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Dr. Om Murti Anil

Dr Om Murti Anil is a young cardiologist who has recently completed his DM interventional cardiology from prestigious All India Institute of Medical sciences (AIIMS), New Delhi, India. He is youngest and only one  Nepalese doctor who has achieved this degree from AIIMS. He has done MBBS from CMS, Bharatpur and MD internal medicine from TUTH (IOM), Kathmandu. His Field of interest in cardiology is both invasive (Angiography, Angioplasty, Pacemakers, Device closure of cardiac defects etc ) and Noninvasive (Echocardiography, Hypertension, Diabetes etc.) . His knowledge in Paediatric cardiology is also amazing. His field of interest are paediatric echocardiography, device closure of congenital heart defects and treating child with cardiac illness.

He also takes interest in managing simple diseases like hypertension and diabetes. By his understanding of echocardiography, he makes treatment of hypertension very simpler and acceptable for patients. He has great interest in managing critical care cases including management of patients under ventilator support.

Dr Om is gifted with wonderful clinical skill which in combination with his dedication towards patient`s health has provided Nepalese people a golden opportunity to obtain health advices from him and become his patient. 

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A precious moment in my life

                                  A precious moment in my life!!!!

Welcome Speech

My father and myself being felicitated by my primary school teachers for achieving highest degree in Cardiology (DM) from AIIMS (New Delhi). A proud event for them  but an emotional  and memorable one  for me!!! 

Audience

Speaking to school children

Me and My father

An Act Of God

	An Act Of God
	DR OM MURTI ANIL WHO SAVES A PATIENT’S LIFE? An angiogram I conducted on a 55-year-old male from Rautahat showed that he had 95 percent blockage in his left coronary artery. Disease in this artery, which supplies blood to the heart, is considered lethal. He was referred for a bypass surgery, but could not afford the two lakhs required for this purpose. He had been experiencing recurrent rest angina (chest pain due to blockage) in the past two days. He met me in OPD and said that he only had Rs 1,100. Being an interventional cardiologist, I easily understood the gravity of situation. Rest angina in this case has only two remedies: either open up the obstructed artery, or accept death. Like many developing countries, the government of Nepal does not have rules requiring government or non-government hospitals to provide treatment free of cost in emergency settings to save the life of poor patients. I think when a patient reaches any hospital, the hospital should save his life, even if he doesn’t have a single paisa. It is a basic human right and the responsibility of a nation towards its citizens. In our hospital, like in other hospitals, we did not have the facility of providing this patient a life saving procedure (CABG or Angioplasty) free of cost. Either treatment costs more than Rs two lakhs in Nepal. With all these things in mind, that patient was admitted and put on medical management, which could do little for his deadly disease. We were mentally prepared to tackle any mishap during his admission. When I was doing my DM cardiology in AIIMS, I used to imagine that one day I would do something in my country to save the lives of these kinds of patients. But when I got the opportunity, the situation was not favorable for me to accomplish it. After this patient’s admission, I took care of him. I arranged for a free stent (used during angioplasty to keep the artery open) for him the day he was admitted. I had made plans to save his life if his condition deteriorated. Despite continuous medical management, one morning he suddenly collapsed. He was resuscitated successfully due to the timely action of on-duty DM resident doctor. He then started having continuous chest pain, and ECG done immediately showed features of a massive heart attack. I took him immediately to cath lab. His condition was very poor, his blood pressure had dropped to 30 mmHg. Angioplasty (opening of obstructed artery by wire and balloon, and putting a stent through an artery connected to heart) of his diseased vessel was done. His left main coronary artery was blocked almost completely, with only a string-like flow of blood through it. The whole procedure of Angioplasty took less than 20 minutes, immediately after which his BP rose to 130 mmHg. We achieved excellent angioplasty result thanks to whole cath lab team, and the patient was shifted back to coronary care unit (CCU). During his transfer he thanked the cath lab team, and told us that we had saved his life. He was happy that he had survived, and was laughing as he was being shifted. We too were delighted. And why not, for we had performed a procedure considered challenging for interventional cardiologists in any part of the world. Only 50 percent of such patients survive, even with timely angioplasty. In our context, it was no less than a miracle. For a doctor, and everybody involved in patient care, there is nothing more satisfying than saving the life of an ailing patient. It was quite natural for us to be excited about that event. This procedure not only saved his life, but also made a bypass surgery unnecessary. After the procedure, I went to OPD and finished my cases, and went home intending to have lunch. Even at 4 pm, I could not eat all of my lunch because of my excitement, and instead went back to CCU to see the patient. At home during lunch, I had talked to my parents, wife, and nephew about the day’s progress (I had already discussed his case with them). They were very happy for two reasons. One, because I had saved a life, and two, because I was happy. I always talk to them about my work at the hospital, and they pray and wish for my success every day, particularly when I have some challenging cases at hand. When I met the patient in CCU after my lunch, he said to me in Maithili “Aanha hamar bhagawan chhi, Hamar jaan bacha deli” (“You are my God, you have saved my life”). That statement brought a pleasant smile to my face as usual, though it was nothing new. Doctors often get to hear these two lines together. Such words always encourage us to continue our good work. But in reality, every doctor knows who they are. They are like any other people. They know very well that they are human beings and not gods, but they still enjoy being called a God. Why? I don’t know, and I wondered if any doctor knew. In my opinion, only one philosophy can explain this. According to the Geeta, the Aatma (soul) of every living creature is immortal. And Aatma (Soul) merges with Paramatma (the supreme being) after death. That means Aatma is a part of Paramatma who lives in every creature created by God. In every living creature, there lives a part of the Supreme Lord. After Angioplasty, the patient had a normal recovery and was discharged four days later in a very stable condition. We gave him free medicines to last three months to make sure that he wouldn’t stop taking the medicines even if he couldn’t afford them, since stopping medicine in patients with stent can have disastrous consequences. Our hospital (Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu) provided a bed as well as the procedure of angioplasty free of charge, and also contributed to patient care. The staffs at this institution are excited to tackle more such challenging cases in future. But still, a question continues to haunt me. Who saved his life? Me, the cath lab team, or my hospital? My father used to recount to me an incident from Mahabharata: once, Lord Krishna said to Arjuna “Ishwarah sarva bhutanam hridasya arjuna tisthati bhranyan sarva bhutani yantra rurhani mayayaa (“The Lord resides in every living and nonliving creature, and makes it work like a machine).” My mother (who sat near me as I wrote this piece) didn’t understand much of what my father said, but I know she understands my emotions. Being a Hindu, I have full faith in the God and Geeta, and am convinced of the truth of this statement. I thought again and again, and finally realized that it is neither me, nor my team, that saved his life. It is God who makes it possible. He inspires within us the motivation to accomplish it. He arranges everything, to save the life of his creatures. We just perform our duties. Doctors who are lucky to have the blessings of God get many such opportunities. I guess I was one of the lucky ones. I pray to the almighty to continue to bless me, and grant me more opportunities to bring smiles to the faces of diseased, suffering, and poor patients. drommurti@yahoo.com Article of myrepublica http://myrepublica.com/portal/index.php?action=news_details&news_id=49230

Religious Books Website

First Website
'
Second Website

Healthy Fruits Website

http://www.fitsugar.com/Nutritional-Comparison-Almonds-Cashews-10712265

http://skipthepie.org/nut-and-seed-products/nuts-almonds/compared-to/nuts-cashew-nuts-raw/

http://marcianelsonrd.wordpress.com/2010/07/22/peanuts-vs-almonds-vs-walnuts-vs-cashews/

http://www.nutrition-and-you.com/raisins.html

http://rehanastormme.hubpages.com/hub/Are-Raisins-Good-For-You-Raisins-Health-Benefits

http://www.organicfacts.net/health-benefits/fruit/health-benefits-of-raisins.html

http://www.buzzle.com/articles/potassium-rich-foods-chart.html

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Nepali Converter

Nepali Unicode

This is a software to convert English to Nepali.

Just type your word in English for example HaarTa Clinic , the result will come as "हार्ट क्लिनिक".

Software here Om Murti Nikhil

HELP

To mix English into your Nepali text. Simply put any text you want to keep in English inside the curly {} brackets. Example: yo {mobile} mero ho. = यो mobile मेरो ह

Phonetically similar letters: ta = त, Ta = ट, tha = थ, Tha = ठ, da = द, Da = ड, dha = ध, Dha = ढ, na = न, Na = ण, sha = श, Sha = ष ... The (upper or lower) case doesn't matter for the rest of the letters2

Other special characters:

ri^ = रि (as in प्र)

rr = र्‍ (as in गर्‍य)

rri = ऋ

rree = ॠ

yna = ञ

chha = छ

ksha =क्ष

gya =ज्ञ

* = अनुस्वर

** = चन्द्रबिन्दु

om = ॐ

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Laughter Is The "Best Medicine" For Your Heart

Can a laugh every day keep the heart attack away? Maybe so.

Laughter, along with an active sense of humor, may help protect you against a heart attack, according to a recent study by cardiologists at the University of Maryland Medical Center in Baltimore. The study, which is the first to indicate that laughter may help prevent heart disease, found that people with heart disease were 40 percent less likely to laugh in a variety of situations compared to people of the same age without heart disease.

"The old saying that 'laughter is the best medicine,' definitely appears to be true when it comes to protecting your heart," says Michael Miller, M.D., director of the Center for Preventive Cardiology at the University of Maryland Medical Center and a professor of medicine at the University of Maryland School of Medicine. "We don't know yet why laughing protects the heart, but we know that mental stress is associated with impairment of the endothelium, the protective barrier lining our blood vessels. This can cause a series of inflammatory reactions that lead to fat and cholesterol build-up in the coronary arteries and ultimately to a heart attack."

In the study, researchers compared the humor responses of 300 people. Half of the participants had either suffered a heart attack or undergone coronary artery bypass surgery. The other 150 did not have heart disease. One questionnaire had a series of multiple-choice answers to find out how much or how little people laughed in certain situations, and the second one used true or false answers to measure anger and hostility.

Miller said that the most significant study finding was that "people with heart disease responded less humorously to everyday life situations." They generally laughed less, even in positive situations, and they displayed more anger and hostility.

"The ability to laugh -- either naturally or as learned behavior -- may have important implications in societies such as the U.S. where heart disease remains the number one killer," says Miller. "We know that exercising, not smoking and eating foods low in saturated fat will reduce the risk of heart disease. Perhaps regular, hearty laughter should be added to the list."

Miller says it may be possible to incorporate laughter into our daily activities, just as we do with other heart-healthy activities, such as taking the stairs instead of the elevator. "We could perhaps read something humorous or watch a funny video and try to find ways to take ourselves less seriously," Miller says. "The recommendation for a healthy heart may one day be exercise, eat right and laugh a few times a day."

ABP

24 hours ambulatory Blood Pressure is monitored by an automatic machine which is attached through a cable to the BP measuring cuff (Applied on arm). Small device will be hanged on your body, which will automatically record your BP at a prespecified time (30/60min). 24 hour record will be then analyzed by a software. Most important indication of this test is white coat hypertension. In anxious patient, BP recorded by a doctor/health professional in clinic/office will be high (>140/90) but BP at home will be normal. This is called white coat hypertension. As this machine record your BP at home in comfortable environment, it can easily distinguish true hypertension with white coat hypertension. This test gives accurate measurement and average of 24 hour BP. This test is far better than single BP reading. It gives firm evidence to start BP lowering medicine in borderline HTN cases.

Holter

Holter (ambulatory ECG) is a test to obtain 24 or 48 hour ambulatory ECG. If you have symptoms like palpitation or syncope (loss of consciousness) , you will first undergo an ECG test but most of time, at the time of ECG performance, you may not have any symptom and ECG may be normal. In such condition if holter is applied, 24 hour continuous ECG will be recorded and further analyzed with a software in computer for detailed evaluation of ECG. If you have any symptoms during 24 hour holter application, then ECG exactly at that moment will be reviewed from recorded device and will be correlated to your symptom. Your cardiologist will be in position to say you confidently whether your symptoms are because of heart problem or something else. Common indication of holter are palpitation or syncope (loss of consciousness) and abnormalities in ECG, impaired heart function (low ejection fraction).

Electrocardiography

Electrocardiogram (ECG) is performed to assess electrical activity of heart (initiation and conduction of heart beat). It is painless non invasive test performed by applying small clips (electrodes) on hands, legs and chest. You need to remove all magnetic materials (mobile, belt watch, etc). You don’t need to take out jewelleries. It takes about 5 minutes to complete the test. ECG has to be shown to your physician/ cardiologist as early possible depending on urgency of test. No side effects or risk associated with this test.

Echocardiography

An echocardiogram, often referred as a cardiac ECHO or simply an ECHO is a cardiac ultrasound. It include two dimensional (2D) picture, M mode ,Doppler,  Colour doppler and tissue doppler studies. It gives accurate assessment of heart function (contraction and relaxation) mainly ejection fraction (EF).   It provides  assessment of cardiac valves  and function, any abnormal communications between the left and right side of the heart (congenital heart disease) , any leaking of blood through the valves (valvular regurgitation) and other parameters measured like luminal diameters and thicknesses of wall of heart.

Echocardiography is usually performed by a  cardiologist. It can be  performed any time by applying a cardiac probe on chest. It is painless and noninvasive procedure hardly takes 5-10 minute depending on cardiac abnormalities. Common indications of echocardiogram are: Those who have shortness of breath during exertion, swelling of legs and face, palpitation, chest pain, evaluation of hypertension / Diabetes. Children with frequent chest infection, inadequate growth of child, fast heart beat, newborns having difficulty and sweating during breast feeding. It can be performed safely on pregnant women. No side effects or risk associated with this test and can be performed even after meal.

हृदयाघातबाट कसरी बच्ने ?

धूमपानले हृदयाघातको खतरा २ देखि ४ गुणा बढाउँछ । जति धेरै धूमपान गर्नुहुन्छ, हृदयाघातको खतरा त्यति नै धेरै हुन्छ । सानै उमेरदेखि धूमपान गरेमा खतरा झन् धेरै हुन्छ । मधुमेह, उच्च रक्तचाप र उच्च कोलेस्टेरोल भएको व्यक्तिले चुरोट/ बिंडी सेवन गरेमा हृदयाघातको खतरा अत्यन्त धेरै हुन्छ । मधुमेहले हृदयाघातको खतरा २-३ गुणा बढाउँछ । लामो समयदेखि मधुमेह भएको व्यक्तिलाई यसको खतरा झन् बढी हुन्छ । बिहान खाली पेटमा रगत जाँच गरी सुगरको मात्रा थाहा पाउनुस् । सुरुसुरुमा मधुमेहको केही लक्षण नहुन सक्छ । त्यसैले रक्तपरीक्षण नै मधुमेह थाहा पाउने उपयुक्त तरिका हो । 

उच्च रक्तचाप नियन्त्रण नगरेमा, हृदयाघातको खतरा लगभग २ गुणा बढी हुन्छ । अवसर पाएका बेलामा आफ्नो रक्तचाप 'ब्लड प्रेसर' जहाँ/जुनबेला हुन्छ, जचाउनुहोस् । तपाईंको रक्तचाप सामान्य (१४०/९०) भन्दा बढी छ भने  चिकित्सकको परामर्श लिनुहोस् । 

उच्च कोलेस्टेरोलले हृदयाघातको खतरा लगभग ३ गुणा बढाउँछ । कोलेस्टेरोलको मात्रा रगतमा जति धेरै हुन्छ, हृदयाघातको खतरा पनि त्यति नै धेरै हुन्छ । उच्च कोलेस्टेरोलको केही लक्षण हुँदैन, रगतको जाँच नगरेसम्म उच्च कोलेस्टेरोल छ कि छैन थाहा हुँदैन । त्यसैले बिहान खाली पेटमा रक्तपरीक्षण गरी आफ्नो कोलेस्टेरोलको मात्रा थाहा पाउनुहोस् । मधुमेह, उच्च रक्तचाप, मोटोपना र परिवारमा हृदयाघात भइसकेको व्यक्तिले आफ्नो कोलेस्टेरोलको मात्रा थाहा पाउनु जरुरी हुन्छ । 

यदि तपाईं मोटो हुनुहुन्छ वा कम्मर वरिपरि धेरै बोसो रहेछ भने हृदयाघातको खतरा बढी हुन्छ । तपाईंले आफ्नो चाहिने तौल पत्ता लगाउन उचाइ -सेमि) बाट १०० घटाउनुहोस् । तपाईंको तौल योभन्दा कम हुनुपर्छ । जस्तैः १६० सेमि उचाइ हुँदा, तपाईंको तौल १६०-१०० . ६० केजीभन्दा बढी हुनु हुँदैन । आफ्नो पेटको मोटाइ नाइटोको वरिपरि नाप्नुहोस् र हिपको मोटाइ सबभन्दा चौडा भागमा नाप्नुहोस् कम्मरको नाप र हिपको नापको रेसियोलाई 'वेस्ट हिप रेसियो' भनिन्छ । यो रेसियो पुरुष र महिलाको क्रमश ०.९० र ०.८५ भन्दा कम हुनुपर्छ । 

परिवार, कार्यालय वा अर्थव्यवस्थासँग सम्बन्धित तनावले पनि हृदयाघात निम्त्याउन सक्छ । डिप्रेसनले पनि हृदयाघात निम्त्याउन सक्छ । तपाईंलाई पनि डिप्रेेसन वा अत्यधिक तनाव छ कि छैन विचार गर्नुहोस् । नियमित रूपमा अत्यधिक मदिरा सेवन गर्नु वा एकदिनमै अत्यन्तै धरै मदिरा सेवन गर्नु -बिन्ज डि्रन्किङ) ले पनि हृदयाघात निम्त्याउन सक्छ । पुरुषले २० ग्राम र महिलाले १० ग्राम प्रतिदिनभन्दा बढी मदिराको सेवन स्वास्थ्यका लागि हानिकारक मानिन्छ । 

यदि तपाईंलाई माथि उल्लिखित १ भन्दा बढी कारक तत्त्वहरू छन् भने हृदयाघाताको खतरा धेरै गुणा बढी हुन्छ । तपाईं आफ्नो दिनचर्यामा ससानो परिवर्तन गरेर हृदयाघातबाट सजिलैसँग बच्न सक्नुहुन्छ । तलका उपाय अपनाएर हृदयाघातबाट बच्नुहोस् । 

 त्तजैदेखि चुरोट/बिंडीको सेवन बन्द गर्नुहोस् । यसको सेवन बन्द गरेको दिनदेखि नै हृदयाघातको खतरा कम हुँदै जान्छ । 

 मिधुमेह, उच्च कोलेस्टेरोल, उच्च रक्तचापको नियन्त्रण गर्नुहोस् । यसका लागि नियमित शारीरिक गतिविधि, स्वस्थ आहार, तौल घटाउने र आवश्यक परेमा औषधि प्रयोग गर्नुहोस् । 

 -नियमित रूपले ताजा फलफूल, प्रशस्त सागसब्जी र माछाको प्रयोग गर्नोस् । 

-नियमित शारीरिक गतिविधि, दैनिक आधा घन्टा हिँडडुल गर्ने बानी बसाल्नुहोस् । -हिँडडुल गर्ने, दौडिने, साइकल चलाउने, पौडी खेल्ने, ट्रेड मिलमा दौडिने । याद राख्नुहोस्: जटिल वा गाह्रो व्यायामले उल्टै मुटुलाई हानि पनि गर्न सक्छ ।

 -अत्याधिक मदिराको सेवन नगर्ने

 -मोटोपना भएमा तौल घटाउने र नियन्त्रण राख्ने । 

 -आफ्नो दैनिक आहारमा नुन, चिनी, घिउ र चिल्लो (फैट) को सेवन सकेसम्म कम गर्ने 

 -डिप्रेसन वा तनावलाई कम गर्ने, यसका लागि घर र कार्यालयमा सौहार्दपूर्ण वातावरण सिर्जना गर्ने । 

लेखक मनमोहन कार्डियोथोरासिक भास्कुलर एन्ड ट्रान्सप्लान्ट सेन्टरसँग आबद्ध छन् ।

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Nepali Date Converter

धूमपानको धक्का

 तम्बाकुको सेवन धेरै प्रकारमा गरिएको पाइन्छ । जस्तैः चुरोट, बिडी, सिगार, हुका, सुँघ्ने, चपाउने (खैनी) आदि । जुनसुकै रूपमा यसको प्रयोग गरे पनि यो स्वास्थ्यका लागि अत्यन्त हानिकारक हुन सक्छ । आफ्नो स्वास्थ्यलाई सुरक्षित बनाउन तम्बाकुको सेवन बन्द गर्नु सबैभन्दा बुद्धिमानी निर्णय हो ।

संसारभरिमा ११ करोडजति चुरोट सेवन गर्ने मानिस छन् । जसमध्ये सबभन्दा बढी ३१ प्रतिशत युरोपेली र १० प्रतिशत अफ्रिकी क्षेत्रमा पर्छन् । विश्व स्वास्थ्य संगठनको एक रिपोर्टअनुसार बर्सेनि लगभग ६० लाख मानिसको मृत्यु तम्बाकुजन्य पदार्थ सेवनले हुने गर्छ र यो संख्या सन् २०२० मा १ करोड पुग्ने अनुमान छ । संसारभरिमै मुटु र रक्तनलीसम्बन्धी रोगहरूमध्ये २५ प्रतिशत व्यक्तिमा तम्बाकुका कारणले हुने गर्छ जसमध्ये १० प्रतिशत चुरोटले मात्रै हुने गर्छ ।

धूमपानले रक्तनलीको भित्री भित्तामा कोलेस्टेरोल जम्मा गराउँछ । रगतलाई बाक्लो बनाएर जम्ने सम्भावना बढाउँछ । नराम्रो कोलेस्टोलको मात्रा रगतमा बढाउँछ र राम्रो कोलेस्टे्ररोल घटाउँछ । यसले मुटुका रक्तनलीलाई साँघुरो बनाउन सक्छ । निकोटिनले मुटुको धड्कनको गति र रक्तचाप पनि बढाउँछ । धूमपानले हुने यस्ता परिवर्तनले गर्दा मुटुको रक्तनलीमा रगत जमेर मुटुको रक्तसञ्चारमा बाधा पुग्छ अनि हृदयाघात हुन्छ । बि्रटेनको एक अध्ययनअनुसार ३० देखि ५० वर्ष उमेर भएको चुरोट सेवन गर्ने व्यक्तिलाई हृदयाघातको सम्भावना चुरोट सेवन नगर्नेभन्दा ५ गुणा बढी हुन्छ । अमेरिकामा प्रत्येक ५ मध्ये १ व्यक्तिको मृत्यु, चुरोटको सेवनले हुने गर्छ ।

जनसमुदायलाई चुरोटबाट फोक्सोको क्यान्सर हुन्छ भन्ने कुरा मात्रै लाग्न सक्छ, तर चुरोट सेवन गर्ने मानिसमा हृदयाघात र स्ट्रोक (पक्षाघात) हुने सम्भावना क्यान्सरभन्दा बढी हुन्छ । चुरोटले हृदयाघात निम्त्याउँछ भन्ने तथ्य सन् १९४० मा पहिलोचोटि प्रमाणित भएदेखि, प्रशस्त वैज्ञानिक प्रमाणले चुरोट र हृदयाघातको सीधा सम्बन्ध देखाएको छ ।

सानै उमेरदेखि (२० वर्षभन्दा मुनि) धूमपान सेवन गरेमा मुटुमा झन् ठूलो खतरा हुन्छ । धूमपानबाट पुरुषभन्दा बढी महिलालाई हृदयाघातको खतरा हुन्छ । धूमपानबाट हुने खतरा सीधा उपभोग गरेर मात्रै होइन कि, चुरोट प्रयोग गर्दा निस्केको धूवाँले अरूलाई पनि हानि गर्न सक्छ । यसलाई 'पेसिभ स्मोकिङ' भनिन्छ । अमेरिकामा बर्सेनि ६२ हजार मानिसको मृत्यु 'पेसिभ स्मोकिङ' का कारणले मुटुरोग हुने गर्छ । सेन्टर फोर डिजिज कन्ट्रोल एन्ड पि्रभेन्सनको रिपोर्टअनुसार एचआईभी, लागूपदार्थ दुव्र्यसन, मदिरापान, मोटर दुर्घटना, आत्महत्या र मर्डरलाई सँगै मिलाएर हुने बर्सेनि मृत्युभन्दा एक्लै बढी मृत्यु तम्बाकुजन्य पदार्थ सेवनले हुने गर्छ ।

धूमपानले शरीरका महत्त्वपूर्ण अंगमा नकारात्मक असर गर्छ  । जस्तो, यसबाट मुटु र रक्तनलीसम्बन्धी रोगहरू, स्ट्रोक

-ब्रेन अटेक), क्यान्सर, फोक्सोको रोग (दम, ब्रोन्काइटिस), गर्भवती महिलामा बाँझोपन, गर्भपतन, कम वजन भएको बच्चाको जन्म, बच्चाको अचानक मृत्यु र हाडजोर्नी कमजोर भएर सजिलैसँग हड्डी भाँचिने (फैक्चर हुने) आदि ।

चुरोट सेवन बन्द गर्दा हुने स्वास्थ्यलाभ पूर्णतया वैज्ञानिक तथ्यका आधारमा हो । चुरोट सेवन बन्द गर्ने बेलादेखि नै स्वास्थ्यलाभ सुरु हुन थाल्छ । हृदयाघात र स्ट्रोक -पक्षाघात) को सम्भावना, चुरोट बन्द गरेको दिनदेखि नै घट्न थाल्छ । यसबाट तपाईंलाई अन्य स्वास्थ्यलाभ जस्तै क्यान्सर र फोक्सोसम्बन्धी रोगहरूको सम्भावना पनि घटाउँछ । केही अध्ययनहरूका आधारमा चुरोट बन्द गरेको १० वर्षमा हृदयाघात र मुटुसम्बन्धी रोगको सम्भावना घटेर चुरोट कहिल्यै सेवन नगरेको व्यक्तिजतिकै हुन जान्छ । बि्रटेनमा चिकित्सकहरूमा गरिएको ५० वर्षको रोचक अध्ययनमा चुरोट बन्द गरेका बेलाको उमेर ३५ देखि ४४ को बीचमा हुँदाखेरि, चुरोट बन्द गर्ने र कहिल्यै पनि चुरोट नखाने मानिस उत्तिकै वर्षसम्म बाँचे । त्यसैले तपाईंले पहिला जति चुरोटको सेवन गरेको भए पनि यसलाई बन्द गर्नु कहिल्यै ढिलो हुँदैन । बरु आजैदेखि बन्द गर्नुस् ।

An interesting case at Manmohan cardiac centre dealt by Dr. Om Murti Anil

55 yr man with diabetic background, had 1 month h/o dyspnoea. Echo showed pericardial tamponade. About 200ml altered colour blood was removed by pericardiocentesis. ECG showed Q wave in inferior leads s/o old inferior wall MI.After 4days he again had tamponade. There was no fluid in subcostal echo view this time and hence pericardiocentesis

 through epigastrium was not possible.. Pericardiocentesis through apical approach was then performed and 1200 ml altered blood was removed through pigtail (Fig). Detailed echo after drainage revealed large true aneurysm of inferior wall which has ruptured and sealed sponataneously by clot. This was a rare case of cardiac rupture after MI where patient survived even after development of cardiac tamponade.

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Heart attack risks

Do you smoke? Do you have diabetes? Do you have hypertension? Do you have high cholesterol? Are you obese or have more fat around your waist? Do you have any history of heart attack or coronary artery disease in family at younger age? Do you drink excessive alcohol? Do you have depression or mental stress? Smoking increases risk of heart attack by 2-4 times. More you smoke, higher will be risk. If you started very early age, risk is even higher. If you are diabetic, hypertensive or have high cholesterol, then you are at very high risk of having heart attack. Diabetes also increases risk of heart attack by 2-3 times. Diabetes of longer duration makes you more susceptible for heart attack. Get your blood test done for sugar in fasting state (Morning empty stomach) Hypertension, if not controlled, increases risk of heart attack by approximately two times. Get your blood pressure checked wherever and whenever feasible. High cholesterol (dyslipidemia) increases risk of heart attack by approximately 3 times, sometime even more. Higher the level of cholesterol, more you are at risk. You will not know it unless you check your blood cholesterol in fasting state. Those who have diabetes, hypertension, obesity and family history of heart attack should always know their cholesterol level. If you are obese or have more fat around your waist, you are at risk. Roughly you can calculate your desired weight by knowing your height in centimeter. If your weight (in kg) is more than your height (in centimeter) – 100, then you are likely obese. If any close relative like father, mother, brother or sister have such history at younger age (less than 55 females and less than 45 males), then you are also at risk. Depression and any sort of mental stress increases risk of heart attack. Excessive consumption of alcohol put you at risk of heart attack. Always remember, if you have more than one above mentioned risk factors, then you are more susceptible. Stop smoking today. Quit it completely. Control your blood pressure and blood sugar and cholesterol by regular physical activity, healthy diet, weight reduction and medicine if required. Consume regular fresh fruits, enough vegetables and fish. Engage yourself in regular physical activity (walking, jogging, cycling, swimming) at least more than 30 minute on most days of week. Remember, heavy sternous activity don’t benefit your heart. Don’t consume excessive alcohol. Reduce your weight if you are obese. Avoid mental stress and depression by creating harmony at your home and office. Consume less salt, sugar and fat in your daily diet.

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When Should we take medicine to control BP ?

Hypertension is so common these days. Everyone should know when they should take medicine to control BP.

   1)  BP > 140/90 with effect of hypertension on heart (Left ventricle hypertrophy, heart failure ), Kidney     (proteinuria, raised creatinine), Brain / Eye ( haemorrhage )

   2)    High BP >140/90 for more than 6 months even after lifestyle adjustment.

   3)    Very high BP ( > 180/110)  on initial visit.

   4)    Diabetes patients  with BP more than 130/ 80.

   5)    BP > 140/90 on several times during pregnancy.

   6)    BP > 140/90 with ischemic heart disease and low heart function (EF).

Dr. Om Murti Anil's Biography

Dr. Om Murti in convocation at AIIMS

Dr. Om Murti Anil

Dr.Om Murti Anil with his parents

                      Dr.Om Murti Anil has started CATH lab service at Manmohan Cardiac Centre for first time in history of IOM(TUTH).In very short span of time,he has performed more than 100 cardiac procedures which includes

10 Dual chamber pacemaker,15 Angioplasty,6 primary angioplasty,1 complex neonatal intervention and various other coronary and non coronary cardiac intervention with 100% success.

Dr.Om Murti Anil is the only Nepalese doctor who has done specialized 3 years of cardiology training (DM) cardiology in interventional cardiology from AIIMS(All India Institute of Medical Sciences) in 2011.He is the first DM awardee from AIIMS.

 

Dr Om with his friends in College of Medical Sciences

Dr. Om has done MBBS from College of Medical Sciences ,Bharatpur and obtained highest mark in KU                   (Kathmandu University) in final MBBS exam.Dr. Om has done 1 year house job in department of obstetrics and gynecology.During period of 1 year,he was actively involved in teaching programs for MBBS students and participated in various obstetrics , gynecological and surgical procedures under guidance of eminent professor S.K.Chhatopadhya. Dr. Om  learnt many lessons from him which he still feels very important in managing his Cardiac cases. Dr. Om has also learnt so many basic principles of life from him which he realizes to be very fruitful in bringing up his career.

Dr.Om Murti with his MBBS friends

Dr. S.K.Chhatopadhya

Dr.Om Murti with S.K.Chhatopadhya

                                       



       Dr. Om obtained highest marks in IOM,TUTH postgraduate entrance examination in first attempt and opted for internal medicine. Dr. Om again stood first in final MD examinations during the period of 3 years MD residency. Dr. Om saved so many lives of sick patients.During his recidency program,he was in very close touch with the recent International guidelines and various medical journals of different fields of medicine.

                                                       Although cardiology was his favourite subject,he was also interested in Neurology,Diabetology,Rheumatology,Gasto-enterology,Pulmunology and various other subjects.Critical care is his another subject of interest where he has saved many lives during his student time.Dealing with ventilators and management of patients under mechanical ventilation is his subject of interest.He makes subject of medicine very simple, effective and cheaper.
                                                        After getting MD medicine degree,he joined IOM,TUTH department of Medicine,Cardiology unit and worked for more than one year.During this period,he studied day and night to compete in entrance examination of AIIMS.Within 6 months,he got opportunity to study DM,Neurology in PGI,Chandigarh by obtaining highest marks in entrance examination in Neurology because his dream was to become a interventional cardiologist.After 6 months,he got opportunity to compete in entrance exam of AIIMS in DM,Cardiology.He’s excellent performance in theory and practical examination made his dream and practical examination made his dream true to study DM cardiology in AIIMS in first attempt.
                                                             He says 3 years was equal to 10 years because of study for whole  day and night ,remaining in touch with patients and recent advances in cardiology.He spent almost 1 year of his recidency in cardiac CATH lab where he performed more than 1000 coronary angiographic procedures and participated in various coronary and non-coronary interventions(Angioplasty).

He has great interest for paedetric cardiology where he has participated various paedritic cardiac intervention particularly devices and pacemakers.He was equally interested in pacemakers implantation particulary dual chambered pacemakers,ICD,CRT etc.
                                           His outstanding performance throughout recidency and final DM examination raised the country pride at AIIMS.

How to take appointment with Dr. Om Murti Anil:-
                                                              For appointment,attend cardiac OPD of Manmohan Cardiac Centre,IOM on Tuesday and Friday from 9 am to 1 pm after getting OPD ticket. Non-invasive test are performed on next day of OPD like ECHO,Holter,TMT etc. Emergency investigations are performed and seen by the concerned doctor on the same day.For emergency and sick patients,Patient can be brought in Emergency Room of Manmohan Cardiac Centre,IOM at any time.Although routine CATH lab procedures are performed on Monday and Thursday.But at this moment,he is performing cardiac procedures on almost everydays other than Saturday.Emergency angioplasty(primary angioplasty) for heartattack patients are performed 24/7 (everyday) on emergency basis.
                                                        You can also get an appointment outside this Manmohan Cardiac Centre in Heart Clinic,Maharajgunj,Kathmandu,which is situated opposite to American Embassy of Maharajgunj,very close to teaching hospital.At Heart Clinic he examines patients everyday in the morning 7:30 am to 8:30 am and in evening 5 pm onwards.

Dr. Om performing Double 
Chambered Pacemaker

Dr. Om examining patients

Dr. Om examining patients

Dr. Om performing Angioplasty

Dr. Om performing Angioplasty

 

Tags:-Dr,Om,Murti,Anil,DM,Medicine,Cardiology,Heart,College of Medical Sciences,IOM,TUTH,ECHO


Author

Om Murti Nikhil

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