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Balloon Angioplasty Procedure
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Carotid Angioplasty And Stenting Procedure
Coronary Bypass Surgery
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Mitral Valve Replacement Surgery
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I am suffering from dry cough for last 2 weeks and I have chest pain whenever I cough hard. Can you suggest what oi should done?
If a person suffering from heart attack suddenly then what should we have to do at that instant that it would easily taken to hospital and what are the precautions at that time ?
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 < 120 mm Hg SBP AND DBP < 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 >/= 160 mm of Hg SBP OR DBP >/= 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 >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 <120 mm Hg and DBP < 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 BP 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.
One should take seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation – are few of the mantras.
Eating food supplements may be harmful. According to the American Heart Association (AHA), supplementation with beta carotene, vitamin C and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.
High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all–cause mortality.
Supplementation with vitamin C does not prevent a second heart attack.
Beta carotene supplementation may be dangerous and should be discouraged.
Vitamin E supplementation may be of benefit for only secondary prevention in heart patients with chronic renal failure who are undergoing hemodialysis.
The AHA concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.
The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.( Heart Diseases ). Any doubts you can ask me
I have 62 yrs old I have bp. It is right run while I am walking in early morning & how reduce my ldl cholestrol. What are food restrictions?
I am 67 years old male. One stent was put in my heart 8-years back. But other wise I have no heart problem. I am using cholesterol lowering medicine regularly and my cholestoral level is well below normal with medicine. I am otherwise fit and no other symptoms. Two years back I randomly get checked my cardiac enzymes and though were very high (ck-mb 11.3.
Dear sir/Madam, I have severe pain some times at my left side chest. Previously I was a smoker n drinker but now I left every thing from past 7 months. Some times I wil observe that my heart is beating with fast. Do not know wat is the reason Regards. KIRAN.
I am having chest pain persistent whole day. These problem from 45days. Please advise me treatment for this problem.
Hello sir. I m 30 yrs old male. I m suffering from high bp. I walk at least 3 to 4 days a week. Bt its not lowering. Till now I m not taking any bp medicine. please suggest me sir.
My father 73 yrs. Old. Due to severe fever & loose motion, we consult a doctor, he advised that my father gets septicemia & due to taking Tonact 10 & ramistar 5 previously so he advised to admit in hospital. In blood test report wbc 13200, creatine 1.6 & ESR 45. Now he is felling better, no any prob. Feel from heart site, but doctor advice to do ECHO & ANGIOGRAPHY. So, what can I do? I can't understand both test are really need or for business purpose? If we agree for ECHO, & result would be negative, then also ANGIOGRAPHY required? Pls help?
My son is 1 month old. He has bicuspid aortic valve, Mild AS with normal biventricular function. Actually what is the reason for the cause of this? My mom said If one fail to take prescribed medicines during pregnancy. Is that the reason? For BAV.
Sir me kuch time se lebotrip25 mg. Pentacoside dsr. Le raha hu. Kyoki muje left side chest me barripan kichabh. Becheni ho rahi. Se preshan hu is tab let se tik rahta hu. Ab aap bataye kitane time tak le sakta hu. Yaah aap koi achi medicine batto jis se fayedha ho skta hai meri thyroid profile thik. Hai. Whole blood report tik hai. Ecg tik hai. Lapid profile mildley deanger. Bus.
I have a blood pressure problem and today is my blood pressure is very high so i'm which medicine take for it.
My heart beats goes on increasing whenever I do some exercise and it remains fast for a long time I can see my skin having to and fro motion with naked eye What is the problem?
Meri mummy ko low blood pressure ki problem hai. mujhe kya krna chahiye unka blood pressure normal rakhne k liye.
Postmenopausal women taking calcium and vitamin d supplements had improved lipid profiles with those taking placebo as reported in a study published in the journal menopause.
In an analysis of data from the women?s health initiative, the level of ldl cholesterol was lower by an average of 4.46 mg/dl in the women on active treatment reported peter f. Schnatz, do, of reading hospital in pennsylvania.
In addition, higher levels of 25?hydroxyvitamin d3 (25 (oh) d3) were associated with higher levels of hdl cholesterol and lower levels of ldl cholesterol and triglycerides.