A. Shekhar Pandey

With heart disease, a healthy diet like the DASH diet, step 2 diet, Mediterranean diet or vegetarian diet should be considered. After heart surgery, people are often anemic and may need iron supplements. Other supplements would depend on the individual case and details of the case.

These symptoms could be due to menopause but if you are concerned, it should always be checked. Menopause does increase risk of heart problems and women sometimes manifest heart symptoms differently then men.

Trouble breathing especially when laying down, marked fatigue, effort intolerance- just couldn't keep up with what you could before. Dizziness with exertion.

Heart disease occurs for many reasons including diet, exercise and lifestyle but genetics is often dominant and may not be impacted by the things you are doing. Leading a healthy lifestyle still reduces the risk of heart disease even when there is genetics working against you. If you did not do the things you did, you may have ended up with even more blockages at an even younger age.

Excessive sweating can be a sign of many things including diabetes, thyroid disease, anemia but also heart disease. If you are concerned, I would suggest discussing it with your clinician.

If you have risks for heart disease, it should be checked before vigorous effort. By it self, exercise does not strain the heart and actually help to keep the heart strong and reduce the risk of heart disease but if exercise causes unexplained symptoms, it warrants investigation.

If a Pacemaker is recommended, it should help with energy, breathing and reduce the risk of blackout. The Pacemaker will require regular follow-up. The procedure carries a risk of injury, perforation, bruising at the site of insertion and infection although these risks are low.

Diabetes significantly increases the risk of heart attacks, strokes, peripheral Vascular disease and heart failure. Good blood sugar, blood pressure and cholesterol control as well avoid smoking, avoiding alcohol excess, and step 2 diet and exercise can help reduce the risk of these complications.

This means the electricity flows at a slower speed from one side of the hearts electrical system. If this is new, it may need an assessment but can often occur in healthy individuals.

Bypass surgery is usually an open heart surgical procedure, although some can be done through "minimally Invasive" or "keyhole" surgery. It is often done for more advanced blockages, particularly if multiple arteries are involved or if the heart is weak.

Angioplasty, Stent or PCI all mean that it is a procedure done with catheters rather than an open surgery. It is used most often for single blockages where medications have been inadequate to control chest pains.

Which is best suited is dependent on the extent of blockages and what other medical conditions the individual may have and is a case by case decision and best advised by the person who did the angiogram Cardiac catheterization procedure that found the blockage.

Dr. A. Shekhar Pandey, B.Sc., MD, FRCPC, ABIM, CBNC