• One should get first preventive checkups at the age of 20 years.
• If there is very strong family History of early heart attacks one should get before 20 years of age.

• Hypertension is Blood pressure ≥  140/90 mmHg

• Diabetes is fasting blood sugar level is ≥ 126 mg/dL
• PPBS > 200 mg/dL
• HBA1C ( Glycated haemoglobin) ≥ 6.5%

• Being thirsty
• Peeing a lot( Poly urea) (passing urine a lot)
• Tingling and numbness in Hands & feet
• Fatigue
• Wounds that don’t heal in Hands & Feet
• Yeast infection ( Fungal Infection)
• Weight loss.

• Headache
• Shortness of Breath ( Difficulty in breathing)
• Blurring of vision
• Chest pain
• Dizziness or Reeling Sensation.

• LDL Cholesterol below 100 mg/dL considered when a patient has cardio Vascular Disease (Heart Attack/Stroke).
• We should maintain LDL Cholesterol below 70 mg/dL

• Regular Exercise (At least 30 to 45 min of exercise/day, at least 5 days/week).
• Low Fatty Diets Reduces saturated fats (Red Meat, Full Fat Dairy Products etc.)
• Cholesterol reducing drugs( stackins)
• Avoid Trans fats (like palm oil, Dalda etc.)
• Eat food rich in omega 3 fatty acids.

Eg: Fish, walnuts, Flax seeds etc. and increased int                                                            ake of soluble fiber.

Fiber is found in oats, sprouts, fruits, millets, etc.

• Reduce salt intake.

Not Greater than 5 grams of salt / day

• Regular exercise
• Good sleep ( 7-8 hours of sleep/day)
• Healthy dietary habits.
• Tablets ( Anti Hypertension Drugs)

• Common symptoms are

• Chest pain ( Burning, Heaviness, Tightness, squeezing type of pain in between mellitus and lower chest)

• Most commonly chest pain or discomfort in chest can spread to upper hands, lower jaw, back and upper abdomen)
• Usually associated with profuse sweating, breathlessness, fainting etc.

• Regular Exercise
• Avoid High Carbohydrate foods
• Take food rich in Protein and Fiber
• Appropriate Medication/Insulin.

• Coronary Angiogram is an Investigation to identify Narrowing in Coronary Arteries
• It is done through Right Radical Artery (Just above the wrist joint or Right Femoral Artery(Broin))
• During this procedure Radio Iodine Contrast is injected into the Coronary Arteries (Blood vessels supplying the Heart Muscle) and X-Ray is taken to see how Blood Flows in the Arteries of the Heart.

• Coronary Artery Stenting is a small metal mesh tube that is placed inside a coronary artery to keep the artery open.

• Coronary Artery Bypass Graft is also a Medical Procedure to improve blood flow to the Heart.
• It is done when the Arteries supply to the Heart ( Coronary Arteries are narrowed /Blocked Multiple Places)