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Dr. R.B. Gulati

Cardiologist, Pune

Dr. R.B. Gulati Cardiologist, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. R.B. Gulati
Dr. R.B. Gulati is a renowned Cardiologist in Sangamvadi, Pune. You can meet Dr. R.B. Gulati personally at Dr. R.B. Gulati@Ruby Hall Clinic in Sangamvadi, Pune. Book an appointment online with Dr. R.B. Gulati and consult privately on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 27 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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Ruby Hall Clinic

#40, Sasoon Road, B S Dhole Patil Path Near Ruby Hall Clinic, Choice Apartments C Wing 4th Floor, Above Mont Blanc Opposite Millenium Star BuildingPune Get Directions
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My aunt is suffering with bp, how should bp can get control apart from taking medicine with our daily diet, advise diet which can useful in control of bp.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
My aunt is suffering with bp, how should bp can get control apart from taking medicine with our daily diet, advise di...
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. 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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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
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My father is not diabetic and no hypertension but having triglycerides 210 and ldl cholesterol 133 hdl 38. Can he use cod liver oil supplements or directly 10 mg statin therapy.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My father is not diabetic and no hypertension but having triglycerides 210 and ldl cholesterol 133 hdl 38. Can he use...
Hello dear 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,. Take anti cholesterol medicines .
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I m suffering from the heart problems. What is d best food or the fruit items to take so as in order to clear the minor blockages in the heart.

MBBS
General Physician, Ahmedabad
I m suffering from the heart problems. What is d best food or the fruit items to take so as in order to clear the min...
Less spicy, less oil. Regular exercise/walking. For diet you can refer my health tips on diet and diabetes which are also helpful for heart patient.
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Sir, Yesterday I went for checkup. My details T-102.9°F P-114/mm B.P.-124/90mmhg CVS-S1S2+ Chest-B/L AEE CNS- Pt conscious oriented P/A - Soft BS+ Sir, I want to know about my condition in detail please clarify.

MD- Homoeopathy
Homeopath,
The above written just indicates that you have fever, a temperature of 102.9 indicates high fever. Also your pulse is high that is 114, but again that is due to the fever. Are you suffering from any other symptoms like cold, cough, diarrhoea etc?? Rest you cardiovascular system ,respiratory system and abdomen is normal.
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Heart health

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Heart health
Vegetables and fruits are good sources of vitamins and minerals. Vegetables and fruits are also low in calories and rich in dietary fiber. Vegetables and fruits contain substances found in plants that may help prevent cardiovascular disease.

I have chest pain from 5 months but it occurs not frequently if occurs after 4-5 days and the type of pain is sometime sharp and sometime burning I get very discomfort while pain and feel very scary please suggest me proper advice and treatment.

MBBS
General Physician, Cuttack
I have chest pain from 5 months but it occurs not frequently if occurs after 4-5 days and the type of pain is sometim...
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain, hyper acidity or muscle pull 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5. Take bland diet, avoid spicy, oily, fatty and junk food 6..Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain. 7. Drink plenty of water and take rest.8.if you have recurrent attack of chest pain take ECG and consult cardiologist
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My mom facing some pain in his left heart sometimes it's come in night. I really don't know what should I do?

MBBS
General Physician, Mumbai
My mom facing some pain in his left heart sometimes it's come in night. I really don't know what should I do?
For pain take tablet paracetamol 650 mg with rantac and get her self examined for vital parameters of her body
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Patient age is 76 male. Have a heart problem and blood clot in brain taking medicines .can you suggest what type of food and fruits can he eat please.

PDDM, MHA, MBBS
General Physician, Nashik
Patient age is 76 male. Have a heart problem and blood clot in brain taking medicines .can you suggest what type of f...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I am 47 years old woman. I am suffering with thyroid, diabetics, bp. Give me few suggestions for all these.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 47 years old woman. I am suffering with thyroid, diabetics, bp. Give me few suggestions for all these.
If you are on treatment for all three conditions, then to say you are in control following levels should be achieved: fasting glucose near 100 mg, pp 150 to 160 mg & hba1c%<7. Bp<130/80 mm hg, tsh between 3 to 4 milli units /ml. Plus exercise regularly which is helpful in all three conditions. Diet restriction and salt restriction also is important. Consuming of green leafy vegetables and salads is very necessary.
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I am suffering from high blood pressure problem . what should i do to control myself

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
I am suffering from high blood pressure problem . what should i do to control myself
Low salt diet. Salt less than 2g/ day. Take plenty of vegetables and fruits. Exercise. Lipids test. If high take statins. Avoid junk foods. Take b. P control drugs after seeing your doctor.
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I have high cholesterol levels and high diabetes as well. The blood report also shows a high number for RBC and other major things. What things can I do to control all this. I am diabetic and it was diagnosed while I was pregnant.

Ayurveda, Delhi
I have high cholesterol levels and high diabetes as well. The blood report also shows a high number for RBC and other...
10 leaves Tulsi 5 leaves. Need 5 gram turmeric make past and take empty stomach with warm water take alovera juice 15 ml add turmeric take empty stomach all take 1 month.
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Plz tell me apple cider vinegar shall be health viva product shld high bp patients can take or not? It contains potassium 69 mg, sodium 27.2 mg n others. Is potassium n sodium good for them?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Plz tell me apple cider vinegar shall be health viva product shld high bp patients can take or not? It contains potas...
Hye. Firstly understand that no remedy works in isolation. If your diet is not good, no amount of juices, vinegars will help. So, first try to improve your basic diet. Only then you can take the apple cider vinegar. Also, I must tell you, many people are not tolerant to it so start with only a teaspoon in a glass full of water. In fact lime water, alla juice also give you results and are safe too.
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Hi doctor, I'm having 180 ml whisky & I quit smoking nearly 2 1/2 year before is there any chance of heart problems & im taking aten 25 in the morning.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi doctor, I'm having 180 ml whisky & I quit smoking nearly 2 1/2 year before is there any chance of heart problems &...
Dear, There are many reasons for heart problems and alcohol is one among them. Quit alcohol for better management.
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My dad is a physical trainer in police department Yesterday during morning walk he felt uneasy he stopped running and sat down for some time Then after his body temp. Increased Today he felt same but less in morning E.C. G test was normal Should we go for ecocardiography or angiography Pls suggest.

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
My dad is a physical trainer in police department
Yesterday during morning walk he felt uneasy he stopped running and...
Yes plz go for all these tests immediately because it is a typical case of transient ischaemic attack..
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Im feeling some pain near the chest, near my heart I cant breath properly for 1 min.

MBBS
General Physician, Mumbai
Im feeling some pain near the chest, near my heart I cant breath properly for 1 min.
For pain take tablet paracetamol 650 mg with rantac and get your vital parameters of the body checked
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I am a 24 year old girl. I recently had my ecg at the ER room. The print of ecg was written possible artery enlargement but after doctor saw the electrical prints they said my report are normal. Is there anything to worry about?

MBBS
General Physician, Ahmednagar
I am a 24 year old girl. I recently had my ecg at the ER room. The print of ecg was written possible artery enlargeme...
In ECG there is nothing like artery enlargement entity. Machine interpretation must be wrong. What your doctor said is normal. Nothing to worry about.
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I had undergone ASD can I go to gym after how many months. Can I be normal man I how many years?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I had undergone ASD can I go to gym after how many months. Can I be normal man I how many years?
Yes do exercise but not too hard, I would suggest simple walks, observe your stamina and start swimming or gymn after few months, but only after taking permission from your doctor, normally after surgery some instructions are given.
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I am suffering from dry cough and having congestion in my heart. I am having difficulty in inhaling. It generally happens whenever I come in contact with dust, old books and other older materials.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am suffering from dry cough and having congestion in my heart. I am having difficulty in inhaling. It generally hap...
Please do not use the words congestion heart ! you mean congestion in chest ! You are suffering from dust allergy. Inhale steam for few minutes every day. Stay away from dust. grow more indoor plants and deep breathe pure oxygen through them. You can take a tablet of Phenargan as anti allergic at bed time , side effect is sedation.
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HI, I am Prathima (age 30 Years), suffering from a pain in lower to the chest and upper abdomen from fast one week, I feel my chest is too tight, I feel its because of gastric, can you suggest me what it will be.

MBBS
General Physician, Jalgaon
HI, I am Prathima (age 30 Years), suffering from a pain in lower to the chest and upper abdomen from fast one week, I...
Please Avoid oily spicy and fast food Avoid outside food totally Take milk daily Take small and frequent feeds of light food Take Cap wokride 15 1 Tab yastimadhu by Himalaya 30 1..1 Sy mucaine 2 tsf three times a day Have a habit of walking daily for good digestion.
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