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Cardiology

Cardiology
WHAT IS CORONARY ARTERY DISEASE (CAD)?

The heart is a beating muscle that continually pumps blood to the rest of the body. The coronary arteries supply the heart itself with the necessary oxygen and nutrients it needs to function effectively. Over time, fatty deposits called plaque can build up inside the arteries, clogging the passages and reducing the flow of blood. If the coronary arteries develop plaque, blood flow to the heart can be compromised.

Eventually, blood flow to your heart muscle gets reduced, and because blood carries much needed oxygen, your heart muscle is not able to receive the amount of oxygen it needs. Reduced or cut off blood flow and oxygen supply to your heart muscle may lead to problem like: 

Angina: Chest pain or discomfort that occurs when your heart does not get enough blood.

SYMPTOMS OF CAD

The following are the symptoms a person with significant narrowing in coronary arteries may experience:


A squeezing / suffocating pain arising in the center of your chest and sometimes migrating to your arm, neck, back, throat, or jaw


Shortness of breath

Loss of sensation / abnormal sensation in your arms, shoulders, or wrists

WHAT IS THE TREATMENT OF CAD?

Depending on the severity of the blockages and your general health condition, there will broadly be four treatment options to choose from:


Lifestyle changes

Medicines

Percutaneous Coronary Interventions (angioplasty and stenting)

Bypass Surgery

Making lifestyle changes can help treat CAD. For some people, these changes may be the only treatment needed.


Eat a healthy diet to prevent or reduce high blood pressure and high blood cholesterol and to maintain a appropriate weight.

Quit smoking, if you are a smoker.

Exercise, as directed by your doctor

Lose weight, if you are overweight or obese

Reduce mental stress

PERCUTANEOUS CORONARY INTERVENTIONS/ANGIOPLASTY

If lifestyle changes and medications do not change the status of your symptoms or your disease, you may have to resort to a percutaneous coronary intervention to restore the blood supply to your heart muscles.


HEART BYPASS SURGERY

Coronary artery bypass surgery will involve “bypassing” blood flow around one or more narrowed vessels of yours by using a vein or artery from another part of your body as a graft. 

SPECIAL CARE UNITS/DIAGNOSTIC EQUIPMENT/FACILITIES

Treadmill Test (TMT)


Echocardiography (Colour Doppler)

Stress Echocardiography

24 Hour Holter Monitoring

Ambulatory BP Monitoring

Stress Thallium Test

64 slice CT angiography

Coronary and peripheral angiography

Electrophysiology Study

Endovascular Suite (For the first time in India)

Flat Panel Cath Labs with stent boost technology 

CARDIAC SURGERY CAN BE PERFORMED IN THE FOLLOWING DISEASES / COMPLICATIONS:
Coronary Artery Disease

Depending on the condition of your coronary arteries, your doctor may advise you to undergo bypass surgery wherein a healthy vein or artery from another part of your body is grafted to your coronary artery to create a bypass for improved blood flow to your heart muscles


Valvular Heart Disease

Heart valves can be abnormally formed at birth or damaged by rheumatic fever or bacterial infection. Valves also can degenerate with the normal aging process.


Congenital Heart Disease

Some people are born with problems that may affect the heart and major blood vessels. Corrective surgery may occur in childhood or postponed until adulthood.


Thoracic Aortic Aneurysms

An aneurysm is a saclike bulging that can develop on the wall of a blood vessel. This bulging can become life threatening if not treated. The treatment options include stunting and open surgery.

Tumors of the Heart

A myxoma is the most common cardiac tumor, and is nearly always curable. In order to diagnose and determine the treatment for a particular heart disease, the doctor obtains a complete medical history, performs a thorough physical exam and orders special diagnostic tests.


Major types of cardiac surgeries include coronary artery bypass graft surgery (CABG), heart valve surgery, minimally invasive surgical procedures, transmyocardial laser

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