Share this page!

Enter Twitter Thread URL to Unroll

Needs to be the full URL like: https://twitter.com/threadreaderapp/status/1644127596119195649

How to get URL link on Twitter App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Dr Sudhir Kumar MD DM Profile picture
@hyderabaddoctor
Jun 12 • 6 tweets • 3 min read Twitter logo Read on Twitter
Lower resting HR and its benefits

1. Today's resting HR was in 30s (39 bpm) again (usually it is 40-42 bpm). My original resting HR (in Nov 2020) was 72 bpm (prior to taking up running). With consistent running, resting HR dropped by about 30 bpm in about two years.
#Heartbeat twitter.com/i/web/status/1… Image
2. In the general population without known coronary artery disease and heart rate lowering medication, elevated resting HR (RHR) is an independent risk marker for all-cause mortality (death).
Reference
doi.org/10.1007/s00392…
3. Several studies have indicated that low resting heart rate (RHR) is associated with health and longevity, and conversely, a high resting heart to be associated with disease and adverse events.
Reference:
doi.org/10.1080/003655…
3. RHR is related to increased risk of Metabolic syndrome (MetS), three MetS components (elevated BP, elevated triglycerides & elevated Fasting glucose). People in the highest RHR quartile had 75% higher MetS risk than those in the lowest quartile
Ref: doi.org/10.1002/dmrr.3…
4. Increased physical activity has multiple benefits, including lower resting HR and BP, thereby reducing the cardiovascular mortality (death). Ref: doi.org/10.3389/fcvm.2… Image
5. Take home message
*Engage in regular physical activity, such as brisk walking, running, cycling or swimming (or a combination of these)
*This would lower the resting HR along with lower risks of hypertension, diabetes, heart attack, stroke and death.
#MedTwitter #exercise

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @hyderabaddoctor

Dr Sudhir Kumar MD DM Profile picture
Jun 13
1. Mr Hari to his wife Mrs. Rani: "Have you lost all shame? Why are you changing dress in the living room, where our driver is waiting?"

Mr Hari had noted instances of mood swings in his 55-year old wife for the past six months but today's incident was shocking.
#MedTwitter twitter.com/i/web/status/1…
2. Mrs Rani was otherwise a pleasant woman, however, she had become irritable for the past few months. She would get agitated over small issues and go into a shell (for several hours) on many occasions. She would refuse to talk to her husband and even refuse food.
3. Mr Hari attributed these changes in her personality to post-menopausal symptoms and tried to ignore them, and hoped she would get back to her previous self soon.
He had noted inappropriate behavior in his wife on a few occasions, when she would crack jokes with strangers.
Read 12 tweets
Dr Sudhir Kumar MD DM Profile picture
Jun 9
Ten lesser-known symptoms that could point towards a diagnosis of brain tumor

June 8th is celebrated as “World brain tumor day” to raise awareness about brain tumors. I would like to focus on the symptoms, presence of which, can make one suspect the presence of brain tumor. twitter.com/i/web/status/1…
Common symptoms of brain tumor include headache, vomiting, reduced alertness, fits & paralysis. However, in several cases, these classical symptoms may be missing. It is important to know the lesser-known symptoms of brain tumors so that they can be diagnosed & treated early.
1. Increase in hat and shoe size over time- A tumor of pituitary gland of brain producing excess growth hormone (GH) causes a condition known as acromegaly, which can result in increasing head and feet size, necessitating a need for larger hats and bigger shoes.
Read 13 tweets
Dr Sudhir Kumar MD DM Profile picture
Jun 8
Litchi encephalitis (chamki bukhar): Facts and Myths

1. Lychee (or litchi) is a fruit, mostly grown in China, India and rest of Southeast Asia. Fruit ripening coincides with Indian summer (May-June).
There is a concern that eating litchi can cause brain fever and death.
2. Litchi does not cause "encephalitis" (brain fever).
No infective agent (virus or other pathogen) has been isolated from CSF or blood of any victim of litchi encephalitis.
Also, it does not spread from person-to-person (what is expected in an infection).
3. How is litchi associated with litchi encephalitis?
Hypoglycin A and Methylene cyclo propyl glycine (MCPG), more commonly found in unripe litchi and depletes glucose reserves in the body. More fatal for under- or malnourished children, who eat unripe litchi on empty stomach.
Read 11 tweets
Dr Sudhir Kumar MD DM Profile picture
Jun 2
10 commonly asked questions about migraine answered
1. Is migraine hereditary?
Migraine is hereditary, so if one or both of your parents have it, there is a 50-75% chance you will too. However, in many patients, there is no family history of migraine.
#MedTwitter #migraine twitter.com/i/web/status/1…
2. Can children get migraine?
Ans: Yes. Migraine occurs in about 3% of preschool children, 4-11% of elementary school-aged children, and 8-15% of high school-aged children. Incidence of migraine increases in adolescence.
3. What are the common symptoms of migraine?
Ans: Headache, nausea, vomiting, intolerance to bright lights and noise.
Some people can have flashes of light, zigzag lines or blurred vision prior to onset of headache (called as visual aura).
Read 11 tweets
Dr Sudhir Kumar MD DM Profile picture
Jun 2
Adverse effects of commonly used medicines (at their usual therapeutic doses)

1. Every medicine has adverse effects, especially if taken in higher doses. Some drugs can cause allergic reactions at the usual dose too. Here I describe non-allergic side effects of a few medicines. twitter.com/i/web/status/1…
2. Vitamin B12 deficiency- can occur due to Metformin use for diabetes.
3. Headache and cerebral venous sinus thrombosis (clotting of blood in brain veins)- can occur in women after using hormonal pills (OCPs)
4. Confusion, disorientation and seizures with levofloxacin & similar+
+antibiotics, especially in people aged 60 or more.
5. Parkinsonism- due to use of anti-vomiting drugs; levosulpiride, and anti-psychotic drugs.
Levosulpiride is added to anti-acidity drugs and can be recognized with letter L, as in Pantocid-L, Razo-L, etc
#MedTwitter
Read 6 tweets
Dr Sudhir Kumar MD DM Profile picture
May 31
A. Today, one person who recently turned 50 consulted me in OPD. He has no symptoms & is healthy. He has no known diseases. He wanted a check up & advice to ensure he does not convert into a patient for as long as possible. I love this concept of disease prevention.
#MedTwitter
B. It is possible to prevent most of the serious diseases by following healthy lifestyle and proper medical care.
These include:
1. Regular sleep: 7-8 hours per night
2. Regular exercise: 30-40 minutes daily for 5 or more days a week; 9-10 k steps/day; strength training
3. Healthy diet: low carb, high protein diet;
avoid sugar & ultraprocessed packaged foods;
eat fresh fruits & vegetables, handful of nuts per day; early dinner (3-4 hours before sleeping time);
reduce feeding time window;
intermittent fasting at least on a few days per month
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

Send Email!

:(