Dr Mangesh Harihar Tiwaskar
About Me
Dr Mangesh Harihar Tiwaskar
Cardiologist
Biography
My Clinic
OPD Hours
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
CARDIAC REHABILITATION
Cardiac rehabilitation (CR) is a structured program designed for individuals recovering from cardiac events such as myocardial infarction or surgery. It aims at improving physical condition while providing emotional support throughout recovery phases post any major cardiac incident or intervention.
- Symptoms indicating potential need include fatigue after exertion along with mental distress stemming from previous health challenges faced recently.
- Assessment typically involves initial interviews followed by fitness evaluations meant to tailor exercise regimens specifically based upon each participant's needs post-surgery/incident ensuring safety levels maintained adequately throughout sessions conducted regularly under supervision.
- Intervention options consist mainly educational workshops focusing not only on fitness gains but also dietetics emphasizing healthier eating choices alongside stress management techniques proven beneficial greatly once established over time continuously impacting overall well-being positively after each session completed successfully!
- Patients who engage actively tend frequently report improvements regarding stamina levels coupled increased quality life overall leading less reliance external medical sources moving forward!
Cardiac rehabilitation remains vital aspect transitioning smoothly back everyday activities helping regain confidence whilst reducing future risks possible down road leading healthy fruitful lives again long-term commitment dedicated journey pathway taken together empowering every participant involved fully equipped tackle challenges ahead!
PERIPHERAL VASCULAR DISEASE TREATMENT
PVD affects blood circulation in limbs due to narrowing arteries caused by plaque accumulation. It commonly presents with symptoms that can affect daily life significantly but can often be managed effectively through various treatments.
- The primary symptom includes leg pain during activity (claudication) but also coldness in lower legs or feet compared with other areas of your body.
- Diagnosis generally entails physical examinations paired with Doppler ultrasounds or angiograms.
- Management focuses on lifestyle changes such as diet modifications alongside medications aimed at improving blood flow; procedures like angioplasty may also be considered for severe cases.
- Upon completion of treatment plans, many patients experience enhanced mobility along with decreased symptoms allowing them greater independence.
Early detection plays an integral role in reducing risks associated with PVD while promoting better overall vascular health.
CORONARY CT ANGIOGRAPHY
Coronary CT angiography (CTA) is an advanced imaging technique that allows doctors to visualize coronary arteries non-invasively. It utilizes computed tomography technology combined with contrast dye for detailed images of blood vessels supplying the heart muscle.
- This method helps diagnose atherosclerosis, enabling assessment of plaque buildup that could lead to significant issues like myocardial infarction (heart attack).
- A coronary CTA requires preparation including fasting prior to injection of contrast material; this ensures optimal image quality during scanning.
- The entire process takes approximately 30 minutes and necessitates minimal recovery time due to its non-invasive nature.
- This diagnostic tool enables timely intervention decisions based on findings rather than more invasive tests like traditional catheterization unless necessary later on.
The use of coronary CTA has revolutionized how cardiologists evaluate patients at risk for cardiovascular events efficiently and safely.
ECHOCARDIOGRAPHY
Echocardiography is an essential diagnostic tool that uses ultrasound waves to create images of the heart. It provides critical information about cardiac structure and function without any invasive procedures.
- This test can help identify conditions such as valve disorders, cardiomyopathies, or congenital heart defects.
- The examination is typically conducted using a transducer placed on the chest wall (transthoracic echocardiogram) or via a probe inserted into the esophagus (transesophageal echocardiogram) for clearer images.
- No special preparation is needed; however, some patients may require fasting before a transesophageal echo.
- The results will assist healthcare providers in determining appropriate treatment strategies based on findings related to ejection fraction and other functional metrics of the heart.
Echocardiography serves as a cornerstone in cardiology for assessing various heart conditions safely and non-invasively.
ATRIAL FIBRILLATION MANAGEMENT
Atrial fibrillation (AF) is a common heart rhythm disorder characterized by an irregular and often rapid heartbeat. This condition can lead to serious complications, including stroke or heart failure if left untreated.
- Common symptoms may include palpitations, dizziness, fatigue, or discomfort in the chest.
- A comprehensive evaluation usually involves an Echocardiogram or ECG to confirm the diagnosis and assess heart function.
- Treatment may involve medications such as anticoagulants for stroke prevention and antiarrhythmics to restore normal rhythm. In some cases, catheter ablation could be recommended.
- Pacing strategies might also be implemented depending on individual circumstances to control heart rate effectively.
A holistic management plan can significantly improve outcomes for individuals living with atrial fibrillation.
ANGIOPLASTY
Angioplasty is a minimally invasive procedure used to widen narrowed or blocked blood vessels in the heart, thus improving blood flow. It is often employed in cases of coronary artery disease where plaque buildup restricts blood flow.
- Symptoms that might suggest the need for angioplasty include chest pain (angina), shortness of breath, and fatigue during exertion.
- Diagnosis typically involves procedures like angiography, which visualizes the coronary arteries through contrast dye and X-ray imaging.
- The management options may include the insertion of a small balloon to expand the artery, and sometimes placing a stent to keep it open.
- Post-procedure, patients can expect to experience relief from angina symptoms and an improved quality of life as blood circulation enhances.
Overall, angioplasty can be a lifesaving procedure that restores normal heart function efficiently and safely.