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Max Super Speciality Hospital, Saket
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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

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.

Dr. Balbir Singh

  • President of Delhi CSI at present.
  • Former president of IHRS
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Work Experience: 
  • Medanta -The Medicity, Chairman, Cardiology & Electrophysiology (2009 to 2019).
  • Apollo Hospital, Senior Consultant (2007 to 2009).
  • Fortis Heart Institute & Research Center, Principal Consultant (December 2004 to April 2007).
  • Batra Hospital, Senior Consultant (1998 to 2004).
  • AIIMS, Senior Professor (1993 to 1997)
Education & Training: 
  • MBBS, Maulana Azad Medical College, Delhi, 1983
  • MD, Internal Medicine, Maulana Azad Medical College, Delhi, 1987
  • DM, Cardiology, Govind Ballabh Pant Hospital, New Delhi, 1992
  • Fellowship, American College of Cardiology, USA, 2005
Awards Information: 
  • Padamshree 2007
  • Best operator at India Live 2016
  • Golden Hand Award at AICT Singapore 2012
  • Best late breaking trail at APHRS Talwan 2018
Duration Of OPD: 

       Max Super Speciality Hospital, Saket

  • Mon – Sat: 10.00am – 12.00pm, 2.00pm – 4.00pm

       Max Super Speciality Hospital, Patparganj

  • 4th saturday Every Month : 9:00 AM to 12:00 PM

Dr. Mohammad Mubeen

Dr. Mohammad Mubeen
Associate Director
Mohammad Mubeen
  • Indian Association of Cardio Thoracic Surgery
  • European Association of Cardio Thoracic Surgery
  • Asian Society of Cardio Thoracic Surgery
  • Cardiological Society of India
  • Society of Thoracic Surgeons
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Work Experience: 
  • Over a time span of 20 years & involving more than 8000 Cardiac Surgical procedures in some of the best institutions of India including:-
  • Indraprastha Apollo Hospitals (1996-2000)
  • Delhi Heart & Lung Institute (2003-2008)
  • Alchemist Hospital (2008-2010)
  • Delhi Heart & Lung Institute (2010-2018)
  • Venkateshwara Hospital, Dwarka (2018-2019)
Education & Training: 
  • MBBS - King George’s Medical College, Lucknow, 1992
  • MS (General Surgery)- GSVM, Kanpur, 1996
  • MCh (CTVS )- SGPGI, Lucknow-  2003
Awards Information: 
  • 8000+ Surgeries done
  • Special  training for surgery for end stage heart diseases including LVAD, Cardio Pulmonary Transplantation and
  • Stem Cell/Laser Therapy for failing heart.
Speciality Interest: 
  • Anaortic Total Arterial Off Pump CABG
  • Minimally Invasive Cardiac Surgeries
  • Advanced Aortic Surgeries
  • Heart Failure Surgeries
  • REDO/Complex Valve Surgeries
Duration Of OPD: 

       Max Hospital, Shalimar Bagh

  • Tuesday, Thursday, Saturday : 2pm – 4pm, OPD E, Room No.2

Dr. Vishal Agarwal

Dr. Vishal Agarwal
Associate Director
Dr. Vishal Agarwal - Max Hospital
  • IACTVS - Life Time Member
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Work Experience: 
  • Additional Director & HOD- CTVS, at Fortis Escorts, Faridabad(2018-2019)
  • Director- CTVS at Aakash Healthcare Private Limited, Dwarka (2018)
  • HOD- CTVS at Paras Hospital, Gurgaon (2012 – 2017)
  • Ex- Medical Director, HOD- CTVS at Gangasheel Advanced Super
  • Speciality Hospital, Bareilly (2008 – 2012)
  • Senior Consultant at Yashoda Super Speciality Hospital,​ Ghaziabad (2009)
  • Consultant - Sigma Group of Hospitals, Hyderabad (2008)
Education & Training: 
  • MBBS – Aurangabad University (1998)
  • MS (General Surgery) –  Aurangabad University (2003, Gold Medalist)
  • Mch. (CTVS) – G.S.V.M Medical College, Kanpur (2008)
Awards Information: 
  • Performed and started Open Heart Surgery Programme (OPCABG) at Yashoda Super Speciality Hospital, Ghaziabad
  • Performed first Bentall procedure with CABG of Pan Paras Group
  • Operated first case of ROSS Procedure at Pan Paras Group
  • Operated total Intra Cardiac Repair of Complex CHD, Cor-Triatriatum with Ostium Primum ASD with severe MR with LSVC draining into LA
  • Endo-Vascular Abdominal Aorta Stenting for dissection of descending aorta
  • Performed 1st TAR-OPCAB, repair of RSOV, total ICR in DCRV with inlet VSD of Western (U.P.)
  • Performed first composite CABG with AVR in Western (U.P.)
  • Performed and started programme of Awake Open Heart Surgery in Western (U.P.)
  • Performed first Paediatric Open Heart Surgery with On Table Extubation under ultra fast extubation procedure
  • Performed India’s first case out of the total 11 cases, in the world, of QAV + Severe AR + Anamalous RCA
  • Got the privilege in making Paras the 3rd Center in North India to perform Cardiac Surgery at satellite center in vicinity like Columbia Asia Hospital, Gurgaon, QRG Hospital, Faridabad, Rama Medical
  • College, Hapur, KME Hospitals, Meerut and Gangasheel Hospital, Bareilly
  • Beating Heart CABG performed on a patient with 13-15% ejection fractio
Speciality Interest: 
  • TAR-OPCAB (Total Arterial Revascularization Beating Heart Surgery)
Duration Of OPD: 

       Max Super Speciality Hospital, Vaishali

  • Mon, Wed, Fri : 11am – 2 pm

Valvular Heart Disease

July 15, 2019 0 3 minutes, 9 seconds read

Valvular heart disease refers to and is characterised by damage to or a defect in one of the four heart valves –mitral, aortic, pulmonary and tricuspid. The disease may be from birth (congenital) or develops in later part of life (acquired). Valves are placed between chambers and vessels to maintain unidirectional flows of blood.

One of the most common valvular heart diseases to effect individuals in our country is an aftermath of rheumatic fever. Rheumatic valvular heart disease is the commonest valvular involvements.

Mitral valve is between left atrium and left ventricle. Aortic valve is between left ventricle and aorta. Whereas tricuspid valve is between right atrium and right ventricle and pulmonary valve is between right ventricle and pulmonary artery.

Commonest acquired valve affliction is to the mitral and aortic valves. The valve may become narrowed (stenosis) or it may start leaking back (regurgitation).

Common causes of diseases are:-

  1. Rheumatic fever – usually during the childhood one may have fever and joint pains. This also affect the heart and with repeated episodes of sore throat, joint pain and fever. Valves get damaged further till a critical stenosis or regurgitation occurs.
  2. Degeneration of valve due to age, high blood pressure or atherosclerosis
  3.  Infection of the inner lining of muscles and valve lead to severe valve damage. (infective endocarditic)
  4. Other rare conditions like carcinoid, rheumatoid arthritis, systemic lupus erthye matous , syphilis etc can causes various valve problems.
  5.  It may be a part of systemic disorder, like Marfan’s syndrome, osteogenesis  imperfecta.

Major symptoms of heart valve damage are-

  • Breathlessness - Severity becomes more and more over years.
  • Palpitations and chest pain.
  • General fatigue
  • Dizziness , fainting
  • Unexplained fever may occur


Usually diagnosis of a person with valve diseases can be made by doctor’s examination, chest x-ray; ECG Echocardiography usually is able to tell us the exact diagnosis and severity of the disease.

Once the diagnosis of critical valve disease is made treatment is planned according to the lesion and valve diseased. Early disease can be managed for some time with medicines. However it is important that proper surgical interventation should be done in time so that maximum benefit occurs.

Mitral stenosis- If the valve is pliable a balloon mitral valvotomy gives the patient relief. It is simple and patient gets well. If the valve is bad and calcific it requires replacement

Aortic stenosis- Most of the aortic stenosis occurs due to calcifications and fusion of the valve. Majority of these valves requires replacement.

Mitral and aortic regurgitations the patients tolerate for quite some time. Interference in the form of valve replacement becomes necessary if symptoms became more or the heart enlarges to critical levels.

Valve replacement and repair are done routinely with less than 1% mortality in routine cases.

Type of valves –

Valves can be broadly classified into mechanical and biological valves.

Mechanical valves are made of titanium and pyrolite carbon. It is quite strong and is made to last patient’s life time. After valve replacement with a mechanical valve, blood thinners have to be taken lifelong. It is preferred in younger patients.

Biological valve are made up of animal tissue. It has duration of 15-20 years hence it is preferred to be used in patients around 60 years of age. The patient does not have to take blood thinners with this valve.

Catheter based aortic valve replacement have became a reality. It is used in elderly patients who are relatively unfit for routine surgery.

After surgery it is also important that care for the valve should be meticulously done. Proper oral hygiene to prevent any oral infection should not develop skin or lung infections. Any other minor surgical procedure should be properly covered with higher antibiotics.

Valve replacement is a good procedure and patient can have a comfortable life if proper care is taken.

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The Virgin Field of Cardiac Electrophysiology for Indian Women

May 16, 2019 0 5 minutes, 24 seconds read

Women Electrophysiologists are Female cardiologists who study and treat the electrical disturbances of the heart. Out of around 150 heart rhythm specialists in the country, she stands as the first women electrophysiologist  of the country and practices at Max Healthcare Superspeciality Hospital as the Director of Cardiac Electrophysiology department.

Though the road to becoming an electrophysiologist is a long one – 12 to 13 years of training, compared to seven or eight for other areas of medicine –Electrophysiology encompasses a lot of intellect, eye of a hawk, patience, hard work and being a physician provided two important things– meaningful one-on-one interactions with patients to help them and the ability to accept and treat challenging patients.

“While this highlights how challenging this field is, it at the same time brings to fore the ample opportunities the discipline offers to women medical practitioners and students”, writes Dr Vanita Arora, Director & Head, Cardiac Electrophysiology Lab and Arrhythmia Services, Max Hospital, Saket.

She is one of the few women in Asia Pacific in this field and her research also focuses on arrhythmias and heart failure in women. She wants to uncover what makes “women different from men” when it comes to fast, slow or otherwise abnormal heart rhythms that can lead to fainting, cardiac arrest and, in the worst cases, death. Though some research does exist, it isn’t a well studied area.

There is some new data on the influence of gender on potentially life-threatening arrhythmias that originate in the lower chambers of the heart, or the ventricles. Such events, known as ventricular tachycardia and ventricular fibrillation, usually occur after an individual has suffered a heart attack. It is important to focus on cardiac arrhythmias in women because women live longer than men.

Heart Beat and Rhythm Differences Between Women and Men

What is a Heart Beat?

The human heart beats roughly 100,000 times a day, pumping blood through its chambers to the rest of the body. Over a lifetime, that corresponds to more than 2.5 billion heartbeats. A heartbeat is triggered by an electrical impulse that signals the heart's chambers to contract at the proper time.
Many people, however, have abnormal heart rhythms resulting in abnormally fast or abnormally slow heartbeats called arrhythmias. Fortunately, due to treatment advances, we are able to effectively treat most cardiac rhythm disturbances.

What are symptoms of Arrhythmias?

Some of the more noticeable symptoms include fainting, dizziness, sensation of light-headedness, sensation of heart fluttering, sensation of a missed or extra heart beat, weakness, fatigue, shortness-of-breath, chest pain, fainting episodes and an intolerance for activity.

It is important to note that not all arrhythmias have symptoms.

Why Women are Different from Men at Heart -Even Electrically

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.
Physicians should use caution in women when prescribing any drug including antibiotics, antifungals, antidepressants, and antiarrhythmics, that can further prolong or 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

PSVT – a rapid heart rate that originates from upper chamber of heart.

Sinus Node Dysfunction (also called sick sinus syndrome) – a slow or irregular heart rhythm that originates once the main pacemaker of heart becomes slow.

Atrial fibrillation (AF)-
One of the most common irregular heart rhythms. Women are more likely to have AF associated with valvular heart disease and an increased risk for stroke and cardiovascular death as compared to men in older than age 75. However, women are less likely to receive anticoagulation and ablation procedures compared to men.

Sudden cardiac death -
As the name suggests is a sudden, unexpected death caused by loss of heart function. Sudden cardiac death (SCD) occurs less frequently in women, but is still 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 cardiovascular 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.

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.

Electrophysiologists are cardiologists with extensive specialized training in the diagnosis and treatment of heart rhythm problems. Electrophysiology department at Max Healthcare Superspeciality Hospital, New 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.

Snippet :-

Paradoxical Scenario
Both men and women have been shown to derive an equal survival benefit from ICD implantable cardioverter defibrillators (shocking device) and CRT cardiac resynchronization therapy (heart failure device), 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 resulting in improvement of heart function and hence improvement in quality and quantity of life. But in India like others sheres of life Women though are the pillar of family but not given their due and do not receive this Device. 

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Heart Attack in Women

April 10, 2019 0 2 minutes, 39 seconds read

Medical research in women has traditionally had a “bikini approach” i.e. focused on the disease of the breast and reproductive system. Heart attack was considered to be a man’s disease. Ironically, heart disease kills more women than breast cancer. The incidence of heart disease increases sharply after menopause, heart attacks are increasingly been seen in young women. Women don’t realize that heart attacks could happen to them.

Heart attacks happen when one of the main arteries of the heart gets blocked causing the heart muscle to die. Cholesterol deposits in the arteries may break open and form a blood clot that blocks flow. Women tend to have blockages not only in the main arteries but also in the smaller arteries of the heart – coronary microvascular disease. Rarely heart attacks occur from a tear in the artery (Spontaneous Coronary Artery Dissection), particularly in young women with no traditional risk factors. Cardiac arrest happens when the heart stops completely from a dangerous rhythm, causes a person to pass out and external shock (defibrillation) is required to jump-start the heart. Time is everything in a heart attack.

Women are more likely to have less obvious symptoms.  There may be an uncomfortable pressure, squeezing, fullness, and discomfort in the center of the chest that may radiate to one or both arms, back, neck, jaws or stomach. It may be accompanied by shortness of breath, weakness, fatigue, profuse cold sweats, restlessness, indigestion. Sometimes it is hard to recognize the heart attack as it happens – you know something is wrong, but not what, and is unable to think clearly. The discomfort may settle for some time and come back as suddenly as it did with more severity. Diabetics and the elderly can have a heart attack without chest discomfort. Women typically downplay their symptoms. Women suffering a heart attack take longer than men to ask for help and reach the hospital. 

It is important to seek medical attention if you are experiencing any new or distressing symptom – even if you are unsure whether it is serious or not. 

Who Is At Risk Of Heart Attack?

A heart attack can happen to anyone. Women of all ages should take heart disease seriously. Some factors are associated with increased risk – high blood pressure, high cholesterol, diabetes, obesity, mental stress, depression, smoking, inactivity, and menopause. Pregnancy complications such as high blood pressure or diabetes and inflammatory diseases such as rheumatoid arthritis and lupus increase the risk of heart disease. Radiation and chemotherapy used to treat breast cancer increase cardiac risk. Those with a family history of heart disease need to pay close attention to risk factors.

Can You Prevent Heart Attacks?

Women will do anything for their families and often they leave themselves for last. They need to change their attitude towards health and take care of themselves. The least you can do is live a healthy lifestyle - eat healthily, exercise regularly, maintain healthy weight and fitness. If medications are required to control blood pressure or sugar please take them regularly and in the optimum doses to achieve good control. Social support, optimism, strong family ties, and good friends help navigate illness and life better.

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Dr. Vivek Kumar

  • Life member CSI
  • Life member Delhi CSI
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Work Experience: 
  • 7 years post DM - Cardiology
  • Previously worked as Junior Consultant, Delhi Heart Lung Institute, New Delhi
  • Worked as Associate Consultant, MSSH, Saket, New Delhi
  • Experience in non-interventional cardiology
  • Experience in procedures –
  • Trans radial angiography and angioplasty
  • Complex angioplasties including rotablation 
  • Balloon mitral valvoplasty 
  • Peripheral angiography & peripheral angioplasty
  • IVC filter placement
  • IABP
  • Temporary pacemaker implantation & permanent pacemaker implantation including ICD and CRTD implantation
  • EPS
  • Structural Heart Intervention – TAVR & MITRA clip
Education & Training: 
  • M.B.B.S. - Completed in 2006, Nmch, Patna
  • Awarded Gold medal for being over all topper in final year 
  • MD (MEDICINE) - Completed in 2009, Institute of medical sciences, Banaras Hindu University, Varanasi
  • DM (CARDIOLOGY) - Completed in 2012, Institute of medical sciences, Banaras Hindu University, Varanasi
  • International Preceptorship in Structural heart intervention – TAVR & MITRA clip - Cleveland Clinic, Ohio, USA
Duration Of OPD: 

   Max Multi Speciality Centre, Panchsheel Park

  • Mon, Tues & Wed: 10-12 PM

   Max Super Speciality Hospital, Saket

  • Friday 4PM to 6PM

Dr. Ashok K. Gupta

Dr. Ashok K. Gupta
Senior Consultant-Cardiothoracic Surgery
Heart specialist in Delhi, India - Ashok K. Gupta
  • Life member of Indian Association of Cardiothoracic Surgeons
  • Life member of  society for Heart failure  & Transplant
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Biographical Sketch: 

Dr.Ashok K Gupta is having 20 years of experience in managing complex cardiovascular and thoracic surgeries. His area of expertise are CABG, Beating Heart CABG, Total Atrial Bypass, Complex CABG and many more. He is a life member of Indian Association of Cardio Thoracic Surgeons.


Education & Training: 
  • MBBS
  • MS (Gen Surgery)
Awards Information: 
  • Done over 5000 Cardiac procedures including total Arterial bypass, Minimally invasive surgeries and Thoracic surgeries
Speciality Interest: 
  • CABG
  • Beating heart CABG
  • Total arterial bypass
  • CABG in poor LV function
  • Complex CABG
  • Mitral Valve repair
  • Minimally invasive Valve replacement
  • Bentall's Procedure
  • Minimally Invasive Surgeries
  • Heart Failure Surgery like heart transplant ECMO and LVAD
Duration Of OPD: 

   Max Super Speciality Hospital, Saket

  • Mon to Fri :- 9 AM to 12 PM

   Max Hospital, Gurgaon

  • Mon, Wed, Fri :- 3 PM to 5 PM
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