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Dr. Smita Mishra  - Cardiologist, Noida

Dr. Smita Mishra

FDNB, MD, MBBS

Cardiologist, Noida

31 Years Experience  ·  600 at clinic
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Dr. Smita Mishra FDNB, MD, MBBS Cardiologist, Noida
31 Years Experience  ·  600 at clinic
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Personal Statement

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. Smita Mishra
Dr. Smita Mishra is a popular Cardiologist in Sector-128, Noida. She has been a successful Cardiologist for the last 31 years. She has done FDNB, MD, MBBS . You can meet Dr. Smita Mishra personally at Jaypee Hospital in Sector-128, Noida. Don’t wait in a queue, book an instant appointment online with Dr. Smita Mishra on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 43 years of experience on Lybrate.com. You can find Cardiologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
FDNB - Escorts Heart Institute - 2004
MD - S S Medical College Rewa - 1991
MBBS - S S Medical College Rewa - 1987
Languages spoken
English
Hindi
Awards and Recognitions
Post Doctor Award IMA
Professional Memberships
Faculty Member : National Consensus Meeting On Kawasaki Disease
Member of Indian Academy of Pediatrics
Chairperson of IAP Cardiology Chapter & Executive Board Member of Delhi
...more
Life Member of Pediatric Cardiac Society of India
Life Member of Indian Society For Echocardiography

Location

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Jaypee Hospital

No.128, Jaypee Hospital Road, Goberdhanpur, Landmark : Opposite Delhi Public SchoolNoida Get Directions
600 at clinic
...more
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Want to talk regarding Kawasaki disease and prognosis. Role of iv ig. Please suggest.

FDNB, MD, MBBS
Cardiologist, Noida
Want to talk regarding Kawasaki disease and prognosis. Role of iv ig. Please suggest.
Kawasaki disease is a multisystem disease which is diagnosed on the basis of many clinical (high fever, rashes, asymmetrical cervical lymphadenopathy, nonpurulant conjuctivitis, strawberry tongue, peeling aseptic pyourea, leykocytosis, high CRP / ESR,) and lab parameters. This needs to be differentiated from bacterial and viral exanthemes. KD may be classified as typical and atypical KD. Scarlet fever is closest DD. All issues can be resolved but coronary artery changes. CA gets involved in 25 to 40 % cases. Echo diagnosis of changes can be seen after 10 days of fever. An early diagnosis is important. Usually IVIG therapy between 5 to 10 day of fever, may prevent coronary artery aneurysm / stenosis in upto 95 to 98% cases. Most accepted theory about the pathogenesis is AUTOIMMUNE process.
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How Do You Check Your Own Blood Pressure?

FDNB, MD, MBBS
Cardiologist, Noida
How Do You Check Your Own Blood Pressure?

Measurement of the blood pressure is considered to be an important step in the diagnostic protocol since the flow of blood in the body determines one’s health. Higher the blood pressure, more the risk of health problems.

Now what exactly blood pressure is? It is the pressure exerted by blood on the walls of the blood vessels, specifically on the large arteries of the systemic circulation. The normal resting blood pressure of the human body is 120/80 mm Hg, where 120 is the systolic pressure and 80 is diastolic pressure, measured by the auscultatory method.

Usually, for measuring blood pressure, a physician is consulted. However nowadays, blood pressure can be measured at home itself, thus removing the necessity of visiting a clinic for the same. There is a possibility of the patient being suffering from the ‘White Coat” hypertension, where blood pressure of the patient shoots up in the presence of the physician at the clinic. In such patients, it’s safer to suggest blood pressure measurement at home itself.

Certain factors like stress, smoking, heavy exercise, brisk walking, rapid movements, caffeine and certain medications can alter the pressure of blood. These factors should be avoided. There are two ways by which the blood pressure can be measured at home-

  1. Manual method using a sphygmomanometer
  2. Digital devices

A. Measurement of blood pressure using a sphygmomanometer

Steps:  

1- Sit comfortably at one place and open the kit.

2- Raise your arm to the heart level.

3- Wrap the cuff around your upper arm, preferably the left arm.

4- The cuff should be adjusted to snugly fit. It shouldn’t be too tight.

5- Place the diaphragm (head) of the stethoscope flat against the skin on the inside of your arm.

6- Tighten the valve of the rubber bulb and inflate the cuff.

7- Release the valve slowly and note down the first thumping sound. This is the systolic blood pressure.

8- After the thumping sounds subside, there is a small whooshing sound, following which no sound is audible. Note down this pressure on the gauge, it is termed as diastolic blood pressure.  

B. Digital devices

Steps:

1- Sit comfortably and relaxed with your back supported.

2- Support your arm on a tabletop at an even level with your heart.

3- Place the cuff on the left arm and keep tubing at the centre of your arm facing the front. Place the sensor is correctly.

4- Press the “start” button. When the measurement is complete, readings of your systolic and diastolic blood pressures and your pulse rate will be displayed on the digital panel.

5- Record the reading of the first measurement and obtain another reading of blood pressure after resting.

6- Take the average value of the two readings.

By using these two simple methods and following the above mentioned easy steps, blood pressure can be measured and monitored at home itself. If there is a huge difference between consecutive readings, then it is best to consult the physician for accurate results.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2451 people found this helpful

After taking medicine Amlodipine 5 mg daily two times, my BP became 130/90 from 160/110 but my pulse rate varying between 100 to 120 per minute. Please suggest any medicine so that pulse rate became normal and also suitable to Amlodipine 5 mg.

FDNB, MD, MBBS
Cardiologist, Noida
After taking medicine Amlodipine 5 mg daily two times, my BP became 130/90 from 160/110 but my pulse rate varying bet...
Please consult in the OPD with good physician or adut. Cardiologist. Never a medicine must be added or switched without proper clinical exam. Your BP is responding but HR high for age. It should have gone down. You might be having few extra beats.
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