Heart (Cardiovascular) Diseases, Diagnosis, Medical Treatment, and PreventionHeart (Cardiovascular) Diseases, Diagnosis, Medical Treatment, and Prevention
Heart Care11 June 2021

Heart (Cardiovascular) Diseases, Diagnosis, Medical Treatment, and Prevention

 

Cardiovascular diseases are a group of diseases related to the heart and blood vessels. CVDs are the most prevalent diseases in India and are endemic to India.

 

CVDs include Myocardial Infarction (heart attack), Coronary Artery Diseases, Arrhythmias, Valvular diseases (stenosis, regurgitation), Pericarditis, Heart failure, Peripheral artery disease, congenital heart disease, Stroke, Hypertension. Coronary artery disease is the most common of them.

 

When to See a Cardiologist?

 

Are you feeling pain in your chest in the middle or slightly left side of the center? Then don't wait; even if the pain is mild, see a cardiologist. A Cardiologist is a doctor who does the diagnosis of cardiovascular diseases (heart and Vascular diseases) and specialize in its treatment.

 

Any shortness of breath? Frequent palpitations (aware of your heartbeat)? Have your feet or other parts of the body swollen? It may indicate Oedema (fluid retention), if not inflammation, and Oedema can be a sign of CVDs.

 

Diagnosis of cardiovascular diseases

 

When you visit a cardiologist, he will check your blood pressure, pulse rate, oxygen saturation level. These are the vitals for your heart functioning. Diagnosis of cardiovascular diseases is done by various methods that gives you a clear idea. Let's see what these are:

 

Physical Examination 

Your cardiologist will examine you for any asymmetry in your chest, for cyanosis (bluish colouration due to lack of oxygen), Oedema. He/she will hear your heart sounds with a stethoscope. He/she will ask you for the symptoms, pain, family history, diet, etc.

 

Blood Tests

They take your blood sample to test for cholesterol level, C-reactive protein (CRP), other cardiac biomarkers that indicate any heart or vascular diseases.

There is good cholesterol (HDL) as well as bad cholesterol (LDL). LDL level should not exceed 130 mg/dl. If you have diabetes or any related heart disease, then LDL should not be more than 70 mg/dl.

Specific biomarkers, when found in blood, indicate cardiovascular diseases. C-reactive protein, Apolipoprotein A1 and B are indicative of inflammation. Cardiac Troponin-T, fibrinogen, homocysteine, increased brain natriuretic peptide (BNP) 

are some of the biomarkers. 

 

ECG

 

An electrocardiograph is a device that helps to record the electrical activity of your heart. It is a painless process in which the cardiologist place leads on your wrists, legs and six leads on the epicardium (skin over the heart). The leads are connected to a machine and record the electrical activity as graphs. This graph is called an electrocardiogram. 

 

ECG tells about the rhythm of the heart, strength and timing of your heartbeats. 

 

ECG detects arrhythmias (irregular heartbeats), angina, heart attack.

 

Stress Test

 

This test is to examine how your heart recovers from an exercise. The cardiologist will ask you to run on a treadmill or do cycling for 5-6 minutes. Chest leads connected to a machine will record the continuous electrical activity of your heart during the exercise and afterwards. The device will take continuous ECG for another 5 minutes.

It detects Atherosclerosis, heart failure, CHD.

 

Echocardiogram

 

In this test, Ultrasound is done with the help of a handheld device placed on your chest to get detailed and moving images of your heart's valves and chambers. It is often combined with Doppler ultrasound and colour Doppler to check the blood flow of your heart valves.

It detects hypertrophy (enlarge walls of the heart), calcification of valves (calcium deposits on heart valves), leading to valvular disease.

 

Chest X-ray

 

Chest X-ray is for the image of the heart, the orientation of the heart, pericardium.

It detects congenital heart diseases, pericarditis, hypertrophy.

 

EBCT

 

Electron Beam CT scan. The machine uses an electron beam (electron gun) instead of an X-ray to detect any calcification in the walls of the coronary arteries of the heart, Atherosclerosis. It is a fast and highly sensitive test. This test can detect calcification as mild as 10% to 20%, which is not possible with the help of a standard physiologic stress test.

 

MRI

 

This machine uses a magnetic field or computer-generated radio waves. MRI gives images of the heart during a cardiac cycle (between your heartbeats). It does not use ionizing radiation, and hence it's a safer option for a pregnant woman.

MRI of heart diagnoses CVDs like:

Congenital heart defects

Valvular defects

Pericarditis

Coronary heart diseases

 

Catheterization and Angiography

 

Catheterization is a method that helps your doctor to check if your blood vessels are fine. Your doctor will insert a catheter (thin tube-like) in your femoral vein (in the groin) or your hand. He/she will use a contrast dye to get an X-ray view of the vessels. The X-ray view on a monitor will guide your doctor. Then he/she will pass this catheter through the veins to the heart with the help of images on the monitor.

 The catheter will help your doctor to see the flow of blood. It is also for measuring the pressure of the blood in vessels and the heart for different heart conditions like hypertrophy. 

Angiography detects blockage in the arteries that supply the heart (coronary arteries). This blockage is Atherosclerosis.

 

 

Medical Treatment

 

As we discussed above there are many ways to do the diagnosis of Cardiovascular diseases there can be different ways for its treatment as well. Your cardiologist will tell you what's best for you. If your condition is not severe, some lifestyle changes will suffice. But if it worsens, then you need to take medicines, you may undergo surgery, or in the most severe case, you may need a heart transplant. 

 

Lifestyle Change

 

Specific lifestyle changes can save you from deadly heart diseases. Improve your diet, take fresh fruits and vegetables, take low fat, low sodium diet to control your blood pressure and cholesterol level.

Physical activity is a must. Do some exercise, not too much as it will stress your heart, but some movement is necessary. Keep your sugar in control.

 

Medications

 

Your cardiologist will give you the best suitable medicines.

Certain types of medicines for cardiovascular diseases are:

  • Beta-blockers
  • ACE inhibitors
  • Cardiac glycosides
  • Blood thinners
  • Antihypertensive 
  • Antiarrhythmic
  • Antianginal
  • Vasoactive peptides

 

Surgery

 

If lifestyle changes and medications do not cure you, then your cardiologist may suggest surgery for your recovery.

It may be a coronary artery bypass surgery, valve repair surgery or implantation of a pacemaker or defibrillator. 

 

Angioplasty and Stenting

 

Angioplasty is a method to open a blocked coronary artery by stenting. In this method, the cardiologist will insert a stent (meshwork of metal wire) at the site of blockage with the help of a catheter. 

 

Pacemakers

 

An artificial pacemaker is a battery-like device that produces electrical signals on its own. Suppose the heart cannot have constant electrical signals required for the regular beating. In that case, this artificial pacemaker is inserted near your collar bone to give the necessary electrical signals to the heart.

 

Ablation

 

Cardiologists use this method to cure any faulty pathway of electrical signals in the heart. With the help of a catheter, cardiologists destroy the cardiac tissues involved in the abnormal course.

 

 

Prevention

 

Prevention is always better than cure. So, be healthy and avoid these complicated disorders.

 

  • Quit smoking: Smoke particles damage your heart and blood vessels. They can also form plaques in them. 

 

  • Control your Blood Pressure: Hypertension is one of the most critical risk factors for CVDs. Keep control of your BP. Get your BP check from time to time and if it's getting high, take a low sodium diet.

 

  • Keep your Cholesterol in Control: Your LDL (low-density lipid) should not be more than 130 mg/dl. Eat vegetable oils instead of saturated fat. Avoid processed food.

 

  • Control your Diabetes: Keep your sugar under control. Diabetes can lead to serious heart diseases.

 

  • Food: Minimize your consumption of sodium, added sugar & processed food.

 

  • Control your Weight: Your BMI should be less than 25.

 

  • Avoid Stress: Keep yourself calm and take proper rest. Don't take stress—practice yoga.

 

Author : Dr Malvika
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Top 10 Cardiology Hospitals in India, Best Heart Treatment HospitalTop 10 Cardiology Hospitals in India, Best Heart Treatment Hospital
Heart Care15 June 2021

Choosing the best heart treatment hospital in India may be challenging but not impossible. Heart Hospitals in India have international reputations and international and national accreditations. Over the past decade, India has made significant developments and advances in the field of medicine and has a prosperous healthcare industry. World-class Heart Hospitals in India have less than 1% mortality from heart surgery. These are listed as:

 

1. Fortis Escorts Heart Institute

Fortis Escorts Heart Institute, located in Okhla Road, New Delhi, has pioneered heart care for the past 32 years and offers the best treatment in cardiac bypass surgery, interventional cardiology, non-invasive cardiology, and pediatric cardiology.

 

Features of Fortis Escorts Heart Institute:

  • The institute handles more than 14,500 admissions and 7,200 emergencies in one year.
  • It comprises 310 beds.
  • Nine operating theatres and Five Cath Labs connected to an e-ICU.
  • A cutting-edge technology, for example, the recently installed Dual CT scan.

 

Treatments at Fortis Escorts Heart Institute:

  • The cardiac speciality clinic includes the ICD clinic, the pacemaker clinic, and the heart failure clinic.
  • World-class technology, including X-matrix transducers technology for Live 3D-ECHO and Tissue Doppler Imaging.
  • Procedures such as (Extracorporeal Membrane Oxygenation) and VAD (Ventricular Assist Device Therapy). 
     

Website Link: 

https://www.fortishealthcare.com/india/clinical-speciality/cardiac-sciences-228/26

 

2. Asian Hearts Institute, Mumbai:

Asian Hearts Institute (AHI) is one of the best heart treatment hospital located in Mumbai. The institute has performed many breakthrough surgeries such as heart surgeries, arterial grafts, and open-heart surgeries.

 

Features of AHI:

  • The institute comprises more than 250 beds and has treated more than 3.8 lakhs of patients to date.
  • The institute has performed more than 43000 angiographies and 24000 heart surgeries and boasts a success rate of more than 99% in cardiac-related surgeries.
  • The institute has performed more than 4400 surgeries, which were considered unfeasible in other medical institutions.

 

Treatments at AHI:

  • Cardiac Surgery Comprising Bypass Surgery using arterial grafts, valve surgery, redo surgeries, Aneurysm surgery, and Heart Transplant.
  • Pediatric Heart Surgery.
  • Cardiology comprises Angiography, Angioplasty, pacemaker and device implant, non-operative closure of heart defects, and balloon Valvuloplasty.

 

Website Link: 

http://www.asianheartinstitute.org/

 

3. Apollo Hospitals, Chennai.

Apollo Heart Centre, located in Chennai, the group revolutionized cardiac treatments in India and has become one of the most innovative cardiovascular hospitals.

 

Features of Apollo Hospitals:

  • More than 140,000 heart operations performed to date, with a success rate of 99.6%.
  • Dedicated and well-equipped UCCs for cardio-thoracic problems with a care ratio of 1: 1.

 

Treatments at Apollo Hospital:

  • Non-invasive cardiology comprises ultrasound and nuclear tracer imaging.
  • Cardiac Surgery- to treat ischemic heart disease, congenital heart disease, valvular heart disease, including endocarditis, and the like.
  • Treatments comprise Nuclear Cardiology, Pediatric Cardiology.

 

Website Link: 

https://chennai.apollohospitals.com/clinical-excellence/apollo-heart-institute

 

4. Indraprastha Apollo Hospital, Delhi

Indraprastha Apollo Hospital, a member of the Apollo group, is located in Delhi. The hospital was set up in 1996 and is a globally recognized hospital for cardiac-related ailments.

 

Features of Indraprastha Apollo Hospital:

  • The hospital comprises more than 1000 beds for patients and has performed over 1.7 lakhs cardiac surgeries comprising coronary artery bypass and the like.
  • It is a leading hospital for Coronary Artery Stenting and Laser Angioplasty.
  • The hospital has high success rates in more than 95% of surgeries comprising beating heart surgeries

 

Treatment at Indraprastha Apollo Hospital:
Cardiothoracic and Vascular Surgeries comprise Coronary Artery Bypass Graft Surgery, Valve Surgery, Aneurysm Surgery, Congenital Heart Defects, and Thoracic Surgery.
Pediatric Thoracic Surgeries comprises open/closed heart surgeries.
Cardiac Surgery comprises Beating Heart Surgery, interventional cardiology, bifurcation stenting, and emergency cardiac surgeries.

 

Website Link: 

https://delhi.apollohospitals.com/heart

 

5. Nanavati Hospital, Mumbai

Nanavati Super Specialty Hospital is one of the oldest hospitals located in Mumbai. The cardiology department is one of the best in India and serves patients globally.

 

Features of Nanavati Hospital:

  • The hospital comprises a 350-bed facility.
  • The first catheterization laboratory of its kind in Mumbai.
  • Additional facilities for visa processing, currency exchange, airport transfers, nutritional advice, accommodation for patients from abroad.


Treatments at Nanavati Hospital:

  • Advanced diagnostic facilities and specially developed heart packages with blood tests and various scanners.
  • Procedures for cardiac interventions include cardiac bypass surgery with minimal access, beating heart bypass surgery or Coronary Artery Bypass Grafting, Redo heart surgery, and coronary aneurysm.

 

Website Link: 

https://www.nanavatihospital.org/heart-institute

 

6. Max Super Specialty Hospital, Delhi

Max Super Specialty Hospital in Saket, New Delhi, is founded by the Max Healthcare Group and consists of a Heart Science Centre, which cares for patients from all over the world.

 

Features of Max Super Specialty Hospital:

  • Accreditations from national and international health organizations.
  • More than 34 Lakh patients are treated in 35 specialist departments for heart failure, valvular dysfunction, etc.

 

Treatments at Max Super Specialty Hospital:

  • Heart surgery comprising coronary artery bypass grafts, heart valve repair or replacement, percutaneous coronary intervention, and heart transplantation.
  • A pacemaker or implantable cardioverter-defibrillator (ICD) implant surgery.

 

Website Link: 

https://www.maxhealthcare.in/our-specialities/cardiology

 

7. MaxCure Hospital, Hyderabad

Maxcure Group has an important presence in South India. The institute has a large number of heart consultants and highly qualified cardiac surgeons to treat any kind of heart disorder and emergencies at any time of the year.

 

Features of Maxcure Hospital:

  • State-of-the-art equipment for the treatment of pediatric heart disease.
  • The hospital has EPIC, an echo machine that provides 4D images.

 

Treatments at Maxcure Hospital:

  • Cardiac surgeries comprise bypass surgeries, Doppler studies, valve replacement surgeries, and Pacemaker Implantation.
  • Coronary Angiogram.
  • Angioplasty or Stent Treatment.

 

Website Link: 

https://www.medicoverhospitals.in/specialities

 

8. Manipal Hospital, Bangalore

Manipal Health Enterprises (MHE), part of the Manipal Education & Medical Group, is a leading healthcare provider providing high-quality treatment for cardiac patients in India.

 

Features of Manipal Hospital:

  • 24 x 7 facilities for intensive care unit, NICU, blood bank, laboratories, and operating theatres.
  • AVM-Pulmonography, occlusions of PDA devices
  • Two digitally equipped catheter laboratories

 

Treatment at Manipal Hospital:

  • Coronary angiography and angioplasty, percutaneous coronary intervention (PCI), and complex coronary interventions.
  • Transaortic valve implantation, occlusion of the left atrial appendage, mitral balloon valvotomy, and the like.
  • Angioplasty and implantation of cardiac devices, including pacemakers, ICD implants, and CRT implants.

 

Website Link: 

https://www.manipalhospitals.com/specialities/

 

9. Fortis Hospital, Bangalore

Fortis Hospital on Bannerghatta Street, Bangalore, was founded in 2006 and has the Department of Heart Sciences, which covers all aspects of the treatment of heart disease in the best possible way.

 

Features of Fortis Hospital:

  • 276-bed multiple hospitals with state-of-the-art medical technology
  • It has a fully equipped cardiac catheter laboratory for cardiac examinations such as EKG, 2D echo, stress test, etc., to diagnose various heart diseases.

 

Treatment at Fortis Hospital:

  • State-of-the-art techniques such as trans-radial angioplasty and transabdominal cardiac Surgery.
  • Cardiac treatment related to Angioplasty, Stenting, Nuclear Cardiology, Cardiac Electrophysiology.
  • Treatment for Coronary Artery Disease, Heart valve disease, and Peripheral Vascular disease.

 

Website Link: 

https://www.fortishealthcare.com/india/clinical-speciality/cardiac-sciences-228/1

 

10. Artemis Hospital, Delhi

Artemis Hospital in Dwarka is one of the best heart treatment hospital in India equipped with multi-speciality. Since its inception, this hospital has become one of the most sought-after cardiac care facilities in Delhi.

 

Features of Artemis Hospital

  • An Endovascular suite configured to perform neuro-interventional cardiac catheterization and peripheral endovascular procedures.
  • The hospital is equipped with the Philips FD20/10 Catheterization laboratory with stent boost technology and total arterial revascularization (ART).
  • The hospital has 64 slices of cardiac computed tomography, 3 Tesla MRI, high-end colour Doppler ultrasound systems, and mammography for imaging.

 

Treatment at Artemis Hospital:

  • Treatment for Coronary aneurysm, varicose veins, interventions such as angioplasty, bypass surgery, valve replacement surgery, Pediatrics, and the like.
  • A catheter laboratory for performing angioplasties.
  • Treatment of congenital heart diseases by providing heart transplant procedures.

 

Website Link: 

https://www.fortishealthcare.com/india/clinical-speciality/cardiac-sciences-228/1

 

Author : Dr Malvika
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