Cardiac Sciences

The Department of Cardiac Sciences at RBH is a comprehensive Cardiac Care facility manned with best of Clinical talents. Comprising a highly qualified and experienced team of consultants with expertise in handling simple to complex cases, the team is well trained with paramedical and nursing staff, experienced technicians, and state-of-the- art technology. The Modular CTVS OT, the high end ICCU, the latest and sophisticated Cath Lab and best of diagnostic equipment (ECG, ECHO, TMT HOLTER) provide the highest degree of precision to clinicians especially when it comes to performing various types of complex cardiac procedures.

The department of Cardio Thoracic & Vascular Surgery at RBH, is equipped with advanced modular CTVS OT, which facilitates all types of basic to complex adult and pediatric surgical procedures. The hospital maintains Zero Infection Policy in all Operation Theaters and Critical Care areas. The Cardiac Surgeons in the hospital have immense experience in handling high-risk cardiac procedures.

The state-of-the-art Flat Panel Cath Lab, FD- Clarity 10, is capable of performing all forms of simple and complex Cardiac Interventions for all adult and pediatric patients. Interventional procedures performed here include

  • Coronary Interventions­ Complex- Angioplasties, Emergency, (primary) Angioplasty FFR Rotational Atherectomy.
  • Peripheral Intervention­ Carotid stenting, Aortic stent grafts, Peripheral artery and venous disease management.
  • Rhythm disorders- Pacemaker, lCD, CRT, CRTD, ILR, EP Study
  • Structural Heart Disease- Device Closure-ASD, VSD, PDA Coarctation of Aorta stenting BPV, BMV
  • Pediatric Cardiology– Cath study, Device closures

The department offers well-equipped Day Cath facilities, pre and post Cath of international standards making the procedure a pleasant experience.

The diagnostic equipments include 3 Tesla MRI, 128 slice CT Angiography, two treadmill machines, 2 latest 2-D Color Doppler Echocardiography machines, Holter monitoring systems, Ambulatory blood-pressure monitoring equipment and state of the art Pulmonary Function test lab. These advanced equipments ensure that the doctor gets a true picture of the problem followed by a comprehensive treatment plan.

The diagnostic tests offered at RBH include Stress ECG, Transthoracic 2-D Echocardiography, 2-D Transesophageal Echocardiography, Exercise and Pharmacological Stress Echocardiography, Carotid Doppler, Peripheral Doppler (arterial and venous), Renal Doppler, PFT, Holter and Ambulatory BP monitoring.

  • Bypass surgery
  • Valve surgery
  • Congenital heart surgery
  • Aortic surgery
  • Atrial fibrillation surgery
  • Hypertrophic cardiomyopathy surgery
  • Heart failure surgery
  • Minimally invasive heart surgery
  • Vascular surgery and peripheral vascular interventions

The Cardiac Anaesthesia team ensures highest degree of comfort and successful outcomes in every Cardiac surgical procedure.

The 24-hour Chest Pain Clinic treats acute Myocardial Infractions (primary PCI). The Clinic is supported by a 24-hour functional Cath Lab, Onsite Cath Interventional Cardiologist, Cath Lab Nurse and technologist. This centre is supported by an effective ambulance service for expedited and free transfer from within the city.

Surgical Procedures

Minimal Invasive Cardiac Surgery

Surgeries such as coronary bypass grafting (CABG), valve replacement and closure of septal defects (ASD, VSD) in the heart are performed with 100% success rate…

TAVI

In western countries, TAVI has now become the most common go-to cardiac operation when it comes to minimally invasive surgical procedures for valve…

LVAD

LVAD is a surgically implanted mechanical pump that is attached to the heart. LVAD is different from an artificial heart. An artificial heart replaces…

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FAQs

Many people mistakenly believe that heart failure is abrupt stopping of the heart, whereas, heart failure actually develops over time. A condition occurs when the heart is unable to contract or relax properly. As a result, the heart cannot pump enough blood to meet the body’s needs. It is typically a chronic (long-lasting) condition that worsens gradually and needs treatment as it carries high morbidity and mortality. However, many people who have received proper treatment during heart failure go on to live a long and healthy life.

Coronary artery disease

Heart defects present since birth

Infection of the heart and/or heart valves.

High blood pressure

Diabetes

Heart valve diseases

Heart muscle disease

Damage to the heart muscle from previous heart attack.

During a heart failure, a patient finds his/her daily activities getting affected by symptoms like:

Easy Fatigability

General weakness

Loss of Appetite

Shortness of breath when active or while at rest.

Sudden weight gain

Swelling especially in the legs and ankles

Ejection Fraction (EF) is a measurement of the percentage of blood leaving your heart each time it contracts. Normal EF is between 60- 70% and many trials show that heart patients with EF above 40% are comparatively safe, while EF lower than 40% indicates higher mortality rate.

Lower the EF, more is the chance of a dealth.

New devices in managing Heart Failure
The AICD device senses such irregularity in heart rhythm and generates shock to stop the abnormal heart rhythm. Hence it is strongly recommended for such patients.

CRT (Cardiac Resynchronization Therapy)

It is a minimally invasive option left before a heart transplant that shows mortality benefit in critical heart failure situations. If heart failure fulfils certain ECG and Echo criteria of the dyssynchrony between two ventricles, then some improvement in EF can be achieved by performing CRT in the heart patient. It has excellent long-term results.

LVAD (Left Ventricular Assist Device)

It is a mechanical pump that is implanted inside a person’s chest to help a weakened heart pump blood. Unlike a total artificial heart, the LVAD doesn’t replace the heart, it just helps it do its job. This implant option is used for patients awaiting Heart Transplant and who do not respond to any of the other measures.

Non-surgical Heart Valve Replacement

Under normal condition, the heart valves (two on left and two on the right) allow blood to flow only in one direction without any obstruction. A valve that is narrowed is said to have ‘stenosis’. Aortic Stenosis (AS), narrowing of the aortic valve that lies between the left ventricle and aorta, is the most common valve problem and is usually due to calcium build-up on the valve leaflets because of which they become rigid and restrict blood flow. Aortic Stenosis is mainly a problem in the elderly population, which manifests as shortness of breath on exertion, dizziness, chest pain, and carries a very high mortality in symptomatic patients.

TAVR

TAVR (Trans catheter Aortic Valve Replacement) is a major breakthrough in the field of i nterve ntio na I cardiology. It is a minimally invasive surgical procedure that re p laces the valve without removing the old, d a m a g e d v a I v e. T h e procedure is performed by a small incision in the leg vessels. Patient mobilizes few hours after the procedure.

Benefits

  • Significant lower death and stroke rate than surgical valve
  • Replacement in medium and high-risk patients.
  • Serves alternative for patients who are at a higher risk for surgical replacement due to advanced age, or kidney and chest problems, or are having problems with blood supply to the brain due to weak heart muscle or previous heart
  • No major incision in the chest as no heart-lung machine is
  • Quicker recovery

TMVR

Transcatheter Mitral Valvuloplasty Replacement (TMVR) provides a minimally invasive alternative that can improve the quality of life without open-heart surgery. Most recently, TMVR has achieved widespread acceptance for patients with symptomatic mitraf stenosis and favourable anatomy.

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