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Max Super Speciality Hospital, Saket
Description: 
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Date: 
October, 2015 :15
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Cardiac Sciences

Home >> Taxonomy >> Cardiac Sciences

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Max Institute of Cardiac Sciences strives to provide patients with expert treatment and care. We believe in offering the patients with an ethical and open environment to recover. Our team of expert cardiologists and cardiac surgeons believes in carrying out an in-depth investigation of patient condition taking into account patient’s complete medical history, therefore strategizing a tailored treatment and recovery plan for each.

Our expertise in cardiac care helps us in caring for patients with heart disease by providing complete all-round care. From diagnosis, prevention, treatment, surgical care to cardiac rehabilitation and wellness services, we look after your heart A to Z.

Why Women are Different from Men at Heart-Even Electrically

June 10, 2015 0 45 3 minutes, 0 seconds read

Electrical Explanation for Gender Differences

The fact that heart of a woman is electrically wired differently from men should come as no surprise. The development of every part of the body is determined genetically, and modified by the sex hormones. The heart works through an electrical system that we can measure on the surface with the ECG.

Women Have a Faster Baseline Heart Rate than Men

On an average, women tend to have a faster baseline heart rate than men. This difference is seen in girls, as young as five years old.

Women’s ECG Readings may be Different

Women are more likely than men to be seriously affected by either congenital or acquired QT (a segment in ECG) prolongation which puts them at an increased risk for drug-induced torsades de pointes (a life threatening arrhythmia). The hormone (androgen and estrogen) levels may explain the gender differences in QT interval. Caution to be used in women when prescribing drugs like antibiotics, antifungals, antidepressants, anticonvulsants and antiarrhythmics that can precipitate QT prolongation as a side effect. It is not unusual to find congenital long QT syndrome as a cause of syncope and sudden death in young women.

Differences in abnormal heart rhythms in men and women

Delayed or missed diagnosis of an arrhythmia is a significant problem for women. Often, symptoms can be mistaken for other conditions including panic, stress, and anxiety and are usually not evaluated as cardiac problems.

  • PSVT – a rapid heart rate that originates from upper chamber of heart is more commonly seen in women, completely curable but commonly “missed” diagnosis.
  • Sinus Node Dysfunction – a slow heart rhythm that originates once the main pacemaker of heart becomes diseased, more commonly seen in women but often diagnosed late.
  • Atrial fibrillation - One of the most common irregular heart rhythms in women associated with valvular heart disease and an increased risk for stroke and cardiovascular death as compared to men older than age 75. However, women are less likely to receive anticoagulation and ablation procedures compared to men.
  • Sudden cardiac death (SCD) - It is a sudden, unexpected death caused by loss of heart function. SCD occurs almost as frequently in women as men and is related to about 400,000 deaths per year in women worldwide. It has been seen that while the majority of women who had SCD had no prior history of cardiac disease before death, they had at least one cardiac risk factor (smoking, hypertension or diabetes). Family history also played a role in increased risk if one parent died of heart disease before age 60. The majority of SCD in women was related to an abnormality of the heart rhythm (88%). This reinforces the need for careful screening of heart disease risk factors in women and managing these concerns even without symptoms being present.
  • Paradoxical Scenario-Both men and women have been shown to derive an equal survival benefit from implantable cardioverter defibrillators (ICD) and cardiac resynchronization therapy (CRT) (both devices used in heart failure scenario), although these devices are significantly underutilized in women. Women also appear to have a better response to cardiac resynchronization therapy in terms of reduced numbers of hospitalizations and more robust reverse ventricular remodeling. Electrophysiologists are cardiologists with extensive specialized training in the diagnosis and treatment of heart rhythm problems. Electrophysiology department at Max Healthcare Superspeciality Hospitalthe best heart hospital in Delhi headed by a Women Cardiac Electrophysiologist, Dr Vanita Arora performs over 1000 procedures every year and the program has grown into one of the most experienced lab in the country. We have become the "go to" resource within the field of arrhythmia management and care.

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Be Heart Healthy

April 9, 2014 0 51 1 minute, 36 seconds read

Every 36 seconds, one person dies from heart disease. Therefore, it's imperative to learn all you can about heart health. What causes a heart attack? It occurs when the blood flow to a part of the heart is blocked, often by a blood clot.

This happens because coronary arteries that supply the heart with blood slowly become thicker and harder from a build-up of fat, cholesterol and other substances called plaque.

If the plaque breaks open and a blood clot is formed that blocks the blood flow, a heart attack occurs. Here are some of the symptoms of a heart attack: Uncomfortable pressure, squeezing, or pain in the centre of your chest. It lasts more than a few minutes, or goes away and comes back.Pain or discomfort in one or both arms, your back, neck, jaw or stomach Shortness of breath with or without chest discomfort You or someone you know has chest discomfort, especially with one or more of the above signs, don't wait more than five minutes before calling for help. Call the emergency medical services (EMS) in your area or get to a hospital immediately. Check out the best heart hospital in Delhi.

How can I recover from it? You may only be in the hospital for a few days but your recovery involves making changes in your daily life. Start by modifying your lifestyle to reduce your risk of having another heart attack.

Don't smoke, and avoid inhaling second hand smoke as well Maintain a healthy diet that's low in saturated fat, trans fat, cholesterol and salt Exercise at least 30 minutes on most or all days of the week. Aim to keep your weight in the normal range Take your medicines as prescribed and control your blood sugar if you have diabetes Talk with your doctor about what physical activity you should be indulging in and avoiding altogether Joining a cardiac rehabilitation programme can help too.

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HEART ATTACK IN THE TIMES OF COVID

May 15, 2020 0 4 minutes, 6 seconds read

World over ,  fewer patients with heart attack are being seen in the emergency . Decrease in disease due to reduction of pollution , reduced stress by staying at home  ,  decrease in eating out  etc is wishful thinking . There may be some reduction but more likely patients are not reporting to  hospitals for treatment and the number of sudden deaths is increasing . 

 Heart Attack occurs when the blood flow to the heart muscle is cut off by the formation of a clot , usually on an underlying cholesterol deposit (plaque ) . With every passing minute , the heart muscle gets progressively injured , and may get permanently damaged if the flow is not restored . 

Symptoms are usually pain  is in the center of the chest , more like pressure , radiates to arms , jaw , neck , back , may be associated with profuse sweating and a sense of doom . It may be milder , feeling like gas, or a cervical pain , may come and go and then become constant , progressively increasing , at times becoming unbearable . The patient just knows that there is something really wrong .

In the presence of chest discomfort , ECG is the first test done , there are changes called ST Elevation – that are diagnostic of blockage of a heart artery. These changes in a clinical context are adequate to diagnose a heart attack 

Chest discomfort that comes and goes , with ECG changes suggestive of heart attack , usually is investigated further  with 2 tests : troponin I and ECHO .

Troponin I is a blood test that indicates injury to heart muscle – it is a very sensitive test – is abnormal 4 – 6 hours after the onset of discomfort . 

ECHO is a ultrasound of the heart – if a part of the heart is not contracting strong enough or the heart is weak – it is visible . These defects develop after injury to the heart . The presence of a normal ECHO does not rule out underlying heart problem.

If a patient has STEMI or acute heart attack – the standard of care is to shift the patient to the cath lab as fast as possible , the  Cardiologist does a procedure to open the artery , usually by placing a stent , after giving blood thinner. Restoration of blood flow  stops the heart attack and the heart starts healing . Recovery of the heart is slow if there have been delays in reaching hospital  and delivery of care . Care is a team or Institution based process – where the emergency , Cardiologist , Post procedure  CCU care are all done in an integrated seamless manner . Coordination between all team members is essential for each patient to get the best care . With optimal process of care the mortality after suffering heart attack has reduced from 20% in the 1980’s to 4-5% these days .

In the COVID -19 pandemic , fear has overtaken all – patients and healthcare workers . This fear is more from lack of understanding . As we care for patients with COVID infection , and we learn from others doing the same world over , we realize that this epidemic will take its time to settle . We all have to learn to take precautions : they are universal .

These precautions work if done together – Hand Hygiene , Screening , Distancing and use of Masks . Each sounds small but put together , by each one of us , the effect is huge  : A chain is as strong as its weakest link ! 

At Max , if a patient comes in with Chest pain suggestive of a heart attack , and the ECG shows changes that require an immediate procedure , CODE STEMI is activated – the cath lab is prepared , the Interventional Cardiologist , technical staff and nurses are ready – while the emergency team prepares the patient and shifts to the Cath lab – usually within 15 minutes and the procedure is performed . In the COVID Times – universal precautions are taken , so you will find all of us working with PPE kits . After the procedure , the patient will be shifted to the CCU and observed for 48 – 72 hours till recovery and mobilization before discharge. If there is any index of suspicion , COVID testing will be done . To prevent spread of infection in the hospital , knowing that some patients are asymptomatic carriers , we are inclined to  COVID testing   more liberally although ICMR does not mandate the test . 

In the last month , we have seen 40% decrease in number of patients with acute heart attack as compared to April last year . A majority of patients , particularly elderly women , have come in 24 – 48 hours after onset of heart attack – they fear putting their loved ones to risk of acquiring infection and suffer till it is unbearable . Unfortunately these delays translate to poor outcomes. 

It is my humble request , if you are not well and need hospital care – please do not delay – it is painful to see patients with treatable disease die from delays in care . Please do not fear the emergency or worry about un necessary isolation – we will take precautions to keep healthcare workers and patients safe as we continue to do what we can –  serve and take care of patients 

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Are Heart Patients at higher risk of COVID 19?

May 15, 2020 0 1 minute, 52 seconds read

Coronavirus has everyone's attention. Everyone is being cautious and people with heart diseases have reasons to be morecautious.Individuals who are above 65 with hypertension, diabetes or are suffering from any heart related illnesses, the concern is serious as they may develop more severe and rapid symptoms.
The virus could affect heart disease patients in several ways like causing ischaemia, myocarditis, arrhythmias and sudden cardiac arrest.

Any individual can contact the virus in the same manner, i.e., via droplets in the air from an infected person coughing, sneezing, talkingor via touching contaminated surfaces.
It directly infects the lungs, as a result of which there occurs a fall in the blood oxygen level. The inflammatory effect of the virus can cause the blood pressure to drop. In such cases, the heart must beat faster and harder, to supply oxygen to major organs.
During this scenario, people with existing heart problems where pumping of the heart is inefficient, this virus can cause a severeand rapid deterioration.  

People with chronic medical conditions and existing heart issues may also have a less robust immune system and their body’s immune response may not be as strong when exposed to coronavirus.
The people who have fat/cholesterolbuildup in their arteries, also known as plaques, may also be at risk from this virus. Research indicates that viral illnesses may destabilize these plaques, possibly contributing to blockage of artery supplying blood into the heart, thus putting patients at risk of heart attack. 

One challenge that heart specialists may face is that previous viruses that affected the society at large, such as SARS, MERS offered more insights as compared to Coronavirus, for which information is changing almost every hour.These earlier viruses were also linked to problems such as inflammation of the heart muscle, heart attack and rapid-onset heart failure. 

There are no special protocols for higher-risk cardiac patients, except for being more careful in protecting themselves by staying at home, maintaining social distance,washing hands regularly, keeping surfaces clean.
In addition to these recommendations, it is extremely important to do exercise (can practice breathing exercise at home), yoga, meditation, get enough sleep, manage stress, and eat a balanced diet. These healthy habits will help to bolster the immune system in the longer term.

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My heart tests are normal- Am I immune from heart attack?

March 2, 2020 0 2 minutes, 14 seconds read

A forty-five year old CEO of a start-up came to emergency room with sudden chest pain. He was having a heart attack.

When this was revealed to his wife, she was exasperated “How can this happen? Only ten days back he had complete heart check-up at another hospital and he was told everything was fine!”, you can see all these reports in my mobile.”

She was right, his basic check-up including a cardiac stress test were normal then. However, now his angiography showed 100% blockage in one of the main arteries of his heart, which required placing a stent to save heart and life.

The question arises: Does normal stress test for heart (TMT/Stress echo/ Stress Thallium) gives you immunity from heart attack?

The answer is NO!

So what is the utility of these tests?

The vessels which supply blood to the heart may have cholesterol deposits within their walls. This process is called atherosclerosis, and leads to narrowing of the vessels. Unless the vessel is narrowed more than 70%, it does not severely affect the functioning of heart. A regular heart check-up including a stress test would not pick up heart vessel narrowing if it is not severe enough to limit the blood supply to heart muscles. Even a stress test may remain normal. A heart attack, as opposed to angina, is due to a sudden, complete blockage of a blood vessel of the heart. This catastrophic phenomenon, unfortunately, can happen with any degree of narrowing over a period of few hours to result in heart attack. This is due to the fat deposits in the vessel wall rupturing inside the vessel, suddenly clogging it up. While various tests may help us in stratifying the risk of heart disease, there is no way to accurately predict when these fat deposits may destabilize and rupture. Therefore, adequate lifestyle modification and adherence to advised medications is of utmost importance.

  • Diet – Should have more vegetables, fruits & avoid trans fat
  • Proper control of blood pressure & diabetes
  • No to tobacco (any form)
  • Regular physical exercise
  • Control over Cholesterol
  • Reduce stress

It is also of equally essential to identify the symptoms of heart attack at the earliest and seek timely medical assistance. The damage to the heart muscles increases drastically as time passes, and can soon become irreversible. Unfortunately, the symptoms can often be subtle or confusing, leading to a delay in seeking medical assistance.

With the near-ubiquitous penetration of smart phones in the general population, a mobile app can help disseminate information as well as preliminary assessment of suspicious symptoms.

While these can in no way replace a doctor’s assessment, they definitely can facilitate patients to seek early medical attention.

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How to take care of your Heart in winter

December 27, 2019 0 1 minute, 51 seconds read

How to take care of your Heart in winter

As temperatures start to fall, your risk of a heart attack begins to climb. "Cold weather sometimes creates a perfect storm of risk factors for cardiovascular problems,"

Many of these risks stem from a "mismatch between oxygen supply and demand." Cold weather can decrease the supply of oxygen-rich blood to your heart muscle. And it can put you in situations that force your heart to work harder; as a result, your heart demands more oxygen-rich blood.

Risk: Overexertion

Winter sometimes causes us to overexert. We walk briskly against a strong wind, shovel the driveway, push a car. Exertion increases the heart's demand for oxygen. "If there's a blockage in a heart artery that reduces blood flow to the heart muscle, supply may not be sufficient to meet the demand," Many of us have blockages we don't know about.

Solution:

You may change the time of your morning walk or even miss a few days at the peak of the cold wave.

Indoor exercise options may be adopted so that you don't miss exercise altogether If you do head out, cover exposed parts with cap, muffler and jacket before heading out. Sudden changes of temperature are bad, bout of sneezing is the least dangerous outcome, it may also cause arteries of the heart to clamp down, reducing blood supply to the heat and increasing chances of a heart attack.

Extreme cold also makes us prone to sinus and chest infection. Especially in elderly. These infections can be dangerous for the heart. Getting a flu shot at start of winter is recommended for elderly. It is still not too late, so elderly heart patients are advised to contact their doctors for the flu shot.

Winter is time for indoor parties with lots of good food and alcohol.  Despite what you may think, this combo also may cause skin vessels to dilate. So excess heat sensation and low BP may occur, besides abnormal heart rhythms.

So eat and drink sparingly at winter parties, cover yourself well when heading out, and remember that the fine for drunk driving is very steep.

Enjoy the winter in a healthy manner.

I wish you all a Happy New Year.

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Dr. Adil Rizvi

Dr. Adil Rizvi
Principal Consultant
Dr. Adil Rizvi
Memberships: 
  • Delhi Medical Council
  • Indian Association of Cardiovascular Thoracic Surgeon
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • HOD Cardio Thoracic and Vascular Surgery, PSRI Hospital, New Delhi (Dec’17- Nov’19)
  • Chief- Cardio Thoracic and Vascular Surgery, Asian Institute of Medical Sciences, Faridabad (Apr’16 – Dec’17)
  • ​Consultant Cardio Thoracic Surgery at Fortis Escorts Heart Institute Okhla New Delhi (Jan’10-Apr’16 )
     
Education & Training: 
  • M.Ch -Cardiothoracic and Vascular Surgery,AIIMS
  • MS-Jawaharlal Nehru Medical College, Aligarh
  • MBBS- Jawaharlal Nehru Medical College, Aligarh
     
Speciality Interest: 
  • Coronary Artery Bypass Surgery
  • Valvular Heart Surgery
  • Cardiac Transplant
  • Minimally invasive and Robotic surgery
  • Univentricular Heart Repair
  • Surgery For Complex Congenital Heart Disease.
  • Extra corporeal life support.
  • Surgery for Aortic Aneurysms.
  • Surgery for Aortic dissection.
  • Surgery for Aorto occlusive disease.
  • Vascular reconstruction procedures.
  • Myocardial Preservation
  • Cerebral Protection During Cardiopulmonary Bypass
  • Cardiovascular exercise physiology and cardiac rehabilitation
Duration Of OPD: 

 Max Super Specialty Hospital, Patparganj

  • Mon, Tue & Fri : 11 AM to 1 PM & 02 PM to 5 PM
  • Wed & Sat : 2 PM to 5 PM
  • Thu : 11 AM to 1 PM

Dr. Brajesh Kumar Mishra

Dr. Brajesh Kumar Mishra
Principal Consultant
Dr. Brajesh Kumar Mishra - Max Hospital
Memberships: 
  • Life Member, Indian Heart Rhythm Society
  • AFESC, European Society of Cardiology
  • APHRS Asia Pacific Heart Rhythm Society
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PROFESSIONAL JOURNEY

Work Experience: 
  • Associate Consultant, Medanta - The Medicity, April 2011 to May 2015
  • Consultant, Medanta - The Medicity, June 2015 to July 2017
  • Senior Consultant, B Narayana Hospital, August 2017 to April 2018
  • Senior Consultant, Medanta - The Medicity, April 2017 to November 2019
     
Education & Training: 
  • M.B.B.S, JLNMCH 1999
  • MD(Medicine), PMCH, 2003
  • DNB (Cardiology), National Board of Examination, 2011
  • Cardiac EP Fellowship, Medanta - The Medicity, 2013
     
Awards Information: 
  • Incremental value of myocardial perfusion imaging in Asymptomatic Type II Diabetes, 2009
  • Cardiac Complication of Acute Rheumatic Fever, 2011
  • Cytoprotection of Ischemic Myocardium, CSI 2009
  • Evaluation of Syncope in emergency, 2017  JP bothers
     
Duration Of OPD: 

   Max Super Speciality Hospital, Saket

  • Mon: 9.00am – 1.00am 
  • Tue: 9.00am – 10.00am, 12.00pm – 5.00pm 
  • Wed: 3.00pm – 5.00pm 
  • Thur: 9.00am – 10.00am, 12.00pm – 5.00pm
  • Fri: 3.00pm – 5.00pm
  • Sat: 9.00am – 10.00am, 12.00pm – 5.00pm

Dr. Vijay Kumar Chopra

Dr. Vijay Kumar Chopra
Senior Director
Dr. Vijay Kumar Chopra - Max Hospital
Memberships: 
  • Life Member CSI – National and Delhi Branch
  • Fellow, CSI
  • Fellow, ACC
  • Fellow, ESC
  • Fellow, ESC Heart Failure Association
  • Board of Governors, Heart Failure Association of India
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PROFESSIONAL JOURNEY

Work Experience: 
  • PGI, Chandigarh, Jr. Resident (Medicine), 1973 -1974
  • PGI, Chandigarh, Resident (General Medicine), 1974 - 1976
  • PGI, Chandigarh, Sr. Resident (Dept. of Medicine), 1976 - 1977
  • PGI, Chandigarh, Sr. Resident (Cardiology), 1977 - 1979
  • Ganga Ram Hospital, New Delhi, Sr. Consultant – Cardiology, 1979 - 2005
  • Escorts Heart Institute and Research Centre, New Delhi, Principal Consultant (Cardiology) 2005 - 2009
  • Medanta – The Medicity, Gurgaon, Director (Heart Failure Program), 2009 - 2019
     
Education & Training: 
  • MBBS, 1972
  • MD (Medicine), 1976
  • DM (Cardiology), 1979
     
Awards Information: 
  • International Scholar, Cleveland Clinic
  • Founder President – Heart Failure Association of India 2013
     
Duration Of OPD: 

  Max Super Speciality Hospital, Saket

  • Mon: 5.00pm – 7.00pm
  • Tue: 5.00pm – 7.00pm
  • Wed: 9.00am – 12.00pm, 5.00pm – 7.00pm
  • Thur: 5.00pm – 7.00pm
  • Fri: 9.00am – 12.00pm, 5.00pm – 7.00pm
  • Sat: 5.00pm – 7.00pm
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