Cardiology (Heart)

A Color Doppler test is a non-invasive test used to estimate the speed of blood in blood vessels by turning high-frequency sound waves into images. It is done as an alternative to more invasive procedures such as angiography, in which dye is injected into blood vessels for them to show up on X-Ray screens clearly.

Color Doppler test is used to diagnose conditions like:

• DVT (Deep Vein Thrombosis),

• Blocked arteries,

• Blood Clots,

• Congenital heart disease,

• Valves functioning poorly,

• Bulging and Narrowing arteries,

• Decreased Blood flow in any part of the body.

If you or someone close is advised for a Color Doppler test, Heritage Hospitals should be your first choice. With our trained staff and state-of-the-art infrastructure, we strive to provide the best results.

A Treadmill test aims to determine the effects exercises have on the heart. Exercise helps doctors to diagnose coronary heart disease and arrhythmias. The test involves a patient walking on a treadmill whose speed and inclination gradually increase. The results thus obtained show how a patient’s heart responds to the stress of different levels of exercise.

This procedure monitors your blood pressure, heart rate, and ECG before, during, and after the test. The patient must wear a front open gown to attach adhesive electrodes to the chest. The place of the electrode connection is cleaned with alcohol. You are then asked to walk on a treadmill with increased speed and inclination at set times. You are monitored, and if there is a problem, the technologists immediately abort the test. Your heart rate, ECG, and Blood pressure are then recorded at the end of the test, and the report is provided.

The Patient is advised to wear comfortable shoes to walk on the treadmill and not to eat or drink anything for at least 2 hours before the test. 

Heritage Hospitals should be your first choice if you or someone close is advised for a Treadmill Test. With our latest diagnostic aids, we strive to provide the best results at a nominal price.

ECG test is a standard and painless procedure to detect heart-related issues. In this procedure, the leads from the ECG machine are connected to the limbs and chest of the patient. Sensors attached to his skin detect the patient’s heart’s signals each time it beats. These signals are recorded and printed by the machine.

Two types of ECG include the Holter Monitor test and Implantable loop recorder. Specific symptoms that indicate the need for an ECG include chest pain, dizziness, palpitations, Rapid pulse, shortness of breath, etc.

 ECG Computerised can be used to detect various heart problems like

• Arrhythmias

• Heart Attack History

• Blocked or narrowed arteries

• How well do specific heart treatments work

Heritage Hospitals should be your first choice if you or someone close is advised for an ECG test. With our trained staff, comprehensive care and the latest diagnostic aids, we strive to provide the best results.

A small monitor about the size of a mobile phone and battery-operated is called a Holter Monitor. It is a wearable and portable device that is a type of ECG and records your heart’s rhythm. You need to wear a Holter monitor for 24 to 48 hours for it to record your heart’s electrical activity. Wearing a Holter monitor is not painful, and one can go about daily activity while having the monitor attached to one’s body. However, a few things which should be avoided while wearing a Holter Monitor are bathing, swimming, showering, having an X-Ray, etc.

Holter Monitor test is recommended if your doctor observes unusual heart rhythm so that he can find reasons of-

• unexplained fainting and dizziness

•  Heart palpitations

• see if your pacemaker is working right

However, Holter Monitor is not recommended if one needs urgent care and that is getting delayed. 

If you or someone close is advised for a Holter Monitor Test, Heritage Hospitals should be your first choice. With our trained staff and the latest diagnostic aids, we strive to provide the best results at a nominal price.

Coronary Angiography Procedure is recommended when your doctor feels you are at risk of a heart attack. It involves taking an X-Ray by injecting contrast dye into your arteries and watching on screen how the blood flows. The resulting images obtained are termed Coronary angiograms.

During Coronary Angiography, a fine tubing is passed through a site over the wrist or groin through the main artery (Aorta) to reach the coronary ostium, from where radiocontrast material (dye) is injected to visualise the coronary arteries and look for blockage. The procedure is usually done under local anaesthesia so the site area is numbed and the patient doesn’t feel pain.

Coronary Angiography is an OPD procedure, and the patient can return home on the same day in a few hours.

Heritage Hospitals should be your first choice if you or someone close is advised for a Coronary Angiography. With our trained staff and the latest diagnostic aids, we strive to provide the best results.

Heritage Hospital’s doctors team is committed to providing the highest quality of care to patients with heart disorders. Our vascular surgeons and cardiologists have comprehensive experience performing angioplasty. It is also known as Percutaneous Coronary Intervention (PCI) which is a procedure aimed at treating narrowed or blocked arteries.

Our cardiology department is equipped with world-class facilities and next-generation equipment to ensure the safety and efficiency of the angioplasty procedure. At Heritage Hospital, we have advanced equipment for essential medical tests before the angioplasty procedure. From chest X-rays and different blood tests to electrocardiograms and coronary angiograms, our center supports advanced facilities to perform the coronary angioplasty procedure seamlessly.

Different Types of Angioplasty Procedures

Here is the list of different angioplasty procedures performed by our medical team at Heritage Hospital based on the individual's diagnosis and level of blockage in the coronary arteries:

• Balloon procedure – A charger with a small balloon in the tip is inserted into the heart artery to increase the blood flow to the heart.




• Stent placement – In an Angioplasty stent, a small wire tub mesh is placed in the block of the artery to heal the injury. Bare metal and drug-eluting stents are the two types of stents that are used. However, drug-eluting stents are preferred over bare metal.




• Rotablation procedure – A specially shaped diamond-tipped catheter is guided to the blocked area in the artery to accelerate the disintegration of plaque into the bloodstream.

How is Coronary Angioplasty Performed?

The procedure is performed in a controlled and highly sterile environment with a highly trained medical team to ensure the best possible outcomes for the patient at Heritage Hospital. Here is a glimpse of how the medical staff perform angioplasty in our state-of-the-art cardiac Cath lab :

• Before the operation, the medical team will perform pre-operative assessments, including blood tests and a general health check-up to ensure you are suitable for the surgery.




• The cardiologist will perform an angiogram to look inside the arteries and check where the blockages are.




• A thin, flexible catheter is inserted into arteries through an incision in your arm, wrist, or groin. Before inserting the catheter, the insertion area is anesthetized using local anesthesia. Using an X-ray video, the surgeon inserts the catheter in the affected coronary artery.




• After placing the catheter in place, a thin wire is sent down the length of the artery, which delivers the balloon to the affected section if you are undergoing balloon angioplasty. The surgeon ensures the balloon is in the right place and inflates it. The inflated balloon squashes the fat deposits against the artery wall, ensuring smooth blood flow when the deflated balloon is removed.




• However, if you are having a stent inserted, the stent is already fitted on the balloon and opens up when the balloon is inflated. The stent expands and remains in place even when the balloon is deflated and removed.




• After the operation, the cardiologist will check if the artery is wide enough to allow blood to flow more easily through a small amount of contrast dye flowing through the artery.




• The balloon, wire, and sheath are removed, and the bleeding is stopped by a dissolvable plug or through firm pressure.

Why Should You Choose Heritage Hospital?

At Heritage Hospital, we believe in delivering result-oriented care; that's why we invest in strong infrastructure boasting high-tech equipment and have an adept team of professionals to assist the patients during Angioplasty procedures. Here are some facilities available at Heritage Hospital:

• Highly skilled and board-certified team of cardiologists and staff in the cardiology department




• State-of-the-art catheterization lab




• Best-in-class operating rooms with all the essential facilities




• Blood bank support and critical care support




• 24x7 consultation and admission available




• Advanced diagnostic facilities, like 2D Echo Dopplers, 128 Slice Cardiac CT Scan, 12 Lead ECG, and Coronary Angiography.

How does the Heritage Hospital Medical Team Manage the Risks and Complications Associated with Angioplasty?

Angioplasty is a safe and effective procedure, but there are some rare instances where complications can arise. Managing risks and complications associated with angioplasty is critical to interventional cardiology. Heritage Hospital medical staff employ a multifaceted approach to mitigate potential adverse events and ensure optimal patient outcomes.

• Antiplatelet and anticoagulant therapy before surgery
  Dual antiplatelet therapy (DAPT) is initiated with agents such as aspirin and a P2Y12 inhibitor before the procedure. Heparin or bivalirudin is used for anticoagulation during the procedure, with dosing tailored to individual patient risk factors.




• Intravascular imaging for precise incision
  We use intravascular ultrasound (IVUS) and optical coherence tomography (OCT) for precise lesion assessment and optimal stent sizing, reducing the risk of under-expansion.




• Monitoring of blood pressure, heart rate, and oxygen
  Continuous hemodynamic monitoring is essential during angioplasty. Monitoring blood pressure, heart rate and oxygen saturation helps detect hemodynamic instability early.




• Post-procedural care
  Rigorous post-procedural care includes close monitoring for access site bleeding, hematoma, and vascular complications. Adequate hydration and hematoma compression are employed as necessary.




• Follow-up schedules
  We always schedule follow-up visits and assessments, including repeat angiography or non-invasive imaging, which are crucial to monitor stent patency and assess for restenosis.
  
  Heritage Hospital medical staff employ a comprehensive, patient-centered approach to angioplasty that encompasses meticulous patient selection, advanced procedural techniques, vigilant monitoring, and prompt recognition and management of complications. This approach minimizes risks and maximizes the likelihood of successful outcomes for patients undergoing coronary angioplasty.
  
  Our adept team is dedicated to delivering the highest quality of care by staying updated with the latest advancements and providing tailored solutions to meet individual patient needs. At Heritage Hospital, you can rest assured that you are in safe hands and will receive the best possible treatment to cure the medical ailment.

At Heritage Hospital, we offer specialized temporary pacemaker implantation services in Varanasi. Our highly skilled cardiologists use advanced techniques to ensure effective and hassle-free treatment for cardiac rhythm issues.

Temporary cardiac pacing, also known as Temporary Pacemaker Implantation (TPI), is a critical medical procedure used to restore the heart's natural rhythm when it becomes irregular. This procedure involves the insertion of wires through the chest, groin, or neck, which are connected directly to the heart and then linked to an external pacing device.

When Temporary Pacemaker Implantation Is Necessary?

Temporary pacemaker implantation becomes essential in situations where the heart's natural rhythm is disrupted, leading to inadequate blood pumping. Some common scenarios where temporary pacemaker implantation is required include:

• Following a Heart Attack (Acute Myocardial Infarction): After a heart attack, the heart's electrical system can be damaged, leading to irregular rhythms. Temporary pacemaker implantation can help regulate the heartbeat during the recovery phase.




• After Heart Surgery: Certain heart surgeries, such as those involving the atria or ventricles, may temporarily disrupt the heart's normal rhythm. Temporary pacemakers can be used to stabilize the heartbeat during the post-operative period.




• Before Permanent Pacemaker Surgery: In some cases, patients may require permanent pacemakers, but temporary pacemakers are used initially to stabilize their heart rhythms until the permanent device can be implanted.




• To Increase Heart Rate or Surpass Undesirable Rhythms: Temporary pacemakers can be implanted to increase the heart rate or surpass abnormal rhythms that are harmful to the patient’s health.

Temporary Pacemaker Implantation Procedure

Temporary pacemaker implantation in Varanasi can be performed in two main ways at Heritage Hospitals:

Catheter-Based Approach

In this method, our experienced cardiologists use a catheter with an electrode at the tip. This catheter is inserted into a large blood vessel, typically through the neck or groin, until it reaches the heart. The doctor takes the help of Fluoroscopy (an X-ray imaging technique) for the catheter’s placement.

During Heart Surgery

In certain cases, particularly during open-heart surgery, our cardiologist attaches insulated wires to the outer surface of the heart. These wires are then brought out to the front. Later on, they are connected to a battery-powered pacing box set to maintain the heart rate within a desired range, typically 60-100 beats per minute.

Why Choose Heritage Hospital for Temporary Pacemaker Implantation?

If you or your loved one requires temporary pacemaker implantation, Heritage Hospital is the premier destination for cardiac care in Varanasi. Have a look at the reasons why you should choose us for temporary pacemaker implantation in Varanasi.

Highly Skilled Cardiologists and Advanced Techniques

Heritage Hospital boasts a team of highly skilled cardiologists who are exparts in the field of cardiac rhythm management. Our specialists use advanced techniques like the ones mentioned below to ensure the success of your temporary pacemaker implantation procedure.

• Electrocardiography (ECG): To monitor the electrical activity of the heart continuously during the procedure.




• Ultrasound (Echocardiography): To assess the structure and function of the heart before and during the procedure.




• Electrophysiological Studies (EPS): To understand the electrical activity of the heart to identify the source of the rhythm disturbance.




• 3D Mapping Systems: To provide a detailed three-dimensional visualization of the heart’s anatomy and electrical pathways.

Hassle-Free Admission Process and Advanced Care

Our admission process is designed to ensure that you receive timely and efficient care. At Heritage Hospital, we have state-of-the-art facilities and employ advanced techniques, guaranteeing that your temporary pacemaker implantation is carried out with the utmost accuracy and safety.

Cost-Effective Pacemaker Implantation

At Heritage Hospital, pacemaker implantation costs are cost-effective, ensuring everyone receives the best care. Don’t let your concerns regarding cost hold you back from accessing better health care. If you have questions about the cost of pacemaker implantation in Varanasi, our dedicated team is here to provide you with the necessary details, ensuring that your healthcare journey is smooth and well-informed.

Managing Risks and Complications

While temporary pacemaker implantation is generally a safe procedure, there are some essential risks and potential complications. At Heritage Hospital, our cardiologists and support staff are well-prepared to manage these risks effectively:

• Infection: We maintain strict hygiene protocols and provide antibiotics when necessary to minimize the risk of infection at the site of wire insertion.




• Bleeding or Hematoma: Bleeding can occur at the site of wire insertion. Our skilled medical team closely monitors patients for any signs of bleeding or hematoma formation and takes prompt action.




• Lead Displacement: There is a slight risk of pacing lead moving out of position. Our experienced cardiologists use imaging techniques to ensure the correct placement of the lead.




• Arrhythmias: In some cases, temporary pacemakers can trigger arrhythmias. Our cardiologists closely monitor patients before, during, and after the procedure to address any arrhythmias.




• Pneumothorax: In rare cases, the insertion of wires can lead to a collapsed lung (pneumothorax). Our medical team is skilled in managing this complication if it occurs.

Temporary pacemaker implantation is a crucial procedure for restoring healthy heart rhythm in cases of cardiac rhythm disturbances. Heritage Hospital in Varanasi offers advanced temporary pacemaker implantation services. Our highly skilled cardiologists are committed to providing advanced cardiac care with a focus on patient safety and well-being.

Choose Heritage Hospital for excellence in cardiac rhythm management and take the first step toward restoring your heart’s health and strength. If you require temporary pacemaker implantation, or have questions about the procedure, don't hesitate to schedule a consultation with our skilled pacemaker doctors in Varanasi. Your heart's health is our priority.

Heritage Hospitals stands as one of the most reliable and trusted centres for performing pacemaker implantation in Varanasi. We have the best cardiac team equipped with state-of-the-art facilities to treat heart ailments by regulating the patient’s health. The surgical procedure of packets will be performed depending on the patient's health condition and preferences.

Your heart is a delicate organ that needs immense care. There are a lot of complications that might affect your heart, including rhythm-related heart ailments. Here’s how pacemaker implantation in Varanasi comes into the picture. The surgical procedure involves implanting a pacemaker in the patient’s chest through in patient's chest through a minimally invasive procedure.

Different Types of Pacemaker Implantation

At Heritage, our experts will evaluate your condition and identify the correct type of pacemaker implantation in Varanasi before undergoing surgery. There are three types of devices used in the pacemaker implantation procedure:

• Single chamber pacemaker – It involves one lead wire attaching to the pulse generator to one chamber of your heart. They are recommended for patients who need pacing support for their right ventricle.




• Dual chamber pacemaker – It involves two lead wires attaching to connect the pulse generator to two heart chambers. The device aids in coordinating the contraction of the right atrium and right ventricle.




• Biventricular pacemaker – It is known as the cardiac resynchronization therapy used for people with heart failure. It states the heart's lower chamber, including the right and left ventricles, ensures the efficient rhythm of the heart.

Benefits of Pacemaker Implantation

At Heritage Hospital, our doctors recommend pacemaker implantation to reduce the symptoms of rhythm-related heart conditions. Here are some benefits of pacemaker implantation in Varanasi.

• Once pacemakers are implanted, they will last long without maintenance.




• It is a minimally invasive procedure that offers immediate relief.




• The pacemakers can be customized to function in various ways, stimulating the heart's upper or lower chamber.

How is Pacemaker Implantation Procedure Performed?

At Heritage Hospital, the pacemaker implantation procedure in Varanasi is performed on the patient's medical condition. Before the surgery, the doctor will consult you about your condition and overall health. Also, you will be asked to undergo some diagnostic tests, including ECG, stress tests, and more, to know the exact evaluation of your heart.

The steps involved in the procedure are:

• An experienced team of cardiologists will carry out the pacemaker implantation procedure in Varanasi.




• The patient will be administered anaesthesia to help them relax throughout the surgery.




• After cleaning the patient's upper chest, the surgeon will make tiny incisions where the packet will be implanted and attached to the heart.




• After numbing the incision zone, the surgeon will guide the lead through the veins using X-ray monitors.




• The leads will be attached to the pacemaker and placed into the pocket.




• A small test will be carried out to ensure the proper functioning of the pacemaker.




• Once done, the surgeon will close the incision and properly cover it with dressings.

Why Should You Choose Heritage Hospital?

At Heritage Hospital, we offer excellent cardiac care under one roof. We assure you you get the desired outcomes from initial consultation to final rehabilitation. Here’s why you should choose us:

• A team of trained and passionate cardiac specialists




• Modern infrastructure synced with the latest technology




• Patient-centred care, tailored to unique needs and health requirements




• Commitment to excellence and holistic healthcare




• A dedicated and state-of-the-art critical care centre to handle all the emergencies skillfully and timely.

How does the Heritage Hospital Medical Team Manage the Risks and Complications?

At Heritage, we perform safe and effective pacemaker implantation in Varanasi. However, every medical procedure has certain risks and complications due to the surgical installation, and a pacemaker is no exception. The surgery might cause bleeding, bruising, and rare allergic reactions. Nonetheless, our experts employ the following preventive measures to prevent severe symptoms:

• Immediate Postoperative period – After the pacemaker implantation surgery, we will monitor the patients periodically. The heart’s rhythm and vital signs will be observed closely to ensure the proper functioning of the pacemaker.




• Incision care – Our experts will provide instructions on how to take care of the incision zone, including proper cleaning and changing dressings, to prevent any infections.




• Medication management – We might prescribe certain medications, including antibiotics and pain relievers, to effectively manage and prevent infections.




• Follow-up appointments – We emphasize regular follow-up appointments after pacemaker implantations in Vrasna to monitor the function and proper healing of the patients. We will also adjust the setting of the device to optimize the performance.




• Awareness of electromagnetic interference – Our experts make sure to spread awareness on how to be cautious around devices that emit electromagnetic fields. It includes MRI machines, giant magnets, and other electronic equipment.

At Heritage Hospital, our renowned cardiologists and surgeons diagnose and treat thousands of individuals with heart ailments. We give our best to perform the safe pacemaker implantation in Varanasi, ensuring you are leading a happy, heart-healthy life.