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Overview

Acute Myocardial Infarction: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Acute myocardial infarction is also known as heart attack. It is also known as cardiac infarction, cardiopulmonary arrest, congestive heart failure and coronary infarction.

How is the treatment done?

Acute myocardial infarction is a medical emergency that brings life threatening conditions to the patients. This occurs when the blood flow decreases or stops and starts to clot and thus, blocks the flow of blood into the heart. Without blood, tissues start to lose oxygen and die. Myocardial infarction can also occur because of blockage in the coronary arteries caused by the build-up of plaque, a substance mostly made of fat, cholesterol, and cellular waste products.

The first and most common symptom of heart attack or myocardial infarction is chest pain. Patients with heart attack experience a tightness in the chest, neck, back or arms, as well as fatigue, light headedness, abnormal heartbeat and anxiety. Common symptoms of cardiac arrest are shortness of breath, sweating, nausea, vomiting, anxiety, cough, dizziness etc. The symptoms relating this condition are more noted in the left part of the patient’s body.

Treatment of myocardial infarction can range from lifestyle changes and cardiac rehabilitation to medication, stents and bypass surgery. Defibrillation method of treatment involves the use of an electric shock. This shock helps to correct the rapid and irregular heartbeat and also helps to restore the normal heart rhythm. For people with shortness of breath due to attack, the oxygen therapy is provided. This provides extra oxygen to the lungs so that the patient can ease the breathlessness. Medicines are also prescribed by the doctors, in case of minor attacks or pre-symptoms of attack. Blood thinner drugs can help to prevent blood from clotting and also dissolve the existing clots. This will lower the risks of attack. Heart medications and narcotics are used to provide relief from the pain. Beta blockers are used to slow the heart rate and decrease the blood pressure. If the myocardial infarction is found to be caused by deposition of fats, then statin can be used. This helps to decrease the liver’s production of harmful cholesterol. Inhibitors can help the blood vessels to relax and also lower the pressure. Medical procedures like Coronary stent and Coronary angioplasty can also be used. Coronary artery bypass surgery restores the blood flow to the heart with the use of a healthy artery or vein to bypass a blocked artery.

Who is eligible for the treatment? (When is the treatment done?)

In order to determine a heart attack, the doctor will first listen to the heart beat to check for any irregularities in it. They may also measure the blood pressure. If a heart attack is suspected, doctors prescribe a number of tests and procedures. An electrocardiogram (ECG) may be done to measure the heart’s electrical activity. Blood tests are also prescribed to check for proteins that are associated with heart damage, such as troponin. Other similar diagnostic tests include a stress test to see how the heart responds to certain situations, such as exercise, an angiogram with coronary catheterization that looks for areas of blockage in the arteries and an echocardiogram that also helps to identify areas of the heart that aren’t functioning properly.

Heart attacks are a life threating medical condition that call for immediate treatment. Treatment and procedures for heart attack are mostly done in the emergency rooms of the hospitals. A minimally invasive procedure to treat acute myocardial infarction, called angioplasty, may be used to unblock the blocked and clotted arteries that supply blood to the heart. During an angioplasty, surgeon will insert a long, thin tube which is called a catheter through the artery to reach the blockage. Then, a small balloon attached to the catheter is inflated so that it can reopen the artery, allowing blood flow to resume normally again. The surgeon may also place a small, mesh tube called a stent at the site of the blockage. The stent can prevent the artery from being closed or blocked again. Surgical methods may also be used for the treatment of acute myocardial infarction. This procedure is called the coronary artery bypass graft (CABG). In this procedure, veins and arteries are rerouted using surgical operations so that the blood can flow around the blockage. A number of different medications are also available which assist in the treatment of heart attack. Drugs for thinning the blood, such as aspirin, are often used to break up blood clots and improve blood flow through narrowed arteries. Another drug thrombolytics are also often used to dissolve clots. Antiplatelet drugs, such as clopidogrel, can be prescribed by the doctors to prevent new clots from forming and the existing clots from growing further. Nitroglycerin can be used to widen the blood vessels. Beta-blockers and ACE inhibitors help to lower the blood pressure and relax the heart muscles. This can help to lower the severity of damage caused to the heart. Pain relievers may be used to reduce any discomfort associated with heart attack.

Who is not eligible for the treatment?

People who face sudden signs and symptoms of heart attack must consult a doctor immediately. Even if the symptoms are not severe, and occurs just once or twice for a short span, people should consult a doctor for medical assistance. Chest pain and breathlessness can be indicative of heart attack. Hence, these precursor symptoms must be taken seriously and consulted with a specialist. Additionally, there are certain factors which increase the risk of heart attack in people. These include high cholesterol, high blood pressure, high triglyceride levels, diabetes, obesity etc. Age and family history are also controlling factors of this medical condition.

Are there any side effects?

People with normal heart functions, proper and healthy life style and no signs and symptoms of myocardial infarction do not need to undergo medical treatment.

What are the post-treatment guidelines?

There are some side effects of the medicines used in the treatment of acute myocardial infarction. Medicines provided to the patients have a major proportion of nitrates in it. Nitrates are widely used to provide relief from chest pain and pulmonary congestion in patients with acute coronary syndromes and heart failure. The most commonly noted side effect is headache. Streptokinase (SK) is also used extensively as thrombolytic agent for the management of patients with acute myocardial infarction (AMI). This also is known to have certain adverse effects on patients. Side effects are severe life threatening hypotension or even death.

How long does it take to recover?

Survival and recovery from a heart attack after treatment will depend on the damage caused and the potential of the patient to come around. Many patient who have had heart attacks experience anxiety and depression. It is very important post treatment to provide immense mental support and strength to the patient for his/ her speedy recovery. Depression may, in turn, increase the risk of a greater attack. Apart from taking proper medications and following doctor’s advice, it is also important to have a healthy diet and adequate sleep. Also, patients after treatment should get back with their normal lives as early as possible as this speeds up recovery and reduces the chances of further attack.

What is the price of the treatment in India?

Recovery from treatment of acute myocardial infarction may take around few weeks to 2 or 3 months, depending on the condition of the patient. A complete return to normal life habits depend on how the body and also the mind respond to the treatment. Faster the patients get into their normal life style, higher and sooner they heal.

Are the results of the treatment permanent?

Treatment of acute myocardial infarction is very expensive. The cost range can vary from Rs 10 lakhs to 35 lakhs.

What are the alternatives to the treatment?

The treatment results are usually permanent. In case of mild attacks, the risk factor for further recurrence of secondary attack can be lowered if proper care and treatment is done. In case of acute attacks of cardiac arrest, there is always a risk associated. But, with immediate and proper treatment methods and medications and a healthy lifestyle, people can achieve permanent results. Nonetheless, secondary attacks can occur, because of which patients are kept under strict observance post treatment.

Safety: Disease Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 10 lakhs - Rs 35 lakhs.

Popular Health Tips

Early Diagnosis Of Myocardial Infarction And Emergency Management!

DNB Cardiology, DNB MEDICINE, MBBS
Cardiologist, Ghaziabad

Myocardial Infarction, commonly known as a heart attack, is a disorder in which there is a serious blockage of blood flow to the heart and its muscles.  The complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque is usually the underlying mechanism of an MI. So you can understand that it's a really critical problem and the person suffering from it, needs to be diagnosed immediately.

Symptoms: 

Here are some symptoms which will help to you to understand whether a person is suffering from it or not:

  • The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it occurs in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn.
  • Unexplained shortage of breath or trouble in breathing is an important symptom.
  • Nausea or vomiting may follow after the patient feels lightheaded.
  • Women can face abdominal pain or discomfort in different parts of their body.Women more often have atypical symptoms than men.
  • Among those over 75 years old, about 5% have had an MI with little or no history of symptoms.
  • An MI may cause heart failure, an irregular heartbeat, cardiogenic shock, or cardiac arrest.
  • If you identify any of these symptoms, you must immediately call the medical emergency team and must not neglect the symptoms because these symptoms are really dangerous and can indicate a serious health issue.

Immediate response for myocardial infarction: 

  • After you have identified any of the symptoms described above that person may be suffering from Myocardial Infarction, the first thing which you must do is call the emergency response team or ambulance. Here are some tips for such a situation:
  • The most important thing you must do is to stay calm and stay with the person all the time. Make the patient lie down and keep interacting with him or her.
  •  If the person affected is not allergic to aspirin, then make him or her chew a baby aspirin. Do not let the person swallow it without chewing because it becomes more effective in that case.
  • If the person stops breathing then you must perform the CPR immediately or someone around you who is qualified to do so. If you are alone then the medical response team can help you perform it by guiding you via phone.
  • The patient should be immediately shifted to a nearby hospital for immediate medical attention.
  • ECG should be done immediately to diagnose the condition.

Treatment: 

A myocardial infarction requires immediate medical attention. Treatment aims to preserve as much heart muscle as possible and to prevent further complications. Treatment in general aims to unblock blood vessels, reduce blot clot enlargement, reduce ischemia. The main treatment for myocardial infarctions with ECG evidence of ST elevation (STEMI) inc.

2540 people found this helpful

Ways To Deal With Acute Coronary Syndrome

DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
Ways To Deal With Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

5 people found this helpful

How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

4569 people found this helpful

Acute Coronary Syndrome - How To Diagnose It?

MBBS, DM - Cardiology, MD - Medicine
Cardiologist, Bhopal
Acute Coronary Syndrome - How To Diagnose It?

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms

The tell-tale signs of a heart attack are as follows:

  1. Chest pain and discomfort usually described as a tightness or burning in the chest region
  2. Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  3. Nausea and vomiting 
  4. Profuse sweating 
  5. Difficulty breathing 
  6. Dizzy or fuzzy feeling 
  7. Tired, extreme fatigue
  8. Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks, and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis

Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin, are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management

Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot - Using thrombolytics like clopedigrol 
  2. Nitroglycerin - To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy - Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required.

Educating people on how to identify a heart attack and manage it is very useful and can help save lives.
 

2785 people found this helpful

Don't Ignore the Acute Abdominal Pain

MD - Internal Medicine, MBBS
General Physician, Gurgaon
Don't Ignore the Acute Abdominal Pain

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

  1. Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
  2. Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
  3. The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
  4. Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
  5. Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
  6. The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.

Conditions which might cause acute abdomen pain are:

  1. Meckel's diverticulitis or Acute appendicitis
  2. Acute cholecystitis
  3. Ectopic pregnancy
  4. Acute pancreatitis.
  5. Peptic ulcer disease
  6. Diverticulitis.
  7. Intestinal obstruction, including paralytic ileus (adynamic obstruction)
  8. Pelvic inflammatory disease.
  9. Gastrointestinal (GI) haemorrhage
  10. Gastroenteritis.
  11. Acute intestinal ischaemia/infarction or vasculitis.
  12. Acute urinary retention
  13. Renal colic or renal tract pain
  14. Testicular torsion
  15. Abdominal aortic aneurysm
  16. Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
  17. Rare causes might include thromboemboli, phytobezoar, and phytobezoar

Diagnosis of abdominal pains:

  1. Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
  2. Following tests can be done to rule out the condition causing the abdominal pain:
  3. Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
  4. Crossmatch or group and save
  5. Pregnancy test in women of childbearing age
  6. Blood cultures
  7. Peritoneal lavage in case of an abdominal trauma
  8. Urine analysis
  9. X ray of the abdomen, ultrasound, CT scan
  10. ECG and cardiac enzymes
  11. Laparoscopy should be a routine procedure
3032 people found this helpful

Popular Questions & Answers

My father is 75 years old and recently in ECG report it says below "sinus rhythm QRS (T) contour abnormality consider anteroseptal myocardial damage" What does it mean? Below are the ECG readings - Intervals: RR 933 Ms. P 152 Ms. PR 158 Ms. QRS 82 Ms. QT 374 Ms. QTC 390 Ms. Axis: P 38 QRS 6 T 50.

DHMS (Hons.)
Homeopath, Patna
Hello, He should go for meditation to reduce his stress inorder to nourish antero myocardial damage to condition arrhythmia. His diet be easily digestible on time. Give him homoeopathic medicine:@.Arjuna Q 10 drops ,thrice with little water. Avoid, junkfood, alcohol and Nicotine. Tk, care.

Multiple small patchy acute infarcts are seen in left parietal cortical and subcortical region in left mca territory.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi lybrate-user. If you want Homoeopathic treatment then Consult through Lybrate. This is not a condition which can be prescribed so simply. Though you may get Homoeopathic Medicine Bothrops 30 TDs for 2-3 days.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Heart-Related Problems
Coronary heart disease, arrhythmia, and myocardial infarction are some examples of heart disease.Heart disease might be treated with medication or surgery.
Play video
Acute Kidney (Renal) Failure
Good morning!

I m Dr. Sunil Prakash. I m director and head of nephrology of renal transplant services at BLK super specialty hospital, New Delhi.

Today I would like to share with you some newer things that are happening on nephrology. You all know that if somebody has a kidney failure they will eventually land up on dialysis. Dialysis is of 2 types: peritoneal dialysis which is done at home by person themselves or your relatives. It is also called colo-colic or water dialysis. Another is blood dialysis. This can also be done at home which is called home hemodialysis and there are simple machines which are available and there are people who can be trained who can come at home and do dialysis for such patients. Or these patients come to hospitals or dialysis centers for regular dialysis. Dialysis is normally give it to 2-3 times a week. Itis certainly a cumbersome procedure and it is also costing money. But at the end of the day the decision is either dialysis or death. So if somebody reaches the end stage kidney disease then he/she will require dialysis. The other option is to go for kidney transplant. The biggest problem of kidney transplant is how to get donors? How to get kidneys? Now friends everybody has 2kidneys. And if somebody is healthy and he doesn t have diabetes, blood pressure or stone in the kidney and he is leading a good healthy life then by doing some test it can be found that person may be able to live on one kidney. So if we are certain that a donor if he can give one kidney to its relative to make him rehabilitate then he can live on one kidney and the recipient or the patient who gets the kidney will live on another kidney. This is called life-related donor program. This is a legal program. Now what is not legal? What is totally illegal is when somebody tries to buy kidneys for poor people by force or money or greed or whatever. This is illegal act and it is punishable by law. Another thing in transplant which we must encourage and our country is lacking very badly is deceased donor transplant. What is deceased donor transplant? It means unfortunately if somebody gets an accident. Young person leaves his house on bike or going for a job or something meets with the accident sometimes if the brain is irreversibly damaged but the organs like heart kidney and liver are functioning well these are called brain death patients. They are basically cadavers. Cadavers means death although technically, legally they are living at that point of time because there heart is beating but if somebody s brain is death then that person ceases to be that person. And certainly within a day the all organs will also stop functioning because their master is gone the command center is gone. And all the organs of the body requires impulses from brain to survive. So now in such a situation a person s heart is beating but it is certain to die in next 6-8-10 or maximum24 hours. So in this interim the organs of the patients are taken out and give it to people who are waiting on the organ list to be able to get these organs and get rehabilitated. In Spain the rate of donation is 50/million. In India it is 0.5/million. So we can very well imagine that how much organ shortage we are having and Indians or top of it have more proclivity of having kidney diseases and end stage kidney stages. So we badly needs these kidneys. So I request to all my listeners that let us join hands, let us do more social work, advertise and tell people that unfortunately if somebody has got brain damage then he/she is about to die then they must pledge their organs to people who are waiting below. Nothing can be better than this act of altruism and donation. Friends let us not take our organs to heaven because heaven knows that we need these organs here. Thank you for your time. I m available at BLK super specialty hospital. For any issues, consulting dialysis refers to blood pressure and transplantation center.

Thank you! Again.
Play video
Acute Heart Attack
Ways to manage Acute heart attack!

I m Dr. Viveka Kumar, Senior Director at Cath Lab Hospital in New Delhi, Saket. In this world now, the Indian population is suffering from epidemic, which is acute heart attack, or cardiovascular disease. It has become the number 1 killer for the younger generation that is the most productive age group of patients which is in the age group of 25 to 50 years of age. The treatment can be done only when the awareness is good, if the patients understand their disease, they get early warning signal.

The key to the treatment of this disease is early, i.e, diagnosis. So the moment if somebody gets chest pain associated with sweating with pain lasting for 15 minutes or more than that, then this is the situation where they should get alerted, get an ECG done, get the cardiac markers done and if the ECG changes are there, they must see a cardiologist, and get primary angioplasty or thrombolysis therapy in early hours are equally good. And early treatment is the most going to be more cheaper option, more effective option. And this is also a lifestyle disorder.

For prevention of that we need to have healthy lifestyle, we should stop smoking, we should have a good blood pressure control, diabetes control and cholesterol control has to be very meticulous, and then only this disease can be conquered.

If you want to reach to me, you can reach to me through Lybrate, or you can look at my website drvivekakumarmaxhealthcare.com. Thank you.
Play video
Acute Renal Failure
Hello, I am Sandeep Behura. I have done DM from BHU. I am a consultant Nephrologists in Delhi and I am practising in Noida also. Today I am going to talk about Acute Renal Failure which is a common problem.

Acute Renal Failure is characterized by the failure of the normal function of a kidney which occurs over a short period of time. Medically speaking, there is an accumulation of Nitrogen as a waste product in the body with fatuation of electrolyte imbalance associated with retention of fluid in the body which occurs over the period of hours to days.

The aetiology of Acute Renal Failure is varied. However, it is classified into 3;

Prerenal ARF, which constitutes majority 55% of the cases.
Entrance adrenal ARF, which contributes to about 45% adrenal failure.
And 5% of the causes are Postrenal ARF
Coming to the Prerenal ARF, most of the causes are following;

Massive dead loss, like following traffic accidents or a major surgery.
Following fluid loss like following diarrhoea, vomiting, patients having diabetes, patients with the cardiac problem may have Acute Renal Failure.
Intense Renal ARF is 2 types. These can be ischemic in nature or toxic in nature.
Play video
Heart Disease
Coronary heart disease, arrhythmia, and myocardial infarction are some examples of heart disease. There are many types of heart disease that affect different parts of the organ and occur in different ways.
Having issues? Consult a doctor for medical advice