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Dr. Rituparna Shinde

Cardiologist, Pune

500 at clinic
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Dr. Rituparna Shinde Cardiologist, Pune
500 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rituparna Shinde
Dr. Rituparna Shinde is a renowned Cardiologist in Fatima Nagar, Pune. She is currently practising at Dr. Rituparna Shinde@Inamdar Multispeciality Hospital in Fatima Nagar, Pune. Book an appointment online with Dr. Rituparna Shinde and consult privately on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 35 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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English
Hindi

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Inamdar Multispeciality Hospital

#15, Landmark : Behind KPCT Mall, PunePune Get Directions
500 at clinic
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My mother is suffering from low blood pressure problem since a long time suggest some ways to cure her please and fast.

BAMS
Ayurveda, Bangalore
Hi, Follow these tips to increase your blood pressure: 1. Increase intake of salt by adding salt to curds rice and taking pickles along with curds rice. 2. Drink plenty of fluids like Nimbu pani, tender coconut, water, buttermilk, fresh fruit juices,etc. 3.Drink hot coffee or tea when you feel dizzy. 4. Take sound sleep for 7-8 hours at night. 5. Avoid standing for too long hours. 6.Do yoga and meditation which helps to relieve mental stress and control emotions. 7. Avoid anxiety, stress and depression. 8. Perform regular exercises. 9. Consume lots of fresh green leafy vegatables, fruits, sprouts, high protein diet, etc. 10. Check your Hb% and BP with your family doctor and take their advise for further management.
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I am 33 years old man, my Cholesterol was 211 and triglyceride was 278 one month ago. I have controlled oily things even change oil and start jogging in the morning, after one month my s. Cholesterol is 190 and my triglyceride is 297. When I see s. Cholesterol it is going good as per my changed life style but when I see my triglyceride I am shocked. Now what should I control other then fatty and oily things for control my triglyceride?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 33 years old man, my Cholesterol was 211 and triglyceride was 278 one month ago. I have controlled oily things e...
Hello dear patient. High 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 . 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, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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If LVEF IS 45%, DOES IT MEAN THERE WILL BE BLOCKAGES. IS CT ANGIOGRAPHY AS GOOD AS REGULAR ANGIOGRAPHY.

MBBS
General Physician, Delhi
If LVEF IS 45%, DOES IT MEAN THERE WILL BE BLOCKAGES. IS CT ANGIOGRAPHY AS GOOD AS REGULAR ANGIOGRAPHY.
Left ventricular EF 45% is reduced but normal, not shows any blockadge, If there are any symptoms then would like to advice to get CT angio graphy done.
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I am taking cigar from 3 years. I am taking 2 per day. Now I am getting somewhat pain in my heart area and I am trying to leave this habit but I cant and what is the pain I am getting is it serious?

MBBS
General Physician, Mumbai
I am taking cigar from 3 years.  I am taking 2 per day. Now I am getting somewhat pain in my heart area and I  am try...
The pain might be a muscular pain and if you want to live the habit stop it at once and take tablet folvite twice a day for a month
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I am having heart problem and I had suffered from heart attack 3 year ago and I got angioplasty from Nagpur can you please tell me about my diet.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having heart problem and I had suffered from heart attack 3 year ago and I got angioplasty from Nagpur can you p...
Take lots of seasonal fruits and vegetables, both raw or cooked with minimal oil. Avoid transfats present in street food, burgers, pizzas. Use mustard oil for cooking, saute and steam vegetables but do not fry. Eat good fats like a spoon of desighee/ butter + a katori of assorted nuts everyday. Use carbs but reduce sugar and salt despite bp and blood sugar being normal, if high keep them under control. Do not compare your diet with others, eat according to your likes and constitution.
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My mother is 63 year old, heart and kidney patient. She is diabetic too. She has high cholesterol. Can she eat nuts? Almond or cashew? What can she follow as good diet?

MBBS, Dip. Diabetes (John Hopkins University)
Diabetologist, Thane
My mother is 63 year old, heart and kidney patient. She is diabetic too. She has high cholesterol. Can she eat nuts? ...
She can eat both almonds and cashew provided she does not exceed the limits prescribed. For better management, kindly seek for private consultation from any diabetologist here on Lybrate.
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My father has 90% blockage in one vein. It is detected by angiography done 3 days ago. Now I am in doubt that which process should we adopt angioplasty or bypass. And second thing what are merit or demerit in both.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father has 90% blockage in one vein. It is detected by angiography done 3 days ago. Now I am in doubt that which p...
One blockage can be cleared by baloon therapy(angiography) Merits are that there is no need to do heart surgery + it serves as a warning for rest of life to take care of heart by eating well , exercise and taking stress in your stride with no negative feelings. Good Luck. Bypass surgery should be done if there are Diffuse Blockages all over the heart / blockages are more than 2 , because getting fitted with more stent is not beneficial in the long run compared to one time heart surgery , Aftercare after 2 months is same in both.
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
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.
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