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Dr. Vijay Kulkarni

Cardiologist, Thane

600 at clinic
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Dr. Vijay Kulkarni Cardiologist, Thane
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. Vijay Kulkarni
Dr. Vijay Kulkarni is a trusted Cardiologist in Kaushalya Medical Foundation Trust Hospital, Thane. He is currently associated with Vineet Hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Vijay Kulkarni on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 32 years of experience on Lybrate.com. Find the best Cardiologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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1st Floor, Old Bombay Agra Road, Above Navnit Motors, Opposite Gokul Nagar Bus Stop, Thane West, ThaneThane Get Directions
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Approach to Ramadan Fasting In Patients with Heart Diseases

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Approach to Ramadan Fasting In Patients with Heart Diseases

Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.

Heart disease patients tend to fast during ramadan but they have many questions:

1. Cardiac patients can fast?

The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.

Common types of cardiac conditions as follows:

A. Patients who had heart attack or recent stenting or open heart surgery

Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.

B. Patients with low pumping of heart i. E, reduced ejection fraction 

Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.

C. Patients with high blood pressure.

Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.

2. How to take their cardiac drugs during this month?

Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.

3. Lifestyle during ramadan

Avoid over eating while breaking the fast

Avoid exercise after a large meal

Stop smoking

4. Can cardiac patients do hajj pilgrimage?

Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj

Full medical workup is mandatory before hajj.

Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.

Take home messages-:

A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.

B. Comply to medication

C. High risk patients should avoid fasting

D. Unfit cardiac patients should not try hajj pilgrimage.

53 people found this helpful

My moter has one stunt in heart from 16may this year what are the precatutions should she fallow please reply.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
1. She should take medications regularly. 2. Avoid infections 3. Drink and eat only sterile water and food. 4. Avoid crowded places for free oxygen and infection.
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My father have brain stroke and he was hospitalized for 3month and now he came home but his right side of body does not work and also he have chest infection so what treatment best for him.

MBBS
General Physician, Chandigarh
It's important to consult a physiotherapist to learn exercises ti help him to recover his lost body functions and activities and give him steam inhalation for clearing his chest and to get any medicine prescribed for it you will have to consult his doctor only whi has treated him.
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He has mainly gastric problem. And sometimes he had blood pressure problem what is the solution of this.

BHMS
Homeopath, Faridabad
He has mainly gastric problem. And sometimes he had blood pressure problem what is the solution of this.
Hi. You mean gas formation? Give him Natrum Phos. 6x/ thrice daily after meals. For Hypertension: Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
2 people found this helpful
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My wife is having high bp problem and she is taking muktavati from 5 months but now sometimes her bp goes down even without taking medicine, what should we do? she should continue with same medicine or she can take any other medicine.

DM Cardiology
Cardiologist, Delhi
Dear , skip the medicine for sometime, and keep a record of bp for a week. If bp remains normal, no need to take medicines. If bp increases, then consult a cardiologist.
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I am a 16 year old boy I have blood pressure of 150/100 it is more for me or not how can I control it.

BAMS
Ayurveda, Ambala
I am a 16 year old boy I have blood pressure of 150/100 it is more for me or not how can I control it.
Dear, To control or maintan BP normal there are some instructions are given below : •Do not take salt in high amount or try to avoid it because high sodium level increase BP . • Eat less amount of pickle and fast food , fast food contain high sodium . • Avoid drinking alcohol and smoking . • Take less amount of coffee and tea both increase BP . • Drink 8 to 10 glass of water daily . • Do long walk daily for 10 minutes . • Take 6 to 8 hrs of sleep daily .Do not take too much stress . • Do long breathing pranayams daily for 10 - 15 minutes .It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter , cheese ,ghee. • Eat healthy diet such as green leafy vegetables, fruits . Eat an apple daily .
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I am unable to breath normally. I am facing difficulty in breath for last 1 week. Is this any disease or what is it. Why I can not I breath properly. I do not have cough. Cold. Fever. Acidity. But why is this happening?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am unable to breath normally. I am facing difficulty in breath for last 1 week. Is this any disease or what is it. ...
Medicine german reckeweg ammon carb 200, 4-5 drops orally, single dose morn, empty stomach mixed fruit juice daily evening.
1 person found this helpful
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I am 67 years old man I have a high blood pressure problem my doctor suggest me T Let H and Aten 40 mg tablets to take while taking these tablets I feel more weakness. Suggest me.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
I am 67 years old man I have a high blood pressure problem my doctor suggest me T Let H and Aten 40 mg tablets to tak...
Telma causes hypokalemia While hydrochlorthiazide causes hypokalemia and hyponatremia ,hence it can cause weekness Measure serum electrolyte level to see electrolytecdisbalance as a cause of letharge Blood pressure need to be monitored as low blood pressure can be a cause of it!
1 person found this helpful

cholesterol total-179 triglyceride-391 hdl-70 ldl-111 vldl-78.2 hdl ratio-2.6 ldl ratio-1.5 vit b12-139.30 vit d-23.60 plzz advice what medication I hv to take.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
cholesterol total-179
triglyceride-391
hdl-70
ldl-111
vldl-78.2
hdl ratio-2.6
ldl ratio-1.5
vit b12-139.30
vit d-23.6...
You do not need medication for cholesterol, just start exercising (target 40-45 mins daily of brisk walking), take a diet consultation for a healthy heart diet and repeat cholesterol after 8 weeks of these lifestyle changes and consult. For vitamin D3, kindly ask a local physician to give you a vitamin D3 supplement prescription.
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Hi Docs, My elder brother (41 yrs) is struggling with heart problem and his kidneys are affected. When checked up with docs thy said that his heart is functioning only 25% at the same time he is fighting with jaundice which is 5 as per report. Kidneys are also not helping due to these all weaknesses. Pl advice I am so much worried about my brother. Also JFYKI. He was serious yesterday in the hospital. I hope you experts give us your valued solution. Thank you.

DHMS (Hons.)
Homeopath, Patna
Hi Docs, My elder brother (41 yrs) is struggling with heart problem and his kidneys are affected. When checked up wit...
Hello, Lybrate user, It's a multi orgons sickness, your brother is suffering from. He needs proper care in a hospital. Moreover, give him the underlying homoeopathic medicine to smoothen his condition. @ Arjuna Q- 15 ml @ CheledoniumQ.-15 ml @ Berb vulgar Q-15 ml mix all above medicines together and give him 10 drops of mixture, thrice a day with little water. All the instruction of treating doctor be followed strictly, please. Report, wkly. Your feedback matters to follow up your case, further, please. Tk, care.
2 people found this helpful
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My pulse rate is high and my BP also high normally and my feet are also pain also feel weakness and cholesterol and uric acid problem, my age is 21 why it is so and what SHOULD I DO ? PLEASE ADVICE.

Diploma in Cardiology
General Physician, Kolkata
My pulse rate is high and my BP also high normally and my feet are also pain also feel weakness and cholesterol and u...
Avoid mental stress, it should be 70 to 105 at rest, take bp medicine in consultation with your house doctor which acts both on bp & heart rate. For feet try physiotherapy.
111 people found this helpful
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I'm a regular smoker, like to know what kind of medical test has to be done. It's been 15 years I started smoking. Sometimes I have breathing problem & pain between my chest.

BHMS
Homeopath, Delhi
I'm a regular smoker, like to know what kind of medical test has to be done. It's been 15 years I started smoking.
So...
Prolonged smoking does cause bronchitis, lung cancer, high cholesterol, heart diseases, diabetes complication, erectile dysfunction etc. You may go for chest xray, cbc blood test, lipid profile, blood glucose level test.
3 people found this helpful
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High Blood Pressure - Unani Remedies For Treating It!

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Gaya
High Blood Pressure - Unani Remedies For Treating It!

The blood normally exerts some pressure as it passes through the blood vessels. However, due to various reasons, mainly narrowing of the blood vessels, the pressure exerted could be higher, which is known as hypertension.

In the Unani system, early reference to high blood pressure appears as Imtila, though it is today popularly known as Zaghtuddam Qawi. Imtila talks about symptoms including a headache, bulging eyes, epistaxis (bleeding nose), heavy headedness, and headache.

Types: Unani system believes in two ways that can increase blood pressure and therefore two types

  • Increased amount of blood in the vessels, which is caused a hot, moist temperament or the sanguineous type.
  • Dryness of the vessels (caused by narrowing) increases blood pressure, leading to the dry, cold melancholic type.

Causes: Unani believes high blood pressure as a result of the following sequence of events.

  • Weakening of the arteries
  • Increased food consumption, which produces more blood
  • Weak arteries which are not able to accommodate the increased amounts of blood
  • This is a vicious cycle where the arteries are further damaged, leading to further sluggish flow, further increasing pressure.

Complications: High blood pressure is not an isolated health condition. It leads to multiple complications like

Management: Managing high blood pressure is a combination of treatment and prevention. There are multiple Unani herbs, which are used in multiple formulations which help by

  • Relaxing the muscles of the heart
  • Improves blood flow
  • Eases the blood flow through the arteries

These can be taken regularly along with restrictions on diet and lifestyle which can help in improving blood pressure. These changes would include:

  1. Increased consumption of potassium-rich foods as it will counter the effect of sodium which causes higher blood pressure readings
  2. Avoid adding extra salt and reduce eating the salted, fried foods. Especially, if you have a family history, it is time to reduce salt intake at an early stage. This helps prolong the onset of high blood pressure
  3. Herbs like garlic, pepper, ginger, and lemon are helpful in controlling blood pressure
  4. Herbal teas including hibiscus and green tea are proven to help control blood pressure as opposed to a cup of coffee
  5. Dark chocolate with more than 70 per cent of cocoa is beneficial for the heart
  6. Needless to say, regular exercise including brisk walking which can improve heart’s health
  7. Deep breathing which improves oxygen consumption across arteries
  8. Reduce consumption of alcohol
  9. Quit or cut down on smoking

I am 61 years old and had angioplasty about 10 years back. Recently I came to know that Sunflower oil is not good for lipid profile contrary to the popular belief. Then which are relatively better edible oils for heart patients.

B.H.M.S, M.D in Homoeopathy
Homeopath, Anand
I am 61 years old and had angioplasty about 10 years back. Recently I came to know that Sunflower oil is not good for...
The reason is only sunflower oil is not enough. You won't get various fatty acids if you use single variety of even a good oil. Rotational use of different oils like corn, rice bran, olive, even ground nut and sun flower is good for health. But avoid cotton seed oil.
2 people found this helpful
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My father has a possible renal cell neoplasm with adrenal invasion (from sonography). He's 78 and had an ischemia stroke two weeks ago. Has had high creatinine for last decade. What are my options?

MBBS
General Physician, Faridabad
My father has a possible renal cell neoplasm with adrenal invasion (from sonography). He's 78 and had an ischemia str...
take opinion of nephrologist and cardiologist and yor treating doctor as they know all details and condition of pt. thanks
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Back pain, legs pain shoulder pain, headache, chest pain also. what should i do ?

MBBS
General Physician, Cuttack
Back pain, legs pain shoulder pain, headache, chest pain also. what should i do ?
1. Take paracetamol 500mg, 1 tablet as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest 4. Avoid stress and anxiety.
3 people found this helpful
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I am a patient of DM, IHD, PPM, HTN. taking regular medicines. What will be my ideal diet? My age is 72 years.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am a patient of DM, IHD, PPM, HTN. taking regular medicines. What will be my ideal diet? My age is 72 years.
I hope every condition is under control. Ideal diet is not according to charts. You eat according to your constitution without comparing with others. No sugar or sweets, no bad fats, only good fats like a spoon of pure ghee/ butter and a katori of assorted nuts. Minimal salts and no packaged food as it contains lots of salt, being a preservative. Lemon juice with honey but cut down on other calories (just 30 cals in a spoon of honey) it helps to burn the fat and sugar. Fruits like guava, orange, apple can be had. Exercise like walking also burns sugar and fats.
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Sir if hypertension comes. Use tablets for both it did not come to normal. Other reports are normal. But total cholesterol is 246. Ldl us 166 HDL 37. Triglycerides is 215. After using cholesterol tablet at night BP tablets also. Using cholesterol tablet BP is normal 130 by 90 120 by 80 110 by 80 is it a real hypertension or due to cholesterol problem my age is 30 weight 62 height 5.4.i confused with this. My doctor said cholesterol raises BP that's why BP is affected if cholesterol is normal there is no use of BP tablets slowly is it possible to stop BP tablets. kindly advise me. I am working in government school as a teacher I have no tension.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Sir if hypertension comes. Use tablets for both it did not come to normal. Other reports are normal. But total choles...
Hypertension and high cholesterol are lifestyle diseases which require a lifestyle solution and not chemical cocktail of medicines .Both of them are completely reversible without medicines. Stop all dairy products cut down animal protein Eat a plant based diet Do not eat from outside .No processed food cut down salt and try no oil cooking. Oil has no nutrients It has only empty calories .Cook your own food for more specific advise take a consult or send afeedback with your contact number and then you can take a consult through Lybrate.
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I have pain in my chest I consult a doctor in patna he chek many but nothing but pain is continuing than help me what have to do.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have pain in my chest I consult a doctor in patna he chek many but nothing but pain is continuing than help me what...
It can be acidic and if do said it is normal you have anxiety related pain and may take anxiety medication
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