Dr Sanjay Gupta

About Dr Sanjay Gupta

I'm Dr Sanjay Gupta, a Consultant Cardiologist with specialist interest in Cardiac Imaging at York Teaching Hospital in York, UK. I believe that high quality reliable jargon-free information about health should be available at no cost to everyone in the world.

New Hope For Heart Failure Patients A Game-Changer Arrives!

  Any form of heart disease, if progressive, will lead to the heart gradually failing in its role as an effective pump. This condition is called heart failure and it is typified by an impairment in quality of life and a substantial reduction in lifespan for the sufferer. The good news Is that we now have some very good medications which can substantially improve prognosis in such patients. Th [...]

Is there a way of treating blood pressure when tablets don’t work?

High blood pressure is a major health problem and affects about 30% of the adult population worldwide When the blood pressure is high and causing the patient damage then lowering the blood pressure can significantly reduce the risks of long term complications such as heart attacks and strokes. Currently the main strategies to control blood pressure are lifestyle management and medications. The pro [...]

Troponin: The blood test that detects heart attacks

Cardiac troponins are proteins that are found in heart muscle and play a role in the contraction of the heart muscle. If heart muscle is in someway damaged or injured, then cardiac troponins are leaked into the blood and can therefore be measured in the blood stream. They have therefore become exceptionally useful markers of cardiac cell injury and this is why anyone who presents to hospital with [...]

Myocardial Bridges

  The heart is a muscle and any living muscle needs a blood supply. The blood is supplied by arteries that are known as coronary ateries. Usually these arteries sit on the surface of the heart. However sometimes a portion of the artery may run an intramuscular course for a portion of its length. This is termed a myocardial bridge.  The problem with a bridge is that there is a possibility that [...]

Chest pain: Why it is not ok to wait and see

Chest pain is both common and very scary. It can also be the first symptom of a heart attack which in itself can be a fatal event. The universal advice for anyone who experiences chest discomfort especially if it a persistent sensation of heaviness, tightness or constriction, is to call an ambulance and get to a hospital as soon as possible. Despite this heavily publicised recommendation, I am sti [...]

Hypothyroidism and the Heart

Hypothyrodism is a very common condition characterised by reduction in effective levels of a hormone called thyroxine. It is usually seen in women between the ages of 40-50 (but can be seen at any age) and is almost 10 x commoner in women than in men. It is estimated that about 1 in every 50 people you meet is overtly hypothyroid and it is estimated that there are many more people who are probably [...]

Implantable cardioverter defibrillators

  When the heart is significantly damaged for any reason, there is an increased risk that it can become irritable and go into a fast abnormal rhythm (ventricular tachycardia) which may make the heart so inefficient that it can no longer effectively function as a pump. This may happen out of the blue with no real warning even if the patient has been well. If left unchecked for even a few minut [...]

Hypertrophic Cardiomyopathy

In simplistic terms, this is an inherited condition which is diagnosed by finding an abnormally muscular heart (ventricular hypertrophy) without an obvious cause to explain the increased muscularity. It is caused by mutations in the genes that encode components of the contractile apparatus of the heart and therefore the heart muscle itself is abnormal and this is why it looks thicker. One thing to [...]

The effects of Ecstasy on the heart

Ecstasy or MDMA is a psychoactive stimulant which is used as an illicit recreational drug. It shares properties of both amphetamines and hallucinogens. It typically causes wakefulness, feelings of euphoria, emotional intimacy and empathic communication, sexual arousal and disinhibition. This is because it increases the amount of noradrenaline, serotonin and dopamine in the body. Its half life of a [...]

Ventricular Septal Defect (VSD)

This is a common type of ‘hole in the heart’ where there is a communication between the left and the right ventricle through the ventricular septum. VSDs may be congenital (meaning that the patient is born with it) or acquired (meaning that the patient develops it later on in life due to some damage to the heart) VSDs can be of various sizes and may be present in different locations within the v [...]

Caffeine and the heart: The low-down

There is a perception within the public and many healthcare professionals that ingestion of caffeine may contribute to the development of heart rhythm disturbances and this leads to an almost universal recommendation in patients with heart palpitations to abstain from caffeine. In this blog, I wanted to explore the evidence or lack of to support this proposition. Caffeine is a stimulant and is fou [...]

A is for Arrhythmia

1. Arrhythmia literally translated means absence of a normal heart rhythm. Actually the term dysrhythmia is much more  accurate because this means disturbance of a normal heart rhythm 2. The heart is a pump and to beat most effectively it has to beat at a certain rate and with a certain rhythm and therefore any unsolicited disruption of this will lead to inefficiency of the heart as a pump and the [...]

B is for BNP 

BNP stands for Brain natiruretic peptide  BNP is produced by the walls of the heart when the pressure in the heart goes up excessively. The most common cause for this is to happen is when the heart is damaged or weak. In this setting the heart struggles to push blood out with as much vigour and therefore the pressure within the heart increases, the walls stretch and BNP is produced  BNP is the hea [...]

C is for Cardiomyopathy

In the most simplistic sense cardiomyopathy means a diseased and weakened heart and no more than that. It is therefore never enough as a complete diagnosis. The nature of the cardiomyopathy needs to be described further  Most cardiomyopathies are diagnosed and further stratified either on the basis of the visual appearance of the heart on some form of imaging modality or on the basis of an electri [...]

12 Lifestyle Modifications which work in POTS

POTS (postural orthostatic tachycardia syndrome) is commoner than we think. 1 in 3 people with a diagnosis of Chronic Fatigue Syndrome(CFS) or ME also have POTS. Similarly a large number of patients with Fibromyalgia probably also have POTS. In my practice, I have the privilege of managing the treatment of about 150 patients with POTS . I have found that lifestyle and behaviour change recommendati [...]

SINUS ARRHYTHMIA and the drummer par excellence

SINUS ARRHYTHMIA   Sinus rhythm means that the electrical impulses which regulate the heart rhythm are being produced in the pacemaker that god gives us all when we are born. This ‘pacemaker’ is otherwise called the Sino-atrial node and this is why this rhythm that is generated from the sinus node is called sinus rhythm. A nice analogy is to think of the sinus node as a drummer who beats th [...]

I have atrial fibrillation (Afib) but I don’t want to take blood thinners

Patients with a diagnosis of atrial fibrillation (Afib) who are above the age of 65 or who have co-morbidities such as heart failure, diabetes, high blood pressure, vascular disease or previous strokes are believed to be at a higher risk of future strokes. There is overwhelming evidence that such patients should be started on lifelong stroke prevention medications. All currently prescribed stroke- [...]

Cocaine and the Heart

Cocaine is purported to be the most potent stimulant of natural origin and is extracted from the leaves of the coca plant which is indigineous to the andean highlands of south america. It is a highly addictive and once someone uses it, it causes an irresistable craving in the user to use it again. Despite the ecstacy and euphoria, it never gives a feeling of satisfaction. Pure cocaine was first is [...]

By |September 28th, 2019|Blog|1 Comment