Patient-first care in Madhurawada
The Rise heart guide

Understandyour heart.

Everything we wish every patient knew about the heart: how it works, what goes wrong, which signs matter, and what to do next. Twenty minutes, plain language, no jargon.

8 chaptersPlain-language patient educationTelugu · English · Hindi support
LIVE SYSTEM 72 BPM
Right atriumRight ventricleLeft atriumLeft ventricleAorta · to bodyPulmonary arteriesVena cava · from bodyPulmonary veinsoxygen-poor inoxygen-rich out
patient education / not a diagnosisscroll to examine

Looking for a consultation? Explore heart care in Vizag (Visakhapatnam) or our EECP therapy pathway at Rise Medical Hub in Madhurawada.

Chapter 01

How your heart works,
one beat at a time.

Two pumps, four valves, one loop. Scroll slowly: you’re riding a drop of blood through it.

04 clear moments01 blood cell to follow Scroll to move it
Right atriumRight ventricleLeft atriumLeft ventricleAorta · to bodyPulmonary arteriesVena cava · from bodyPulmonary veins
01 / 04

Blood returns, low on oxygen

Oxygen-poor blood from your body enters the right atrium, the heart's receiving room, then passes into the right ventricle.

02 / 04

The right side sends it to the lungs

The right ventricle pushes that blood through the pulmonary artery to the lungs, where it releases carbon dioxide and takes up oxygen.

03 / 04

The left side receives it, renewed

Bright, oxygen-rich blood flows back into the left atrium and down into the left ventricle, the heart's strongest chamber.

04 / 04

One beat sends it everywhere

The left ventricle contracts and drives oxygen-rich blood through the aorta to every organ: brain, kidneys, muscles, and the heart itself. Four valves keep it moving one way.

Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 02

Four numbers,
one dashboard.

These four are the numbers your doctor reads first, and the earliest place trouble shows, often years before symptoms.

<120/80mmHg

Blood pressure

  • Normalbelow 120 and 80
  • Elevated120–129 and below 80
  • Stage 1: discuss130–139 or 80–89
  • Stage 2: consult140 or 90 and above

Categories use average readings, and one high result is not a diagnosis. Your overall risk still changes the plan.

60–100beats/min

Resting heart rate

  • Typical60–100
  • Discussconsistently outside that, or irregular
  • Actracing or fluttering at rest with dizziness

Fit people often sit below 60; context matters more than the number.

<100mg/dL

LDL cholesterol

  • Optimalbelow 100
  • Borderline100–159
  • High: consult160 and above

Your personal target depends on your overall risk, so set it with your doctor.

<5.7%

HbA1c

  • Typicalbelow 5.7
  • Prediabetes5.7–6.4
  • Diabetes range6.5 and above

Sugar and heart health are linked: high sugar quietly injures arteries.

Chapter 03

When arteries narrow,
minutes start to matter.

The same story sits behind angina and heart attacks. Watch it happen, and notice how late the symptoms arrive.

HEART-MUSCLE DEMANDPlaque narrows the channelDemand rises, supply can’t followA clot completes the block, and minutes matter nowUPSTREAM FLOWNARROWING ZONEDOWNSTREAM MUSCLE
01 / 03

Years of quiet build-up

Cholesterol deposits (plaque) settle into the artery wall over decades. Traffic slows, but there are no symptoms yet. Only testing finds trouble at this stage.

02 / 03

Angina: demand outruns supply

At rest, the narrowed artery still copes. On stairs or under stress, the heart asks for more blood than can squeeze through, which you feel as pressure or heaviness in the chest that eases when you stop.

03 / 03

The emergency

A plaque ruptures and a clot completes the block within minutes. Muscle downstream begins to die. This is a heart attack. Call 108 or reach the nearest emergency room. Do not drive yourself.

Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 04

Eight conditions,
on the map.

Pick a condition to see the part of the heart it affects: what it is, what it feels like, and the sign that says stop reading and act.

What changesPlaque narrows a coronaryGreat vesselsElectrical systemHeart valvesCoronary arteriesHeart muscle
Selected conditionCoronary artery diseaseAffected structureCoronary arteries
Shown on the heartPlaque narrows a coronary
Coronary arteries

Coronary artery disease

Cholesterol deposits (plaque) slowly narrow the arteries that feed the heart muscle itself.

Feels like

Often nothing for years, then heaviness or breathlessness on exertion.

Red flag

Chest discomfort appearing at rest, or with less and less effort.

First step at Rise

A cardiology review with ECG and echo maps where you stand.

See the tests

General information, not diagnosis. Symptoms overlap, and a doctor puts them in your context.

Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 05: warning signs

Some symptoms
are a call.

Stop reading. Call 108 or get to the nearest emergency room. Do not drive yourself. Do not wait to see if it passes.

Public ambulance · 108
01

Pressure, heaviness, or squeezing in the centre of the chest lasting more than a few minutes

02

Pain spreading to the left arm, jaw, neck, or back

03

Chest discomfort with cold sweat, nausea, or breathlessness

04

Sudden breathlessness at rest, or waking up gasping

05

Fainting, or near-fainting with palpitations

Not a siren?

These signs mean book a proper look this week. A planned visit beats waiting.

  • Discomfort that appears with exertion and eases with rest
  • New breathlessness on stairs you managed last year
  • Episodes of fluttering or racing heartbeat
  • Ankles swelling by evening
  • You're 35 or older with diabetes, high BP, smoking, or family history, and have never had a heart check
Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 06

Six habits.
Zero prescriptions.

Most heart protection never touches a pharmacy. Start with one, keep it a month, add the next. The sixth is the easiest: book a heart check

01

Walk 30 minutes

Brisk means you can talk but can't sing. The beach road at dawn or after sunset counts, and so do three 10-minute walks.

Start with a 10-minute walk after one meal.
02

Eat for your arteries

Eat more fish, dal, vegetables, and whole grains, and less deep-fried food, salt, and sweets. Small swaps you keep for good beat crash diets.

Add colour to half your plate most days.
03

Leave tobacco behind

Quitting is the single most powerful thing a smoker can do for their heart. Risk starts falling within weeks.

Ask for a quit plan instead of relying on willpower.
04

Sleep seven hours

Chronic short sleep pushes BP and sugar up. Snoring with daytime sleepiness is worth asking a doctor about.

Protect the same sleep and wake window.
05

Mind the pressure

Stress hormones tighten arteries. Whatever unwinds you, whether prayer, music, or a walk with a friend, helps your heart.

Use two quiet minutes to slow your breathing.
06

Know your numbers

Check BP, sugar, and cholesterol once a year. The biggest threats to the heart can stay silent for a decade, and testing is how you catch them early.

Record trends, not a single alarming number.
Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 07

Tests,
decoded.

Most are non-invasive. Blood testing uses a needle, and treadmill testing involves monitored exertion.

Choose a test
Test 01 · 5 min

ECG

The heart's electrical rhythm, as a 10-second snapshot.

When it is used
Often one of the first tests during chest pain, palpitations, or a cardiac review.
What it feels like
Chest stickers; removing them can cause brief skin discomfort.
Diagnostic guidance

Start with the right test,
not every test.

Explore diagnostics
Evidence Sources for this chapter

Medical sources checked 14 July 2026. Patient education only, not a diagnosis or individual treatment plan.

Chapter 08

Treatment,
chosen by need, not stage.

Medicines, EECP, and revascularisation are not rungs on one ladder. The right path depends on symptoms, coronary anatomy, risk, and urgency.

Symptomscoronary anatomyrisk and urgencyclinician-selected plan
01 · The foundation

Medicines

Guideline-directed medicines and risk-factor control are the foundation for most people. They usually continue whether EECP or revascularisation is later selected.

Selected byDiagnosis, risk factors and treatment goals
Discuss your heart risk
02 · A selected non-invasive option

EECP, for selected refractory angina

EECP may be considered to relieve symptoms when chronic angina persists despite medical therapy and other treatment options are unsuitable or exhausted. It is not a routine bridge before angioplasty or bypass.

Selected byPersistent symptoms, suitability and cardiology review
Explore EECP therapy
03 · When anatomy or risk requires it

Angioplasty or bypass

Revascularisation may be recommended when coronary anatomy, symptoms, or clinical risk make a procedure the better option. EECP must never delay emergency assessment or an indicated procedure.

Selected byAnatomy, symptoms, urgency and procedure risk
Book a cardiology review

Important: This is a decision framework, not a treatment sequence. Chest pain at rest, worsening symptoms, or a suspected heart attack needs urgent medical assessment, not an EECP appointment.

Evidence Sources for this chapter
The next step

You know what matters.
One conversation turns it into a plan.

Heart questions

Asked in our rooms,
answered plainly.

Is a heart attack the same as cardiac arrest?

No. A heart attack is a plumbing problem: a blocked artery starves heart muscle. Cardiac arrest is an electrical problem: the heart stops pumping entirely and the person collapses at once. A heart attack can trigger arrest, which is why chest pain needs urgent care.

Is chest pain always on the left side?

No. Cardiac discomfort is most often central, a pressure or heaviness, and can appear in the jaw, back, or arms, or as breathlessness alone, especially in women and people with diabetes.

At what age should heart check-ups start?

For most people, a baseline (BP, sugar, cholesterol, ECG) by 35, earlier with family history, diabetes, or smoking. After that, yearly numbers and a review.

My BP is high only at the clinic. Does it count?

It might not. 'White-coat' readings are common. A week of proper home readings, morning and evening, tells your doctor what's real.

Can I exercise with a heart condition?

Usually yes. Movement is medicine, but the dose needs a doctor. After an event, or during therapies like EECP, activity is built up gradually under guidance.

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