Independence Day of Pakistan
Independence Day was celebrated with great enthusiasm by the JMDC students and Medicare staff members. The program began National Anthem. Students sang patriotic songs and shared their views in speeches. Most of the students & staff were dressed in green & white.
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Healthy Heart
Medicare Heart Center & Jinnah Medical & Dental College observed World Hypertension Day and organized awareness talk with Consultant Cardiologist of Medicare Heart Center, Prof. Dr. Mansoor Ahmad, FRCP ”Healthy Heart for a Happy Life” for the students, faculty & staff members. The session covered the importance of risk factors associated with high BP, poor life style, treatment & preventive measurements.
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World Hypertension Day
To mark World Hypertension Day Prof. Dr. Mansoor Ahmad was invited in Samaa TV morning show “Subh Saweray” to inform the audience about the importance of Blood Pressure. Medicare Heart Center published Q & A session with Prof. Dr. Mansoor Ahmad “ Symptoms, Diagnosis & Treatment of Blood Pressure” in World Hypertension Day Supplement in Daily Jang. (http://e.jang.com.pk/05-17-2017/karachi/page14.asp)
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International Nurses Day
International Nurses Day was celebrated at Medicare Heart Center.
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Blood Donation Drive
Blood Donation Drive was held on February 23, 2017 at the Medicare lobby area in collaboration with the Indus Hospital. The Blood donation drive aimed to provide quality Blood Banking to any deserving patients. More than 196 bags were donated from students, faculty & staff.
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CME Lecture by Dr. Mansoor Ahmad
Dr. Mansoor Ahmad, Consultant Cardiologist delivered a lecture on “Relationship Among Morning Blood Pressure Surge, 24-hour Blood Pressure Variability & Cardiovascular Outcomes.” to the General Practitioners, Faculty & Staff of Medicare Heart Center. During the program he informed that BP normally fluctuates during the day and can vary from day to day in response to environmental challenges, e.g., stress, activity, carrying out tasks. Over the last 30 years rates of CVD mortality have fallen in many parts of the world due to improvements in managing modifiable CV risk factors. There is growing evidence that morning surge in BP predisposes patients to adverse vascular outcomes particularlyacute coronary syndrome, cardiac arrhythmias, sudden cardiac death, all-cause mortality, and stroke. Lt. Col (R) Dr. Baqar Nawab briefed about the Hospital facilities with a tour of the hospital.
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Dementia and Depression
Department of Psychiatry, Jinnah Medical & Dental College conducted a CME program on Dementia and Depression focus on cognitive impairment in Depression on 14hFebruary 2017. Dr Aneel Kumar Assistant Professor Department of Psychiatry JMDC has taken an initiative to raise the awareness of Cognitive impairment in Depression, Alzheimer’s Dementia and its management.” Guest speaker, Prof.Dr.M.Iqbal Afridi HOD Department of Psychiatry JMPC spoke on Cognitive Dysfunction in depression & Dr.Aziz B Sona Wala Consultant Neurologist AKU discussed “highlighted Alzheimer’s and its Management.” Professor Dr. S. Haroon Ahmed, senior consultant psychiatrist, president Pakistan Association for Mental Health (PAMH), founder Pakistan Psychiatric Society (PPS) was the Chief Guest.
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We Welcomes Prof. Dr. Mansoor Ahmad. FRCP, Consultant Cardiologist
Formerly Head of Cardiology at Liaquat National Hospital, He has expertise in teaching & training in Interventional Cardiology, Special Interest in Coronary Intervention & in Cardiac therapeutics.
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Medicare New OPD
Medicare New OPD has opened in Wing II, with Clinics, Assessment Area, Mammography, Dialysis Unit, Vaccination Area, X-Ray , CT Scan room, Dental Executive Clinic & Patients waiting area.
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2nd Audit ISO 9001:2008
Surveillance Review of ISO 9001:2008 was conducted successfully in December 2016. Congratulation to all team members for all the hard work & dedication.
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Cardiac Awareness Session At Fm Radios
FM 96 conducted an interview with our Interventionist Cardiologist Dr. Kaleem ullah Sheikh on heart issues. Listeners had the opportunity of interacting & discussing many cardiac related issues and received professional advice from our cardiologist.
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ISO 9001:2008
Medicare has been awarded Certificate of Registration ISO 9001:2008. Mr. Syed Adnan Sohail, Executive Director, received the certificate from URS. Management expressed the heartiest congratulation to the entire staff.
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Free Breast Screening Clinic
Breast cancer is one of the leading cause of cancer deaths among Pakistani women. Early detection of the disease is the key for a better outcome. The World Health Organization has dedicated the month of October as Breast Cancer Awareness Month. The department of Surgery at Jinnah Medical and Dental College in collaboration with the Medicare Administration, Marketing department and Radiology department organized a Free Breast Screening Camp. Patients received free consultation and breast examination. The facility of breast ultrasound was made available on the same day. Patients were also given information booklets regarding breast cancer and self examination. This activity will continue every year in the month of October to spread awareness of breast cancer.
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Medicare Eye Institute
Medicare Eye Institute is fully equipped. All routine & complicated eye surgeries are being performed.
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Take Care Of Your Heart
WORLD HEART DAY celebrated at Medicare Cardiac & General Hospital on September 29 for a Lecture Series Program & for a Free Event for a general public.
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Out Reach Program
Medicare in collaboration with Karachi Gymkhana organized Cardiac Screening Tests with free Cardiac, General Physicians, Dietitian, Physiotherapist Consultancy offered to the club members.
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We Lost Super Human
A condolence meeting was held at Medicare for Moulana Abdul Sattar Edhi. Attended by students, faculty members, staff.
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Lecture Series/ World Hypertension Day
Dr. Kaleemullah Shaikh, Interventionist Cardiologist talked about “Dyslipidemia” and Dr. Fawad Farooq spoke about” Hypertension”. Lecture were attended by students, faculty members, staff & general public.
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Cardiac Awareness Session At Fm Radios
FM 96 conducted an interview with our Interventionist Cardiologist Dr. Kaleem ullah Sheikh on heart issues. Listeners had the opportunity of interacting & discussing many cardiac related issues and received professional advice from our cardiologist.
Read More
Cardiac Awareness Session At Fm Radios
FM 96 conducted an interview with our Interventionist Cardiologist Dr. Kaleem ullah Sheikh on heart issues. Listeners had the opportunity of interacting & discussing many cardiac related issues and received professional advice from our cardiologist.
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to radiology department for the installation of mri & ct scan Our congratulations on performing 100 total knee replacement & total hip replacement to Dr. Shahid Noor & his team who performed 100 total joint replacements at Medicare, since February 2015.
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Mental Health Day at Medicare Cardiac & General Hospital
Respect for All: “Psychiatric patients are socially stigmatized “said Dr Syed Tariq Sohail, Chairman, S. M.Sohail Trust.Their family members and peer groups often isolate and reject them. “We need to immediately address this burgeoning problem.”He was addressing the World Health Day Seminar, ‘Dignity in Mental Health’. The event was organized by Pakistan Association for Mental Health. Prof. Haroon Ahmed (President PAMH) welcomed the guests. Justice (R) Prof. Dr. Ghous Muhammad (Patron PAMH) highlighted the milestone Sindh Mental Health Act passed by Sindh Assembly on 2013. Dr. Uzma Ambareen read her paper on help seeking behavior and stigma, based on the data from Free Mental Health Clinic of PAMH. Dr. Abdullah Mangi (Vice President, PAMH) presented the vote of thanks.
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Free Orthopedic Camp
Free Orthopedic camp was held at Medicare with Free BMD test with discounts on Lab test, Physiotherapy & Surgical packages. A team of Orthopedic specialist examined more than 250 patients with free dietary advice from Nutrition & Food Services Dept
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Baby Boy
Baby Boy: Medicare First Baby was delivered on October 15, 2015. First C-Section done by Dr Shabben Naz
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International Nurses Day
On May 12, 2015, International Nurses Day was celebrated at Medicare Cardiac & General Hospital in remembrance of 195th birthday of Florence Nightingale. This year's theme for International Nurses day was “Nurses A Force for Change, Care Effective and Cost Effective”. Cake cutting ceremony and Speech by HOD Nursing were delivered to praise the nurse’s work. They received the letter of appreciation for their outstanding work and maintaining of 100% attendance.
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Frequently Asked Questions

Blood Pressure

What do the numbers mean?
The upper number is when the heart beats, the lower number when heart relaxes.  
Why I should care?    
  • Stroke
  • Diabetes
  • Heart attack
  • Heart Failure
  • Kidney Failure
  • Sexual Dysfunction
  • Dementia
  • Eye Damage
  • Early Death
What do you know if you have hypertension?  
Most people cannot feel if their blood pressure is high. And hence it is called ” Silent Killer.” However there may be non specific symptoms like: headache, dizziness, shortness of breath & blurred vision.  
How often should I check?  
  • Less than 130/82- every 2 years
  • 130-139/85-89-every year
  • Above 139/89-check often
What you can do?  
  • Measure your blood pressure regularly
  • Increase your physical activity
  • Control your weight
  • Eat nutritional foods, whole grains, fresh fruits, vegetables & low fat dairy products
  • Cut back on salt & processed foods
  • Stop smoking
  • Reduce stress
  • See your doctor regularly
  • Take medications as prescribed

Heart Disease

What is heart disease?
Heart disease is a term that includes several more specific heart conditions. The most common heart disease is coronary artery disease (CAD). CAD occurs when the arteries that supply blood to the heart muscle become hardened and narrowed due to the buildup of plaque. The narrowing and buildup of plaques is called atherosclerosis. Plaques are a mixture of fatty and other substances including cholesterol and other lipids. Blood flow to the heart is reduced, which reduces oxygen to the heart muscle. This can lead to heart attack. Other heart conditions include angina, heart failure, and arrhythmias.  
What can you do to reduce your risk?    
Persons can take steps to lower their risk of developing heart disease by preventing or treating and controlling high blood pressure, preventing or treating and controlling high blood cholesterol, by not using tobacco, by preventing or controlling diabetes, and by maintaining adequate physical activity, weight, and a healthy diet. Persons being treated for conditions or risk factors should follow the guidance of their health care providers.  
Why Cardiac Surgery?
The purpose of Coronary Artery Bypass Graft (CABG) Surgery is to improve blood flow to the heart. More blood flow should eliminate chest pain or angina pectoris that comes with exercise and in some patients, even at rest. CABG improves quality of life and exercise capacity. Other benefits include reducing the need for medication and restoring a sense of well being. In persons with certain types of severe coronary artery disease, life is prolonged. The operation has been shown to prevent life threatening heart attacks. This page will help you understand how care is delivered to you by a highly skilled team of doctors, nurses and technicians before, during and after your Open Heart Surgery. It is this teamwork, with your help that will ensure that you get the most benefit from your surgery.  
How do the symptoms of heart attack differ between men and women?  
The symptoms of heart attack in a man are intense chest pain, pain in the left arm or jaw and difficulty in breathing. A woman may have some of the same symptoms, but her pain may be more diffuse, spreading to the shoulders, neck, arms, abdomen and even her back. A woman may experience pain more like indigestion. The pain may not be consistent. There may not be pain but unexplained anxiety, nausea, dizziness, palpitations and cold sweat. A womans heart attack may have been preceded by unexplained fatigue. Women also tend to have more severe first heart attacks that more frequently lead to death, compared to men.  
How are smoking and heart disease linked?  
Smoking damages the lining of blood vessels, increases fatty deposits in the arteries, increases blood clotting, adversely affects blood lipid levels, and promotes coronary artery spasm. Nicotine accelerates the heart rate and raises blood pressure.  
Does diet play a part in the development of heart disease?  
Diet plays a significant role in protecting or predisposing people to heart disease. Diets high in animal fat, low in fresh vegetables and fruit, and high in alcohol have been shown to increase the risk of heart disease.Adopting a diet low in fat and salt has a protective effect over the long term. This means diet rich in whole grains, fruits, and vegetables.  
Is heart disease hereditary?  
Heart disease can run in some families. But even if you inherit the risks factors that predispose you to heart disease, such as high blood cholesterol, high blood pressure, diabetes, or being overweight, there are measures you can take that will help you avoid developing cardiovascular disease.  
What is the connection between high blood pressure (hypertension) and heart disease?  
Blood moving through your arteries pushes against the arterial walls; this force is measured as blood pressure. High blood pressure accelerates the process of atherosclerosis that leads to narrowing of arteries and causes coronary artery disease.  


What is angiography?
Angiography uses a dye inserted into your arteries and an x-ray to see how the blood flows through your heart. The picture taken, the angiogram, will show any atherosclerosis.  

Coronary Artery Disease

How is coronary artery disease diagnosed?
There are a number of ways to diagnose coronary heart disease. Your physician will probably use a most appropriate method to make a definitive diagnosis.  
What are the symptoms of coronary artery disease?    
When blood flow is reduced in the coronary arteries, patients may develop angina. Angina is a discomfort in the chest, arms, or lower jaw that occurs when insufficient blood flows to the heart muscle. Angina typically develops during physical exertion or emotional stress, when the heart muscle needs more oxygen and is working harder. Angina usually lasts several minutes, and goes away with rest. Patients with coronary atherosclerosis are at risk for suffering a heart attack. A heart attack can occur when a coronary artery becomes blocked, usually by a blood clot. The region of the heart muscle fed by the blocked artery loses its ability to function and eventually turns into scar tissue. Unlike angina pain, the pain from a heart attack usually lasts more than 20 minutes and does not go away with rest.  
How coronary artery disease diagnosed?
Your physician will obtain a medical history and perform a complete physical examination. An electrocardiogram (ECG) may show evidence of coronary artery blood flow insufficiency (ischemia) or a heart attack. Your doctor may order a noninvasive exercise treadmill stress test or a pharmacological stress test that does not require exercise. These tests may show evidence of ischemia on the ECG. The optimum method for diagnosing CAD is by coronary angiography (also called cardiac catheterization). This test is performed under local anesthesia and involves injecting x-ray dye (contrast medium) into the coronary arteries via tubes (catheters) while an x-ray camera makes a film of the blood flow pattern that shows the exact location and severity of the coronary artery narrowing.  
How coronary artery disease treated?  
The findings from coronary angiography guide the strategy for the best treatment. The options of medical therapy, angioplasty and stenting, or coronary artery bypass surgery depend largely on the severity of disease. In general, patients with coronary narrowings that do not limit coronary artery blood flow receive medications and lifestyle modification to help prevent progression. If a patient has coronary atherosclerosis that limits blood flow in the coronary arteries, balloon angioplasty and stenting can be offered. In patients with multiple areas of coronary artery narrowing or blockage, coronary artery bypass graft surgery is generally recommended.  
How are smoking and heart disease linked?  
Smoking damages the lining of blood vessels, increases fatty deposits in the arteries, increases blood clotting, adversely affects blood lipid levels, and promotes coronary artery spasm. Nicotine accelerates the heart rate and raises blood pressure.  
Medications and Lifestyle Modifications  
Medications are prescribed to reduce the risk of death by reducing the risk of heart attack, stroke, and heart failure. Antianginal medications (such as β-blockers, nitroglycerin, and calcium channel blockers) reduce the symptoms of angina by reducing the amount of oxygen the heart requires and/or increasing the amount of blood flow through the arteries. Medications that reduce the risk of death are aspirin or aspirin-like drugs, cholesterol-lowering drugs, and agents such as β-blockers and angiotensin-converting enzyme inhibitors that block the harmful effects of some hormones. Lifestyle changes help prevent the continuing build-up of fatty deposits in the coronary arteries. These changes include smoking cessation, a diet low in fat and cholesterol, weight loss, regular exercise, stress management, diabetes control, and blood pressure control. These medications and lifestyle changes are equally important for those patients who also undergo coronary revascularization with angioplasty, stenting, or bypass surgery.  
What is angioplasty and stenting  
Roughly one-third of patients with CAD will undergo coronary angioplasty and stenting. These procedures take place in a cardiac catheterization laboratory, using the same type of catheter used for diagnostic coronary angiography. During balloon angioplasty, a balloon-tipped catheter pushes plaque back against the arterial wall to allow for improved blood flow in the artery. Another angioplasty technique involves devices that remove plaque from the arteries by cutting it Followed by deployment of stent to minimize the chances of arterial recoil or further narrowing.  


What is diabetes?
Diabetes mellitus, usually called diabetes or sometimes “Sugar,” is a condition that occurs when your body does not make enough insulin (hormone that regulates the amount of sugar in your body) or body cannot use normal amount of insulin properly. A high blood sugar level can cause problems in many part of body.  
What are the types of Diabetes?    
Type 1: Diabetes is responsible for about 10 % of the cases. It usually begins in childhood. It means your pancreas does not make enough insulin & you have to take insulin injections.
Type II
: Diabetes (the most common) usually occurs in people over 45, but is more common in younger people. If you have this type of diabetes, your pancreas makes insulin, but your body does not use it properly. The high blood sugar level often can be controlled by weight loss, exercise and pills, but insulin may also be needed.
How does diabetes affect my body?
If uncontrolled, diabetes can damage to many parts of the body  
  • Kidneys, heart, eyes & nerves
  • High blood pressure & hardening of arteries can develop, lead to heart & blood vessel disease

Mhh Cardiac Rehabilitation Program

What are the components of MHH Cardiac Rehabilitation Program?
  • Fully supervised & monitored exercise session
  • Educational sessions about risk factor of heart diseases, lifestyle modification, self care and monitoring techniques
  • Diet consultation by Dietitian
Who can be benefited?    
All patients need care, full monitoring and supervision  
  • After recent heart attack
  • After recent cardiac surgery
  • After Angioplasty
  • Patients having any risk-factor of developing any heart disease like:
    High cholesterol
    High blood pressure
    Chest pain/Angina
    Family history

  • Pulmonary disease
  • Pacemaker implantation
  • Peripheral vascular disease
  • Congestive heart failure
  • Heart patients managed by medications only


What is ECG?
ECG records the electrical activity of your heart. An electrocardiogram measures the rate and regularity of heartbeats, the size and position of the heart chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart. It is a non-invasive procedure.  


Echocardiography (also called an echo test). This test is done to help your doctor find out if you have problems with your heart or with how it's working. It’s a kind of heart ultrasonography by which doctor can assess the function of heart muscle, values and blood flow  
Echocardiography is needed if:    
  • You have a heart murmur
  • You have had a heart attack
  • You have unexplained chest pains
  • You have had rheumatic fever
  • You have a congenital heart defect
How is it done?  
You'll lie on a bed on your side or back A technician will put special jelly on a probe and move it over your chest area Ultra-high-frequency sound waves will pick up images of your heart and valves. No x-rays will be used Your heart movements can be seen on a video screen A video tape or a photograph can be made of the pictures You can watch during the test It usually takes less than 15-20 minutes It's painless and has no side effects Your doctor will talk to you about the results  
What will the test show?  
The size and shape of your heart How well your heart is working overall If a wall or section of heart muscle is weak and not working correctly If you have problems with your heart valves If you have a blood clot  

Exercise Tolerance Test

What happens during the test?    
You are hooked up to equipment to monitor your heart You walk at a slow pace on the treadmill It tilts so you feel like you're going up a small hill The speeds are changed to make you walk faster You may be asked to breathe into a tube for a couple of minutes You can stop the test at any time if you need to Afterwards you will sit or lie down and your heart and blood pressure will be checked  
What is monitored during the test?  
Your heart rate
Your breathing
Your blood pressure
Your electrocardiogram (ECG)
How tired you feel
What equipment is used?  
The electrocardiogram or ECG machine will record your heartbeat. Tiny wires or electrodes will be hooked up to your chest and arms or shoulders. Near the end, you may breathe into a mouthpiece that will measure the air you breathe out.  
Is there a risk?  
There is very little risk no more than if you walked fast or jogged up a big hill. Medical professionals are on hand in case anything unusual happens during the test.  
What is a stress test? Do I need a stress test?  
How long do I have to be on the treadmill?  
The average Stress Test will take approx. 6-9 minutes. However people who are in better physical condition will need to stay on the treadmill for a longer period of time. We ask patients to exercise to full fatigue for optimal results.  
What information does a stress test give?  
Stress testing will give us information about your functional capacity, or activities you can perform on a daily basis. The stress test measures your functional capacity in units called Metabolic Equivalents (METS). Consequently, the longer someone can stay on the treadmill, the higher the METS or functional capacity. The test will also give us information about the blood flow to your heart. If during your test you develop chest pain or abnormalities in your EKG, this may indicate Ischemia or lack of blood flow to your heart. Further testing may be performed at that point to determine the severity of the abnormality.  
What should I wear to walk on the treadmill?  
We ask that patients wear sneakers, loose fitting comfortable clothes, and preferably a shirt with buttons.  
What do I need to know before I have my stress test? (Medication, food, drinks, lotions/powders on chest)?  
Before your stress test, you should take all medications unless otherwise told by your physician. You should eat a light meal about 4 hours before your test (2 hrs. if Diabetic) Do not apply any lotions, powder or deodorant to the chest area. Bring an updated list of all your medications. Expect your chest to be sponged lightly with a mild abrasive, followed by placement of 10 electrodes. The electrodes will serve as hook-up for your EKG. This will allow our physician Asst (PA) to monitor your EKG for changes.  
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