Services
ECG
A test to study the conduction system of the heart.
It is often the first test done in heart patients and gives very important information especially in patients of...
Electrocardiogram (ECG)
A test to study the conduction system of the heart.
- It is often the first test done in heart patients and gives very important information especially in patients of chest pain and palpitations/ dizziness/ loss of consciousness.
- However ECG may not always reveal all the problems of the heart, and is frequently combined with other tests.
Echocardiography
A test done to study the structure and mechanical function of the heart by ultrasound.
It gives very important information about the functional efficacy of the...
Echocardiography
A test done to study the structure and mechanical function of the heart by ultrasound.
- It gives very important information about the functional efficacy of the ventricular chambers of heart, structure and function of the heart valves, presence of abnormal structures in heart, and often problems of initial part of aorta.
- It is a non-invasive ultrasound study of the heart, and hence very safe.
Tread Mill Test
A test done to detect and study the impact of coronary artery disease by assessing ECG changes during exercise.
It is a non-invasive test and almost any person who can walk, can do this test.
Tread Mill Test
A test done to detect and study the impact of coronary artery disease by assessing ECG changes during exercise.
- It is a non-invasive test and almost any person who can walk, can do this test.
- It is cheap, easily available and safe, hence it is often the first test to assess for coronary artery disease. However it is not the most accurate test, and if clinically warranted, other tests may be required.
Stress Echocardiography
An echo done under conditions simulating exercise (physically by walking, or by using injectable medicines in people who can’t walk) to assess for coronary artery disease.
Stress Echocardiography
An echo done under conditions simulating exercise (physically by walking, or by using injectable medicines in people who can’t walk) to assess for coronary artery disease.
- It is a more accurate, but costlier test than TMT. Hence it is often done when TMT can’t be done/ is equivocal or higher accuracy is required.
Holter/External Loop Recorder
Tests done to assess conduction system of the heart over a period of hours to days, especially in people who have episodes of loss of consciousness/dizziness/palpitations.
Holter/External Loop Recorder
Tests done to assess conduction system of the heart over a period of hours to days, especially in people who have episodes of loss of consciousness/dizziness/palpitations.
- These tests involve attaching ECG leads to the body with a associated ECG recorder (for Holter) or transmitter (for ELR) for a defined period of time, in patient’s usual environment. The recording is then used to identify rhythm abnormalities.
- It is a non-invasive, very safe and easy test.
Coronary/Peripheral Angiography
A medical procedure done to image the lumen of blood vessels with the
help of X rays.
Coronary/Peripheral Angiography
A medical procedure done to image the lumen of blood vessels with the help of X rays.
- It is a minimally traumatic procedure where iodine containing dye is injected into the blood vessel through a catheter (a hollow manouverable tube) and image of the dye filled lumen is recorded with the help of X rays.
- It is done under local anaesthesia without any sedation. It does not involve incisions or sutures. Hence patient can be mobilised and discharged on the same day.
- Coronary angiography: Angiography done to evaluate blood vessels supplying the heart (‘Cor’ means the heart).
- Peripheral angiography: Angiography done to evaluate any other blood vessels of the body (eg carotid angiography, renal angiography, limb angiography, AV fistula angiography etc).
- Radial angiography: Angiography done through the wrist artery (ie radial artery) puncture. It allows immediate patient mobilisation and has lesser bleeding complications- hence a preferred approach in many situations.
- Femoral angiography: Angiography done through the groin (ie femoral artery) puncture. It allows for more complex procedures than radial access, albeit with more bleeding complications and delayed patient mobilisation. Vascular closure devices have helped reduce these limitations.
- CT angiography: Here CT scan machine is used to assess the blood vessels with the help of iodine containing dye. It is a lesser invasive procedure than conventional angiography. However it is also less accurate, particularly for moving structures ie coronary arteries.
Coronary/Peripheral Angioplasty
A medical procedure involving treatment of the blood vessel narrowing with a balloon and/or a stent. It also involves use of dye and radiation.
Coronary/Peripheral Angioplasty
A medical procedure involving treatment of the blood vessel narrowing with a balloon and/or a stent. It also involves use of dye and radiation.
- Similar to angiography, it is a minimally invasive procedure that is done under local anaesthesia without major incisions. Hence the recovery of patient is faster and early discharge is feasible.
- Similar to angiography, angioplasty is also labelled as coronary or peripheral (eg carotid, renal, limb vessel) angioplasty, radial or femoral angioplasty.
- Primary angioplasty: Angioplasty done to open occluded coronary artery at the time of ongoing heart attack. It is considered to be the best treatment for heart attack, when feasible.
- Imaging guided angioplasty: There are tools to directly visualise the vessel lumen from inside (IVUS and OCT) that can improve the imaging and hence, results of conventional angioplasty.
Device implantation (Pacemaker – AICD-CRT)
A pacemaker is a device that prevents the heart rate from falling too low, hence preventing loss of consciousness or dizziness.
Device Implantation (Pacemaker – AICD-CRT)
Pacemaker
A pacemaker is a device that prevents the heart rate from falling too low, hence preventing loss of consciousness or dizziness.
- Temporary pacemaker: It’s a temporary device placed outside the body and connected to heart with a wire. It is meant to work for few hours to days only.
- Permanent pacemaker: It’s a small device placed commonly under the skin on upper chest and connected to heart with wires. It is a self sustaining long term system and hence allows patient independence. It is a procedure done under local anaesthesia or conscious sedation and allows patient discharge in few days.
AICD
It a device similar to permanent pacemaker with additional functions to treat ventricular arrhythmias and prevent sudden death. It is advised for patients who already have history of ventricular arrhythmias (VT or VF) or are high risk for them.
CRT
It’s a device similar to regular pacemaker but with additional pacing wires to allow for co-ordinated and hence improved function of a weakened left ventricle.
Combo device (CRT-D)
It’s a device with combined actions of AICD and CRT.
Endovascular repair of aortic aneurysm (EVAR & TEVAR)
A pacemaker is a device that prevents the heart rate from falling too low, hence preventing loss of consciousness or dizziness.
Endovascular repair of aortic aneurysm (EVAR & TEVAR)
The largest artery of the body is aorta. In certain individuals aorta may develop localised enlargement (aneurysm) which increase its chance of rupture and subsequent death. These aneurysms were conventionally repaired by surgery (with high risk of complications). They are now most often treated by less invasive method using covered stents to seal them off- a technique somewhat similar to angioplasty (EVAR/TEVAR).