Author - Dr. Mangesh Danej

Cardiologist in pune

हृदयविकाराचा सामना करताना

हृदयविकार आपल्याला आयुष्याचा पुनर्विचार करायला प्रवृत्त करतो. आपण त्याला सामोरे गेल्यावर कळते की, आपण केलेली दैनंदिन जीवनशैलीची निवड किती महत्त्वाची असू शकते. बरेचसे लोक हृदयविकार येऊन निरोगी सवयीची जपणूक करुन कार्यक्षम जीवनाकडे वळतात. जर तुम्ही पहिला हृदयविकार अनुभवला असेल आणि त्यात अपेक्षित बदल घडण्यासाठी तुम्ही पर्यायी काय करू शकता त्या बद्दलची माहिती डॉ.मंगेश दणेज (Cardiologist in Pune) यांनी येथे दिली आहे.


Cardiologist in pune


  • रुग्णालय साधारणतः रुग्ण ही हृदयविकारच्या झटक्यानंतर ३ दिवस डॉक्टरच्या नियंत्रणाखाली रुग्णालयात राहतो. कदाचित बायपास सर्जरीसारख्या गुतागुंतीच्या प्रक्रियेमुळे हा कालावधी वाढू शकतो. तसेच सर्वात पहिला बदल हे औपचाच्या दिनदर्शिकेत आढळतो. आपल्या सद्य:स्थितीतील Doses समायोजित करून शक्यतो नवीन औषय दिली जाऊ शकतात जी अपल्या लक्षणांवर प्रभावी ठरतात. रुग्ण हा औषधाच्या नावासहित त्याचा वेळा वा का घेत आहोत, त्याबाबत सुद्धा जागरूक असला पाहिजे. आणि हे औषध आयुष्यभर सुद्धा घ्यावे लागू शकतात म्हणून पयांची कमी खर्चिक औषध व त्यांचे दुष्परिणाम याची माहिती असणेही गरजेचे आहे.


  •  मानसिक स्वास्थ्य टिकविणे पहिल्या हृदयविकारानंतर रुग्णाला दुसऱ्या विकाराची भीती सतत जाणवू लागते. रुग्णाने परिसरातील सहाय्यक गट आणि इतर हृदयांसोबत चर्चा करून इतर रुग्ण त्यांचा आजारावर डॉक्टरच्या सल्ल्याप्रमाणे कसे नियंत्रण राखत आहेत हे जाणावे Recovery बायत सतत सकारात्मक विचार असावा.


  • कार्डियाक पुनर्वसन बन्याच रुग्णालयात पुनर्वसन कार्यक्रम असतो त्यात आपण पाहण म्हणून सहभागी होऊ शकतो किंवा पुनर्वसन विशेष क्लिनिकमध्ये जावू शकतो. असे कार्यक्रम आपल्यात recovery श्री गती वाढवतात. आपल्याला प्रमाणित तज्ज्ञद्वारे शिकवलेल्या देखील फायदा होईल.


  • जीवनशैलीत बदल धूम्रपान सोडने हे स्पष्ट आहे. दररोजच्या अधिक जीवनशैली घ्यावी सक्रिय आपल्याला मधुमेह आणि लठ्ठपणाचे सक्रियपणे व्यवस्थापन करावे लागेल.हे सगळे बदल एका दिवसात होऊ शकत नाहीत. वर्तणूक शास्त्रज्ञांनी सुचवले आहे की, एखादी सवय होण्यासाठी एकवीस दिवस सतत नवीन क्रिया करण्याची आवश्यकता आहे

Feelings After a Heart Attack

Lack of blood flow to one section of heart muscle results in the death of a part of the heart and is called “Heart Attack”. Oxygen-rich blood is supplied to the heart through three major coronary arteries which are running over the surface of the heart.


Coronary artery disorder results due to the deposition of a smooth substance called cholesterol which builds up a plaque inside the arterial wall over years of fat consumption, smoking, lack of exercise, obesity, and stress. Diabetes and hypertension accelerate this method of atherosclerosis in coronary arteries.


Plaque in the coronary artery can get eroded or rupture one nice morning without any warning symptoms leading to acute heart attacks. Sudden death can occur in approximately 20-30% of patients at home or on the way to the hospital. This usually happens due to sudden stoppage of effective heartbeat called Ventricular Tachycardia or Ventricular Fibrillation (VT or VF). In the hospital setting such arrhythmias are treated by DC Cardioversion (Shock).


Warning Symptoms of Heart Attack

Many patients are not sure of the symptoms of heart attack; hence delay in responding and reaching the hospital. Some of the most common warning symptoms of a heart attack are chest pain or discomfort in the center of the chest or left arm. It feels like pressure, squeezing, fullness. It can also feel like indigestion or heartburn or throat choking. Dizziness, vomiting, and breathlessness can also accompany these symptoms. Breaking out in cold sweats, extreme tiredness, unusual decline in stamina are also the presenting symptoms of a heart attack. Sometimes, the signs are so subtle that people are shocked to know that they have suffered a heart attack. Quick action in the form of taking a Dispirin dissolved in water at home, rushing to the nearest cath lab enabled hospital is the key to survival.



Treatment of heart attack should be instituted as early as possible to minimize the damage caused due to lack of oxygen-rich blood supply. Treatment constitutes resuming blood flow through the blocked artery either by drugs like thrombolytic or mechanical revascularization as in angioplasty and putting a scaffolding tube (stent) inside the artery. This method is very swift and safe in expert hands.

Prevention of CAD should be observed in the form of avoiding cholesterol-rich food, trans-fat and excessive sweets, regular exercise of 30 minutes brisk walk. No tobacco use, control of blood pressure and diabetes, and taking regular medication prescribed by your physician. A stress-free lifestyle goes a long way in preventing premature CAD.


After a heart attack, many patients worry about having another heart attack. Sometimes they feel sad, worried and these are the ones who are more susceptible to another heart attack. As in heartbreak, the feeling of loneliness surrounds a traumatized mind, similarly following a heart attack, one may feel a sense of doom and gloomy perspective of further productive years of his career. Large-scale studies show that 15% of people who survive a heart attack become quite seriously depressed in the first few weeks and another 25% experience mild levels of depression or anxiety. Anxiolytic and anti-depression drugs may be taken for the cure of signs.


Resumption of sexual activity is also ridden with substantial anxiety and fear of over-exerting oneself during this physical and emotional experience. It is advised to resume slow sexual activity after a few weeks of recovery from a heart attack and avoiding intake of drugs like Viagra (sildenafil) especially if nitrates have been prescribed by your doctor. This may result in a sharp fall in blood pressure and feel dizzy. Driving is also permitted after a few weeks of heart attack if it is free of complications like heart failure. Support of family and friends is of utmost significance in the phase of recovery from a heart attack. Joining social groups, interacting with people who have recovered from a heart attack, and participating in creative, entertaining hobbies will help recover faster after a heart attack.

Looking For Best Heart Treatment Contact Dr. Mangesh B Danej is one of the famous  Heart Specialist in Pune. He has completed Professional qualification of MBBS from NDMVPS Medical College, Nashik in 2006, MD from Dr. Vaishampayan Memorial Govt. Medical College, Solapur in 2010 and DNB ( Cardiology ) from Deenanath Mangeshkar Hospital, Pune in 2014 and specializes in Cardiology. He has more than 9 Years of Experience in cardiology. He is one of the Best Cardiologist in Pune. He attended workshops regarding Trans Esophageal Echocardiography workshop with Pig’s heart dissection at Pune in 2013 and Indian Criticare Workshop at Pune in 2008.

cardiologist in pune

Stress Cardiomyopathy Syndrome: It’s Very Much Real

Broken heart syndrome, also called stress cardiomyopathy or takotsubo cardiomyopathy, is a medical condition that is often caused by stressful conditions. You’ve also heard stories of lovers who died one after the other because they couldn’t bear the pain. Many people are unaware that a disease like broken-heart syndrome exists, rendering it a mystery illness. We’ll show you how to recognize the symptoms of this condition and how it can be fatal. The majority of people who have ‘broken heart syndrome’ do not have severe symptoms. Their coronary arteries, for example, are in outstanding condition. They don’t seem to have any other big blockages. Patients with this condition begin to experience a rapid weakening of their heart muscles. 


cardiologist in pune

The heart’s form changes as a result of this short-term interruption of its pumping. The remaining heart, on the other hand, continues to function normally. The apical ballooning syndrome is the medical term for this disorder.

If you have any symptoms consultant Heart Specialist in Pune Dr. Mangesh Danej.

Symptoms of broken heart syndrome you must check-out:

If diagnosed early enough, the symptoms of broken heart syndrome may be treated. These signs and symptoms are somewhat similar to those of a heart attack. Heart attack and broken heart syndrome, for example, both cause an abrupt onset of chest pain in addition to extreme periods of shortness of breath.

  • Fatigue/ tiredness
  • Abnormalities occurring in the left ventricle of the heart
  • Ballooning of the left ventricle

What are the common causes of broken heart syndrome?

The precise causes of broken heart syndrome are unclear at this time. However, medical experts agree that the sudden release of stress hormones, especially adrenaline, is to blame. As a result, one’s heart is momentarily impaired. Surprisingly, women are more vulnerable to this syndrome than men.

What triggers broken heart syndrome?

  • Stressful emotional event
  • The untimely death of a loved one
  • A worrisome health diagnosis
  • Domestic abuse
  • Stage fright
  • Loss of job   
  • Physical conditions like asthma
  • Other traumatic experiences

The differences between broken heart syndrome and heart attack 

A total or partial blockage of the heart arteries damages the heart arteries during a heart attack. In a broken heart syndrome, on the other hand, the arteries do not become completely blocked; rather, the blood flow is decreased.

Risk factors associated with broken heart syndrome

* Gender: Women are more insecure than men.

* Age: People over the age of 50 are at an increased risk.

* Neurological health: People who have had a neurological disorder such as a seizure are at an elevated risk of developing broken heart syndrome.

* Mental wellbeing: Whether you suffer from anxiety, depression, or some other mental health disorder, broken heart syndrome might be a normal occurrence for you.

Diagnosis and treatment 

Broken heart syndrome can be fatal at times, which can surprise you. As a result, it’s best to see a doctor as soon as you have any symptoms. The good news is that in the vast majority of cases, the patient recovers.

The following are some of the other complications associated with broken heart syndrome:

* Pulmonary Edema 

* Hypotension (low blood pressure)

* Disruptions in the heartbeat

* Heart failure  

ECG, X-Ray, cardiac MRI, echocardiogram, and coronary angiogram are often used to diagnose broken heart syndrome.

There is no standard treatment for broken heart syndrome. Symptoms, on the other hand, maybe alleviated by taking some measures. Diuretics are widely used to treat it since they assist in strengthening heart muscle contractions. In most cases, no surgical procedure is needed to treat it. The best way to treat this condition is to keep the patient away from all forms of stress, including physical, emotional, and mental.

cardiologist in pune | Heart specialist in pune

What is Heart Failure and its Treatment?

About heart failure

Heart failure is a chronic medical situation marked by the inability of the heart to perform its function of pumping blood to various organs of the body. It can be the outcome of many various factors all of which severely damage the patient’s heart and heart muscles, posing a serious threat to the patient’s life. The treatment for heart failure is possible at all the leading heart clinics. In case of heart failure, the patient requires to be immediately rushed to the hospital where a detailed diagnosis is done for proper assessment and the treatment is planned accordingly.

cardiologist in pune | Heart specialist in pune

As far as the treatment is concerned, the problem can be tackled only after proper diagnosis which helps the doctor to determine the adversity of the patient’s condition and the extent to which the problem has spread. As per the Heart Specialist in Punethe sooner the problem is diagnosed, the better is the survival rate after treatment.


The best heart failure clinic in pune have their specialized labs where several tests and screenings are performed which include blood tests, chest X-ray, electrocardiogram (ECG), stress test, cardiac computerized tomography (CT) scan, magnetic resonance imaging (MRI), coronary angiogram and myocardial biopsy.


Based on these tests, a Cardiologist classifies heart failure into four different stages.

Stage I – the patient does not feel any signs and the problem is usually identified unexpectedly.

Stage II – Patients do not experience any symptoms usually however these become evident when the patient over-exerts himself.

Stage III – patients feel extreme difficulty in performing day-to-day activities.

Stage IV – it is the most severe form of heart failure in which the patient feels chronic signs even at rest.


Once the test and screenings are conducted and the stage is determined, the doctor’s device out a proper medical protocol to be undertaken. Heart failure is a chronic disease which means that it lasts for a lifetime and hence requires lifelong management. Treatment can have to develop the signs and also add some more years to the patient’s life. Doctors essentially try to target the underlying cause of heart failure and aim at preventing any further damage.

Initially, your Heart Specialist might recommend certain medicines which may help with the symptoms and help to reduce pain and discomfort. These include Angiotensin-converting enzyme (ACE) inhibitors, Angiotensin II receptor blockers, Beta-blockers, Diuretics, Aldosterone antagonists, Inotropes, and Digoxin (Lanoxin).

Operation is normally suggested when all the treatment options fail to work. The operation helps to fix any irregularity or restore the normal working of the heart wherever possible. These aim at the patch as well as the replacement of the affected part the most common surgeries used to treat patients suffering from chronic heart failure include coronary bypass surgery, heart valve repair operation, and heart valve replacement operation. The surgery can be carried out using the traditional open-heart technique via new minimally invasive cardiac surgery methods.

In some states, certain implantable devices are also used to assist the heart in performing its function. These include ventricular assist devices.

About all these treatment methods, healthy lifestyle changes are also recommended by the best specialists to keep the problem under control. These include a healthful and well-balanced diet and an active lifestyle. The patients require to avoid smoking and drinking and abstain from the consumption of unhealthy fat products as these can increase the cholesterol levels in the body which is extremely harmful to the heart.

Cardiologist in pune

Symptoms That Your Heart Needs Medical Attention

A Heart is an apex part of the body that pumps the blood and supply to other areas of the body. When we discussed the causes of heart problems with one of the specialized heart hospitals in Pune, the team of doctors acknowledged to us that all problems related to the heart may not constantly show some predefined signs or sometimes it may not even give any warning bells. However, certain commonly found signs indicate that you should visit a doctor.


Cardiologist in pune

Chest Pain
This is the most obvious sign of a heart problem. You may feel anxiety in your chest either due to heaviness in the chest or you may feel a crushing or squeezing sensation in your chest. The best Cardiologist in Pune explains that it primarily happens due to obstruction in the heart artery. These are the signs of heart attacks also. The pain grows and can occur at any time due to the feeling of rising pressure. However, heart problems always don’t indicate chest pain.

Upset Stomach
The best doctors say that “many people often overlook the upset stomach as an indication for heart attacks.” Generally, women are more prone to upset stomach and their consequent impact on the heart. A stomach ache, nausea, or trouble in the stomach may result in vomiting and can also be a possible factor for heart attack especially if you believe it is due to your last meal, you must get an instant medical check-up.

The random onset of pain in the arm, neck, jaw, or upper back
Although, these symptoms are attributed as causes of spondylosis cervical or muscular pain, in case it is followed by sweating, uneasiness, shortness of breath it may be a sign of a heart problem.

Feeling unsteady
A feeling of dizziness accompanied by light-headedness can happen for several reasons. It can be combated with water consumption or by eating enough food. However, if it prolongs and is followed by chest pain or breathlessness then it is firmly recommended to visit a doctor immediately as there might be a possibility of a heart attack.

Pain in the windpipe and mouth area
The discomfort in the throat or mouth area doesn’t ensure a possibility of heart problems because it is usually related to the problem due to cold or sinus blockage. But in case, if you undergo a pain in the chest that travels up to your throat and mouth region then it is a sign of a heart attack and should take medical assistance.

Lack of energy
If you have started to experience a feeling of fatigue in your day-to-day mundane chores and you start to panic then you must consult a doctor. A top-most Heart Specialist in Pune once said that this majorly happens in women as they might experience fatigue in day-to-day work or walking and if it stretches for long days it is a sign of greater health problems.

Many studies reveal that unexpected sweating without any reason is an important factor that can provoke a heart attack. If you witness sweating along with different signs get instant medical assistance.

Swelling in the lower limbs
Sometimes, loss of water and sodium content in your kidney can cause bloating which consequently can result in swollen legs, ankles, or feet. It could be due to abnormal blood flow in veins causing many difficulties. Thus, it can also cause heart problems.

A consistent cough
A chronic cough is not a heart difficulty, however, if you already have any heart problem and at the same time you undergo persistent cough, then it might be alarming if it’s accompanied by breathing problems causing problems in blood supply.

Irregular heartbeat
At times, when you are nervous or even anxious you might feel that your heart is beating too fast or it might skip a beat, however, if it happens quite frequently and if your heartbeat skips for more than a few seconds it might be a case of a serious emergency.

cardiologist in pune

Different Types Of Heart Diseases

Rising cases of heart-related diseases have become a matter of concern nowadays. Such diseases are a result of stress, a sedentary lifestyle, and unhealthy eating practices. The best Cardiologist in Pune often advises following healthy lifestyle practices like performing regular exercises and maintaining a proper diet.

cardiologist in pune

Facts library

India has seen an alarming increase in heart disease and stroke by over 50% from 1990 to 2016.

They commonly contributed to 28·1% of total deaths in India in 2016 related with 15·2% in 1990- a startling rise of 12.9%.

There is an improvement of 2.88 cores in the prevalent cases of cardiovascular diseases from the year 1990 to the year 2016.

More than 50% of the total cardiovascular disease deaths were beheld in people younger than 70 years.


The above-increased numbers cannot be ignored but can be decreased in two ways;

1) if every individual from the beginning remains self-conscious about his/her health

2) by getting treated immediately.

In this blog, we will be going to explain heart diseases and their various types to create awareness. We consider that this information is essential for you to know so that you make a well-informed and timely decision.

Well-defining heart disease is a term that covers a wide array of issues related to the heart.

Types of heart diseases

Congenital heart disease

Heart deformities present since birth. They include:

Septal defect

Also known as a ventricular septal defect, it is a hole in the heart which is present between two chambers. It is a birth defect that affects your breathing process.

Obstruction defects

It is a situation where the blood flow is hindered or sometimes completely blocked through various chambers of the heart.


When your heart beats extremely fast or too slow or does not follow a single pattern of beating

Tachycardia- when your heart rhythms are too fast

Bradycardia- when the heart rhythms are too slow

Fibrillation- when the heart rhythms are irregular

The heartbeat following an irregular pattern can damage the heart and that’s why best doctors often advise getting immediately treated.

Coronary artery disease

In this, the arteries become narrow enough which hinders the supply of blood and oxygen to the heart muscles.

Myocardial infarction

Generally known as a heart attack, myocardial infarction is the result of reduced or stopped blood flow in one part of the heart. Its signs include chest pain, or trouble in the shoulder, arm, back, neck, or jaw.

Heart failure

It can be defined as a medical condition when the heart is unable to pump adequate blood that could meet the body’s needs. Coronary heart disease or high blood pressure are some situations that can result in heart failure.

Is self-maintenance a key solution?

Healthful lifestyle changes can help you to maintain yourself. These small changes will not only keep your heart healthy but will stop you from other diseases as well.

4 points that will help you to remain healthy:

Exercise regularly

Practice healthy eating habits

Maintain a healthy body weight

Replace saturated with unsaturated fat

Cardiologist & Heart Specialist in Baner

Your Heart Deserves Your Attention

Assume your body as your family then your heart is your mother so, without it, your family cannot survive. So, it is important to hold your heart healthy to keep your body functioning.
One of the most important parts that deserve your attention is ‘self-management. This is the one-stop solution that prevents you from various heart diseases. This all involves your time and determination like you need to exercise, maintain a proper diet, limit sugar and oily food. If you feel that your condition is too serious to be dealt with self-management then should immediately consult the best Cardiologist in Pune.

Cardiologist & Heart Specialist in Baner

Know what it takes you to hold your heart healthy:

1. Say no to smoking and alcohol
Smoking damages, a known reality as the sun rises in the east but people tend to neglect it. This proves to be a major problem of heart disease as well as lung diseases.

2. Limit bad fat
overweight is one of the major causes of heart disease. Being obese has drastic results leading to different diseases. Generally, fats are of two types good and bad so, good fat is essential for the body, on the other hand, bad fats lead to over-weight.

3. Eliminate salt from your meal
The major objective behind the move is to reduce the quantity of sodium in your meal to keep your heart healthy. As sodium can give to high blood pressure which poses a risk factor for cardiovascular diseases.

4. 30 minutes of exercise a day keeps the doctor away
Here, 30 minutes of exercise would suffice. So, it very important to exercise regularly so, that your weight always remains in control also your blood flow is also healthy.

5. Have a bowl complete of fruits and vegetable every day
Fibers are always good for health, a fiber-rich diet will not only provide different minerals, nutrients, and vitamins but will help reduce weight thus, reduce the risk of heart diseases.

6. Proper rest is the key to a healthier heart
7-8 hours of sleep would suffice. So, one should take a sound sleep in which keeps you away from anxiety, depression and when your stress-free, you are away from serious health diseases.

7. Always ensure your dental hygiene
Your dental wellness means overall health, including your heart, because those who have periodontal (gum) disease often have the same risk factors for heart disease.

8. Don’t sit for a too long time at one time
It is a truth that sitting every day for longer periods may have negative results. No matter how much you exercise every day but it is important to be mobile and not sit in the same positions as this increases the risk of putting on weight.

Is self-management a cure for all heart diseases?
Self-management can be defined as managing and properly balancing your diet and exercises so, that your blood sugar level, cholesterol, sodium are in control as they are major triggering factors of all diseases. Most heart diseases can be cured by managing yourself but people tend to avoid them and do not set their limits.

Prevention is better than cure
So, there is a need to create awareness about the triggering causes of heart diseases and should be controlled to avoid any further complications. Also being, I and healthy invigorates your immune systems which fight from the diseases.
Apart from this, if your conditions getting serious then should immediately consult the Heart Specialist in Pune as if not properly treated at the time then it can be life-threatening.


Timely consumption of Food leads to Healthy Heart

Eating the right foods for a healthy heart will only show its benefits if consumed at the right time.

A normal human being consumes food for 16-17 hours a day. Our intestines need to ‘sleep’. If we continue consuming, all that food just piles up,” Dr. Mangesh Danej, Cardiologist in Pune.

A healthy diet must be eaten by the Circadian rhythm to enhance its nutritional benefit.

The circadian rhythm is the internal body clock that guides us towards the ‘right’ time for eating, sleeping, and exercising. 

There SAY Timing is everything: 

 Simply put, eat the most when the sun is rising and down when it sets. “Only when a heart-friendly diet is integrated within this paradigm, is it able to support cardiovascular well-being,” says Dr. Mangesh Danej, Heart Specialist in Pune.

How to build a good circadian rhythm (body clock) for good health:

1)For your circadian food to bear fruit, one needs to sleep on time. Too much exposure to electronic devices can upset your sleep stages, digestion, and hormone function. Avoid too much electronic device stimulation before going to bed.

2) Reduce the amount of caffeine intake before bedtime.

3) Reverse the calories by sunset; all kinds of food should be avoided.

4) Proper exercise can have a significant circadian phase-shifting effect and affect the sleep and wake schedule in humans improving our bodily function and overall health.


Contrary to popular belief, the circadian diet is not limited to heart patients. It’s for everybody.

  • This is a lifestyle diet with a set of rules and recommendations that looks at the heart and its function with the natural rhythms of the sun.
  • A synchronized way of eating has long-term health advantages across all age demographics.


Cardiac arrest is the abrupt lack of heart function, breathing, and consciousness. In cardiac arrest, the heart quickly stops pumping blood around the body, usually because of a problem with electrical signals in the heart. When the heart quits pumping blood, the brain is starved of oxygen. This causes unconsciousness, unresponsiveness, and breathing stops.




A cardiac arrest is a medical emergency. If you observe a cardiac arrest, you can improve the person’s possibilities of survival by phoning emergency services immediately and giving Cardio – Pulmonary resuscitation (CPR).

What causes a cardiac arrest?

The most frequent cause of a cardiac arrest is a life-threatening unusual heart rhythm called ventricular fibrillation (VF).

Ventricular fibrillation occurs when the electrical activity of your heart becomes so chaotic that the heart stops pumping and quivers or ‘fibrillates’ instead.

Heart-related causes of cardiac arrest:

  • Coronary heart disorder ( Blockages in the arteries of the heart)
  • Cardiomyopathy ( Dysfunctions of the muscle of the heart)
  • Congenital heart disease ( Diseases present since birth)
  • Heart valve disease ( Especially the narrowing of the valves)
  • Acute myocarditis (inflammation of the heart muscle)
  • Heart conduction diseases make you more likely to feel irregular heart rhythms, such as Long QT syndrome.

Other causes of cardiac arrest:

  • Drowning
  • Drug Overdose
  • Electrocution
  • Severe hemorrhage – wasting a large amount of blood

VF can once in a while be helped by giving an electric shock through the chest wall, by using a device called a Defibrillator. 

In the lack of a defibrillator, the ‘Thump version’ can be tried before commencing CPR. In a precordial thump, a provider strikes at the middle of a person’s sternum (breast bone) with the ulnar aspect of the fist. The purpose is to interrupt a potentially life-threatening rhythm. The thump is thought to provide an electrical depolarization of 2 to 5 joules. In preparation for the precordial thump, a firmly clenched fist is made and the arm is held approximately 20 centimeters above the patient. After striking, quickly eliminate the hand to allow for chest recoil.

Quick CPR will keep oxygen circling the body until a defibrillator can be used and/or until the emergency services arrive.

Cardiopulmonary resuscitation (CPR):

Begin CPR with chest compressions. Recognize, the difference between your doing something and doing nothing could be someone’s life.

CPR can keep oxygenated blood circulating to the brain and other vital organs until more definitive medical treatment can restore a normal heart rhythm.

When the heart doesn’t work, the lack of oxygenated blood can cause brain damage in only a few minutes. A person may expire within eight to 10 minutes.

Remember to spell C-A-B

C-A-B — compressions, airway, breathing — to help people recall the order to execute the steps of CPR.

Chest compressions

Open the airway

Rescue breathing

Compressions: Restore blood circulation

  • Settle the person on his or her back on a firm surface.
  • Kneel next to the person’s neck and shoulders.
  • Put the heel of one hand over the center of the person’s chest, between the nipples. Put your other hand on top of the first hand. Hold your elbows straight and place your shoulders directly above your hands.
  • Apply your upper body weight (not just your arms) as you push straight down on (compress) the chest at least 2 inches 
  • Continue chest compressions until there are symptoms of movement or until emergency medical personnel take over

Airway: Open the airway

  • open the person’s airway utilizing the head-tilt, chin-lift maneuver. Put your palm on the person’s forehead and lightly tilt the head back. Then with the other hand, lightly lift the chin forward to open the airway.

Breathing: Breath for the person

  1. With the airway open (using the head-tilt, chin-lift maneuver), pinch the nostrils shut for mouth-to-mouth breathing and cover the person’s mouth with yours, making a seal.
  2. Prepare to give two rescue breaths. Give the first rescue breathing — lasting one second — and watch to see if the chest expands. If it does rise, give the second breath. If the chest doesn’t rise, repeat the head-tilt, chin-lift maneuver, and then give the second breath. Thirty chest compressions followed by two rescue breaths is thought one cycle. Be careful not to give too many breaths or to breathe with too much power.
  3. Resume chest compressions to revive circulation.
  4. As soon as an automatic external defibrillator (AED) is available, apply it and follow the prompts.


The important role of your heart is to pump blood to each cell of your body and the blood vessels provide the pathway for the blood to travel. If one or more of your blood vessels become partially blocked, your Heart Specialist might suggest heart bypass surgery.

Here’s what you should know about heart bypass surgery procedure and recovery.

What Is Heart Bypass Surgery?

Heart bypass surgery is performed to improve the blood circulation of your heart. During the surgery, your surgeon will take blood vessels from different parts of the body to bypass the blocked or damaged arteries. This operation decreases your risk of heart attack and other heart-related difficulties. It is usually done when coronary arteries become damaged or blocked.

There are different types of heart bypass surgery and your cardiologist might recommend the one based on the number of arteries blocked, including:

  • Single Bypass Operation – If one artery is blocked
  • Double Bypass Operation – If two arteries are blocked
  • Triple Bypass Operation – If three arteries are blocked
  • Quadruple Bypass Operation – If four arteries are blocked

Why Is Bypass Surgery Required?

You might require to undergo this surgery if you have coronary artery disease, otherwise atherosclerosis. This condition occurs if the plaque builds up on your arterial walls and blocks blood circulation.

Your doctor might also recommend bypass surgery if:

  1. Multiple blocks are present
  2. There is a block in your left main coronary artery, which supplies blood to your left ventricle.
  3. You have had other procedures that have not worked or block your artery again.
  4. One of your coronary arteries has a disease that causes your left ventricle (a chamber that does most of your heart’s blood pumping) to not function well.
  5. You have sharp chest pain as a result of decreased blood supply to your heart.

The Difference Between Bypass and Open Heart Surgery

Open-heart surgery is suggested as any type of heart surgery where the chest is cut open and also any of the heart chambers are opened and surgery is performed on the surface of the heart without opening any chambers, arteries, muscles, and valves of the heart. However, bypass surgery is only implemented to correct the blocked blood vessels, for improved blood circulation.

Heart Bypass Surgery Procedure

The surgery is performed under general anaesthesia and the time length of the surgery maybe 3 to 6 hours depending on your condition and number of blocks. Before the surgery, you are put on a ventilator, which will breathe for you during and after the procedure. Here are the steps involved in the heart bypass surgery procedure:

Making an Incision

Your doctor will make a hole in the middle of your chest and then your rib cage is spread to expose your heart. Your surgeon may also perform this surgery laparoscopically, which includes smaller incisions and robotic methods.

Connecting to the Cardiopulmonary Bypass Machine

Most of the times, the bypass operation is done on the beating heart which means the heart will be continuing to beat and supply blood as usual while the bypass grafts are being stitched, but sometimes, your doctor may temporarily stop your heart from using medication and connect you to the cardiopulmonary bypass machine, which will circulate oxygen and blood through your body.


Your doctor will extract a healthy blood vessel (graft) from another part of your body, including your chest, arm, or leg. The extracted blood vessel is attached to the blocked artery, which forms a path for the blood to travel to your heart. If you have three or four blockages, your doctor will perform multiple bypass procedures during the same surgery.

Closing the Incision

After your surgery is done, your doctor will check the function of your newly attached blood vessel. Once confirmed it is functioning well, the chest is closed, and the incision stitched up and bandaged.

What Happens After Heart Bypass Surgery?

You will be taken to the intensive care unit (ICU) for observing your health conduction. You will be still breathing with the ventilator and may have after heart bypass surgery side effects, including:

  • Pain with deep breaths
  • Pain when coughing
  • Pain at the incision site

These are normal and will go away within a few days. You will be in the ICU for one to two days and your vital signs, including your blood pressure and heart rate will be continuously monitored. Once your health is stable, you will be moved from ICU to a general room and from there, you will be discharged within 3 to 5 days. Before you leave, your medical team will give you guidance on how to take care of yourself and the dos and don’ts after surgery.

Heart Bypass Surgery Recovery

Heart bypass surgery recovery is a slow process and can take 2 to 3 months. It is quite usual to feel down and uncomfortable after surgery. Your doctor will register some follow-up appointments during the first few months to observe your progress.

However, make sure to visit your doctor immediately if you feel worse, your symptoms do not go away, or you experience:

  • Rapid heart rate
  • Fever above 100 degrees Fahrenheit
  • Discharge or redness around the incision
  • Chest pain that increases from time to time

Follow these tips for speeding up your recovery process:

  • Don’t ride for 4 to 6 weeks.
  • Do not involve in intense workouts. Instead, perform cardiac rehabilitation if your physician has suggested it. Cardiac rehabilitation is a customized workout program that gives lifestyle education, including nutrition. After completing this program, you can work on your fitness.
  • Perform simple household works when you recover.
  • Most patients can continue their work after 6 weeks. However, if your work involves physical tasks, get your doctor’s advice before resuming work. Usually, it can take 3 months to resume work with full strength.

The bypass surgery recovery time depends on your overall health, the types of activities you perform, and how many bypass surgeries you have had.