Cardiologist in India

1.         Is heart disease is less common in women?               No. In fact more women die because of cardiovascular diseases           (Heart attack & Stroke) than men. Cancer of uterus, breast, ovary etc. is perceived on major health problem for women which is actually 1/8 th of the total cardiovascular mortality in them. Initial manifestation of Heart disease is generally 10 years later then men. 2.         Why Heart disease a common in women?            Diabetes, Hypertension, Obesity, and sedentary habits are more prevalent in postmenopausal women then men. Diabetes is a stronger risk factor for Heart attack in women. Presence of Diabetes neutralizes the protective effect of premenopausal  status of younger women. 3.         Are symptoms of Heart Attack different in women?           Yes. Atypical presentation of ‘gas’ like symptoms, heart burn, jaw pain, shoulder pain, back pain are more common them typical chest pain. They have more co mo

The American College of Cardiology (ACC) and the American Heart association (AHA) established new guidelines for the treatment of b lood cholesterol to reduce atherosclerotic cardiovascular risk in adults . Atherosclerotic Cardiovascular Disease (ASCVD) includes coronary heart disease (CHD), stroke, and peripheral arterial disease. These recommendations are based on careful consideration of higher quality randomized controlled trials (RCTs), and systematic reviews and meta-analyses of RCTs.   Important Points The expert panel acknowledged the absence of clinical trial data that support treatment to specific low-density lipoprotein cholesterol (LDL-C) and non-HDL-C goals. The guideline identifies four major groups of patients for whom cholesterol-lowering HMG-CoA reductase inhibitors, or statins, have the greatest chance of preventing stroke and heart attacks. The guideline also emphasizes the importance of adopting a heart-healthy lifestyle to prevent and control high blood chole

Regular exercise reduces heart attack by 30% as evidence has come from  different clinical trials. A)   How exercise reduces heart attack? a)             It improve lipid abnormalities, like reduces triglycerides, increases HDL- cholesterol (good cholesterol) and reduce small dense LDL-cholesterol (bad cholesterol) b)             Improves Insulin sensitivity thereby prevents the onset of diabetes and controls the sugar levels in diabetic population. c)             Controls BP. – reduces systolic BP by 4-6mm & Diastolic BP by 2-4mm. d)             Reduces body weight by burning calories – reduces obesity. e)             Improve function of inner lining of blood levels and prevents atheroma (clogging of vessels) f)              Reduces depression & stress level. B)       How much exercise one should do? It has been recommended that one should do brisk walk for at least 30-45’ for at least 5 days a weak (WHO guide lines) C)       What are types of

Heart attack in Indians — an emerging epidemic Causes & Prevention Introduction : Cardiovascular diseases are the commonest cause of death globally. During last 20 years a large decline in mortality from CVD has been in observed in developed nation but a substantial increase has been experienced by developing nation like ours. It is estimated  that India has largest burden of Cardio Vascular Disease in the world more so in younger population. Approximately 14-16 lakh people die every year because of cardiovascular diseases in our country. It is projected that if not controlled now, it will increase in an epidemic form by 2015. The increasing evidence of heart attacks in younger population resulting is increase cost of evaluation and treatment (PTCA & Bypass surgery) & loss of working days – will affect the family, society & nation as a whole. In other words medical, and economic consequences will be substantial for our country. An understanding of the risk f