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ECG Tips

Cardiac tips

Dr. Bhupindera Jaswant 88% (4570 ratings)
MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Cardiac tips
Cardiac tips.
Easy to treat but difficult to clinically differenciate hypoglycemia from malarial drug mefloquin toxicity. Treat both on emergency basis. Look for electrolyte imbalance, b. S. And an ecg.
109 people found this helpful

PREVENT COMPLICATIONS

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM, Certificate course in management of Thyroid disorders-CCMTD
Diabetologist, Bangalore
PREVENT COMPLICATIONS
Prevent diabetes complications by following as under:
- diabetes eye check up from ophthalmologist: once in a year
- urine microalbumin: once in a year
- nerve examination: once in a year
- ecg/echo: once in a year.

Dr. Sajeev Kumar 88% (28217 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
To screen or not to screen all young athletes with ECG to discover problems hiding within the heart

Guidelines from the American Heart Association (AHA) (endorsed by the American College of Cardiology) and the European Society of Cardiology (ESC), both recommend a screening before sports participation, but the Americans favor a detailed medical history combined with a physical examination only, while the Europeans favor the addition of the 12?lead ECG.

The controversy was evident in the results of a poll conducted during a debate session at the AHA meeting last year, which were published this week in the New England Journal of Medicine by James Colbert, MD, of Harvard Medical School.

Of the audience members who voted ?? an unscientific sample, to be sure ?? 70% favored some type of screening for cardiac disease in young athletes. And in a scenario where screening was already a foregone conclusion, 60% said it should include an ECG. A similar online poll on the NEJM website was even more informative, showing that the differences in opinion exist on both sides of the Atlantic.

Of the 1,266 people who voted on the site ?? again, not a scientific sample ?? 18% didn?t want any mandatory screening, 24% wanted screening with a medical history and physical exam, and 58% favored screening that included an ECG. The percentage of voters who endorsed an ECG was higher among Europeans than among Americans (66% versus 45%), but that still indicates a substantial amount of controversy regardless of geography.
1 person found this helpful

Palpitations - Causes And Ways To Get Relief From It!

Madhavbaug Clinic 88% (59 ratings)
Non-invasive Cardiology
Ayurveda, Thane
Palpitations - Causes And Ways To Get Relief From 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!

3969 people found this helpful

Dr. Mool Chand Gupta 91% (35709 ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Longer chest pain equals bigger heart attack risk.

Patient with acute myocardial infarction have longer duration chest pain than those without myocardial infaction.Patient with chest pain of short duration ,lessthan 5 minutes,are unlikly to have myocardial infarction and have good prognosis at 30 days.If the clinical impression and ECG are benign then patient can be discharged from emergency department itself.
9 people found this helpful

Common Tests For Coronary Artery Disease!

Madhavbaug Clinic 88% (59 ratings)
Non-invasive Cardiology
Ayurveda, Thane
Common Tests For Coronary Artery Disease!

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.

  1. 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.
  2. Inflammation is also to blame for coronary artery disease.

Common symptoms of CAD include

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:

  1. 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.
  2. 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.
  3. 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.
3064 people found this helpful

Heart Attack - Know Its Symptoms and Diagnosis!

Dr. Avinash Vilas Wankhede 89% (1500 ratings)
Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Heart Attack - Know Its Symptoms and Diagnosis!

A person usually gets a heart attack when there is a blockage in one of the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a doctor. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease
  2. ECG suggestive of heart attack
  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3417 people found this helpful

Symptoms and Diagnosis of Heart Attack

Dr. Bharat B. Kukreti 89% (10 ratings)
MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Symptoms and Diagnosis of Heart Attack

A person usually gets a heart attack when there is a blockage in the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a cardiologist. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease

  2. ECG suggestive of heart attack

  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period.

2909 people found this helpful

ABC for Diabetes

Dr. Gaurav Chhaya 88% (269 ratings)
MD - Medicine
Endocrinologist, Ahmedabad
ABC for Diabetes
  1. Walking for 30-40min daily is essential to keep sugar under control.
  2. Diet restrictions like sugar and jeggary with sweets must be avoided in food.
  3. Fruits like banana, mango, chikoo, custard apple, grapes must be avoided.
  4. Take medicines regularly.
  5. Get your blood checked. The eye must be examined for retinopathy each year. Get ecg each year.
  6. The foot must be examined and dried regularly. To check for gangrene or ulcer.

Heart Attack - Symptoms And Diagnosis

Mp Heart Clinic 90% (106 ratings)
Multi Speciality
Cardiologist, Delhi
Heart Attack - Symptoms And Diagnosis

A person usually gets a heart attack when there is a blockage in the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a symptom of  heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a cardiologist. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease

  2. ECG suggestive of heart attack

  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3313 people found this helpful
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