Tuesday, 12 July 2016

Management of Diabetic Foot


This video is about diabetic foot disease and why people with diabetes are losing their legs. There are blood vessels which carry good blood and ones which carry bad blood. The vessel which carries good blood is called artery. People with diabetes may develop blocks in the arteries of their legs resulting in gangrene which is death of the tissue. This is more common in people with diabetes, blood pressure, high cholesterol and in people who smoke or use tobacco in any form.

Talk by Prof N Sekar, MS, MNAMS, MCh (vascular), FICS, DSc (Hon.Causa), FRCS (Glasgow), Senior consultant vascular surgeon, Kauvery Hospital, Chennai.

Monday, 11 July 2016

Importance of Medicines, Diet and Physical Activity to control Coronary Heart Disease


Lot of patients come to our OPD and ask us as to why they developed Coronary Artery Disease. Once I say that this is because of long standing diabetes and blood pressure, their immediate reply would be why they developed heart disease even though their sugar and pressure has been well under control for the past 10 years. So, that obviously means that taking medicines alone for the adequate control of sugar and pressure is not enough and you have to go beyond. This is called "Lifestyle Modification".

Dr. K.P.Suresh Kumar, Chief Cardiologist at Kauvery Hospital, talks about the importance of medicines, diet and physical activity to control Coronary Heart Disease.


Thursday, 7 July 2016

Myths of Spinal Surgery


Most people think that spine surgery is very complicated and one will get bed ridden and one cannot get back to normal activties. This is a myth. Spine surgery is safe. Complications occur only in about 1 or 2% of patients. Many of the spinal surgeries can now be done through minimally invasive methods. A patient who has undergone a spine surgery gets back to normal life. Failure to get back to normal is extremely rare. Get help before problem advances. Never keep spine surgery as last resort.

Dr. G. Balamurali, Spine and Neuro Surgeon at Kauvery Hospital, talks about the myths of spinal surgery.

Coronary Artery Bypass Grafting [CABG]


Coronary Artery Bypass Grafting [CABG] is usually performed on patients with coronary artery disease when they have one or more critically blocked vessels that supply blood to the heart. Coronary artery patients usually present to the cardiologist with critical occlusions caused by cholesterol or calcium deposits in the coronary arteries. This disease is a lifestyle disease and has many risk factors including uncontrolled diabetes, uncontrolled high blood pressure and or smoking along with family history of coronary artery disease and lack of exercise. 

Dr. J. Saravana Ganesh, Consultant Cardiothoracic Surgeon at Kauvery Hospital talks about Coronary Artery Bypass Grafting.


Wednesday, 6 July 2016

What Triggers Palpitations

Palpitations are a rapid, strong and irregular heartbeat due to some kind of illness or excess agitation or overexertion of the muscles. Palpitation is associated with anxiety and does not necessarily indicate any abnormality of the heart, but it can be a symptom arising from an irregular heartbeat. The anxiety might be caused due to excess consumption of caffeine or nicotine or alcohol. Sometimes palpitations could occur during pregnancy. Palpitation can be intermittent and of different intensity and duration, or continuous. Generally, palpitations are not serious or harmful and usually go away on their own.

What causes palpitations?
Palpitations are mainly associated with the following

• Coronary heart diseases, congestive heart failure, heart valve problems.
• Thyroid problems such as hyperthyroidism.
• Low blood pressure, fever.
• During pregnancy if the mother has anemia or hormonal changes.

Some people experience palpitations after eating heavy meals composed of a lot of carbohydrates, sugar, or fat. Monosodium Glutamate (MSG) present in certain foods can also trigger palpitations.

Wonder what happens to the heart during palpitations?

During palpitation the upper chamber of the heart, the arteries contract prematurely. In order to compensate this, the arteries rest for a fraction of a second longer than usual and this is followed by the forceful contraction of the lower chambers of the heart (the ventricles).

Sometimes the lower chambers of the heart contract prematurely and if this keeps continuing for every beat then it leads to a condition called ventricular fibrillation. Ventricular fibrillation requires immediate medical attention because it is the most frequent cause of cardiac arrest.

Here are the symptoms associated with palpitations.

• The person might begin to feel slightly dizzy or light headed.
• The person could experience difficulty in breathing properly.
• Sometimes the person might faint and lose consciousness.
• Excessive sweating accompanied by pain and pressure in the chest can also be felt.

Medical treatment is required as soon as possible if the condition becomes serious.

How do you control palpitations?

In many cases, palpitations are harmless and go away on their own. Generally, if there are no underlying conditions like a heart disease then  the following might prove very effective:


• Keep your alcohol, nicotine and caffeine levels under control.

• Stress and anxiety are a major cause so focus on doing more yoga and relaxing exercises. Take a peaceful walk on the beach and focus on keeping serene.

• If you have allergies that make you cough, avoid those substances at all cost.

These are very general methods to avoid palpitations, but for more specific conditions like anemia or heart disease, more focus should be given to eliminate the underlying disease.

So, once you’ve found the problem and treated it, make sure you follow the correct lifestyle to keep palpitations at bay and safeguard your ever pumping heart from danger.
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