiled together. Give her light food. Note for any other symptoms. If it still persists or becomes severe then consult a doctor. Take care.
1 person found this helpful
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Sir my papa is heart patient please suggest me the diet for my papa. As he has also given one stunt. So please tell me the right answer. I am waiting sir.

MD - Consultant Physician
Cardiologist, Kolkata
Sir my papa is heart patient please suggest me the diet for my  papa. As he has also given one stunt. So please  tell...
Main priciple of diet is to avoid 3f ie no fry, fatty and fast food. Avoid egg yolk, prawn, banana. Fast food also samosa, kochhury, any marketted prepared food. Total quqantity of food should be onethird less of ordinary food. If he had failure in hosp, then fluid intake should be restricted to 1.5 litre. For the diet most preferabl is main principle in diet is to avoid 3fie no fry, fatty & fast food. Also avod meat yolk of egg, prawn & banana. In fact more vegetable & fruits are preferabl. Take plenty of fruits. Total quantity of foods willbe 3/4th of original khana. If he had failure of heart in hospital then fluid intake should 1.5 litre'

I am a diabetic and suffering with high cholesterol and some kidney problem so, can you kindly guide me.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am a diabetic and suffering with high cholesterol and some kidney problem so, can you kindly guide me.
Diabetics with high cholesterol is a deadly duo this can easily lead to a number of complications including kidney damage cholesterol deposition heart attacks with high blood pressure neuropathy vasculopathy and whatnot. So the first step here is at most diabetic control and regular healthy diet avoiding all kinds of fats, set a regular routine of at least 45 minutes of regular exercise at least 5 days a week check your HB a1c and lipid profile every 3 months and keep it under control if needed it just your medication for the same and get your kidney function test done to optimise medication for them as well.
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My mother is affect attack. She doing anjio test 3 blocks is there. angiogram or bypass surgery which is the best way. Pl suggest.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
My mother is affect attack. She doing anjio test 3 blocks is there. angiogram or bypass surgery which is the best way...
As blocks are many it needs bypass. After that follow our diet charts and herbs for further blockage avoidance.
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I am sher singh my mother suffering from blood pressure low. How I can help her. She is 52 years old.

BHMS
Homeopath, Chennai
I am sher singh my mother suffering from blood pressure low. How I can help her. She is 52 years old.
Low blood pressure is an abnormal condition where a person’s blood pressure (the pressure of the blood against the walls of the blood vessels during and after each beat of the heart) is much lower than usual, which can cause symptoms such as dizziness or vertigo. Conditions that reduce the volume of blood, reduce cardiac output (the amount of blood pumped by the heart), and medications are frequent causes of low blood pressure. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat low blood pressure symptoms but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for the treatment of low blood pressure symptoms that can be selected on the basis of cause, condition, sensation and modalities of the complaints. For individualized remedy selection and treatment you can easily take an online consultation for further treatment guidance. You can easily take an online consultation for further treatment guidance
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My father's behaviour has been changed a lot. I just missed jee advanced by 1000 ranks. I have recovered but my father was badly hurt. He has BP problem. Now he just make any issue and quarrels upon it for hours. After 2 or 3hours he becomes normal as nothing has happened. What is it? Please help me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My father's behaviour has been changed a lot. I just missed jee advanced by 1000 ranks. I have recovered but my fathe...
It is a natural action of being a parent. Your father like any other father have high hopes from you, about your future and he wants to see you reach more heights that what he has not achieved in life. It is that frustration, that sense of failure which his mind is not accepting yet. So you must try to make him calm and study hard so that his dreams are fulfilled. You are his dream and he expects a lot from you and he do not want that his dreams should shatter so easily-------------------------
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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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Im 21 year old female, I have backache, breathing problem, and chest pain. Sometimes, even sometimes stomach pain also. Im feeling to ask you that, is I have any heart problem.

Diploma in Cardiology, Diploma in Diabetology, MD
Cardiologist, Coimbatore
Im 21 year old female, I have backache, breathing problem, and chest pain. Sometimes, even sometimes stomach pain als...
These are generalised symptoms & more likely to be acid peptic disease. However I would suggest you to rule cardiac cause first by undergoing an ecg, echocardiogram.
8 people found this helpful
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BSAM, Basic Life Support (B.L.S), DM - Clinical Pharmacology, B.Sc Bio, M.Sc.
Alternative Medicine Specialist, Dhubri

I am suffering from heart pain. What are the symptoms for heart attack. How can I prevent from that. Can you help me please. Sometimes I lose control of myself.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am suffering from heart pain. What are the symptoms for heart attack. How can I prevent from that. Can you help me ...
Sharp piercing pain on chest radiating towards left arm is typical symptom but person can have severe headache if BP has been high,blackouts ,fainting, vomitings or vague gastric symptoms. Eat healthy diet ,no oils or added salt, lots of fresh seasonal fruits & vegetables , more simple proteins like soy, Exercise moderately like simple walks. Do Yoga & Meditation for relaxation
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What are the symptoms of diabetes melitus & High blood pressure? Please help me. Give suggestion.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What are the symptoms of diabetes melitus & High blood pressure? Please help me. Give suggestion.
Diabetes mellitus most often produces very few recognisable symptoms, hence most people fail to identify that they have diabetes. But when fully grown it may produce following symptoms: excess urination, especially getting up at night to pass urine 2 or 3 times, which disturbs sleep, excess thirst, excess hunger, unexplained weight loss and tiredness. Blood sugar level in such situations shows hyperglycemia. High bp also very rarely causes any recognisable symptoms. Hence, mostly it is found out only on checking at clinic. Occasionally one may feel dizziness. Earlier there was feeling that high bp causes headache and nose bleeds. But this can happen in hypertensive crisis, since these conditions are familial, it better for a person to get blood sugar and bp check up done regularly, particularly after 30 to 40 years. Both these conditions can be prevented by regular exercise, weight maintenance, proper diet. In case of bp salt restriction is very essential. But if one has already developed both these conditions then appropriate drug treatment is a must, in addition to adapting a modified lifestyle.
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My mother is 76 years old, non diabetic but hypertension and acidity since past 10 years. Taking Nitrolex SR - 1 per day and RAZO D 1#. She is having osteo arthritis and constipation for which she takes Anuloma powder. What to do for pain and diet?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My mother is 76 years old, non diabetic but hypertension and acidity since past 10 years. Taking Nitrolex SR - 1 per ...
Most probably your mother is suffering from oa of knee knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore. It could be beginning of a serious problem. Kindly show me x rays before a final decision can be taken. She will be thoroughly investigated before surgery is under taken. Risk in surgery is less than the risk in crossing road.
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I am raking Telma 40 mg tablet regularly as my blood pressure become 130 to 150. Can I take Ozotel 40 mg or E tel 40 mg in place of Telma 40 mg as it is costly. Would you suggest if another, please.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am raking Telma 40 mg tablet regularly as my blood pressure become 130 to 150. Can I take Ozotel 40 mg or E tel 40 ...
Yes you can take all these medications in place of telma. These all have the same compound. Telmisartan. Also you should do diet and exercise DASH stands for Dietary Approaches to Stop Hypertension. It is an eating plan that is based on research studies sponsored by the National Heart, Lung, and Blood Institute (NHLBI). These studies showed that DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking.
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Can High Blood Pressure Be A Reason Behind Heart Failure?

Non-invasive Cardiology
Cardiologist, Thane
Can High Blood Pressure Be A Reason Behind Heart Failure?

Heart failure occurs when the heart fails to pump blood around the body and organs for oxygen and nutrients. As blood moves through the heart and body at a slower rate, pressure in the heart increases. The chambers of the heart stretch to hold more blood to be able to pump through the body. This helps the blood to move but eventually the heart muscle walls weaken, unable to pump blood efficiently. The kidneys, in response cause the body, to retain fluids. The leakage of fluid in the tissues and the organs congests the heart, leading to heart failure.

Any of the following conditions can be responsible for weakening the heart and causing heart failure.

1. Coronary artery disease: this is a disease of the arteries supplying blood and oxygen to the heart that causes decreased blood flow to heart muscle. If the arteries get blocked or narrowed (due to the buildup of fatty deposits), the heart fails to get oxygen and nutrients, which may eventually lead to heart failure.

2. Heart attackif the plaques formed by fatty deposits in the arteries rupture and leading to blood clot that may block blood flow to an area of the heart muscle can cause a heart attack.

3. High blood pressurehigh blood pressure puts an extra strain on the heart for it to work harder to circulate blood throughout the body. As a result, the heart muscle may become stiff or weak to effectively pump blood.

4. Heart muscle weaknessthis condition can have many causes including diseases, infections, drug and alcohol abuse. Genetic factors may also contribute to the weakening of heart muscles.

5. Other diseases: chronic diseases like diabetes, HIV, hyperthyroidism or a buildup of iron or protein can also lead to heart failure.

Sometimes I get some acids coming out from my mouth and it burns me a a lot and also having pain on the left side of chest. What should I do?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Sometimes I get some acids coming out from my mouth and it burns me a a lot and also having pain on the left side of ...
U may be suffering from hyperacidity and gerd. You should avoid fried, spicy food items. Avoid cold drinks and tea. Morning walk early in the morning for atleast half an hour. Take proper sleep at night. Raise your head side of the bed to avoid regurgitation of gastric contents.
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High Blood Pressure and Kidney Disease - Causes and Symptoms!

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
High Blood Pressure and Kidney Disease - Causes and Symptoms!

Causes and Symptoms of Renal Hypertension

High blood pressure is characterized by an increased force that the blood exerts on the blood vessels when it moves through the body. Renal hypertension is a blood pressure disorder where the arteries that carry blood to the kidneys become narrow, as a result of which the blood pressure through these vessels increases.

Causes

It is caused when the arteries that supply blood to the kidney get narrow or get blocked. This can cause the kidney to release specific hormones that signal the body to retain water and sodium. This can put additional pressure on the blood vessels which leads to increased blood pressure. It can also be caused by atherosclerosis which is characterized by hardening of the arteries. Improper development of the arteries can also lead to renal hypertension.

Symptoms

The symptoms of renal hypertension are:

  • Feeling confused
  • Blurred vision
  • Regular headaches
  • Bleeding from the nose
  • Gradual decline in kidney function
  • Possible long-term damage to the kidney
  • Feeling lethargic and drowsy
  • Loss of appetite
  • Dryness in skin
  • Muscle cramps
  • Breathing difficulties

Treatments

The diagnostic procedure for this disorder consists of blood, urine, doppler ultrasound and CT angiography or MR angiography tests. Treatments for this disorder usually include medications to ease blood pressure. Preventive measures include modifications in lifestyle such as following a proper diet, limiting smoking, restricting sodium or salt in the diet and following an exercise regimen. Steps should also be taken to reduce stress. Yoga and meditation are highly beneficial to control the condition. Sometimes intervention is needed in the form of PTRA and stenting.

Related Tip: Kidney Stones and Homeopathy

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