Dr Vaid Shakti Pa
About Me
Dr Vaid Shakti Pa
MBBS
Cardiologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
PERIPHERAL ARTERY DISEASE
This disorder involves narrowing of arteries outside the heart often affecting legs. Reduced blood flow leads to muscle pain during walking due to inadequate oxygen supply called claudication .
- Etiology : Primarily due to atherosclerosis similar mechanisms as coronary artery disease
- Symptoms : Leg pain when walking which improves with rest ,numbness ,coldness in affected limb
- Diagnostic methods : Physical examination ,ankle-brachial index test imaging studies like Doppler ultrasound
- Treatment approaches : Lifestyle changes including quitting smoking supervised exercise programs medications improving circulation revascularization procedures if necessary
Early identification and proper management help prevent progression towards critical limb ischemia preserving mobility .
HEART FAILURE
This progressive condition happens when the heart can’t pump enough blood to meet body needs. It results from various causes affecting cardiac muscles’ ability to contract effectively .
- Predisposing factors : CAD ,hypertension ,valvular diseases ,and previous myocardial infarction
- Clinical features : Breathlessness ,fatigue ,swelling in legs ,rapid weight gain due fluid retention
- Diagnostic process : Echocardiogram assesses pumping function ,natriuretic peptides testing helps confirm diagnosis .
- Treatment regimes : Lifestyle changes combined with drugs such as ACE inhibitors ,beta blockers ,diuretics ; device therapy might be indicated in advanced stages
With diligent care patients can achieve symptom relief ,enhanced functional capacity hence better life quality .
ARRHYTHMIAS
An arrhythmia occurs when the electrical impulses coordinating heartbeat don’t work properly. This leads to irregular or abnormal heart rhythms affecting how well the heart pumps blood.
- Causative factors: Can arise from ischemic injury, electrolyte imbalances, medications, or underlying structural heart disease.
- Main symptoms:: Palpitations, dizziness, fatigue, fainting spells depending on type and severity of arrhythmia.
- Differential diagnosis & tests:: ECG monitoring (including Holter), electrophysiological studies help identify specific arrhythmia types.
- Managing options : Lifestyle adjustments,such as reducing stimulants ,antiarrhythmic drugs,cathter ablation procedures ,or implantable devices like pacemakers depending on case complexity .
Prompt management minimizes risks like stroke or sudden cardiac arrest offering patients improved safety
HYPERTENSIVE HEART DISEASE
This condition develops due to high blood pressure that strains the heart over time. It can lead to thickening or enlargement of the heart muscle impacting its efficiency.
- Causes: Persistent uncontrolled hypertension damaging cardiac structures over years.
- Symptoms: May include chest pain, shortness of breath, palpitations; sometimes symptoms remain silent initially.
- Diagnosis: Blood pressure measurement combined with ECG and echocardiography aids diagnosis by showing changes in heart size or function.
- Treatment: Controlling high blood pressure through lifestyle modifications and antihypertensive medications is essential for prevention and reversal of damage if possible.
If left untreated, hypertensive heart disease can progress causing serious outcomes including heart failure. Early intervention improves prognosis markedly.
CONGENITAL HEART DEFECTS
Congenital Heart Defects are structural problems with the heart present from birth. These defects can affect the heart’s function in varying ways depending on severity.
- Causes: Often unknown but may involve genetic factors or maternal exposures during pregnancy.
- Symptoms: Symptoms vary widely; mild defects may cause no signs while severe ones can lead to cyanosis or breathing difficulties in infants.
- Diagnosis: Echocardiogram is the primary diagnostic tool along with physical exams and sometimes cardiac MRI or CT scans.
- Treatment: Options range from careful monitoring to medications or surgical interventions to repair defects.
- Outlook: Many children live healthy lives with proper treatment; long-term follow-up is important for detecting complications early.
A timely diagnosis followed by appropriate management allows many individuals with congenital heart irregularities to maintain good heart health throughout life.
CORONARY ARTERY DISEASE
Coronary Artery Disease (CAD) is a common heart condition caused by the narrowing of the coronary arteries. This reduces blood flow to the heart muscle, leading to chest pain and other complications.
- Causes: Primarily atherosclerosis caused by cholesterol buildup in artery walls.
- Symptoms: Angina (chest discomfort), shortness of breath, fatigue during exertion.
- Diagnosis: Includes ECG, stress testing, coronary angiography, and blood lipid profiling.
- Treatment: Lifestyle changes such as diet and exercise, medications like statins and antiplatelets, and in some cases, interventions such as angioplasty or bypass surgery.
- Management: Ongoing monitoring and control of risk factors like hypertension, diabetes, and smoking are crucial.
The goal is to improve blood flow, relieve symptoms, and prevent serious events such as heart attacks. Early detection and treatment significantly enhance quality of life.