Doctor in Mr Shantanu joshi
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
Treatment Of Restenosis
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A possible symptom of heart attack may be severe chest pain
Severe chest pain and a combination of the following symptoms can mean a person is having an acute heart attack. Severe chest pain is often described by patients as the worst pain of their lives, and is likened to something very heavy pressing on the chest.
Symptoms of a heart attack:
- Possible symptoms of a heart attack include the following:
- Pain that appears to spread up to the neck or down to the left arm
- Feeling faint and/or nausea
- Risk factors of heart attack
- A history of heart problems
The patient is:
The patient suffers from:
- High blood pressure
- High cholesterol
Dos and don'ts in the event of a heart attack:
- Call for an ambulance.
- Paramedics should be trained to stabilise the patient’s condition with medication, and the ambulance be equipped with a defibrillator to resuscitate the patient should the heart stop en route.
- Get ready the patient’s personal effects such as personal identification, medical insurance and other documents for admission.
- Have the patient seated in a location where he can be transferred easily to a stretcher.
- Let the paramedics know about any drug allergies or past medical history
- Drive or take public transport to the hospital, even if the patient lives nearby. As the patient’s condition may deteriorate en route, it is safer to wait for an ambulance. Also, ambulances also get priority on arriving at a&e.
- Ignore the pain. Get anxious about time wasted when the paramedics perform an on-site ecg.
5 simple steps to prevent coronary heart disease.
We are all aware that the incidence of heart disease is increasing in india. Generally the average age of heart patients in india is a decade younger, that means there are more younger patients suffering from heart disease in india.
How to prevent coronary heart disease in five simple and easy to follow steps.
1. Physical exercise.
This is the most important step to prevent coronary heart disease. In today’s world we work mostly sitting on a desk. We need to get out and walk, jog, cycle or swim etc. In all we need 30 -45 min of aerobic exercise 3 -4 times a week. Not just heart disease aerobics exercise helps prevent a number of other diseases also. It is one of the only ways to prolong your life. If you are doing yoga or any weight training even then you need aerobic exercise.
2. Mind what you eat.
We need to be mindful of what food we put inside our body. A healthy diet is one of the key pillars of good health. Your diet should have good quality protein, you can have moderate amount of fats but should avoid all refined sugars. Sugar has been shown to be the real culprit so better avoid it even if you are not a diabetic. Excess sugar is worse than fat. Take good amount of fibre, fresh seasonal fruits. Don’t fall into any trap which says eat dates or garlic to reduce cholesterol etc. These may have benefits but that doesn’t mean you can eat whatever you like without consequences.
3. Stop smoking
You should immediately stop smoking both active and passive. Smoking is known to be a very harmful habit. It increases chances for getting a number of diseases including heart disease, lung cancer, bladder cancer etc. In western societies the incidence of smoking is coming down, in india we need to spread more awareness.
4. Route blood pressure check.
High blood pressure is a very common issue which goes unrecognised and is very harmful to the body. All the organs in the body are exposed to its bad effects. Heart, kidneys, brain, eyes are the organs most commonly effected organs by this problem. High blood pressure can be easily recognised and can save a lot of lives. Once diagnosed with high b. P one needs to be on regular medication. You should never skip or discontinue medication as it can cause rebound hypertension that is very high b. P, which can cause bleeding in the brain.
5. Routine annual blood checkup
We need to undergo routine annual blood check after the age of 40 years, this age needs to be lowered to 35 if there is some family history of heart disease. Everyone needs to get their blood sugar parameters checked, cholesterol levels checked. At the time of checkup the doctor may include other tests like vit d3 levels or b12 & folate levels in case vegetarians etc.
In the end we should remember that we have just one body in this life so better take care of it or regret later. As age advances we all become more prone to diseases so a little care goes a long way.
Coronary artery disease, also known as coronary heart disease or CHD, is a kind of disease in which a wax-like substance called plaque, builds up in the coronary arteries.
Function of Coronary Artery
The task of coronary arteries is to supply oxygen rich blood to the heart muscles. When there is the growth of plaque in these arteries, the condition is termed as atherosclerosis. Plaque builds up over the years, and it hardens or ruptures with time. When plaque gets hardened, it narrows the coronary arteries and thus disrupts the flow of oxygen-rich blood to the heart muscles causing coronary heart diseases. Millions of people are diagnosed with heart diseases, nowadays.
Though it is true that living with a heart disease is not easy, it is not impossible either. Many people are successfully leading a happy life in spite of having such diseases. With some major changes in your lifestyle, food habits and with the help of exercises and a healthy diet, it is possible to enjoy a happy life, irrespective of your diseases.
Here are six ways that would help you to lead a better life, even if you have been diagnosed with coronary artery disease.
- Lifestyle changes: This is the first point that needs to be kept in mind if you are a CAD patient. Lifestyle changes are essential to make for a better health and life. Smoking and drinking have to be given up completely. It is advised to avoid secondary smoke, as much as possible.
- Exercises: This is the next important activity that needs to be a part of your daily routine to lead a healthy life. Consult with your doctor about the types of exercise that would suit your conditions. Some common exercises that would help are walking, jogging, and swimming, for at least 30 minutes at the most. Choose whichever activity you like doing. The motive of exercises is to get your heart-rate up.
- A Heart healthy diet: Get a chart prepared for your diet by a dietitian or by your doctor. This will keep your disease from getting worse. Stick to a heart-healthy eating plan, which consists of foods that can lower your risk of heart attack, stroke, etc. Include more fruits, vegetables, and other high fibre foods in your daily diet. Go for foods that are low in saturated fats, trans-fats, and cholesterol. Try to include fish into your diet.
- Maintain a healthy weight: Being overweight or obese aggravates any disease. So it is important to keep your body weight perfect.
- Taking medicines as prescribed: It is important to take medicines regularly and as prescribed by the physician.
- Keeping tensions, anxiety to a minimum: These will make the situation worse if you are CAD patient. So try to keep tension and anxiety away and lead a healthy life.
Hello doctor I am 34 year old got attack in January 2017 I was having 45% blockage in one artery after angiography colt buster was given blood was started flowing was on medicine visiting cardiologist when ever he calls on January 28 of this year he asked me to do 2d echo which showed no problem n lvef was 55 n tmt was too negative my Dr. prescribed me juprios gold 10 n met xl now due to infertility I am taking tablet carnitor 500 n some times I feel my heart beat fast which makes me worry n sometimes I feel I will fall down but nothing happen.
I am 23 years old engineering student. I randomly checked my bp with morepen bp machine my bp was 124/92 .Again after five days it was 124/92.Is It normal?
I am 50 years old. By BP is 200/90 so taking Telma 40 to keep it under control. Should I take Telma 40 before I go to Zym for work out and aerobics?
The heart pumps pure blood to all parts of the body through a network of arteries. These are thicker in the beginning and become finer and thinner as they reach the various organs. These arteries are lined by a layer of epithelial tissues and as blood flows through them, the heavier cholesterol / fat molecules settle down along the walls.
This attracts more and more fat molecules to settle down. This is known as atherosclerosis (hardening of the arteries). Over a period of time, the vessels circumference reduces and the blood supply to the target organ reduces. This impacts proper functioning of these organs and when this happens to the major organs like the heart, kidney or the brain, conditions like stroke or thrombosis or heart attack can occur.
This condition, known as coronary artery disease, is becoming a major cause of deaths. While that is the bad news, the good news is that it is largely lifestyle dependent, and if steps are taken, it can be prevented, and in the early stages, the damage completely reversed.
1. Diet: A low-fat, high-fiber, heart-healthy diet consisting of Omega-3 fatty acids is recommended by doctors, especially to people who are prone to develop heart disease. This also requires reduced salt, increased unsaturated fats, reduced triglycerides and reduced sugar. Include loads of fresh fruits and vegetables, whole grains, nuts and seeds and fish oils. Include multivitamins or other supplements after checking with your doctor.
2. Exercise: Regular exercise in any form increases the efficiency of the circulatory system, keeps the cholesterol levels in check and helps in blood pressure management. Exercise in any form is advisable, based on individual preference. A moderate physical activity of 30 to 45 minutes per day is advisable.
3. Smoking: This is one of the major risk factors for smoking, and quitting or controlling smoking is one of the best methods to prevent coronary artery disease.
4. Alcohol consumption: While moderate alcohol consumption is believed to be healthy for the heart, excessive alcohol consumption is a strict no-no. Binge drinking especially is shown to cause heart attacks.
6. Regular medications: If you are on blood pressure or diabetes medications, ensure you do not miss them. Keep a constant check to ensure your readings are managed well.
7. Watch out: Ask your doctor if there are specific symptoms that you need to watch out and seek medical support if you see any of them.
Coronary disease is not treatable fully, but can be prevented and managed effectively to improve the overall quality of life.
Many children are born with Atrial Septal Defect, a condition which is popularly known as holes in the heart. It is a major concern for most parents, but, thankfully it can be treated very easily. None of the parents want their child to undergo hospitalization and the resulting pain that treatments might incur. However, the good news is all kinds of heart holes do not need to be closed by surgery at all. Many a time the holes are filled over time naturally and the child only needs to be under medical observation that’s all.
In case a surgery needs to be performed, given the hole(s) in your child’s heart is medium to large sized, the surgeon makes sure that the procedure is painless. One of the commonest surgeries is one that involves the use of a catheter. Here, a catheter is attached to an umbrella-shaped device (a disk) and the apparatus is inserted through the groin region. The device is designed to reach your child’s heart and attach a disk to the hole, thereby filling it. When the process reaches completion the catheter is taken out of the body. The good thing about this surgery is that by six months natural tissues grow over the surgical site and re-operation is not required.
Open Heart Surgery
Another type of surgery that is performed to treat Atrial Septal Defect is an open heart surgery. This is only carried out only when the condition is serious. In this surgery too, the child is given medications that allow him/her to sleep throughout the procedure. Using a bypass machine the surgeons opens the heart and while the surgery is on, this machine imitates the pumping of the heart. The surgeon then uses a patch like a device to seal off the hole(s). Post surgery the child is discharged from the hospital within a week. There will be some guidelines that the concerned doctor might acquaint you with pertaining to the post-treatment care of the child. He/she might prepare a diet chart for your child.
Ventricular Septal Defect
Ventricular Septal Defect is a condition where a hole develops around the wall which separates the lower chambers of the heart. In most cases, the hole closes in on its own. If the hole is medium or large sized, a surgery will be performed. With surgery, your child would go back to leading a normal life. It is just that you need to take special care of his/her diet. The doctor might recommend foods that are high in calories. Make sure you follow the doctor’s advice properly and watch your child going back to bounding and playing like other children in no time.
Heart transplant surgery is one of the most critical cardiac surgeries that exists. Since the procedure requires an open-heart surgery, it often takes a long time to complete the operation. General anaesthesia is applied to the patient so that he doesn't feel a thing. The surgeon then connects the patient to the heart-lung bypass machine so that oxygen-rich blood keeps flowing inside the body. The surgeon then separates the chest bone, opens the rib cage, takes out the old heart to replace it with the new one. As soon as the blood flow is restored, the new heart starts functioning (pumps blood). Sometimes an electric shock is required to make the new heart work.
What to expect after the procedure?
The patient is given pain medications and connected to a ventilator. It helps the patient to breath and ejects body fluid. The medications and the fluid in transferred to the body through IV tubes. The patient is kept in an intensive care unit till his condition stabilizes. He might have to spend a couple of weeks to one month in the hospital before he is permitted to go home.
What to expect after the patient is released from the hospital?
The patient is now closely monitored by the transplant team at the outpatient transplant center. Since the intensity and the frequency of the monitoring are frequent, many patients chose to stay close to the hospital. Frequent tests such as regular blood work, echocardiogram, heart biopsies etc. are conducted at regular interval to monitor any signs of the body rejecting the new heart.
What are the long-term adjustments needed?
consumption of immunosuppressants medications would be sacrosanct for the rest of the life. Since the immune system would never fully accept the new organ, immunosuppressant would ensure that the body's antibodies do not attack the new organ. Over time though, as the risk of rejection comes down, the dosage of the immunosuppressant is reduced by the doctor. Since immunosuppressant has some side-effects, a doctor also prescribes certain antifungal, antiviral and antibacterial medications as well.
- Managing therapies, medications and lifelong health plan: Heart transplant essentially means following a set of lifelong instructions as prescribed by the doctor. Taking medications on time, eating healthy, regular exercise, skipping junk foods, refraining from tobacco and alcohol are some of the instruction a patient might have to abide by for the rest of his life. Meeting the doctor once in a quarter is also important to ensure that any upcoming complications could be addressed proactively.
- Emotional Support: Often patients feel overwhelmed by the experience of a heart transplant. The stress of the procedure gets to some patients resulting in less sleep, low appetite, lethargy etc. It makes sense to talk to the doctor and seek help for the same.