Doctor in Narendra Heart Clinic
Balloon Angioplasty Procedure
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Holistic Heart Wellness & Health Care - Ayurveda
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Treatment of Blockage, Atherosclerosis & Heart Att
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Angioplasty Stent Surgery
Preventing Stent Surgeries
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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
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.
Quit smoking, as this puts excess pressure on the lungs to breathe and thus the heart to pump.
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
Small fishes like Tilapia
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.
Heart attack, also known as myocardial infarction, is a severe condition where death of the heart muscle occurs because of the loss of blood supply. The blood loss usually happens because of the blockage of a coronary artery. Due to electrical instability, ventricular fibrillation is caused. Heart attacks may result in permanent brain damage or even death.
- Symptoms of Heart Attack: There are many early symptoms and signs of heart attack, which should be recognized. Symptoms of heart attack vary from person to person. Here is a list of the primary heart attack symptoms:
- Chest Pain and Discomfort: Chest pain is the basic symptom of a heart attack and occurs in different forms. The chest pain has a pressure, fullness and squeezing sensation and starts from the center of the chest. The pain may go away and re-occur and may spread down to other limbs of the body.
- Headache, Toothache: The chest pain occurring due to a heart attack spreads all over the body and the jaw. Even the back and head are affected. Sometimes pain in these regions is present while chest pain is absent.
- Shortness of Breath: A gasping sensation or feeling shortness of breath is another common sign of a heart attack. Such breathing difficulty is called dyspnea. The shortness of breath occurs before or during the chest pain.
- Nausea and Vomiting: The feeling of nausea or sickness in the stomach is another possible symptom. It is accompanied by belching or burping and sometimes, the heart attack is associated with a feeling of indigestion. Nausea is more common in women. Vomiting also occurs alongside nausea.
- General Epigastric Discomfort: In several cases, patients describe the pain of a heart attack as stomach pain. The pain is heavy and uncomfortable and persists for several minutes.
- Sweating: Perspiration or sweating occurs during a heart attack and the patient experiences cold sweat in avid amounts.
Emergency Treatment for Heart Attack:
- A person who has a heart attack should be rushed to a hospital.
- Several tests are carried out to detect the cause of the attack. A 12 lead EKG is carried out to supervise electrical activity within the heart and detect the damaged areas.
- Blood tests are undertaken to check enzymes and in certain cases, cardiac catheterization is required where pictures of the blood vessels are examined.
- Emergency medicines are given to the patient to stop the formation of blood clots and include aspirin, heparin and other drugs. Other medicines are given for thrombolytic therapy, which dissolve already formed blood clots. They work to reduce the heart damage. Nitrates are also used.
A heart attack is a severe condition and must be attended to immediately. Emergency treatment procedures are essential to save the life of an affected person.
HI, My pulse rate is 111. I feeling some weakness. High bp diagnosed, managing by taking telma 20. Please comment about pulse rate. Feeling very light vibration in hands.
I am a 48 year old and have mild bp issues. However this post is not about bp for which I take 10 mg cilnidipine. Sometimes I take viagra 50 mg. It is said that this is once a day dose. My question is that can I take 25 mg viagra twice. Let's say I take once at 2-3 pm and its effects wears of by 8 pm can I take another 25 mg say at 11 pm? Ultimately the dosage for the day is still 50 mg. Please advice.
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat.
It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
Normal (Benign) -
These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures.
Palpitations are more likely to be abnormal In people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
Call for help. (If u are alone avoid driving, use a taxi or auto) Go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospita
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists.
They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
ECG - Taken during palpitations and when the patient is normal is a very helpful tool.
Holter - Externally applied recorder which continuously records heart rhythm for 24 hrs.
ELR - Extended looper recorder, is like holter, but it records rhythm for longer durations.
ILR - Internal loop recorde is attached within the body for recording rhythm for long duration.
EPS - Electrophysiology study, is the most sure shot test to diagnose, identify and treat
What is EPS?
EPS stands for Electrophysiology study. By this test a trained electro-physiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation.
It is a simple and safe procedure of 2-3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.
In the procedure electro-physiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient -
Cardioversion - where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
My blood pressure remains 130/70. I am taking metosartan 50 at morning and nexovas 20 at night. Shall I change medication as I am feeling extremely week?
The lungs take in oxygen and leave out carbon dioxide through breathing. It often does not get noticed but is the most vital function. When a person is not able to breathe properly, then the overall physical ability of a person is reduced. Even walking a few steps or doing simple chores can seem daunting tasks. Therefore, shortness of breath can be very limiting and may alter the quality of life of the patient.
The medical term being dyspnea, it can be short or long-term, acute or chronic. Any problem in the heart or lungs can cause shortness of breath.
Shortness of breath can be caused by various conditions including:
- Lung infections
- Heart conditions including congestion and failure
- Any systemic illness or infection
- Chronic obstructive pulmonary disease
Given that shortness of breath is caused by almost any ill health condition, especially in people with chronic conditions, it is best that the lungs are empowered to improve their function and do not cause shortness of breath. The idea is to delay the onset of shortness of breath and also to reduce the severity.
Some techniques to reduce shortness of breath are:
- Breathe by reducing the rate of respiration. This reduces shallow breathing, which often happens, and so improves the amount of oxygen that reaches the system with each breath.
- The patient should learn to relax, sit, and pace around without exertion.
- Become aware of air movement during respiration – controlled breathing and active cycle of breathing techniques.
- Postural drainage – Depending on the area of the lung that is causing shortness of breath, the person is made to lie prone and turn to a side that will allow the fluid in that region to drain out.
- Overall relaxation techniques to improve airflow and control short of breath.
- Avoid bending down, as it can induce shortness of breath.
- Over-eating at one go in one meal should be avoided.
- Weight needs to be maintained, especially if not under control. This can lead to shortness of breath without any associated medical condition either.
- The patient should learn to push objects instead of pulling them.
- Heavy objects should not be lifted but moved down at ground level.
- Avoid extreme hot or cold showers.
- Quit smoking as it causes various lung problems.
Help physiotherapy provides for people who are short of breath:
- Improve exercise tolerance
- Calms the person
- Allows the person to control symptoms
- Improve the quality of life
- Provide manual treatment