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Cardiology

Cardiology

Heart Care is a complex field that requires a range of preventive care, screening, advanced diagnostic tests, invasive and non-invasive procedures, postoperative management, cardiac rehabilitation, and a full range of surgical programmes.

Heart Care today has evolved into a service which is in demand everywhere, especially in India and the developing world. An ageing population and the epidemic of Coronary Artery Disease which India and surrounding countries face make cardiac surgical facilities essential. Operating on the most Central organ of the body demands the best of Human Resources, Technical Skills, Equipment and Team Effort. There are no margins for error.

Eternal Hospital has dedicated it’s services in the field of cardiac care in North India and can proudly claim the spot of the market leader in heart care. The proficiency, precision and skill of our cardiac services demonstrate our pioneering contributions in this field. Eternal Hospital will pursue its commitment to lead in the dominion of cardiac care and continue to be the most sought after destination for patients. Eternal Hospital has successfully treated thousands of heart patients and successfully performed a number of cardiac procedures and surgeries.

Cardiology is a medical specialty dealing with disorders of the heart. The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology.

Interventional
Cardiology
Paediatric Cardiology
Non Invasive

Interventional Cardiology pertains to a patient's evaluation which involves exposure to the patient's blood. These are generally considered advanced forms of diagnostic or therapeutic techniques. The procedures under this section are carried out in our well-equipped and high-tech Cardiac Catheterization laboratories.

Coronary

Coronary Angiography (CAG)
Coronary Angioplasty
IVAS, FFR
ROTA Ablations
Intra-Aortic Balloon Pump

EP & Heart Failure

EP Study
Radio Frequency Ablation
3D Mapping
Pacemaker Implantation - Leadless / Single / Double-
ICD, CRT, CRT-D Implantation

Endovascular Diseases

Renal Angiography & Angioplasty
Carotid Angiography & Angioplasty
Peripheral Angiography & Angioplasty
Thoracic & Abdominal Aortic Aneurysms
IVC Filter Implantation

Structural & Valvular Heart Disease

TAVI / TAVR
BMV, BPV, BAV
Device Closures ASD, VSD, PDA
Right Heart Catheterization
Paediatric Catheterization / Angiography (Right & Left)

Repair of mitral, aortic, tricuspid and pulmonary valves (valvuloplasty) using balloons.
Closure of birth defects in the heart in cases of Atrial Septal defect or Patent Ductus Arteriosus.

The pediatric (also known as paediatric) cardiac program Eternal Hospital seeks to provide comprehensive and state-of-the-art services for children suffering from any type of heart ailment. These services are made available to one and all at affordable costs.The possible pointers to heart diseases in infants (less than one year of age) include:

Difficulty with feeding
Excessive sweating
Breathing difficulty
Blueness of lips, fingers and toes
Poor growth
Frequent episodes of chest infection

What tests will a child have to undergo?

Your child will have a complete physical examination including height, weight, and blood pressure readings, an electrocardiogram (recording of the heart rhythm) and if indicated, an echocardiogram (sonogram of the heart), followed by a consultation with the pediatric cardiologist. Additional testing may include a 24 hour recording of the heart rhythm, recording the heart rhythm while facing the above mentioned symptoms and an exercise stress test (monitoring the heart rate and rhythm during exercise on a treadmill).

Non Invasive Cardiology pertains to cardiovascular evaluation without getting exposure to the patient's blood. It involves tests which are generally considered the basic and essential first steps towards a cardiac evaluation.

Transthoracic Echocardiography with color Doppler - 2D, 3D
Transesophageal ECHO - 2D, 3D
Saline Contrast ECHO
Stress ECHO - Dobutamine Exercise
Pediatric Congenital ECHO
Electrocardiogram (ECG)
Holter Monitoring
Computerized Tread Mill Test (TMT)
Head Up Tilt Test (HUTT)
Ambulatory BP Monitoring
CPET (Cardio Pulmonory Exercise Testing) VO2 Max

Angiography

Coronary angiography is an imaging technique or a radiological test that helps visualize the insides of the coronary arteries. It shows the exact location and severity of any plaque formation and consequent narrowing of the coronary arteries. This helps the doctor to decide on what treatment is needed.

The test is commonly carried out within the Cath lab in a hospital set up. The procedure normally takes around 15 to 20 minutes.

The site of the procedure or insertion of the catheter at the upper part of the thigh near the groin or an artery in the arm. is anesthetized using a local anaesthetic injection. This will numb the site of the test.

A thin, plastic tube called a sheath is inserted into an artery. Catheters are passed through this sheath to the coronary arteries of the heart

Via this catheter, under X ray guidance contrast medium or dye is injected through the catheter into the coronary arteries.

As the blood along with the dye flows through the arteries and the chambers of the heart, X rays show the path of the blood and outline the branches of the arteries. A series of x-ray pictures from different angles to check for blockages is recorded

FAQs

What are the preparations for Coronary angiography?

Patients who are prescribed this test need to be admitted to the hospital on the day of the test. Sometimes admission on the previous evening and a stay overnight may also be advised. A few hours of fasting with nothing taken via mouth (including water) is recommended.

What are the implications of an angiography results?

Normal result of coronary angiography means that there is adequate blood supply to the heart. Abnormal result on the other hand means that one or more coronary arteries may be blocked or narrowed in one or more places. The degree or percentage of each block is also reported. If the narrowing of the arteries is mild, it can be treated with medicines alone. If the arteries and their branches are more severely occluded and narrowed, coronary artery bypass graft or coronary angioplasty may be required
Angioplasty

Angioplasty is a specialised procedure performed in a Cath lab (cardiac catheterisation laboratory). Since the patients are awake and alert through the procedure, they are given medication before and during angioplasty procedure to help relax

The procedure begins by inserting a sheath into a blood vessel, usually in the upper leg, groin or arm. A hollow tube termed catheter is pushed through this sheath into the mouth of the coronary artery. Through this catheter another small balloon catheter is deployed into the coronary arteries.

Once the balloon is at the blocked or narrowed area in the artery, it is inflated to widen the pathway. In most cases the inflation lasts from 30 seconds upto several minutes, depending upon the nature of the blockage. The inflation of the balloon may cause chest pain in some patients, similar to angina. This happens because the balloon temporarily blocks the flow of blood and oxygen that it carries to the heart. If such pain is experienced, the patient should report the same to the doctor.

Nowadays, a stent is crimped on the balloon and is positioned at the site of obstruction. A stent is an expandable mesh tube. It is implanted to support and widen the artery and keep the vessel open for continuous blood flow. After the block has been opened the balloon is deflated and retracted back through the blood vessel. Stent implant is a permanent one.

FAQs

Q. What are the advantages of placing a stent?

Stent prevents acute vessel closure, means the sudden collapse of the narrowed artery after the balloon has opened it.

It also reduces restenosis, recurrence of blocks after balloon angioplasty

Q. Can I be back to my routine after the procedure?

- You would be kept under observation for 2-3 days. Once home, one can resume full activity within couple of days. Angioplasty is not a cure, but a treatment to reduce the effects of Coronary Artery Disease. Following angioplasty, diet and medications have to be strictly followed to reduce the risk of recurrence. Your health relies on the lifestyle you choose.

Our Doctors

Dr Samin K. Sharma

Dr Prem Ratan Degawat

Dr. Atul Kasliwal

Dr. Hemant Chaturvedi

Dr. Ravinder Singh Rao

Dr. Sanjeev Kumar Sidana

Dr. Sanjeev Sharma

Dr Jitendra S. Makkar