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Cardiologist in Hyderabad are increasingly seeing cases like Rajesh’s. Rajesh, 40, a non-smoker and non-drinker, IT team lead in Hyderabad, and father of two, had been going to the gym for three years. He was proud of his consistency. On a Thursday evening in March, while finishing his chest press set, he felt a sudden, crushing pressure in the chest. His vision narrowed. He hit the floor. He was lucky. His gym had a defibrillator. One trainer knew CPR. The ambulance arrived in 8 minutes. Within an hour, he was receiving cardiac arrest treatment in Hyderabad; a stent was placed, the artery reopened, and the heart muscle was being saved. Rajesh survived. Many like him do not. 

Why Did This Happen to a Healthy, Non-Smoking Gym-Goer?

Non-smoker heart attack risk is a subject cardiologists are raising alarms about across India. The vast majority of Indian men in their 30s and 40s who suffer cardiac events are non-smokers. When Rajesh’s arteries were examined after his cardiac arrest, his right coronary artery was 90% blocked. He had no symptoms — none that he had noticed and acted on. What he did have was a combination of:

  • Coronary artery disease has been building silently for a decade
  • Undetected high LDL cholesterol is often genetic
  • Chronic work stress with years of poor sleep
  • High triglycerides from a diet heavy in refined carbs and fried food
  • Family history, which he was aware of, but never acted on

Warning Signs Before Cardiac Arrest That People Miss

  • Unusual fatigue in the weeks before the event, ‘I assumed it was work pressure.’
  • Shortness of breath doing things that previously felt effortless, ‘I thought I needed to train harder.’
  • Brief, passing chest discomfort — ‘It felt like gas. I took an antacid’
  • Jaw or neck tightness: I put it down to posture at my desk.’
  • Palpitations during exercise, ‘I thought it was just my heart rate going up.’

These warning signs before cardiac arrest are whispers. If you are experiencing any of these consistently, visiting the top heart specialist in Hyderabad is not an overreaction — it is what saves lives.

What Is Coronary Artery Disease?

Coronary artery disease (CAD) is the slow, progressive narrowing of the arteries that supply blood to the heart caused by the buildup of plaque on the inner walls. When a piece of plaque ruptures, a blood clot forms instantly. If that clot fully blocks the artery, the heart muscle begins to die within minutes. CAD is the single leading cause of death in India and affects non-smokers just as much as smokers.

What Is Angioplasty and How Did It Save Rajesh?

After Rajesh arrived at the emergency cardiac care facility, doctors performed a coronary angiogram, identified the blockage within minutes, and performed angioplasty treatment in Hyderabad, threading a catheter to the blocked artery, inflating a balloon to compress the plaque, and placing a stent to keep it open. The procedure took under 45 minutes. Blood flow to Rajesh’s heart was restored. This is why the best cardiologist in Hyderabad for emergencies matters so much in cardiac arrest; every minute counts.

CPR Treatment: Why Every Person at That Gym Matters

When Rajesh collapsed, it was not the doctor who saved him first — it was the gym trainer. CPR (Cardiopulmonary Resuscitation) kept blood flowing to Rajesh’s brain and heart during the critical minutes before the ambulance arrived. Without CPR, he would almost certainly have suffered irreversible brain damage or death. CPR involves pressing hard and fast on the center of the chest, 100 to 120 compressions per minute, to manually pump blood when the heart has stopped.

What You Should Do If You Are in a Similar Situation

  • Get a cardiac screening, especially if you are male, over 35, with a family history
  • Do not skip symptoms. Brief chest tightness or unusual fatigue during exercise should be evaluated immediately
  • Learn CPR; it takes 30 minutes and can save a life in your home, office, or gym
  • If you witness a cardiac arrest, call emergency services, begin chest compressions, and do not stop until help arrives

Conclusion

Cardiac arrest can happen to anyone — not just the smoker, the obese, or the sedentary. Rajesh’s survival was the presence of someone trained to act, access to excellent cardiac arrest treatment in Hyderabad, and the skill of the interventional cardiology team that treated him.

Dr C. Raghu—Interventional Cardiologist, Yashoda Hospital, Somajiguda, Hyderabad
Known for his expertise in emergency heart attack treatment in Hyderabad and complex angioplasty procedures. His team provides round-the-clock emergency cardiac care to patients across Hyderabad and beyond.


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October 27, 2022 AbhijitHeart Failure

In our previous blogs, we’ve explored the causes, symptoms, and treatment options of heart failure. Also, we’ve outlined different types of heart failure in detail. You can click here to check out our previous blogs.

In this article, we’ll discuss left ventricular ejection fraction, one of the most common parameters doctors use to diagnose heart failure. Let’s dive right in.

left ventricular ejection fraction

What Is Ejection Fraction?

Simply put, ejection fraction is a measure of the amount of blood pumped out from the heart’s lower chambers (ventricles). Ejection fraction can be of two types:

  • Left ventricular ejection fraction
  • Right ventricular ejection fraction

Right ventricular ejection fraction is the percentage of deoxygenated blood the right ventricle pushes into the lungs. On the other hand, left ventricular ejection fraction (LVEF) is the percentage of oxygen-rich blood pumped out from the left ventricle into the arteries that carry blood to vital organs, muscles, and tissues.

Typically, doctors use the term “ejection fraction” when they refer to LVEF. If your heart is healthy and well functioning, the ejection fraction will range between 55% to 66%. An ejection fraction lower than 50% is a sign of systolic heart failure (or heart failure with reduced ejection fraction).

However, it’s possible for you to develop heart failure with an ejection fraction above 50%. In such cases, there’s a problem with the relaxed (or diastolic) phase of the heart’s pumping cycle. The condition is known as diastolic heart failure (or heart failure with preserved ejection fraction).

It’s worth noting that an abnormally high ejection fraction (above 70%) could be an indication of a heart condition like hypertrophic cardiomyopathy.

Symptoms of Low Ejection Fraction

As mentioned earlier, a low ejection fraction (below 50%) is a sign of heart failure. It means that the heart is unable to pump an adequate amount of blood into the arteries. It results in a shortage of blood supply to various organs. Also, it causes excess blood to back up in the lungs.

The most common symptoms of low LVEF include:

  • Shortness of breath
  • Mental confusion
  • Pale or bluish skin color
  • Swelling in the abdomen, feet, and legs
  • Weight gain (due to fluid buildup)
  • Loss of appetite
  • Coughing and wheezing

Treatment of Low Ejection Fraction

Cardiologists use a wide array of tests to detect a low ejection fraction and its underlying cause. These include ECG, echocardiogram, chest X-ray, etc. The course of treatment depends on the underlying disorder that’s causing low LVEF.

The most common treatment options include medications, such as digoxin (to strengthen the heart’s contractions), beta-blockers (to ease the heart’s workload), and diuretics (to minimize fluid buildup in the body).

Additionally, your doctor will recommend lifestyle changes, such as weight loss, exercise, and a healthy diet to improve LVEF. Also, it’s a good idea to avoid alcohol consumption and tobacco smoking.

In Conclusion

A low LVEF is a prominent sign of systolic heart failure. It can cause symptoms like shortness of breath and fluid buildup in the body. If you’ve been diagnosed with a low ejection fraction, consult your doctor to explore your treatment options.

Dr. C Raghu is an eminent cardiologist with years of experience. He specializes in interventional cardiology. If you or anyone you know is experiencing symptoms of heart failure, feel free to consult Dr. Raghu today.

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      October 1, 2022 AbhijitHeart Failure

      Heart failure is an umbrella term for a set of physical symptoms arising due to the gradual deterioration in the heart’s pumping ability. The term “congestive heart failure” was traditionally used because the condition resulted in fluid buildup and congestion in the lungs.

      However, doctors and medical researchers have found that it causes a wide array of other symptoms. That’s why they now refer to the condition as heart failure.

      What Happens in Congestive Heart Failure?

      A healthy human heart relaxes and contracts nearly 100,000 times a day and pumps more than 2,000 gallons of blood throughout the body. The cardiovascular system also includes a network of arteries and veins to transport deoxygenated and oxygenated blood to and from the heart. If any part of the system falters, it can disrupt the flow of blood to vital organs.

      Heart failure is characterized by a progressive decline in the heart’s power to pump blood. When that happens, the heart goes through a series of structural changes (knowns as cardiac remodeling) and beats faster to pump more blood.

      Also, the blood vessels constrict to stabilize blood pressure and restrict blood supply to non-critical organs like the skin and kidneys. When blood flow to the kidneys reduces, it compels the body to retain more fluid and sodium.

      All these short-term fixes result in more damage and cause even more stress to the heart muscles. That, in turn, results in further deterioration of the heart’s pumping action.

      Congestive Heart Failure Symptoms: A Closer Look

      heart failure system

      The heart failure symptoms vary depending on whether they’re caused due to a lack of oxygen or an increase in fluid build.

      Lack of oxygen supply results in the following heart failure symptoms :

      • Confusion
      • Weight gain
      • Fatigue
      • Discolored or bluish skin

      Excess sodium and fluid buildup in the body causes the following heart failure symptoms:

      • Lung congestion
      • Shortness of breath
      • Coughing and wheezing
      • Loss of appetite
      • Swelling of feet and abdomen

      Causes and Types of Congestive Heart Failure

      The most common causes of heart failure include:

      There are various ways to categorize congestive heart failure. Depending on the part of the heart’s pumping that’s affected due to heart failure, it can be of the following types:

      Systolic heart failure

      Also, depending on the side of the heart that’s affected, heart failure can be categorized as left-sided failure and right-sided failure. The treatment approach a doctor will use depends on the type of heart failure a patient has developed.

      Stages of Heart Failure

      The American College of Cardiology and the American Heart Association has outlined four stages to denote the progression of heart failure. While Stage A is characterized by risk factors like underlying medical conditions, stage B shows structural changes in a patient’s heart. The more advanced stages (C and D) present visible symptoms.

      In Conclusion

      Heart failure (also known as congestive heart failure) is a progressive condition caused by the heart’s inability to pump blood adequately. It results in symptoms like shortness of breath, fatigue, weight gain, and brain fog.

      Dr. C Raghu is an eminent cardiologist with more than two decades of experience. If you or someone you know has developed congestive heart failure symptoms, consult Dr. Raghu to explore your treatment options.

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          October 1, 2022 AbhijitHeart Failure

          In our previous articles, we’ve discussed the symptoms of heart failure and the steps to diagnose the same. However, the course of treatment varies for every patient based on the type of heart failure they’ve developed.

          Depending on the part of the heart’s pumping cycle that’s been affected, there are two types of heart failure. In this blog, we’ll take a closer look at diastolic dysfunction and its symptoms.

          What Causes Diastolic Dysfunction?

          diastolic dysfunction

          The diastolic phase refers to the part of the heart’s pumping cycle when the ventricles (lower chambers) relax and let blood flow in from the atria (upper chambers). Diastolic dysfunction is a condition in which the ventricles don’t relax enough. That, in turn, prevents the normal amount of blood from entering the heart.

          Diastolic dysfunction is caused when the heart muscles become thicker and stiffer than usual. It’s more common in older women with hypertension and diabetes. If left untreated, it can lead to diastolic heart failure (also known as heart failure with preserved ejection fraction).

          Related : Understanding Congestive Heart Failure Symptoms

          What Does Preserved Ejection Fraction Mean?

          Ejection fraction refers to the volume of blood pumped out from the heart’s left ventricle with each contraction. For a healthy heart, the number falls in the range of 55% to 65%. A lower ejection fraction is one of the most common indicators of heart failure.

          However, it’s worth noting that many people with diastolic dysfunction have an ejection fraction of 50% or more (which is known as preserved ejection fraction). That means the left ventricle expels an adequate amount of oxygenated blood.

          However, the heart muscle doesn’t relax enough to let a sufficient quantity of blood in. That, in turn, causes the excess blood to back up in the lungs and results in fluid buildup in the feet and abdomen.

          How to differentiate systolic from diastolic dysfunction ?

          diastolic dysfunction

          In contrast to systolic dysfunction where the heart muscle is “weak”, in diastolic dysfunction the heart is “stiff”. This means that the heart is unable to pump blood out of the heart in systolic dysfunction whereas the heart is unable to accept further blood in diastolic dysfunction. Both conditions lead to congestion or fluid accumulation in various organs of the body. Differentiation of heart failure from systolic and diastolic dysfunction is not possible as both diseases present with similar symptoms. 

          Which conditions lead to Diastolic dysfunction?

          • Diastolic dysfunction appears consequent to uncontrolled or long-standing diabetes
          • Hypertension
          • Obesity as well as elderly people
          • Women and atrial fibrillation

          The best way to prevent and treat diastolic dysfunction is by effective control of the diseases mentioned above.

          Symptoms of Diastolic Dysfunction

          The most common symptom of diastolic dysfunction is congestion and shortness of breath due to the buildup of blood and fluid in the lungs. Breathing difficulties can get particularly worse during exertion or when lying.

          Other symptoms of diastolic dysfunction include:

          • Coughing and wheezing (due to lung congestion)
          • Loss of appetite and nausea (due to fluid buildup around the liver and in the stomach)
          • Swollen feet, legs, and abdomen (due to fluid accumulation)

          If you experience any of the given symptoms, it’s crucial to consult a doctor for a proper diagnosis.

          Treatment of Diastolic Dysfunction

          Treatment of diastolic dysfunction involves a combination of medications (diuretics or water pills) and lifestyle changes. In severe cases, a patient might need left ventricular assist devices or a heart transplant.

          Is Diastolic Dysfunction Serious?

          In the long run, diastolic dysfunction can lead to diastolic heart failure. That, in turn, increases your risk of hospitalization and death. Therefore, you should pay close attention to your symptoms and reach out to a doctor whenever you notice anything unusual.

          Dr. C Raghu is a renowned cardiologist who specializes in interventional cardiology. He has decades of experience in treating patients with different heart conditions. If you or anyone you know has developed symptoms like shortness of breath, swollen feet, loss of appetite, etc., contact Dr. Raghu to explore your treatment options.

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            What Are the Symptoms of Diastolic Dysfunction ? – Blog

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              DR. RAGHU | Best Cardiologist in Hyderabad

              MD, DM, FESC, FACC, FSCAI

              Cardiology Coronary, Vascular and

              Structural Interventions



              Conditions & Diseases

              Coronary angioplasty

              Angioplasty

              Coronary angioplasty

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              Coronary angioplasty

              Atrial Fibrillation

              Coronary angioplasty

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