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Dr. Hiremath

Cardiologist, Pune

100 at clinic
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Dr. Hiremath Cardiologist, Pune
100 at clinic
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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. Hiremath
Dr. Hiremath is a trusted Cardiologist in Rasta peth, Pune. Doctor is currently associated with KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. Hiremath and consult privately on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 42 years of experience on Lybrate.com. You can find Cardiologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
100 at clinic
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I am 25 years old. My blood pressure is 137/92 is it good or bad. Because my backside head paining. How to control it suggest me.

Master of Physiotherapy, Bachelor of Physiotherapy
Physiotherapist, Noida
I am 25 years old. My blood pressure is 137/92 is it good or bad. Because my backside head paining. How to control it...
Hello lybrate-user, your head pain might be due to other reasons also. So it is not right to say whether the bp is responsible for it solely. It might be a migraine issue also. Consult a physician soon.
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Sir what are the symptoms for heart failure. How can we identify. How to cure that disease. Why and how do we get.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Sir what are the symptoms for heart failure. How can we identify. How to cure that disease. Why and how do we get.
Heart failure does not mean the heart has stopped working. Rather, it means that the heart's pumping power is weaker than normal. With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart may respond by stretching to hold more blood to pump through the body or by becoming stiff and thickened. This helps to keep the blood moving, but the heart muscle walls may eventually weaken and become unable to pump as efficiently. As a result, the kidneys may respond by causing the body to retain fluid (water) and salt. If fluid builds up in the arms, legs, ankles, feet, lungs, or other organs, the body becomes congested, and congestive heart failure is the term used to describe the condition. What Causes Heart Failure? Heart failure is caused by many conditions that damage the heart muscle, including: Coronary artery disease. Coronary artery disease (CAD), a disease of the arteries that supply blood and oxygen to the heart, causes decreased blood flow to the heart muscle. If the arteries become blocked or severely narrowed, the heart becomes starved for oxygen and nutrients. Heart attack. A heart attack occurs when a coronary artery becomes suddenly blocked, stopping the flow of blood to the heart muscle. A heart attack damages the heart muscle, resulting in a scarred area that does not function properly. Cardiomyopathy. Damage to the heart muscle from causes other than artery or blood flow problems, such as from infections or alcohol or drug abuse. Conditions that overwork the heart. Conditions including high blood pressure, valve disease, thyroid disease, kidney disease, diabetes, or heart defects present at birth can all cause heart failure. In addition, heart failure can occur when several diseases or conditions are present at once. You may not have any symptoms of heart failure, or the symptoms may be mild to severe. Symptoms can be constant or can come and go. The symptoms can include: Congested lungs. Fluid backup in the lungs can cause shortness of breath with exercise or difficulty breathing at rest or when lying flat in bed. Lung congestion can also cause a dry, hacking cough or wheezing. Fluid and water retention. Less blood to your kidneys causes fluid and water retention, resulting in swollen ankles, legs, abdomen (called edema), and weight gain. Symptoms may cause an increased need to urinate during the night. Bloating in your stomach may cause a loss of appetite or nausea. Dizziness, fatigue, and weakness. Less blood to your major organs and muscles makes you feel tired and weak. Less blood to the brain can cause dizziness or confusion. Rapid or irregular heartbeats. The heart beats faster to pump enough blood to the body. This can cause a rapid or irregular heartbeat. If you have heart failure, you may have one or all of these symptoms or you may have none of them. They may or may not indicate a weakened heart. Tests to determine the cause and severity of your heart failure. These include: Blood tests. Blood tests are used to evaluate kidney and thyroid function as well as to check cholesterol levels and the presence of anemia. Anemia is a blood condition that occurs when there is not enough hemoglobin (the substance in red blood cells that enables the blood to transport oxygen through the body) in a person's blood. B-type Natriuretic Peptide (BNP) blood test. BNP is a substance secreted from the heart in response to changes in blood pressure that occur when heart failure develops or worsens. BNP blood levels increase when heart failure symptoms worsen, and decrease when the heart failure condition is stable. The BNP level in a person with heart failure -- even someone whose condition is stable -- is higher than in a person with normal heart function. BNP levels do not necessarily correlate with the severity of heart failure. Chest X-ray. A chest X-ray shows the size of your heart and whether there is fluid build-up around the heart and lungs. Echocardiogram. This test is an ultrasound which shows the heart's movement, structure, and function. The Ejection Fraction (EF) is used to measure how well your heart pumps with each beat to determine if systolic dysfunction or heart failure with preserved left ventricular function is present. Your doctor can discuss which condition is present in your heart. Electrocardiogram (EKG or ECG. An EKG records the electrical impulses traveling through the heart. Cardiac catheterization. This invasive procedure helps determine whether coronary artery disease is a cause of congestive heart failure. Stress Test. Noninvasive stress tests provide information about the likelihood of coronary artery disease. Other tests may be ordered, depending on your condition.
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I am 31 years old. My weight is 85 kg. I have lots of stress, tension and depression symptoms these days due to personal reasons. Due to this my b. P becomes high while during sleep and because of this I feel numbness in my hand and sometime in legs what should I do? What type of diet and exercises should I do so that I could avoid medicines. Can I take himalaya lasuna for this. Because I do not want take allopathy medicines. Regards.

Masters in Clinical Psychology
Psychologist, Lucknow
I am 31 years old. My weight is 85 kg. I have lots of stress, tension and depression symptoms these days due to perso...
Hi lybrate-user, its really important you discuss your issues with a psychologist, its confidential and help you deal with thing better. In the mean time, do following: get enough sleep. Give your body the sleep it wants, and your stress levels will take a nosedive. Sleep is a mechanism by which your body recuperates and restores its energy reserves. If you're not getting enough sleep, your body will use stress to keep you active and alert in the absence of stored energy. Most adults need at least 7-8 hours of sleep per night.[4] young children and older adults need more, about 9-10 hours of sleep per night. Get into regular sleeping habits. If you can, try to go to bed and wake up at the same time each night and morning. Routinizing your sleep cycle will teach your body when it's supposed to go to be tired, aiding in better sleep and less sleep deprivation. Eat properly. Your body needs to be healthy, strong, happy and properly fueled to help you tackle stress. Like it or not, stress is a bodily reaction to anything that disturbs its natural state, meaning that your body can have a profound effect on producing and relieving stress. Water has been shown to relieve stress. That's because a dehydrated body creates cortisol, a stress hormone. An under-hydrated body creates stress to motivate the owner of the body to properly care for him/herself. Start decreasing caffeine and alcohol intake. In some cases, alcohol intake increases stress response in humans while being linked to substance dependency, a stressful condition itself. Caffeine is also responsible for raising stress levels, especially at work, so try to stick to water as a general rule. Eat a healthy breakfast and healthy snacks during the day. It is better to eat several smaller meals throughout the day than to consume three large meals. For a healthy stress-free diet, consume more complex carbohydrates such as whole-grain breads and pasta, foods high in vitamin a such as oranges, foods high in magnesium like spinach, soybeans or salmon, and black and green tea, which contain antioxidants. Start a diary or journal. You don't have to write in it every day. Writing down what's bothering you, what you've been busy with, and how you feel may help you to expel your negative emotions. Practice yoga and meditation. Although you could technically consider yoga your daily exercise, practicing the deep stretches and slow body movements will help you to clear your mind. Meditating - clearing your mind - while practicing gentle yoga will give double the relaxation effect to ease your stress. Use guided imagery to imagine a place that makes you feel at peace. Imagine somewhere that you feel happy; focus on the details to fully remove your mind from the present. Do yoga alone or in a group setting to help you learn new poses. As you advance in your yoga, you will be able to form complex stretches that force you to focus and take your mind off your stress. Practice deep relaxation by doing progressive muscle relaxation. This is when you work through your body by tensing your muscles, holding the tension for ten seconds, and then releasing it. This will soften and relieve all the muscles in your body. Avoid negative thinking. Acknowledge the positive in your life and begin to re-establish some balance in your emotional register. Avoid focusing on only the bad things that happened during your day, but consider the good as well. Stop and count your blessings. Write down even the simplest things that you have and enjoy: a roof over your head, a bed to sleep on, quality food, warmth, security, good health, friends or family. Acknowledge that not everyone has these things. Say something positive to yourself as soon as you wake up every morning. This will keep your energy and mind focused on positive thinking. Be thankful for each day that you have; you never know which one could be your last! use positive self-talk. Reinforce your resolve through positive statements such as" I can handle this, one step at a time, or" since i've been successful with this before, there's no reason why I can't do it again. Visualize positive things; this does not take long but can help you regain focus. Think about success, read about successful people. Don't admit defeat before you've been defeated. You don't deserve to beat yourself down so that you can punish yourself. Have more positive self talk. Nothing else helps intensify stress more than negative thoughts. When you start to having the feeling of defeat is the perfect time for a little reminder. You know yourself better than anyone else, and you are the perfect person to give you the reminder that it will get better. Remind yourself of all of the things you have accomplished in the past. All of those small accomplishments add up to very big ones over time. Change the words you use. Instead of saying" I can't do this, say something like" i've been able to get through this before, and I will get through it this time too.
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How does Ayurveda help heart patients?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
How does Ayurveda help heart patients?

In Ayurveda, the heart or Hridaya is most vital since it is the organ that is responsible for enabling proper circulation of blood all over the body while governing your emotions so as to keep you fit and energetic. When it comes to the development of heart ailments, a highly stressful lifestyle, and poor eating habits are considered to be the main culprits of heart diseases or Hrudroga. As a consequence, these causes bring about the hardening of the arteries, leading to problems like angina (ruja) and angio-obstruction (vata dosa). Factors like high blood pressure, heredity, diabetes, smoking and high cholesterol make you predispose to developing problems of the heart.

How does Ayurveda help?

Ayurveda offers safe and innovative preparations for the handling of heart diseases. Plants like garlic, Arjuna, cinnamon and their preparations are used for treating heart ailments. Depending on individual cases, certain very effective natural preparations are recommended by a practitioner of Ayurveda along with lifestyle changes like:

1. Getting rid of stress - When it comes to the heart, Ayurveda propounds a holistic approach in the treatment of this organ, which encompasses both physical and emotional considerations. Herbal formulations that contain ingredient like Ashwagandha are known to reduce tension in the mind as well as the body while strengthening the heart muscle.

2. Eating right - Developing the habit of correct eating is vital for improving heart health. According to Ayurveda, the ideal food portion should be one that fits into the cups of your palms. Having meals three times a day at fixed timings can help in training your digestive system to not only anticipate but also digest the food consumed. For stimulating a slow digestion salt, ginger and lime can be consumed.

3. Removing Ama (arterial plaque) from your body - For enabling a proper functioning of the heart regular cleaning of the internals is recommended as per Ayurvedic teaching so as to flush out the arterial plaque that gets accumulated in your blood vessel. From eating a high fiber diet and drinking lukewarm water to going to sleep by 10pm, Ayurvedic treatment of the heart consists of these recommendations.

4. Exercising regularly - The key to a good heart health is exercising regularly but in moderation. In this context, Ayurveda believes in the concept of Balaardh, which is exercising to about 50% of your capacity. This reduces instances of strains and injuries received due to exercising. Walking for about half an hour every day is considered to be a great metabolism booster as well and it brings about an improvement of the heart.

If you would like to consult with me privately, please click on 'Consult'.

Related Tip: How to Control Hair Loss Through Ayurveda?

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I'm hypertensive on 5mg amlodipine once a day. But my blood pressure is above 140 for the last three years. What should I do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I'm hypertensive on 5mg amlodipine once a day. But my blood pressure is above 140 for the last three years. What shou...
Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. Plenty of fluids orally. I suggest brisk walking for 40 mins, 5 days a week. Remain stress free as much as possible. Take your medicines regularly. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
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Sir my age is 29. My blood group is b positive. My fasting sugar level is 106. I am suffering from palpitation last 4 months I have consulted to cardiology dept rml Delhi. ECG and echo report are normal please suggest me what can I do.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Sir my age is 29. My blood group is b positive. My fasting sugar level is 106. I am suffering from palpitation last 4...
Dear lybrate-user Please ensure that your digestion improves. Very often, palpitations is a side effect of hyper-acidity and gas. All your cardiac investigations are normal as per your cardiologist. Try this: take an ayurvedic purgative to completely clean your intestines. For 10 to 15 days after that, try to stay on boiled vegetables, fruit, butter milk. Do not take any roti, rice. If you must, take jowari roti only. Do tell how your health improves. Regards.
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Sudden Death Due to Heart Problem - Is It Possible?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Sudden Death Due to Heart Problem - Is It Possible?

When the normal functioning of the heart shuts down suddenly due to heart disease or any other cardiovascular condition, then this is known as sudden death due to a heart problem. Every year, there are over 100,000 deaths globally due to this reason, as per various medical studies. Sudden Cardiac Arrest or SCD is a cause of death for many adults who may or may not be suffering from chronic heart disease. Let us find out more about this condition.

- Difference between Sudden Cardiac Death (SCD) and Heart Attack: A myocardial infarction or heart attack can happen when there is a blockage in one of the arteries of the heart which prevents the passage of blood and oxygen to the heart's varied chambers. When the oxygen present in the blood does not reach the heart in adequate amounts and on time, it can lead to a heart attack. In the case of SCD or sudden cardiac arrest, the problem happens due to a shutdown of the heart after a malfunction in the electrical systems which can lead to varied irregularities. 

Accelerated heartbeats, fluttering and quivering of the ventricles which are also known as ventricular fibrillation, as well as other similar causes can ensure that the blood does not reach the heart on time, which can lead to sudden death. The patient usually loses consciousness within the very first few minutes as the blood does not reach the brain.

Symptoms: There are a number of symptoms that are associated with this phenomenon. While losing consciousness is one of the first signs, others include a racing heartbeat as well as heart rhythm problems and dizzy spells. The symptoms usually take place suddenly without prior warning and lead to a complete shutdown of the heart and its functions.

Causes: The main cause of SCD is a condition known as arrhythmias which is basically characterized by abnormal heart rhythms and vertical fibrillation which leads to disorganized impulses to be released from the ventricles due to which the heart cannot pump blood properly. It can lead to death within a matter of minutes if it remains untreated.

Revival: On an emergency basis, the patient will have to be given CPR by an expert at the emergency unit of the hospital. This is a manual process of retrieving the patient by pumping the chest and breathing into the patient's mouth. Portable defibrillators can also be used to revive the patient in such cases.

Risk Factors: Patients who have suffered heart attacks in the past and have a family history of heart disease and heart attacks, are at maximum risk when it comes to SCD. Also, factors like obesity and diabetes can increase the risk.

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

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Doctor has prescribed my mother a medicine for lowering the cholesterol level ie, reducing weight. The medicine named" Rosuvas F 20" Is it safe that I take it for reducing my fat without asking doctor.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Doctor has prescribed my mother a medicine for lowering the cholesterol level ie, reducing weight. The medicine named...
It is safe but take by doctor consultation. Avoid bad habits i. E. Avoid fast food/fat/oily, salty foods. Coffee, smoking, alcohol intake. Non-veg, take whole grain, oats, green veg, plenty of water in day time, 1 glass of water at night before bed.
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Hi, After doing USG found 3 calculus 2 in the left kidney 3 mm and 4 mm size and 1 on the right kidney 6 mm size. Is it possible to pass those calculus using medicines through urethra. If yes please prescribe. Thanks.

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
General Surgeon, Bangalore
Hi, After doing USG found 3 calculus 2 in the left kidney 3 mm and 4 mm size and 1 on the right kidney 6 mm size. Is ...
These are small stones. No need for any operation. Drink lot of water. Take some pain killers. Repeat scan after 1 month.
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She has a b. P problem plus thyroid but she takes regular vaccine but to get fully rid of what should be the treatment sir.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
She has a b. P problem plus thyroid but she takes regular vaccine but to get fully rid of what should be the treatmen...
the conditions mentioned by you high blood pressure and hypothyroidism both need regular treatment with specific drugs. Treatment has to continue for life time. There is no separate permanent cure.
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