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Yearly Archives: 2019

Is it unhealthy to own associate irregular heartbeat?

Dr. Rahul patil - Best cardiologist in pune

Nearly everybody has known their heartbeat so quick, considered a “fluttering” in their chest or thought that their heart was “skipping a beat.” These are often signs of cardiopathy or irregular heartbeat.

Don’t panic if you’ve sometimes had these symptoms. Arrhythmias are extraordinarily common, particularly as you become older. every year many folks have them.

Most maximum cases are safe, however, some arrhythmias are extraordinarily serious and need treatment and management. Consult your doctor if you’ve got felt any of those symptoms to rule out different issues, like cardiovascular disease, and to convey your peace of mind.

Symptoms

Arrhythmias can provide a wide range of signs, from just obvious to vessel collapse and death.

  • A single early beat could also be felt as a “palpitation” or “skipped beat.”
  • Premature beats that happen usually in fast succession might cause a bigger awareness of heart palpitations or a “fluttering” sensation within the chest or neck.

When arrhythmias last long enough to have an effect on however well the heart works, additional severe symptoms might develop:

  • Fatigue
  • Dizziness
  • Chest pain
  • Rapid heartbeat or pounding
  • Shortness of breath
  • Lightheadedness
  • Fainting (syncope) or near-fainting spells
  • In extreme cases, collapse and explosiveasystole

Several tests will facilitate your doctor diagnose associate degree heart condition. Dr. Rahul Raosaheb Patil is notably amongst one of the best Cardiologist in Pune as well as in India. He is an expert Interventional Cardiologist in Pune.

How Laughing Can Help Your Heart?

Dr. Rahul Patil - Best cardiologist in Pune

How Laughing Can Help Your Heart

While it’s true that a diet and exercise are nice for your heart, did you recognize that laughter is simply as important? Stress will grow up fast and make adverse consequences throughout the body, particularly your heart. Some researches have revealed that people with bound temperament varietiesas an examplepeople who are hostile or bitter, have greater risk of heart disease

How Laughing advantages Your Heart

Humor is dangerous. once laughter is shared, it connects people along and will increase confidence and happiness. It additionally triggers healthy physical changes within the body. Laughter helps:

  •  Increase your system
  • Give associate degree energy boost
  • Defend against stress

It immediately takes you into balance by restful the complete body and triggering the discharge of endorphins. Endorphins are your body’s natural feel-good chemicals. They promote a way of well-being and may briefly relieve pain.

 It additionally protects your heart by:

  • Reducing pressure level — reducing pressure level will scale back your risk for heart failure and stroke.
  • Decreasing stress endocrine levels — decreasing anxiety hormones in your body will in more powerful immune system execution.
  •  Expanding the number of T-cells — T-cells are specialized immune system cells that boost your system and facilitate oppose illness.
  • Improving the function of blood vessels and increasing blood flow —improved circulation can reduce your risk for heart disease
  • Developing overall cardiovascular health — laughter could be a nice cardio effort, particularly for people who are incompetent in doing different physical activities. It gets your heart pumping and burns an identical quantity of calories per hour as walking at a slow to moderate pace.

Some Causes of High Blood Pressure

Dr. Rahul Patil - Best cardiologist in Pune

1.Our Exposures

When we admit what causes high blood pressurea variety of environmental exposures return to mind and are well-established influences of blood pressure. Diet is acknowledged to try to do this with sodium consumption the foremost acknowledge cause additionally as a diet low in fiber or vegetables. Excess alcohol has been concerned.

Poor way normally can low levels of activity and being overweight are necessary factors. a mixture of those factors is felt to hold the bulk of high blood pressure and for this reason non-drug, primarily based interventions are essential once treating high blood pressurewe are going to discuss several of those factors of what causes high blood pressure below

2. Genetics

Most consultants agree that there’s probably a major underlying genetic part to high blood pressurethe foremost common style of high blood pressure, but the reality is that once it involves the general public with high blood pressurewe tend to haven’t quite worked  out the genetic basis of what makes high vital sign that is without doubt advanced. This remains the extreme focus of in-progress research. There are however well defined genetic variants that are effective for small subsets of hypertensive patients. In these few subsets such as Liddle’s syndrome and others, changes in single genes reveals what makes high blood pressure.

4.Weight

The relationship between one’s body weight and blood pressure has been well established. Overweight people, for example, are much more likely to have high blood pressure.

This has been shown in many studies. In case of these considerations, the extra overweight one is, the higher their blood pressure is expected to be. In fact, if overweight patients drop weight and respond to a healthy weight, they have a significantly decreased risk of becoming hypertensive.

5.Salt

Interestingly not only high sodium levels but also low potassium levels have been involved in high blood pressure. In any dispute, the use of sodium while creating high blood pressure has been uncertain, but the medical center as a full guarantees mind when it happens to sodium consumption.

This is, even more, the situation in those supposed to be salt-sensitive such as the old and black patients or those with diabetes and kidney disease. It is a different case for potassium. Moderate potassium is linked to higher blood pressure and also more serious issues. A higher potassium level may blunt the impact of sodium on blood pressure.

6.Activity and Fitness

The relationship between physical activity and vital signs is well established. A lot of active someone is that the less possible they’re to own high blood pressure. this can be not simply the case for athletes since even comparatively modest levels of activity square measure related to lower levels of vital sign. Higher levels of fitness might forestall high blood pressure, improve vital sign management and result in improved vas outcomes generally.

Foods that may Decrease Your Risk of Stroke

Foods that may Decrease Your Risk of Stroke

Lowering your blood pressure is the best method to defend yourself from a stroke. Pursuing these pointers for your diet may decrease your risk by twenty-seven %.

  • Salmon

You could reduce stroke risk by 6 to 12 percent by eating fish 3 or additional times per week

 Researchers counsel the omega-3 fatty acid fats in fish like salmon, tuna, and mackerel decrease swelling within the arteries, serving to boost blood flow and reduce the possibility of blood clots.

 Having more extra fish might conjointly mean your diet includes less red meat and prepared meats, that have additional artery-clogging saturated fats. strive consumption a minimum of 2 eight- to 12-ounce portions of oily fish weekly. Get on the lookout for these alternative foods which will really facilitate disengage your arteries.

  • Black beans

Make a serious hole in your everyday fiber ends by dishing out black beans for lunch. heat up a turtle bean dish with ¾ cups of the beans, and you’ll already be twenty-seven p.c of the process to reaching your regular recommendation.

Sweet potatoes

Sweet potatoes square measure one amongst your best bets for a fiber-rich vegetable dish at dinner. A half-cup serving while not the skin is packed with 1.8 grams of soluble fiber. Plus, sweet potatoes square measure filled with antioxidants to assist stop plaque buildup. Be careful with these signs of stroke you may be ignoring.

  • Low-fat milk

Turns out farm isn’t the health destroyer you may are told. One study by found people who frequently drank milk had a lower risk of cardiovascular disease than those that didn’t drink milk.

Another study following over 3,100 Japanese men for 22 years found that members who drank a minimum of two eight-ounce glasses of milk had 0.5 the danger of stroke as those that didn’t drink their dairy.

Dairy product square measure filled with magnesium, calcium, and potassium, all of which might facilitate lower blood pressure, then try to make two or three servings daily. simply ensure it’s low-fat on the saturated fat that’s connected with upsetbe careful for these foods cardiologists ne’er eat

  • Bananas

Having additional potassium elements will truly lower blood pressure, even in individuals with high blood pressure. One study found that intake additional potassium was connected to a twenty-four p.c lower risk of stroke. Green bananas, in particular, can help reduce blood pressure,

Green bananas include resistant starch, which develops internal secretion sensitivity. Insulin sensitivity improves glucose managementwhich might facilitate assist with optimizing blood flow and reducing blood pressure. once buying bananas, selecting ones that square measure greener in color over totally ripe, browning yellow fruits.

  • Almonds

The Portfolio diet has several suggestions for a way to forestall stroke, as well as uptake some of almonds each daywhich might facilitate lower your cholesterol. In precisely one portion of the nuts, you’ll feed your body with 9 grams of monounsaturated fat to lower down dangerous cholesterol whereas increasing the great kind. Almonds are an excellent supply of vitamin Ethat may stop plaque from build up in your arteries.

  • Garlic

Garlic contains ajoene molecules that reduce platelet aggregation, which is unnecessary blood clumping which will make blood clots and result in stroke. Raw garlic, especiallywill facilitate fight blood clots. Using One or 2 garlic cloves on a daily basis. Snacking on spread, therefore, are often scrumptious ways that for a way to stop stroke.

What is a heart attack and Types?

Dr. Rahul Patil - Best cardiologist in Pune

What is a heart attack and Types?

The coronary arteries carry blood to the Heartpermitting it to perform. A heart failureconjointly called a myocardial infarcthappens once a blockage occurs within the coronary arteries and reduces the flow of blood to the Heart.

Blockages occur once fat, cholesterin, and different substances make up, forming deposits known as plaques in blood vessels. These plaques will become broken over time and will unleash platelets

Platelets can make the blood to clump. They may get around a plaque, ultimately blocking blood flow.

By limiting blood flow, these blockages will injury the heart muscle. The severity of injury can rely upon the dimensions of the blockage. once blood isn’t reaching a major phase of the heart, the injury is going to be a lot of intensive.

A cardiac arrest is usually mislabelled as a heart failure. However, a cardiac arrest happens once the guts suddenly stops operating.

Types

coronary failure results from one in every of the subsequent styles of arteria coronaria disease:

  • STEMI

An ST-Elevation Myocardial Infarction(STEMI) coronary failure is severe and needs urgent care.

These attacks occur once the coronary artery is totally blocked, restricting blood from reaching an outsized space of the heart. This makes progressive injury to the heart muscle, which might eventually prevent it from functioning.

  • NSTEMI

NSTEMI stands for non-ST segment elevation myocardial infarction(NSTEMI) heart attacks happen when the coronary artery is partially blocked and blood flow is critically restricted. While they are few serious than STEMI heart attacks, they can create permanent injury.

  • Coronary artery spasm

These spasms also are referred to as silent heart attacks or unpredictable angina. They occur once the arteries connected to the heart contract, blocking or proscribing blood flow to the heart.

Signs don’t make permanent injuryand that they area unit less stringent than those of alternative sorts of arterial blood vessel illness.

It is attainable to mistake an arterial blood vessel spasm for a minor condition, like an upset stomach. However, having an arterial blood vessel spasm will increase the danger of getting a lot of severe heart attack.

First Aortic Valve replacement done in awake patient by Young Cardiologist of Pune : Dr Rahul Patil

TAVR Procedures

Day 1 Awake Aortic valve replacement under local anesthesia

Dr. Rahul Patil - Best Cardiologist in Pune

Day 1: After 9 Hours of Valve replacement

Day 3: Discharge without a single stitch on body

Dr. Rahul Patil - Best Cardiologist in Pune

Transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR), is the replacement of the aortic valve of the heart through the blood vessel without open-heart surgery. The replacement valve is delivered by a transfemoral approach ie groin like Angioplasty.

Severe symptomatic aortic stenosis carries a poor prognosis with a life expectancy of 2 to 5 years after diagnosis. Until recently, surgical aortic valve replacement was the standard of care in adults with severe symptomatic aortic stenosis. However, the risks associated with surgical aortic valve replacement are increased in elderly patients and those with concomitant severe systolic heart failure or coronary artery disease, as well as in people with comorbidities such as cerebrovascular and peripheral arterial disease, chronic kidney disease, and chronic respiratory dysfunction.

The first implantation in a patient was performed in 2002 on April 16 by Alain Cribier in Hospital Charles Nicolle, at the University of Rouen

This therapy got USFDA approval in 2011, two major companies which manufacture Valve is Edwards’ Sapien aortic valve is made from bovine pericardial tissue and is implanted via a catheter-based delivery system and Medtronic’s CoreValve Transcatheter Aortic Valve is constructed of a self-expanding Nitinol frame and delivered through the femoral artery. This device received FDA approval in January 2014.

Indian manufactured MyValve is CE approved and Indian DCGI approved from Meril Lifesciences, it started with the Pilot study in India 2017, following which it got DCGI approval, It is available for commercial use since 2018. To date, this  400 numbers of valves are deployed in India and abroad. My valve has received great recognition in Europe and the middle east due to its smooth deliverability and lesser adverse events.

Ruby Hall clinic has delivered such 3 TAVR valves till now, but Young cardiologist Dr. Rahul Patil, Interventional cardiologist, Ruby hall clinic, Pune did this procedure as primary operator along with Proctor Dr. Anmol Sonawane and associate Dr. C N Makhale, Dr. Bikas Sahoo cardiac anesthetist on 13/10/2019 Sunday at 10 am in a 65-year-old Mr. Bashir shaikh from Pune. This procedure was done under local anesthesia in the awake state of the patient during procedure like routine angioplasty. The procedure time was 1 hour only. Dr. P K Grant congratulated the team of Dr. Rahul Patil for his excellent work.

The patient was mobilized after 9 hours, shifted from CCU after 24 hours and discharged on 3 rd day of procedure.

As a conventional Surgical aortic valve replacement, the patient has to undergo open-heart surgery on heart-lung machine where operation time is 4 hours, it involved 10 to 12 % of Morbidity and mortality. Patient has to kept on Ventilator for 24 hours, Patient remains in surgical ICU for 4 days, and total hospitalization for 10 days. It takes  3 weeks for complete healing of stitches over the chest wall, and 2 to 3 months for sternal fracture healing. This procedure also involves the risk of embolic brain stroke in 5 to 6 %of patients.

Today, TAVI is recommended not only in high surgical risk patients but also in moderate to low-risk patients.

Dr. Rahul Patil has been trained in the Netherlands for TAVI in 2009 and now he owes promise to all his high-risk heart valve disease patients who can be treated without undergoing open-heart surgery.

For more information watch this  video:


Meeting for CSI with attendance of 50+ cardiologist

Dear friends,

Its was the great meeting for CSI with attendance of 50+ cardiologist, I would like to thank each and everyone who participated.

Dr. Shirish Sathe was the opening batsman of session of Heart transplant symposium,
he did a great job on insight on LVAD; IABP. VS IMPALA.
SHOCK I AND II TRIAL
Learning lesson was,
Identify high-risk patients? of cardiogenic shock and deploy early; more benefit as per trial base evidence.

Dr. Bikas Sahoo spoke on ECMO IN HEART DISEASE patients was quite promising.

Dr. JS Hiremath Sir rocked the meeting by presenting pre and post-management of heart transplant patients!!!!

It was a true learning !!!!

Impella device hands-on experience counter stole the
Show.

Ruby hall transplant program and statistics were the crux, of outcome of heart transplant patients!!!

In a short period of time Ruby hall clinic, Heart transplant program has given results more than international standards !!!

I sincerely thank EMCURE AND TRANSLUMINA THERAPEUTIC to support this meeting

I promise you all that future meetings will also help you in your day to day clinical practice

All the meetings are done with great help and coordination of Dr. Rajeev Sethi, President CSI..!

Preventive Tips For a Healthy Heart

  • Cholesterol: Raised levels of cholesterol can close your arteries and increase your risk of coronary artery disease and heart attack .
  • Eat a healthy: Try to restrict full fats, foods high in sodium, and supplemented sugars. Eat lots of fresh fruit, vegetables, and healthy grains.
  • Maintain your blood pressure: Above blood pressure is a significant risk factor for heart disease. It is necessary to make your blood pressure monitored frequently – at most limited once a year for most adults, and more frequently if you have high blood pressure. Appropriate steps, including lifestyle changes, to stop or control high blood pressure.
  • Loose weight: Staying overweight or having obesity can boost your risk for heart disease.
  • Maintain Your Sugar Level: Having diabetes increases your chance of diabetic heart disease. This is because, over time, high blood sugar from diabetes can harm your blood vessels and the tissues that regulate your heart and blood vessels. So, it is necessary to get examined for diabetes, and if you have it, to have it under control.
  • Give Up Smoking: Cigarette smoking increases your blood pressure and sets you at greater danger for heart attack and stroke. If you do not smoke, do not start.
  • Avoid Alcohol: Taking too much alcohol can increase your blood pressure. It also computes extra calories, which may create weight gain
  • Be Active: Exercise has many advantages, including increasing your heart and growing your circulation.

What is Cholesterol: Here’s All You Need to Know

We live in a world where heart health is more important. To stay healthy and active we want to know the basics of heart health and see our blood reports with some level of knowledge. While we always discuss our blood cholesterol levels, we do not know what it is specifically or what types of cholesterol are good for us.

What is cholesterol?

Cholesterol is a smooth fat-like substance in the blood that is created by the liver and is also seen in animal products such as meat, dairy products, and eggs. While very large levels of cholesterol can be dangerous it is necessary to remember that cholesterol is also necessary because it is required for many vital functions such as proper digestion of food, absorption of fat-soluble vitamins, and production of certain hormones. 

Factors that can increase your risk of bad cholesterol include:

There are several factors that influence total cholesterol levels in the blood. Genetic factors apart from diet, weight, smoking, and physical activity can be some major factors.

Prevention:

  • To help prevent high cholesterol, you can:
  • Eat a low-salt diet that features fruits, vegetables, and whole grains
  • Check the number of animal fats and use good fats in balance
  • Lose extra pounds and keep a healthy weight
  • Quit smoking
  • Exercise on most days of the week for at least 30 minutes
  • Drink alcohol in balance, if at all
  • Handle stress

 

 

What does a heart attack feel like?

A heart attack may not be as dramatic as you think. If you’re experiencing any of the following symptoms, you may be having a heart attack.

Are you experiencing

  • heaviness
  • tightness
  • pressure
  • discomfort/pain

In any of these areas?

  • chest
  • shoulder
  • jaw
  • arm
  • neck
  • back

You may also experience

  • sweating
  • shortness of breath
  • nausea
  • fatigue
  • dizziness
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