Tag: Apollo clinic

Cardiac Problems propping Up In Recovered Covid- Patients Of Middle Age Group: Warns Doctor

Pune, April 2021: There is a sharp rise in incidences of heart-related issues in recovered Covid patients of middle age 30-50 years causing suffering from long term cardiac problems including breathing difficulty, chest pain, sudden onset palpitation,(arrhythmias, abnormalities of heartbeat), increase incidences of heart attacks, heart failure,(low pumping capacity),  due to increase in the amount of inflammation and increase blood clotting tendencies in post covid period. Even existing heart patients faced problems after Covid infection in worsening of their cardiac status due to irregular follow up and neglect toward cardiac issues. The doctor recommends for frequent regular cardiac screening in the post-Covid period to spot any new onset abnormalities in the heart function at the earliest.

Coronavirus is turning out to be a multi-system involvement disease. It not only affects your lungs, brain but also the heart.  To quote one of these, a 45-year-old previously healthy gentleman, who had a recent corona infection 1 month ago, approached Apollo Spectra Hospital, Pune, developed chest pain and shortness of breath for 10 days. His ECG showed evolved changes of a heart attack. He had stopped taking aspirin. His echocardiography revealed compromised heart function. He was taken up immediately for coronary intervention which revealed 100 percent thrombotic occlusion of one artery and 90 percent thrombotic stenosis of another major coronary artery. He underwent angioplasty immediately successfully on both the arteries and was stabilized in ICU after 2 days of the procedure. He was discharged with the advice of regular follow-up thereafter. There are many patients like him who are witnessing cardiac issues post-Covid.

Dr. Pramod Narkhede, Cardiologist, Apollo Clinic, Pune highlighted, “After getting infected with Coronavirus, patients belonging to the age group of 30-50 years face breathlessness due to pneumonia and lung infection and missed out cardiac issues masked by the cough and breathlessness. Post covid,  marked increase in acute cardiac issues were seen in previously healthy individuals too..the viral syndrome can range from the occurrence of systemic hypertension (blood pressure), minor palpitation, to serious life-threatening arrhythmias, heart attacks, heart failures, acute pulmonary embolism, and other vascular events like peripheral arterio-venous occlusion and stroke.

These problems are more commonly seen from the acquisition of infection to within 2-3 months of the recovery from Covid infection. Around 5 out of 10 patients visiting in cardiac OPD are post covid with new cardiac abnormalities. Those who have cardiac issues already should be cautious as well.” Dr. Pramod Narkhede added,” The reason behind heart damage can be attributed to a high level of inflammation in one’s body which tends to damage some healthy tissues, including the heart. Covid infection and inflammation impact blood vessels and heart muscles causing increasing clotting tendency compromising blood flow to the heart and even other parts of the body and hampering the pumping capacity of the heart. Once you spot signs like dizziness, light-headedness, sudden palpitation, hypertension, vomiting, sweating, and shortness of breath, chest pain then immediately should consult the doctor.”

Early diagnosis and prompt treatment will help these patients to lead a good quality of life decreasing morbidity and mortality. “To take care of your heart, eat a diet high in fiber and protein. (Try to eat fresh fruits, vegetables, grains, legumes, nuts, and pulses.) Do not eat spicy, oily, processed, or junk food. Manage your hypertension and cholesterol by regularly monitoring them. Exercise every day, maintain an optimum weight, avoid alcohol and smoking. Post-Covid, patients should go for close follow-up for cardiac screening tests like  ECG, ECHO to monitor the functioning of the heart,” concluded Dr. Pramod Narkhede.

 Dr. Prerna Agarwal, Technical operations, Apollo Diagnostics. Said “we see many patients come for diagnosis when the condition is very severe. We have noticed that 40% of patients are afraid or late to come for diagnosis, due to their own myths or ignorance. Manage your hypertension and cholesterol by regularly monitoring them. Exercise every day, maintain an optimum weight, avoid alcohol and smoking.  Covid-19 patients with cardiovascular comorbidities or risk factors are more likely to develop heart complications. Hence  Post-Covid, patients with heart illness, should take extra care by regular cardiac screening and monitor the functioning of the heart. We urge the patient to diagnosis heart condition early and get prompt treatment from their doctors to lead a quality life”

Spurt in Acute Gastroenteritis Cases in Children

Pune: During the COVID 19 pandemic, people are extra vigilant about practising good hand hygiene, hand sanitization, and wearing a mask has become mandatory for self-protection. Doctors at Apollo clinic have noticed that due to water contamination during the monsoon and poor quality sanitizers used for washing foods and vegetables cause stomach distress and can lead to a spurt in the cases of Acute Gastroenteritis cases in children.

Apollo Clinic, a leading Indian multi-speciality clinic chain by Apollo Health & Lifestyle (AHLL) has recently started the safe OPD for the benefit of patients during the COVID-19 pandemic. Recently, it has been noticed that the number of Acute Gastroenteritis cases in Children below 5 has gone up.

Gastroenteritis in children is a commonly occurring problem with seasonal changes. Prompt treatment and the right intervention under the guidance of your paediatrician will help your child to recover faster. For the management of gastroenteritis, ORS, zinc supplementation, and probiotics are effective in controlling the diarrhoeas and enhancing gut immunity. To minimize the risk of spreading bacteria or viruses, always cook food to the recommended temperature to kill the foodborne pathogens,” said Dr. Anshu Sethi Paediatrician, Apollo clinic Pune.

Gastroenteritis means irritation and swelling of the inner lining of the stomach. It is a common condition, mainly because the microbes that can cause gastroenteritis are easily spread through contaminated food or water, and person-to-person contact. With the seasonal change, children under 5 and especially below 6 months, are more prone to gastrointestinal disease. The signs and symptoms may vary from mild ones like pain in the abdomen, vomiting, loose motions, fever, loss of appetite, to even severe ones like dehydration, swollen eyes, lethargy, blood in stools, and even low urine
output, and needs immediate medical attention.

Gastroenteritis in children can be bacterial or viral in origin. Children under 6 months are more susceptible to viral diarrhoea like Rota, whereas, children above the age group of 6 months to 5 years are prone to get bacterial infections. Rotavirus diarrhoea is the commonest cause is acute gastroenteritis worldwide and prevents with watery diarrhoea without blood in stools and low-grade fever, on the contrary, bacterial diarrhoea presents with high-grade fever and blood in
stools and vomiting” said Dr. Sethi.

So, at the onset of symptoms, home-based care includes oral rehydration solution to prevent the complication of dehydration. Consult the doctor for further management of the symptoms. “For the management of gastroenteritis, in addition to ORS, zinc supplementation and probiotics are effective in controlling the diarrhoeas and increasing gut immunity. It is mandatory for children under the
age of 6 months to take the rotavirus oral vaccine in any circumstances as a preventive measure to avoid acute gastroenteritis. Also, prompt consultation with the paediatrician is advised because even the milder symptoms can progress to serious condition and complications within a short period,” highlighted Dr.Sethi.