Answered by Dr. Sapkal Ganeshrao Patilba

Answered by Dr. Sapkal Ganeshrao Patilba

I have high blood pressure. Can I work out at a gym?

Hello doctor,

I am checking my blood pressure for a week now and it is mostly about 134/94 mmHg. A physician asked me not to work out at the gym. Can you please advise if I can join a gym? My parents and a few other relatives had high BP. I have done an ECG and chest X-ray last year and both were normal. Please provide your opinion.

26 Feb 2024 - 1 min read

Can surgery fix tetralogy of Fallot in a 1-year-old?

Hello doctor,

My 1-year-old child has been diagnosed with tetralogy of Fallot. She has been experiencing fast breathing, difficulty in feeding, failure to thrive, clubbed fingers but the cardiologist told me they will not be in a rush to fix the problem. I cannot stand what she is going through. What is her survival rate? Can I have the problem solved early? Of note, she is currently on Lasix and Aldactone.

26 Feb 2024 - 1 min read

What does 'first-degree atrioventricular block' mean?

Hello doctor,

I did my ECG today in which I got a first-degree atrioventricular block. What does this mean and is this a serious issue? What is its cause and treatment, please?

20 Feb 2024 - 1 min read

What are the risks of high-intensity cardio exercise?

Hello doctor,

I am a healthy 36-year-old. I run several times a week, often sprinting up hills for two to three minutes. In the past three years, I have had a few minor cardio-related symptoms, which I had checked out because I am motivated to stay in top physical condition. These include dizziness (drop in blood pressure) when standing up suddenly, feeling of shortness of breath during minor physical exertion (for example climbing stairs). That seemed out of character for my general level of fitness and a minor episode of palpitations that resolved in a week or so (last year). I have had two thorough cardio workups in the past five years to look into these issues, including a 24 hour Holter monitor, EKGs, and two cardio treadmill stress tests. Two cardiologists have told me my cardiovascular system is in excellent shape and they cannot find anything wrong. They seemed quite impressed I made the full 21 m on the treadmill. I have no current cardio issues. My question is this: what are the risks of intense cardio exercise? Basically, what are the risks if I try to sprint up a mountain? I have read about the dangers of long periods of running, one hour or more, but do not really see anything about the risks of dropping dead from sprinting too hard too long.

20 Feb 2024 - 1 min read

Which is a good medicine to prevent heart diseases in a diabetic patient?

Hello doctor,

I am 45 years old. I am a diabetic patient for the last one year. I used Ayurvedic medicines. Normally, the BP varies between 130/80 to 137/90. For the last 10 days, I am feeling uncomfortable in the chest. My recent test report shows fasting blood sugar of 110 mg/dL, PPBS of 185 mg/dL, TC 213/cu.mm, Triglycerides of 146 mg/dL, VLDL of 29 mg/dL, HDL of 42 mg/dL, LDL of 142 mg/dL, and TC/HDL 5.1 mg/dL. The doctor advised me Glycomet 1000 SR, Roseday 10, and Pantocid. I am using these medicines for the last seven days. Two days back, I felt heart attack symptoms for five seconds. The doctor conducted an ECG which was found normal. One medical student advised me to take Novastat CV 10 instead of Roseday 10. Then after, I am feeling relaxed. But should I take Novastat CV 10, Ecosprin AV 75 or Roseday 10? Suggest me the appropriate medicine. Also, suggest how long to take. Or is it for lifetime?

19 Feb 2024 - 1 min read

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