Dr Vivek Mahajan - Rediff Gurus

Answered on Aug 17, 2023

Question by Vijay - Aug 17, 2023Hindi

Dear Dr.Hadge, I am 58 years old, non alcoholic & non smoker. My recently conducted StressEcho is found negative. Moreover, I am a daily walker (5 km in 50 minutes) and very limited intake of salt. To control hypertension, I am on Metaprolol(25 mg/evening) and Telmisartan (20 mg/morning). Also taking Thyronorm(25 mch) and atorvas(10 mg) daily. On the advise of Cardiologist, I have reduced dose of Telmisartan to 20 mg (earlier it was Telma-H/40mg) however still experiencing low BP (some time in the range of 100-60). Please guide how to mange BP and Cholesterol for a long term. Also guide how to avoid occurrence of any cardiac complications since we have genetic history (paternal side) of cardiac arrest/death.

Ans: With your doctors advice you may discontinue telmisartan. Get cholesterol checked and treated with meds if necessary. Moderate level aerobic exercises like walking at brisk pace swimming cycling for 30 min atleast 5 days a week and 1 or 2 15 min session of mod level weight training are recommended for most people. Diets should be rich in whole grains fruits vegetables seeds pulses and legumes and devoid of processed sugars like aerated drinks, low Fibre items like bakery products, red meat and high fat dairy products, junked and packed foods with restrictions on salt and oil use during preparation

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Answered on Aug 17, 2023

Asked by Anonymous - Aug 17, 2023Hindi

Im 42. For last 4 years, i am having mild pain in back ( heart poistion). My doctor told that could be Software engineer problem ( long time sitting & keyboard use). Echo done and was normal. Blood work triglycerides 200.. rest all normal. Bp 140/95 range. Is there anyother tests eliminate heart issue

Ans: Get a stress test and ct scan of chest for evaluation of your back pain. You may take an orthopedicians opinion for the same

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Answered on Aug 17, 2023

Question by k - Aug 17, 2023Hindi

I have undergone CAD/got fixed stent in the year 2007.Iam now 75 years old.Please guide me what precautions I should take to prevent recurrence

Ans: Moderate level aerobic exercises like walking at brisk pace swimming cycling for 30 min atleast 5 days a week and 1 or 2 15 min session of mod level weight training are recommended for most people. Diets should be rich in whole grains fruits vegetables seeds pulses and legumes and devoid of processed sugars like aerated drinks, low Fibre items like bakery products, red meat and high fat dairy products, junked and packed foods with restrictions on salt and oil use during preparation. Regular follow up with your doctor investigations as advised by him and adherence to medicines is essential

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Answered on Aug 17, 2023

Question by ARUNABHA - Aug 17, 2023Hindi

I had done 2nd time angiography & angioplasty (2010 & 2020) but still as on date sometimes feel pain on my left site of my heart & upper portion of my left arm. Dr. saheb your advise pl..Now i am 61 plus.

Ans: This will need a detailed assessment of your symptoms signs and some investigation as well.. you should see a good Cardiologist to rule out cardiac causes and possibility of non cardiac chest pain

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Answered on Aug 17, 2023

Question by Khan - Aug 16, 2023Hindi

I had done 2d echo like 12 yeards ago, when I felt palpitation and sudden chest pain. It was completely normal. Now, I still get sudden chest pain (once in a 2-3 months, and sometimes not at all) and I want to know what the real cause is? I have no breathing difficulty or tight chest or any other physical abnormality. But I still think something is wrong on my chest.

Ans: A stress test would help to find if it's angina. Other causes of chest pain deserve a ct scan of chest. You should see a Good Cardiologist

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Answered on Aug 17, 2023

Asked by Anonymous - Aug 16, 2023Hindi

My 72 year old uncle recently suffered a cardiac arrest. We admitted him on time and got immediate treatment. Considering his age and current state of health, the doctor suggested that instead of angioplasty, we opt for bypass surgery. I want some more details and guidance to understand if we are making the right choice. Can you please help?

Ans: It would require going through details of his clinical condition and reviewing his angiography cd

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Answered on Aug 17, 2023

Question by Atul - Aug 16, 2023Hindi

After a Bypass surgery how long another heart attack is expected or not?

Ans: It all depends om how well your bypass results are and how well you follow a good healthy diet exercise and how regular you are in taking your medicines and controlling your bp sugar and cholesterol

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Answered on Aug 17, 2023

Question by chandrashekar - Aug 16, 2023Hindi

some times i will be having a pain in heart but no swetting, no hands pain, what will be the simptum

Ans: Chest pains can be due to various etiologies and need detailed investigation to rule out serious causes. I recommend you to see a good Cardiologist

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Answered on Aug 17, 2023

Question by ramji - Aug 16, 2023Hindi

Dear doctor sir i have heart burn while walking. ( walking around 3 km) first 1.5 km i dont have heart burn and i feel slight burn but i walk continuously and finish my walk with in 60 seconds i my heart burn goes. please advice doctor sir

Ans: You should visit a good Cardiologist. This sound like exertional angina and a tmt and 2d echo should be done atleast

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Answered on Aug 17, 2023

Question by Imran - Aug 17, 2023Hindi

Hi Dr Vivek, I am 43 years old male non smoker and teetotaler. I am 5.11 inches tall and 85 kgs. My question is although I play badminton 2-3 times a week and go for walks on n off, I am still worried about my heart health and mere pain while lying down in bed makes me nervous. What are the tests I can go for to make sure that the heart health is good and what why do healthy people like me who are not obese or diabetic get heart attack?

Ans: Focus on healthy lifestyle rather than worrying about heart attacks. For a person with intermediate risk I would have advised a 2d echo and ct coronary angiography for screening. But you have not highlighted any risk factors in your information. So get a basic lipid profile homocysteine sugar and bp check to identify if you have any silent risk factors. If not then focus on ur healthy lifestyle and diet. Apparently Healthy people get heart attacks because they are not in reality healthy. They may have genetic factors sedentary lifestyle substance abuse bad cholesterol or sugar bp or may indulge in excessive unsupervised exercise

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Answered on Aug 17, 2023

Question by Prabal - Aug 17, 2023Hindi

What are the best simple exercises and what should be avoided in daily eating habits to reduce the risk of heart attack.

Ans: Moderate level aerobic exercises like walking at brisk pace swimming cycling for 30 min atleast 5 days a week and 1 or 2 15 min session of mod level weight training are recommended for most people. Diets should be rich in whole grains fruits vegetables seeds pulses and legumes and devoid of processed sugars like aerated drinks, low Fibre items like bakery products, red meat and high fat dairy products, junked and packed foods with restrictions on salt and oil use during preparation

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Answered on Aug 15, 2023

Asked by Anonymous - Aug 14, 2023Hindi

Hello Doctor, I am 37 years old. My Cholestrol levels are fine, but triglycerides are pretty high, mostly above 300. I am not taking any medicines right now. Should I go for medication?

Ans: if your Triglyceride levels are consistently high above 200 mg% despite life style and diet modifications for 3 months, then you need to be on medicines for the same and they have to be continued lifelong as per medical advise

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Answered on Apr 23, 2023

Asked by Anonymous - Apr 21, 2023Hindi

I am taking Azator ASP 75 last 10 years. If I stop the medicine I am sure my cholesterol levels will under go change. Is it oK If I change the brand in between ECOSPRIN AV etc.

Ans: You may change if the drug dose is same

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Answered on Apr 23, 2023

Question by Chandra - Mar 27, 2023Hindi

My age is 43. My BP is 140/70. I am using Betacap for my Heartbeat problems. Is my BP is in danger level.

Ans: Ideal BP is < 130/80

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Answered on Apr 23, 2023

Question by S - Apr 13, 2023Hindi

Sir my Q and your AnswerThanks a lot-Sir 2 D ECHO too done and results are thee are no problems at all-As said earlier Angio also show no blck-only ECG inotialy showed MI-

Ans: GREAT

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Answered on Apr 13, 2023

Question by Shweta - Mar 25, 2023Hindi

I’m 37 ye old my mostly bp is 120/85 my height is 5ft and my weight is 47. Is it normal.

Ans: ideal BP is < 130/80

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Answered on Apr 13, 2023

Question by Kinkar - Mar 26, 2023Hindi

I have RBBB + LAFB in my ECG report at my age of 64. I do not have any underlying heart condition. I’m otherwise healthy with normal blood pressure (134/88). Kindly suggest if this ECG report means any underlying heart disease or I should be concerned for anything

Ans: please get a 2d echo to rule out structural heart diesease. Get a risk factor evaluation like blood glucose , lipid , BP check etc. If you have shortness of breath or chest discomfort on exertion get a Coronary angiography done

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Answered on Apr 13, 2023

Question by SUMA - Mar 27, 2023Hindi

i am 47 years old women, my triglycerides 360 and others cholesterol level are normal, how can I control this, pls suggest me, and I don't want to start statin medicine, is controllable and its ok to not taking medicine.

Ans: its not ok. Try a healthy diet for 3 months and if the levels remain high lifelong medications are indicated

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Answered on Apr 13, 2023

Asked by Anonymous - Mar 25, 2023Hindi

i am 60yrs old male. BP in the evenings rising to 85/145. height 5.7 and weight 64. what shall i do

Ans: visit a cardiologist to reconfirm your high blood pressure diagnosis. your BP target is < 130/80. antihypertensive medicines would be necessary to maintain a normal BP if its above target despite lifestyle measures

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Answered on Apr 13, 2023

Question by HARISH - Mar 25, 2023Hindi

I am 76 male.What is permissible BP both upper and lower. Pl advise.

Ans: < 140/90 and if tolerated then

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Answered on Apr 13, 2023

Asked by Anonymous - Mar 25, 2023Hindi

Sir, my mother had heart attacke on two days before and his cholestrol report is superb and 2d eco report is also good. So what will be next procedure ? please guide

Ans: coronary angiography and revascularisation, risk factor evaluation, appropriate medicines as per your cardiologist advice and cardiac rehabilitation are the next treatments

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Answered on Apr 13, 2023

Question by ABHISHEK - Mar 22, 2023Hindi

Hi My Mother is 58 Years old and she is a BP patient and her BP is 150 + upper side and 80+ is lowest side and she is regularly taking BP medicine but BP always as above mentioned please suggest what can i do for better?

Ans: ensure that BP is measured correctly and rule out white coat hypertension using ABPM. if BP is still high despite proper intake of medicines already taking, then medications need to be increased

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Answered on Apr 13, 2023

Question by vinod - Mar 24, 2023Hindi

I want to ensure that heart of my mom (age 69) is working fine. Which test should I go through for her.

Ans: There are many tests which can be done according to clinical profile of patient. details of the profile are missing. some basic cardiac tests are ECG, 2d echo and TMT.

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Answered on Apr 13, 2023

Question by prabagaran - Mar 22, 2023Hindi

Good morning doctor, my EF is 27%. Can it be increased or how it can be controlled ?

Ans: There are medicines like SGLTi, ARNI, MRA and B blockers which are essential in a heart failure patient. in some cases they may also increase the EF

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Answered on Apr 13, 2023

Question by sanjaykumar - Mar 09, 2023Hindi

namaste i am 52 years old / weight 75kg/height 5.7 ft recently lab tested and founf HBA1C 8.5/ cholesterol level 262 /have consulted doctor and taking sitason m twice a day and rozavel f (10& 160) for last one week . is there relation between cholesterol and diabetes?. findings -chest clear, cvs nad.please suggest diet plan .have i to take sitason-m for long time?

Ans: high blood glucose level is associated with high triglyceride levels. Anti diabetic medications usually have to be taken indefinitely in most cases

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Answered on Apr 13, 2023

Question by Vinod - Mar 27, 2023Hindi

I am 52 yr old. I have been BP medication from last 20 years. My BP generally remain 120-130/85-90. Presently I am taking Telma40+Amlong 2.5. Do these medicines have side effects since i have been taking it from last 10 years ?

Ans: all medications have some side effects more or less. However the benefits of these medications are greater than their side effects in general. if you are experiencing any particular side effect please consult your cardiologist

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Answered on Apr 13, 2023

Question by ashok - Mar 27, 2023Hindi

I AM 76 YEARS, MY BP REMAINS 155/75. IS IT OK OR CAUSE VOF WORRY

Ans: your target BP is below 140/90 at your age and if tolerated preferably below 130/80

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Answered on Apr 13, 2023

Question by SUMA - Mar 29, 2023Hindi

I am 47 years old women, having triglycerides level 360 , other cholesterol level within the normal range ,don't like to go for medication , kindly suggest, is it ok ?

Ans: its not ok. Try a healthy diet for 3 months and if the levels remain high lifelong medivations are indicated

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Answered on Apr 13, 2023

Question by SKS - Mar 29, 2023Hindi

My wife is 29. Her BP is around 126/67 and she is on BP medications like ORS pouse and Zincobest syrup. Please share some suggestions for control of BP.

Ans: ors is not a BP medication. 126/67 is a good BP which doesnt need any further treatment if it is measured correctly

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Answered on Apr 13, 2023

Question by S - Mar 30, 2023Hindi

Dear Doctoe,I suffered an MI 12 days back.ECG Showed acute MI-I am a diabetic and hypertensive patient.I am male-61 years.On being admitted Drs did an ECH and Angiogram which showed no blocks.I was discharded on dsay 3 wirth medicines to be taken and after a week to meet Dr.Day before yesterday i met Dr,in OPD.he said yes it was an MI because of poor flow of blood to heart and reason is my habit of smoking. Now i feel better with occassional Short off breath and lil pain in chest at times.I am having Ecosprin gold at night,nikoran 5 in morning and night,cordadrone 200 in morning and contin uing glimisave m2-bd and zomelitis 50-500 after noon.Am i on right track-Any precautions other than no smoke npo drin k wakking 30 mts daily,health food,no oily stuff and red meat.please advise

Ans: A 2d echo needs to be done to evaluate your heart function. if the heart is weak then heart failure medicines need to be initiated. there are better blood thinners that ecosprin Gold in the heart attack setting like aspirin + ticagrelor. There are better anti diabetic medications like SGLT2i for patients with heart attacks which should be initiated for you. There needs to be a risk factor evaluation as to why you got a heart attack apart from smoking

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Answered on Apr 12, 2023

Question by Josh - Apr 01, 2023Hindi

I am 41 , Height is 5.7, Weight is 82.5 i am having BP consistently showing 152/100 for last one year even though i don't have any other problem apart from BP , i am also taking BP Tablet Nicardia 10mg one time on night if i take one more dose i am getting headache Please suggest any medical advice to lower my BP.

Ans: BP target is < 130/80 for most patients, Nicardia is not the best first line antihypertensive medication. If you are getting side effects then reconfirm whether you have high BP with a test called ABPM. and if its high then consult a good cardiologist who should be prescribing you a good first line antihypertensive agent

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Answered on Apr 12, 2023

Question by Shailendra - Apr 07, 2023Hindi

My wife aged 51 yrs have low BP of 63/95. Please suggest home remedy to improve. Also suggest whether I consult heart or medicine Doctor

Ans: The details mentioned are insufficient. In absence of any symptoms nothing needs to be done except for adequate fluid and diet intake. If there are symptoms please consult a cardiologist

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Answered on Apr 12, 2023

Asked by Anonymous - Apr 07, 2023Hindi

i have diabetic neuropathy and swelling on ankles. pl advice

Ans: More clinical details would have been helpful. Certain medicines can cause leg swelling. A 2d Echo, Creatinine test, Urine protein creatinine ratio and ultrasonography of leg veins is commonly done for evaluation of leg swellings

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Answered on Apr 12, 2023

Question by Manoj - Apr 09, 2023Hindi

Hi Dr. I have very slight pain on my left of chest, near to heart. This remains cont. Same intensity of pain even on brisk walking. I got myself examined for echo, ECG and triptenine blood test also. All was normal. Triglyceride is normally at 240. I am now taking Aspirin 75 and cholesterol medicine 10mg. Is it really a pain related to heart? Should I go for CT angiography?

Ans: you are suffering from atypical chest pain. CT Coronary angiography would help rule out any coronary artery stenosis and may be done

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Answered on Mar 22, 2023

Question by Rohit - Mar 09, 2023Hindi

I am having high cholesterol.BP and sugar normal.I am not taking any tablets for cholesterol.Daily Iam doing 45 minutes walking.Is it necessary to take tablet for cholesterol

Ans: you need overall risk assessment to find your cardiovascular risk status. The LDL cholesterol and triglyceride targets are ascertained according to your clinical risk profile, If your LDL cholesterol and triglyceride levels are beyond the target value determined thus, then you need lifetime medications to bring these values to target levels

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Answered on Mar 22, 2023

Question by Ritesh - Mar 10, 2023Hindi

My bp was 135/98, on doctor advice, i am taking medicine tigatel 20 for last 2 months. Now my bp is 123/80. Should i continue taking bp medicine? Age: 33, weight: 65kg, height: 5'6

Ans: yes. you should continue your medicine unless you are having any side effects. regular physician visit for monitoring of therapy is advisable

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Answered on Mar 22, 2023

Question by Joshua - Mar 16, 2023Hindi

I am 41 my BP is 147/95 consistently is it normal . Although i take one time medicine

Ans: the ideal recommended BP for patients below 60 years is below 130/80 mm Hg. If you are measuring BP correctly and it is above this then you need to see your physician to adjust doses and medicines

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Answered on Mar 22, 2023

Question by BRAHMA - Mar 16, 2023Hindi

I am 54 years now. since last 5 years my bp is 100/135 even after taking bp medicines. Is it fine ?

Ans: the ideal recommended BP for patients below 60 years is below 130/80 mm Hg. If you are measuring BP correctly and it is above this then you need to see your physician to adjust doses and medicines

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Answered on Mar 22, 2023

Question by DEEPAK - Mar 18, 2023Hindi

chlorestrol level almost 225 to 250,taking atorva for few months it reduces to normal and once stopped again rises,what to do as per family doctor take lifetime but is is safe my age 49 and this is since last 8 to 9 years.

Ans: statins are excellent medicines with good effectiveness in lowering LDL cholesterol and thereby total cholesterol and have to be taken lifelong unless they are not tolerated. The side effects of statin are minimal as compared to the the benefits of continuing the medicines. A good physician can explain you the danger signs to watch out for probable symptoms of side effects and should also monitor you periodically clinically and laboratory investigation wise for side effects. Alternative medicines can be prescribed by physician if you develop side effects. However in absence of side effects it is advisable to continue statins if medically indicated

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Answered on Mar 22, 2023

Question by Manoj - Mar 19, 2023Hindi

Sir nowadays heart blockages are becoming common due to modern lifestyle. I want to know what is an effective diet or food for naturally decongesting the heart and arteries

Ans: A diet, rich in green leafy vegetables, sprouts, legumes, nuts and fruits, low in added salt content and prepared in non tropical vegetable oils in moderate quantities; and devoid of red meats, processed carbohydrates and sugars like bakery items and aerated caffeinated drinks and fruit juices, high fat dairy products, packaged foods with high salt content; is considered a good healthy diet from cardiovascular wellbeing point of view

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