expert type icon EXPERT

Dr. Sheila Kar

Internist

Dr. Sheila Kar is an internist practicing in Beverly Hills, California. Dr. Kar specializes in the medical treatment of adults. Internists can act as a primary physician or a consultant to a primary physician. They manage both common and rare diseases. Dr. Kar provides comprehensive care and manages treatment with surgeons as well. Internists establish long-term relationships with their patients and incorporate disease prevention and mental health care into their practice.
38 years Experience
Dr. Sheila Kar
  • Beverly Hills, California
  • Nil Ratan Sircar Medical College & Hospital
  • Accepting new patients

After having a bypass can I get blockages again?

Bypasses only bypass the blockage. You have to change your life style and control your cardiovascular risk factors, so you prevent further disease, and actually can regress heart READ MORE
Bypasses only bypass the blockage. You have to change your life style and control your cardiovascular risk factors, so you prevent further disease, and actually can regress heart disease. You will also have to avoid 1st and 2nd hand smoking. Don't be anxious, just do the right thing.

Can anesthesia cause breathlessness?

Yes, please go through a cardiac evaluation to play safe. That would include seeing a cardiologist, ECG, blood work and echocardiogram. Before that make sure you are not anemic. READ MORE
Yes, please go through a cardiac evaluation to play safe. That would include seeing a cardiologist, ECG, blood work and echocardiogram. Before that make sure you are not anemic.

After a bypass, how long will I have to follow diet restrictions?

Lifelong changes need to be made. I do not know what exact restrictions you're are talking about. In general, eating more plant-based, less animal protein, including fish, is good. READ MORE
Lifelong changes need to be made. I do not know what exact restrictions you're are talking about. In general, eating more plant-based, less animal protein, including fish, is good.

Could a big belly indicate a heart problem?

Yes, there is a relationship between increasing abdominal girth and heart disease. Cutting out carbohydrates, drinking alcohol only 1-1.5 glasses of wine each time, eating light READ MORE
Yes, there is a relationship between increasing abdominal girth and heart disease. Cutting out carbohydrates, drinking alcohol only 1-1.5 glasses of wine each time, eating light dinners, and exercising are some ways to attack it.

Can heart blockages be cleared with medicine?

Angioplasty is recommended when a patient has symptoms or the lesions are hemodynamically significant (usually greater than 80%). Medicines and lifestyle modification take time. READ MORE
Angioplasty is recommended when a patient has symptoms or the lesions are hemodynamically significant (usually greater than 80%). Medicines and lifestyle modification take time. But heart disease does regress. So, it depends which vessels and the degree of narrowing. No matter what, he should be on medications EVEN if he needs an angioplasty.

Do e-cigarettes reduce the risk of heart attacks?

E-cigarettes are bad too. Please figure out what works for you, hypnotism, Chantix, cold turkey, patches or e-cigarettes, but PLEASE stop tobacco use. Congratulations on taking READ MORE
E-cigarettes are bad too. Please figure out what works for you, hypnotism, Chantix, cold turkey, patches or e-cigarettes, but PLEASE stop tobacco use. Congratulations on taking the first step. All the best, not easy, but you can do it.

Can ayurveda help in clearing heart blockages?

There is no evidence in peer reviewed literature. You may do ayurveda in addition, but please do what is already proven.

What are some lifestyle changes to prevent further heart issues for my husband?

1. Plant-based food, fish, avoid dairy, meat only on special occasions 2. Side salad with every lunch and dinner 3. 6-8 hours of sleep 4. Avoid even 2nd-hand smoking 5. Keeping READ MORE
1. Plant-based food, fish, avoid dairy, meat only on special occasions
2. Side salad with every lunch and dinner
3. 6-8 hours of sleep
4. Avoid even 2nd-hand smoking
5. Keeping lipids (cholesterol profile), blood sugar, blood pressure perfect
6. See your cardiologist at least yearly
7. Stress relieving techniques like 10 minutes of meditation twice daily or more

Living life in moderation, peace, and joy ALWAYS.

Do blood thinners cause excessive sleepiness?

Not that I know of. Maybe she takes all her medications at the same time, and her blood pressure drops. Would be interesting to check her blood pressure when she is drowsy.

I am experiencing tachycardia after having heavy bleeding during my menstrual cycle. What should I do?

Don't be worried, maybe you are anemic. Sometimes taking an iron supplement during your periods may replenish the losses. Please discuss with your gynecologist as well.

I can feel my heart pounding time and again. Could it be a symptom of atrial fibrillation?

You could wear a Ziopatch for 2 weeks, and actually have the cardiologist see whether or not you get atrial fibrillation. Skipped beats are not atrial fibrillation.

At what age is one at a high risk of a heart attack?

Age, stress, elevated blood pressure, gout, tobacco use, diabetes mellitus, sedentary life style, overweight/obesity, positive family history are some of the risk facts. You are READ MORE
Age, stress, elevated blood pressure, gout, tobacco use, diabetes mellitus, sedentary life style, overweight/obesity, positive family history are some of the risk facts. You are only 34, perfect age to start prevention of cardiovascular disease.

What are precautionary steps to take to prevent a heart attack?

See a cardiologist to assess your cardiovascular risk at the current time. That way, you can modify any risk factor that you might have and do not know about. Also, depending on READ MORE
See a cardiologist to assess your cardiovascular risk at the current time. That way, you can modify any risk factor that you might have and do not know about. Also, depending on your age and sex, a calcium score of the coronary arteries would be valuable to know.

What are the signs of a heart problem in an infant?

Please obtain an ultrasound of the baby's heart in utero. Also, you can request a pediatric cardiologist, to check you baby thoroughly. Turning blue, excessive perspiration, an READ MORE
Please obtain an ultrasound of the baby's heart in utero. Also, you can request a pediatric cardiologist, to check you baby thoroughly. Turning blue, excessive perspiration, an abnormal sounding cry, excessive panting, difficulty drinking milk, etc., are some signs of heart disease. Please think positively. You are being proactive.

All the best.

Is it safe to go to the gym 6 months after coronary artery bypass surgery?

Did you go to cardiac rehab post surgery. They usually clear you for physical activity on your own in the gym. All the best. Keep up the good work.

What is an angiogram expected to tell of my heart condition?

It tells you about the major (large) coronary arteries, whether there are narrowings or propensity. It does not tell you about exercise tolerance, valve function, muscle function READ MORE
It tells you about the major (large) coronary arteries, whether there are narrowings or propensity. It does not tell you about exercise tolerance, valve function, muscle function etc.

Does a tingling feeling in the chest indicate anything?

Difficult to say without knowing any of your history and risk factors. If there is a family history of heart disease, history of smoking, diabetes, sedentary lifestyle, prior recreational READ MORE
Difficult to say without knowing any of your history and risk factors. If there is a family history of heart disease, history of smoking, diabetes, sedentary lifestyle, prior recreational drug use, overweight, etc., please play safe and get checked out. It is good to be proactive.

Can my heart rate go very high with just anxiety?

Yes, but it depends on your age, thyroid function, physical fitness, presence of anemia, etc. Please go to your primary medical doctor and get checked out. Better safe than sorry. READ MORE
Yes, but it depends on your age, thyroid function, physical fitness, presence of anemia, etc. Please go to your primary medical doctor and get checked out. Better safe than sorry.

Can a blood transfusion cause disruption in my heart rate?

Should not. But maybe you are still anemic, maybe you are in pain; blood transfusion alone should not increase one's heart rate later. Please get checked out.

Can blood thinners cause excessive bleeding?

Aspirin could make him more prone to bleed with a preexisting condition. Please have him checked out by his internist, and then a urologist if necessary. He could have anywhere READ MORE
Aspirin could make him more prone to bleed with a preexisting condition. Please have him checked out by his internist, and then a urologist if necessary. He could have anywhere from bladder infection to polyps, to kidney stones to prostate issues. After a heart attack, it is important to be on an anti-platelet medication such as aspirin or clopidogrel, etc., to prevent recurrence.