Treatment of High Blood Pressure: When Medicines Don’t Work

Treating high blood pressure can be very difficult when medications don't work. When the diastolic blood pressure is less than 80 mm Hg and the systolic blood pressure is less than 120 mm Hg, the blood pressure is considered normal. A persistent increase in blood pressure is referred to as hypertension. When the diastolic blood pressure is less than 80 mm Hg and the systolic blood pressure is between 120 and 129, the blood pressure is regarded as elevated.


According to the new guidelines released at the Scientific Sessions by the American Heart Association, the American College of Cardiology, and nine other health organizations, in Hypertension stage I, Alternatively, the diastolic blood pressure ranges from 80 to 89 mm Hg when the systolic blood pressure is between 130 and 139. Stage II of further advanced hypertension is defined as having a systolic blood pressure of at least 140 mm Hg or a diastolic blood pressure of at least 90 mm Hg.


Therapy of high blood pressure: What is the problem?

Over 85 million adults (one in every three) in the United States have hypertension, and about 20% are not aware of it. It is a main modifiable risk element for cardiovascular illness and stroke. The direct and avoiding costs of hypertension are extremely significant. Hypertension can be linked to 50% of cardiovascular diseases and 75% of strokes. High blood pressure costs the nation 46 billion dollars annually in healthcare services, medication, and missed work days. It is labeled the "silent killer ." Most of the moment, there are no clear symptoms. High blood pressure does not cause headaches or nosebleeds except in hypertension emergencies when blood pressure reaches 180/110 mm hg.



What is the treatment for high blood pressure?


The American Heart Association has created hypertension as a primary focus to seek to enhance cardiovascular death and stroke and lower cardiovascular events by 20% by 2022. The AHA is promoting evidence-based control algorithms to standardize therapy that contains lifestyle modifications in all hypertension patients. This retains weight reduction adoption of DASH eating goals by consuming a diet rich in fruit and vegetables, low in dripping fat, and low in salt information (less than 2.4gm/day). It also contains regular physical activity (brisk walk, 30 min/day) most days of the week and average alcohol consumption (2 drinks/day for men or 1 drink/day for women).


Additionally, it encourages the system level of monitoring blood pressure regulation with input to healthcare professionals, regular updating, and adopting single-pill combinations.


The amended recommendations state that individuals with stage 1 hypertension and clinical cardiovascular disease or a 10-year atherosclerotic cardiovascular risk of 10% or above, as well as those with stage 2 hypertension, should begin medical treatment. The pharmaceutical regimen should include a thiazide diuretic, calcium channel blocker, ACE inhibitor, or angiotensin receptor blocker. Increase the dose or add another medicine if the goal blood pressure is not achieved with one medication.


Only 75% of individuals with hypertension receive treatment, and only 50% have their blood pressure under control, although medications to reduce blood pressure and related cardiovascular risks have been available for years. Stroke, heart attack, heart failure, and kidney disease can all be brought on by hypertension.


Excessive blood pressure results from many causes, including 1) excessive nervous system stimulation of the heart vessels and kidney, 2) excessive display of hormones involving the vessels and kidney, or 3) stiffening of the blood vessels forcing them to lose their flexible quality. This later form of hypertension has been termed “structural hypertension .”Extreme dietary salt, increased body weight, lack of physical exercise, and excessive alcohol may contribute to hypertension. Medicines prescribed by your physician are essential to controlling blood pressure. If you have unpleasant side effects from the medications, it is important to discuss stopping or altering the medication with your physician.


New innovative medicinal approaches may be especially relevant to patients with hypertension disorders that put them at risk of primary cardiovascular affairs. Each month of available treatment is associated with around 1 day of life expectancy increase.


Therapy of high blood pressure: When medicines don’t work.


When medicines fail to lower blood pressure, we should consider “structural” hypertension. In the want of sleep apnea or renovascular condition, worsening essential hypertension or failure to reply to medications can be linked to structural changes in our large capacitance streets. Aging, smoking, and diabetes are all associated with remote or predominantly systolic hypertension (systolic BP More than 160 and diastolic BP Less Than 95) and the loss of elasticity of our major blood vessels. After age 50, hypertension is likely to be structural, and almost 70% of uncontrolled hypertension after age 65 is structural. Structural hypertension is characterized by increased arterial stiffness of the large arteries. 


In isolated systolic hypertension, large artery remodeling includes thickening of the middle layer with an enlargement of the lumen of the proximal elastic arteries such as the aorta. This remodeling and stiffening of the large arteries play a major role in augmenting the systolic and pulse pressure. The loss of aortic elasticity improves volume sensitivity. For this cause, diuretics should be our first line of therapy. 


For this investigation, we plan to investigate the development of an arteriovenous (AV-) fistula in patients with refractory, uncontrolled hypertension because diuretics are not very effective at lowering arterial volume. Making an AV- fistula decreased arterial stiffness and blood pressure in pre-dialysis patients.


What are the benefits of EECP over the conventional angioplasty or bypass surgery.

For people who mourn from angina and have blockages in the heart, a traditional way to treat the disease is to offer angioplasty to widen the narrowed blood vessels and enhance blood flow and circulation or bypass surgery. However, there could be people who might be unfit to undergo an angioplasty-like people who have obstructions in arteries that run the entire length of the artery and are laden with fatty plaques. 


In these types of arteries opening up of a short piece through angioplasty is inefficient. Even if it is tried, the recurrence paces are very high. Also, for somebody with repeated methods, the recurrence chances keep increasing with every procedure. An alternative like EECP or enhanced external counterpulsation is suggested for such people.


Here Dr. Rakesh Kathiriya, Senior Doctor and Managing Director of Saaral Heart Center discuss the advantages of EECP over angioplasty and bypass surgery.


The benefits


The proven benefits of EECP therapy are that the individual with angina has a significant decrease in angina frequency (episodes of chest pain, shortness of breath, etc.) which promises a more acceptable quality of life, the evidence of which is a sustainable exercise time on the stress test. These effects are identical to those expected after angioplasty. 


But there is no evidence that angioplasty can reduce heart attacks or improve life expectancy in people suffering from stable ischemic heart disease (where the heart's arteries are damaged). The only dissimilarity may be that angioplasty takes hr to 1 hr and effects show early, whereas EECP, on the other hand, takes three to six weeks to complete, and the effects are slow. One of the latest studies showed no significant benefits after angioplasty compared to medical therapy.


The side-effects

If people for the procedure are selected correctly, there are almost no side effects of EECP. People with significant leakage of the aortic valve, PDA, leg vein clotting, and leg ulcers should not be taken up for therapy. High BP and leg bump due to heart failure should be sufficiently controlled before treatment. Some people with pale skin can experience mild bruises on their legs. As EECP therapy stimulates lower limb muscles, some people who are untrained for exercise may experience leg cramps for a few days.



EECP therapy can be provided to people irrespective of age, sex, and gender. However, the force of the cuffs may have to be modified according to personal tolerance levels.



The treatment of EECP is outdoor and does not require admission to the hospital. It requires 35 sessions of one-hour per. The therapy may be done a maximum of 2 times a day at an interval of 2-3 hrs. This way, the entire treatment stays for 3 (twice daily) or 6 (once daily) weeks.


Cost involved

The treatment costs one lakh fifteen thousand, including 35 sessions and all interim evaluations. This is still too high for the price of angioplasty or bypass surgery.


What to expect

The most significant truth of ischemic heart disease (where the heart's blood vessels are damaged) is that it is ultimately a 'lifestyle disease', i.e., a product of a faulty lifestyle. Angioplasty, bypass surgery, or even EECP are temporary arrangements to improve circulation to heart muscle supplied by the obstructed artery. The art of long-term sustenance of benefits and clear arteries lies in maintaining regular exercise, diet control, and control of BP, diabetes, and cholesterol through appropriate medications, and tobacco cessation.


Which is Better Stent or Bypass?

Coronary Artery Disease (CAD) is a reduction or blockage of the coronary arteries which is begun with plaque build-up. Coronary artery disease can grade from no symptoms at all to chest pain to a heart attack. Medical plans such as stents or bypass surgery can be used to treat coronary artery Indisposition.

Choosing an EECP treatment choice is usually a personal decision. Each system has its own set of risks and benefits. Many things are taken into deliberative including the number of the blockages and where they are located. The preferences of the patient, in addition to those of the cardiologist, are addressed after deciding which the better outcome is.

In certain instances, the option is apparent. However, there are accurate unclear regions. Sometimes it does not seem clear that one alternative is higher than the other. This article will discuss the benefits and risks of stents and bypass surgery in curing CAD in order to realize which is better.


A stent is a little metal or plastic pipe that is used to unblock a clogged coronary artery. When growth of cholesterol clogs an artery, a stent can be used to restore blood flow and impair the risk of a heart attack.

Angioplasty is called Stenting too, where a wire is threaded in the coronary artery to be stented. The activity is done through a small puncture in an artery of the groin or cell. It is a scantly invasive procedure. In the location of the block, a stent is inserted that is like a part of the renal artery. This stent opens up the artery and ensures the right blood flow. The stent is forever placed in the artery so that blood flow residue uninterrupted. There are stents receivable now that have a drug coating on them. These stents help lower the chances of any blood clots. Angioplasty is a much more frequently performed method today, and many of the Top Vascular Surgery hospitals in surat are well-suited for undertaking this procedure.

Bypass Surgery:

Heart bypass surgery, too about known as Coronary Artery Bypass Graft Surgery (CABG). It generates a bypass around a blocked artery by transferring a blood vessel between the aorta and the coronary artery, or highway leading to the heart muscle to advance blood flow to your heart. It is somewhat rampant to require two to four grafts, known as a double, triple or quadruple bypass.

In CABG or Coronary Artery Bypass Grafting surgery, the doctor makes a severance in the chest. Following the severance, he/she repairs the concerned artery by detaching the portion which is not well and then stitching the ends simultaneously. At times, an artery from some other section of the body is used to replace a part of the diseased artery. This method is also referred to as open-heart surgery and is a judicial procedure.

Which is Better Stent or Bypass?

The choice between stenting and bypass surgery can be hard at times. A verdict can be made after a careful estimation by the cardiologist which includes examining the asperity of the CAD, the number of vessels that requirement to be repaired, and medical history, among other things.

Saraal Heart Hospital is the best heart specialist hospital in Surat for stenting and bypass surgery. We are popular for our cutting-edge pre-requisite and our staff of highly skilled doctors and healthcare providers. Book an appointment with the best heart specialist hospital in Surat.

EECP Treatment Benefits: Now Choose a Much Safer Heart Treatment






Heart care without Surgery, or SAARAL, has made a name for itself as one of the top facilities for non-invasive care. We have been using the EECP therapy, which was approved by the US FDA, to treat heart patients. Throughout our more than 26-year journey, we have witnessed the suffering that persons with heart conditions experience when they first seek medical attention. Many of our patients seemed to give up hope when they continued to experience problems even after angioplasty. Bypass surgery or angioplasty, which serve to widen the constrictive blood arteries and promote blood flow and circulation, are the recommended treatments for angina patients with heart blockages.

However, some people might not be eligible for an angioplasty, such as those with the following conditions:

  • Fatty plaque-filled arterial blockages that extend the entire length of the artery
  • Those who have kidney issues.

In certain circumstances, angioplasty fails. The likelihood of recurrence is fairly significant, even if it is tried. For people who have received numerous treatments, the risk of recurrence is increasing. EECP, or Enhanced External Counter Pulsation, is suggested as an alternative for such people.

In these circumstances, EECP treatment has demonstrated to be effective as it has significantly reduced the frequency of angina in a patient (episodes of chest pain, shortness of breath, etc.). But let's first grasp the fundamentals of each procedure to better appreciate why EECP is superior to angioplasty or bypass surgery.

What is a bypass operation?

Through coronary bypass surgery, blood is rerouted around a blocked or partially blocked section of a coronary artery. A healthy blood vessel is taken from your leg, arm, or chest during therapy and linked below and above the blocked arteries in your heart. Using a novel pathway, blood flow to the heart muscle is enhanced. The coronary bypass procedure does not treat the underlying heart disease that caused the blockages. However, lessen symptoms like chest pain and breathing difficulties.

Angioplasty definition

A lengthy, thin tube is used to access the blocked coronary artery during angioplasty (catheter). The end of this tube, which has a tiny balloon on it, is placed into a blood vessel. Once the catheter is in place, the balloon is inflated at the narrowed area of the heart artery.

The procedures could come with risks and health complications that could threaten one's health or possibly lead to other problems. It is not a "localised" approach like surgery because EECP treatment treats the health of the entire heart, including the circulation system.

As a result, there are additional, all-encompassing benefits like:

  • Because the procedure is outpatient, hospitalisation is not necessary.
  • Because the procedure is non-invasive, there is no risk of bleeding, infection, or blood clots.
  • Because there is zero discomfort during this procedure, anaesthetic is not used.
  • It has no effect on any other organs or parts of the body.
  • There was no disruption to the patients' daily routine.

Heart therapies require preparation, which is widely acknowledged (doctors and patients). However, EECP therapy has the same ease of producing identical results. There is no need to worry or panic because everything is absolutely safe.

At SAARAL - Heart Care Without Surgery, the pinnacle of non-invasive treatment, heart blockages are treated with EECP treatment coupled with yoga, meditation, and stress management training. The mixture is made so that patients can easily incorporate it into their regular lives. Guaranteed practicality and training for family members are both provided.

The SAARAL Heart Program is the most modern, reliable from a scientific standpoint, non-invasive, durable, and safe way to treat coronary blockages, the most common form of heart disease. This programme aims to help cardiac patients who either don't want surgery or aren't physically able to undergo it. If the proper care is not given, heart problems might become fatal; therefore, it is crucial to weigh the benefits and drawbacks of any proposed treatment before making a decision.

Which hospital is thebest for Angioplasty Gujarat

Which hospital is thebest for Angioplasty Gujarat



Since the day Saaol was first introduced, Franchise only focused on Lifestyle management until they realized patient needs more time to modify their lifestyle.

To provide this time, Saaol accepted 2 Treatments from Medical science. EECP Treatment and Artery Cleaning (ANGIOPLASTY Treatment)

In 2002, Dr. BimalChhajer visited the USA to find out how effective Chelation is. Results of this Treatment were promising. Dr. chhajer learned Chelation and started this Treatment in all of his branches.

Today there are more than thousands of centers and hospitals practicing chelation Treatment with great results including 75 Branches of saaol.

Angioplasty is a method of opening up blocked vessels

What is an angioplasty?

In the case of coronary artery disease the arteries narrow which stop blood in the heart, which causes the heart to cease circulating blood. Angioplasty can be performed by opening the arteries that are blocked to allow sufficient blood. Angioplasty is a truly miraculous procedure that can rejuvenate a damaged heart.

The procedure takes between 20 and 30 minutes and can eliminate the need for surgery for the 30-5 percent range of people. Before discussing angioplasty, it is essential to be aware of the instruments that are used in stents and catheters. The catheter is folded 6 millimeters. The catheter is a thin plastic tube that has an air balloon that is placed at the top.

A stent is an arch spring-like device made of metal, which is positioned over the balloon. A stent is then inserted inside the artery using an instrument to ensure that the artery is open and prevent obstruction recurrence.

How does angioplasty work?

Angioplasty is a non-operative solution to bypass surgery. It is a procedure in which obstructions are removed by dilation of the arteries in the heart. The procedure involves making an incision inside the wrist and hand (read the article by Dr. Satya Gupta's article on Radial angiography for more details). The patient doesn't have to fall unconscious and is only at the facility for a period of one to two days.

PTC is also that is referred to as Percutaneous Transluminal Coronary Angioplasty, in that the patient will be put under anesthesia by injecting a small amount of blood into the pelvis. Then, two millimeters a straw-like tube that is narrow is inserted into the wrist artery. A particular kind of guiding catheter is installed through this tube, and its tip is then placed through the arterial.

A fine wire is moved through a blockage in the coronary artery. On top of the wire, a thin inflatable balloon is then inflated until it reaches the barrier. The balloon will be inflated as it is at the right spot of obstruction. The balloons can push the fat layer up the artery, thereby opening the obstruction.

Typically, angioplasty using balloons opens the artery from 70-90 percent of the size it was originally. There is a tiny obstruction for which one of the best instruments, the stent is employed. The stent is a spring-shaped metal tool that is the size of a ballpoint pen. If there's no obstruction for six months following the stent's placement the blocked artery stays open forever and the majority of the obstruction is eliminated forever through the stent.

What is a drug-eluting Stent?

There's also a specific kind of drug-coated, stent that for a couple of weeks following the implantation releases medications such as Everolimus, Zotorolimus,Rapamycin, or Paclitaxel. This helps reduce swelling and development of the arterial muscles and decreases the risk of having a re-arterial blockage by 3-4 percent. More than 90 % of these stents are utilized across the United States.

Are there other instruments that are used in the procedure of angioplasty?

This procedure uses the use of a rotating drilling machine (Rota Blatter), which assists in removing the fat layer of the coronary arteries. The directional coronary orchidectomy is an ejector that rotates, releasing an obstruction in the artery. Sometimes, a balloon specially designed for the procedure is used to expand the artery, rather than a special cutting. Laser rays are used to destroy arterial obstructions but without much results.

What is the most advanced technique in the field of angioplasty?

In certain instances, the blood doesn't flow through the coronary arteries when they are open because the microscopic debris of fat blocks the passageway of blood vessels that are tiny. Distal protection devices or filter devices can remove these tiny fat deposits and improves blood flow.

Why Is Bypass Alternative So Famous

Why Is Bypass Alternative So Famous


Why Is Bypass Alternative So Famous

Over the past 10 years the last decade, more alternatives to the procedure of heart bypass have been made available. This includes:

Balloon angioplasty

Balloon angioplasty is the option that's most likely to be suggested by medical professionals. This procedure is a procedure where a tube is inserted through the blocked arterial. Then, a balloon can be filled with air to open the arterial.

The doctor then takes out the balloon and the tube. A small scaffold made of a metal called the stent is kept in the place. A stent stops the artery from expanding and returning to its size.

Balloon angioplasty might not be as efficient as heart bypass surgery however, it's much less risky.

Enhanced external counterpulsation (EECP) - Bypass Alternative

The Enhanced External Counterpulsation (EECP) can be performed as an outpatient. It is a procedure that can be used as an alternative Source to bypass surgery for the heart by numerous studies conducted by Trusted Source. In 2002 It was recognized by the Food and Drug Administration (FDA) to be used in patients who suffer from congestive heart failure (CHF).

EECP is a process of compressing veins in lower limbs. This boosts cardiovascular blood circulation. The additional blood flows to the heart during each heartbeat.

In time, certain blood vessels can develop extra "branches" which will carry oxygen to the heart forming something of a "natural bypass."

EECP is administered each day for between one and two hours in seven weeks.


There are several remedies you could consider before using methods like coronary bypass surgeries. Beta-blockers can relieve stable angina. There are cholesterol-lowering medications to prevent plaque buildup within your arterial arteries.

The doctor might also recommend daily dosages of aspirin with a low dose (baby aspirin) to prevent heart attacks. Aspirin therapy is extremely efficient for those with a previous history of cardiovascular disease atherosclerotic (such as heart attacks as well as stroke).

People who do not have a history of asthma are advised to only take aspirin to prevent a condition in the following situations:

are more at risk of suffering from heart attacks and other cardiovascular atherosclerotic diseases

They also have a lower risk for bleeding

Lifestyle and diet changes

The most effective preventive measure is to adopt a "heart-healthy" way of life according to the guidelines of the American Heart Association (AHA). Consuming a diet that is rich in Omega-3 fatty acids, and less saturated and trans fats will help your heart stay healthy.

Alternative methods for redoing off-pump coronary bypass grafting



The latest development in off-pump techniques and minimally invasive procedures in coronary bypass grafting (CABG) has provided surgeons with a range of options for performing redo revascularization surgeries.


We retrospectively evaluated our initial results from the off-pump redo CABG procedures. January 1998 between January 1998 and the beginning of January 2000 we carried out an off-pump redo of 55 CABG procedures. These included 25 through a complete sternotomy, 21 via the left posterolateral thoracotomy five using a lower hemisternotomy, and 4 with an anterior thoracotomy mini-sized with the use of thoracoscopic internal mammary artery harvesting. The average age of the segment of patients was 67.7 years (range 37-85). The median number of grafts that were performed in previous operations was 2.7 (range 1 to 6) which included 51% grafts partially or completely open when re-operation was performed. Twenty-six patients (47.3 percent) were able to use a left mammary artery transplant to the left anterior descending. A preoperative score on the severity of clinical manifestations predicted a death rate of 9 percent and morbidity of thirty percent.


There were no surgical or 30-day infarctions or deaths. There were no deaths or complications with pulmonary disease. (8) and the failure of renal function (1) as well as bleeding (1) with the total complication rate to be 18.9 percent. The median number of grafts used was 2.7 (range 1 - 5) for patients who had sternotomy surgery and 1.4 (range 3 to 4) for patients with thoracotomy.


When using alternative methods for the procedure of off-pump redo CABG The surgeon will often keep out of harm to existing internal mammary grafts that are patent and the associated morbidity that is associated with cardiopulmonary bypass.

Chest Pain Natural Treatment

Chest Pain Natural Treatment



Chest Pain Natural Treatment

Chest pain is among the most frequent reasons that people go to an emergency department (ER) which results in more than eight million ER visits per year.1 A lot of people are worried that they're having an attack on their heart whenever they experience chest pain. However, it could be due to many common conditions which aren't life-threatening.

A muscle strain or injury as well as stomach as well as pulmonary (lung) ailments, as well as mental reasons (e.g. anxieties) can all trigger chest pain.

Chest pain can differ in degree in its location, duration, and location. Based on the reason for this chest pain might be mild discomfort or sharp punctuated pain. Find out more about the causes behind chest pain, and the various ways to treat it at home to ease the pain.

What is Angina?

Angina is a term in medicine that refers to symptoms of chest discomfort that occurs when the circulation of blood and oxygen towards the heart gets interrupted. Angina is caused due to arteries that carry oxygen to the heart getting narrowed because of the accumulation of fatty substances.

Angina pain can be caused by physical stress or stress and is usually relieved by relaxation. It can feel like you're pressing, squeezing or pain inside your chest. The pain and discomfort of angina can extend into your jaw, neck or shoulders, arms or even your back. Angina may also be a feeling of stomach pain (heartburn).

There are three kinds of angina:

Stable angina is because the heart works more than normal to maintain blood flow. Rest and medication can ease this common kind of angina.

Unstable angina does not have an established pattern. It can occur regardless of physical activity. It is not able to disappear when you rest. It could indicate that you could be suffering from an attack of the heart soon and requires immediate medical attention.

Variant angina, the least common kind, is a possibility while you're resting. The use of medication can ease the condition.

If you're experiencing mild angina, it's important to consult your physician to discuss your concerns and obtain a diagnosis and treatment.

The Reasons

If you're experiencing chest pain it's an uncomfortable feeling. Your first thought maybe the possibility of an attack on your heart. Although chest pain is an obvious sign of a heart attack many other things can trigger chest pain, some of which aren't necessarily serious.

Heart-related Causes

Heartburn and chest pain are common causes of the heart are:

  • Angina chest pain due to obstructions in blood vessels that lead to the heart
  • Dissection of the aortic artery: tear the Aorta
  • Cardiomyopathy A disease in the muscle of the heart.
  • Heart attack The cause is a blockage of the flow of blood into the heart to the point of creating injury to the heart muscle
  • Myocarditis: Inflammation in the heart muscle
  • Pericarditis: Inflammation in the sac that surrounds the heart

Gastrointestinal-Related Causes

Causes of chest pain that are related to your digestive system. can be caused by:

  • Acid reflux: Heartburn
  • Esophagitis: Inflammation of the oesophagus
  • Gallbladder inflammation, or pancreas
  • Gallstones
  • Gastroesophageal reflux disorder (GERD) causes acid to flow from the stomach upwards to the oesophagus.
  • Gastrointestinal tract problems: Irritable bowel syndrome, ulcers
  • Pancreatitis

Pulmonary-Related Causes

Causes of chest pain in connection with breathing and your respiratory system are:

  • Asthma
  • Bronchitis
  • Bronchospasm
  • Chronic obstructive pulmonary disorder (COPD)
  • Pleurisy: Inflammation of lung tissues
  • Pneumonia
  • Pneumothorax: Collapsed lung
  • Pulmonary embolism: Blood forms a clot inside the lungs.
  • Psychological Reasons
  • The causes of chest pain which are psychological include:
  • Anxiety
  • Depression
  • Panic attack/panic disorder
  • The post-traumatic stress syndrome (PTSD)

The treatment of minor chest pains at Home

There are many ways you can use home remedies at home to relieve small chest discomfort. These remedies should be only used when you're certain that the chest pain isn't caused by something more serious like the condition known as angina (heart discomfort).

Baking Soda to Treat Heartburn

Many people believe that baking soda--sodium bicarbonate--provides relief for heartburn. Mix 1 teaspoon baking soda in 4 ounces hot or cold drinking water, and then drink. Baking soda neutralizes acidity and may prevent the onset of heartburn following a meal.

Research has proven that baking soda can be effective in reducing acid reflux but it could have adverse impacts on your heart, and it's, therefore, important to utilize this treatment moderately.3 Baking soda has sodium, so don't attempt this if you're taking a diet low in sodium.

Talk to your doctor if you are on prescribed medications or have an illness that is chronic before applying baking soda to treat your heartburn. If your symptoms of heartburn last longer than two weeks you should consult your doctor to determine if you have complicated reflux or other causes that may be contributing to the symptoms.

Cold packs for muscles Pain

A strain in the chest is the most common reason for chest discomfort. If you are experiencing chest pain because of injuries or muscle strain Icing the region with a cold wrap every day could help decrease inflammation and pain. Research suggests that cold packs alleviate chest pain, and could reduce the requirement for painkillers like ibuprofen or Acetaminophen.

Ginger for Gastric Pain

If you're suffering from chest pains due to gastrointestinal problems, ginger can aid due to its anti-inflammatory properties. Ginger is often employed as a solution for gastric issues like gas, bloating gastritis ulcers, gastritis and indigestion.

Ginger is a source of substances believed to ease irritations in the gastrointestinal tract as well as help reduce gastric contractions. Studies suggest that the antioxidants of ginger could aid in the gastroprotective benefits of ginger. Ginger is also believed to ease stomach upsets and help prevent vomiting and nausea.

Also, if your signs of stomach pain persist for longer than two weeks you should consult your physician to check for an ulcer or other possible causes of the symptom.

Hot Lemon Water to relieve Gas Pain

While there aren't any research studies to support this, however, many people believe that lemon juice could help promote healthy digestion by helping digest food faster and assisting digestion to take in nutrients more effectively. Some people find that lemons, as well as other citrus fruits, could make acid reflux more severe.

To test this remedy Mix 1 tablespoon of freshly squeezed lemon juice and 8 ounces cold or hot water and drink it for about 20 minutes before eating. This will aid in preventing stomach discomforts, including gas discomfort.

Be sure to speak with your doctor If your symptoms persist for longer than two weeks.

Turmeric to treat inflammation

Inflammation can trigger a variety of health issues and can be a cause of numerous chronic illnesses and diseases such as gastrointestinal issues. Turmeric, a ginger-related plant, is a herb that originates from the roots of the turmeric plant.

Curcumin, which is the primary active ingredient in turmeric is believed to decrease inflammation in the body and researchers consider it a viable alternative to treat and managing digestive issues.M

Research has proven that the components in turmeric can lower cholesterol levels and can help to prevent heart disease. It is possible to take turmeric supplements (available in the form of a prescription) or make use of them as a spice in cooking.

Coronary Artery Disease

What is Coronary Artery Disease?


What is Coronary Artery Disease?

Coronary artery disease develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Because of presence of some irritative substance in blood, the (endothelium) innermost layer of blood vessels gets damaged and cholesterol (lipid - LDL) and sometimes calcium gets deposited (plaque) in your artery (mainly coronary artery) which causes inflammation in coronary artery.

When plaque builds up, it narrows your coronary arteries, decreasing blood flow to your heart. Eventually, the decreased blood flow may cause chest pain (angina), shortness of breath, or other coronary artery disease signs and symptoms. A complete blockage can cause a heart attack.

Coronary artery disease often develops over decades; you might not notice a problem until you have a significant blockage or a heart attack. But there's plenty you can do to prevent and treat coronary artery disease. A healthy lifestyle can make a big impact.


If your coronary arteries gets narrow, they can't supply enough oxygen-rich blood to your heart — especially when it's beating hard, such as during exercise. At first, the decreased blood flow may not cause any symptoms. However, as plaque continues to build up in your coronary arteries, you may develop signs and symptoms, including:

Chest pain (angina): You may feel pressure or tightness in your chest, as if someone is crushing or as if someone has put some heavy weight on your chest. This pain, referred to as angina, usually occurs on the middle or left side of the chest. Angina is generally triggered by physical or emotional stress. The pain usually goes away within minutes after stopping the stressful activity. In some people, especially women, this pain may be felt in the neck, (left) arm or back.

Shortness of breath: If your heart can't receive enough blood, it can’t pump out enough blood to meet your body's needs. In such condition, you may develop shortness of breath or difficulty in breathing on exertion or extreme fatigue with exertion.

Heart attack: A completely blocked coronary artery will cause a heart attack. The classic signs and symptoms of a heart attack include crushing pressure in your chest and pain in your shoulder or arm, sometimes with shortness of breath and sweating. Sometimes a heart attack occurs without any apparent signs or symptoms.

Risk Factors

Age: Simply getting older increases your risk of damaged and narrowed arteries.

Sex: Men are generally at greater risk of coronary artery disease. However, the risk for women increases after menopause.

Family history: A family history of heart disease is associated with a higher risk of coronary artery disease, especially if a close relative developed heart disease at an early age. (Your risk is highest if your father or a brother was diagnosed with heart disease before age 55 or if your mother or a sister developed it before age 65)

Smoking: People who smoke have a significantly increased risk of heart disease. Exposing others to your secondhand smoke also increases their risk of coronary artery disease.

Alcohol use: Heavy alcohol use can lead to heart muscle damage. It can also worsen other risk factors of coronary artery disease.

High blood pressure: Uncontrolled high blood pressure can result in hardening and thickening of your arteries, narrowing the channel through which blood can flow. High blood cholesterol levels. High levels of cholesterol in your blood can increase the risk of formation of plaque (atherosclerosis). High cholesterol can be caused by a high level of low-density lipoprotein (LDL) cholesterol, known as the bad cholesterol. A low level of high-density lipoprotein (HDL) cholesterol, known as the good cholesterol, can also contribute to the development of atherosclerosis.

Diabetes: Diabetes is associated with an increased risk of coronary artery disease. Type 2 diabetes and coronary artery disease share similar risk factors, such as obesity and high blood pressure. Overweight or obesity. Excess weight (especially around waist) typically worsens other risk factors.

Physical inactivity: Lack of exercise also is associated with coronary artery disease and some of its risk factors, as well. High stress. Unrelieved stress in your life may damage your arteries as well as worsen other risk factors for coronary artery disease.

Unhealthy diet: Eating too much fatty food, salt and sugar can increase your risk of coronary artery disease.


The same lifestyle habits that can help treat coronary artery disease and can also help prevent it from developing in the first place. Leading a healthy lifestyle can help keep your arteries strong and clear of plaque. To improve your heart health, you can:

  • Quit smoking
  • Control conditions such as high blood pressure, high cholesterol and diabetes
  • Stay physically active
  • Eat a low-fat, low-salt diet that's rich in fruits, vegetables and whole grains
  • Maintain a healthy weight
  • Reduce and manage stress

However, pharmacological treatment is required along with lifestyle modification in coronary artery disease. But this pharmacological treatment will provide only temporary relief. For long term relief along with lifestyle medication & EECP therapy is effective.

EECP Treatment for Coronary Artery Disease.

Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. While several clinical studies appear to show that this treatment can be helpful in reducing symptoms of angina in patients withcoronary artery disease (CAD). EECP was approved by the US Food and Drug Administration in 1995 for the treatment of coronary artery disease (CAD).

Several studies suggest that EECP can be quite effective in treating ischemic heart disease. EECP significantly improved both the symptoms of angina (a subjective measurement) and exercise tolerance (a more objective measurement) in patients with CAD. EECP also significantly improved “quality of life” measures, as compared to placebo therapy.

 EECP (Enhanced External Counter Pulsation) treatment improves anginal symptoms and exercise tolerance, and reduces use of medication in patients with CAD. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111


Myocardial Infarction (MI)

What is Myocardial Infarction (MI)?


What is Myocardial Infarction (MI)?

Myocardial Infarction is commonly known as a heart attack occurs when blood flow decreases or stops, to a part of heart causing damage to the heart muscle.


Chest pain.


Discomfort which may travel into the shoulder, arm, back, Neck or jaw.

Heart Burn.

Women more often present without chest pain.

Women have neck pain or feet tired.

Myocardial Infarction (MI) Can Leads To:

  • Heart Failure.
  • Irregular Heart Beat.
  • Cardiogenic Shock.
  • Cardiac Arrest.

Myocardial Infarction (MI) May Occur Due To:

  • High Blood Pressure.
  • Smoking.
  • High sugar level (Diabetes).
  • Lack of Exercise.
  • Obesity.
  • High Cholesterol.
  • Poor Diet.
  • Excessive Alcohol Intake.
  • Coronary Artery Disease.


How To Diagnose:

  • Electrocardiogram (ECG).
  • 2D/3D Echo.
  • Blood Test (Trop-T, CPK, CPK-MB, CBC).
  • CT Coronary Angiography / Catheter Angiography.


There are many options to prevent heart attack Such as life style changes, medications, EECP Treatment & invasive procedures. Life style Modification is one of the treatment that can help patient to get back to normal life from this disease. Eat Healthy Diet (More Raw Vegetables & Fruits). Stop Oil and Ghee. Stop Milk and Milk Products. Stop Smoking and Alcohol. If you are overweight, you must talk to your Doctor about weight loss options. Avoid Stress.

EECP Treatment:

A treatment called EECP (Enhanced External Counter Pulsation) is approved by US-FDA to treat patients suffering from Myocardial Infaction (MI). It is Non-Surgical, Side-Effect free Treatment. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111



What is Hypertension (High Blood Pressure)?


What is Hypertension (High Blood Pressure)?

  Systolic Blood Pressure in mm of Hg Diastolic Blood Pressure in mm of Hg
Normal 120 80
Pre-Hypertensive 120-140 80-90
Hypertension Above 140 Above 90

Exact definition of high blood pressure is difficult. But in simple way, Systolic Blood pressure more than 140mm of Hg and/or diastolic blood pressure more than 90mm of Hg or if person is taking antihypertensive drugs is known as high blood pressure (hypertension).

High blood pressure is a common condition in which long continued elevated pressure or force of blood against blood vessel (i.e. in artery) wall may eventually cause health problem, such as heart disease. Blood pressure is determined by the amount of blood heart pumps out and the amount of resistance to blood flow in blood vessels. The more blood heart pumps out and the narrower arteries, the higher will be blood pressure.

Risk factors causing high blood pressure:

Age: The risk of high blood pressure increase with age.

  • Obesity or Overweight: As weight increases body demands for more oxygen and nutrients, so supply of blood to tissues increases. As the volume of blood circulated through your blood vessels increases, so does the pressure on blood vessel increases.
  • Metabolic syndrome causes: elevated LDL Cholesterol (Morethan 100mg/dl), or low HDL Cholesterol (lessthan 40mg/dl), increased triglyceride (morethan150mg/dl), and Diabetes Mellitus.
  • Tobacco: Use of tobacco either in form of smoking or chewing will cause blood pressure. The chemical substance in tobacco can damage the lining of blood vessels (particularly arteries) walls. This can cause narrowing of blood vessels and increases the risk of developing heart disease.
  • Too much salt (sodium) in diet will cause retention of fluid in body (therefore blood volume increases), which increases blood pressure.
  • Too little potassium in diet.
  • Stress: High level of stress can lead to temporary high blood pressure.
  • Lack of physical activity (i.e. sedentary lifestyle).

Signs & Symptoms:

One of the most dangerous aspects of hypertension is that you may not know that you have it (until some complication arises). In fact, nearly one-third of people who have high blood pressure don’t know it, as they remain asymptomatic, even if the blood pressure reaches dangerously high levels. If your blood pressure is extremely high, there may be certain symptoms to look out for, including:

  • Severe headache,
  • Fatigue,
  • Confusion,
  • Problem in vision,
  • Chest pain or discomfort,
  • Difficulty in breathing,
  • Irregular heartbeat,
  • Haematuria,
  • Epistaxis, etc…

These signs and symptoms are not specific and usually don’t occur until high blood pressure has reached a severe or life threatening stage. If you have any of these symptoms, see a doctor immediately. You could be having hypertensive crisis that could lead to a life threatening condition. Untreated or uncontrolled hypertension can lead to serious diseases such as stroke, heart disease, kidney failure and eye problems.


  • The goal of antihypertensive therapy is the reduction of cardiovascular and renal morbidity and mortality, with focus on controlling the blood pressure. 
  • Pre-hypertensive patient requires health promoting lifestyle modifications to prevent the progressive rise in blood pressure and cardiovascular disease. 
  • Regardless of therapy or care, hypertension will be controlled only if patients are motivated to stay on their treatment plan along with lifestyle modification measures. 
  • Patient whose blood pressure suddenly increases whenever they pays visit to doctor (is known as “white coat hypertension”) should monitor their blood pressure at home. 
  • Many therapeutic agents can be used for the pharmacologic management of hypertension. For treatment of hypertension drugs used are: Diuretics, ACE Inhibitors, ARBs, Beta-blockers, and Calcium channel blockers. 
  • Sometimes multiple drug therapy is generally required to achieve blood pressure targets.

Instructions For Patients (LifeStyle Modificataion):

  • Hypertension is a lifelong disorder. For optimal control, a long term commitment to lifestyle modification along with medicine is required (which will reduce cardiovascular risk factors).  
  • Weight control: an increase in body weight and waist circumference is associated with an increased risk of developing conditions with high cardiovascular risk, such as hypertension, diabetes mellitus, and left ventricular hypertrophy.  
  • Appropriate amount of aerobic physical activity at least 30 minutes daily should be done for weight reduction.  
  • Diet - low in salt or salt restricted diet should be taken and avoid intake of fatty food.  
  • Increase dietary intake of green leafy vegetables and fruits.  
  • Say NO to alcohol consumption, smoking, tobacco chewing, and use narcotic substances such as cocaine.
















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