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dvt
Dear Dr Amey, To rule out Pulmonary embolism, go for 2D echo to check RA and RV and PA pressure. Same time get Rt Leg Color doppler done. in Blood Investigation: Check CBC and PT INR.
Dear Dr Amey,
To rule out Pulmonary embolism, go for 2D echo to check RA and RV and PA pressure. Same time get Rt Leg Color doppler done.
in Blood Investigation:
Check CBC and PT INR.
See less3d vasculography
Dear Dr Amey, 3D Vaculpgraphy or Cartography is a non invasive way of identification of coronary artery Disease. it is integration of Electrocardiography and special device called Vertical Accelerator Detector that monitors the blood flowing in peripheral arteries during various phase of 1 cardiac cRead more
Dear Dr Amey,
3D Vaculpgraphy or Cartography is a non invasive way of identification of coronary artery Disease. it is integration of Electrocardiography and special device called Vertical Accelerator Detector that monitors the blood flowing in peripheral arteries during various phase of 1 cardiac cycle.
Similarly 256 cycles were study, with a special predefined algorithm, possible near diagnosis of CAD made.
This procedure is having few Pros and Cons
Pros:
Its a Non invasive
Good Prediction of Diagnosis.
Cons:
Availability of Device.
12 hours of fasting needed.
Vasodilators, AHT drugs, Caffeine should be avoided 12 hrs before the test.
complete study get done in resting so post exercise dynamics can not be study.
How ever it is good tool for Medical campaigns to identify early CAD cases but again for the confirmation CT Coronary Angio, Cardiac Stress Test need to be done.
See lessDyslipiudemia
Dear Dr Priti Madam, Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address. Sleep quality. FastingRead more
Dear Dr Priti Madam,
Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address.
1st Line
Nidaan Parivarjan(identify and Eliminate the Root Cause).
2nd Line
Sasnhea Virechan followed by sansarjan kram can be immediate solution to reduce down fasting lipid levels.
3rd Line
24 hrs of Modified Kutipraveshik with Madhavprash as all day food and 2 lit Shadang paaniya for all drinking water, 24 hr Isolation in Room with no Mobile,TV, relatives.
4th line
Use of Jwarmed for Paachna and Aamari oil weekly once for Virechan.
if needed, Take a Help of your ZMH.
We can surely reduce down fasting cholesterol levels.
See lessCT ANGIOGRAPHY
Dear Dr Ameya, Nice sequence of questions, I would like to answer them one by one. If a Post CABg/Calcium score above 1000/Unstable angina patients is coming to us with an expectation of reduction in blockages. We can ask them to go for non invasive options like GLS and SPECT Scan, invasive optionsRead more
Dear Dr Ameya,
Nice sequence of questions, I would like to answer them one by one.
If a Post CABg/Calcium score above 1000/Unstable angina patients is coming to us with an expectation of reduction in blockages. We can ask them to go for non invasive options like GLS and SPECT Scan, invasive options like FFR and IVUS as per patients convenience, medical conditions(normal renal and Liver) we can ask them to go for direct or surrogate blockages assessment parameters.
In coronary artery disease, calcification is outcome of chronic inflammation, mineralization in coronary is part of plaque stabilization to prevent acute coronary event. absence of inflammation for longer time with Daily Exercise can replace calcified tissue with normal connective tissues and collagen fibers.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4366344/
So we have to target exercise capacity(Pk HFRT and IRP are having proven efficacy in the improvement of VO2peak) of our patients, if we can improve and sustain the improved quality of life that will help him to reduce calcified plaque.
In current observation, Use of Madhavprash in 10gm TDS dose,Jwarmed(Raspaachan) intermittent fasting, Sasneha Virechana has helped us to reduce calcified coronary plaque.
So along with panchkarma therapy, regular exercise and above mentioned medication can be helpful to correct anatomy and morphology of coronary arteries.
Please Note: In my video I have mentioned that We can include post PTCA cases.
See lessChelation therapy
Absolutely Agreed with Dr Rohit Sir, article published in BMC journal in 2005 is suggesting that Chelation therapy is not having therapeutic benefit in CVDs. This article is Metaanlysis of 7 RCTs
Absolutely Agreed with Dr Rohit Sir,
article published in BMC journal in 2005 is suggesting that Chelation therapy is not having therapeutic benefit in CVDs. This article is Metaanlysis of 7 RCTs
See lessChelation therapy
Hello Doc, Chelation is a chemical process in which a substance is used to bind metals or minerals so they can be excreted from the body. Chelation therapy is a procedure in which EDTA { Ethyline Diamaine tetra acetic acid } is injected through a saline bottle. This EDTA is a chelating agent. A chemRead more
Hello Doc,
Chelation is a chemical process in which a substance is used to bind metals or minerals so they can be excreted from the body.
Chelation therapy is a procedure in which EDTA { Ethyline Diamaine tetra acetic acid } is injected through a saline bottle. This EDTA is a chelating agent. A chemical that binds certain metal ions, such as calcium, magnesium, lead, and iron. It is used in pathology labs to prevent blood samples from clotting and to remove calcium and lead from the body.
Though this agent is used in pathology labs to prevent clotting, when injected in blood it has high chances to lead to platelet agglutination and thrombocytopenia also.
Can Chelation therapy have adverse effects?
Does Chelation therapy improve Ischemia?
Click on the below link to read the RCT research which says that improvement post 27 weeks of 27 sittings of Chelation in IHD patients improved the ischemia time by 63 seconds only, while placebo improved by 54 seconds.
RCT to assess effect of Chelation therapy on IHD
Does Chelation therapy help in reversing blockages?
Some health professionals also suspect that EDTA may act as an antioxidant by removing metals that combine with LDL which can damage arteries. The theory is that when you remove metals that flow freely through arteries (such as copper or calcium), you may slow down diseases such as atherosclerosis. Research has not proved this theory. Some experts believe that EDTA could remove calcium from healthy bones, muscles, and other tissues, as well as from diseased arteries. If you ask about reversal of plaque by this therapy, answer is NO. Average Coronary artery calcium reduction by this therapy is about 14%.
If the patient wants to simultaneously continue Chelation therapy along with your therapy, you can allow the patient for the same.
See lessWeight
Dr Ameya, Weight reduction is indicator of Catabolism>Anabolism. this can happened in various NCDs and Infectious diseases. NCDs Uncontrolled DM Anorexia Nervosa Depression COPD Cancer IBS Hyperthyroidism. Thyroxin Overdose. CHF Chronic Alcoholism Chronic Gastritis GERD Infectious Pathology. HIVRead more
Dr Ameya,
Weight reduction is indicator of Catabolism>Anabolism. this can happened in various NCDs and Infectious diseases.
NCDs
Infectious Pathology.
Unusual Conditions
- Recently started Diet Practice.
- Shifted to new place new cook/cooking methods
- Adapted healthy lifestyle(Cycling, running, swimming etc)
- Bankrupt.
See lessPreload
Hello Dr. Sanila, You have a very appropriate question. A very logical one. You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart. There are two types of Heart failure. Low Preload or End Diastolic Volume High Preload or End Diastolic VoRead more
Hello Dr. Sanila,
You have a very appropriate question. A very logical one.
You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart.
There are two types of Heart failure.
In the first category, Snehan will rectify the problem by improving the EDV and reversing failure.
In the second category, patients should be first given Mutra or Purisha Virechan to reduce the EDV or can be planned for 24 hour NBM or Langhana before you take the patients for these procedures.
If Snehan is performed in these High EDV high Preload patients blindly, it might create a load on the heart. But this is also kept in check by the next process called Swedan which helps in reducing the EDV or Preload.
Now let us understand the same in figures. This preload can be assessed on the ECHO by a parameter called EDV, End diastolic volume. Normally it should be ranging from 80 to 120 ml. Patients with high NT pro BNP and grade Grade 4 Failure in CHF have a very high EDV, may be above 180 or 200. Such patients are first to be given Mutra or Purisha virechan to lower the EDV significantly before taking him for any procedure. 24 hour NBM or Langhan can also be an effective procedure to reduce the EDV. Swedan also helps to control this EDV to a significant level.
Snehan does increase the EDV to a certain level transiently. This procedure is to be performed for patients who have normal EDV or till 180 to 200 ml. Usually Swedan, a process to control the raised EDV is to be performed post Snehan. If Swedan is not performed post snehan the raised EDV can create a pressure on heart in case of High EDV heart failure. In low EDV failure, Snehan will rectify the problem by improving the EDV.
I hope i have tried to answer your question. If any more doubts, please feel free to ask more questions.
See lessCabbage in salad should not be allowed in Swathyam diet box, for TMP pts
Dr Akshata, You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen. Hence raw cabbage is not advisable for Hypothyroid and subclinical HypoRead more
Dr Akshata,
You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen.
Hence raw cabbage is not advisable for Hypothyroid and subclinical Hypothyroid patients.
See lesslow BMI Dm patient losing weight
Dear Dr Priti, T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
Dear Dr Priti,
T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
See less