Mai Dr Pramod Kumar Sharma, Max Smart Saket City hospital me Senior Cardiac surgeon ki pad par hu. Merese bahut saare patient aate hai aur baar baar yahi poochte hai ki doctor saab ye angina pain kya hota hai? Heart attack hota kyun hai? Unka jawaab dene ke liye, unko ye samjhata hoon ki angina jo hota hai ki jab dil ke andar jab khoon ki supply kam ho jati hai aur, dil jo hai it’s like a pump. Pump ke andar aapko chalane ke liye energy chahiye, energy aati hai usko apni supply mine se. Jab vo apni supply dheere dheere khoon ke naliya sikudne ki wajah se kam ho jaati hai toh patient ko angina shuru ho jaata hai. Aur agar suddenly wo nali band ho jati hai to patient ko heart attack ho jata hai.
Ab sawal ye uthta hai ki ye hota kyun hai? Angina ya heart attack dono ek hi beemari ke do roop hai. Dono ke kaaran ek hi hai. Pehla kaaran jo hota hai wo hota ki jisko hum bolte hai non-modifiable factor. Non-modifiable factor hai isko hum bolte hai ki patient ko vanshanugak problem hai. Matlab uske pitaji ki taraf ya mataji ki taraf kisi ko bhi family me agar ye problem rahi hai heart attack ki, angina ki toh usko jo aage santaan aati hai unko hone ke kafi kafi chances rehe hai. Dusra hota hai modifiable factor. Modifiable factor me bahut saare factor hai jaise ki patient agar diabetes hai usko control nahi kar rahe hai properly, patient ko blood pressure hai usko properly control nahi kar hai, patient ko cholesterol bahut jaada rehta hai, hyperlipidaemia jisko bolte hai usko properly control nahi kar rahe hai ye jo factor hote hai iske alava jin do cheezo pe mai bahut jyada mai stress dena chahunga aur samjhana chahunga jo ki bahut aasani se aap bacha bhi sakte ho aur bahut dangerous hai.
Ek sabse badi problem hai smoking ki, smoking ek itni katarnaak cheez hai jo ki aam taur par logbagh samajhte hai ki smoking se cancer hi hota hai. Smoking se cancer to hota hi ye har aadmi jante hai, par har aadmi ye nahi jante hai ki smoking se khoon ki naliya sukad jati hai, khoon gaadha ho jata hai aur khoon ka bahaav kam ho jata hai. Uski wajah se patient ko jo stroke bhi ho sakta hai, jisko hum bolte hai brain attack ya heart attack bhi ho sakta hai. Jisko hum normal bahasha me hum bolte hi hai har log jante hi heart attack kya hota hai. To ye do cheeze hai agar aap smoking karte hai to aap ko bahut jayada chances hai ki heart attack ya brain attack hone ke chances bad jate hai.
Dusra mai bolunga ki humara jo life style hai, life style modification ka bahut bada role hai, heart attack ya angina ko prevention ke liye. To life style hum log ka bahut change hogaya hai. Aaj kal logbagh raat der tak jagte rete hai. Proper need nahi le paate hai, proper relaxation nahi ho paata hai, mind ka relaxation nahi hota, tension bada rehta hai. Yeh sab cheeze aaj kal itni jyada ho gayi hai ki jiski wajah se aap dekh rahe hai ki din pratidin heart attack aur angina ki problems badti jaa rahi hai.
Agar aap ko is baare me koi consultation karna hai to lybrate is a very good forum. You can interaction with the lybrate people, you can have my advice on internet by posting your questions.read more
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Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
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Patient Review Highlights
He is so nice that they even at odd hours one can call him in case of emergency. The prevention of blockage, atherosclerosis & heart attack treatment has helped me greatly and now I am perfectly fine. Overnite my issue aggravated. In the very first sitting, Dr Pramod Kumar Sharma clearly told us the problem and the what the treatment procedure will be in future. Even in case of emergency, the staff is always willing to help. Over the period of time I noticed a number of changes in myself.
It was getting very difficult for me to cope us with my heart valve disease. Thanks to Dr Pramod, I am much better now. He treated my heart valve disease patiently. I read about the Pramod Kumar Sharma on one of the social media platform. So many doctors I consulted, but his treatment was the best. He is very talented and seasoned doctor.
Dr Pramod, an expert in his domain, carries a high level of subject knowledge which is quite commendable basis his past achievements in terms of accurate diagnosis and effective treatment for his patients. Best part is the level of trust and comfort zone he creates with his patients. Best wishes.
I was facing many issues due to hole in the heart. I was searching for a known cardiologist so I consulted Dr Pramod. He treated me very well. He understood the problem and then started treating it. I owe him a big thank for helping me with this issue. I feel quite better than before.
Dr Pramod sharma has worked relentlessly for his patients .he is not only an experienced doctor but also a true human being .he has lived an exemplary life attending to mid night calls ,answering politely and confidently to all the queries of patients.
It was getting neccesary for me to get a Angiography so i decided to get it done by dr Pramod Kumar Sharma .Thanks to the expert care and his great precesion. He us very efficient and caring He can be consulted at CARDIAC CLINIC in Noida.
Best Doctor I saw and way of treatment. He is best of all . smiling and helpfull in nature. Always ready for available 24*7 . his advice best makes person hope better and feel relaxed after visiting him.
Dr. Sharma treats patients with utmost care and ensure that he listens to what the patients have to say and is thoughtful in expressing options for future courses of action.
He is approachable and listens to patient carefully. His medical counsel is patient oriented. We depend on him and he is the last port of opinion for us in our cardiac care.
Dr. Sharma is highly experienced doctor having many achievements in cardiac surgery to his credit. Besides that he is polite, patient and a nice human being.
Vijendra Kr. Agarwal
Dr. Pramod Kumar Sharma is exellent cardio . He developes a family relation with the patient and treats. he is very sincere and honest to the patient.
Dr. Sharma is our family doctor and a motivating doctor for my family. We have full faith in him
You are one of the noblest Doctors I ever met. Keep serving throughout life and reap blessings.
i am totally satisfied with his advice from my AVR Problem.
Excellent Surgeon, great human being
Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.
The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.
The different types of cardiomyopathy are:
- Hypertrophic Cardiomyopathy: This is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
- Dilated Cardiomyopathy: This form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
- Restrictive Cardiomyopathy: This disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
- Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
- Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.
Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.
Modes of surgery for treatment of cardiomyopathy include:
- Septal myectomy
- Heart transplant
Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.
Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms.
Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities.
If your child has a congenital heart defect, it means that your child was born with a problem in the structure of his or her heart. Some congenital heart defects in children are simple and don't need treatment. Other congenital heart defects in children are more complex and may require several surgeries performed over a period of several years.
There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.
If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.
- The skin is pale gray or blue in color due to excessive venous flow in the system
- Excessive sweating
- The child is exerting to breathe regularly
- Rapid breathing causes added load on the heart accompanied by a grunting noise
- Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
- Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
- Shortness of breath, even during feeding
- Clubbed fingernails
- Lethargy and low energy, even with feeding, therefore very poor feeding pattern
- Chest pain, which may cause the newborn to cry incessantly
- Low weight gain, as they feed less
In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:
- Swelling of the hands, feet, and ankles due to fluid accumulation
- Lowered energy levels, leading to easy fatigue
- Shortness of breath with even minimal physical activity
- Inability to exercise
- Developmental delays and changes in growth milestones
- Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
- Pulmonary hypertension
- Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.
Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention. If you wish to discuss about any specific problem, you can consult a cardiologist.When to see a doctor
Serious congenital heart defects are often diagnosed before or soon after your child is born. If you notice that your baby has any of the signs or symptoms above, call your child's doctor.
If your child has any of the signs or symptoms of less serious heart defects as he or she grows, call your child's doctor. Your child's doctor can let you know if your child's symptoms are due to a heart defect or another medical condition.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.
Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.
Call a Doctor
The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.
After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.
If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.
Use an Automated External Defibrillator (AED)
If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.
Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful? Esp. For all the joints etc.
Women, who have been thinking that cardiac diseases are something that doesn’t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren’t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like heart attack are killing as many women as men.
Almost more than 25,000 women are dying all over India every year from a heart attack or other coronary heart diseases. The ratio results show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated.
You cannot seek immunity only through pills:
We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women.
Heart attack symptoms in women:
We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are:
If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle.
Smoking doubles the risk of a heart attack in women
According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack.
You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack. Consult an expert & get answers to your questions!
Sir I am suffering from high blood pressure from 14th August 2017 my BP is 130 by 90 or 140 by 86 sir what would I do to avoid BP medicines how can I control BP.
Health experts do believe, and are promoting the same nowadays, that eating right is the best step to control high blood pressure other than regular medications. Who knows, if you are strong enough to control your lifestyle and eating habits, you may not need a long term medication after some time. The blood pressure may lower down naturally with improving health and weight.
Factors that elevate blood pressure in the body-
Before suggesting the right eatables for lowering the blood pressure, let’s look at the conditions which actually increase the blood pressure. They are:
- A coronary heart disease
- Work pressure or family and relationship troubles
- Other medical conditions like diabetes, depression, etc.
Each one has a toll on the body with resultant High Blood Pressure. With eating right you may gain a lot of control on the body.
Here are some quick tips on eating right:
- Avoid excess salt intake. The more salt you take, the more sodium your body gets, and as a result BP elevates. When you eat readymade snacks, packaged foods and drinks with preservatives, check the nutritional information. Most of them contain high sodium. You may stop the intake of such foods or restrict them completely.
- Avoid oily and junk food. Avoid food with unsaturated or trans fats. These kinds of foods straightaway add to the fat deposits of the body, and make you obese or more obese. In such cases, the obesity and increased weight build a pressure on the heart to pump more, thus elevating blood pressure.
- Avoid excess caffeine. Caffeine comes in the body through coffee, tea, and aerated drinks. These beverages when restricted to only 1-2 intakes per day may help you lower the BP.
- Quit smoking, as this puts excess pressure on the lungs to breathe and thus the heart to pump.
- Avoid Alcohol. Avoid alcohol intake in excess amounts. Drinking more alcohol or frequent drinking can elevate BP.
Besides there are some good foods that can always help to lower or control BP. They are:
- Plain, fat-free yoghurt or Greek yoghurt
- White beans
- Pork tenderloins
- Small fishes like Tilapia
- Bell Peppers
These food items are designed by nature to reduce blood pressure or normalize blood pressure in the body. Hence, if you are trying heart and soul to eat right, then try these in your daily food to see positive results. Besides, exercising and reducing weight are the two other important steps to take, which complement the healthy diet and eating habits to lower the blood pressure with or without medication. If you wish to discuss about any specific problem, you can ask a free question.