Dr. Rajiv Agarwal

A pacemaker is a computer-controlled, battery-powered medical device that is surgically implanted under the collarbone beneath the skin to correct slow heartbeats. Dr. Rajiv explains that the pacemaker’s electrodes (wires/leads) are then connected to the patient’s heart.

According to the best cardiologist in Delhi NCR, these electrodes carry electrical impulses from the pacemaker to your heart. When the computer chip under the collarbone detects slow abnormal rhythms, it generates impulses to correct the problem automatically.

A pacemaker is used to treat bradycardia (extremely slow heartbeats) and atrial fibrillation (slow heart rate).

According to the Best Cardiologist doctor in Delhi, the following are signs that you may need a pacemaker:

Tiredness — Dr. Rajiv suggests that if you’re constantly tired, it could be because your heart isn’t pumping blood as efficiently as it should. Extreme fatigue after climbing a few stairs or walking a few steps indicates that you may have a problem and that pacemaker treatment may be recommended.

Of course, the recommendation is based on an accurate diagnosis. However, at this level of exhaustion, it is best to consult with the best cardiologist doctor in Delhi.

Chest Pain — Chest pain should not be taken lightly. You should seek medical attention right away because chest pain could indicate heart disease or even a heart attack. According to the renowned cardiologist specialist in Delhi, depending on your diagnosis, the condition may be treated with the help of a pacemaker.

Palpitation or Pounding in chest -Intense pounding or palpitations in your chest are not signs of good health. It could be an indication of atrial fibrillation or another type of arrhythmia. If it is detected, pacemaker implantation is one of the treatment options.

It should be noted that palpitations or pounding in the chest do not have to occur only during physical activity. You can also have them while sleeping, according to a well-known Heart Failure specialist in Delhi.

Shortness of Breath -Another common symptom that may indicate the need for a pacemaker is shortness of breath. If you experience shortness of breath while doing little to no activity, it is time to see the best cardiologist doctor in Delhi.

Unconcious or Fall -Falls, with or without loss of consciousness, are serious and one of the life-threatening symptoms that necessitate pacemaker implantation.

Dizzyness -If you frequently feel lightheaded or dizzy, it could be because your heart isn’t working properly. It can also happen if you stand up too quickly from a lying or sitting position. Hyperventilating, low blood sugar, or low blood pressure can all cause lightheadedness.

If you checked most of the symptoms off the list, you should make an appointment with the best cardiologist in Delhi. Some of the above-mentioned pacemaker symptoms, such as loss of consciousness, necessitate immediate medical attention.

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi.

For any query regarding the pacemaker you can consult an expert having an experience of more than 30 years in the field of Cardiology.

He also treats ECHS and DCHS patients for the benefit of government employees.

Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment

Call here :- +91–98100 32771 E-mail :- [email protected] To know more you can visit our website :- http://www.drrajivagarwal.in/

A pacemaker is a vital medical device that corrects irregular heartbeats. Arrhythmia is another term for this condition. Bradycardia occurs when the heart beats too slowly, less than 60 times per minute. Tachycardia occurs when the heart beats more than 100 times per minute, according to the Best Cardiologist in Delhi NCR.

When Should You See a Doctor?

During times of stress or exercise, the heart rate naturally rises. Arrhythmia is not always present. However, if you have lightheadedness, shortness of breath, chest pain, or heart palpitations, you should see a Cardiologist. They will provide a precise diagnosis via electrophysiological study (EP study), leaving no room for doubt.

When Is a Pacemaker Necessary?

The best cardiologist in Delhi will determine if you require the device for heartbeat correction after officially detecting the type of arrhythmia.

The following symptoms suggest that you may require a pacemaker:

• Constant dizziness

• Excessive pounding in the chest even when not exercising

• Inability to exercise without becoming overheated

• Chronic fatigue, even if you eat and sleep well

• Frequent fainting spells

How Does It Function?

A pacemaker is made up primarily of two parts:

• Leads (electrodes): The insulated electrodes transport signals from the pulse generator to the heart chambers.

• Pulse generator: This is a metal container that houses a battery and controls the electrical signals to the heart.

The pulse generator sends electrical signals directly to your heart via the leads whenever the pacemaker detects that your heartbeat is too fast or too slow, explains the best Cardiologist doctor in Delhi.

A leadless pacemaker, on the other hand, does not have any electrodes because it can be implanted directly into the patient’s heart. It is a relatively new technology with numerous benefits you can consult your Cardiologist .

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi.

For any query regarding the pacemaker you can consult an expert having an experience of more than 30 years in the field of Cardiology. He also treats ECHS and DCHS patients for the benefit of government employees. Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment Call here :- +91–98100 32771 E-mail :- [email protected] To know more you can visit our website :- http://www.drrajivagarwal.in/

Blood pressure is the force of blood pushing against the walls of your arteries. High blood pressure (HBP), also known as hypertension, indicates that the pressure in your arteries is greater than normal. Hypertension can develop over many years without causing any symptoms; however, your overall health suffers during this time. As a result, this condition is known as “silent killer” and classified into Primary hypertension (without a known cause) and Secondary hypertension (having an underlying condition as its cause).

Hypertension increases the workload on your heart and blood vessels. This workload eventually causes artery wall damage. LDL (bad) cholesterol then forms plaque along these damaged walls. Atherosclerosis is a condition characterized by plaque buildup. The more plaque that accumulates, the narrower the insides of the arteries become, resulting in not only higher blood pressure, but also the start of a cycle that will further damage your heart and the rest of your body.

Things that can increase your risk of developing high blood pressure (Hypertension)

You may be more vulnerable if you are overweight, consume too much salt and do not consume enough fruits and vegetables, do not exercise regularly, or consume too much alcohol or coffee (or other caffeine-based drinks).

Regular smoker

Do not get enough sleep or have disturbed sleep

Are over 65 have a blood pressure-related relative

Certain symptoms may occur if your blood pressure is extremely high.

Headaches that are unbearable.

Nosebleed.

So as per the best cardiologist in Max Hospital Saket — Dr Rajeev Aggarwal we must treat immediately the High blood pressure once detected and start following the Healthy Life style as advised by the Best Heart Specialist in Delhi and follow the Medication Regime.

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi. Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment

Call here :- +91–98100 32771

E-mail :- [email protected]

To know more you can visit our website :- http://www.drrajivagarwal.in/

Address :- max smart super speciality hospital saket (max smart) press enclave marg, saket district center, saket, new delhi , delhi 110092

The Advantages of Angioplasty and Stenting -

Angioplasty and stenting for blocked arteries:

By restoring blood flow to the heart, you can save your life and reduce heart muscle damage during a heart attack.

May immediately relieve or at least reduce symptoms such as chest pain, shortness of breath, and fatigue, allowing you to feel better and do more each day.

Can lower the risk of stroke

Can help the kidneys function better

Can improve blood flow to the legs, preventing gangrene and avoiding amputation

Open-heart surgery to restore blood flow to the heart clearly benefits some patients with blocked heart arteries. These patients have significant blockage in all three major arteries or a branch known as the “left main.”

Angioplasty and stenting are less invasive than open-heart surgery because the clogged or blocked artery is accessed through a tiny incision in the upper leg or wrist. Angioplasty and stenting may allow you to recover faster than surgery, which may mean spending less time in the hospital and returning to your regular activities sooner.

ANGIOPLASTY RISKS

Cardiac angioplasty is a less invasive procedure that is far less dangerous than coronary artery bypass surgery. Even so, there are risks associated with post-angioplasty. These are some examples:

Re-narrowing of the heart arteries:

If drug-coated stents were used during the procedure, there is a small chance that the heart artery walls will narrow again during the recovery period. Drug-eluting stents, according to estimates, can reduce the occurrence of re-narrowing of the artery to 5%. The chances of re-narrowing the artery during the angioplasty recovery time range from 10 to 20% for procedures that use a bare-metal stent.

Blood clot formation: During the recovery period of a heart stent, blood clots can form within the stents that have been placed inside the artery. Because of artery collapse, these clots can cause a heart attack. Properly prescribed medications should be taken to prevent these. As part of the restrictions following stent placement, patients should never skip or discontinue these medications in order to avoid a heart attack.

Bleeding: During the recovery period after angioplasty, the area where the catheter was inserted into the artery may bleed. Simple bruises can occur, but in severe cases of bleeding, blood transfusions or surgical procedures may be required.

Although rare, there are some risks associated with the angioplasty procedure. These are some examples:

The Heart Attack

Coronary artery damage: During the procedure, the coronary artery may be torn or disrupted. This condition necessitates urgent bypass surgery.

Kidney problems: The contrast dye used during the angioplasty stent placement procedure may cause kidney problems in the patient. This is especially true for those who already have kidney problems.

Stroke: A stroke can occur if artery plaques become dislodged while the catheter is being threaded through the blood vessels. Blood clots can form in the catheter and travel to the brain via the blood vessels. This is a rare complication, and blood thinners or anticoagulants are used to reduce the likelihood of a stroke occurring.

Abnormal heart rhythms: The heart may beat too quickly or too slowly during angioplasty surgery. This is usually a temporary problem, but medications and temporary pacemakers may be required to calm the heartbeat.

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi. Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment Call here :- +91–98100 32771 E-mail :- [email protected]

To know more you can visit our website :- http://www.drrajivagarwal.in/

Address :- max smart super speciality hospital saket (max smart) press enclave marg, saket district center, saket, new delhi , delhi 110092

You can reduce your risk of developing coronary heart disease (CHD) — By lowering your blood pressure and cholesterol levels and Diabetes ,You need to follow below simple advices to avoid any CHD problem in the coming time — for example.

Consume a well-balanced diet.

A low-fat, high-fiber diet is recommended, with plenty of fresh fruit and vegetables (5 portions per day) and whole grains.

You should limit your salt intake to no more than 6g (0.2oz) per day, as too much salt will raise your blood pressure. 6g of salt equals about 1 teaspoon.

Saturated fat and unsaturated fat are the two types of fat. Saturated fats should be avoided because they increase the amount of bad cholesterol in your blood.

Saturated fat-rich foods include:

Red meat

Processed sausages and fatty cuts of meat

ghee — a type of butter commonly used in Indian cooking,

hard cheese,

cakes, and cookies foods containing coconut or palm oil

However, a balanced diet should still include unsaturated fats, which have been shown to increase good cholesterol levels and help reduce artery blockage.

Unsaturated fat-rich foods include oily fish, avocados, nuts, and seeds.

oils such as sunflower, rapeseed, olive, and vegetable

Increase your physical activity.

The best way to maintain a healthy weight is to combine a healthy diet with regular exercise. A healthy weight lowers your risk of developing heart problems.

Regular exercise will improve the efficiency of your heart and blood cardiovascular system, lower your cholesterol level, and keep your heart at a healthy level.

Regular exercise lowers your risk of having a heart attack. The heart is a muscle, and it benefits from exercise just like any other muscle. A strong heart can move more blood around the body with less effort.

Maintain a healthy weight.

A Cardiologist can advise you on your ideal weight based on your height and build. Alternatively, use BMI calculator to determine your body mass index (BMI).

Quit smoking.

If you smoke, quitting will lower your chances of developing CHD.

Tobacco use may be a major risk factor for the development of atherosclerosis (furring of the arteries). It also accounts for the majority of coronary thrombosis cases in people under the age of 50.

Limit your alcohol consumption.

If you drink, stay within the maximum recommended limits.

If men and women want to consume alcohol, they should limit their consumption to two units per day.

You can keep your blood pressure under control by eating a healthy diet low in saturated fat, exercising regularly, and, if necessary, taking blood pressure medication.

Maintain control of your diabetes.

If you have diabetes, you are more likely to develop CHD. Physical activity, as well as controlling your weight and blood pressure, will help you manage your blood sugar levels.

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi. Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment

Call here :- +91–98100 32771

E-mail :- [email protected]

To know more you can visit our website :- http://www.drrajivagarwal.in/

Address :- max smart super speciality hospital saket (max smart) press enclave marg, saket district center, saket, new delhi , delhi 110092

Increasing numbers of patients are now surviving cancer due to better therapies that have become available. However many such patients suffer adverse consequences on the heart and other organs, some of which may manifest years after the cancer treatment. This may be an adverse consequence of cancer drugs or even of radiation therapy given to the patients. Mainly it is grouped mainly into 4 main categories.

1. Hypertension is one of the commonest problem which may be aggravated by prior cancer therapy, leading to vascular conditions including atherosclerosis, thrombosis, stroke etc.

2. Many cancer drugs weaken the heart muscles leading to Heart failure problem which may manifest late after cancer treatment. UN-diagnosed dysfunction of heart is quite common among cancer survivors.

3. Long Term structural problems, especially valvular degeneration.

4. Electrical problems causing Arrhythmia may also manifest in the long term.

So active monitoring and proper treatment is always advised during Active cancer therapy to prevent the late after-effects on heart for better outcomes. Newer research points to the need for advanced cardiac imaging techniques, and genetic study for timely diagnosis of late cardiac effects on Cancer survivors.

Cancer survivors can do the following to have their heart Healthy -

They should be aware of the risk of Heart problems with specific therapies and follow the advice of the Oncologist for cardiac monitoring.

They should live a healthy lifestyle in order to avoid aggravating incipient or early cardiac effects.

They should have regular Health check-Ups

Maintain a low threshold for consulting a Cardiologist during and after cancer treatment in case new symptoms are noticed like chest pain, breathlessness, heart palpitations or there is a decrease in stamina. Early diagnosis can often enable the cancer survivor to yet again beat heart disease which can otherwise be serious

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Categorization Labs and Senior Consultant and International Cardiologist at the Batra Hospital & Medical Research Centre, New Delhi. Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

A coronary angiography may be a test that doctors use to see at the coronary arteries. A coronary angiography may help diagnose certain heart conditions. The coronary arteries bring oxygenated blood to the heart. A doctor uses a coronary angiogram to see for narrowed or blocked coronary arteries or assess the structure and anatomy of the coronary arteries. If an individual has blocked coronary arteries, they’ll be in danger of developing coronary heart condition (CHD), angina, or coronary heart failure . Blocked coronary arteries also leads to Heart attack.

Why is it done?

Coronary angiograms help a doctor diagnose a person with various heart conditions . Coronary angiograms can diagnose : the cause of angina, a dull, heavy, or tight chest pain. Congenital abnormality of the coronary arteries, where the arteries are not in the correct orientation. valvular heart disease, where there is a problem with one or more of the heart’s valves. cardiomyopathy, which are diseases of the heart muscle. A doctor may use a coronary angiography after a person has a heart attack to locate the blockage. A doctor may also find it useful to perform a coronary angiography before the following procedures:

coronary angioplasty

Coronary artery bypass graft, a surgery that reroutes blood around blocked arteries. heart valve surgery. If you are suffering from any heart problems we suggest to have a consultation with

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal who is serving in the field of cardiology for more than 25 years. He is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi.

Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment Call here :- +91–98100 32771 E-mail :- [email protected]

To know more you can visit our website :- http://www.drrajivagarwal.in/

Pacemakers are devices which will be placed in your body, usually by surgery, to support the electrical system in your heart. they will stabilize abnormal heart rhythms and stop problems which will disrupt or endanger your life.

Your heart has its own electrical system, which tells your heart’s chambers when it’s their address squeeze. When your heart’s electrical system malfunctions, your heart’s chambers may squeeze within the wrong order or squeeze too weakly to supply enough blood to your body. Pacemakers use electrical impulses to correct these sorts of malfunctions.

When do you need Pacemaker Implantation ?

Chest pain

2. Tachycardia :- This is an unusually fast heartbeat (more than 100 beats per minute).

3. Bradycardia :- This is an unusually slow heartbeat (fewer than 60 beats per minute).

4. Irregular Heartbeat :- A heartbeat that skips beats or adds in extra beats.

5. Heart palpitations :- This happens when you can feel your heartbeat in a way that’s unpleasant (it might feel like your heart is “flip-flopping” or pounding in your chest).

6. Shortness of Breath :- especially when you’re more active.

7. Unexplained dizziness or lightheadedness, nausea or fainting.

8. Unexplained confusion.

9. Swelling in your ankles, legs and abdomen.

10. Need to urinate Multiple times at night.

Dr. Rajiv Agarwal

Dr. Rajiv Agarwal is PRINCIPAL Director, Cardiology DEPT at Max Smart Super Speciality Hospital, Saket, New Delhi. He is a former Associate Professor of Cardiology at AIIMS. He was formerly Director Cardiac Catheterization Labs and Senior Consultant and Interventional Cardiologist at the Batra Hospital & Medical Research Center, New Delhi.

Dr Rajiv is a graduate of the All India Institute of Medical Sciences (AIIMS), New Delhi (1985) and did MD Medicine (1988) and DM Cardiology (1991) from the same institution.

For booking an appointment

Call here :- +91–98100 32771

E-mail :- [email protected]

To know more you can visit our website :- http://www.drrajivagarwal.in/

Address :- max smart super speciality hospital saket (max smart) press enclave marg, saket district center, saket, new delhi , delhi 110092

Coronary angioplasty and stenting are procedures that opens the narrowed or blocked coronary arteries. During this procedure, your doctor will widen your blocked artery with a balloon (angioplasty) and with a small , wire mesh tube (stent)

When coronary angioplasty is needed?

1. After Identifying blockages shown in your coronary angiogram 2. Diagnose and treat coronary artery disease with the help of balloon or stent 3. Help reduce the amount of heart muscle damage

Risks of coronary angioplasty

1. Allergy to the X-ray dye 2. Bleeding or bruising where the catheter is inserted in the groin or arm 3. Re-narrowing of your coronary artery, called restenosis 4. Blood clots inside the stent, called stent thrombosis

What to do before coronary angioplasty

1. Having a Blood test - within the four weeks before your procedure 2. Planning your transport home - For information including guidelines and tips for traveling home by car or plane after a cardiac procedure, you'll have to ask your doctor. 3. Asking your doctor about taking your usual medications - especially if you're taking medication for diabetes or blood thinning medications, you may  have to stop taking them a minimum of 3 days before your surgery or as advised by your doctor 4. No alcohol , Smoking, and heavy food - a minimum of six hours before the procedure begins 5. Not drinking any clear fluids for 2 hours before procedure  - clear fluids and drinks are ones you'll see through, like water and tea without milk 6. No metallic items or Jewelry on any part of Body

Dr. Rajiv Agarwal

Treatment of Atrial Fibrillation Atrial fibrillation is one among the foremost common cardiac rhythm abnormalities. With this condition, the heart's upper chambers (the left and right atrium), have disorganized electrical activity. Due to this, they even have disorganized mechanical activity, meaning that they do not squeeze properly. As a result, the blood flow in those chambers slows down which slow flow can allow a clot to make . That clot can then exit the guts and attend other parts of the body, including the top where it can cause a stroke. As a result, many patients with fibrillation are placed on a blood thinner to stop this from happening. However, for a variety of reasons, some patients might not be ready to take a blood thinner in the future . For those patients, a device could also be an honest option. With fibrillation , most blood clots tend to occur during a specific region of the guts , a neighborhood called the left atrial appendage. The device placed at the opening of the left atrial appendage, and is employed to seal off the appendage from the remainder of the guts , in order that clots that form within the appendage cannot travel outside of it. The device is placed via a catheter inserted within the leg. Ultrasound and X-ray guidance are wont to confirm the device is placed correctly. Patients who get the Watchman device still have to get a blood thinner for several months after the procedure, but won't have to take it in the future.

Dr. Rajiv Agarwal