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Dr. Rajendra Patil

Cardiologist, Pune

600 at clinic
Dr. Rajendra Patil Cardiologist, Pune
600 at clinic
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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. Rajendra Patil
Dr. Rajendra Patil is a renowned Cardiologist in Aundh, Pune. You can meet Dr. Rajendra Patil personally at AIMS Hospital - Aundh in Aundh, Pune. Book an appointment online with Dr. Rajendra Patil and consult privately 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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Hindi

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Survey No.154, Aundh. Landmark: Near Parihar Chowk, PunePune Get Directions
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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?

M.D.MEDICINE
General Physician, Rajkot
I am suffering from dry cough for last 2 weeks and I have chest pain whenever I cough hard. Can you suggest what oi s...
Hi there. Dry cough associated with chest pain since last 2 weeks. I suggest you to go for a chest x ray becoz pneumonia or a pleural effusion needs to be rules out because sometimes they can present in a similar mannner. Also most of the times excessive coughing may lead to stretching of accessory respiratory muscles which may lead to chest pain. Also to keep in mind chronic acidity is a common cause of dry cough. Please consult a doctor if the problem persists. Take care.
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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 ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
If you think someone is having a heart attack: have the person sit down, rest, and try to keep calm. Loosen any tight clothing. Ask if the person takes any chest pain medication for a known heart condition, such as nitroglycerin, and help them take it. If the pain does not go away promptly with rest or within 3 minutes of taking nitroglycerin, call for emergency medical help. If the person is unconscious and unresponsive, call 911 (or your local emergency number), then begin cpr. If an infant or child is unconscious and unresponsive, perform 1 minute of cpr, then call 911. Do not do not leave the person alone except to call for help, if necessary. Do not allow the person to deny the symptoms and convince you not to call for emergency help. Do not wait to see if the symptoms go away. Do not give the person anything by mouth unless a heart medication (such as nitroglycerin) has been prescribed.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

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.

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Natural foods and not supplements prevent heart disease

C.S.C, D.C.H, M.B.B.S
General Physician,
Natural foods and not supplements prevent heart disease
==============================================
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
90 people found this helpful

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?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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...
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.
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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.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You can take Dr. Reckeweg's r - 3 / 10 drops in little water thrice a day for two weeks. Revert back after two weeks with feedback.
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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.

MBBS
General Physician, Cuttack
Dear sir/Madam,
I have severe pain some times at my left side chest. Previously I was a smoker n drinker but now I le...
Chest pain causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption, excess tea/coffee 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumptio, excess tea/coffee. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500 mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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I am having chest pain persistent whole day. These problem from 45days. Please advise me treatment for this problem.

MBBS
General Physician, Mumbai
I am having chest pain persistent whole day. These problem from 45days. Please advise me treatment for this problem.
For pain take tablet paracetamol 650 mg and get your vital parameters of the body checked from a nearby doctor and revert back with findings.
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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.

BHMS
Homeopath, Faridabad
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. ...
Hello, Good! Continue with the brisk walk everyday. Share every blood report with me (to rule out any underlying cause). Medication: Schwabe's Essentia Aurea/ thrice daily for a month. (Maintain daily diary of monitering your B.P. at the same time)
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MBBS, DNB (General Medicine)
General Physician, Delhi
To reduce cholesterol do this and please consult privately.
1 person found this helpful

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.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My son is 1 month old. He has bicuspid aortic valve, Mild AS with normal biventricular function. Actually what is the...
No this is not the reason. It is a very common congenital disease that is found in children. So don't blame yourself for it.
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My father is having high BP. So how he will take safety in winter season. Please give some advice.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My father is having high BP. So how he will take safety in winter season. Please give some advice.
- DIET I. Juice diet for 5 days. Use warm water enema daily during this period. II. All-fruit diet for further 5 days, with three meals a day at five-hourly intervals. III. Thereafter, adopt the following diet: - 1. Early Morning: A glass of lukewarm water mixed with the juice of half a lime. 2. Breakfast: Fruits and skimmed milk. 3. Mid-morning: Coconut water. 4. Lunch: Steamed vegetables, whole-wheat wheat tortilla or brown rice and a glass of buttermilk. 5. Mid-afternoon: A glass of carrot juice or orange juice. 6. Dinner: Salad of raw vegetables, green gram sprouts and vegetable soup. AVOID: Meats, sugar, white flour, tea, coffee, condiments, pickles fried foods, and products made from sugar and white flour. Important: Restrict the intake of salt and use liberally garlic and indian gooseberry. B - OTHER MEASURES 1. Exercise, especially brisk walking and yoga asanas like pavanmuktasana, uttanpadasana and shavasana. 2. Hot foot immersion in case of high blood pressure accompanied with headache.
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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.

MBBS
General Physician, Jalgaon
Sir me kuch time se lebotrip25 mg. Pentacoside dsr. Le raha hu. Kyoki muje left side chest me barripan kichabh. Beche...
Please Wake up early go for morning walk in greenery daily Do meditation regularly Do pranayam and yoga daily Avoid oily spicy and fast food Avoid outside food totally Avoid non veg food Take Tab prothiaden 30 1 Tab yastimadhu by Himalaya 1 1 Tab dompan sr 15 1 on empty stomach Re Consult me on Lybrate after 15 days.
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I have a blood pressure problem and today is my blood pressure is very high so i'm which medicine take for it.

MD - Medicine, Bechelors of Alternative Medicine
Alternative Medicine Specialist, Delhi
I have a blood pressure problem and today is my blood pressure is very high so i'm which medicine take for it.
You Have Use Bita 0.5 Mg & Don't use salt & drink 3 to 5 liter water & walk to evening & morning .don't drink tea & coffee .any market cooldring don't drink
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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?

MBBS
General Physician, Cuttack
My heart beats goes on increasing whenever I do some exercise and it remains fast for a long time 
I can see my skin ...
It happens normally after heavy exercise and will disappear after taking rest.If there is chest pain with increased heart beat then take ECG and consult doctor
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Meri mummy ko low blood pressure ki problem hai. mujhe kya krna chahiye unka blood pressure normal rakhne k liye.

MBBS
General Physician, Mumbai
Make her Eat nutritious food and have adequate fluid intake and take physical rest and also give her ors solution
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C.S.C, D.C.H, M.B.B.S
General Physician,
Supplements may cut ldl in older women

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.
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I am 58 years old male. I have suffering from Diabetes (250 BP) and Blood pressure 150/95 for last 2 years. Taking allopathy medicines regularly to control both. Kindly suggest how Ayurveda can help me in this regard.

BHMS
Homeopath, Faridabad
I am 58 years old male. I have suffering from Diabetes (250 BP) and Blood pressure 150/95 for last 2 years. Taking al...
Hello, take Sygyzium 1X (for diabetes ) , 2 tabs twice dailt before meals , morning and night. 1. take Karela jamun ras from SWADESHI Brand. 2. Powdered cinnamon has the ability to lower blood sugar levels by stimulating insulin activity. It contains bioactive components that can help prevent and fight diabetes. 3. Soak two tablespoons of fenugreek seeds in water overnight. Drink the water along with the seeds in the morning on an empty stomach. Follow this remedy without fail for a few months to bring down your glucose level. Another option is to eat two tablespoons of powdered fenugreek seeds daily with milk. **cut down your sugar and salt intake.**
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I am suffering chest pain constantly last few days. Can I take a amoxicillin clavulate pottasium.

MBBS
General Physician, Cuttack
I am suffering chest pain constantly last few days. Can I take a amoxicillin clavulate pottasium.
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 paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain .6. Drink plenty of water and take rest. 7.if you have recurrent attack of chest pain take ECG and consult cardiologist 8. Consult me for further advice.
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