Heart Treatment Without Angioplasty / Bypass surgery - dr dk gupta

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Heart Treatment Without Angioplasty / Bypass surgery - dr dk gupta To know more..like this page...and learn more about the treatment.

As per american guidelines, medical treatment alone is very much possible for heart vessel blockage or blockage in heart without need for angioplasty/bypass surgery. Many clinical studies have proved that angioplasty/bypass surgery gives no benefit compared to medical treatment in many patients of blockage in heart & its results are almost equal to that of medical treatment or sometimes even inferior to that of medical treatment. This is the only reason american heart association & american college of cardiology have made some guidelines in favour of medical treatment which every doctor should follow.Due to these guidelines only recently in america angioplasty/bypass surgery have been reduced to the tune of 40% which is a remarkable figure.

30/09/2026

!! Pain killers (9 groups) - diclofenac, ibuprofen, indomethacin, ketorolac, naproxen, nimesulide, piroxicam, two COX-2 inhibitors (etoricoxib and rofecoxib) raise heart failure risk !!

🙏Happy World Heart Day🙏"My Heart is Your Heart"‘’Your heart & my heart are one’’... This means to not only look after ou...
29/09/2026

🙏Happy World Heart Day🙏

"My Heart is Your Heart"
‘’Your heart & my heart are one’’
... This means to not only look after our own hearts but also of our loved ones.
It’s important to lead a healthy lifestyle, not only as individuals, but also make sure that people we care about do the same.
This is what our Vedas also expound.
"Tat tvam asi" is a mahavakya in the ancient Sanskrit texts of the Upanishads. It translates as "I am that" and means that "You and I are same" or "your heart and my heart are one"

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!! Prevention of heart disease is more important than treatment - AIIMS Cardiologist !!
26/09/2026

!! Prevention of heart disease is more important than treatment - AIIMS Cardiologist !!

02/09/2026

!! Statins reduce risks in heart disease patients with very low LDL cholesterol also !!

Dr Nakano said: "Many randomised clinical trials, such as Treating to New Targets (TNT) and PROVE IT-TIMI, have shown that aggressive cholesterol lowering with statins improves clinical outcomes in patients withcoronary artery disease (CAD) and high LDL-C levels.[1,2] But until now it was not known whether aggressive lipid lowering with statins would also benefit CAD patients with very low LDL-C levels."The current study used the Ibaraki Cardiovascular Assessment Study (ICAS), a registry of 2,238 patients from 12 hospitals in the Ibaraki region of Japan, who between 0 and 1 month underwent percutaneous coronary interventions. Based on serum LDL-C levels at initial presentation participants were classified into three groups: very low (101 mg/dl, n= 1,355). Decisions of whether to prescribe statins or not, as well as the type and dose, were left to the discretion of treating physicians.Patients were followed up for a maximum of 3 years. The efficacy of statin treatment was analysed on the composite outcome of Major Cardiovascular Events (MACE), defined as all cause mortality, non-fatal myocardial infarction and non-fatal stroke.Statins were prescribed in 68% of patients (143) with very low LDL-C, 67% of patients (450) with low LDL-C and 67% of patients (913) with high LDL-C. A total of 204 patients experienced MACE during the median follow-up of 404 days.The results of a Kaplan-Meier estimate show that three years of statin treatment produced significant reductions in the incidence of MACE in all three groups (p

02/09/2026

Listening to favorite music improves endothelial function in coronary artery disease

Professor Deljanin Ilic said: "In the setting of cardiovascular risk factors and cardiovascular disease the endothelium loses its normal function.[1] Since endothelium derived nitric oxide is necessary to maintain an adequate vascular response, correction of endothelial dysfunction has become a goal of therapy."She added: "Exercise training has been shown to improve endothelial function and is the cornerstone of a multifaceted programme of cardiovascular rehabilitation. However, little is known about the role of music in cardiovascular rehabilitation or the effects of listening to favourite music on endothelial function."The current study evaluated the effects of listening to favourite music on endothelial function through changes of circulating blood markers of endothelial function: the stable end products of nitric oxide (NOx), asymmetric dimethylarginine (ADMA), symmetric dimethylarginine (SDMA) and xanthine oxidase (XO) in 74 patients with stable CAD.Patients were randomised to trained (T, n=33), music and trained (MT, n=31) and music (M, n=10) groups. Patients in the T and MT groups underwent 3 weeks of supervised aerobic exercise training at a residential centre. In addition to exercise training, patients in the MT group listened to their favourite music for 30 minutes every day.Patients in the M group received usual community care and listened to their favourite music for 30 minutes every day. Markers were measured and an exercise test performed at baseline and 3 weeks.After 3 weeks the value of NOx increased in groups T (from 33.0±13.0 to 42.8±11.0 ”mol/l, p< 0.005) and MT (from 34.5±7.1 to 49.6±12.6 ”mol/l, p

26/08/2026

!! Even in heart disease of 3 vessel blockage in stable angina patients, angioplasty/bypass surgery give no benefit compared to medical treatment, so surgery is not recommended in these patients .....as per AHA(american heart association) guidelines !!

25/08/2026

!! 25% of Angiographies termed use inappropriate in diagnosis of coronary artery disease: IHJ study !!

Coronary artery disease can be fatal when left undiagnosed at early stages. The mortality rate due to cardiovascular diseases is high worldwide. A recent study by Dr Marita Mohammad shahi has pointed out the one in four angiography has been found to be use inappropriate The study has been published in the Indian Heart Journal.

Coronary angiography is a procedure that uses contrast material and x-rays to see how blood flows through the arteries of the heart.It is often done along with cardiac catheterization, a procedure that measures pressures in the heart chambers.

The objective of the study was to assess the appropriate use of diagnostic catheterizations (DC) for patients with suspected coronary artery disease performed in Iran. The Electronic Health Record System database and manual review of files were utilized to collect data between 2012 and 2014.

The study included 2458 angiographies, Patients were categorized in three groups as appropriate, uncertain, and inappropriate usage of DC, and the logistic regression was used to investigate the relationships between variables.

The researchers found that one-quarter of the 2458 angiographies were rated as inappropriate, out of which 99% had no previous stress test. The rate of inappropriate DC between various hospitals was also found to be approximately similar. The regression studies showed that some risk factors like S*x, high cholesterol, smoking, chronic heart failure, renal failure, diabetes, etc were significantly associated with inappropriate rates.

The researchers concluded that "Since coronary angiography (CAG) is an aggressive procedure that places a substantial burden on both patients and the health care system. It is associated with complications and deaths, therefore, ordering noninvasive tests such as echocardiography, stress test, heart scan, etc before surgery is necessary to reduce the number of inappropriate angiographies."

For further information: Marita Mohammadshahi, Sara Emamgholipour Sefiddashti, Minoo Alipouri Sakha Alireza Olyaeemanesh, Shahrooz Yazdani "Appropriateness of angiography for suspected coronary artery disease". Indian Heart Journal 73 (2021) 376-378.

21/08/2026

!! Young and healthy people still vulnerable to heart disease if their LDL cholesterol is high !!

A study of more than 36,000 people followed for over two decades revealed that young and healthy individuals considered “low-risk” still died from cardiovascular disease if they had high low-density lipoprotein (LDL) cholesterol. Without taking into account other risk factors, people with LDL-C levels in the range of 100-159 mg/dL had a 30-40% higher risk of death due to cardiovascular disease. People with LDL levels of 160 mg/dL or higher had a 70-90% increased risk of cardiovascular death.

21/08/2026

!! 42% Indians misdiagnosed or miss diagnosis of hypertension !!

Nearly 42% Indians are either misdiagnosed or have missed diagnosis of hypertension, a study has found. Medical experts say this phenomenon leads to unnecessary medication or lack of medication, leaving patients exposed to risk factors.

The blood pressure (BP) measurement study covering 18,918 Indians has revealed nearly 24% people had white coat hypertension and around 18% Indians had masked hypertension. “The study shows the urgent need for a better clinical management of hypertension in the country. On one hand, we have white coat hypertensives getting unnecessary medication and on the other, we have masked hypertensives who don’t get medication. Both situations are equally dangerous.

19/08/2026

!! In ACUTE HEART ATTACK PATIENT (ACUTE MI), ANGIO PLASTY IS NOT RECOMMENDED AFTER 24 HOURS PERIOD OF ACUTE MI UNLESS THERE IS PERSISTENCE OF CHEST PAIN OR RISING TREND OF CARDIAC ENZYMES.....AS PER AHA(AMERICAN HEART ASSOCIATION) GUIDELINES !!

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