expert type icon EXPERT

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.
43 years Experience
Sheila Kar
  • Beverly Hills, California
  • Nil Ratan Sircar Medical College & Hospital
  • Accepting new patients

How is congestive heart failure treated?

The treatment depends on the condition that is causing the congestive heart failure. Having said so, fluid restriction, salt restriction and medications such as beta-blockers, READ MORE
The treatment depends on the condition that is causing the congestive heart failure. Having said so, fluid restriction, salt restriction and medications such as beta-blockers, angiotensin-converting-enzyme inhibitor, angiotensive 11 receptor blockers, diuretics etc etc. In each of these categories of medications, there are several medicines. Your cardiologist will select what is right for you. Taking daily weights, being very mindful of your food composition and intake is important. Daily exercise only as prescribed, helps in the long run.
I hope this is helpful.

Chronic Chest Pain

Get the SVT taken care of. Make sure your thyroid is not overactive.

What is the treatment for marfan syndrome?

Not treated, but watched closely through his life to prevent complications of any conditions that he might have, like aortic valve, or dilated aorta, or eye lens etc.

Should I visit a cardiologist if I have kidney issues?

They can be related. Your nephrologist would suggest it to you

I am a 37 year old man. How often should I do a treadmill test to know my fitness levels?

Provided you are not on certain medications, do not smoke, do not have any other underlying conditions, do not indulge in recreational substances, if you start exercising daily READ MORE
Provided you are not on certain medications, do not smoke, do not have any other underlying conditions, do not indulge in recreational substances, if you start exercising daily or every other days (with intermittent high intensity training), you should start getting well conditioned. Your highest heart rate achieved during exercise for a few minutes at a time can range between 140-155 beats per minute. All the best.

Why is my father passing blood in his urine after his bypass?

He might be on a blood thinner. A urologist should see him to be sure nothing else is going on in conjunction

Does MSG in food cause heart problems?

Can cause headache and, in some people, palpitations.

Does the fitness tracker band show the actual heart rate?

If someone has a normal heart rhythm, it is fairly accurate. Also, it depends on body habitus; if a person has a tremor, it might be off.

Are cardiovascular diseases hereditary?

You could have increased risk. Epigenetics means changing your risk by exposing your body and mind to a good healthy environment.

What could be the reason for increased heart rate of my wife who is 5 months pregnant?

It could be physiological, or she could be anemic. Her thyroid function and heart should be checked out.

Can my body reject a pacemaker?

Not heard of rejection. Very very rarely infection. If you need the pacemaker, you should do it.

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.