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Dr. N. Singh

Cardiologist, Pune

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Dr. N. Singh Cardiologist, Pune
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. N. Singh
Dr. N. Singh is a popular Cardiologist in Jehangir Hospital, Pune. He is currently associated with N M Wadia Institute Of Cardiology in Jehangir Hospital, Pune. Don’t wait in a queue, book an instant appointment online with Dr. N. Singh on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 37 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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#32, Jehangir Hospital Compound, Sassoon Road, Bund Garden, PunePune Get Directions
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32, Sassoon Road, Bund Garden Road, Jehangir Hospital Compound Landmark : Near Pune Railway StationPune Get Directions
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I am 51 year old and have blood pressure (Hypertension) and diabetes both. For BP I taketelmikind-H and S -Amcard5, 1 tab each one time in morning after breakfast. I also usessandhaNamak in my food. What should I do to control this hypertension in natural ways orayurvedic ways. As Dr. told that the BP tabs will have side 3effects in long term. Pl Advice me.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 51 year old and have blood pressure (Hypertension) and diabetes both. For BP I taketelmikind-H and S -Amcard5, 1...
As per ayurveda the best things are as below 1) briskwalking for 30 min 2) swimming for 30. Min if you know well swimming 3) avoid completely non veg, oily spicy food, and chat masala, and sweets 4) as per ayurveda you can take tab. Sarpagandha 1 tab twice per day initially and if controlled then we can reduce it instead taking 2 allopathic medicine. 5) dinner should be early by 7.30pm and avoid day sleep. 6) if any mental stress then please reduce it.

I have a great heart problem, I can't run so far. After running some time, I feel very weak, please let me know how can I get relax from this.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I have a great heart problem, I can't run so far. After running some time, I feel very weak, please let me know how c...
You have written 'heart problem' Get checked for it-ECG,Echo, blood sugar + total lipid profile , get back here with reports. Till then do moderate exercise only.

I am 28 year old male. When I cheak my blood presure. It is more than normal. It is 140-100 what was it reason?

General Physician (AM)
Alternative Medicine Specialist
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Do not take it lightly its known to be a silent killer. Try tonicard (homeo), kali iod (biochemic) treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

Screening for Prehypertension

MD - General Medicine, MBBS
General Physician
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Guidelines for vary from time to time, but generally accepted classification of hypertension (jnc7) is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal lesser than 120 mm hg sbp and dbp lesser than 90 mm hg

Prehypertension 120 -139 mm hg sbp or dbp 80 to 89 mm hg

Stage 1 htn 140 -159 mm hg sbp or dbp 90 to 99 mm hg

Stage 2 htn greter than/= 160 mm of hg sbp or dbp greter than/= 100 mm hg.

Prevalence of prehypertension among adults in united states is approximately 37 percent.

Study done by yadhav s et al showed prevalence of prehypetension was 32.3 percent in india with highest 36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents 'tip of an iceberg'.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease (end organ failures) which would have been preventable if treated at an early stage.

Why hypertension should be diagnosed and treated?

Hypertension currently causes 2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: it is an entity where sbp greater than 120 -139 mm hg or dbp 80-89 mm hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension. People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking. Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 uspstf (united states preventive services task force) guidelines recommend

Screening every two years for persons with sbp lesser than 120 mm hg and dbp lesser than 80 mm hg

Yearly for persons with sbp 120-139 mm hg or a dbp 80 -89 mm hg

How to manage prehypertension:

Trophy stydy (trial of preventing hypertension) results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment: as per jnc 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease, end organ damage, or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction: maintain normal body weight (bmi 18.5 to 24.9 kg/m2) this can reduce by 5 to 20 mm hg per 10kg weight loss.

Adopt dash eating plan: (dash- dietary approach to stop hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat. This can reduce bp by 8 to 14 mm hg.

Dietary sodium restriction: reduce dietary sodium intake to no more than 100meq/day (2.4 gm sodium or 6 gm of sodium chloride). This can reduce bp by 2 to 8 mm hg.

Physical activity: engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce bp by 4 to 9 mm hg.

Moderation of alcohol: limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce bp by 2 to 4 mm hg.
Screening for Prehypertension

Sir, I am suffering from high blood pressure and sugar. Please suggest me. To protect myself.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Sir,
I am suffering from high blood pressure and sugar.
Please suggest me.
To protect myself.
Perweenji, I am sure you must be on treatment for both these conditions. If yes please give following details : BP reading, Fasting and PP sugar levels, HbA1c%, drugs being taken with dosage, your weight & height, dietary pattern and extent of daily exercise. It is better if you come in a private conversation with all those details I will be able to give specific suggestions. In this communication we are supposed to give only general guidelines like : Take a restricted diet that gives exact calories based on ideal body weight, sugar levels and extent of exercise. Exercise daily for 1 hour, brisk walking is a best option. Reduce salt intake to about 2.3 g / day. Consume more of green leafy vegetables and salads. Avoid tobacco in any form and also alcohol.

Total cholesterol 278 Triglycerides 347 Ldl cholesterol 185 7 Suffering from hypertension ( avg 160/110) from 3-4 years Age 28 yrs Feels dizzy,cannot concentrate on work properly Doc suggested Triolmezest 40 mg daily after breakfast whole life Please help

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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You have high levels of Total cholesterol 278 Triglycerides 347 Ldl cholesterol 185.7 You need to bring this under control. You need full assessment of Cardiac profile correctly and appropriate treatment. Contact a Physician. You need to take medicine for your Cholesterol being High(HDL not mentioned), You may need to check on Blood pressure causing Dizziness. In that case may have to start on Statins/Aspirin/review HT medicines. Diet and exercise A detailed investigation to rule out exact cause of your Hypertension/ Dizziness and Lack of concentration could be due to this.

I am 21 years old and I am female. Since 2-3 days I have been observing that My blood pressure are going to be low and I am going to be insomniac. How can I recover from these signs?

BAMS
Ayurveda
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I am 21 years old and I am female. Since 2-3 days I have been observing that My blood pressure are going to be low an...
For Recovering from low BP follow these best methods: • Anaemia is a cause of low BP so check your hemoglobin level (Hb) if this is low so eat green leafy vegetables, beetroot and fruits like pomegranate. • Eat an apple daily it maintain your BP normal. • Take your meal daily do not skip meal. • Drink 8 - 9 glass of water daily. Hydrate your body well with drinking proper amount of water because dehydration is also cause fall of BP. • When you feel that your BP is low then take 2 teaspoons of Glucon D and add a pinch of salt mix it in one glass of water and drink it. You can repeat it after 2 hours. This will maintain electrolyte balance and your BP. You can drink a cup of tea. • Drink a glass of milk daily. It maintain your stamina. • Take a multivitamin capsule daily for 15 days. • Eat a teaspoon of gulkand daily and maintain your blood sugar level. • Do long breathing pranayams daily and do not take stress.

Let me know the normal pulse rate my age is 55.

B.H.M.S., Senior Homeopath Consultant
Homeopath
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Resting heart rate for men age 18-25 26-35 36-45 46-55 56-65 65+ athlete 49-55 49-54 50-56 50-57 51-56 50-55 excellent 56-61 55-61 57-62 58-63 57-61 56-61 good 62-65 62-65 63-66 64-67 62-67 62-65 above average 66-69 66-70 67-70 68-71 68-71 66-69 average 70-73 71-74 71-75 72-76 72-75 70-73 below average 74-81 75-81 76-82 77-83 76-81 74-79 poor 82+ 82+ 83+ 84+ 82+ 80+ resting heart rate for women age 18-25 26-35 36-45 46-55 56-65 65+ athlete 54-60 54-59 54-59 54-60 54-59 54-59 excellent 61-65 60-64 60-64 61-65 60-64 60-64 good 66-69 65-68 65-69 66-69 65-68 65-68 above average 70-73 69-72 70-73 70-73 69-73 69-72 average 74-78 73-76 74-78 74-77 74-77 73-76 below average 79-84 77-82 79-84 78-83 78-83 77-84 poor 85+ 83+ 85+ 84+ 84+ 84+

I am 28 year old I regular test lipid profile and fasting lipid profile is high but sugar normal bt last month I tested my fasting 123 and lipid profile cholesterol 286 hdl 41 and tg 366 I fear I become diabetic I do regular morning walk and exercise please give suggestion.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 28 year old I regular test lipid profile and fasting lipid profile is high but sugar normal bt last month I test...
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. take medicines for diabetes also.

My father attend heart attack 3 blocks and presently he is always getting the dry cough for that what is the remedy ?

MD PULMONARY, DTCD
Pulmonologist
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Cough can be due to heart dis./medicine are being taken for heart.Kindly write regarding echo report and medicine he is taking.Better consult a cardiologist

Yesterday I fall from bike and from that time its paining in my chest I took a paracetamol but still its paining should I visit a doctor or it will be fine in sometime?

MBBS
General Physician
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Yesterday I fall from bike and from that time its paining in my chest I took a paracetamol but still its paining shou...
For pain take tablet paracetamol 650 mg and also do ice fomentation and get your vital parameters of the body checked from a nearby doctor and follow up with findings.

She is a heart patient, she is having a skin problem and also pain in right hand. what to do now please tell.

BPTh/BPT
Physiotherapist
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She is a heart patient, she is having a skin problem and also pain in right hand. what to do now please tell.
Hi I can understand your problem 1) avoid activities that make your symptoms worse 2) apply ice packs 3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and manual therapy will help in pain free movement. Describe your problem in detail and do share related reports and prescription if you have. Best wishes.

I have problem in taking breathing. My heart is beating very fast ,even on walking I get tired.

MBBS
General Physician
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I have problem in taking breathing. My heart is beating very fast ,even on walking I get tired.
Dear Lybrateuaer, - Your symptoms appear to be due to anxiety at your age - do regular exercises like brisk walking, jogging, swimming, cycling for 20-30 min, also regularly do yoga, deep breathing, meditation which calms & relaxes the body for 10-15 min daily in the morning - sleep well for 7-8 hrs at night, keep your sleep & wake up time fixed - if not much improvement then check blood hb%, thyroid hormone levels ECG to rule out any other problem.

Even if I eat im not becoming fat. My weight does not match my age. So what can I do to become fat so that I can be healthy and even I have low bp so I also need a solution to overcome it. Please help me.

MBBS
General Physician
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Even if I eat im not becoming fat. My weight does not match my age. So what can I do to become fat so that I can be h...
have high proteins eat four times a day lots of fruits and exercise that's it weight depends on ur body constitution there is no medicine which will make u put on weight however there r a group of drugs which if taken regularly will increase ur body weight temporarily but have a lot of side effects and not advisable to have

My bp is always on the low side, 90/60 or alike! And my doctor says that it is normal and due to the baby weight and high flow of blood in the body, but the swelling scares me! though, my last delivery was a normal one!

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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Low BP can be taken care of better than high BP.You need to take more liquids with sugar if you are not diabetic. it looks like you are pregnant again and there are swellings, Had BP been high with swellings,it is a cause to worry. Get your antenatal check ups done regularly,maintain Hb and Sugar levels in blood,and hope and pray for a Normal delivery this time also.

Sir, my father was subjected to angioplasty. He is a normal person but there is a block due cholesterol in the artery he is subjected to angioplasty. So is there in risk he faces in future?

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist
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Sir, my father was subjected to angioplasty. He is a normal person but there is a block due cholesterol in the artery...
Dear Sachin, angioplasty is done to open blocked arteries. Among many risk factors which causes such blockage cholesterol is one. Althoough your father has risk of getting blockage at the same or other location again, with regular medication that can be minimised.

7kg weight loss in overweight middle aged adults reduces long term risk of developing hypertension by 28%

MD PULMONARY, DTCD
Pulmonologist
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7kg weight loss in overweight mid aged adults reduces long term risk of developing hypertension by 28%

My age is 47 years, I am working as Prof. In Operation Management in a Management College, My BP continuously remaining high despite consuming the medicine. Please advice some to reduce it. I consume the medicine named: Telma-80.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist
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My age is 47 years, I am working as Prof. In Operation Management in a Management College, My BP continuously remaini...
You have not mentioned your BP range and duration nor any other associated co-morbidities. It will be better if you get yourself evaluated in detail with blood test like lipid profile, RFT, LFT along with Echo and get your medications reviewed. Also quit smoking if you do, decrease your Tea and Caffeine intake, and avoid taking extra salt (the smount needed to cook food is normal) or salt rich food like papad, sauces, bhujia, pickles etc and exercise daily for 30-40 mins like brisk walking or yoga.

My 20 year old daughter was found to have high BP for the past 5 months since April 2016 - 140/100 I checked her previous records and found BP to be normal (120/70) till Feb 2016. Already checked 24 hour urine test, scan and echo - all normal. So it has been diagnosed as primary and doctor wants to start calcium blocker. But I am concerned about the root cause due to such a young age. Please advise.

MBBS
General Physician
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My 20 year old daughter was found to have high BP for the past 5 months since April 2016 - 140/100 I checked her prev...
Please Don't worry Tell her Wake up early go for morning walk in greenery in relaxed mind Do meditation regularly Do pranayam and yoga daily After 15 days of following above points, check her blood pressure again, send me report on Lybrate.
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