Blood Pressure Management
Intensive Care Programme
Critical Care Programme
Risk Reduction Programme
Heart Failure Reversal Therapy (HFRT) Programme
Ischaemia Reversal Programme (IRP)
Blood Pressure Management
Obesity Management Program
Cardio Protective Therapy
Heart Health Checkup & Assessment
Patient Review Highlights
I was quite concerned, as my high blood pressure issue was increasing day by day, but due to Dr Madhavbaug Clinic and the high blood pressure treatment I didn't lose hope. He is one of the best physicians in city. I was shocked to experience the symptoms of high blood pressure. I was in too much pain because of high blood pressure, but I am not so much relieved from the pain.
I was facing many problems due to hole in the heart. I consulted Dr Madhavbaug. Finally with his treatment. I am so much benefitted with his treatment, that i am perfectly fine now. The nurses at the Madhavbaug Clinic were really helpful. In the very first sitting, he clearly told us the problem and the what the treatment procedure will be in future.
The overall outlook of the Madhavbaug Clinic - Dadar West was very nice. Overall diabetes management was very effective. I was suffering from diabetes. I have consulted so many doctors but nobody till now was able to understand my concern properly, until i went to Madhavbaug Clinic. Everything was just spick and span there.
Due to my hypertension my daily activities were suffering. One of my cousin's referred to Dr Madhavbaug Clinic. With great ease he explained us the problem and how the treatment will be carried out. The overall atmosphere in the Clinic is very soothing. He is not just friendly, but also is very motivating.
I was having this irregular heartbeat problem. Over the period of time I noticed a number of changes in myself after their treatment. I am so happy with the results of my treatment, that I will surely recommend Madhavbaug Clinic to anyone gladly.
Mrs Mrunalini Gadkari
doctors seem knowledgeble.Confident in explaining decease,causes & treatment.Reception & other staff very courtieous
Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.
1. Chest pain or discomfort - This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.
2. Excessive sweating - If you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.
3. Difficulty in breathing - Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.
4. Nausea and frequent stomach problems - If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.
5. Exhaustion - If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.
A heart attack is caused if the blood flow to the heart is obstructed. The disruption in the flow of blood destroys a part of the heart muscle and may prove to be fatal if not treated right on time.
Not every heart attack starts with a sudden crushing pain in the chest. In fact, about 30 per cent of the cases haven’t yielded any such symptom. However, the signs may vary from one person to another:
- Heart attack might start slowly causing only mild discomfort or pain initially. The symptoms happen to be sudden and intense, persisting for several hours.
- Mostly heart attack induces pain on the left side or the center of the chest. The discomfort generally persists for a few minutes. It can even result in a feeling of indigestion or heart burn, fullness, squeezing and pressure which can turn from mild to severe.
- One might also experience an aching sensation in the upper stomach, jaw, neck, shoulders, back or both of the arms.
- Shortness of breath is one of those very common symptoms.
- Other common symptoms include excessive sweating, exhaustion, vomiting, nausea, sudden dizziness or light-heartedness.
How can you tell a heart attack from a mere panic attack?
Panic attack occurs even more suddenly and induces intense fear, extracting extreme reactions for something relatively harmless. Once the attack subsides, one usually feels week on the knees and tender near the gut. Some of the symptoms exclusive to a panic attack include a feeling of detachment, numbness, hot flashes, chills and tightness experienced in and around the throat, tremors (primarily of the hands) and a constant fear of losing control or of an impending danger.
Although many indications of a heart attack might happen to overlap with those of a panic attack, there are still a few noteworthy differences between the two. Watch out for those signs and get yourself diagnosed properly.
Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.
Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.
Type 2 Diabetes and Pre-Diabetes
- What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
- Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
- Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
- If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
- Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.
Portion size control for pre-diabetics
- You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
- Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
- This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
- And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
- Remember, proper serving size is crucial to preventing full-blown diabetes.
- Let’s take a look at how you can do this as a pre-diabetic-
Essentially, portion control for pre-diabetics is geared towards managing
- Calorie intake, especially important for those carrying extra body weight
- Carbohydrate intake
Managing calorie intake
- Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
- Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
- This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
- Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.
Managing carbohydrate intake
- Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
- Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet. If you wish to discuss about any specific problem, you can ask a free question.
Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.
For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.
A moderate heart rate may make you:
- Feel blurry eyed or woozy.
- Feel short of breath and feel that it’s harder to work out.
- Feel tired.
- Have neck pain or an inclination that your heart is beating or rippling (palpitations).
- Feel bewildered or experience difficulty concentrating.
- Black out, if a moderate heart rate causes a drop in pulse.
A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.
How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:
- In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
- In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
- In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.
Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:
- Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
- Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
- Getting more fit in case you have to, and maintaining a solid weight.
- Not smoking.
- Overseeing other medical issues, for example, hypertension or elevated cholesterol. If you wish to discuss about any specific problem, you can consult a Cardiologist.
A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.
Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.
Call a Doctor
The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.
After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.
If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.
Use an Automated External Defibrillator (AED)
If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.
Weight loss is a major area of concern for many. From exercise to diet, sleep to lifestyle, everything needs to fall in order in order to ensure a safe and quick weight loss. While diet plays a crucial role in the weigh-loss process, there are some long-standing myths that are associated with the same. In this article, we will explore some of the myths.
- All calories are the same: All calories contain the same amount of energy. A different source of a calorie has a different effect on the body. Calories take different metabolic paths and have unique effects on the hunger and hormone of the body. While some calories are feeling, some are not. Some boost metabolism, some curb hunger. The notion that all calories are the same is untrue.
- The process of weight loss is linear: Many are of the belief that the process of losing weight is linear, which is not. There are weeks when the body weight increases instead of decreasing. This is entirely normal. The stomach might support more food or the process of work out can support more water than earlier. These are the few reasons that can lead to weight gain.
- Supplements help to lose weight: While the fat supplement industry is massive, their effect on the body is still doubtful. The main reason why people opt for these is the placebo effect. The best of supplements helps to curb hunger, thereby helping an individual to intake less amount of food and ensure weight loss. This being said, there are very few supplements which can directly help to reduce weight.
- Moving more and eating less leads to weight loss: This is yet another myth associated with weight loss. To lose calorie, it is imperative to sweat out as much as once can. Even eating less is a logical move to ensure weight loss happens. However, this process is most likely to fail. The weight lost via this process eventually comes back. The long-term solution for weight loss, therefore, is a diet plan and a sustained workout plan.
- Carbs result in weight gain: This is yet another myth related to weight loss. The truth is that not all carbs are bad. While refined carbs are directly related to weight gain, there are carbs from whole grain foods that are extremely healthy and can become an essential part of the weight loss program for the long run.
- High protein diet is efficient for weight loss: It is common myth that high protein diet is effective in weight loss as on a regular basis getting your calories from high protein foods like meat, eggs, and cheese is not a balanced eating plan. As, these foods are equally high in fat and cholesterol and consuming it can cause heart problems. When you consume high protein diet you tend to consume less of fruits, vegetables and whole grains, which may lead to constipation due to lack of dietary fiber and can cause lack of essential vitamins and minerals. Following a high protein diet can also make you feel nauseous, tired and weak.
- FAD Diet is the ultimate way to lose weight: Fad diets are not the best way to lose weight and keep it off. These diets often promise quick weight loss if you strictly reduce what you eat or avoid some types of foods. These diets may help you lose weight at first, but they are hard to follow. Most people quickly get tired of them and regain any lost weight.
- Eating late or just before going to bed tends to make you gain weight: It's not true. When it comes to weight gain or loss, it is not the time of day that makes the difference — it’s what you are consuming.
- "Low-fat /No-fat" diet is equal to "Low calories/No calories": The fact is that you have to count your calories more than the amount of fat in your food. So if you are having something rich in calories, it doesn’t matter whether it is low in fat. A lot of these fat-free products actually contain a lot of sugar, and frequent sugar spikes can lead to visceral fat deposition. Furthermore, you should not avoid fatty foods because they provide you with a sense of fullness.
- Dieting is the only way to lose weight: Combining exercise with a healthy eating plan is the right way to lose weight and keep it off in a healthy way. Regular exercise helps reduce your appetite and burns calories more efficiently. You should incorporate weight-training exercises to build lean muscle. This will act as your own built-in furnace to help you burn calories and lose body fat.
- Potatoes make you fat!: It was once thought that the key to weight loss was eliminating all high-carbohydrate foods, including pasta, rice and potatoes. We now know that carbohydrates are the body's preferred energy source. Eating a potato, or any type of carbohydrate-rich food, won't automatically make you fatter.
- "Magical Foods" help you lose weight: Some foods, such as grapefruit or kelp, are said to burn off body fat. This is not true. Dietary fibre comes closest to fulfilling this wish, because it provides a feeling of 'fullness' with minimal kilojoules. High-fibre foods such as fruit, vegetables, wholegrain breads and cereals, and legumes also tend to be low in fa
The key to weight loss is portion-control and maintaining the desired calorie balance by living a healthy lifestyle. If you wish to discuss about any specific problem, you can ask a free question.
The A1C test throws light on a person’s average blood glucose level for a stretch of 3 months. It goes by the name of HbA1C, glycohemoglobin or haemoglobin A1c test. This is the only test that is used for research and effective diabetes management.
How does it work?
The A1C measures the attachment of glucose to the haemoglobin. The latter is a protein that carries oxygen to all parts of the body. The RBC in the body keeps dying and regenerating. But, on an average, stays in the body for 3 months. Hence the A1C test tries to measure the count of glucose for 3 months to get a right count of the glucose. This is measured in terms of percentage, normal being less than 5.7 percent.
Can A1C measure type 2 pre-diabetes and diabetes?
In the year 2009, a group of scientists from the International Expert Committee suggested that it is entirely possible to detect type 2 pre-diabetes and diabetes. Earlier, only the blood glucose test could detect the pre-diabetes and diabetes. Since A1C test does not require fasting and can be undertaken at any time of the day, more and more people can undertake this test and refrain from the risk of undetected diabetes.
Why is testing required?
Testing is particularly essential since diabetes doesn’t show any early signs or symptoms. Testing ensures that diabetes is detected on time and unnecessary complications can be avoided. With right medicines, type 2 diabetes can even be prevented from occurring.
Has the test improved?
The A1C test has improved over the years. It has now been standardised. The accuracy of this test has been further increased by the National glycohemoglobin Standardisation Program. The major goal of the latter is to block the risk of getting complicated diseases such as blindness and diseases related to blood vessels.
A1C test be performed during pregnancy?
The A1C test can be performed during pregnancy to understand if a person had diabetes before becoming pregnant. Post the confirmation, OGTT is used to find out if a woman is suffering from gestational diabetes. Post the delivery, a woman should be tested to find out if the diabetes is persistent. The A1C test can be performed post 12 weeks of delivery rather than a blood glucose test to find out the persistence of diabetes in a pregnant woman.
A1C comes into play after detection of Diabetes?
The A1C test is used to monitor the glucose levels and detect the type 1 or type 2 diabetes to start with. Health care providers may ask a patient to undergo this test thrice to four times in a year. Based on the results of this test, medications of a patient is adjusted by a doctor.
Diabetes is a lifelong condition that has no cure but can be managed with treatment and control over one’s diet. If left untreated, this can be fatal and lead to a number of cardiac complications. The treatment plan for this disease must be customised to each individual’s overall health and requirement. It also needs to be analysed from time to time and changed if need be. A number of tests such as blood tests, A1C levels etc. help a doctor analyse this.
The most common reason your doctor may want to change your medication is if it does not help regulate your blood sugar levels or if it allows you to regain control of your blood sugar for a substantial period of time. In the first case, your doctor will change the medication to something stronger or medication that is more suited to your body’s needs. In case of the latter, the doctor will take you off some medicines and may reduce your insulin dosage. Thus, testing yourself regularly to ascertain your blood sugar levels is crucial to understanding how well your treatment plan is working.
All medicines have side effects associated with them and this gets more pronounced when you need to take the medication regularly for a long period of time. It is also important to note that medicines do not affect everyone in the same way. While some side effects are minor others can interfere with your quality of life. If a certain medicine has too many side effects, your doctor may choose to change it to something more suitable to you. Pharmacies are also constantly researching more effective ways to combat diseases like diabetes and hence when a better medicine becomes available, your doctor may choose to replace your existing medication with the new medicines.
Eating right and maintaining a healthy weight is a key aspect of managing treatment for diabetes. Hence, before changing your medication your doctor will first enquire about your lifestyle to ensure that you are eating right and exercising enough. If you have dangerously high blood sugar levels, he may prescribe insulin as a temporary remedy. If your blood sugar has net been controlled by the medication over a substantial time period, your doctor may advise you to begin taking regular insulin doses.
Whenever the doctor changes your medication plan look out for side effects from the new medication. This may include weight gain, nausea and fluid retention. In most cases, these side effects are temporary and resolve themselves as your body gets used to the new medication. However, if they do not subside after a while, talk to your doctor about it.
Palpitations is the feeling that you experience when your heart beats abnormally. Heart palpitations can be felt in the form of rapid, fluttering or pounding heartbeats. They can be frightening as when you palpate, you heart beats so hard that it even skips a beat and the sensations are so strong that they can be felt all through your chest, neck, and throat.
Palpitations are also common especially in young people because of abnormal electrical circuits in heart from birth. However, they may have normal hearts on Echo. Such palpitations are curable by a nonsurgical methods called Radiofrequency Ablation.
Palpitations can be triggered as a result of a number of reasons like stress, certain medications, exercise etc.
Here are a few prominent causes of heart palpitations.
Causes unrelated to the Heart -
- Anxiety, fear, and stress
- Consumption of alcohol and drugs like caffeine, nicotine etc.
- Consumption of street drugs likes cocaine, amphetamines etc.
- Certain medical conditions such as thyroid, anemia, dehydration, low blood pressure and low sugar levels etc.
- Hormonal changes that occur as a result of menstruation, pregnancy, menopause etc.
- Certain nutritional and herbal supplements
- Certain medications like asthma inhalers, diet pills etc.
- Abnormal levels of electrolyte
- Sensitivity to certain food items like some carbohydrates
Causes related to the Heart -
- Coronary artery disease
- Prior instances of heart attack
- Congestive heart failure (a condition wherein your heart's chambers get affected)
- Problems associated with the heart valves or the heart muscles
Immediate Relief Mechanisms-
It is crucial to go to the most easily available doctor to get an ECG done during palpitations as ECG will give an exact diagnosis, which helps in identifying the clear line of treatment. It is also advised to visit your healthcare provider/cardiologist to get an ECG done during palpitations. An ECG would give an exact diagnosis, which helps in identifying the clear line of treatment.
To know the exact reason causing palpitations ,Visit your nearest Madhavbaug Clinic and get a Stress ECG done with our expert medical guidance at affordable price !
Here are a few techniques that can help you in getting immediate relief from heart palpitations until you are able to visit a doctor in case of a serious condition.
- Cough it out
- Splash cold water on your face or take a cold shower
- Practice slow, deep breathing exercises
Consult an Expert & get answers to your questions!
Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels (which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.
A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).
But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!
Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings of these arteries. Flow ahead of these narrowings are reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the blood flow suddenly giving rise to a heart attack.
If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit LDL-C ≤2.0 mmol/L in blood starts depositing in the arteries. Normal LDL value Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for to halt the progression of narrowing of the arteries; There are surgical options like angioplasty (method of fast resolution of blockage;) and bypass surgery ( method of creating a whole new blood supply for the affected part of the heart) available. But Madhavbaug has developed a treatment that will effectively treat your blockage with the help of Ayurvedic Panchkarma sittings and lifestyle modifications. Kindly visit your nearest Madhavbaug Clinic for expert medical advice. If you wish to discuss any specific problem, you can consult a cardiologist.
From core ingredients used in your day to day cooking like salt and flour to biscuits and snacks, a lot of the food we eat comes pre-packaged. It is only by reading the labels does one find out the nutritional value of the food. Diabetics need to be much more aware of what they are eating as compared to others. Hence it is best to avoid processed and packaged foods. If you must snack on them, do not skip reading the label. Here are a few things you should take notice of.
- Serving Size: All the nutritional information given on the package is relative to the suggested serving size. For example, a 100gm and 200gm pack of biscuits may have the same nutritional data printed on the packet but the total nutritional value of both packets will be different. This is because the nutritional values printed are likely to be based on a serving size of 10 or 20 gms. Thus, you will need to adjust your calorie calculations on the basis of the amount you eat and the suggested serving size.
- Carbohydrates: Carbohydrates are the body’s prime source of energy but excess carbohydrates get stored in the body as fat. Hence, it is important to limit your carbohydrate intake. This is usually mentioned in terms of grams on food packets. 15 grams of carbohydrates is considered equal to 1 serving of carbohydrates.
- Fats: For a diabetic, fat intake must be limited to the minimal amount required by the body. Packaged foods mention cholesterol, trans fat and saturated fat content on the label. In case of all three, the lower the amount, the healthier the food item. You should aim at consuming less than 200mg of cholesterol per day and only pick food that has less than 1 gram of saturated fat or 0.5 gram of trans fat per serving.
- Protein: Eating a protein rich snack can help keep you satiated for longer and hence reduce your urge to snack on other foods. Foods like meat, eggs, chicken, soy, beans, peas, nuts and seeds are rich sources of proteins. However, if you have kidney damage, your doctor may advise you to limit your protein intake. Hence pay attention to the protein content of packaged foods.
- Sodium and potassium: Sodium and potassium help regulate blood pressure. Hence both should be consumed in limited amounts. If you suffer from a kidney disease, your doctor may advise you to reduce your potassium intake to prevent cardiac problems.
- Read Label: Wwhile reading the label we should also see the ingredients, the calorie content, the presence of preservatives etc.
Coronary artery disease or CAD is the name given to the heart condition in which the major blood vessels that supply your heart with blood, oxygen and nutrients, also called coronary arteries, get blocked, damaged or diseased.
- Blockages usually happen when cholesterol-containing deposits called plaque deposit in your arteries. Plaque narrows the lumen of your coronary artery which means your heart gets lesser and lesser oxygen and nutrients to function properly.
- Inflammation is also to blame for coronary artery disease.
Common symptoms of CAD include
- Angina or pain in the chest
- Shortness of breath
- If the blockage is complete, you can get a heart attack.
Common Diagnostic tests
When you go to a heart specialist, she will ask questions about your medical history and follow it up with a physical exam and order routine blood and diagnostic tests to confirm CAD like:
- Electrocardiogram (ECG): An ECG records electrical signals as they travel through your heart revealing evidence of a previous heart attack or one that’s happening. Holter monitoring is a type of ECG where you wear a portable monitor for 24 hours as you go about your normal daily activities. Abnormalities in the results suggest reduced blood flow to the heart signaling CAD.
- Echocardiogram: This test uses sound waves to produce images of your heart. It helps your doctor determine whether all parts of your heart wall are contributing to your heart's pumping activity. If certain parts are moving weakly it can mean damage to muscle due to a heart attack or because of receiving too little oxygen- again signaling CAD.
- Exercise Stress test: This test is done by making you do exercises like walking on a treadmill or riding a stationary bike during an ECG. Sometimes, medication to stimulate your heart may be used instead of exercise.
This again detects areas in your heart that receive less blood flow.
- Cardiac catheterization or angiogram. A special dye is injected into your coronary arteries to observe blood flow through your heart in a test known as an angiogram.
- The dye is sometimes also injected into the arteries through a long, thin, flexible tube called catheter that is threaded through an artery in your leg to the arteries in your heart. This procedure is called cardiac catheterization. This test is very good in diagnosing CAD as the dye outlines narrow spots and blockages on the X-ray images of your heart.
- Heart scans. Computerized tomography or CT can help your doctor actually see calcium deposits in your arteries that can be narrowing your arteries. If a substantial amount of calcium deposits are found, coronary artery disease could be the reason.
- MRI scans are also done to diagnose CAD. If you wish to discuss about any specific problem, you can consult a Cardiologist.
Coronary artery disease is the disease in which the major blood vessels (coronary arteries) that supply blood, nutrients and oxygen to your heart get damaged or disease stricken. It is mostly caused due to the coronary artery getting plagued or inflamed. The consequent reduction in blood flow to the heart causes the various symptoms of coronary artery disease like angina (chest pain), short breath etc.
Here is a list of a few symptoms that help in identification of the coronary artery disease.
1. Angina - Pressure or tightness may be felt in or near the area of the chest that results in pain. It is mostly felt in the middle or left side of the chest.
2. Shortness of breath - Another symptom of coronary artery disease is short breath, fatigue and a feeling of exertion.
3. Heart attack - Complete blockage of the coronary artery results in a heart attack that is a prominent symptom of coronary artery disease. A person may feel heavy pressure in the chest, pain in the shoulder or arm, sweating etc. prior to getting a heart attack.
Coronary artery disease occurs when damage or injury is done to the inner layer of the coronary artery. This damage causes plaque, which are deposits made of fat, cholesterol and other cellular waste materials to accumulate near the damaged area of the artery. This process is known as atherosclerosis.
The various causes that result in coronary artery damage are listed below.
- High blood pressure
- High cholesterol
- High stress
- Physical inactivity
Heart failure occurs when the heart fails to pump blood around the body and organs for oxygen and nutrients. As blood moves through the heart and body at a slower rate, pressure in the heart increases. The chambers of the heart stretch to hold more blood to be able to pump through the body. This helps the blood to move but eventually the heart muscle walls weaken, unable to pump blood efficiently. The kidneys, in response cause the body, to retain fluids. The leakage of fluid in the tissues and the organs congests the heart, leading to heart failure.
Any of the following conditions can be responsible for weakening the heart and causing heart failure.
1. Coronary artery disease: this is a disease of the arteries supplying blood and oxygen to the heart that causes decreased blood flow to heart muscle. If the arteries get blocked or narrowed (due to the buildup of fatty deposits), the heart fails to get oxygen and nutrients, which may eventually lead to heart failure.
3. High blood pressure: high blood pressure puts an extra strain on the heart for it to work harder to circulate blood throughout the body. As a result, the heart muscle may become stiff or weak to effectively pump blood.
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? If you wish to discuss about any specific problem, you can consult a Cardiologist.
Diabetes mellitus is a serious medical condition in which your body does not produce enough insulin, the hormone that breaks-down sugar, or is not able to use it properly. So, what happens is that your blood sugar levels shoot up damaging your kidneys, heart, brain, nerves, eyes, and blood vessels. It is diagnosed through a blood test after you have fasted overnight.
Type 1 diabetes is different from type 2 diabetes. Type 1 is predominantly a genetic disorder and is found in even babies but type 2 diabetes is the one we develop as adults mostly because of our eating habits, lifestyle and diet.
If you have diabetes, your doctor will counsel you about making serious changes to your diet to reduce your risk of developing complications. Your doctor will also mandate losing 5-10 percent of your body weight if you are overweight and exercising more to get rid of blood sugar by burning it.
Portion size control for diabetics
- Portion control which essentially means how much you eat at every meal—is key in helping you manage type 2 diabetes.
- Portion control also reduces your calorie intake and leads to weight loss which in turn improves your body’s insulin sensitivity and leads to manageable blood glucose levels.
- Truth be told, if you have type 2 diabetes, you need to lose weight even if you are not obese. Carrying even a slight bit of extra weight can increase insulin resistance which means that your body can no longer properly use insulin.
This is why portion control is critical to managing diabetes. So downsize your portions and get rid of carbs, especially the processed carbs like pasta, cookies, dessert and sodas, to stay healthy.
What goes on your plate?
According to the American Diabetes Association, your plate at each meal must have lots of non-starchy vegetables and smaller portions of starchy foods like potatoes. Proteins and fats especially the healthy fats are good for you as they don’t trigger insulin.
Here are some tips for portion control at mealtimes
- Draw an imaginary line in the centre of your plate.
- Divide one side of your plate yet again so your plate is split into 3 sections.
- Half of your plate should be filled with non-starchy vegetables like carrots or cauliflower.
- One fourth of your plate should be filled with protein or lean meat like egg, turkey or tuna.
- The other one-fourth of your plate should be filled with a good carb like whole grain bread.
- This method can be followed for breakfast as well.
For the first meal of the day, eat small portions of healthy foods like a bowl of oatmeal with a banana and 2 tablespoons of peanut butter for protein. Following these portion control basic guidelines will lead to guaranteed results in your weight as well as your blood glucose levels. But you need to be patient. It takes about 3 months for the results to start showing so keep up the hard work for your health. If you wish to discuss about any specific problem, you can ask a free question.
Some heart defects are present right from birth. We discuss the role of your genes in making you vulnerable to heart disease.
A easy to make snack that serves as a whole meal especially beneficial for managing blood sugar levels .The moong serves as an excellent source of protein .The crepe ( dosa/chilla ) is also an excellent source of essential minerals.
Symptoms and diagnosis of Coronary Artery Blockage
Hello everybody. This is Dr. Rohit Sane, medical Director, Madhavbaug. I've done my MBBS, I've done my fellowship in Cardiac Rehabitilation from Apollo Hospital. Today we'll be talking about the blockages in the coronary artery and the fate of these blockages in the coronary artery.
Many a times we're afraid by only the term Blockages. We need to understand the science of the whole disorder as such so as to treat it on good terms. Now what can a blockage do in my coronary artery, is a simple question. This blockage can either give me symptoms of chest pain or else the second symptom a blockage can give, a blockage patient can present with is breathlessness on exertion. So one is chest pain and other is breathlessness on exertion. Now, we need to know exactly what this blockage is affecting our heart muscles by, whether it's reducing down the blood supply and resulting into my angina or else chest pain or whether it has reduced down the efficiency of my cardiac muscles and leading to breathlessness on exertion.
To diagnose this what are we supposed to do after an angiography has been done is a very simple test called as the stress test. From a stress test we need to identify whether these blockages has lead to two different disorders, which of them has been started in our body is needed to be understood by a simple stress test. Now, these two disorders, one is angina which is a systemic heart disease and second is breathlessness on exertion called as chronic heart failure.
Now when we conduct a stress test you just need to walk about 9 minutes in a Bruss's protocol or else 15mins on a modified Bruss's protocol on a treadmill while the ECG is monitored by the doctor. When you walk on this treadmill for a specified protocol, for a specified duration of time, the ECG is monitored for ECG changes. If at all while walking you feel chest pain ir ECG changes that means the blockages are creating some problems with the blood supply to your heart muscle. But many a times you walk on the treadmill without getting chest pain, without getting ECG changes but at the same time while walking you feel a different type of symptoms called as breathlessness as you walk.
Consider you should be able to walk for 15mins in the treadmill and maybe after 9th minute you start feeling breathless on the treadmill and we've to stop it because of your breathlessness, then what do we infer from this is that your blockages are leading to a disease condition called as chronic heart failure, where in your heart muscle is not able to pump so as to commensurate with the requirement of your body. Hence, only diagnosing a blockage is not a complete diagnosis. Once a coronary angiography has been done and you've been diagnosed with blockages, the next thing that is needed to be done is to perform a normal exercise tolerance test by which you come to know what is the exact fate of these blockages. These blockages as I said earlier can either lead to angina or can lead to chronic heart failure which represents as breathlessness due to exertion. So, as soon as we conduct the stress test the right type of treatment whether on chronic heart failure or whether on systemic heart disease can be performed as to relieve you out of your symptoms.
So, for more information log onto Lybrate. Thank you.
How to treat Coronary Artery disease?
Hello. This is Dr. Rohit Sane, Medical Director of Madhavbaug. I've done my MBBS, I've done my fellowship in Cardiac Rehabitilation from Apollo Hospital. Today we'll be talking about blockages and the available treatment options on this disorder. Normally we call this as blockages but the medical term for this is atherosclerosis or else coronary artery disease. Now whenever a blockage has been identified in you coronary artery the search for n number of treatment options begins. We need to understand what all treatment options are available for treating a blockage coronary artery. Now, as all of us know there are many invasive options in which we can invade the coronary artery with angioplasty or else we can open the whole thorasic cavity with bypass surgery. Or else there are non invasive therapies also.
Now we need to understand what to take as a decision when a coronary artery has been blocked. What will lead to our decision are typical simple parameters that we need to assess. Consider that I've been diagnosed with a coronary artery blockage. The next thing I'm supposed to do is to perform a stress thallium. Angiography helps me to diagnose whether I've a blockage in my coronary artery or not. Now once I've been diagnosed with a coronary artery the next thing I'm supposed to do is to undergo a stress thallium. Now, the question arises why. Stress thallium will give you two inferences, the first one whether this blockage has resulted into any damage in your coronary artery or not. And second whether this blockage is really blocking your blood supply to your heart muscles or not. Based on these two parameters we can take the next option whether to go for invasive therapy or whether to go for non invasive therapy.
Talking about non invasive therapy can the blood supply to the myocardium be increased with it? Yes. there are n number of invasive therapies which can help you to increase blood supply to the heart muscle. The only thing that decides whether to go for invasive or non invasive therapy would be some type of stress thallium or a normal stress test. A simple stress test where in you have to walk for about 15mins on a modified Bruss's protocol or else 9mins on Bruss's protocol with a typical ECG which is monitored by the doctor. If at all you get this stress tolerance test, whether it be thallium or a normal stress test, if you get your stress tolerance test done, based on this report we'll be able to take a decision whether to go for invasive or whether to go for non invasive therapy.
So, a simple parameter which is called as MET value, which is nothing else but the exercise tolerance capacity of your heart muscle. As your MET value is a clear indicator of your exercise tolerance capacity of your heart muscle, this will help us to decide whether to go for invasive or whether to go for non invasive treatment options. Thus, if at all a coronary blockage is identified in your heart with angiography the next thing you got to do is get a stress tolerance test done which will help you to take a good decision in the future.
For more information log onto Lybrate. Thank You.