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Cardiology

Department of Cardiology offers preventive, diagnostic and therapeutic services for cardiac and vascular diseases. The department has highly qualified and skilled cardiologists with expertise in all types of cardiac procedures. They have been trained and have treated patients in reputed hospitals in India and abroad. The consultants practice evidence based medicine and follow international protocols which has enabled the best outcomes. The Department has state of the art Cath Lab which enables patient access from all angles. The department is backed by the full-fledged Intensive care unit and full time Critical care specialists.

The Hospital offers round the clock services for cardiac emergencies and is equipped with the most advanced infrastructure to manage and treat complicated heart conditions.

Non Invasive procedures

  • Electrocardiography (ECG)
  • Stress Echo
  • Echo with 3D colour and tissue doppler
  • Dobutamine Stress Echo
  • Holter monitor
Invasive Procedures
  • Coronary Angiography
  • Coronary Angioplasty
  • Right heart catheterisation
  • Balloon valvuloplasty
  • Temporary pacemaker implantation
  • Permanent Pacemaker Implantation
  • Implantable Cardiac Defibrillator (ICD)
  • Atrial Septal Defect / Patent Foramen Ovale / Patent Ductus Arteriosis device closure
  • PTA (percutaneous transluminal angioplasty)
  • Peripheral Invasive Procedures
  • Carotid stenting
  • Subclavian stenting
  • Renal vascular stenting
  • Superior Mesenteric artery stenting
  • Lower extremity percutaneous transluminal angioplasty / atherectomy /Intra-arterial thrombolysis / percutaneous transluminal balloon angioplasty
  • Venous stenting
  • Endovascular repair of aneurysms

FAQs about coronary heart diseases

What is Coronary artery disease?

Coronary arteries are the blood vessels that carry blood to the heart muscles. Coronary artery disease also called coronary heart disease is a group of diseases that includes Angina, Myocardial Infarction (Heart Attack) and sudden cardiac Death.

How dose coronary artery disease develops?

Coronary artery diseases are caused by thickening of the walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, which hampers the flow of blood. As it grows, less blood can flow through the arteries. As a result, the heart muscle can't get the blood or oxygen it needs. This may result in angina or a heart attack.

What are the risk factors of coronary artery disease?

Risk factors are conditions or habits that increase the risk of having coronary artery disease. There are many known risk factors. The risk of having coronary artery disease increases with the number of risk factors and their severity

Some of the important risk factors are

  • Over weight and Obesity
  • Hypertension
  • High cholesterol levels
  • Smoking
  • Sedentary lifestyle
  • Diabetes
  • Age
  • Family history
  • Stress
  • Unhealthy diet

What are the symptoms of Coronary artery disease?

The development of coronary artery disease is a slow process and you may not experience any symptoms till the disease progresses.

One of the most common symptom of coronary artery disease is Angina. Angina is chest pain or discomfort that occurs if an area of your heart muscle doesn't get enough oxygen-rich blood.It may feel like pressure or squeezing in your chest. This may travel up to your shoulders, arms, neck, jaw, or back. Angina pain may even feel like heartburn.

Another common symptom is shortness of breath, this occurs when your heart fails to pump the required amount of blood (Heart Failure).

How is the coronary artery disease diagnosed?

There are number of investigations which are used to diagnose CADs, based on the clinical conditions, family history and presence of number and severity of risk factors your health care provider will recommend the suitable tests for you. Which are

ECG
It is used to diagnose and localise myocardial infarction ( Heart Attack) and myocardial hypertrophy.

TMT
Treadmill Test is a test in which ECG is recorded during exercise on a treadmill. It is usually done to confirm the diagnosis of angina and to evaluate stable angina.

ECHO
Echocardiography is similar to other forms of ultrasound imaging, it allows the structure of the heart to be visualised. Any structural abnormality can easily be diagnosed by this technique.

Transesophageal Echocardiography
In this technique an ultrasound probe, in the shape of an endoscope is passed in to the oesophagus and positioned immediately behind the heart. This produces very clear and high quality images through which defects which cannot be identified by simple ECHO can also be diagnosed.

Chest X Ray
A chest X ray is useful in determining the size and shape of the heart and major blood vessels.

Angiography
Your doctor may recommend angiography if other tests show that you're likely to have CAD. Coronary angiography is an invasive procedure, it's done to find out if your coronary arteries are blocked or narrowed, if yes from where and by how much.

In this procedure a thin, flexible tube called a catheter is put into a blood vessel in your arm and advanced in to the coronary arteries, and a dye is released in to your bloodstream. Special Xray images are taken while the dye is flowing through the arteries. It lets your doctor study the flow of blood through your heart and blood vessels.

How is Coronary artery disease treated?

Treatment of coronary artery disease includes lifestyle modification, medical management, and interventional procedure like angioplasty and surgery (Bypass).

What is angioplasty?

Angioplasty is a nonsurgical procedure performed to open blocked or narrowed coronary arteries. A thin, flexible tube with a balloon is passed through a blood vessel to the narrowed or blocked coronary artery. Once in place, the balloon is inflated to compress the plaque against the wall of the artery. This restores blood flow through the artery.

During the procedure, the doctor may put a small mesh tube called a stent in the artery. The stent helps prevent blockages in the artery in the months or years after angioplasty.