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Category Archives: Cardiology

Cardiology Hospitals in India

  1. O P Jindal Hospital of Cancer & Cardiac Research
  2. Avanti Institute of Cardiology, Maharashtra
  3. Shanti Memorial Hospital, Cuttack, Orissa, India
  4. Apex Heart Institute – Ahmedabad Gujarat
  5. Ramesh Cardiac Hospital, Vijayawada
  6. Tagore Hospital & Heart Care Centre, Punjab
  7. Gleneagles Global Health City,Chennai
  8. Medanta Hospital, Gurgaon, India
  9. Kokilaben Dhirubhai Ambani Hospital, Mumbai
  10. B. M. Birla Heart Research Centre, Kolkata
  11. Asian Heart Institute and Research Centre, Mumbai
  12. Fortis Escorts Heart Institute, New Delhi
  13. Metro Heart Institute, Faridabad
  14. N.M. Wadia Institite of Cardiology, Pune
  15. Metro Heart Institute, Meerut, Uttar Pradesh, India
  16. Sri Jayadeva Institute of Cardiovascular Sciences
  17. IVY Hospital Superspeciality Healthcare Punjab
  18. Heart & General Hospital , C-Scheme, Jaipur
  19. Bankers Heart Institute ,Old Padra Road, Vadodara
  20. Baroda Heart Institute & Research Centre Vadodara
  21. Usha Mullapudi Cardiac Centre Hyderabad
  22. Apollo Cardiac Center, New Delhi
  23. Manipal Heart Foundation, Bangalore
  24. Narayana Hrudayalaya, Bangalore, India
  25. Kerala Institute Of Medical Sciences KIMS, Trivandram

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3 months ago Cardiology

Top Cardiologists/Cardiac Surgeons in India

2o best Cardiac Surgeons in India | top 20 Cardiologists in India

Here is the list of top 20 cardiologists in India/the top 20 cardio-surgeons in India.

1.Dr. Naresh Trehan

Dr. Naresh Trehan

 

Qualification:  

  • M.B.B.S.,
  • Diplomat – American Board of Surgery, 
  • Diplomat – Cardiothoracic Surgery
  • Fellow – Royal Society of Medicine London
  • Fellow – American College of surgeries, U.S.A.
  • Fellow – International Medical Sciences Academy
  • Training in General Surgery – N.Y. U. Medical Centre

Brief Profile:

Dr. Naresh Trehan was graduated from K.G. Medical College. He is a famous Cardiovascular and Cardiothoracic surgeon. He did training and practice at New York University Medical Centre, Manhattan U.S.A. He is also granted by the American Board of Cardiothoracic Surgery.

He is the Chairman & Managing Director, Medanta hospital. He was the executive director and founder of the Escorts Heart Institute and Research Centre (from 1987 to May 2007). & Consultant – Cardiovascular Surgery at Apollo Hospital, New Delhi. He was Executive Director& Chief – Cardiothoracic and Vascular Surgery at Fortis Escorts Heart Institute and

He was Assistant Professor in Surgery at New York University Medical Centre & Clinical Instructor & Surgery at New York University Medical Centre, New York, U.S.A.

Highlights:

  • He was appointed as Honorary Consultant & Cardiothoracic Surgery, to the Armed Forces Medical Services
  • He got PADMA BHUSHAN awarded
  • He got Dr. B. C. Roy National Award
  • He appointed as Personal Surgeon to the President of India 
  • He got Life Time Achievement Award by the International Society of Cardiovascular Ultrasound.
  • He awarded by PADMA SHRI, awarded.
  • He got Lal Bahadur Shastri National Award.

 Hospital Website:  Medanta The Medicity

2.Dr. Hemant Madan

Dr. Hemant Madan

Qualification: 

  •  M.B.B.S. (Armed Forces Medical College, Pune Top 15 accredited hospitals from Pune 1988)
  •  MD in General Medicine (Armed Forces Medical College, Pune 1995)
  •  D.M. Cardiology (Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, 2003)
  •  Fellowship of Royal College of Physicians (Edinburgh, U.K.)

 

Brief Profile: 

Dr. Hemant Madan is one of the famous cardiologists in India, who has experience of over 22 years. He completed his medical career and has various kinds of skills in cardiac procedures, Know more about cardiac ablators including complex coronary interventions, Pediatric cardiology, Device implantation Peripheral interventions Percutaneous treatment of valve stenosis. He is Director at Narayana Superspeciality Hospital, Gurgaon & Associate Director at Fortis Hospital, Shalimar Bagh, New Delhi. In 2015 he also worked as a professor at Forces Medical Service.

Highlights:

  • Dr. Madan has received prestigious awards:
  • Vishishta Sewa Medal 
  • recipient of ‘Best Citizen Award.’ 
  • Commendation by the Chief of the Air Staff 
  • Two times Commendation by the Commander in Chief
  • Gold Medal in M.D. in Medicine.

Hospital Website – Narayana Superspeciality Hospital

3.Dr. Subhash Chandra

Dr. Subhash Chandra

Qualification:

  • M.B.B.S., 
  • MD (Internal Medicine)
  • D.N.B. (Cardiology)
  • D.M. (Cardiology).

Brief Profile:

Dr. Subash Chandra is a cardiologist in India, with a remarkable contribution in the cardiology field. He is a Chairman and H.O.D. in Cardiology. He has a skilled in Coronary Interventions, Structural Heart Diseases, Know more about Heart Transplant, Endovascular Interventions Device Implantation. He has deep experience in the field; he also has won many awards.

Highlights:

  • He got Sujoy B. Roy Young Investigator Award, Cardiological Society of India, 
  • 5th Annual Conference – 1989
  • Col. K.L. Chopra Research Award, Cardiological Society of India, 
  • 9th Annual Conference – 1993
  • 13th Annual Conference – 1997.

Website: BLK Super Speciality Hospital

4.Dr. Subhash Kumar Sinha

Dr. Subhash Kumar Sinha

Qualification: 

  • M.B.B.S. (Armed Forces Medical College, Pune). 
  • MCh (C.T.V.S.) from Post Graduate Institute of Medical Education and Research, Chandigarh.
  •  M.S. (Patna Medical College, Patna.
  •  M.B.A. (Healthcare Service) from Sikkim Manipal University.
  •  Managing Healthcare Delivery from Harvard Business School
  •  Managing Healthcare Delivery from Harvard Business School

Career Profile:

Presently, Dr. S K Sinha is the Director at Max Hospital. He is also of Director in C.T.V.S. at Batra Hospital & Max Hospital, Saket. He has 26 years of experience in Cardiac Surgery. Dr. Sinha famous invasive heart surgery, like beating heart surgery.

He served as Head of the Department of Cardiac Surgery (Oct 1996-April 2009) in Batra Hospital. He performed both as an administrative leader and clinical mentor, and Senior Consultant from May 1989-June1995. He is passionate about sharing some knowledge and having the skills of future cardiac surgeons. He trained many cardiac surgeons under his guidance.

He was Director at Paras Group of Hospitals, Gurgaon, and Patna & Darbhanga from Mar 2014- June 2016. He performed Chief Cardiac Surgery Regency Hospital Kanpur, India, from July 1995-Oct1996. He was a senior consultant at Batra Hospital & Medical Research Centre, New Delhi & Cardiac Surgeon in Railway Hospital, Chennai (July1986-April 1989).

Highlights:

  • A leader in beating heart surgery & gained worldwide recognition.
  • Dr. S K Sinha did training and guiding 75 medics and paramedics, which have developed a unique management perspective.
  • He Reviewed articles in Indian Journal.

 Hospital Website: BLK Super Speciality Hospital

5.Dr. Murtaza A Chishti

Dr. Murtaza A Chishti

Qualification:

  • M.B.B.S.
  • M.S. (General Surgery), M.Ch (C.T.V.S.) 

Brief Profile:

Dr. Chishti has done M.B.B.S. from Kashmir University, F.M.G.E.M.S. from U.S.A. and P.L.A.B. from the United Kingdom. He has so much experience in cardiothoracic fellowships in Royal Perth Hospital Perth, Australia, St. Mary’s hospital, Milwaukee, U.S.A., and Prince Henry and Prince Wales Hospitals in Sydney Australia. He held many prominent positions, such as Chief Consultant and Associate Professor at Mahatma Gandhi University of Medical Sciences and Technology. He was Senior Consultant Cardiac Surgeon at Fortis-Escorts New Delhi.

Highlights:

  • He got Award by the Society of Heart Failure and Transplant. in recognition of his Contributions in Thoracic Organ Transplant in India at Kochi (2016)

Hospital Website- Artemis Hospital

Kindly click to check the best cardiac hospitals in India.

 

 

6.Dr. Ajay Kaul

Dr. Ajay Kaul

Qualification:

  • M.B.B.S. (Mumbai University, India)
  • M.S. (General Surgery) from Mumbai University, India.
  • M.Ch. (Cardiothoracic Surgery)

Brief Profile:

Dr. Ajay Kaul is one of the famous Cardiac Surgeon who is highly experienced and qualified Cardiac Surgeon. His contribution is appreciated in the field of Cardiac Surgery. He completed his Master’s degree in Vascular Surgery and Cardiothoracic from Mumbai University. He has Fellowships in

  • Cardiac Surgery (Royal Prince Alfred Hospital, Sydney, Australia)
  • Cardiac Transplantation (Hannover Medical School, Germany)
  • Minimally Invasive Surgery

He conducted 10,000 Cardiac Operations, in which 4000 Total Arterial Coronary Bypass Surgeries. His name is considered a national expert in the Cardiac Surgery field. Dr. Kaul has worked in many prestigious hospitals, in our country and other countries like 

  • B.M. Birla Heart Research Centre (Kolkata)
  • Institute of Medical Sciences (Varanasi)
  • Hannover Medical School (Germany)
  • Bombay Hospital and L.M. Tilak Medical College & Sion Hospital (Mumbai).

He is keenly interested in Off-pump Coronary artery surgery, Off-pump Total Arterial Revascularization, Paediatric cardiac surgery, Mitral Valve Repair, Aortic Root Replacement & Aortic Aneurysm surgery.  Now he is the director of Cardiothoracic Surgery at Fortis Escorts Heart Institute (Delhi) Director of Cardiac Surgery at B.M. Birla Heart Research Centre. Kolkata and Visiting Professor Banaras Hindu University, Varanasi.

Highlights:

  • He published more than 70 publications in national and international journals.
  • He is also a member of the Cardiological Society of India.

Hospital Website – BLK Super Speciality Hospital

7.Dr. Ashok Seth

Dr. Ashok Seth

 

Qualification:

  • M.B.B.S. (J N Medical College, Aligarh Muslim University, India, 1978)
  • M.D. 
  • F.R.C.P., M.R.C.P., Fellowship

 Brief Profile:

  • Dr. Ashok Seth is one of the famous cardiac surgeons of India. Internationally he is renowned for his contribution to the cardiology field.
  •  Currently, Dr. Seth is the Chairman of Escorts Heart Institute, New Delhi & the Head of Cardiology Council of Fortis Group of Hospitals.
  •  He is a member of many international cardiology committees.
  • He joined the team involved in the development of angioplasty techniques and Bioresorbable Scaffold Stent (such as Angioscopy, Thrombectomy devices, Stents, and Drug-Eluting Stents, etc.).
  • Dr. Seth is the 1st from Asia to be elected on the Board of Governors of Society of Cardiac Angiographies and Intervention (U.S.A.), the official professional and regulatory body of interventional cardiologists in the U.S.A.

Highlights:

He got many national awards;

  • Padma Shri 
  • Padma Bhushan
  • Mason Sones Award- S.C.A.I. (U.S.A.), 2010
  • National Award of Republic of Spain

He has published more than 250 papers in national and international journals

His name is recorded in the book ‘L.I.M.C.A.’ for conducting the highest numbers of angiographies (50,000) and angioplasties (20,000).

 Hospital Website: – Fortis Escorts Heart Institute

8.Dr. Jamshed Dalal

Dr. Jamshed Dalal

Qualification:

  •  M.B.B.S. (Mumbai University, 1971)
  •  M.D. (Gen Medicine) – Mumbai University, 1976om Mumbai University, 1976
  •  D.M. (Cardiology) Mumbai University, 1977
  • Ph.D. (Cardiology) University of Wales, UK, 1981
  • F.E.S.C., F.R.C.P. (London)

 Brief Profile:

Dr. Jamshed Dalal is one of the renowned cardiologists in India. He has more than 35 years of experience. He is a talented and highly skilled surgeon and has triple doctorate degrees in medicine, cardiology, D.M. & Ph.D. He operated many domestic and international patients and gave excellent results. He is specialized in Interventional Cardiology with procedures including;

  • Coronary Angioplasty
  •  Angiogram
  •  Aortic stent grafting
  •  Biventricular pacing
  •  Device placement and etc.

Dr. Jamshed Dalal is an expert of Angioplasty and involved in the coronary angioplasty program for over two decades. He has conducted 20,000 coronary angioplasty surgeries.  Now he is of Director of Cardiac Sciences from Kokilaben Dhirubhai Ambani Hospital, Mumbai. He has involved in the foundation of the Cardiology Dept, from Wockhardt Heart Hospital, which is now in Fortis), Mumbai, 1999. Dr. Dalal is the Coordinator of the Cardiovascular Division, Lilavati Hospital, Mumbai, and Chief Cardiologist at Holy Family Hospital, Mumbai.

Highlights:

  • He got Young Researcher Award at British Cardiac Society, 1981

Hospital Website: – Kokilaben Dhirubhai Ambani Hospital

9.Dr. Jaisom Chopra

Dr. Jaisom Chopra

Qualification:

  • M.B.B.S. ( Aligarh Muslim University, Aligarh, 1977)
  • M.S. (Aligarh Muslim University, Aligarh, 1981)
  • F.R.C.S.

Brief Profile:

Dr. Jaisom Chopra is a famous Cardiologist in India,  having experience in Vascular & Endovascular Surgery. He performed many successful surgeries for over 42 years. He is a highly talented and hardworking surgeon with got qualified from premier medical institutions of national repute. He has joined fellowship and training from the prestigious Royal College of Surgeons, U.K.

Dr. Chopra has conducted 1500+ surgery in procedures like Varicose veins bypass, Aneurysm Aortic Surgery, venous disorders, Diabetic foot, Arterial Surgery, and Arterial trauma, occlusive disease, leg bypasses, and Embolectomy. He has worked in many famous national and international hospitals, and have rich experience and excellent knowledge in his specialization. Now he is Consultant of Vascular Surgery at Indraprastha Apollo Hospitals, Sarita Vihar, and Vascular Surgery at Apollo Spectra Hospital, Gwalior.

Dr. Chopra was Senior Consultant of Vascular Surgery at Apollo Spectra Hospitals, Karol Bagh, New Delhi, and worked with Arpana Hospital, Madhuban, Karnal. 

Highlights:

  • He has presented papers at national and international conferences.

Hospital website: – Indraprastha Apollo Hospitals

10.Dr. Sandeep Attawar

Dr. Sandeep Attawar

Qualification:

  • M.B.B.S. (Sree Chitra Tirunal Institute of Medical Sciences, Kerala)
  • MS Gen Surgery (Sree Chitra Tirunal Institute of Medical Sciences, Kerala)
  • M.Ch (Cardiac Surgery) from Sree Chitra Tirunal Institute of Medical Sciences, Kerala

Brief Profile:

Dr. Sandeep Attawar is a highly talented and famous Cardiovascular Surgeon and has 21+ years of experience in cardiology. His name is considered as one of the best Cardiac Surgeons in India and renowned name in his specialization – Thoracic Organ Transplantation & Mechanical Circulatory Support. In his career, he worked for more than two decades. Dr. Attawar has performed 10000 open and closed heart surgeries.

 He is a highly skilled surgeon with experience and performed various basic to complex cardiac surgery like Lung and Heart Transplantation, Left Ventricular Assist Device implants, and the total artificial heart. He is also considered as the top cardiac surgeon for pediatric heart surgery and CABG or bypass surgery. Now he is Director and Chairman of Cardiovascular Surgery, Thoracic Organ Transplantation & M.C.S. at Global Hospitals, Chennai and Cardiovascular Surgery, Thoracic Organ Transplantation & M.C.S. at Global Hospitals, Chennai.

He was Chief Heart Surgeon and Head of the Division of Heart Surgery at Apollo Hospitals, Dhaka, in 2005- 2010 and in 2003-2005, Senior Consultant of Cardiac Surgeon at Rabindranath Tagore International Institute of Cardiac Sciences (R.T.I.I.C.S.), Calcutta. He was Consultant of Cardiac Surgery at Narayana Hrudayalaya, and Manipal Heart Foundation, Bangalore, 2000

Highlights:

  • He was a vice president at Narayana Hrudayalaya Hospital, Jaipur in 2010- 2012
  • He is a member of the International Society for Minimally Invasive Cardiac Surgery and International Society for Heart and Lung Transplant.

Hospital website:  – Gleneagles Global 

Kindly click to check the best cardiac hospitals in India.

 

11.Dr. Manish Hinduja

Dr. Manish Hinduja

Qualification:

  •  M.B.B.S. (Post Graduate Institute of Medical Education & Research, Chandigarh, India)
  • M.S. (Post Graduate Institute of Medical Education & Research Chandigarh, India)
  • M.Ch.(C.T.V.S.), from P.G.I.M.E.R., Chandigarh, India
  • D.N.B. (Cardio Thoracic Vascular Surgery)
  • Fellowship- Advanced Cardiac Surgery (Canada)

Brief Profile:

Dr. Manish Hinduja is one of the best surgeons in Cardiothoracic & Vascular Surgery in Mumbai Best hospitals in Mumbai. He has done 5000 operations such as minimally invasive surgeries, A.S.D. closure, Beating heart bypass surgery, excision of cardiac tumor/L.A. myxoma), etc.

He has a keen interest in cardiac interventions such as

  •  CABG procedures
  •  Mitral valve replacement
  •  Atrial valve replacement 
  • Aortic aneurysm surgery.

Highlights:

  • He got Gold medal and C S Sadasivam Award from the National Board of Examinations (DNB CTS).
  • He has done his training in advanced cardiac procedures and heart transplantation.
  • He attained Fellowship in Advanced Cardiac surgery from Ottawa, Canada.

Hospital Website- Wockhardt Hospital North Mumbai

12.Dr. Udgeath Dhir

Dr. Udgeath Dhir

Qualification:

  • M.B.B.S. (Dr. B.R. Ambedkar University, Agra 2000)
  • M.S. – General Surgery (King George Medical University 2004)
  • MCh – Cardio Thoracic and Vascular Surgery

Brief Profile:

Dr. Udgeath Dhir is a famous name in the field of cardiological surgery with the experience of 15+ years. He is a dedicated and hardworking Cardio-thoracic and Vascular surgeon. He has conducted many bypass surgeries, operated 7500+ cases. Dr. Udgeath Dhir is considered as one of the top cardio surgeons trained at Central Chest Institute for Rheumatic Mitral valve repair Bangkok by Dr. Taweseeak.

 He is Director and Head, Cardiothoracic and Vascular surgery (C.T.V.S.), Fortis Memorial Research Institute and Senior Consultant, Medanta The Medicity, Gurgaon, Senior Resident, and Fortis Escorts Heart Institute, New Delhi. He was Senior Resident, G. B. Pant Hospital, New Delhi.

 Highlight:

  • Dr. Udgeath Dhir got Best Paper Presentation award at the International Coronary Congress
  •  He published many papers in medical journals.

Hospital Website: – Fortis Memorial Research Institute

13.Dr. (Col.) Salil Garg

Dr. (Col.) Salil Garg

Qualification:

  •  M.B.B.S. (Pune University, AFMC -1990)
  •  M.D. – Medicine (Pune University, AFMC -1999)
  • D.N.B. – Cardiology (Army Hospital R&R, New Delhi-2008

Brief Profile:

Dr. Salil Garg is one of the famous cardiologists in India; who has experience of 28+ years. He is a skilled and talented cardiologist, who has conducted 5000+ angioplasties. He has implanted 700+ devices (I.C.D., Pacemakers, and C.R.T.s). 

Dr. Garg has done implantation surgeries with implanted Micras, Leadless Implantable Cardioverter Defibrillator (I.C.D.), and Transcatheter Aortic Valve Replacement (T.A.V.R.),. In his career, he held various posts in large hospitals, giving his in-depth knowledge and experience. He is Senior Advisor & Professor of Cardiology, Army Hospital and Base Hospital, Delhi, and Command Hospital (CC)Lucknow (K.G.M.V.). He was Associate Professor (Cardiology), in Armed Forces Medical College Pune, India.

Highlights:

  • He published over 30 scientific papers in the famous national and international journals on medicine and cardiology.  
  • He is the part of the team that implanted the 1st Micra (Intracardiac Pacemakers & T.A.V.R. at A.H.R.R.)

Hospital Website: – Venkateshwar Hospital

14.Dr. Yogesh Kothari

Dr. Yogesh Kothari

Qualification:

  • M.B.B.S. (Dr. Ambedkar Medical College, University of Bangalore, 1996)
  • M.D. Internal Medicine (Kasturba Medical College, Manipal)
  • D.N.B. in Cardiology (National Board of Examination, India)

Brief Profile:

Dr. Yogesh Kothari is one of the leading cardiologists in India who has 22+ years of clinical experience. He is specialized in Electrophysiology and arrhythmia program. He has a keen interest in the endovascular and percutaneous treatment of Coronary, Aortic, Carotid, and other peripheral vascular disorders. Dr. Kothari is a highly qualified, talented, and skilled specialist who got the qualifications from premier institutions. He has done training from Frontier Lifeline KM Cherian Heart Foundation for Electrophysiology.

Highlights:

  •  He is the member of Cardiological Society of India (C.S.I.)
  • Indian Heart Rhythm Society

Hospital Website – Apollo Hospitals, Bannerghatta Road

 15.Dr. Robert Mao

Dr. Robert Mao

Qualification:

  •  M.B.B.S.
  •  M.D. – General Medicine
  • D.M. – Cardiology 

Brief Profile:

 Dr. Robert Mao is a topmost Cardiologist in India. Based at Chennai, he has totalmedical experience of 38+ years. He is specialization in the area of cardiac procedures such as: 

 He is a highly hardworking qualified doctor with medical degrees from famous medical colleges. 

Highlights:

  • He has published many papers in journals.
  • He is a member of the Tamil Nadu Medical Council.

Hospital Website – Apollo Hospital Chennai

Kindly click to check the best cardiac hospitals in India.

 

 16. Dr. K. K. Saxena

Dr. K. K. Saxena

Qualification:

  • M.B.B.S.
  • MD 

Brief Profile:

Now Dr. Saxena is one of the Senior Consultant Cardiologists in India. He has vast experience of 35 years, in the field of diagnostic, clinical, and interventional cardiology procedures, like treadmill exercise testing, Holter monitoring, nuclear studies, and echocardiography. He also performed many cardiac catheterizations.

In cardiology, Dr. Saxena has done balloon dilation of the mitral valve, renal and peripheral arteries, pulmonary valve, and coarctation of the aorta and temporary and permanent pacemaker implantations.

Hospital Website:  ARTEMIS HOSPITAL, G.U.R.G.A.O.N. 

 17.Dr. K.K.Talwar

Dr. K.K.Talwar

 Qualification:

  •  MBBS
  •  MD
  •  DM 

 Brief Profile:

Currently, Dr. K.K. Talwar is Chairman of Cardiology, in Max Super Specialty Hospital, Saket. He is a famous cardiologist in India with experience of 40+ years. He was 1st specialist conducting implant Cardioverter and Defibrillator Therapy in India and the South Asian region (1995). Dr. Talwar is a very talented and skilled cardiac surgeon. In 1997, L.I.M.C.A. Book of World Records credited him for introducing I.C.D. therapy in India & South Asia. He is the first specialist to introduce C.R.T. therapy in India.

Highlights:

  • Dr. Talwar got various I.C.M.R. and many National Societies Award.
  • He was awarded as Padma Bhushan in 2006.

Hospital Website: MAX SUPER SPECIALITY HOSPITAL, S.A.K.E.T., NEW DELHI

18.Dr. Savitri Shrivastava

Dr. Savitri Shrivastava

Qualification:

  • M.B.B.S.
  • MD
  • DM

 Brief Profile: 

Dr. Shrivastava is a very famous cardiologist in India, with experience of 59 years. In 1995, she established the department of Paediatric cardiology and CHD at Fortis Escorts Heart Institute. Currently, she is the Director of Pediatric Cardiology in Fortis Escorts Heart Institute, New Delhi. Dr. Shrivastava has a keen interest in Paediatric and Congenital Heart Diseases, Echocardiography, and Non-Coronary Interventions. 

 In 1995 he played an enormous role in the formation of the Indian Academy of Echocardiography as the Founder President of the Society. She established the section of Echocardiography at A.I.I.M.S., New Delhi. She brought it at par with the world-class Echocardiography labs. In 1988 she described the Balloon Dilation of the Atrial Septum for the 1st time in the world.

Highlights:

  •  Dr. Shrivastava achieved the formulation of a Paediatric cardiology-training program, which is approved by the National Medical Board.
  • In 1998 she became the founder President in Paediatric Cardiac Society. 

Hospital Website: Fortis Escorts Heart Institute

19.Dr. Lalchand Bandagi

Dr. Lalchand Bandagi

Qualification:

  •  MBBS
  •  MS
  •  M.Ch.

Brief Profile:

Dr. Lalchand Bandagi is a famous Cardiological Surgeon and Vascular Surgeon with experience of more than 17 years in the cardiological field. He is interested in:

  • Cardiac Catheterisation
  • Cardio-Thoracic Surgery
  • Mitral/Heart Valve Replacement
  • Vascular Surgery,
  • Open Heart Surgery
  • Aortic Valve Surgery.

Highlights:

  • Dr. Lalchand Bandagi has been honored with many awards and recognitions. 
  • He is also a member of the Medical Council of India.

Hospital Website: MANIPAL HOSPITAL, BANGALORE 

 20.Dr. Rashid Zeya Ayubbi

Dr. Rashid Zeya Ayubbi

Qualification:

  • MBBS
  •  MS
  •  MCh

 Brief Profile:

Dr. Rashid Zeya Ayubbi is a famous Cardiological and Vascular Surgeon. He has 11 years of experience in the cardiological field. He pursued his M.B.B.S. degree from Manipal University in 2009 and M.S. in General Surgery at West Bengal University of Health Sciences in 2012. In2 015, he has completed his M.Ch. From West Bengal University of Health Sciences in Cardiothoracic and Vascular Surgery.

Hospital Website: APOLLO GLENEAGLES HOSPITAL, KOLKATA

 

Top 25 Accredited Heart Hospitals from India

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6 months ago Cardiology

Dilated Cardiomyopathy

A heart with weakened pumping function- Causes, Diagnosis, and Treatment

Dilated Cardiomyopathy is a disorder of cardiac muscle (heart muscle). The heart grows to an abnormal size, thus affecting its pumping function.

The enlargement starts in the left ventricle, which is the main pumping chamber of the heart. Further, it stretches the normally thick walls of the ventricles making them thin or dilated. This entire process makes the pumping ability inefficient.

"What

Cardiomyopathy causes

Although there are no apparent causes for cardiomyopathy. A variety of agents like infections, exposure to toxic substances, or metabolic reasons could be the precursors. Diabetes, obesity, alcohol consumption, high blood pressure, and drug abuse poses a greater risk. Furthermore, complications during late pregnancy, certain cancer medications, prolonged exposure to cobalt, lead, and mercury increases the risk.

"<yoastmark

Dilated Cardiomyopathy Signs and symptoms 

Dilated Cardiomyopathy develops over a period of time. Many of its symptoms are not visible in the initial stages. A person with advanced cardiomyopathy may experience chest pain, shortness of breath and sometimes nausea. Other signs include swelling of ankles, legs, and feet, abdominal swelling due to fluid build-up. In some cases, there is a heart murmur. Some people also experience syncope (fainting).

People with cardiomyopathy or enlarged heart might not experience any symptoms. However, later in life, it might be life-threatening. Let’s know what actually occurs in this condition.

  • Reduced blood flow to the heart muscles
  • Irregular heart rhythm (Read more about arrhythmias)
  • High Blood Pressure
  • Coronary Artery Disease
  • Blood clots, causing stroke or heart attack
  • Heart Failure
  • an eventual fatal outcome
  • arrhythmogenic right ventricular dysplasia

Dilated Cardiomyopathy Diagnosis and Treatment 

Diagnosis 

Cardiomyopathy

  • A normal Chest X-ray can easily image the enlargement of the heart.
  • Along with chest X-ray, doctors also advise a 12-lead ECG. The non-invasive 12 leads, placed on different areas of the body, helps to generate a broad analysis. This is a useful detection technique for any abnormalities in the heart rhythm. An ECG might show atrial fibrillation or tachycardia, or other rhythm related abnormalities.
  • Catharized angiography is helpful in ruling out ischemic heart disease.
  • Often, Cardiac MRIs also helps to provide diagnostic evidence.
  • Genetic testing is advised in certain patients. This procedure indicates any gene mutations and help doctors plan an appropriate course of action.

Treatment:

An enlarged heart cannot be treated 100%. However, its symptoms and effects can be managed.

  • Artificial pacemakers or Implantable defibrillators help to keep the heart rhythm in check. These devices can potentially save the patient from undergoing cardiac arrest.
  • Medications such as beta-blockers, diuretics, anticoagulants, and ACE inhibitors can slow down the progression of the disease. In severe cases, the patient may be advised to opt for heart transplantation.
Precautions
  • It is advised to have a complete cardiac check-up every year after you turn 40.
  • Consult a doctor for a cardiac checkup if you experience any symptoms.
  • Avoid smoking, include light to moderate exercise in your daily routine. An active lifestyle helps to keep the heart in a healthy condition.
  • Stress levels can also accelerate the progression of an enlarged heart.
  • People with a family history should consult a doctor. If possible, also undergo genetic screening.
  • Genetic screening benefits people with inherited cardiomyopathies who are not showing any apparent signs or symptoms.

Top Cardiologists/Cardiac Surgeons in India

Top 25 Accredited Heart Hospitals from India

Coronary Artery Disease-Complications and Prevention

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6 months ago Cardiology

Sudden Cardiac Arrest

How can you identify the signs and symptoms of  Sudden Cardiac Arrest?

Sudden Cardiac Arrest (SCA) is a condition where the heart stops beating abruptly causing the loss of essential life-sustaining functions such as breathing and consciousness. Some people also experience shortness of breath, acute chest pains, or even nausea. A sudden cardiac arrest will lead to certain death if not treated within minutes. To improve the chances of survival, it is advised to give the patient undergoing a cardiac arrest CPR (Cardiopulmonary Resurrection) by shocking with a defibrillator or by performing chest compressions.

What causes Cardiac Arrest?

One of the major grounds for a person to undergo a Sudden Cardiac Arrest and/or Death is the discrepancy in the electrical conductivity of the heart, where the contraction signals don’t reach the ventricles and thus, the cardiac output (the volume of blood pumped out of the heart to the rest of the body) decreases. This abruption in the regular beating of the heart can be characterized as arrhythmias – tachycardia (sudden increase in the number of heartbeats, usually above 100; which restricts the proper emptying of blood from the ventricles in the body) or ventricular fibrillation (quivering of ventricles causing missed heartbeats).

Sudden Cardiac Arrest can also occur due to other cardiac reasons like,
  • Coronary Artery Disease, or ischemic heart disease, causes an irregularity in the blood flow within the chambers of the heart or blood flow to the heart due to a blockage in one or a few of the arteries. This blockage reduces the amount and speed of blood flow making the individual more susceptible to a cardiac arrest.
    This is observed most commonly in people of old age or people with high blood pressure and high cholesterol.
  • Structural Heart Disease includes conditions like cardiomyopathy (weak heart muscles that make the delivery of blood difficult), myocarditis (caused by a viral infection that weakens the heart), irregular cardiac rhythms, hypertensive heart disease (caused due to high blood pressure and thickening of heart walls), or congestive heart failure. These affect the regular structure of the heart thereby weakening the overall musculature and can result in sudden cardiac arrest.
  • Inherited arrhythmia syndrome where the individual is born with a condition that causes abnormal heart rhythms leading to arrhythmias. In such scenarios, the person already has an irregular heart rhythm which can lead to a cardiac arrest at any time.

Non-cardiac causes include trauma, internal bleeding, pulmonary embolism, drowning, overdose, intercranial haemorrhage, etc.

How can you identify the signs and symptoms of an SCA?

 

The obvious symptom of the onset of a cardiac arrest is a new, non-specific onset of chest pain that worsens by the minute. The pain can radiate down to one’s left arm and the person is also susceptible to lose consciousness and find it extremely difficult to breathe. The individual may also feel dizzy, nauseous, sudden weakness, and vomiting. The person may also experience increased sweating, palpitations, and chest discomfort.

Risk Factors associated with SCA

Age is the biggest risk factor. Along with it, people with high cholesterol, smokers, obesity problems, lack of physical exercise, and family history also play a key role. Other factors that increase further chances of a sudden cardiac arrest include any previous episode of cardiac arrest, chronic kidney disease, sleep apnea, lower levels of potassium and magnesium due to improper nourishment, and drugs. Men are more at risk of having sudden cardiac arrests than women.

Diagnosis and Treatment

The diagnosis of SCA is generally difficult as it happens without any forewarning and can prove fatal. But if you’re at a high risk of SCA, you should consult a cardiologist for an appropriate course of action. The patient might have to undergo screening tests like electrocardiogram (ECG), echocardiogram, or cardiac MRI. None of these are invasive techniques and can be performed with little to no harm. But the doctor might also suggest invasive screening tests such as Cardiac catheterization, blood tests, and electrophysiological study of the heart.

Read about: 2o best Cardiac Surgeons in India

Since SCA is an emergency and every passing minute proves to be one step closer to death. It is highly important to provide emergent care in the form of performing chest compressions on the person or shocking them with an available AED (automatic electrical defibrillator), both can be performed by anyone with proper knowledge and awareness. Also, emergency services should be called right away.

Personally, a person who is at risk should be careful of his health and overall stress levels. He should not smoke and keep his cholesterol levels in specified limits. It is also recommended to have some amount of physical activity such as walks or yoga at the least. They should also visit their cardiologist for regular check-ups and get an implantable defibrillator if the doctor recommends.

 

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Top 25 Accredited Heart Hospitals from India

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8 months ago Cardiology

Heart Valve Surgery: Why is it performed?

 Heart Valve Surgery: Why does one need it? | Different types 

The heart has four valves bicuspid (mitral) valve, tricuspid valve, aortic valve, and pulmonic valve.

Out of these four valves,

  • The bicuspid and the tricuspid valves are responsible for have pumping blood from the Atria to the ventricles of the heart.
  • The aortic valve is responsible for pumping the blood out of the heart into the body.
  • Whereas the pulmonic valve is responsible for pumping blood out of the heart into the lungs. pulmonic valve or pulmonary valve lies between the right ventricle and the pulmonary artery.

Of these valves, the mitral and the aortic valves are the ones who are responsible for handling blood with the most amount of pressure. Due to this high pressure the wear and tear of these two valves increases.

Many times, individuals are advised to undergo surgery to replace either or both valves. Surgeries are performed to repair or to entirely replace the valve.

Replacement of bicuspid valve is called mitral valve surgery and similarly, it is termed as aortic valve surgery for the aortic valve.

Why does one need heart valve surgery?

The heart valves have leaflets or flaps that allow the flow of blood in one direction only i.e. from atria to ventricles or from ventricles to out of the heart. This happens every time the heart beats which makes the valves prone to increased wear and tear, and calcification. So, in a heart valve surgery, the surgeon usually repairs or replaces the damaged area or the entire valve. If the damage is not severe, the surgery can be performed by minimally invasive methods. But severe cases often require open-heart surgery.

The causes for an individual needing a heart valve surgery may arise from his lifestyle choices or they could be genetic. People who smoke daily are at a greater risk of developing heart defects, increased stress levels and an overall lack of exercise also weakens the heart muscles.

The doctors usually prefer approaching the treatment option with minimal and non-invasive ways. But depending on the severity and the risk of damage associated, they might also proceed with a more invasive method.

Read about: 2o best Cardiac Surgeons in India

Different types of Heart Valve Surgery

Heart Valve

Depending on the type of damage and the condition, the patient might be advised to go forward with the following options.

  • Annuloplasty: To fix leaky valves.
  • Valvulotomy: Enlarge narrowed valve leaflets using a balloon catheter.
  • Commissurotomy: Tight valves are loosened by cutting the leaflets.
  • Percutaneous mitral valve repair: Fixing leaky valves by placing a clip in the heart that tightens the walls and fixes the leak.
  • Valve replacement: Damaged beyond repair valves are replaced entire using mechanical valves made of ceramics, plastics, or long-lasting metals. Bioprosthetic or tissue valves are also used, wherein the valve is either taken from a human donor or an animal source (cows or pigs). In such cases, using human valves is uncommon as the right dimensions and compatibility are hard to find. (Read more about Heart Valve Replacement Surgery)
  • Transcatheter Aortic Valve Implementation (TAVI): It is a minimally invasive procedure of replacing the valve damaged due to stenosis.

Heart Valve Surgery: Pre-Operative Testing

Before these procedures, the patient is advised to refrain from smoking up to a couple of weeks before the surgery as smoking can induce clotting and breathing problems. A series of tests such as blood, urine, chest X-ray, and ECG are performed before the surgery to determine current conditions of the patient. A thorough medical history is also taken at this point.
Depending on the type of procedure, the patient might be in the operating room for at least two hours if no complication arises.

Read about: 2o best Cardiac Surgeons in India

Post-Operative Care

Post-surgery, the patient is kept under observation for two weeks where he is closely monitored for any adverse reactions to the newly placed valve. The recovery time post-op usually depends on the health of the person before surgery. If the patient was healthy, he should recover much quickly. After discharge, the site of incision and the general health of the patient should be monitored.

The doctor should be contacted immediately if any redness, swelling, bleeding, or draining from the incision site is observed. The doctor should also be consulted of the person is experiencing any chest pains, fever, or chills, as these can indicate a reaction that the body might be having the valve.

Post replacement surgery, the patient has to rely on taking immunosuppressants on a daily basis so the body does not reject the new valve. This medication puts the patient to a greater risk of catching infections due to compromised immunity.

A lifestyle change should also be considered. Maintaining a healthy, nutritious diet, light exercise, giving up smoking, reduced alcohol consumption, and reduced stress are the major aspects. Some doctors may also recommend participation in cardiac rehabilitation programs for a faster recovery and a good stepping stone to a newer lifestyle.

Top Cardiologists/Cardiac Surgeons in India

Cardiology Hospitals in India
  1. O P Jindal Hospital of Cancer & Cardiac Research
  2. Avanti Institute of Cardiology, Maharashtra
  3. Shanti Memorial Hospital, Cuttack, Orissa, India
  4. Apex Heart Institute – Ahmedabad Best multi-specialty  15 accredited hospitals from Ahmedabad
  5. Gujarat
  6. Ramesh Cardiac Hospital, Vijayawada
  7. Tagore Hospital & Heart Care Centre, Punjab
  8. Gleneagles Global Health City,Chennai
  9. Medanta Hospital, Gurgaon Best multi-specialty accredited hospitals from Gurgaon, India
  10. Kokilaben Dhirubhai Ambani Hospital, Mumbai
  11. B. M. Birla Heart Research Centre, Kolkata
  12. Asian Heart Institute and Research Centre, Mumbai
  13. Fortis Escorts Heart Institute, New Delhi
  14. Metro Heart Institute, Faridabad (Best multi-specialty accredited hospitals from Faridabad)
  15. N.M. Wadia Institite of Cardiology, Pune
  16. Metro Heart Institute, Meerut, Uttar Pradesh, India
  17. Sri Jayadeva Institute of Cardiovascular Sciences
  18. IVY Hospital Superspeciality Healthcare Punjab
  19. Heart & General Hospital , C-Scheme, Jaipur
  20. Bankers Heart Institute ,Old Padra Road, Vadodara
  21. Baroda Heart Institute & Research Centre Vadodara
  22. Usha Mullapudi Cardiac Centre Hyderabad
  23. Apollo Cardiac Center, New Delhi
  24. Manipal Heart Foundation, Bangalore
  25. Narayana Hrudayalaya, Bangalore, India
  26. Kerala Institute Of Medical Sciences KIMS, Trivandram

#HeartValveSurgery #HeartSurgery #Cardiology #HeartTreatment

 

References:

  1. heart treatment- surgery and other procedures
  2. Aortic valve repair 

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1 year ago Cardiology

The difference and Similarities: Ischemia and Infarction

Ischemia and Infarction: How are they different?

Ischemia means the absence of blood flow to the organ or body tissues, while Infarction implies the death of tissues due to reduced blood supply. Reduced blood supply leads to the shortage of oxygen supply to the affected organ or body tissue.

A CT scan helps to evaluate

  • the stroke (Ischemic stroke- due to insufficient blood flow)
  • the hemorrhage- rupture of the blood vessel or
  • any other problem.

Sometimes, CT scans cannot diagnose a stroke because of

  • Poor imaging as compared to MRI,
  • The stroke region being too small to be detected.

The Brain does not become abnormal for a few hours after the onset of stroke. Thus, MRI is helpful for clear imaging of the damaged region.

Myocardial Ischemia

Treatment for myocardial ischemia is mainly to increase the blood flow to the heart. Following medicines help to relieve symptoms.

  1. Aspirin: By oral route of administration.
  2. Nitro-glycerine: The route of administration can be under the tongue or intravenously.
  3. Nitrates: The route of administration can be under the tongue or intravenous infusions.

Ischemia and Infarction

Ischemia

Myocardial Ischemia means the insufficient blood flow to Heart Muscles.

Myocardial Infraction means when there is a stoppage of blood flow in the heart due to blockage or rupture of blood vessels, which further lead to Heart Attack.

Similarity,

Both have the same cause of the decrease in blood supply, which further reduces oxygen supply. Both have common symptoms like chest pain, which radiates to arms or jaws.

Differences,

  • In Myocardial Ischemia, there is Reversible damage to the heart muscles. It means heart muscles can be repaired.
  • WhiMyocardial Infraction is a blockage or rupture of the blood vessel. It is irreversible damage. With advanced technology, the blockage can be treated.

Antero-Lateral Ischemia

In anterolateral ischemia, the ST segment of ECG is elevated. This gives the possibility that the patient is at high-risk blocks, i.e., ischemia.

Inferolateral Ischemia

The change in lifestyle can prevent Inferolateral Ischemia.

  1. Quit smoking
  2. Exercise
  3. Decrease stress
  4. Manage health condition likes diabetes, high blood pressure, high cholesterol, etc.
  5. Maintain a healthy weight, i.e., no overweight
  6. Eat a healthy diet.

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1 year ago Cardiology

Coronary Angioplasty: When is it performed?

Types and actual procedure of Angioplasty

Coronary Angioplasty is also known as percutaneous coronary intervention (PCI). It is a treatment to restore the blood flow in a narrowed or blocked coronary artery (one of the heart arteries).

The reason for a blockage could be a plaque or blood clots. Such blockages can lead to chest discomfort. Sometimes the clogged vessels prevent blood flow to the heart muscles, causing an increased risk of a heart attack.

So, individuals who have a blockage in the arteries and experience chest discomfort require Coronary Angioplasty. Do you know, nearly 4.5 lakh patients in India, undergo angioplasty every year? 

Types of Coronary Angioplasty: Three Types

1. Balloon Angioplasty

This procedure uses a balloon catheter for improving the flow of blood to the heart. A specially designed catheter along with a small balloon is guided through the blocked artery.

The balloon is then inflated, which widens the opening of the blood vessel. Such a process allows improved blood flow to arteries, without any obstruction. Then, the balloon is deflated and removed. A stent is often placed to prevent blockage of the arteries.

Read about: 2o best Cardiac Surgeons in India

2. Coronary Artery Stent:

Coronary stenting is performed after angioplasty. In this process, a small metallic mesh is placed in the coronary artery. This helps to prevent the artery to block again.

Sometimes, drug-eluting stents are used. Angioplasty and stent placement are required to be monitored for any complications.

Types of Cardiac Stent:

  • Bare metal stent: These stents are made up of stainless steel with no coating on it. They are used to widen the blood vessels after angioplasty. As the blood vessels heal there is growth around the stent which helps the stent to stay in place. Sometimes the scar tissues increases resulting in blockage of blood vessels.
  • Drug-eluting stent: These stents are coated with medicine which is released after the stent is placed. The medicine coat prevents scar tissue growth in the arterial lining. The only drawback of this kind of stents is that healing is delayed.
  • Bioengineered stent: These stents are coated with antibiotics which fastens the natural healing process. This type of stent not only prevents restenosis but also reduces the risk of clot formation.
  • Bioresorbable vascular scaffold: This type of scaffold is absorbed by the body over a period of time. These scaffolds are not very effective as with time chances of restenosis increases and healing of the arterial lining also takes time.

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Stent Placement: Process and post-operative care

3. Laser Angioplasty

Angioplasty

It is a technique, that involves a laser coupled to the catheter, to dilate occluded blood vessels. A thin, flexible catheter with a laser attached to its tip is inserted into an artery. It is then guided to the blockage.

The laser emits a pulsating beam of light, thus vaporizing the plague into gaseous particles. Laser-assisted balloon angioplasty is a process where laser angioplasty is performed along with balloon angioplasty.

Pre-laser angioplasty procedure:

A long thin catheter is used to inject a liquid dye into the arteries of the wrist, arm or groin. X-ray images (angiogram) are taken to determine the blockage or narrowing of the arteries. This process is known as Coronary Angiography. It is always advisable before angioplasty.

Precautionary measures before angioplasty:
  • Empty stomach at least 8 hours before the procedure
  • Medication as advised by the doctor
  • Only Small sips of water to consume medicines.
  • Diagnostic procedures like X-ray, ECG and blood tests before angioplasty

Actual Procedure:

Laser angioplasty lasts usually between 30 minutes to 3 hours depending upon the blockage and complications.

A laser attached to a thin flexible catheter is inserted. The catheter is guided through the arteries into the blocked or narrow part of the coronary artery. Once the catheter reaches the clogged part laser beams are directed towards it.

This allows vaporizing the plague layer by layer into gaseous particles, finally burning away the plague. The procedure is usually done under anesthesia.

Read about: 2o best Cardiac Surgeons in India

Post laser angioplasty care:

The post-operation patient is discharged usually after a day. It takes around 5-7 days to recover completely.

However, the patient must take care of the following points.

  • Consume plenty of fluids
  • Take proper rest
  • Avoid physical exertion
  • Ensure to take medicines as prescribed
  • Eat a balanced and healthy diet
  • Go for regular follow up
  • Change the dressing as advised.

The procedure is quite safe with minimal invasion and fast recovery.

When to see the doctor?

If you experience bleeding at the site of invasion or chest discomfort. Consult your doctor for any new symptoms experienced.

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1 year ago Cardiology

Stent Placement: Process and post-operative care

When is stent placement required?

A stent is a hollow metallic mesh that is placed in the coronary artery usually just after angioplasty. Stent placement helps to prevent the artery from narrowing again (restenosis). It ensures there is enough room for the blood to flow, leading to oxygen and nutrients supply to the heart muscles.

Do you know that around 2 million patients get coronary artery stents every year?

When is stent placement required?

Stent makes sure that there is an uninterrupted blood supply to the heart muscles. Stent are placed in cases where there is a lack of blood supply to the heart due to clogging of a blood vessel as seen in:

  • Atherosclerosis, a condition where plaque builds up in the inner lining of the blood vessel causing the artery wall to thicken and lose elasticity.
  • Coronary Artery Disease: the arteries supplying the heart become narrow which may cause angina, heart attack, and even congestive heart failure.

Types of cardiac stent:

  • Bare metal stent: These stents are made up of stainless steel with no coating on it. They are used to widen the blood vessels after angioplasty. As the blood vessels heal there is growth around the stent which helps the stent to stay in place. Sometimes the scar tissues increases resulting in blockage of blood vessels.
  • Drug-eluting stent: These stents are coated with medicine which is released after the stent is placed. The medicine coat prevents scar tissue growth in the arterial lining. The only drawback of this kind of stents is that healing is delayed.
  • Bioengineered stent: These stents are coated with antibiotics which fastens the natural healing process. This type of stent not only prevents restenosis but also reduces the risk of clot formation.
  • Bioresorbable vascular scaffold: This type of scaffold is absorbed by the body over a period of time. These scaffolds are not very effective as with time chances of restenosis increases and healing of the arterial lining also takes time.

stent placement

What to expect during placement of stent:

The stent is placed just after angioplasty. Before angioplasty is performed patient is administered blood-thinning medicines to avoid blood clots.

A catheter is inserted either through arm, groin, or wrist. The doctor will carefully guide the catheter to the heart arteries where there is a blockage. The blockage which is mainly plague is removed usually with the help of balloon angioplasty. After the plague is removed a wire mesh tube also known as a stent is placed in the area that was previously clogged. The stent is inserted along with the balloon catheter. The stent expands when the balloon is inflated and is left there to prevent restenosis.

Post-operative care

Stent Placement

The patient after stent placement is kept in the hospital for 2-3 days. Patients recover in a week time. Patients need to lie flat at least 6 hours after the surgery. Maybe after 2 hours the head can be raised a bit.

Other changes that need to be taken after surgery are:

  • Eat healthy food
  • Manage weight
  • Quit smoking
  • Reduce alcohol consumption
  • Reduce caffeine intake
  • Reduce stress
  • Keep a check on blood cholesterol levels
  • Control blood pressure
  • Exercise regularly

When to see a doctor post-operation

You need to see a doctor as soon as possible if you feel the following symptoms:

  • Pain in chest
  • Shortness of breath
  • Fever
  • Pus accumulation at the site of catheter insertion
  • Redness at the site of catheter insertion
  • Swelling
  • Pain in the area adjacent to the site of catheter insertion.
  • Bleeding at the site of catheter insertion

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1 year ago Cardiology

Catheter Ablation- put the Heart Rhythm in place

Catheter Ablation: Procedure and Purpose

Catheter ablation is a method used to correct arrhythmia by destroying the heart tissues that trigger abnormal heart rhythm. In some cases, cardiac ablation blocks abnormal electrical signals from entering the heart thus preventing arrhythmia.

Ablation is broadly categorized into two types:

  • Radiofrequency ablation which uses high energy radio frequency locally to make scars.
  • Cryoablation, in which extremely low temperature is used to make a scar.

When is this procedure required?

Catheter ablation is a method used to correct heart rhythm for the following conditions:

  • In cases where medication failed to cure the arrhythmia
  • In cases where a patient is allergic to medicine recommended for arrhythmia
  • In cases where the patient has a high risk of developing complications of arrhythmia like sudden cardiac arrest.
  • In cases of arrhythmia which respond well to ablation like Wolff Parkinson white syndrome and supra Ventricular tachycardia

How is catheter ablation done?

Catheter ablation is performed sometimes through open heart surgery but is mainly done by inserting a catheter into the femoral artery or veins in the groin.

The catheter is usually long and flexible and is threaded to the heart in the form of energy which can either be hot or extremely cold to modify tissue that causes arrhythmia in the heart.

Types of cardiac ablators:

  • Atrial flutter ablation: In Atrial flutter ablation scar tissues are created in the upper right chamber of the heart to block electrical signals which caused a fluttering heartbeat.
  • Pulmonary vein isolation: In Pulmonary vein isolation scars tissues are created in the upper left chamber of the heart where the four Pulmonary veins connect.
  • Supra Ventricular tachycardia ablation: supra Ventricular tachycardia ablation tissues are scared within the heart to prevent abnormal electrical signals and restore normal heart rhythm.
  • Ventricular tachycardia ablation: Ventricular tachycardia ablation is useful for irregular heartbeat caused due to incorrect electrical signals in the lower Chambers of the heart

Preoperative care:

The doctor would suggest some blood test along with ECG, to know the present condition of the heart.

The patient is asked not to eat food at least 8 hours before the surgery.

Avoid wearing jewellery and other cosmetic products on the day of surgery.

What to expect during the procedure:

During the procedure of catheter ablation, a long flexible catheter is inserted either in arm, groin, upper thigh or neck after making that area numb.

The doctors will thread the catheter to the spot where they want to do the ablation.

Fluoroscopy is done to let the doctor know the exact location of the catheter in the heart.

The doctor aims the tip of the specialized catheter at a small part of the heart.

The catheter will either use radio frequency or extremely cold temperatures or laser light to create a scar called ablation line.

The scar will prevent transmission of abnormal electrical signals to prevent arrhythmia.

The catheter is then removed and the exposed area is covered by a bandage.

Post-operative care:

After the surgery, the patient is advised to stay overnight in the hospital for observation. During the stay in the hospital, the doctors monitor the heart rate and blood pressure.

Movement is restricted to prevent bleeding at the sites of catheter insertion.

It usually takes around 1-2 weeks to recover fully and re-assume daily activities.

Is this procedure safe?

Although this procedure is suggested for people who have no other choice to prevent arrhythmia, the risk involved with this procedure is quite high. The risks associated are:

  • Bleeding
  • Infections
  • Damage to the heart
  • Arrhythmia
  • Blood clots
  • Slight risk of cancer.

This procedure is contraindicated during pregnancy.

 

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#Catheterablation #

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1 year ago Cardiology

Minimal Invasive Heart Surgery

What to expect during Minimal Invasive Heart Surgery?

Minimal invasive heart surgery is performed through two small incisions which is made on the right side of the heart unlike open heart surgery. It is an alternative to open heart surgery.

Just like open heart surgery minimal invasive hear surgery also requires the heart to stop pumping for some time. The patient is attached with a heart lung machine to provide oxygenated blood to the rest of the body.

Since the surgery does not require much incision it heals fast with less pain.

When is this surgery required?

Minimal invasive heart surgery is done for the following conditions:

  • Mitral valve repair and replacement surgery
  • Aortic valve replacement surgery
  • Tricuspid valve repair and replacement surgery.
  • To close foramen ovale
  • Coronary artery bypass surgery
  • This surgery is also useful in Saphenous veins harvest for coronary artery bypass surgery.

This surgery is not indicated for all. The doctor decides if minimal invasive surgery can be done on the patient or not, based on the patient’s medical history.

Pre operative care:

Prior to the surgery following care must be taken:

  • Prior to exam the patient must undergo basic blood tests done along with ECG.
  • Hair from the site of surgery must be removed before surgery
  • Taking medicines as directed by the doctor
  • Speak to the doctor about allergy from any drugs before the surgery
  • Stop eating at least 6 hours prior to the surgery

What to expect during the procedure?

Heart Transplant

Minimal invasive heart surgery is a robot-assisted thoracoscopic surgery.

The manoeuvre for the surgery is same as of open heart surgery. The only difference here is that the incision is very minimal. A tube with high quality camera is inserted in the thoracic cavity. The arms of the robot are controlled by the remote which is with the surgeons who with the help of the robots perform the surgery. Just like any open heart surgery in this surgery also the patient is put on ventilator and is attached to a heart lung machine to provide oxygenated blood to the rest of the body while the heart is stopped temporarily to undergo surgery.

Post operative care

After the surgery the patient is shifted to the icu for 1-4 days depending on the condition of the patient after surgery. The patient is the shifted to the hospital room for 5-10 days. The patient is observed for post operative complications like:

  • Arrhythmia
  • Stroke
  • Bleeding
  • Wound infection

The patient is also treated for

  • Hypertension
  • High blood cholesterol levels

After the patient is discharged they are advised the following things:

  • Exercise regularly
  • Maintain a healthy and balanced diet
  • Manage weight
  • Reduce stress
  • Avoid lifting heavy objects at least till 2 months post surgery
  • Quit smoking
  • Reduce alcohol consumption
  • Reduce intake of caffeine

Is this surgery safe :

Minimal invasive heart surgery is quite safe as compared to the traditional open heart surgery with less risk of:

  • Blood loss
  • Infections
  • Pain and trauma
  • Faster recovery
  • Less scars

When to see a doctor post operation :

Patients must see a doctor of they experience following symptoms:

  • Shortness of breath
  • Light headedness
  • Dizziness
  • Fatigue
  • Bleeding
  • Pus around the site of incision
  • Redness at the sight of incision
  • Pain in chest
  • Fever
  • Uncontrolled vomiting

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Top 25 Accredited Heart Hospitals from India

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2 years ago Cardiology

Transmyocardial revascularization

Transmyocardial Revascularization indications and procedure

Transmyocardial revascularization is a highly specialized and complex procedure for people suffering from severe Coronary Artery Disease and angina but coronary artery bypass graft is contraindicated for them.

Indications for Transmyocardial revascularization:

TMR is indicated as a treatment in patients who have either of the following conditions:

  • People who suffer from angina, where angina is so severe that it limits day to day activities. There is no relief even after medication
  • People suffering from ischemia
  • Medical history of angioplasty and bypass surgery and there is no more intervention available.
  • When nothing can be done by the doctor to further relief from cardiac symptoms.

Contraindication of TMR

TMR is contraindicated in the following cases:

  • In patients when the heart muscles is severely damaged due to heart attack
  • If there is no area of ischemia in the heart muscles.

How is it done?

Transmyocardial

TMR is a surgical procedure involving a small incision either in the left or middle of the chest. Once the incision is made a laser hand piece is positioned on the area where the heart needs to be treated. A special Co2 is used to create channels in the left ventricle. The outer channels are closed but they remain open inside the heart to improve blood flow.

The laser light is controlled by a computer which instructs to direct laser beams to the appropriate areas of the heart between the heart beats to prevent arrhythmia.

Clinical evidence suggests that TMR improves blood flow in the heart by restoring oxygen rich blood when the heart contracts to the heart muscles.

Studies also suggest that TMR helps to promote growth of new capillaries thereby helping to improve blood supply to the heart muscles.

It takes about 1-2 hours to perform TMR.

Pre operative care

Doctor will first determine by conducting few tests if you are eligible for TMR or not. Those tests are:

  • Cardiac catheterisation to see the blockage that is present.
  • ECG
  • Cardiac MRI

After going through the reports and previous health condition doctor will decide if he plans to go ahead with the surgery.

Post operative care

After the surgery the patient is moved to the ICU and will remain there for 1-2 days, where his heart function, blood pressure and other vital signs will be monitored.

After 2 days in ICU the patient will be moved to the normal room in the hospital, where the patient will be administered with medication to prevent formation of blood clots and manage other health problems like hypertension, hyperglycaemia and cholesterol levels.

If TMR was not performed with bypass surgery then the patient will be discharged from the hospital after 4-5 days but if the surgery is performed along with bypass then the patient is discharged after 7-10 days.

Once home the patient is advised the following:

  • Eat healthy food
  • Take medicines as directed
  • Exercise regularly
  • Manage weight
  • Control blood pressure and diabetes
  • Reduce blood cholesterol levels
  • Quit smoking
  • Do not lift heavy objects till 2 months post surgery.

Is TMR safe?

Transmyocardial revascularization is suggested for people who cannot undergo bypass surgery as bypass surgery is contraindicated for them.

Several studies revel that TMR reduces angina symptoms

Improves exercise tolerance

Diminishes rate of hospitalization

When to see a doctor post operation

If you experience following symptoms do consult your doctor:

  • Chest pain
  • Shortness of breath
  • Fatigue
  • Light headedness
  • Confusion and dizziness
  • Fever

Top Cardiologists/Cardiac Surgeons in India

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2 years ago Cardiology

Heart Transplant-when it matters the most

Heart Transplant: Procedure, pre, and post-operative care

A heart transplant is a surgical procedure where an unhealthy heart is transplanted with a healthier heart from a donor. This procedure is performed in an individual who has not recovered after medication or other surgical interventions.

Why heart transplant is performed?

Heart transplantation is done in individuals who have not responded well with other treatments, leading to heart failure. In young people heart failure occurs due to the following reasons:

Heart transplant in children is mostly due to congenital heart anomaly.

How is heart transplant done?

Heart transplant surgery is a very safe surgery. Heart transplant mainly is a combination of three surgeries

  • The first surgery is the extraction of a healthy heart from the donor. Usually, the donors are brain dead with irreversible brain injury. The organ to be transplanted is kept in ice to keep the organs alive. The heart should be transplanted within six hours after its extraction.
  • The second surgery is the removal of the diseased heart from the recipient. If the recipient had the previous history of cardiac surgery it becomes difficult to cut through the scars further complicating the surgery.
  • The third surgery is the implantation of the donor’s heart into the recipient.

Read about: 2o best Cardiac Surgeons in India

Pre-operative care:

Heart Transplant

Since heart failure is a very common problem in the developed nation getting a donor is still difficult. Once a donor is found the doctors decide if the heart is suitable for you or not. If the heart is not suitable for you then you won’t be able to undergo heart transplant surgery for that heart.

If the heart is suitable then the surgery may last several hours.

Surgical procedure:

If the donor heart is suitable for the recipient then the doctors start with replacing the diseased heart with the donor heart. The diseased heart is removed and the healthy heart is sewed in its place. The new heart is attached to the major blood vessels of the recipient. The new heart often starts to beat with restoration of blood but sometimes electric shock is needed to stimulate the heart to beat properly.

The whole procedure is done under the effects of anesthesia. The patient is connected to the ventilator and heart-lung machine before beginning the surgery, so that the body of the patient is supplied with oxygen-rich blood.

Read about: 2o best Cardiac Surgeons in India

Post-operative care:

After heart transplant surgery the patient is expected to stay in the ICU for the next 1 week followed by a 1-week stay in the hospital for observation. The patient is expected to visit the hospital frequently up to 3-4 months after surgery.

Still following care must be taken:

  • Taking immunosuppressants to prevent the bodies to form antibodies against the donor heart. Though there are many side effects of immunosuppressants still you need to take them indefinitely.
  • After heart transplant surgery it is very necessary to take the medicines as instructed by your doctor.
  • Avoid tobacco
  • Exercise regularly
  • Eat healthy food
  • Enroll yourself in some cardiac rehabilitation center
  • Avoid stress

Is this surgery safe?

This surgery is very safe but getting a donor is still very difficult. Postoperative complications also need to be considered:

  • Heart attack
  • Infections
  • Rejection of donors heart
  • Stroke
  • High blood pressure
  • High cholesterol levels

When to see a doctor post-operation:

If you experience the following symptoms please contact your doctor:

  • Shortness of breath
  • Fever
  • Less volume of urine
  • Fatigue
  • Weight gain

 

Heart Attack: Symptoms, Causes and Prevention

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2 years ago Cardiology

Cardiomyoplasty: A Bridging Therapy

Cardiomyoplasty: Procedure, pre, and post-operative care

Cardiomyoplasty is a new surgical intervention, where skeletal muscle especially latissmus Dorsi muscle is transformed to be reinforced for the myocardium. A special pacemaker is implanted to the skeletal muscle which helps it to contract. Cardiomyoplasty is related to damaged myocardium remodeling. It a bio medical approach to reconstruct, repair and improve biological tissue.

If the procedure of cardiomyoplasty is successful and the cardiac output is achieved, then it works as a bridging therapy and proving time for the myocardium to be treated by some other ways.


When is it required?

Cardiomyoplasty is a complex procedure and is performed for the following conditions:

  • Congestive cardiac failure: It is one of the most common causes of hospitalization and death of people in a developed nation. A heart transplant is the most viable solution for this condition but there is a scarcity of donors.
  • Coronary artery disease in an advanced stage.

Types of cardiomyoplasty:

There are two types of cardiomyoplasty

  • Cellular cardiomyoplasty: In this type of cardiomyoplasty cells are grown in the diseased heart. The progenitor cells are used to repair the damaged heart cells.
  • Dynamic cardiomyoplasty: In this type of cardiomyoplasty skeletal muscles are transformed to reinforce them to act as myocardial cells. A pacemaker is also attached to help the heart contract.

Cardiomyoplasty: Pre operative care:

There is a lack of donors still people look forward to heart transplant; cardiomyoplasty is a much safer and viable procedure.  before cardiomyoplasty, the patient must undergo the following test:

  1. 2-D ECO
  2. ECG
  3. Stress test with thallium scan
  4. Measurement of maximum oxygen consumption
  5. Peak heart rate
  6. Blood pressure must be controlled
  7. Weight must be maintained
  8. CT scan of the chest to ensure the thickness of latissmus dorsi
  9. To be sure there is pathology involving chest

Surgical procedure:

Cardiomyoplasty

The dynamic cardiomyoplasty is done in two phases.

In the first phase, the latissmus Dorsi muscle is immobilized from the chest wall. Care is taken to keep the subcutaneous tissue and nerve bundle intact. Two intramuscular stimulating lead is attached to the latissmus dorsi and is attached to the muscles of bundle origin at right angles.

In the second phase after a few days, the latissmus dorsi is detached from its origin and insertion and is wrapped around the heart.

The whole surgical procedure is done under the effects of anesthesia.

Postoperative care

  • Physical exercises must be avoided until complete recovery
  • Care must be taken to avoid infection around the site of incision
  • Fluid intake must be increased
  • Smoking should be avoided
  • Alcohol consumption must be limited
  • No stress should be taken
  • Eating healthy and balanced foods

Is this surgery safe?

The surgery is a safe surgery it avoids conditions like immunosuppression, thromboembolism, infection, and lack of donors. Although it is up to the doctor to suggest this surgery as there are few contra-indicators for this surgery which are:

  • People suffering from diabetes
  • People suffering from liver failure
  • People suffering from renal failure
  • People suffering from pulmonary dysfunction

This surgery is advisable to the aged person too.

When to see a doctor post operation

One should see a doctor post operation if they experience the following symptoms:

  • Chest pain
  • Fever
  • Pus around the site of incision
  • Signs of inflammation around the site of incision
  • Shortness of breath
  • Bluish discoloration of the skin and mucous membrane, especially tip of nose, lips, and tops of fingers.

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2 years ago Cardiology

Cardiac Bypass Surgery Procedure

Cardiac Bypass Surgery: Procedure, pre, and post-operative care

Like any other part of the body heart also requires a steady supply of oxygen and nutrients rich blood. The artery that supplies oxygen and nutrients rich blood to the heart is known as a coronary artery. Sometimes there is clogging in the coronary artery due to plaque. Over time the plague deposit can narrow the blood vessels so much that the normal blood flow is restricted. In some cases, the coronary arteries become so narrow that the heart muscles itself are in danger. In such a case, Cardiac Bypass Surgery is performed.

When is cardiac bypass surgery required?

Cardiac bypass surgery is indicated if there is a blockage in the coronary artery. It is up to the doctors to decide whether to opt for cardiac bypass surgery or not. The doctor usually looks for the following symptoms to go forward with coronary bypass surgery:

  • Pain in chest
  • More than one block in coronary artery
  • If there is a blockage in the left main coronary artery
  • If there has been a medical history or angioplasty or stent implant but still restenosis or narrowing of the arteries is found.
  • In cases of emergency like heart attack and the patient is not responding to any other treatment.

Procedure for bypass surgery:

Cardiac Bypass Surgery

This surgery lasts usually between 3-6 hours and is performed under the effect of anesthesia. The patient is connected to the ventilator which helps them to breathe during and after the surgery.

Read about: 2o best Cardiac Surgeons in India

Types of coronary bypass surgery

  • The patient is also attached to a heart-lung machine to provide oxygenated blood to the body when the heart is temporarily stopped to perform surgery on it. This type of bypass surgery is known as on-pump coronary bypass surgery.

After exposing the heart and stopping it from functioning the surgeon takes a healthy blood vessel from interiors of the heart or sometimes from the lower extremities and attaches it at the upper and lower end of the clogged blood vessels to redirect blood flow.

  • Off-pump or beating heart surgery: In this type, the operation is conducted without stopping the heart hence known as beating heart surgery.
  • Minimal invasive surgery: In this type of surgery a small invasion is made and the surgery is done with the help of robotics and video imaging.

Preoperative care:

Medicines should be taken as advised by the doctor prior to the surgery. It usually takes 4-6 weeks to recover after the surgery.

Postoperative care:

After the surgery, the patient is moved to the Cardiac care unit and is kept there for 1-2 days. Later the patient is shifted to the other ward of the hospital. Still, the patient has to stay between 5-7 days in the hospital after surgery.

Patients are advised not to indulge much in any physical activity up till 12 weeks after surgery. Once recovered the patient is advised few lifestyle changes which include:

  • Stop smoking
  • Reduce alcohol consumption
  • Reduce stress
  • Control blood pressure
  • Keep a check on blood cholesterol levels
  • Eat healthy food
  • Exercise regularly
  • Manage a healthy weight

Read about: 2o best Cardiac Surgeons in India

Is the surgery safe?

Coronary bypass surgery is very safe and has good results. Except people who suffer from medical conditions like emphysema, diabetes, kidney disease, or peripheral artery disease are more prone to develop complications during and after surgery.

When to see a doctor post-operation?

Patients should immediately see a doctor if they experience the following symptoms:

  • If the patient complains of chest pain
  • High fever
  • Pus or redness at the site of incision
  • Rapid heart rate.

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2 years ago Cardiology

Atherectomy: A Relief for Clogged Arteries

Atherectomy: When is it needed? Procedure

The heart is a beating muscle that continuously pumps blood to the rest of the body. The coronary artery supplies the heart itself with the necessary oxygen and nutrients it needs to function effectively. Over time because of a variety of reasons, fatty deposits called plaque can build up inside the arteries clogging passages and reducing their size. This build-up comprises the ability of the artery to deliver oxygen and nutrients to the heart and body. Atherectomy is the general term for the group of procedures that opens the clogged arteries by grinding or cutting away plaque build-up.

When is Atherectomy required?

The goal of Atherectomy is to open a pathway through the blocked artery and to improve the blood flow through a small hole.

It is indicated in patients who have clogged blood vessels that prevent the supply of oxygen and nutrients to the muscles causing tiring of the muscles.

  • Atherectomy is especially suited in cases where there is blockage of arteries around branches or in arteries where it is very difficult or impossible to send stent.

Although being less invasive, it is not indicated for everyone.

  • Atherectomy is indicated in cases where there is a previous history of failed balloon angioplasty.
  • In cases where calcium deposits are blocking the arteries

How is Atherectomy done and its types?

Atherectomy

An atherectomy is a group of procedures that includes grinding or cutting away the plague. In this procedure, an incision is made into the femoral artery. During the surgery, a guidewire is inserted into the artery and is threaded through the artery to the site of the blockage. A catheter tipped with a special blade is inserted along the guidewire.

There are three main variations of the Atherectomy procedure with a particular type of tip. These are:

  • Rotational Atherectomy: In this procedure, the catheter is tipped with a diamond bur. This bur rotates at a very high speed grinding the plague into minute particles that can be safely eliminated by the body.
  • Directional Atherectomy: This procedure is primarily for soft plaque. In this procedure, when the catheter reaches the point of blockage, a balloon is inflated against the catheter pushing the blade towards the plague. The blade cuts away the plaque and stores it in the special chamber. The balloon is then deflated, and the plague is taken out with the catheter as it is withdrawn out.
  • Transluminal extraction: It is a vacuum device that not only uses a spinning blade to cut away the plague, it also uses a tube which suctions the plague through the vacuum that is attached to the catheter.

Pre-operative care:

Before the surgery, your doctor will advise you on some tests to ascertain your medical condition before he proceeds with the operation. There are few medicines that will be prescribed to discontinue until the surgery is done.

How long does the surgery last?

The surgery lasts for around 90 minutes to 180 minutes. After the surgery, the patient is asked to lie flat for 4-7 hours. The patient is expected to be admitted one day before the surgery to check the patient’s present medical condition and is usually discharged after one day to rule out postoperative complications.

Postoperative care:

It takes around 1-2 weeks to recover after the surgery.

  • Precautions must be taken as advised by the doctor.
  • Avoid stress
  • Avoid smoking
  • Avoid public places to reduce the chances of getting infected
  • Take medicines as directed by your doctor.

When to see a doctor?

If you experience the following symptoms:

  • Arrhythmia
  • Pain in chest
  • Pain
  • Hemorrhage
  • Drug reactions /allergy

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2 years ago Cardiology

Heart Valve Replacement Surgery

Heart Valve Replacement Surgery: Procedure and Precautions

Our heart has four valves that are present at the connection of the atrium and ventricle. The valves ensure blood flow in one direction without any regurgitation.

If any of these valves are,/is damaged. There can be a regurgitation of blood, causing the mixing of oxygenated and deoxygenated blood. In this case, the heart also has to work more, leading to Cardiac ailments.

If the damage of the valve is mild, it can be taken care of with medication, but if the damage is severe, then surgical intervention is needed to repair the valve.

Types of valves used for replacement :
Two types of valves are used for valve replacement:

Mechanical valve: These valves are made up of metal, plastic, or carbon. Mechanical valves are very sturdy and are more durable. The only drawback of this kind of valve is that blood tends to stick on the valve forming blood clots; to prevent the formation of blood clots, the patients are advised to take anticoagulant rest of their life.
Biological valve: These valves are made up of animal tissues or taken from the donated heart. In a few cases, the patient’s tissues are also used for valve replacement. Unlike mechanical valves, these valves do not form blood clots but are very weak as compared to the mechanical valve. The biological valve needs to be replaced at least once every ten years. The frequency of replacement of valves is higher in children and young adults. Biological valves are more suited for elderly patients

Read about: 2o best Cardiac Surgeons in India

Pre-operative care:
Few precautions that need to be taken are:
• Medicines and nutritional supplements must be discussed with the doctor
• Smoking should be avoided at least two weeks before the surgery as smoking causes problems with breathing and blood coagulation.
• X-ray, ECG, blood test, and urine test is done for assessment of the patient’s present medical condition.
• Avoid eating anything at least 8 hours before the surgery.
• Every minute of symptoms or changes in health before the operation must be discussed with the doctor.
• Avoid public places to reduce the chances of getting infected before the surgery.

Procedures for the surgery :

The surgery takes around 2-4 hours to complete. The patient is administered with anesthesia. Once the patient is under the effect of anesthesia, a tube is known as a respirator is inserted into the windpipe. A heart and lung machine is used to supply oxygenated blood to the body when the heart is stopped momentarily to repair the valve. Anticoagulant is administered during the surgery to prevent the formation of blood clots.
It takes about 4-6 weeks to recover after surgery completely.

Precautions to be taken after surgery :

Heart Valve Replacement

• In cases of mechanical valve transplants, blood thinners must be taken every day for the rest of their life.
• The doctor or a dentist under whom the patient goes for treatment must intimate the doctor about his medical history of valve transplant so that necessary antibiotics are also administered to prevent infection in the blood.
• The patient should not be anxious because of the sound of the new valve opening and closing as it just indicates that the new valve is working correctly.

When to see a doctor
Patients should see the doctor if they experience the following symptoms :
• Post-surgery if the patient suffers from high fever.
• Pus accumulation at the site of the incision
• Pain, swelling around the location of the incision
• Shortness of breath
• Pain in chest
• Palpitations

 

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2 years ago Cardiology

Cardiomyopathy- Symptoms and Causes

Cardiomyopathy- Symptoms and Causes

Cardiomyopathy means ailments associated with the muscles of the heart. The heart muscles become so incompetent that becomes very difficult for the heart to pump blood properly to the body, resulting in heart failure.

Cardiomyopathy are of three types

  • Dilated,
  • Hypertrophic, and
  • Restrictive

Symptoms

Cardiomyopathy is asymptomatic in initial days, although in later stages people experience following symptoms :

  • Pressure and pain in the chest
  • Oedema in ankles and feet
  • Ascites, accumulation of fluid in the abdominal cavity
  • Cough while lying down
  • Breathlessness even when at rest
  • Dizziness
  • Lightheadedness
  • Fatigue

Symptoms get worse if they are untreated.

Causes:

Cardiomyopathy

The cause of cardiomyopathy is unknown, some inherit it while few acquire it.

Some causes to acquire cardiomyopathy are:

  • Hypertension
  • Smoking tobacco
  • Damaged heart tissues because of heart attack
  • Chronic tachycardia
  • Heart valves disorder
  • Obesity
  • Diabetes
  • Thyroid disorder
  • Nutritional deficiency of vitamin B
  • Substance abuse
  • Connective tissue disorder
  • Excessive consumption of alcohol
  • Too much of iron in the body
  • Amyloidosis
  • Certain drugs are taken during chemotherapy

Risk factors:

  • Family history
  • Obesity, which makes the heart work hard
  • Substance abuse
  • Excessive alcohol consumption
  • History of high blood pressure

Complications :

  • Heart failure, as the heart is not functioning properly causing lack of blood supply to the body and heart resulting in heart failure.
  • Blood clots which are formed because of backflow of blood flow in the ventricle as the heart muscles are not working properly. These blood clots in the bloodstream can be very dangerous and painful leading to ischemia.
  • Cardiac arrest, due to lack of blood supply to the heart muscles there can be Cardiac arrest leading to sudden death.

Prevention :

In most of the cases, cardiomyopathy cannot be prevented. The doctor must be aware of the family history of cardiomyopathy.

Following precautions can reduce the chances of developing cardiomyopathy, like :

  • Avoiding alcohol and cocaine
  • Having a healthy balanced diet
  • By controlling hypertension
  • By controlling blood cholesterol levels
  • Going for walks regularly
  • Getting enough sleep
  • Reducing stress

When to see a doctor :

When you see two or more symptoms associated with cardiomyopathy. Please tell your doctor about your family history also.

Dilated Cardiomyopathy

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