Doctor in Arora Heart Care Centre
Treatment of Hypertension
Treatment of Heart Attack
Treatment of Syncope
Treatment of Heart Diseases
Balloon Angioplasty Procedure
Treatment of Irregular Heartbeat
Treatment of Blocked Arteries
Treatment of Hole in the Heart
Treatment of Heart Specialist
Treatment of Angina
Treatment of Hip Disorders
Prevention of Blockage, Atherosclerosis & Heart At
Treatment of Heart Diseases
Treatment of Cardiac Arrhythmias
Treatment of Left Chest Pain
Holistic Heart Wellness & Health Care - Ayurveda
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Dr jitesh arora's emergency response team was ready to recieve the patient on arrival at hospital. The patient was promptly put on medication, simultaneously detailed diagnostics were performed for determining further course of action and the patient was stabilised quickly.
I highly recommend Dr Jitesh for any heart issues.
He takes care to the patient extraordinary. His nature is appreciable. He listen all problems to the patient then properly diagnose and then start the treatment. This mathed is remarkable. I respect to Dr Jitesh Arora.
Overall it was a great experience I had felt. Dr. Arora's counseling was awesome
Arora Heart center one of the most caring center for patients in Rudrapur. It was really a great experience.
It’s really a good experience with the Dr. I am totally satisfied with his advice.
a good approach till disease & treatment.
Ischemic heart disease is also known as ischemic cardiomyopathy in medical lingo. It generally results from weakened heart muscles due to previous conditions such as heart attack or other coronary diseases. The left ventricle of an IC patient tends to enlarge and gets dilated. As a result of this, the heart fails to pump an adequate amount of blood into the body resulting in a heart failure.
A doctor typically tries to find out the underlying cause of the condition and evaluate the extent of damage that has already happened. A combination of surgery, lifestyle changes, medication and other methods could be recommended to fix the condition.
Symptoms of Ischemic Heart Disease:
An early stage ischemic heart disease could not show any symptom at all. However, if the IC results from diseases related to the coronary artery, some of the common symptoms that are encountered include dizziness and fainting, unexplained weight gain, fatigue, congestion in the lungs, chest pain, swelling in the abdomen, sleeping problems, swelling of the feet and the leg, shortness of breath etc.
Risk Factor of Ischemic Heart Disease:
IC is typically caused by coronary artery diseases and heart attacks. Some of the other risk factors of this disease include diabetes, high cholesterol, long history of drug abuse, obesity, family history of cardiac diseases, amyloidosis, blood pressure, long history of smoking and bad lifestyle. Men are at increased risk of developing ischemic heart disease. Women above the age of 30 who is an active smoker and consume contraceptive pills are also at a high risk of developing ischemic cardiomyopathy.
How Is IC Diagnosed?
A cardiologist will perform a physical exam and conducts one or several tests to diagnose the condition. A blood work measuring the level of triglyceride and cholesterol is the first step towards it. This can be followed up by several imagery tests such as MRI and CT scan to examine the internal tissues. Some other tests that could be done by a cardiologist include ECG, angiography, EKG and radionuclide studies.
How Is The Condition Treated?
There is a step approach to treatment for ischemic heart disease. The first is lifestyle related. A healthy diet must be followed on a regular basis. Diet should be free from cholesterol, sodium and processed fat. Quitting smoking and drinking is a key lifestyle change that a person will have to undergo. In the medication front, a cardiologist might prescribe beta blockers, blockers of calcium channels, aldosterone inhibitor and blood thinners. The idea behind every medication is to ensure that the heart muscle works at the optimum level. If medication doesn’t work, a doctor might suggest procedures such as stent insertion, pacemaker implant, angioplasty and radiation therapy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Heart ablation or cardiac ablation is a procedure done to treat irregular heartbeats or arrhythmias. It is performed by an interventional cardiologist, a doctor who specialises in doing procedures for heart problems and it involves threading long wires called catheters through a blood vessel into your heart. The irregular heartbeat is treated by delivering an electrical pulse using electrodes to specific areas of your heart.
A normal heart beats at a steady rate, but sometimes, your heart may beat too quickly, too slowly, or unevenly. These heart rhythm problems are called arrhythmias and one of the treatments for this heart problem is cardiac ablation. Other treatment modalities are medications and changes in lifestyle. Heart ablation is prescribed when the other treatments fail. Arrhythmias mostly happen in older people and in people who suffer from other heart problems like cardiomyopathy.
Here are answers to most frequently asked questions related to ablation
Who will benefit from heart ablation?
The beneficiaries include people who
- Suffer from arrhythmias that don’t respond to medicines
- Suffer from side effects from arrhythmia medicines
- Suffer from a specific kind of arrhythmia that respond very well to cardiac ablation
- Are at a high risk for cardiac arrest or other complications which can be fatal
Cardiac ablation is very helpful for patients who have certain kinds of arrhythmias like atrial fibrillation and ventricular tachycardia, which cause fast heartbeats.
How to prepare for cardiac ablation?
You will have to undergo extensive tests to record your heart’s electrical activity and rhythm. Your doctor will ask and record whether you have any other disease like high BP and diabetes.
How is heart ablation done?
Heart ablations are done in a special room known as an electrophysiology laboratory. It usually takes three to six hours and is usually done under general anaesthesia or local anaesthesia with sedation.
The catheters are threaded either from your neck, groyne or arm into your heart. Your cardiologist also injects a special contrast dye to help him see areas of abnormal muscle in your heart. He then uses a catheter with an electrode at the tip to give radiofrequency energy to the weak heart muscle to correct your irregular heartbeat.
You may have to stay overnight after the procedure.
- Blood clots
- Damage to heart valves or arteries
- The build-up of fluid around your heart
- Heart attack
Inflammation of sac surrounding your heart or pericarditis You will have to be monitored regularly after ablation to check for problems in your heart beats.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Some people have a sore throat which they think will go away sooner rather than later. Well, while it may not seem serious, rheumatic heart disease means that it could potentially be! But, how exactly?
A sore throat usually comes about on account of bacteria affecting the region of the throat.
Sometimes what can happen is that the same bacteria can go all the way to the heart and damage the valves of it. This is very serious as the health of a person fundamentally depends on the health of his or her heart!
When a sore throat does not seem to be getting better even after about three days go by, the first thing which is to be done is to see a doctor. This is due to the fact that delays can result in the situation getting worse. As a result of this, treatment can get more complex. And who wishes to compound their own miseries, after all?
Children who are aged between five and fifteen years of age are at risk of rheumatic heart disease. Now, while it is true that children are likely to fall sick more often than adults as their immune systems may not be all that strong, a special eye is to be kept out for rheumatic heart disease. The general symptoms which a parent should look out for are a sore throat, a cough and a fever. The tough part is that these symptoms appear which a range of other conditions!
When it comes to knowing that rheumatic heart disease is what is affecting a person, a special blood test is taken and if there is a need, an ECG and some other measures confirm rheumatic heart disease. Penicillin is a wonder drug and it is used in the treatment of rheumatic heart disease, as well. It is the general form of treatment, in fact, and people with the disease are often put on a course of injections. This means that they need to have an injection every 28 days for a month so as to make sure that there is no further damage which can affect the valves of the heart. The importance of this cannot be impressed enough.
It is unfortunate that in many cases, people only discover that they have rheumatic heart disease once they reach adulthood. The valves of the heart may be leaking or significantly damaged by the time that the discovery is made. Is it not a lot better to save oneself from this sort of situation? In case you have a concern or query you can always consult an expert & get answers to your questions!
The term 'chest pain’ is a very common term and is usually used in day to day life. Basically, chest pain refers to the pain that may generate in your chest, shoulder and can travel to your ribs, jaws and towards your arms. The feeling of the pain can be sharp or dull, depending on the severity of your condition and cause.
There can be several reasons behind chest pain. You need to conduct a few tests to examine the real cause of the chest pain. It is always advised by health experts to take the symptoms of chest pain very seriously in order to avoid any serious problem in the future. Most of the severe and life-threatening diseases behind chest pain involve lung and heart problems. People having serious heart problems often feel discomfort, followed by pain in their chest area.
Chest pain which is related to any heart disease such as heart attack usually has symptoms like:
- Feeling of fullness and tightness in the chest region
- Burning or crushing pain, which travels from the chest to jaw, hands and back region.
- Breathing problem
Usually, it is very tough to distinguish whether the pain is associated with a heart problem or not. But generally chest pains which are not related to heart problems involves symptoms like
- Sensation in your mouth
- Problem in swallowing food
- Pain that worsens when you cough
- Burning sensation in your chest
Common causes of chest pain
- Angina: Angina is a medical condition described as a feeling of discomfort or pain in the chest region. This situation occurs when your heart muscles don't receive blood, which contains rich oxygen. Angina is a symptom of Coronary Heart Disease (CHD). The pain can take place in your shoulder, jaw, neck and arms also.
- Lung problems: People with lung disorders can encounter various types of chest pains. But some common causes are:
- Pleurisy: It is a type of medical condition, which occurs due to inflammation of the lining of chest and lungs. Due to this, you feel a sharp pain at the time of breathing, coughing or sneezing.
- Pneumonia: It is a type of lung infection, which causes chest pain.
- Pneumothorax: It is a type of lung disorder, which occurs when a portion of your chest gets collapsed.
- Asthma: It is a type of condition, which occurs due to shortness of breath and causes chest pain while coughing, sneezing and breathing.
- Gastrointestinal problem: Gastroesophageal reflux disease (GERD) is also a common reason for chest pain such as burning sensation in your heart.
- Other causes of chest pain: There are several other reasons of chest pain such as muscle strain, ribs injury, shingles, anxiety and panic attacks. It is always important to visit a physician whenever you encounter any of such chest pain symptoms.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Our heart is basically a muscle. So when this muscle weakens the heart is unable to do its function i.e., to pump blood throughout our body and keep us alive.
The heart muscle gets progressively weak due to a disease called cardiomyopathy.
There are different types of cardiomyopathy caused by different causes. Untreated cardiomyopathy can lead to heart failure or early death. Treatment can’t cure the condition but can give you extra healthy years of life and prevent serious complications.
Cardiomyopathy has 4 main types, they are:
Dilated Cardiomyopathy: This is the most common form and its principal cause is that your heart muscle becomes too weak to pump blood. The heart muscles stretch and become thinner in this case leading to the four chambers of the heart to expand causing a pathology called an enlarged heart.
Hypertrophic Cardiomyopathy: This happens due to genetics. It occurs when the walls of your heart thicken and prevent the flow of blood through this natural pump.
Arrhythmogenic Right Ventricular Dysplasia: This is a rare form of cardiomyopathy. It causes sudden deaths of athletes and is caused when fat and fibrous tissues replace muscle in the right ventricle of the heart.
Restrictive Cardiomyopathy: This is the least common form of the disease. The cause is the stiffening of the ventricles, the part of the blood which receives blood. When these stiffen, the heart doesn’t get enough blood to oxygenate. Scarring of the heart due to heart disease and a heart transplant operation can be a cause of this stiffening.
Ischemic Cardiomyopathy: Ischemic cardiomyopathy is caused due to coronary artery disease which causes blood vessels supplying blood to the heart to become narrow. The heart doesn’t get enough oxygen and a person can die due to a heart attack.
Other types of cardiomyopathy are grouped into this category and can include:
Left ventricular noncompaction happens when the left ventricle has trabeculations, projections of muscle inside the ventricle.
Peripartum cardiomyopathy, another form of the disease can occur during or after pregnancy. This is a form of dilated cardiomyopathy and can be fatal. There’s no documented cause.
Alcoholic cardiomyopathy is caused due to alcoholism causing an enlargement of the heart.
Takotsubo cardiomyopathy, or broken heart syndrome, happens when extreme stress leads to heart muscle failure. Though rare, this condition is more common in post-menopausal women.
Doctors will decide the treatment after finding out the extent of damage due to cardiomyopathy.
Others whose life is affected due to symptoms are treated with lifestyle changes and medicines. The bad news is that cardiomyopathy can’t be cured but can only be managed and controlled by doing the following:
Exercise is also crucial to keep the heart healthy and maintain a healthy weight through regular bouts of low-intensity exercise.
Medications for high blood pressure will be prescribed to prevent water retention, keep the heart beating normally, prevent blood clots and reduce inflammation.
Pacemakers and defibrillators can be implanted.
Surgery like heart transplant can be done as a last resort.
The treatment of heart disease has come a long way and one of the more important and fairly common devices used to correct rhythmic problems of the heart is a pacemaker. A pacemaker is a device which is put inside the chest or sometimes even the abdomen to send electrical pulses to the heart to keep it beating at a normal rate.
Pacemaker for heart failure
However, the implications in case of heart failure make the usage of the pacemaker much more complicated. In such cases, the device used is a special type of pacemaker which is also called a bi-ventricular pacemaker. This device sends electrical signals to pump the ventricles of the heart so that they can pump at the same time.
There are many factors to be aware of before undergoing this treatment. Some of the factors to consider are mentioned below.
- Requirement for a pacemaker in case of heart failure - When a patient has heart failure, their ventricles or lower chambers of the heart aren't able to pump enough blood into it. This could be due to physical problems with the heart or problems with the electrical system within it which cannot function normally. The doctor will perform multiple tests to determine whether a patient is the right candidate for a pacemaker for heart failure.
- The procedure - In most cases the device is fitted into the chest and it is done without an open heart surgery. Precautions and post operative care for a minor surgery should be followed. The doctor makes a minor incision on the chest and then inserts the device along with three leads which are connected to the ventricles to ensure they keep pumping properly. Sometimes another device known as the ICD or the implantable cardioverter-defibrillator may be put in to shock the heart back to a normal rhythm in extreme cases where the change of sudden death from high heart rate is a possibility.
- Immediate post operative care - As mentioned above, the surgery involved in putting a pacemaker is a minor one and the patient is usually discharged in next 2-3 days or may be more depending on the comorbidities & complexity of the scenario. However, in most cases, people can go home the next day fairly easily although some monitoring is done for the next few days with daily reporting.
We all know about the heartbeat, which is produced by the opening and closing of the valves in the heart, which in turn controls our blood flow. There is a regular pattern to this beat, and when, due to various reasons, it becomes irregular, it is known as arrhythmia. Atrial fibrillation, known shortly as AFib, is one of the common types of arrhythmia.
Why AFib: The heart has an electrical impulse system, which controls the opening/closing of its valves. Due to various changes, be it lifestyle, dietary, or regular wear and tear, this electrical system is affected and so the valves do not function properly. This leads to altered rhythm, and when it happens on the right side of the heart, in the valves between the two atria, it is known as atrial fibrillation.
Signs and Symptoms: It is not something which shows up as soon as the onset happens. It is a gradual condition, and many people with AFib may go for months with no symptoms. There could be general symptoms like fatigue and headaches. Gradually, more symptoms like heart palpitations, shortness of breath, dizziness, occasional chest pain, or fainting set in. It is usually when workup for some other disease is being done.
Monitoring the pulse or heartbeat is one of the best ways to keep a check on the condition.
Types: There are different forms of it – paroxysmal, persistent, and permanent. In the first one, there are brief bursts of AFib lasting less than 7 days. With gradual progression, symptoms are more frequent and last longer, converting into persistent AFib, which lasts longer than 7 days. If the condition is longstanding and the doctor (as well as the patient) have decided not to treat it, it is permanent AFib.
Living with AFib: It is a longstanding condition, and the following precautions are necessary, which are generally heart-healthy.
Quit Smoking: In addition to the multiple benefits of quitting, managing AFib is one.
Work It Out: Get into an exercise regimen. Discuss with your doctor to identify and agree on the type and level of exercise. This helps manage weight and stress, both essential for controlling AFib.
Manage Alcohol Consumption: Avoid excess consumption of alcoholic beverages. Avoid them completely if they trigger symptoms.
If you have the risk factors for AFib, implementing these changes earlier than the onset of symptoms can help delay progress and reduce severity of the symptoms. Consult an Expert & get answers to your questions!
Most people associate fibre to be good for the digestive system. It helps to add roughage and therefore helps in avoiding constipation. When we dig deeper, the fibre seems to do good not just to the stomach but to the heart as well. Those who are prone to develop heart disease should make an attempt to include more fibre in their diet and reap the rich benefits it offers.
There are two classifications of fibres
Dietary are found in diet products and functional being added fibre through various food supplements. Soluble and insoluble fibre, based on their solubility in water. Most foods contain some amounts of both. The insoluble one has more digestive benefits, as it adds to the roughage. Both types have cardiac benefits.
Read on to know some of the cardiac benefits of fibres.
- Reduces cholesterol: There is good cholesterol which is essential for the body, and there is bad cholesterol causes heart disease. What fibres do is reduce the amount of bad and overall cholesterol in circulation. The fibre binds to the cholesterol and removes it from the body, which otherwise would get into circulation and lead to plaque formation and heart disease.
- Reduces blood pressure: Because the cholesterol does not circulate in the blood stream, the blood is not as viscous and therefore the vessels exert much less pressure to allow for free flow. A diet change to whole grains can show a marked difference in people with hypertension.
- Weight management: Eating fibre means more bulk and fewer calories so that a person feels full after eating smaller amounts. This is a great way to lose weight and bring preexisting heart disease under control.
- Stroke prevention: The circulating cholesterol usually gets sluggish and settles down along the walls of the blood vessels. This attracts more cholesterol, which eventually forms what is knowns as plaque. When this plaque attains a considerable size, it gets dislodged, circulates in the blood stream, and can reach any of the vital organs. When it reaches the heart or brain, it can lead to heart attack or stroke. By removing the cholesterol which leads to all these complications, fibre reduces the incidence of stroke and heart attacks.
- Management of diabetes: Blood pressure, increased weight, and heart disease all are predisposing factors and have common contributing factors as does diabetes. Controlling all these helps in prolonging the onset of diabetes and reducing its severity too.
High-fiber diet mainly reduces cholesterol which helps in multiple ways to maintain not just a healthy body but also improves the overall quality of life. If you wish to discuss about any specific problem, you can consult a Cardiologist.
While heart attacks are commonly experienced by men and women, the symptoms experienced by them are different. Symptoms of a heart attack in women are much more subtle as compared to signs of a heart attack when experienced by men.
Many women even compare the symptoms of a heart attack to the flu or acid reflux. Hence it is important to be able to recognize the symptoms of a heart attack and be able to distinguish them from symptoms of other less fatal conditions.
Some of the characteristic symptoms of a heart attack that a woman should look out for are:
- Discomfort or chest pain: Chest pain is one the characteristic symptoms of a heart attack but this is not experienced in the same way by me and women. While men may feel pain in the left side of their chest, women can feel pain in any part of their chest. This may be accompanied by a feeling of the chest being squeezed in a vise.
- Pain in the jaw, neck, arms and back: Men consider pain in the chest and left arm to be a symptom of a heart attack but women can experience this pain in their jaw and back as well. This pain can develop gradually or come on suddenly. It may also wax and wane before it becomes intense. In some cases, this pain can even wake you up from a deep sleep. Hence, do not ignore any unexplained pains in the upper part of your body.
- Stomach ache: A stomach ache is one of the most subtle signs of a heart ache. This may feel similar to that caused by heartburn or a stomach ulcer. It may also feel like a great weight is on your stomach.
- Shortness of breath: Feeling lightheaded or having trouble breathing even when you are not exerting yourself could be a sign of a heart attack. At times this could also make you feel like throwing up. This symptom is usually also accompanied by one of the other more characteristic symptoms of a heart attack.
- Excessive sweating: Perspiration as a symptom of a heart attack is not the same as perspiration caused by exercise. When sweat is a symptom of a heart attack, it is more of a cold sweat that can be compared to the sweat caused by stress. If you do not sweat heavily but suddenly find yourself sweating excessively, you should not ignore it but consult a cardiologist immediately.
- Tiredness: Feeling tired even when you haven’t exerted any energy can be a sign of a heart attack. Sometimes, this fatigue can be so much that it can keep a woman from even moving from the chair to the bed.
It is therefore advised to not ignore any above-mentioned symptoms and see a doctor immediately; stay healthy and stay happy!