Tag: Cardiologist

Health

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

Apr 30, 2021 by Neel Achary 0 Comments #Apollo clinic, #Cardiologist, #Dr. Pramod Narkhede, #pune
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”
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Contaminated air in Mumbai is dangerous for respiratory and heart disease patients

Jan 14, 2021 by Rekha Nair 0 Comments #Cardiologist, #Director of Shushrusha Heart Care and Multispeciality Hospital, #Dr.Sanjay Tarlekar, #Nerul, #Pulmonologist from Apex group of Hospitals from Borivali Dr. Jignesh Patel, #World Health Organization

Mumbai: The air quality in Mumbai city and suburbs as well as Thane and Navi Mumbai has reached a critical level, making it dangerous for patients with respiratory and heart ailments in the city, according to medical sources. The low-pressure area in the Arabian Sea has been experiencing unseasonal rains & extreme heat for the past one week, with five of the eight air quality monitoring centres reported to be extremely polluted, according to Safar. Air pollution is the first blow to the human respiratory system. Lung cancer is caused by unclean air entering the body through inhalation, which can lead to various types of heart disease. Heart disease, which has remained the leading cause of death at the global level for the last 20 years, is now killing more people than ever before, according to the World Health Organization. People living in a polluted environment suffer from relatively frequent heart attacks. Giving more information about this, Director of Shushrusha Heart Care and Multispeciality Hospital in Nerul and Cardiologist Dr.Sanjay Tarlekar said, ” Though the relentless spread of coronavirus around the globe has grabbed everyone’s attention, people with heart disease need to be extra attentive as they have a greater risk of developing COVID-19. Coronavirus affects the respiratory system, mainly the lungs. But it could also influence the heart, especially a diseased heart that has already been struggling to get the oxygenated blood throughout the body. So, heart patients need to take additional, reasonable precautions in such climate.The population of cities in India has crossed a threshold and air pollution is increasing in major cities of our country, mainly in Mumbai and Delhi, but we do not have the severity of the diseases caused by air pollution. They cause Inflammation of the lungs and, more importantly, damage to the blood vessels and the heart. Pollutants such as ultrafine, which are excreted in the air, interfere with the blood flow in the arteries. High blood pressure is a common cause of high blood pressure in Germany, according to research in Germany. This type of blood pressure is more common in women than men. Increased blood pressure initiates atherosclerosis, which causes the blood vessels to harden. Further, it has the opposite effect of exacerbating heart disease. Citizens with heart disease need to stay away from polluted air so that it does not get worse.”

Giving more information about air pollution as well as indoor pollution is causing respiratory disorders, Pulmonologist from Apex group of Hospitals from Borivali Dr. Jignesh Patel says, “Contamination caused by indoor sprays, perfumes, mosquito-borne incense sticks as well as coils directly affects children’s lungs. Air is the foundation of life. Clean air is essential for staying healthy. Changes in the structure of the air have become a serious threat to health. Pollution is the most dangerous aspect in India and we are lagging behind other countries in the fight against pollution. In 2019, 1.7 million people were killed in air pollution in India and the only thing we can do is stop air pollution for six months during the Corona transition.”