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Frequently Asked Questions

General Questions

What is normal blood pressure?

Blood pressure below 120/80mmHg in adults consider as normal range of blood pressure and if blood pressure above 140/90mmHg should consult cardiologist .

What is good and bad cholesterol?

LDL (Low density lipoprotein) consider as bad cholesterol and HDL (High density lipoprotein) as good cholesterol.  

Why heart attack occur?

Heart attack also called myocardial infarction occur due to blockage in heart vessel.

What are the symptoms of heart attack?

Most people feels of chest pain/chest heaviness associated with ghabrahat and sweating. Some patient feels atypical symptoms like fatigue, dizziness, breathlessness, nausea& heart burn.

What is silent heart attack?

Patients having heart attack but doesn’t feel chest pain and other typical symptoms of myocardial infarction. Specially occur in old age and diabetic patients.

What is the treatment of heart attack?

After confirming by ECG and 2D – Echo, we take patients for coronary angiography and if blockages significant then cleared with putting drug eluting stents.

What is heart failure?

It’s a chronic condition in which heart fails to pump enough blood to meet body demand.

What are the symptoms of heart failure?

Patients commonly feels shortness of breath, fatigue, swelling in legs  and abdomen (Weight gain), dry cough, giddiness and palpitation.

What is treatment of heart failure?

After confirming diagnosis of heart failure by specific blood investigations and 2D Echo specific medical therapy given. In eligible  candidate CRT-D device implanted to improve heart failure.

What causes cardiovascular disease?

There are many risk factors that contribute to the development of cardiovascular disease. Some people are born with conditions that predispose them to heart disease and stroke, but most people who develop cardiovascular disease do so because of a combination of factors such as poor diet, lack of physical activity and smoking, to name just three. The more risk factors you expose yourself to, the higher the chance of developing cardiovascular disease. Many of the risk factors for cardiovascular disease cause problems because they lead to atherosclerosis. Atherosclerosis is the narrowing and thickening of arteries. Atherosclerosis develops for years without causing symptoms. It can happen in any part of the body. Around the heart, it is known as coronary artery disease, in the legs it is known as peripheral arterial disease. The narrowing and thickening of the arteries is due to the deposition of fatty material, cholesterol and other substances in the walls of blood vessels. The deposits are known as plaques. The rupture of a plaque can lead to stroke or a heart attack.

What is the connection between high blood pressure (hypertension) and heart disease?

Blood moving through your arteries pushes against the arterial walls; this force is measured as blood pressure. High blood pressure (hypertension) occurs when very small arteries (arterioles) tighten. Your heart has to work harder to pump blood through the smaller space and the pressure inside the vessels grows. The constant excess pressure on the artery walls weakens them making them more susceptible to atherosclerosis.

How is coronary heart disease diagnosed?

There are a number of ways to diagnose coronary heart disease. Your physician will probably use a number to make a definitive diagnosis. A coronary angiogram uses a dye inserted into your arteries and an x-ray to see how the blood flows through your heart. The picture taken, the angiogram, will show any atherosclerosis. Another test is an electrocardiogram. This test records the electrical activity of your heart. An electrocardiogram measures the rate and regularity of heartbeats, the size and position of the heart chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart. It is a non-invasive procedure.

How are smoking and heart disease linked?

Smoking damages the lining of blood vessels, increases fatty deposits in the arteries, increases blood clotting, adversely affects blood lipid levels, and promotes coronary artery spasm. Nicotine accelerates the heart rate and raises blood pressure.

Does diet play a part in the development of heart disease?

Diet plays a significant role in protecting or predisposing people to heart disease. Diets high in animal fat, low in fresh vegetables and fruit, and high in alcohol have been shown to increase the risk of heart disease. Adopting a diet low in fat and salt has a protective effect over the long term. This means whole grains, fruits, and vegetables.

How do the symptoms of heart attack differ between men and women?

The symptoms of heart attack in a man are intense chest pain, pain in the left arm or jaw and difficulty breathing. A woman may have some of the same symptoms, but her pain may be more diffuse, spreading to the shoulders, neck, arms, abdomen and even her back. A woman may experience pain more like indigestion. The pain may not be consistent. There may not be pain but unexplained anxiety, nausea, dizziness, palpitations and cold sweat. A woman’s heart attack may have been preceded by unexplained fatigue. Women also tend to have more severe first heart attacks that more frequently lead to death, compared to men.

Is heart disease hereditary?

Heart disease can run in some families. But even if you inherit the risks factors that predispose you to heart disease, such as high blood cholesterol, high blood pressure, diabetes, or being overweight, there are measures you can take that will help you avoid developing cardiovascular disease.

About Our Services

Complete Cardiac Care

Dr. Shiv provide ethical, expert and evidence based treatment to his patients.

Non-Invasive Cardiology

2D & 3D Echo, 2D & 3D Transoesophagal Echo, Contrast Echo Holter Monitoring Ambulatory BP Monitoring, Treadmill Test (TMT), Dobutamine /Exercise Stress Echo.

Coronary and Peripheral Angioplasty

Dr. Shiv has Performed more than 4000 complex coronary and peripheral angioplasty including lases ablation for varicose vein of legs.

Pacemaker and Devices

Dr. Shiv has performed more than 1000 pacemaker including ICD,CRTD/P and pediatric devices like ASD/VSD/PDA closure.

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