Sir !! first of all I would say you are an amazing Doctor . You try hard to give health education to masses to prevent health issues which is invaluable. I really admire you for this. Concerning to BP monitoring by nurses in your office , what you have told is a major error because difference between 130/80 and 190/130 is very huge and unacceptable . This is a question about the skills of the nurse who measured BP because even manual BP apparatus does not make that big difference. And if it does then Sir I would request you to please provide didgital BP apparatus for the nurses to avoid these kind of hazardous errors as you said lot of noise combined with one’s hearing ability can cause this big difference . Sir please provide digital BP monitors for nurses in public interest . Regards and Thank you Sir 🙏 And second thing
Exercise time : 6:47 minutes. Max HR attained: 173 bpm, 88% of target 196 bpm Max bp: 140/90mmhg Max workload attained: 9.5 Mets (Good effort tolerance) Reason for termination: Patient completed test No significant ST segment changes noted during exercise or recovery stages. No Angina/arrhythmmia/s3/murmur. Final impression: Test is negative for inducible ischaemia. Age : 24 years Male. Sir Is the tmt test okay and exercise time okay depending on my age.
Good Morning Sir!! Every video presented by you is an excellent guidance for all.. even i think for the newly entered in the medical field.. After watching this video it just raised a quresity in my mind about what happened to that patient of Aortic dissection.. Did you treat him n is he doing well now? Will be glad if you satisfy my query.. Thanks & Regards.. Eager to watch more such videos.. 🙏
Dr. Sahab namaste ji. I am severe heart failure patient. Exemplary advice. My bp remain 85 - 56 p 60. In evening it fluctuate and up upto 120 - 89 p 82 and ghabrahat baichaini in evening afternoon. I have been implanted with a dual chamber AICD device last yr.
Doc, My Mother is 50 years old and she had a problem of angina chest pain.Cardiologist suggested Ecg(Normal),Echo(Normal) but TMT positive.She asked my mother to take 1)Nicoduce 5mg 2) Angioplat 2.5mg 3)Flavedon MR(2 times) 4)Ecospirin Gold 20 Her lipid profile is normal but still she is suffering from Chest pain atleast 1-2 times a Day.Now he is suggesting to undergo conventional Angiography.But my Mother is a little bit nervous so can we do Ct angiography or conventional angiography?? Please reply Doc
Hello sir meri age 38 years h . Mera BP hamesa badh jata h 140/90 150/90 Mujhe pahle kabhi BP ki problem nhi thi . 2 saal phle achanak meri maa ki death ho gyi wo apne buaa ke ghar pr thi hm sb unse ek baar mil bhi nhi paye Uske baad se prayah mera BP badh jata h or sr bohot dard krne lgta h Mujhe hmesha yhi lgta h ki sayad meri maa mari nhi thi Sayad ye sb ek bura sapna h
Sir mujhe high bp 4 month say dignos houa hai mujhe dr nay Met XL-T advice kiya hai ab jab bee ger per bp check kerty hai tu 115/78 Kay aspas ata hai but clink may 135 /78 ya ussy bee jayada hi ata hai
Doctor my husband is a pancreatic patient.He is having home cooked food with very less mustard oil. Weekly twice chicken n everyday salad n fruits. Rice daily at lunch. His triglycerides is 284 n vldl is 54. Please advise medication required or diet will help. What to be stopped. Please reply 🙏
My BP is 136/117/104,,, it's fluctuating fast and after walking and physical exercise it increases and when I do Deep Breathing through Left Nostril (चंद्र स्वर) then only it comes down to 123/83/102,one more concern is extremely weather conditions also have impact as well is overthinking and concern about others well being, I feel causes fluctuations, which one is more serious the Diastolic or Systolic ,?? God Bless You and Your Family
Dear doctor my normal bp is usually 160/90/ pulse 72 , perfectly fine by health , body Fit and solid ,no sign of anything negative ,doing day workout age 52 looking like 40 should I need any medical assistance,no swelling in body
Hello Sir, Very informative session given. If possible can you let me know which BP machine almost gives good accuracy. My age is 41 and I've got BP when i was 22 years old. It will be great help if you can let us know to opt a Good BP machine.
@@cardiacsecondopinion2880 sir kya moderate concentric LVH grade 1 lvdd ki wajah mitral regurgitation tricuspid regurgitation ho toh bp ko 120/80 tak control kare toh kya woh reverse kiya ja sakta hai please tell 🙏
Sir moderate concentric LVH grade 1 lvdd mild MR TR blood pressure taking olmesartan olmesar 20 for bp blood pressure 120/80 tak control rakhe toh usually reverse hone me kitna time lagata hai please tell 🙏
Sir my mother is 47 y old , symptoms- low oxygen Sweating No heart pain, no agina But feel week but able to do all work but yes she feel low energy. All blood test are normal, tmt positive bcs she have problem while walking due to her pain problem in knee. Echo normal Ecg normal. Blood is 9.4 (12-15) She had the same problem in 2022 same symptoms with agina but hemoglobin was low that time (7) after taking blood tab she was fine from last 2 years . Ans same happen now and now dr. Is too not sure and saying ma'am your tmt is positive and your symptoms are showing heart related pls take medicines and pls come ek baar angiography krke dekhna padega . Now u know there is always risk in angiography what do you suggest? Right now she is OK, taking her medicines , doing her day to day work but only symptoms she have is low o2 ( not to low) and feeling low energy in doing day to day work . No chest pain, no irregular heart beats.
sir kya moderate concentric LVH grade 1 lvdd ki wajah mitral regurgitation tricuspid regurgitation ho toh bp ko 120/80 tak control kare toh kya woh reverse kiya ja sakta hai please tell 🙏
agar kisi ka cimt/limbs arteries me no plaque h toh kya keh sakte h ki uski coronary artery me bhi plaque nhi hoga?... agar patient ki peripheral arteries me no plaque h toh kya keh sakte h ki usski coronary artery me bhi plaque nhi hoga?
Hii DOCTOR.... PLEASE REPLY sir.... My Grandfather 78yrs undergoing MID RCA 100% Block STENTING today.....no diabetes, multiple minor surgeries ,........and also had SEVERE MVP, ......
सर मेरी बेटी 15वर्ष की है उसको भलभ लिक होरहा है कभी कभी सीने मे दर्द भी होता है पहले कभी कभी सांस भी फूलता था जो अभी नहीं फूलता है चार महीने पहले एक हप्ते से ज्यादा बुखार लगा था अभी पेन्सिलिन का सुई परा है जो 21दिन पर परता रहेगा इसी ठीक करने के लिए क्या करे पटना मे कहा दिखये सर 🙏
Mein 1saal se olmegest ch 20 leti hoon and night mein embreta xr50 leti hoon starting mein olmegest 10 leti thi leki n woh control nahi kar paya. Ab kuch din se mera bp 100/60ya 90/65 rahne laga hai .ab mein kya karoo yeh meri samajh mein nahi aa raha hai
Sir pahele enam 2.5 leta tha 1 saal bad. Enam 5 le raha hu phir bhi150 bp ho Gaya abhi enam 5 ek+ adhar total 7.5 le raha hoon . phir bhi 140 Hain.kya kare?
Why are manual BP machine still used in hospital when they are so prone to error also due to external environments factors like noise and thermal variations, why not nurse use in hospital a professional medical grade electric BP machine?
Mera BP high rahta hai, ek specialist ko dikhaya tha , telmisartan 40 mg likha tha , leta hu, par Ghar par napne me 140,150 kabhi kabhi 160 Tak jata hai, kya karna cahiye
Jab aap apparatus se BP dekh rahay hai toh Ismay kaan ki chamta se kya matlab hua ,yeh device toh automatic reading dey deta hai ,sorry jara clarity se samzaay
सर जी मेरी मेट्रो हॉस्पिटल फरीदाबाद हरियाणा में सर्जरी हुई थी मेरे दो वाल बदली थी खून पतला करने की दवा खा रहा हूं सर जी कोई ऐसा समाधान नहीं है क्या जो खून पतला करने की दवा छोड़ दूं मेरी वाल आवाज करती है जैसे की कोई चम्मच बज रही है अंदर
Sir moderate concentric LVH grade 1 lvdd mild MR TR blood pressure taking olmesartan olmesar 20 for bp blood pressure 120/80 tak control rakhe toh usually reverse hone me kitna time lagata hai please tell 🙏
@@cardiacsecondopinion2880sir is video mei to sirf bp ko control aur monitor karne ko bola gaya hai.. kya 3 months sirf itna hi karna hai ya kuch aur bhi..?
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Dr. Sahab good morning sir. Very useful for heart failure patients whose lvef is less than 25.
God gifted cardio thorasic vascular surgeon ! You are are a boon for society sir . God bless you always
Nice advic.Dr.Sahab deserves lots of THANKS
You explain in very simple language, doing great job for humanity, god bless you
Thanks a lot
Sir !! first of all I would say you are an amazing Doctor . You try hard to give health education to masses to prevent health issues which is invaluable. I really admire you for this.
Concerning to BP monitoring by nurses in your office , what you have told is a major error because difference between 130/80 and 190/130 is very huge and unacceptable .
This is a question about the skills of the nurse who measured BP because even manual BP apparatus does not make that big difference.
And if it does then Sir I would request you to please provide didgital BP apparatus for the nurses to avoid these kind of hazardous errors as you said lot of noise combined with one’s hearing ability can cause this big difference .
Sir please provide digital BP monitors for nurses in public interest .
Regards and Thank you Sir 🙏
And second thing
सर अपने अच्छी तरह सब को महीतगार कीया सर आप हर पेंशन को बहुत उपयोगी होता सर धन्यवाद सर
u
I'm watching this from Nepal. I wish you were my dr. Thank you for informing us by giving valuable information
Always welcome
You may always avail online consultation
Exercise time : 6:47 minutes.
Max HR attained: 173 bpm, 88% of target 196 bpm
Max bp: 140/90mmhg
Max workload attained: 9.5 Mets (Good effort tolerance)
Reason for termination: Patient completed test
No significant ST segment changes noted during exercise or recovery stages.
No Angina/arrhythmmia/s3/murmur.
Final impression: Test is negative for inducible ischaemia.
Age : 24 years Male.
Sir Is the tmt test okay and exercise time okay depending on my age.
Excellent Advise. You Are As Always So Caring And Guiding General Public. May God Bless You.
Many many thanks
आपने कार से तुलना की जो बहुत अच्छी तुलना है। 😮😮😮😮
Good morning sir thanks for valuable information
Congratulations
Most welcome
Very nice & helpful interpretation but my request is please suggest some good company BP monitor as we have limitations to select proper one
Omron
Good Morning Sir!! Every video presented by you is an excellent guidance for all.. even i think for the newly entered in the medical field.. After watching this video it just raised a quresity in my mind about what happened to that patient of Aortic dissection.. Did you treat him n is he doing well now? Will be glad if you satisfy my query.. Thanks & Regards.. Eager to watch more such videos.. 🙏
He was operated on by me as an emergency, we did a ascending aortic repair and that patient is a happy man, working full time in Gurgaon currently
Dr. Sahab namaste ji. I am severe heart failure patient. Exemplary advice. My bp remain 85 - 56 p 60. In evening it fluctuate and up upto 120 - 89 p 82 and ghabrahat baichaini in evening afternoon. I have been implanted with a dual chamber AICD device last yr.
Thank you Sir, and you are showering lot of knowledge to us. Appreciate very much. Karanjit
It's my pleasure
Doc, My Mother is 50 years old and she had a problem of angina chest pain.Cardiologist suggested Ecg(Normal),Echo(Normal) but TMT positive.She asked my mother to take
1)Nicoduce 5mg
2) Angioplat 2.5mg
3)Flavedon MR(2 times)
4)Ecospirin Gold 20
Her lipid profile is normal but still she is suffering from Chest pain atleast 1-2 times a Day.Now he is suggesting to undergo conventional Angiography.But my Mother is a little bit nervous so can we do Ct angiography or conventional angiography??
Please reply Doc
Please book an online consultation for such personalized recommendations
Sir would you plz tell us what happened in body when insulin level is high due to food?
Hello sir meri age 38 years h . Mera BP hamesa badh jata h 140/90 150/90
Mujhe pahle kabhi BP ki problem nhi thi . 2 saal phle achanak meri maa ki death ho gyi wo apne buaa ke ghar pr thi hm sb unse ek baar mil bhi nhi paye
Uske baad se prayah mera BP badh jata h or sr bohot dard krne lgta h
Mujhe hmesha yhi lgta h ki sayad meri maa mari nhi thi
Sayad ye sb ek bura sapna h
Thanku sir for good information
Welcome
Best information sir
Thanks
Sir you and Navin Aggrawal are gems of you tube. Hats up!
Sir mujhe high bp 4 month say dignos houa hai mujhe dr nay Met XL-T advice kiya hai ab jab bee ger per bp check kerty hai tu 115/78 Kay aspas ata hai but clink may 135 /78 ya ussy bee jayada hi ata hai
Hello doctor I will see your video is very good knowleagle I have one question when I take tablet for BP in night or in morning which is best
Sir muje baspan me vsd opreson kiyatha
Ab echo me TR modret aur palmory mild senoisis hai
Chest pain hota hai kya karana chahiye sir
Dr Shab 🙏 sir very useful topic hai.
Thanks for liking
Please share with your friend
Sure Sir 🙏@@cardiacsecondopinion2880
Very useful
Sir konsa Kompany ka BP monitor degital accha hota hai. Advice company to purchase new one.
Omron/Dr trust
Doctor my husband is a pancreatic patient.He is having home cooked food with very less mustard oil. Weekly twice chicken n everyday salad n fruits. Rice daily at lunch. His triglycerides is 284 n vldl is 54. Please advise medication required or diet will help. What to be stopped. Please reply 🙏
No medicines based on these reports at least. If you want a more detailed discussion, you may book online consultation by calling at 7000006735
Omron का BP मशीन सबसे अच्छी है। 🎉🎉
My BP is 136/117/104,,, it's fluctuating fast and after walking and physical exercise it increases and when I do Deep Breathing through Left Nostril (चंद्र स्वर) then only it comes down to 123/83/102,one more concern is extremely weather conditions also have impact as well is overthinking and concern about others well being, I feel causes fluctuations, which one is more serious the Diastolic or Systolic ,?? God Bless You and Your Family
It's fine brother....
Never ignore diastolic bp.. get 2D echo test done, talk to doctor and strictly control bp.
Sir , Kis company ki digital bp checking machine Sabse accuracy Hoti hai?
Dear doctor my normal bp is usually 160/90/ pulse 72 , perfectly fine by health , body Fit and solid ,no sign of anything negative ,doing day workout age 52 looking like 40 should I need any medical assistance,no swelling in body
Sir, kindly guide us of which company electronic b. p. machine is preferable.
Omron/DrTrust
Good information ji
Thanks
As regard bp reading by paramedics, it is faulty quite often.
डॉ विशाल धीर ने की थी सर्जरी मुझे खून पतले करने दवाई की Acitrom 2mg तीन महीने पहले सर्जरी हुई थी मुझे हर हफ्ता पीटीएनआर टेस्ट करना पड़ता है
Mahine mein ek baar kafi hota hai. Kya bahut deranged values aati thi?
I'm 60yr old n doing resistance training 5days a week also BP patient can I use creatine supplement whether it's safe to consume
I would not recommend supplements. Strength training for a long way to improve your health at this age
Sir mera BP 138- 140 rahta hai lekin jab se pta chla hum daily exercise karte hai kuch tips de sakte hai sir jisee kam ho jaye
Hello Sir, Very informative session given. If possible can you let me know which BP machine almost gives good accuracy. My age is 41 and I've got BP when i was 22 years old. It will be great help if you can let us know to opt a Good BP machine.
Omron
If someone takes blood pressure medicine 💊 it has any side affects?
And when I should started the medicine doctor
Sir kya moderate concentric LVH grade 1 lvdd ki wajah se mild mitral regurgitation tricuspid regurgitation ho sakta hai?
Yes
@@cardiacsecondopinion2880 sir kya moderate concentric LVH grade 1 lvdd ki wajah mitral regurgitation tricuspid regurgitation ho toh bp ko 120/80 tak control kare toh kya woh reverse kiya ja sakta hai please tell 🙏
My (21yrs)ASD (39mm) surgery is done . After it my heart rate is normal (67-80)per minute but itna jor se beat karta hai ki pura sarir hila deta hai?
Sir moderate concentric LVH grade 1 lvdd mild MR TR blood pressure taking olmesartan olmesar 20 for bp blood pressure 120/80 tak control rakhe toh usually reverse hone me kitna time lagata hai please tell 🙏
Hello sir jb bp regularly hi 160 se uper rhne lge tbhi medicine start krni chahiye ya kbhi kbhi badhne pr bhi ...
You mentioned "BP should decrease by exercising". Do you mean it should decrease overtime or during and immediately after exercise?
Immediately after exercise it will be low for healthy individuals
Sir my mother is 47 y old , symptoms- low oxygen
Sweating
No heart pain, no agina
But feel week but able to do all work but yes she feel low energy.
All blood test are normal, tmt positive bcs she have problem while walking due to her pain problem in knee.
Echo normal
Ecg normal.
Blood is 9.4 (12-15)
She had the same problem in 2022 same symptoms with agina but hemoglobin was low that time (7) after taking blood tab she was fine from last 2 years . Ans same happen now and now dr. Is too not sure and saying ma'am your tmt is positive and your symptoms are showing heart related pls take medicines and pls come ek baar angiography krke dekhna padega . Now u know there is always risk in angiography what do you suggest?
Right now she is OK, taking her medicines , doing her day to day work but only symptoms she have is low o2 ( not to low) and feeling low energy in doing day to day work . No chest pain, no irregular heart beats.
Best BP monitaring machine kon si hai?
Doc is Ct angiography covered under corporate health insurance?? Pls reply
Very few premium insurance where OPD treatment is also covered, will cover this
Does BP medicine interact with creatine supplement
Thanks Dr
Welcome
Do we have to worry about systolic and diastolic value difference less than 30. Or if diastolic lies between 90-100
If Diastolic bp is high then you must get 2D echocardiography test done and consult a good doctor.
Doctor saab, aajkal watches mil rahe hain jisko pehne rakhne se 24 hours continuously bp check hota hai. Kya woh bhi reliable hain?
No
What about diastolic bp ,what should be the range for older adults above 70 years
It doesn't mean much, unless it's regularly over 90
sir kya moderate concentric LVH grade 1 lvdd ki wajah mitral regurgitation tricuspid regurgitation ho toh bp ko 120/80 tak control kare toh kya woh reverse kiya ja sakta hai please tell 🙏
Sir, of which company is digital BP instrument is reliable.
Omron
Which company are better
agar kisi ka cimt/limbs arteries me no plaque h toh kya keh sakte h ki uski coronary artery me bhi plaque nhi hoga?... agar patient ki peripheral arteries me no plaque h toh kya keh sakte h ki usski coronary artery me bhi plaque nhi hoga?
Sir if angiography is normal and calcium score is normal then can a heart attack occur?
Yes, but the risk is less
Thanks for video
What is cost of it ?
Good brands?
Depends
Generally omron is considered as the market leader.
@@cardiacsecondopinion2880 thanks 🙏
Hii DOCTOR.... PLEASE REPLY sir.... My Grandfather 78yrs undergoing MID RCA 100% Block STENTING today.....no diabetes, multiple minor surgeries ,........and also had SEVERE MVP, ......
Is STENTING IS SAFE sir...what to do
In good hands, it's safe
Dr sahib I your subscriber please btae brand name bp machine Jo best ho
Omron
सर मेरी बेटी 15वर्ष की है उसको भलभ लिक होरहा है कभी कभी सीने मे दर्द भी होता है पहले कभी कभी सांस भी फूलता था जो अभी नहीं फूलता है चार महीने पहले एक हप्ते से ज्यादा बुखार लगा था अभी पेन्सिलिन का सुई परा है जो 21दिन पर परता रहेगा इसी ठीक करने के लिए क्या करे पटना मे कहा दिखये सर 🙏
Sir kya female me Early menopause ki vajah se bhi bp fluctuate hota hai?
Yes
Sir bp monitor also gives different readings at the same time
I usually take 3 consecutive readings
Yes, you are right
Dr Mahesh vadhwni best doctor Paras hospital
❤...❤. .❤
CT angiography aayusman card par bhi ho jati kya aapke hospital mein
Not at Paras hospital
Mein 1saal se olmegest ch 20 leti hoon and night mein embreta xr50 leti hoon starting mein olmegest 10 leti thi leki n woh control nahi kar paya. Ab kuch din se mera bp 100/60ya 90/65 rahne laga hai .ab mein kya karoo yeh meri samajh mein nahi aa raha hai
Bp monitor k kaunsa company ka acha hai?
Omron
Sir kya heart attack ka risk sabme hota hai
Yes
Sir beforey lvf 58 now 62 now again other complications tr maild pha mild sir wt can i doo they giving only arbital 40 am tablet
हाई बीपी में तीन दबाई खाने के बाद भी बीपी कम नहीं होता क्या करे
Sir pahele enam 2.5 leta tha 1 saal bad. Enam 5 le raha hu phir bhi150 bp ho Gaya abhi enam 5 ek+ adhar total 7.5 le raha hoon . phir bhi 140 Hain.kya kare?
Please follow all the instructions given in the video for 3 months and then take a call
Sir mitral regurgitation tricuspid regurgitation me repair karne k liye non surgical option kuch hai ?
Aapki age kitni h.?
@@truthseeker2531 45 year wbu
Sir please mention the name of the bp machine
You may buy omron, they are the world leaders
Diastolic BP kyu bdha hota h isse kya hota h
Sir meri pulse rate noramlly 100+ chalti h then kuch activity karne ke baad 140+ tak pooch jatii h ..Mein kya kar sakhta hu?? Meri age 18 years h
Exercise more, and less coffee/Tea
Okk thanks
@@cardiacsecondopinion28806:03
Why are manual BP machine still used in hospital when they are so prone to error also due to external environments factors like noise and thermal variations, why not nurse use in hospital a professional medical grade electric BP machine?
Mera BP high rahta hai, ek specialist ko dikhaya tha , telmisartan 40 mg likha tha , leta hu, par Ghar par napne me 140,150 kabhi kabhi 160 Tak jata hai, kya karna cahiye
Bisoprolol b add kara lo doctor se
Please follow all the instructions given in the video for three months and get back to me after three months
@@cardiacsecondopinion2880 kindly share the link of video
🙏
🎉🎉🎉
Jab aap apparatus se BP dekh rahay hai toh Ismay kaan ki chamta se kya matlab hua ,yeh device toh automatic reading dey deta hai ,sorry jara clarity se samzaay
Video phir se dekhiye
सर जी मेरी मेट्रो हॉस्पिटल फरीदाबाद हरियाणा में सर्जरी हुई थी मेरे दो वाल बदली थी खून पतला करने की दवा खा रहा हूं सर जी कोई ऐसा समाधान नहीं है क्या जो खून पतला करने की दवा छोड़ दूं मेरी वाल आवाज करती है जैसे की कोई चम्मच बज रही है अंदर
Sir moderate concentric LVH grade 1 lvdd mild MR TR blood pressure taking olmesartan olmesar 20 for bp blood pressure 120/80 tak control rakhe toh usually reverse hone me kitna time lagata hai please tell 🙏
Follow all the advices given in the video, you may see results in 2-3 months
@@cardiacsecondopinion2880 can u share me link of video please doctor i m very tensed abt moderate concentric LVH n Lvdd
@@cardiacsecondopinion2880sir is video mei to sirf bp ko control aur monitor karne ko bola gaya hai.. kya 3 months sirf itna hi karna hai ya kuch aur bhi..?