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Cardiac Care (Heart Care)

For advanced Cardiac care to be all-inclusive it requires the support from various super specialities like Nephrology, Nuclear medicine, Haematology, Vascular surgery among others. Most preferred are facilities that can provide comprehensive and integrated cardiovascular support under one roof along with a team of dedicated & highly experienced cardiologists and surgeons.

Here is the extensive list of treatments under interventional procedures-

Coronary Angiogram

The coronary arteries supply oxygen-rich blood to the heart. A waxy substance called plaque (plak) can build up inside the coronary arteries. The buildup of plaque in the coronary arteries is called coronary heart disease (CHD). Hardened plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart. A large blood clot can mostly or completely block blood flow through a coronary artery. This is the most common cause of a heart attack.

Coronary angiogram is performed by inserting a small catheter through the skin into an artery. Guided with the assistance of a special x-ray viewing instrument, the catheter is then advanced to the opening of the coronary arteries. The dye (containing iodine) is injected into each coronary artery. The images that are produced are called the angiogram. The procedure takes approximately 20-30 minutes.

Angiographic images accurately reveal the extent and severity of all coronary artery blockages. For those who have markedly abnormal noninvasive tests for CAD (such as stress tests), the angiogram also helps the doctor select the optimal treatment including - medications, balloon angioplasty, coronary stenting or coronary artery bypass surgery if necessary.

Coronary Angioplasty

Coronary angioplasty or Percutaneous Transluminal Coronary Angioplasty (PTCA),is the procedure used to widen the blocked coronary arteries. The term 'Angioplasty' means using a balloon to stretch open a narrowed or blocked artery. However, modern angioplasty procedures also involve inserting a tiny wire-mesh tube, known as stent, into the artery. This stent is permanently placed to allow blood to flow more freely. The combination of coronary angioplasty with stenting is usually referred to as Percutaneous Coronary Intervention (PCI).

PPI-Permanent Pacemaker Implantation

Pacemaker implantation is a procedure performed to put a small device called a pacemaker into the patient's chest. The pacemaker sends regular electrical pulses that help keep the heart beating regularly.

A pacemaker is an electronic device with a size of a pocket watch. It senses intrinsic heart rhythms and provides electrical stimulation when indicated. Remarkable advances have been made in pacemaker technology, including reduced size, increased battery longevity, and remote monitoring capability, as well as the addition of magnetic resonance imaging (MRI)-safe pacemakers.

The number of cases involving permanent pacemaker insertions is steadily increasing. Currently, there are three approaches to permanent cardiac pacing - Single-chamber, Dual-chamber, and Biventricular pacing.

Permanent pacemaker insertion is considered a minimally invasive procedure. Transvenous access to the heart chambers under local anesthesia is the favored technique. The procedure is typically performed in a cardiac catheterization laboratory or in an operating room (OR).

Echocardiography with Colour Doppler

A Doppler echocardiogram measures the speed and direction of the blood flow within the heart. It screens the four valves for leaks and other abnormalities. By assigning color to the direction of blood flow, (Color Flow Mapping), large areas of blood flow may be studied. These color flow mappings allow abnormal blood flow characteristics to be interpreted by the cardiologist.

The test usually takes about 45 minutes. During the test the technician applies a colorless gel to the patient's chest before moving the transducer back and forth across the patient's chest. Several views of the heart are obtained and the images are viewed on the monitor. The recorded images are then reviewed by the physician prior to completion of the final report.

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