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Top 10 Cardiologist in Delhi!

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Cardiac problems are very scary and what is more scary is choosing the top cardiologist in Delhi. There are so many cardiologist in Delhi and there are so many type of cardiologist depending on their area of specialization. Clinical cardiologists, adult cardiologist, paediatric cardiologist.

There are few cardiologist who specialize in procedures like electrophysiology, echocardiography, and interventional procedures such as stent placement and balloon angioplasty. Cardiologist are specialized in diagnosing any kind of disorder or dysfunctioning of heart and can perform minimally invasive surgeries like pacemaker implantation.

Here is the list of top 10 cardiologist in Delhi, who are specialized and experts at treating all kind of heart problems:

1. Dr. Anupam Goel

MBBS, MD (Gen. Medicine), DM (Cardiology)

Consultation fees: ₹1000

Dr. Anupam Goel is a senior Interventional Cardiologist. She is currently associated with Max Super Speciality Hospital, Saket. She has an experience of 25 years in this field. She has done several fellowships in cardiology and is engaged in the academic training, CMEs and as principal clinical investigator at various national and international levels. Her areas of expertise are: Percutaneous Coronary Angioplasty and Stent Implantation, Primary Angioplasty in Acute Myocardial Infarction, Acute Coronary Care, Clinical Cardiology and Coronary Angiography and Angioplasty via Radial Artery Route.

2. Dr. Nitin Kumar

CCT - Cardiology (UK), MRCP (UK), FHEA (UK), MBBS

Consultation fees: ₹800

Dr Nitin Kumar is a consultant cardiologist with 16 years of national and international experience. He is currently affiliated with Express clinic, Delhi and CREDENCE Super specialty Clinic in Gurgaon. His area of specialisation are transradial interventions (angiography and angioplasty through the wrist), treating acute heart attacks by Primary Angioplasty, management of acute coronary syndromes, complex angioplasty including bifurcation lesions, Intravascular imaging including IVUS and OCT, Fractional Flow Reserve assessment (FFR study) and Rotablation.

3. Dr. Rajiv Agarwal

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology

Consultation fees: ₹500

Dr Rajiv Agarwal is a Senior Interventional Cardiologist and currently works at Max Smart Super Speciality hospital as Senior Director and Unit Head, Department of Cardiology. He has 33 years of experience. His areas of interest are Coronary Interventions & Valvuloplasty, Electrophysiology Study, Device Implantation (including Combo device), Device closures and Peripheral Interventions and also including Bronchial and Renal Artery Embolization. He has been awarded several national and international awards for his contribution in the field of cardiology.

4. Dr. R. R. Mantri

DNB (Cardiology), DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: ₹1000- 1500

Dr. RR Mantri is a very reputed name in his fraternity. He is currently working as Director Cath Lab & Cardiac Arrhythmia Services, Department of Cardiology, Sir Ganga Ram Hospital, New Delhi. He has experience of more than 35 years as Interventional Cardiologist, Diabetologist and Electrophysiologist. His areas of clinical interest are treating patients suffering from congenital heart diseases, cardiovascular diseases, cardiac valve diseases, hypertension, artery blockages, heart failure, high cholesterol, diabetes due to obesity. He is a pioneer in Transradial Angiography in India.

5. Dr. Anil Saxena

DNB Cardiology, MD - Internal Medicine, MBBS

Consultation fees: ₹1000 

Dr. Anil is currently practicing as Director, Cardiac Pacing & Electrophysiology at Fortis Hospital, Okhla. His areas of clinical interest are Electrophysiologic Study, Catheter RF Ablation of complex arrhythmias, 3D Mapping of Cardiac Arrhythmias with CARTO and Ensite, Implantation of Permanent Pacemakers, Implantation of ICD, Implantation of Biventricular pacemakers (CRT). Implantation of CRT-D (Combo Device), Lead Extraction and Coronary Angiography. He is not only member of some reputed national and international organisations, but also recipetents of many awards. 

6. Dr. Viveka Kumar

DM - Cardiology, MD - General Medicine, MBBS

Consultation fees: ₹1000 

Dr. Viveka Kumar has 29 years of practice in the field of Cardiac interventions and Electrophysiology. In years of his practice he has done more than 7500 angioplasties and 2500 balloon valvotomy. He has also handled some complex cases of angioplasties. He is considered to be a pioneer of using advanced technologies like bifurcation and left main angioplasties with Rota Ablation. He has special interest in clinical research and has been associated with principal investigator or a sub-investigator in more than 14 national and international trials.

7. Dr. Ripen Gupta

MBBS, MD - Medicine, DM - Cardiology

Consultation fees: ₹1000 -1200

Dr. Gupta has 26 years of experience and is considered to be one of the most reputed cardiologists of Delhi. He was the first cardiologist to be awarded the Postdoctoral Fellowship of National Board in Interventional Cardiology instituted by National Board of Examinations. His areas of specializations are treatment of arrhythmia, coronary artery disease and dyslipidemia. He currently practices at Max super speciality, Saket and Dr Ripen Gupta's Clinic, Vasant Kunj, Delhi.

8. Dr. Rajneesh Jain

DM - Cardiology, MD - Internal Medicine, MBBS

Consultation fees: ₹1500 -2000

Dr. Rajneesh Jain is amongst the most experienced and best cardiologist in Delhi. In 35 years of practice he has handled and treated some very complicated cases of adult cardiac catheterization, angiography, and acute coronary emergencies. Some of other specializations are peripheral angiograms and angioplasty, percutaneous balloon valvuloplasty of all valves, permanent pacemaker implantation. He is currently associated with Sir Ganga Ram Hospital, Delhi.

9. Dr. Nishith Chandra

DM Cardiology

Consultation fees: ₹1000 -1500

Dr. Chandra, is currently working as a director interventional cardiology, at Fortis Escorts Heart Institute & Research Centre, New Delhi. In his 21 years of practice he is a famous and reputed name in the field. His areas of core interest and specialization are complex coronary interventions including Rotablation, Carotid Interventions, Balloon Valvotomies and Peripheral Vascular Interventions. One of his greatest accomplishment is setting up the Air Ambulance Unit of Escorts Heart Institute that has helped in treating more than 300 critically cases.

10. Dr. Rajiv Bajaj

MBBS, MD - Internal Medicine, DM - Cardiology

Consultation fees: ₹500

Dr. Rajiv Bajaj is currently associated with Batra Hospital, Delhi. He has experience of 38 years and is amongst the eminent doctors in the field of cardiology. He has performed numerous coronary angioplasties, more than 200 electrophysiology studies and 100 ablations including VT and flutter ablations in adults and pediatric population. His areas of interest are Coronary angioplasty, cardiac catheterization in permanent pacemaker implantations, electrophysiology, echocardiography.

1 person found this helpful

Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

Multi-Speciality Clinic
Cardiologist, Hyderabad
Multivessel Stenting Or Bypass Surgery - Understanding The Difference!

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.


Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3753 people found this helpful

What Doctors Never Tell You?

Dr. Paramjeet Singh 90% (1400 ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
What Doctors Never Tell You?

What your doctor never tells you -

This small girl who had had her third convulsion in last three days was now looking frail. Her mother, extremely anxious, asked me what can be done to “immediately stop” her convulsions. This hyper-mother had stopped all the epilepsy medicines of this kid few days ago. Patiently, I asked why.

“because I read on an article describing ‘what your doctor hides from you’, in which the author had recommended a particular diet of natural ingredients “, she replied, adding “the article said that all allopathic doctors give you medicines that will keep you sick for longer, so that they can earn more. It also said operations like joint replacements or procedures like angioplasty should never be done.”

Needless to say, this lady was buying the “purest natural guilt free” products from that website, at a price that was way costlier than all of her allopathic medicine combined.

I told her that it was a mistake to stop the kid’s medicines, and issued her a new prescription. 

“what do you do, mam?” I asked her.

“we run a bakery, I sell exotic cakes, muffins etc.” she replied.

“do you lie to your customers? do you sell them products that will harm or kill them?” I asked.

“no, never! how will my business run then? we have to obtain licenses for food quality.” she retorted.

“it is the same about us doctors, mam. All the medicines, stents and joints that your article has slammed, are approved by government, and additionally, they are scientific products, not just claims. The government also earns tax on each medicine, stent or joint sold in india”.

I was offended somewhere, and so continued:

“we come from similar families as yours, mam. Even our parents teach us culture, compassion and good habits just as yours do. We doctors learn in the same schools as you, and common school teachers have taught us the importance of good. We too have parents, spouses and family, kids whom we teach good values by practice. Why will such doctors hide the truth from you and suggest you something that will harm you, who have come to us in good faith? do you presume that all of the thousands of brilliant patriotic doctors will hide a cure from patients, and continue to let people suffer? just because some bakery is selling rotten cakes, how would you like someone badmouthing your bakery, your integrity? ”

“not you doctor, but not all doctors are like you” she said.

“thank you for your faith mam, but I know that most doctors are like myself, who have struggled hard to achieve their degrees, to be able to save lives and bring an end to the suffering of millions. It is not an easy task, there are many easier ways to earn money with lesser hard work and sacrifice. You will rarely find the children of stars, sportsmen, industrialists and other ultra rich becoming doctors, no one wants so much hard work for such less money.” 

“we cannot advertise, while most of the alternative medicine companies, gurus and babas keep on blatantly claiming cures for incurable diseases, spreading rumors about allopathy and some other recognised pathies, cleverly selling their own products to desperate patients who hope for relief, and spend far more in the wrong direction. Look at who all is earning crores while claiming that allopathic doctors are cheating people”.

She said she agreed, and won’t interfere with the right treatment of her child now onwards.

This is a complication of a deliberate and sick propaganda which has been orchestrated to tarnish the image of especially allopathic doctors, to be able to sell innocent patients one’s own unscientific products. It is sad that the very people who complain about the consultation charges of qualified doctors go and buy extremely costly “magic remedies” like some unproven, unscientific laser instruments, vibrators, garments, herbals, extracts etc.

The fact that vegetables and fruits are costlier than many medicines, that weekly vegetable expenses or family dinners in india are far more pricey than a specialist’s consultation which can be obtained urgently, speak a lot about where we stand. In the developed western world, there are year-long waiting lists to see most specialists. The fact that indian doctors are the best and hardest working is appreciated all over the world, but so many indian gurus, babas and fraudulent quacks run campaigns against our own doctors, in our own country! 

Want to really know what the doctor doesn’t tell you.

A doctor never tells you to go to herbal babas when you come to the emergency and need immediate attention. A doctor never asks you to take your lot to the websites that slam medical profession, when you need help. A doctor never abandons even a faithless and arrogant ignoramus, does not ask them to go search internet for blogs and natural remedies when someone is dying of a heart attack or a stroke or accident. While many recent fulminant ads claim that all doctors are greedy and deceptive, there are thousands of doctors in the hospitals all over world, who are not eating, sleeping or being with their family right now: not because they want more money, but because many will die if we don’t work hard. It is so sad that this had to be explained in india! 

What a doctor really doesn’t tell you is: how difficult it is to treat and to save lives of the very people who have no faith in the one trying to do them good!

1 person found this helpful

Brain Aneurysms - Treatment Options Available For It!

MCh - Neurosurgery, MS-General Surgery, MBBS
Neurosurgeon, Delhi
Brain Aneurysms - Treatment Options Available For It!

Even though brain aneurysms are becoming common these days, not all of them are required to be treated. In some cases, the physician may choose to observe an aneurysm closely before adopting any treatment measure. But in patients in whom an aneurysm has progressed to a severe level, there are two treatment options:

  1. Open surgical clipping
  2. Endovascular therapy or coiling

Open surgical clipping for brain aneurysms:
This procedure is typically performed by a neurosurgeon who makes an incision in the head. An opening in the bone is made, and then a clip is positioned by dissecting through the spaces of the brain. This aids in preventing the flow of blood into an aneurysm. In this procedure, the patient is required to stay in the hospital for two to three nights after which he or she is discharged.

Considerable modifications have been made in the open surgery techniques in the recent years. Neurosurgeons are now able to perform eye brow incisions or mini craniotomies for clipping an aneurysm. In these procedures, a small incision is cut out in the skin above the eyebrow for making a window. A tiny clip is placed across the mouth of an aneurysm to help it heal. But it is worthy of mention here that these are all invasive procedures and take relatively longer time to recover compared to the coiling process.

Endovascular coiling:

  • This treatment is also performed by a neurosurgeon, and it has been proved that this process is exceptionally suitable for patients with a ruptured aneurysm. Endovascular coiling is often done in coalesce with an angiogram, where a catheter is inserted into the vessel over the hip, which is then gradually carried to the vessels of the brain and finally to an aneurysm.
  • Then the coils are packed to the point where it rises from the blood vessel, which prevents the blood from flowing intothe blood vessel. Most patients undergoing this minimally invasive procedure can go home the day following the surgery. The success rate of this process is very high, and over 125,000 patients have been treated all across the globe with the help of detachable platinum coils.
  • Over the last few years, a substantial amount of advancements have taken place in the endovascular techniques. Recent developments show the use of flow diverting embolization devices, which are similar to a stent and are placed in the primary vessel, adjacent to an aneurysm. It diverts the flow away from an aneurysm and therefore, allows the neurosurgeons to treat the brain aneurysms, which were previously considered inaccessible and untreatable.

Both the procedures are quite efficient in treating a brain aneurysm. The most suitable option is dependent on a host of factors such as size, shape, location and overall health condition of the patient. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

2685 people found this helpful

What Are The Difference Between Multivessel Stenting and Bypass Surgery?

Dr. Ramesh Kawar 91% (181 ratings)
MBBS, MD - Cardiology, DM
Cardiologist, Mumbai
What Are The Difference Between Multivessel Stenting and Bypass Surgery?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.


Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay. If you wish to discuss any specific problem, you can consult a cardiologist.

2744 people found this helpful

Acute Coronary Syndrome - Symptoms, Diagnosis And Management

Dr. Debasis Das Adhikari 91% (654 ratings)
MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
Acute Coronary Syndrome - Symptoms, Diagnosis And Management

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. If you wish to discuss about any specific problem, you can consult a cardiologist.

1904 people found this helpful

Brain Stroke - Things You Must Know!

Dr. Sankalp Mohan 89% (98 ratings)
MBBS, MD - Internal Medicine, Fellow In Pain Management, DM - Neurology
Neurologist, Delhi
Brain Stroke - Things You Must Know!

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supplyof of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burstor or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke:

  • Treatment depends on the type of stroke.
  • Ischemic strokes can be treated with 'clot-busting' drugs.
  • Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  • The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 45.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.

Rush to the nearest Stroke Centre whenever you experience such symptoms.

You can save the brain cells dying if you reach within 45.5 hrs by the CLOT BUSTER. 

Endovascular procedures:
Another treatment option is an endovascular procedure called mechanical thrombectomy, strongly recommended, in whichtrained  trained doctors try  removing a large blood clot bysending sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention:
The good news is that 80 percent of all strokes are preventable. It startswith with managing keyrisk risk factors, including 

More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation:
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke. If you wish to discuss about any specific problem, you can consult a neurologist.

2369 people found this helpful

Coronary Artery Disease - Know the Primary Signs!

Dr. Pramod Kumar Sharma 93% (121 ratings)
MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic & Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Coronary Artery Disease -  Know the Primary Signs!

Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

  1. Shortness of breathThis may occur while you are exercising or performing activities which are mildly exerting.
  2. Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
  3. Angina or chest painYou may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
  4. Heart attackHeart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.

Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

  1. Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
  2. Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
  3. Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery. If you wish to discuss about any specific problem, you can consult a cardiologist and ask a free question.
1748 people found this helpful

Multivessel Stenting Vs Bypass Surgery - Which is Better?

Dr. Nishith Chandra 91% (695 ratings)
DM Cardiology
Cardiologist, Delhi
Multivessel Stenting Vs Bypass Surgery - Which is Better?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.


Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to a cardiologist without much delay.

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Angina Pain: Symptoms and Treatment

Dr. Balaji Ramagiri 92% (204 ratings)
MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Angina Pain: Symptoms and Treatment

Angina or angina pectoris is the pain, discomfort or tightness in the chest that occurs when the blood flow to the heart muscle cells is not enough to meet its energy needs. It is not a disease itself but rather a symptom of the coronary heart disease.

What are the different types of angina?

1. Stable angina: It is the commonest form of angina. It can be triggered by stress or physical activity and usually only lasts a few minutes.
2. Unstable angina: It happens when you're resting or aren't very active. The pain is strong and long lasting, and may keep recurring. It may be a signal of an impending heart attack.
3. Variant angina: This might take place when you're asleep or at rest. This sudden tightening or narrowing of the heart's arteries causes a lot of pain.

What are the symptoms of Angina pain?

You might be having angina pain if you suffer from one or more of these symptoms:


- Chest pain
- Heartburn
- Breathlessness
- Nausea
- Dizziness
- Restlessness
- Fatigue
- Pain in your arm, neck, jaw and back
- Numbness or loss of feeling in your arms, shoulders or wrists

Immediate Relief from Angina

If previously advised by a certified doctor, patients can take antiplatelet medicines which are blood thinners and prevent unstable angina. Final treatments include angioplasty (repair of a blocked blood vessel through surgery), insertion of a coronary artery stent (a tube that is used to treat weakened arteries) or a heart bypass surgery for serious complications. If you wish to discuss about any specific problem, you can consult a cardiologist and ask a free question.

3366 people found this helpful
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