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Dr. N M Kulkarni

Cardiologist, Pune

100 at clinic
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Dr. N M Kulkarni Cardiologist, Pune
100 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. N M Kulkarni
Dr. N M Kulkarni is a popular Cardiologist in Rasta peth, Pune. You can consult Dr. N M Kulkarni at KEM Hospital - Pune in Rasta peth, Pune. You can book an instant appointment online with Dr. N M Kulkarni on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 25 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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Hindi

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KEM Hospital - Pune

#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
100 at clinic
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Hii doctors, I am 23, and 15 weeks pregnant today. From last 8 to 10 days I am having severe headaches mostly at night before going to bed. My blood pressure remains 110/70. In last 10 days it has only jumped twice from 110/70 to 130/90 or 140/90. Please suggest what to do as I this pain is not bearable. Feels like something will come out of my head. It pains from both sides and in middle also. Is this common during pregnancy? What can I do to get some relief?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hii doctors,
I am 23, and 15 weeks pregnant today. From last 8 to 10 days I am having severe headaches mostly at nigh...
Hi first of all take this medication to reduce headache t dolo 650 mg once whenever you are having headaches next if your diastolic blood pressure remain more than 90 than you should require to take antihypertensive medicine please do one urine albumin test also thanks.
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10 Best Foods for Your Heart

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
10 Best Foods for Your Heart

You only have one heart, and it works for 24 hrs a day. It never sleeps, so you have to treat it right if you want to keep it pumping for years to come. For a healthy heart, you have to boost nutrition, flavor and color in your meals and snacks. A variety of fruits and vegetables are good for your heart. Always try to eat foods that are in their natural form, as they come from the ground.

Find out how these 10 foods may help lower your risk of heart disease.

1) Fresh Herbs like oregano, basil, rosemary and thyme are full of antioxidants. They are full of flavor and use them liberally to replace extra salt, oil and sugar in your food.

2) Red Wine: before you read on, a caution is that too much alcohol actually is bad for your heart. Sipping a unit of red wine a day may be good by giving you two very powerful antioxidants in restorative and catechist. These can help you to increase your HDL cholesterol while lowering your risk of damage to arterial walls and subsequent clot formation. However, alcohol may be a problem when you are already on aspirin or other medications. Check with your doctor first if you have had a history of heart disease.

3) Salmon: The american heart association calls it a super food and recommends at least two servings of salmon in a week. You can have it baked in a foil with herbs or add with veggies in your salad. It is rich in omega-3 fatty acids and helps to correct rhythm disorders of the heart and reduce triglycerides and blood pressure. These properties also hold good for tuna fish and one must choose canned tuna in water or brine instead of oil.

4) Extra Virgin Olive Oil: though any kind of extra oil is bad for your heart, if you need to take in some oil, then extra virgin olive oil has a lot of heart saving properties. Only one should not use it for frying or over heating the veggies. It is good when tossed over salads or used sparingly over boiled or cooked vegetables.

5) Walnuts: a handful of walnuts, say 50 grams a day are full of antioxidants and fiber. They reduce inflammation of the arteries and reduce cholesterol. However, they also have high calorie content so one must be careful about the quantities consumed.

6) Almonds: Almonds are full of plant sterols and reduce the blood ldl and are good for diabetics. One must eat them raw for full benefits as cooking or roasting them may kill some of their beneficial properties.

7) Tofu is a high source of soy protein and can be added to soups or marinated or sauteed with vegetables for its goodness. It has a lot of heart healthy minerals and polyunsaturated fats.

8) Sweet potato is a good substitute for white potatoes especially useful for people with diabetes and heart disease. It has a low glycemic index and prevents sharp rise in blood sugar after meals. One can bake it and sprinkle with cinnamon and lime juice to make it super effective.

9) Oranges have potassium and antioxidants to lower the blood pressure and improve the vessel wall function.

10) Carrots are full of fiber and are one of the top heart saving foods by controlling cholesterol. Add them liberally in your salad or munch them raw for their power packed action.

4 people found this helpful

I have diabetes and high blood pressure I need precautions and food limits to keep it in control Thank you.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I have diabetes and high blood pressure
I need precautions and food limits to keep it in control
Thank you.
You need to know the low and high glycaemic foods, that is foods that increase /delay the rise in blood sugars. For example white bread has a high gi (glycaemic index) as compared to whole wheat bread. Portion size of your diet will depend on your sugar level, body weight etc. For high bp, you need to cut down all your non veg, processed and bakery products. Certain natural foods are also high in sodium content that needs to be cut down by leeching it.
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I'm 29 years old male, I attended medical test for going abroad at that test, my ECG report is abnormal, problem mentioned is wpw syndrome, what is meant by wpw syndrome, This is critical problem or not? How I cure this problem, kindly send me answer, Thank you.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm 29 years old male, I attended medical test for going abroad at that test, my ECG report is abnormal, problem ment...
There's an electric circuit in the heart which is responsible for normal beats of heart. In wolff-parkinson'white syndrome, there's an extra electrical pathway between your heart s upper chambers, atria and lower chambers, ventricles and it causes a rapid heat beat -tachycardia, it's present at birth and fairly rare and present in 4 out of 1 lakh people, the episodes of increased heart beat are not life threatening and most people experience symptoms between ages of 11 and 50. Though not life threatening but serious heart problems can occur. Treatment is a catheter based procedure, known as ablation, it can permanently correct the heart rhythm problems.
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Sir my heart rate is 55 to 60 p/m is it problem to me and sometimes feels weakness.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Sir my heart rate is 55 to 60 p/m is it problem to me and sometimes feels weakness.
Not to worry much. If your not having any problem get your bp checked, ecg and tmt done to ensure that every thing is alright. Report for further advise.
1 person found this helpful
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Options to Angioplasty - A Scientific Understanding!

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
Options to Angioplasty - A Scientific Understanding!

When a person suffers from the typical symptoms of heart weakness that includes breathlessness, weakness, sudden sweating, discomfort while doing minor exertions, chest pain, pain radiating along the arms, back, neck and shoulders and other symptoms, the Doctor will ask for investigations to study the heart.

The Heart is a muscular organ in the chest and like any other muscle in the body, it has its own unique blood vessel network that does the function of supplying nutrition to the heart muscles. Like any network, the Cardiac blood supply also begins with major vessels that branch off into minor and then very small blood vessels. It is these very small blood vessels that actually reach the muscle fiber to give nutrition.

When this is a problem with the free flowing blood to reach the muscle cells, the strength of the heart muscles reduces and the overall heart functioning is in trouble. Until now, it was commonly believed that cholesterol deposits make blockages in the blood vessels that cut off nutrition supply causing the heart to go into disease stage. Today, extensive research has proved that there are many reasons for hampered blood supply to heart muscles, and plaque formation (blockages caused by cholesterol deposits) need not be the reason for heart attacks entirely. Blood vessel disease called Atherosclerosis is the root cause.

In modern times, if the patient consults a cardiologist, the first line of investigation prescribed is the Angiography. This procedure requires the patient to be admitted to the hospital. Under anesthesia, the Doctor will make a cut/incision in a major blood vessel of the thigh joint or the arm. He will then insert a tube called catheter into the blood vessel and guide it through the major arteries till it reaches the important position from where the blood vessels that supply nutritious blood to the heart muscles is reached. At this position, a dye is pushed into the blood flow and a series of specialized X-rays are taken that will show the blood vessels.

In these images, it is the Doctor’s expertise that will identify positions where the blood flow is reduced, or disturbed. The dye has a short life span and is able to show flow dynamics only up to the secondary blood vessel network. The Doctor will determine which part of the heart blood vessels are affected based on these images, the length of the plaque, position and kind of blockage and derive the damage to heart, based on these anatomical visuals. The catheter is then removed; the blood vessel opening stemmed and the patient has to remain immobile in the hospital till the blood vessel improves. The Doctor will prescribe a list of medication that includes beta blockers, aspirins, statin and antibiotics.

Very often, if the Doctor decides, he will suggest the next procedure of Angioplasty immediately. This procedure involves pushing a mini wireframe tube called ‘stent’ or an inflatable balloon through the same catheter to the area of blockage. This balloon or stent is guided to the area of the blockage and mechanically expanded to push aside the plaque to help the blood flow resume. There are different kinds of balloon and stent procedures.

None of these procedures “removes” the blockage plaque. The procedure helps to resume blood flow in the major arteries only. 

No invasive therapy is safe and there is a lot of reports backed by Research Data from very reputed global authoritative organizations that highlight the unnecessary number of angio procedures being done as well as the side effects of these procedures within few months. (Many Stent Procedures Unnecessary” Heart Drugs Just as Good at Preventing Heart Attacks, Death in Some People, Study Shows By Charlene Laino: March 26, 2007 (New Orleans).

Can blockage affect a person after having angiography?

It is important for the patient and patient’s family to understand that the blockage formation process in the body does not reverse with an angioplasty or even a Bypass procedure. The patient suffers from the same kind of symptoms as earlier when new blockages form in different sections of the coronary network or very often, when a deposit / scar forms within the stent itself leading to hampered blood flow. This ‘reformation of blockages’ is referred to as restenosis. This is the greatest problem registered in current studies of patients after angio and bypass and this is seen within few weeks to after 10 to 14 months of the procedure.

The reformation of blockages or further formation of new sites with blockages depends on the individual patients health condition. Patients who are Diabetic, High BP, on certain kind of long term medication, obese, with bad lifestyle; all have the additional threat of secondary attacks.

Restenosis cannot be prevented with another stent or bypass procedure. The procedure only once again’ mechanically opens the blockage or in CABG, creates a bypass around the blocked blood vessel.

How can restenosis be prevented?

The only and best way to avoid restenosis is to make major changes in diet, exercise, weight management, stress management. It is also very important to be under the right kind of medication that will support the natural process done by the Liver and blood to reduce and wash out inflammation (that causes maximum problems in natural blood flow), repair blood vessels, reduce and remove existing blockages and scar tissue within blood vessels, add strength to the heart muscles.

Ayurveda has many proved medication combinations that include Arjuna (improves Heart muscle condition) Draksha (powerful anti-oxidant and liver repair) Dadimba (Pomegranate is known to participate in repair of blood vessels and rebuild damaged vessels called Angiogenesis), Ashwagandha (Cardio-protective) and Colostrum (powerful immunity modulator, participate in muscular and nerve repair, Angiogenesis Growth Factor, Endothelial growth Factor, Nerve growth factor, PDGF, natural Vitamins and Minerals).

These treatments are now available in select Ayurvedic treatment centres and are also being proved with clinical pre and post investigations to support their success.

These new studies and treatments options should be searched out by the patient and his/her family to understand the reason of blockages, the possible need and safety of invasive procedures, the option to medicine based treatments before undertaking any invasive procedure. Remember, it is scientific research that has clearly proclaimed that less than 30 -20% of all the angio’s performed are necessary or have lasting effect on their own.

3309 people found this helpful

My wife is in her first month of pregnancy and she is feeling cramps and pain in her stomach just below the chest. What should she do at this time?

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
My wife is in her first month of pregnancy and she is feeling cramps and pain in her stomach just below the chest. Wh...
Dear Pregnancy causes changes in the hormones and the resulting changes in the internal belly. Cramps can be due to gas formation or acidity that is again common in early pregnancy. Encourage her to eat fresh natural foods, fruits and walk daily for about 30 to 45 mins slowly and comfortably. Make sure she stays away from any kind of food that causes discomfort, acidity, gas or is too heavy to digest. Regards.
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creatine level 9 High blood pressure Blood sugar but under control Age 65 What are the chances of life haw many years does he live.

MBBS
General Physician, Mumbai
creatine level 9 High blood pressure
Blood sugar but under control
Age 65 What are the chances of life haw many years...
Bp and sugar can be controlled with medicine and with a creatine of 9 he can live his life after doing dialysis twice a week.
1 person found this helpful
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I have high triglycerides level along with moderately high uric acid. What is the best diet for me?

D.Y.N., MD - Homeopathy, BHMS
Homeopath, Delhi
I have high triglycerides level along with moderately high uric acid. What is the best diet for me?
Stop having milk and its products. Avoid protein rich diet like nutrela, pulses etc. Deep fried food and non veg.
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