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Health and Care

Eat Healthy Live Long Healthy Life.

Enough solid evidence now exists to offer women several fundamental strategies for healthy eating. This includes emphasizing healthful unsaturated fats, whole grains, good protein, fruits and vegetables; limiting consumption of trans and saturated fats, highly refined grains, and sugary beverages; and taking a multivitamin with folic acid and extra vitamin D as a nutritional safety net. A diet based on these principles is healthy through virtually all life stages, from young adulthood through planning for pregnancy, pregnancy, and on into old age.

What is a healthy diet? We have many books and literature for healthy and balanced diet so as to prevent ourself from diseases and to live a long healthy life. Diet, of course, is just one approach to preventing illness. Limiting caloric intake to maintain a healthy weight, exercising regularly, and not smoking are three other essential strategies.

Avoid trans fats, which are generally found in commercially baked products and deep-fried restaurant food.

Limit intake of sources of rapidly digested carbohydrates such as white flour, white rice, pastries, sugary drinks, and French fries. In their place, emphasize whole grains (such as brown rice, barley, bulgur, quinoa, and wheat berries), whole fruits and vegetables, beans, and nuts.

Water is the best choice for hydration. Coffee and tea in moderation (with only a small amount of milk or sugar) are generally safe and healthful beverages. If milk is part of the diet, skim or low-fat milk is best. Avoid sugar-laden drinks such as sodas, fruits drinks, and sports drinks.

Calories expended are as important for good health as the quality and quantity of calories consumed. Current recommendations call for 30 minutes of physical activity such as brisk walking on most, if not all, days of the week.

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Health and Care

First Aortic Valve replacement done in awake patient by Young Cardiologist of Pune : Dr Rahul Patil

TAVR Procedures

Day 1 Awake Aortic valve replacement under local anesthesia

Dr. Rahul Patil - Best Cardiologist in Pune

Day 1: After 9 Hours of Valve replacement

Day 3: Discharge without a single stitch on body

Dr. Rahul Patil - Best Cardiologist in Pune

Transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR), is the replacement of the aortic valve of the heart through the blood vessel without open-heart surgery. The replacement valve is delivered by a transfemoral approach ie groin like Angioplasty.

Severe symptomatic aortic stenosis carries a poor prognosis with a life expectancy of 2 to 5 years after diagnosis. Until recently, surgical aortic valve replacement was the standard of care in adults with severe symptomatic aortic stenosis. However, the risks associated with surgical aortic valve replacement are increased in elderly patients and those with concomitant severe systolic heart failure or coronary artery disease, as well as in people with comorbidities such as cerebrovascular and peripheral arterial disease, chronic kidney disease, and chronic respiratory dysfunction.

The first implantation in a patient was performed in 2002 on April 16 by Alain Cribier in Hospital Charles Nicolle, at the University of Rouen

This therapy got USFDA approval in 2011, two major companies which manufacture Valve is Edwards’ Sapien aortic valve is made from bovine pericardial tissue and is implanted via a catheter-based delivery system and Medtronic’s CoreValve Transcatheter Aortic Valve is constructed of a self-expanding Nitinol frame and delivered through the femoral artery. This device received FDA approval in January 2014.

Indian manufactured MyValve is CE approved and Indian DCGI approved from Meril Lifesciences, it started with the Pilot study in India 2017, following which it got DCGI approval, It is available for commercial use since 2018. To date, this  400 numbers of valves are deployed in India and abroad. My valve has received great recognition in Europe and the middle east due to its smooth deliverability and lesser adverse events.

Ruby Hall clinic has delivered such 3 TAVR valves till now, but Young cardiologist Dr. Rahul Patil, Interventional cardiologist, Ruby hall clinic, Pune did this procedure as primary operator along with Proctor Dr. Anmol Sonawane and associate Dr. C N Makhale, Dr. Bikas Sahoo cardiac anesthetist on 13/10/2019 Sunday at 10 am in a 65-year-old Mr. Bashir shaikh from Pune. This procedure was done under local anesthesia in the awake state of the patient during procedure like routine angioplasty. The procedure time was 1 hour only. Dr. P K Grant congratulated the team of Dr. Rahul Patil for his excellent work.

The patient was mobilized after 9 hours, shifted from CCU after 24 hours and discharged on 3 rd day of procedure.

As a conventional Surgical aortic valve replacement, the patient has to undergo open-heart surgery on heart-lung machine where operation time is 4 hours, it involved 10 to 12 % of Morbidity and mortality. Patient has to kept on Ventilator for 24 hours, Patient remains in surgical ICU for 4 days, and total hospitalization for 10 days. It takes  3 weeks for complete healing of stitches over the chest wall, and 2 to 3 months for sternal fracture healing. This procedure also involves the risk of embolic brain stroke in 5 to 6 %of patients.

Today, TAVI is recommended not only in high surgical risk patients but also in moderate to low-risk patients.

Dr. Rahul Patil has been trained in the Netherlands for TAVI in 2009 and now he owes promise to all his high-risk heart valve disease patients who can be treated without undergoing open-heart surgery.

Categories
Health and Care

Preventive Tips For a Healthy Heart

  • Cholesterol: Raised levels of cholesterol can close your arteries and increase your risk of coronary artery disease and heart attack .
  • Eat a healthy: Try to restrict full fats, foods high in sodium, and supplemented sugars. Eat lots of fresh fruit, vegetables, and healthy grains.
  • Maintain your blood pressure: Above blood pressure is a significant risk factor for heart disease. It is necessary to make your blood pressure monitored frequently – at most limited once a year for most adults, and more frequently if you have high blood pressure. Appropriate steps, including lifestyle changes, to stop or control high blood pressure.
  • Loose weight: Staying overweight or having obesity can boost your risk for heart disease.
  • Maintain Your Sugar Level: Having diabetes increases your chance of diabetic heart disease. This is because, over time, high blood sugar from diabetes can harm your blood vessels and the tissues that regulate your heart and blood vessels. So, it is necessary to get examined for diabetes, and if you have it, to have it under control.
  • Give Up Smoking: Cigarette smoking increases your blood pressure and sets you at greater danger for heart attack and stroke. If you do not smoke, do not start.
  • Avoid Alcohol: Taking too much alcohol can increase your blood pressure. It also computes extra calories, which may create weight gain
  • Be Active: Exercise has many advantages, including increasing your heart and growing your circulation.
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