Family Medicare & Heart Centre

07/01/2026

इस सर्दी, साँस की तकलीफ़ लेकर आने वाले हर 10 में से 5 मरीज़ अस्थमा की दवाओं से और बिगड़ सकते हैं।
जानिए क्यों।

सर्दियों में साँस फूलना अक्सर अस्थमा या COPD समझ लिया जाता है, खासकर जब घरघराहट (wheeze) हो।
लेकिन वयस्कों के एक बड़े वर्ग में—विशेषकर 40 वर्ष से अधिक उम्र में—असल कारण होता है
अस्थमा जैसा दिखने वाला हृदय फेलियर (Cardiac Asthma)।

विज्ञान समझिए 👇

🔴 वास्तव में क्या होता है
• अनियंत्रित हाई ब्लड प्रेशर, बढ़ी हुई शुगर और छिपी हुई हृदय बीमारी धीरे-धीरे हृदय की मांसपेशियों को कमजोर कर देती हैं
• कमजोर बायाँ निलय (Left ventricle) फेफड़ों में दबाव बढ़ाता है → पल्मोनरी कंजेशन
• फेफड़ों में तरल भरने से घरघराहट, खाँसी, सीने में जकड़न और साँस फूलना होता है—जो बिल्कुल अस्थमा जैसा लगता है

⚠️ अस्थमा की दवाएँ इन मरीज़ों को क्यों बिगाड़ सकती हैं
• ब्रोंकोडायलेटर (β-एगोनिस्ट) दिल की धड़कन और ऑक्सीजन की माँग बढ़ाते हैं
• इससे इस्कीमिया, अरिदमिया और शरीर में तरल बढ़ना हो सकता है
• स्टेरॉयड नमक-पानी को रोकते हैं और शुगर बढ़ाते हैं
➡️ नतीजा: हृदय फेलियर सुधरने के बजाय बिगड़ता जाता है

🩺 संकेत कि यह अस्थमा नहीं है
• 40 साल की उम्र के बाद पहली बार “अस्थमा” जैसे लक्षण
• हाई BP, डायबिटीज़, पहले हार्ट अटैक या लंबे समय से BP की समस्या
• रात में या लेटने पर साँस ज्यादा फूलना
• पैरों में सूजन, अचानक वजन बढ़ना या झागदार बलगम
• इनहेलर से लाभ न होना या उल्टा बिगड़ना

✅ वास्तव में क्या मदद करता है
• हृदय फेलियर की समय पर पहचान
• मूल कारणों का इलाज: BP, शुगर और इस्कीमिक हार्ट डिज़ीज़
• केवल इनहेलर नहीं, बल्कि डाययूरेटिक्स और गाइडलाइन-आधारित हृदय उपचार

🔑 मुख्य संदेश

हर घरघराहट अस्थमा नहीं होती।
सर्दियों में साँस की तकलीफ़ अक्सर दिल की मदद की पुकार होती है।

यदि हम हृदय फेलियर को अस्थमा समझकर इलाज करते रहे,
तो निदान में देरी होती है—और कई बार मरीज़ अनावश्यक रूप से और बिगड़ जाता है।

🔁 कृपया साझा करें—यह फर्क जानना ज़िंदगियाँ बचाता है।
💬 क्या आपने कभी “अस्थमा” को बाद में हृदय फेलियर निकलते देखा है? आइए चर्चा करें।

07/01/2026

This winter, 5 out of 10 patients presenting with breathlessness will worsen on asthma treatment.
Know why.

Winter breathlessness is often mislabelled as asthma or COPD, especially when the patient has wheeze. But in a large proportion of adults—particularly those over 40—the real culprit is heart failure masquerading as asthma (“cardiac asthma”).

Here’s the science 👇

🔴 What actually happens
• Uncontrolled high BP, high blood sugar, and silent heart disease progressively weaken the heart muscle
• The failing left ventricle raises pressure in the lungs → pulmonary congestion
• Fluid in the lungs causes wheeze, cough, chest tightness, and breathlessness—exactly like asthma

⚠️ Why asthma medication can worsen these patients
• Bronchodilators (β-agonists) increase heart rate and oxygen demand
• They can precipitate ischemia, arrhythmias, and fluid overload
• Steroids cause salt and water retention and raise blood sugar
➡️ Net result: heart failure deteriorates instead of improving

🩺 Clues this is NOT asthma
• First episode of “asthma” after age 40
• History of hypertension, diabetes, prior heart attack, or long-standing BP issues
• Breathlessness worse at night or when lying flat
• Swelling of feet, rapid weight gain, or frothy sputum
• Poor or paradoxical response to inhalers

✅ What actually helps
• Recognising heart failure early
• Treating the root causes: BP, sugar, ischemic heart disease
• Using diuretics and guideline-directed cardiac therapy, not just inhalers

🔑 Take-home message

Not every wheeze is asthma.
In winter, breathlessness is often the heart crying for help.

If we keep treating heart failure as asthma, we delay the diagnosis—and sometimes push the patient into avoidable deterioration.

🔁 Please share—this distinction saves lives.
💬 Have you seen “asthma” turn out to be heart failure? Let’s discuss.

This winter, 5 out of 10 patients presenting with breathlessness will worsen on asthma treatment. Know why. Winter breathlessness is often mislabelled as asthma or COPD, especially when the patient has wheeze. But in a large proportion of adults—particularly those over 40—the real culprit is hea...

06/01/2026

05/01/2026

Rajeev Aggarwal

For 30 years, I have had the privilege of saving lives as a Consultant Physician and… · Experience: People's Heart Foundation Trust · Education: Medical College Rohtak, Haryana · Location: Faridabad · 500+ connections on LinkedIn. View Rajeev Aggarwal’s profile on LinkedIn, a professiona...

31/12/2025

🚨 Delhi NCR Chokes: December 2025 Records Alarming AQI Levels**

Delhiites woke up to another morning shrouded in toxic haze as December 2025 marks one of the most polluted Decembers in recent years. The Capital city's average AQI has consistently hovered above the hazardous 300-mark, with several days recording "severe" category AQI above 400. The situation has become so critical that schools have been forced to suspend outdoor activities, construction work has been halted, and doctors are reporting a surge in patients with respiratory distress.

The Yamuna river basin, which includes Delhi, Gurgaon, Noida, and Faridabad, has seen pollution levels that briefly dipped to 139 in December 2024 and 163 in December 2022—relief that hasn't been witnessed this year. The-stubborn smog refuses to lift, trapping particulate matter close to the ground and turning the city into what many are calling a "gas chamber."

🟤 **Ground reality in Delhi NCR:**
- Average AQI in December 2025 has exceeded 350 on multiple days
- PM2.5 levels consistently 15-20 times above WHO safe limits
- Several districts recording AQI above 450 ("severe plus" category)
- Visibility reduced to below 500 meters on worst days

This is not just a seasonal phenomenon—it's a public health emergency that demands immediate action from all stakeholders.

(In this series of ten posts on this issue we will discuss various facets of Pollution in India especially Delhi NCR. Hope you will give your inputs about what steps you think need to be urgently taken to control the rising pollution menace.)

🚨 Delhi NCR Chokes: December 2025 Records Alarming AQI Levels** Delhiites woke up to another morning shrouded in toxic haze as December 2025 marks one of the most polluted Decembers in recent years. The Capital city's average AQI has consistently hovered above the hazardous 300-mark, with several...

29/12/2025

Sugar doesn’t always announce itself as diabetes.
Sometimes, it announces itself as a heart attack.

Sugar doesn’t always announce itself as diabetes. Sometimes, it announces itself as a heart attack. Recently, a close friend of mine walked in with what he thought was acidity and mild chest discomfort. He had diabetes and hypertension for 2–3 years, both “apparently under control.” An ECG t...

28/12/2025

When you work out, are you doing too much or not enough? There’s a simple way to know: Your target heart rate

A wearable activity tracker makes it super easy to track your heart rate or take your pulse on the inside of your wrist. If your heart rate is too high, you’re straining. If your heart rate is too low, you may want to push yourself a little harder, especially if you’re trying to lose weight.

27/12/2025

Keep your BP under control!

Get your blood pressure checked at least once a year and understand what the numbers mean. Severe high blood pressure combined with symptoms such as chest pain or trouble speaking may be a hypertensive emergency, and you should call 911 immediately.

24/12/2025

Every single step counts.

A candle lit in silence once became a national movement.
A simple message shared during COVID changed behaviour at scale.

Today, toxic air needs the same collective voice.

👉 Post one line on AQI & air pollution
👉 Change your DP for a day
👉 Tag a friend to do the same

Small actions, repeated by many, force attention and accountability.
If you agree that clean air is non-negotiable — post now.

23/12/2025

Pollution is killing us! Let's exhort EVERYONE to post Just ONE message on their linkedin profile, facebook wall or whatsapp status and their whatsapp groups to amplify the message. I seriously think that NO GOVERNMENT can ignore 70 crore messages! LET'S ALL POST JUST ONE MESSAGE FOR CLEAN AIR! I am sure WE ALL can do this much at least!

Breathing in our cities is becoming a daily health risk, and a big part of this crisis comes from the way we move—traffic jams, smoke-belching vehicles, and broken public transport systems. If you are reading this, your one public post can push this issue higher on the agenda of leaders, media, and policymakers.

23/12/2025

🌍 Welcome to *Pollution & Health* — your daily insight into how the environment shapes our well-being.

💨 From air quality to toxic exposures, we decode the science behind pollution’s silent impact on your heart, lungs, and mind — and share practical ways to protect yourself and your community.

🩺 Stay informed. Stay healthy. Breathe better every day.
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https://whatsapp.com/channel/0029Vb7AWJS2ER6m5nRNff3u

Channel • 8 followers • 🌍 Welcome to *Pollution & Health* — your daily insight into how the environment shapes our well-being.

💨 From air quality to toxic exposures, we decode the science behind pollution’s silent impact on your heart, lungs, and mind — and share practical ways to protect yourself and your community.

🩺 Stay informed. Stay healthy. Breathe better every day.