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By Cardiovascular Institute, P.A.
January 25, 2021
Tags: Heart Murmur  

At the Cardiovascular Institute P.A., our staff believes that a healthy heart results in a better quality of life. You may have heard the term "heart murmur" before and automatically deemed it as something associated with a heart attack. Though that's a misconception, a heart murmur can cause chest pain because the heart works harder to pump blood throughout the body. If you fear you might have a condition that would benefit from the attention of a cardiologist, visit Dr. Daljit Muttiana in our Tomball, TX, office for peace of mind.

Knowing the Signs of a Heart Murmur

There are two types of heart murmurs: innocent and pathological. Only a cardiologist can tell the difference between the two, but there are some ways to make yourself aware. By definition, a heart murmur is a sound that produces when blood gets pumped through a heart valve and creates a loud sound that's heard with a stethoscope. One shouldn't pay much mind to the innocent type. However, the pathological kind often results from abnormalities. Patients with an increased risk of cardiovascular disease should pay attention to chronic coughing, chest pain, dizziness, and anything out of the ordinary.

Diagnosis and Treatment

To diagnose a heart murmur, Dr. Muttiana will pinpoint some symptoms through a series of tests to determine if treatment is necessary. During the examination in our Tomball, TX, office, he'll likely listen to your heartbeat with a stethoscope, request an electrocardiogram, or suggest a chest x-ray. He may also ask questions relevant to a (potential) family history of cardiovascular disease or another underlying condition, such as overactive thyroid, anemia, or high blood pressure. A heart murmur itself doesn't often require treatment. However, if a heart problem is a cause, mild cases may benefit from medication. Meanwhile, more severe types typically need surgery to correct.

If a heart murmur is giving you any cause for concern, schedule a consultation with Dr. Daljit Muttiana to rule out abnormalities. For more information about other conditions we treat and services provided at the Cardiovascular Institute P.A., visit our website. Please call (281) 357-5700 for appointment scheduling in our Tomball, TX office.

Need to be screened for heart disease?

Does heart disease run in your family? Are you concerned about the health of your heart as you get older? If so, it may be time to schedule an appointment with our Tomball, TX, cardiologist Dr. Daljit Muttiana. If Dr. Muttiana notices signs or symptoms of heart disease, he may recommend these diagnostic tests to rule out heart disease,

Echocardiogram: This is a standard test that our Tomball, TX, cardiologist performs on patients, as it allows us to see images of the heart to see how the heart is beating and to check blood flow. An echocardiogram allows us to,

  • Detect abnormalities within the heart
  • Analyze how the heart is functioning as a whole
  • Check heart valve function
  • Diagnose and monitor heart murmurs

Electrocardiogram: An EKG measures the electrical activity of the heart, which allows us to analyze your heartbeat. This test can be used for,

  • Diagnosing and monitoring heart rhythm disorders (an irregular heartbeat, whether fast or slow)
  • Detecting whether you’ve had a heart attack
  • Detecting enlarged or overworked areas of the heart
  • Determining whether you could have a heart attack in the near future

Stress Test: An exercise stress test can help our cardiologist look at heart rhythm and blood flow throughout the heart while the body is under stress. Electrodes will be attached to your body as you walk and run on a treadmill, analyzing everything from fatigue and breathlessness to blood pressure and heart rate. This test may be performed in combination with other tests such as an echocardiogram. This test is used to,

  • Rule out and figure out the cause of your symptoms (e.g. chest tightness or pain)
  • Check the overall health and function of the heart
  • Determine what physical activities are safe for your heart
  • Look for changes in heart rhythm during activity
  • Detect poor or weak blood flow to certain areas of the heart

Heart Monitoring Tests: A Holter monitor and event recorder may be worn for an extended period of time (sometimes just 24 hours while others may need to be worn for a whole week) in order to better analyze certain irregular heartbeats or heart rhythm issues that we may not be able to catch and properly analyze during a standard office visit.

If you are concerned about heart disease, our Tomball, TX, cardiologist can provide you with the answers you need. Call Cardiovascular Institute at (281) 357-5700.

By Cardiovascular Institute, P.A.
December 14, 2020
Tags: Hypertension   Diet  

Stroke, vision problems, heart attack, and more. Hypertension, or high blood pressure, contributes to all these health conditions and more. At Cardiovascular Institute in Tomball, TX, Dr. Daljit Muttiana encourages his patients to pursue a heart-healthy diet to lower blood pressure. Here are the details.


It stands for Dietary Approaches to Stop Hypertension. The American Heart Association (AHA) recommends it so adults with hypertension employ eating habits that lower B/P numbers and the risk for cardiovascular events. Your cardiologist, Dr. Daljit Muttiana, advises lowering your lifestyle stress, exercising regularly, taking your blood pressure medication as prescribed, and employing dietary changes according to the DASH protocol.

DASH eating includes:

  • Food choices that are low in sodium saturated fat and trans-fat
  • High fiber options such as fresh fruits and vegetables, whole-grain bread and cereals, legumes (beans and lentils), and nuts (particularly pistachios)
  • Little to no processed foods, particularly meats, such as hot dogs and ham
  • Consuming more low-fat dairy products, such as Greek yogurt
  • Lowering intake of sugary, high-carbohydrate foods, such as cookies and soda pop
  • Staying well-hydrated
  • Increased intake of low-fat fish and poultry
  • Avoiding high-fat red meats (select leaner cuts)

Remember, that changing your diet takes time and patience. Enlist cooperation and input from family members and friends. Learn to read restaurant menus carefully, looking for low-salt, heart-healthy choices.

Additionally, read your food labels. They provide a wealth of information on calorie count and nutritional content.

A positive approach

Changing your diet to reduce your blood pressure involves more than a list of don'ts. Little by little, incorporate these healthy options into your daily intake. You'll find that good food crowds out your desire for high-fat, sugary foods, and empty calorie choices.

Examples include:

  • Using salt-free seasonings, such as Mrs. Dash
  • Fresh, canned, or frozen vegetables with no salt
  • Watch your portions (have regular salad dressing, but don't flood your greens with it)
  • Try new foods (you may be pleasantly surprised at how good nutritious food can taste)

Aim for 120/80

At Cardiovascular Institute in Tomball, TX, managing hypertension is a high priority. And, remember, you can do it. For more help on changing to a heart-healthy diet, contact Dr. Daljit Muttiana and his dedicated team for a consultation. We provide exceptional and comprehensive cardiac care. Call us at (281) 357-5700.

By Cardiovascular Institute, P.A.
October 20, 2020
Tags: Stress   Heart  

Stress can have a negative impact on your overall health and the heart in particular. Even minor stress can increase the risk of experiencing heart-related problems, including high blood pressure. Dr. Daljit Muttiana, the experienced doctor at Cardiovascular Institute in Tomball, TX, can assess your heart health and help you manage stress to reduce your risk of developing stress-related heart problems.

Stress and Heart Health

Stress can take a toll on our physical health in many ways. For example, some individuals might experience physical aches and pains in response to stress, while others struggle with decreased energy and have difficulty sleeping.

Stress can potentially also affect heart health. The body produces the hormone cortisol in response to stress. One of the purposes of cortisol is to instinctually prepare the body to fight or take flight in stressful situations. Cortisol also serves other functions, including regulating blood pressure; increasing blood sugar; managing the body’s use of carbohydrates, proteins, and fats; reducing inflammation; boosting energy in response to stress, and controlling sleeping and waking cycles.

Cortisol serves many beneficial purposes under normal conditions. However, when cortisol levels remain high for a prolonged period due to chronic stress, both blood pressure and blood sugar, as well as cholesterol and triglyceride levels, can all increase. When any of these things increase, so does the risk of developing heart disease. Reducing stress can help protect heart health by reducing the risk of heart disease, stroke, and other heart-related concerns.

Ways to Reduce Stress

If stress is having an adverse impact on your health, there are steps you can take to better manage or reduce stress. Our cardiology team can recommend specific methods and techniques to help you minimize stress and promote better heart health.

One extremely effective way to combat stress is exercise. Engaging in some form of moderate exercise for at least 30 minutes at a time several days per week can improve your cardiovascular health. Regular exercise can contribute to lower blood pressure, as well as healthier cholesterol levels. It can also help you better manage stress.

Another way to reduce stress is by implementing relaxation techniques. For example, finding a calm and quiet place where you can meditate or read can help you relax and unwind so stressful situations do not become so overwhelming. Talking about the stressors in your life with a trusted family member, friend, or even a counselor or therapist can also help with stress management.

Testing for Heart Disease

Individuals who are persistently under a lot of stress or have other risk factors for heart disease should consider undergoing testing. At our office in Tomball, TX, electrocardiograms (EKGs) and stress tests are two of the ways we can determine if you might already have heart disease or are at an increased risk for it. Individuals at risk can take precautions to reduce that risk and help them avoid developing certain cardiovascular problems down the road.

Stress can affect your heart health and put you at an increased risk for various cardiovascular problems. For help with managing stress, schedule an appointment with Dr. Muttiana by calling Cardiovascular Institute in Tomball, TX, at (281) 357-5700.

By Cardiovascular Institute, P.A.
October 07, 2020
Tags: Angina  

You have chest pain periodically. Your cardiologist, Dr. Daljit Muttiana, recognizes it as angina. He wants you to know about this serious cardiac condition and how you can manage your symptoms. At Cardiovascular Institute in Tomball, TX, our dedicated team helps many people with angina lead fuller, healthier lives.

The details on angina

Angina, or ischemic chest pain, is a collection of heart symptoms related to coronary artery disease, or CVD. The American Heart Association (AHA) says that men over 45 and women over 55 may develop CVD and angina.

What does angina look and feel like? It is chest pain that radiates to the neck, shoulders, jaw, and back. People describe it as a heaviness or squeezing sensation. Physicians, such as Dr. Muttiana, know that the heart hurts when it does not receive adequate blood supply.

With CVD, coronary arteries that feed the heart muscle are blocked with fatty plaque. Some may be completely occluded. In any case, angina alerts the cardiologist at Cardiovascular Institute in Tomball, TX, to further investigation.

Kinds of angina

The AHA outlines four basic kinds of angina. Dr. Muttiana will pinpoint your particular kind to prescribe the right course of treatment. Types of angina include:

  • Stable, with pain which is episodic but predictable in severity, location, and duration
  • Unstable, with pain which is sudden, severe, and long-lasting
  • Variant or Prinzmetal, which is spasmodic, severe and often occurring while resting in bed
  • Microvascular, extreme chest discomfort which is long-lasting and related to exertion and stress

Diagnosis and treatment

Dr. Muttiana will review your symptoms and medical history. He may order chest X-rays and blood work along with an EKG to investigate your heart rhythm. More advanced testing, such as cardiac catheterization or angiography, is likely, too.

To treat your symptoms, you may require a cardiac procedure to increase circulation to the heart. Rehab will strengthen the cardiac muscle after a heart attack, and medications manage pain and increase blood flow.

Finally, lifestyle changes comprise a large part of any cardiac treatment plan, including managing angina. Your changes may include:

  • A program of exercise
  • Medications
  • Weight loss
  • A heart-healthy diet high in fiber and omega-3 and omega-6 fatty acids
  • Managing diabetes, high cholesterol, and hypertension
  • Quitting all tobacco products

Find out more

At Cardiovascular Institute in Tomball, TX, Dr. Daljit Muttiana and his staff help scores of patients with angina and its causes. Let him help you manage this serious condition for a healthier heart and longer life. Phone us at (281) 357-5700.

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