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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
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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

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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.

Indian Youth in the radar of heart diseases due to diabetes

November 14, 2018 0 3 minutes, 16 seconds read

Diabetes is caused when the blood glucose levels in the body is higher than normal. Body breaks the food into glucose and carries it to all the cells of the body which is converted to energy using insulin (hormone). There are two types of diabetes namely Type 1 – when body doesn’t make enough insulin and type 2- when body doesn’t use insulin properly.

The higher the person’s blood sugar level is the higher the chances of developing heart diseases. Compared to people who do not have diabetes, people having diabetes are at an elevated risk of heart disease even at young age.

Diabetes affects heart disease risk in three major ways.

Just like smoking, hypertension and high cholesterol, diabetes itself is a serious risk factor for heart disease. People with T2DM are at same risk of suffering a cardiac arrest or heart attack like those who have history of heart attack.

Diabetes when combined with other risk factors like obesity, overweight and metabolic syndrome causes harmful physical changes to the heart. People with history of cardiac disease treatment like bypass grafting, angioplasty etc tend to have less success if the blood sugar level is uncontrolled.

Diabetes increases the risk of heart diseases as it raises the cholesterol levels in the blood and hardens the arteries, a condition known as atherosclerosis. Moreover, diabetics are overweight which furthermore worsens it and raises the risk to heart diseases.

  • 1. Coronary Heart Disease – with raised cholesterol levels in diabetics, plaque builds up inside the coronary arteries that supplies oxygen rich blood to the heart. This plaque narrows the coronary arteries and reduces the blood flow to the heart muscles and can lead to clot formation. This lead to blockage of blood flow causing chest pain, irregular heartbeats, heart attack and even death.
  • 2. Heart Failure – when the heart is unable to pump blood to meet body’s requirements, it puts load on heart muscles leading to heart failure. This doesn’t mean that the heart has stopped working but its pumping ability has reduced. This is a serious medical condition that can make you easily tired, limit your activities and weaken the heart muscles with time.
  • 3. Cardiomyopathy – this disease damages the structure and functioning of the heart in those who have diabetes. The disease can lead to heart failure and abnormal beat.

What causes heart disease due to diabetes?

  • 1. Atherosclerosis – plaque builds up inside the arteries and progresses with age. Following factors damage the inner layer of the coronary arteries –
    • High Blood Pressure
    • Smoking
    • Uncontrolled diabetes
    • High cholesterol levels in the blood
  • 2. Metabolic Syndrome – a group of risk factors that raises CHD and T2DM
    • Obesity causes changes in body fat and the way body utilizes insulin.
    • Chronic inflammation raises the risk of CHD and heart diseases

Controllable risk factors

  • Unhealthy cholesterol levels in the blood – high levels of LDL and low levels of HDL
  • Hypertension – high levels of blood pressure (above 140/90mm Hg)
  • Smoking – damages and tightens the blood vessels, diminishing the blood supply to all parts of the body.
  • Obesity – leads to diabetes and other heart diseases
  • Lack of physical activity
  • Stress
  • Following an unhealthy diet.

Risk factors that cannot be controlled

  • Age- with increasing age the risk of heart diseases also doubles
  • Gender – at younger age men are more prone to heart diseases than women
  • Family history of heart disease
  • Preeclampsia

How to treat heart disease due to diabetes?

The main goal to treat heart disease due to diabetes includes:

  • Controlling diabetes and high blood pressure & Cholestrol
  • Relieving chest pain and heart disease symptom
  • Preventing or delaying heart disease complications
  • Repairing heart and coronary artery damage

Treatment involves lifestyle changes, medicines and surgical procedures.

1. Lifestyle Changes

  • Follow healthy balanced diet
  • Maintaining a Healthy Weight
  • Being Physically Active
  • Quitting Smoking
  • Managing Stress

2. Medicines

  • Treatment for Heart Failure
  • Blood Sugar Control
  • Blood Pressure Control
  • Cholestrol Control

Controlling blood sugar levels is good for heart health.

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Dr. Vikas Kumar Keshri

Dr. Vikas Kumar Keshri
Senior Consultant – CTVS
Best Cardiologist in Delhi, India - Dr. Vikas Kumar Kesri
Memberships: 
  • Association of Surgeons of India (ASI)
  • Indian Association of Cardiothoracic Surgeons (IACTS)
  • Indian Society of Thoracic Surgeons and Trust (ISTST)
  • Society of Paediatric and Congenital Heart Surgeons (SPCHS)
  • Fellow of American College of Surgeons (ACS, USA)
     

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Biography

Biographical Sketch: 

Dr. Vikas Keshri has been trained in cardiothoracic and vascular surgery at the prestigious All India Institute of Medical Sciences (AIIMS). Over the past eight years, he has been associated with high volume cardiothoracic centres performing complex congenital, aortic, minimally invasive as well as adult cardiac procedures including heart transplant.

PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Resident: All India Institute of Medical Sciences, New Delhi
  • Consultant CTVS: The Mission Hospital, Durgapur (WB)
     
Education & Training: 
  • M. Ch. (CTVS) - All India Institute of Medical Sciences, (AIIMS) New Delhi
  • M. S. (General Surgery) - T. N. Medical College & BYL Nair Ch. Hospital, Mumbai
  • M.B.B.S. - Govt. Kilpauk Medical College, Chennai
Speciality Interest: 
  • Beating heart CABG
  • Valve repair surgery
  • Surgery for congenital heart disease
  • Paediatric heart surgery
  • Minimally invasive cardiac surgery
  • Heart Failure Surgery and Heart Transplant
Duration Of OPD: 

       Max Super Speciality Hospital, Patparganj

  • Mon, Tues, Thurs, Fri , Sat : 2:00pm – 5:00pm
  • Wednesday 12:00pm – 4:00pm

       Max Super Speciality Hospital, Noida

  • Friday- 1pm to 2pm

Dr. Sudhansu Sekhar Parida

Dr. Sudhansu Sekhar Parida
Consultant - Cardiac Sciences
Heart specialist in Delhi, India - Dr Sudhansu Sekhar Parida
Memberships: 
  • Life Member : Cardiology Society Of India
  • Life Member : Delhi Cardiology Society
     

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PROFESSIONAL JOURNEY

Work Experience: 
  • Associate Consultant, RLKC Hospital & Metro Heart Institute (2017-2018)
  • Senior Resident, GB Pant Hospital New Delhi (2016)
     
Education & Training: 
  • MBBS ( VSS Medical College, Orissa)
  • MD Medicine (AIIMS New Delhi)
  • DM Cardiology (GB Pant Hospital New Delhi)
     
Speciality Interest: 
  • Coronary Intervention
  • Structural Cardiac Intervention
  • Peripheral Intervention
  • Pediatric Cardiac Intervention
     
Duration Of OPD: 

   Max Super Speciality Hospital, Shalimar Bagh

  • ​Mon To Sat: 4:00pm To 6:00pm

  Max Multi Speciality Centre, Pitampura

  • Tue-Wed-Thu-Sat : 9AM TO 11 AM

Everything You Should Know About the Types of Heart Attacks

June 1, 2018 0 117 5 minutes, 2 seconds read

Heart diseases are highly common throughout the world; however, the rising figures are a cause for concern. Every heart condition is critical and needs immediate medical intervention.

Heart attacks pose a serious health risk and are always life-threatening. They occur when there is a blockage in the coronary arteries which leads to disruption in blood flow to or from the heart. The blockage can cause permanent damage to the heart.

Medical Dictionary – A heart attack is also known as myocardial infarction.

Types of Heart Attacks

Heart attacks are a form of Acute Coronary Syndrome (ACS). In this syndrome, the arteries carrying the blood to the heart get blocked, leading to a heart attack. Since blood also carries oxygen and nutrients to the rest of the body, a heart attack can stop this supply causing permanent organ damage.

There are five types of heart attacks:

  1. STEMI (ST-segment elevation myocardial infarction)
  2. NSTEMI (non-ST segment myocardial infarction)
  3. Coronary Artery Spasm (also known as ‘Prinzmetal's angina)
  4. Stable Angina
  5. Unstable Angina

Medical Fact – ST segment is a flat section of ECG that represents the interval between ventricular depolarization and repolarization. Heart attack or Myocardial Infarction is the main cause of an abnormality in ST section of the EKG (electrocardiogram) – elevation (STEMI) or depression (NSTEMI).

 

STEMI

An ST-segment elevation myocardial infarction is the most severe type of heart attack in which the coronary artery is completely blocked. The blocked artery prevents blood from reaching a large area of the heart muscle. A STEMI heart attack causes progressive heart damage and requires immediate medical intervention.

Symptoms

  • Sharp pain in the centre of the chest
  • Shortness of breath
  • Nausea
  • Pain in jaw, neck, and arms
  • Anxiety
  • Light-headedness

Treatment

STEMI is a critical situation and requires emergency revascularization – the restoration of blood supply through the blocked artery. The process of revascularization is achieved by either first giving thrombolytics intravenously or conducting a primary angioplasty where a catheter with a balloon is placed inside the blocked artery. The balloon is pushed to open the blocked artery which restores the blood supply. Furthermore, a stent is placed at the site to prevent further blockage.

Medical Dictionary – Thrombolytics are medications that are also known as clot busters as they dissolve the clots in the arteries.

 

NSTEMI

NSTEMI or non-ST segment myocardial infarction is a type of heart attack that does not show any change in the ST segment elevation on the electrocardiogram. In this type, the coronary artery is only partially blocked, and blood flow is severely restricted. Even though these types of heart attacks are less severe than STEMI heart attacks, they can cause permanent damage.

Typically, a coronary angiography shows the degree of blockage in the artery in case of an NSTEMI heart attack. A blood test will confirm elevated levels of troponin – a protein that regulates muscle contraction.

Symptoms

The symptoms of NSTEMI heart attack are similar to that of a STEMI heart attack. However, a person can experience dizziness, sweating and pronounced discomfort in the chest.

Treatment

Cardiologists use a GRACE (Global Registry of Acute Coronary Events) score to determine the extent of risk in a patient. The score uses 8 parameters to calculate risk, including:

  • Heart rate
  • Age
  • Systolic blood pressure
  • ST segment deviation in ECG
  • Serum creatinine level
  • Elevated cardiac maker
  • Killip classification
  • Cardiac arrest at admission

After a thorough evaluation of patient’s present condition, the cardiologist will suggest the right treatment options. The cardiologist will prescribe medications to low-risk patients where the blockage can be controlled and minimized through drugs.

Medical Fact – Killip classification is a system used for patients with acute myocardial infarction. It takes the development of heart failure and physical examination into account to predict and stratify the risk of mortality.

 

Coronary Artery Spasm

Also known as silent heart attacks, coronary artery spasm happens when the artery wall suddenly tightens, which restricts the blood flow to the heart. When the blood flow is restricted due to tightening of muscles, it leads to chest pain. However, when the blood flow is cut altogether, it leads to a heart attack. The symptoms of coronary artery spasm do not cause permanent damage, and this condition may come and go. Furthermore, since there is no blood clot or build-up of plaque in this condition, an angiogram cannot be used to check the arteries for blockages.

Symptoms

The symptoms include:

  • Occasional light chest pain that only occurs during rest and lasts from 5 to 30 minutes
  • A feeling of constriction
  • Chest tightness
  • Pain that spreads from chest to arms, neck or jawbone

Treatment

This type of heart attack can be treated using medications such as calcium channel blockers and nitrates.

Medical Dictionary – Coronary Artery Spasm is also known as prinzmetal angina. Angina is chest pain, tightness or discomfort in the chest.

 

Stable Angina

Angina is a type of chest pain that occurs when blood flow to the heart is reduced. When there is a reduction in blood flow, the heart will not get enough oxygen which can lead to a heart attack.

Stable angina is also known as angina pectoris and is a predictable pattern of chest pain. It occurs gradually and is usually triggered by strenuous activity or emotional stress.

 

Unstable Angina

Another form of angina, unstable angina occurs suddenly and gets worse over time leading to a heart attack. Patients suffering from unstable angina are at a higher risk of getting a heart attack. The most common cause of unstable angina is coronary artery disease due to atherosclerosis – which is the buildup of plaque in the walls of the arteries.

 

A Word from Max Healthcare

Heart attacks can be life-threatening, and people must never overlook any symptoms involving cardiac diseases. If immediate medical attention is provided, most heart conditions are highly treatable. We at Max Healthcare have a dedicated team of cardiologists and cardiac surgeons who specialize in treating all ailments related to the heart like CVDs, congenital heart defects, coronary artery diseases and pulmonary heart failure. Furthermore, our doctors also specialize in treating end-stage heart failure patients. Max Healthcare promotes a healthy and active lifestyle.

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Do You Know About Beating Heart Bypass Surgery?

May 25, 2018 0 156 2 minutes, 54 seconds read

Treating blocked heart arteries through cardiac bypass surgery has been one of the most effective surgical procedures used by the cardiac surgeons. With the advent of medical sciences, the surgery itself has witnessed various transformations in its procedure.

Most of these surgeries are performed traditionally, i.e. by making a 6 to 8-inch incision in the chest while using a heart-lung machine that takes over the function of the heart. However, new procedures like beating heart bypass surgery are also becoming a popular treatment option. Let us know more about this surgery and look at how it has proved to be beneficial in the field of cardiology.

What is a Beating Heart Bypass Surgery?

Also known as off-pump coronary artery bypass, it is a type of surgery performed to treat coronary heart diseases. The main highlight of this cardiac bypass surgery is that it is performed without cardiopulmonary bypass (heart-lung machine). This means that the heart continues to beat while the doctors perform the heart bypass surgery procedure. Surgeons use devices called stabilisers to stabilise the part of the heart needed to be bypassed.

This method was introduced to reduce the complications and side effects that occur after a traditional cardiac bypass surgery. Some of the complications include stroke, temporary memory loss and bleeding among others. Moreover, as per the research, off-pump surgery also reduces recovery time and the need for blood transfusion.

What Happens in Beating Heart Bypass Surgery?

Before the Surgery

To ensure that the patient is an ideal candidate for beating heart bypass surgery, the doctors perform various tests which include chest X-Rays, blood tests, electrocardiogram (ECG) and coronary angiogram. It is only after evaluating the results of these tests that doctors give the go-ahead to beating heart cardiac bypass surgery procedure.

Before the surgery, the patient is also acquainted with the surgery team and given information about the heart bypass surgery procedure. Our team of cardiac surgeons at Max Healthcare understands the concerns and doubts that can arise in a patient’s mind and hence are ever-ready to guide them through the procedure.

During the Surgery

The patient is given general anaesthesia and a breathing tube at the beginning of the surgery. Unlike the traditional cardiac bypass surgery, no heart-lung machine is used, and the heart continues to beat during the procedure. The surgeons make an incision, and the breastbone is divided to access the heart. In case of minimally invasive cardiac surgery, the surgeon makes a small incision.

The surgeons harvest veins or arteries from other parts of the body for grafts. When the surgeons attach the grafts, they use a stabilization device to keep the small section of the heart still. At times, a heart positioner is also used. Once the grafting is done, the surgeons sew the incision together. This surgery may last for about three to six hours depending on the number of arteries that need to be treated.

After the Surgery

Once the surgery is complete, the patient is shifted to the Intensive Care Unit (ICU) for close monitoring and observation. If the doctors find the condition stabilized, they shift the patient to another unit for some time until the discharge. As compared to the traditional cardiac bypass surgery, beating heart bypass surgery leads to a shorter hospital stay.

At the time of discharge, we at Max Healthcare, the best heart hospital in Delhi also guide our patients about the preventive measures and healthy lifestyle changes that can improve their recovery rate effectively. 

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What is Fractional Flow Reserve (FFR)?

May 14, 2018 0 187 5 minutes, 54 seconds read

Coronary artery disease, also known as coronary heart disease, is the most common type of heart disease that affects millions of people worldwide. It is caused by a narrowing or blocking of the arteries due to plaque which restricts blood flow, and reduces the amount of oxygen to the heart. There are several different tools that aid physicians in the treatment of the disease. One traditional tool is a coronary angiogram, which is an X-ray examination of the blood vessels in the heart. Other advanced tools that aid physicians in making the best treatment decisions for their patients are a next-generation imaging technology called Optical Coherence Tomography (OCT) and the measurement of Fractional Flow Reserve (FFR), which provides a more detailed, physiological analysis of blood flow blockages in the heart.

Dr. Naveen Bhamri, Head of Department and Associate Director, Interventional Cardiology, Max Super Speciality Hospital, Shalimar Bagh says, An FFR measurement indicates the severity of blood flow blockages in the coronary arteries and allows physicians to identify which specific lesion or lesions (or blockage causing blood flow restriction) are responsible for a patient’s ischemia (a restriction of blood flow to the heart) and warrant stenting. The landmark FAME family trials are sponsored by St. Jude Medical and include the original FAME Trial, and the FAME II Trial. Both trials have demonstrated that when PressureWire™ measurement technology is used in the treatment of coronary artery disease, patient outcomes are improved.

How is FFR measured? 

Interventional cardiologists use FFR measurement systems, such as PressureWire™ Aeris and PressureWire™ Certus to measure pressure inside the coronary arteries. Measurements are taken by placing the PressureWire across the lesion of interest and inducing a state of maximum blood flow, thereby allowing the physician to determine if the narrowing is tight enough to cause ischemia. FFR is defined as the ratio of maximal blood flow in a stenotic (narrowed) artery to normal maximal flow, expressed as a fraction of the normal blood flow in an artery compared to the maximum achievable blood flow in the same artery.

  •  An FFR measurement of 1.0 indicates an artery with normal blood flow.
  • An FFR measurement above .80 indicates that ischemia is very unlikely, as demonstrated in the FAME study
  • An FFR measurement below .75 is 100 percent specific in identifying that the blood flow blockage caused by the narrowing is responsible for a patient’s ischemia

The Original Fame Trial 

The original FAME (Fractional Flow Reserve (FFR) vs. Angiography in Multivessel Evaluation) Trial compared outcomes of patients whose treatment was guided by FFR to those whose treatment was only guided by angiography using the St. Jude Medical PressureWire Certus technology for FFR measurement. Results from the landmark trial demonstrated improved clinical outcomes in patients with stable coronary artery disease and two or three-vessel disease. The 12-month results published in the New England Journal of Medicine demonstrated that instances of major adverse cardiac events were reduced by 28 percent for patients whose treatment was guided by FFR rather than by standard angiography alone. Two-year results demonstrated that patients who received FFR-guided treatment continued to experience improved outcomes over time, including a 34 % risk reduction in death or heart attack.

THE FAME II TRIAL

The FAME II (FFR Guided Percutaneous Coronary Intervention (PCI) Plus Optimal Medical Treatment vs. Optimal Medical Treatment Alone in Patients with Stable Coronary Artery Disease) Trial examined the role of FFR in the treatment of stable coronary artery disease in one or more vessels. The trial compared clinical outcomes, safety and cost-effectiveness of percutaneous coronary intervention (PCI) guided by FFR plus the best available medical therapy (MT) to MT alone. Trial results published in the New England Journal of Medicine revealed that patients with FFR-guided treatment plus medical therapy experienced superior outcomes to those treated with medical treatment alone. Further, use of the PressureWire technology helped reduce the relative risk of hospital re-admission with urgent revascularization by 86%. In January 2012, enrollment in the St. Jude Medical-sponsored FAME II Trial was halted after an Independent Data Safety Monitoring Board (DSMB) found a highly statistically significant reduction in unplanned hospitalizations and urgent revascularizations in patients enrolled in the PCI plus MT arm of the trial. The DSMB therefore deemed it unethical to continue to randomize patients into the arm of the trial receiving MT alone. Patients already enrolled in the trial continue to be followed, but no additional patients were added.

Importance of PressureWire Technologies

Designed to replicate the performance of standard PCI guidewires, the PressureWire technology is available in both the Aeris and Certus models. In 2012, the next generation of FFR measurement technology, the PressureWire™ Agile Tip, entered the market offering improved responsiveness and steerability for easy handling in difficult anatomies. The PressureWire Agile tip technology also includes a new proprietary hydrophilic coating to reduce friction; making it easier for doctors to deploy stents and coronary balloons. The PressureWire Aeris is a first-of-its-kind wireless FFR system that doesn’t require additional equipment or cabling in the cardiac catheterization laboratory. The system integrates FFR technology directly into a wide array of recording systems to immediately and securely display, measure and save FFR data. PressureWire Aeris also integrates FFR results into a patient’s existing record, allowing the severity of coronary lesions to be documented together with other procedural data and angiographic imagery. The market-leading PressureWire Certus provides an FFR measurement without increasing procedural time. It is the only guidewire on the market to provide a combined measurement of pressure and temperature, which enables calculations of FFR, Coronary Flow Reserve (CFR) and an Index of Microcirculatory Resistance (IMR).

FFR as Standard of Care 

The positive outcomes of the original FAME trial resulted in the level of evidence for FFR to be upgraded to an “A” from a “B” by the American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions. Level of evidence “A” is the highest level available, requiring the most clinical evidence and is awarded only when data is derived from multiple populations and multiple randomized clinical studies or meta-analyses. The benefits of the PressureWire technology were also recognized in guidelines from the European Society of Cardiology/European Association for Cardio-Thoracic Surgery (ESC/EACTS) which included recommendations for the treatment of coronary artery disease that support measuring FFR before deciding to perform PCI or send the patient to surgery.

The ESC guidelines gave FFR the highest recommendation possible: 1A. FFR technologies have demonstrated significant cost savings in various healthcare systems. In each country where an economic analysis was conducted, the PressureWire technology was found to save resources while also improving clinical outcomes by increasing quality-adjusted life years and reducing the number of cardiac events. In the U.S. health care system, there was a difference of about $2,000, or 14 percent, between total health care costs for the FFR-guided cohort and the group treated by angiography alone after one year. In Europe, the savings ranged from between 500€ and 900€ per patient. These lower health care costs were a result of reduced procedural costs, reduced follow-up costs for major adverse cardiac events and shorter hospital stays.

For more information on treatment, you can visit the heart hospital in Delhi.

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What to Expect After a Heart Transplant Surgery?

May 11, 2018 0 129 3 minutes, 0 seconds read

A heart transplant surgery involves replacing a failing or diseased heart with a healthier donor heart. It is a procedure that is ideal for individuals who have tried other surgeries or medications, but their heart conditions have not improved. The chance of survival after this operation is good with the right follow-up care.

After the Procedure

Here is what a heart transplant patient can expect after surgery:

  1. After a heart transplant surgery from one of the finest heart hospitals in Delhi, India, a patient is required to stay in the intensive care unit (ICU). They are moved to a regular hospital room after spending a couple of days in the ICU. The hospital stay lasts for a week or two.
  2. After leaving the hospital, the patient is closely monitored at the outpatient transplant centre by the transplant team. Due to the frequent monitoring sessions, it is best to stay close to the transplant centre for the first three months. The patient is monitored for any symptoms or signs of rejection, like fatigue, weight gain, shortness of breath, fever, or abnormal urination. It is highly crucial to let the transplant team know if the patient notices any of these symptoms.
  3. The patients have several follow-up appointments at the transplant centre which consist of regular tests, such as heart biopsies, blood test, echocardiograms, and electrocardiograms. To know if the patient’s body is rejecting the new heart, they will have frequent heart biopsies in the initial few months after heart transplantation, when rejection is most likely to happen. The frequency of essential biopsies decreases over time.

Heart transplant patients need to make several long-term adjustments after their surgery. These include:

  1. Taking Immunosuppressants

Taking immunosuppressants decrease the immune system’s activity to prevent it from attacking the donated heart. Because the immune system will most likely never entirely accept the new organ, the patient is required to take some of these medications for the rest of their life.

However, there are certain side effects linked to the consumption of immunosuppressants. These medications may lead to weight gain, stomach problems, high blood pressure, high cholesterol, osteoporosis, diabetes, cancer, acne or facial hair.

 

       2. Managing Medications, Therapies and A Lifelong Care Plan

After a heart transplant, taking the medications as the doctor instructs and following a lifelong care plan is essential. The doctor may give patients specific instructions and lifestyle guidelines, like exercising, wearing sunscreen, having a healthy diet,and not using tobacco products. It is important to take medications every day on time, for faster recovery. Also, there needs to be a list maintained that keeps track of all the medications. This proves useful in case of an emergency.

 

       3. Cardiac Rehabilitation

Cardiac rehabilitation programs incorporate exercise and education to help improve health and expedite the recovery process after the transplant. Several staff members trained in cardiac rehabilitation help patients in adjusting to healthy lifestyle changes including regular physical activities and a heart-healthy diet.

 

       4. Emotional Support

The new medical therapies and the stress of having a heart transplant may make patients feel overwhelmed. Several individuals who have had a heart transplant feel anxious about their health and the life ahead. Talking to any of the doctors in heart transplant hospitals helps relieve stress. Moreover, transplant centres often have support groups and other resources to help patients.

 

Results

Depending on their condition, most heart transplant surgery patients may be able to return to many of the day-to-day activities like exercising, work, and participating in hobbies and sports. Most individuals who receive a heart transplant in India enjoy a high quality of life if they get the right follow-up care.

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An Access to the Heart Through Your Hand

April 30, 2018 0 211 4 minutes, 37 seconds read

Coronary artery disease is a condition that causes impaired blood flow in the arteries that supply blood to the heart. It is also known as coronary heart disease (CHD), and if uncontrolled it can lead to a heart attack. It is a common heart condition and also one of the leading causes of death. Hence, it is crucial that coronary artery disease must get diagnosed and treated as early as possible. Seeing a cardiologist in Delhi should be the first step if anyone is suspecting symptoms of coronary artery disease.

Clearing a clogged artery in the heart once required a full-blown operation such as open-heart surgery. However, today interventional procedures can treat coronary artery disease and open up blocked arteries with minimal intervention.

Angiography is a minimally invasive option that is used to see which blood vessel(s) is obstructed and requires repair. Angioplasty, on the other hand, is the method of widening the narrowed arteries after knowing the ones that are blocked.

Typically, angiography is done through the femoral or Leg artery in the groin. A catheter is inserted through this artery to reach the heart and look for blockage. However, it is an old method and has its drawbacks including longer recovery time with the need to lie with leg immobilized and strapped for few hours

What is Radial Artery Intervention?

According to Dr. Gaurav Minocha, Principal Consultant, Max Super Speciality Hospital, Vaishali says, Today angiography and interventions on heart arteries like stenting can be done by accessing radial artery. The radial artery supplies the hand with the blood and is the same artery through which the pulse is felt. Performing angiography through radial artery offers numerous benefits including quick recovery and less bleeding.

The radial artery is present in the wrist and is used as an entry point for the catheter. Cardiologist in Delhi at Max Healthcare performs radial artery intervention by threading a thin catheter through the body’s network of arteries. It is inserted into the radial artery which eventually reaches the heart. This procedure is also known as transradial access or the transradial approach.

The rationale behind Radial Artery Intervention

Reaching the heart through radial artery as opposed to femoral artery has its benefits. The hand has dual arterial supply from radial and ulnar arteries. Together, they form deep and superficial palmar arches. It means the radial artery is not an end artery. It is supported by the ulnar artery which gives the required collateral blood supply. Any occlusion when carrying out radial artery intervention does not compromise vascular supply to the hand, making it a less complicated process. Moreover, since the distal radial artery has a superficial course, it is easy to compress the artery using a device. It helps patients mobilise as soon as the arterial sheath is removed after the procedure.

Benefits of Radial Artery over Femoral Artery for heart  Interventions

Typically, angiography is done by inserting a catheter into the femoral artery in the groin. However, radial artery access is getting preferable for its significant benefits, including:

Less Bleeding complications

Radial artery intervention has proved to be helpful in cases where a patient is at high risk of bleeding complications. It is especially beneficial in cases of a ‘hostile’ groin – infections, peripheral arterial disease or morbid obesity. Since the radial artery is superficially located and is much smaller in diameter when compared to a femoral artery, haemostasis after transradial procedures is easily obtained. Haemostasis is the first stage of healing any wound. It is the process which causes bleeding to stop and keeps the blood within a damaged blood vessel. Less bleeding also leads to fewer vascular surgery complications and can be done for the majority of percutaneous coronary interventions (PCIs).

Faster Recovery with early mobilisation and discharge

One crucial advantage of radial artery access over the femoral route is the rapid mobilisation of the patient and quicker discharge from the hospital. According to various trials, the hospital stay was significantly shorter in case of transradial diagnostic coronary angiography when compared to the femoral artery route. The development of percutaneous procedures to diagnose and treat coronary artery disease has transformed the lives of many patients. In fact, patients do not have to lie still and can get discharged the same day after a successful radial artery intervention. It is a day case PCI that offers significant benefits over femoral intervention.

Better Outcomes and survival

In heart attack patients it is urgently required to open the blocked heart artery as soon as possible and best done within 90 minutes or less of arrival to the heart hospital in Delhi. Access to the heart matters as such patients are given strong blood thinners before the procedure and access through leg artery can lead to bleeding in the thigh which can be difficult to control.

It has been proven in trials that radial artery access in such patients leads to less bleeding and better survival hence it has been recommended as the route of choice by American heart association and other leading heart associations

Radial artery access thus has the potential advantages of reduced access site complications, rapid patient mobilisation, day care procedures, reduced costs and better survival.

It, however, requires special training to master the technique and be comfortable with it.We at Max Healthcare, have an experienced team of cardiologists that do radial artery interventions regularly with good success.Radial artery intervention when done by an experienced team of cardiologists in the best heart hospital in India can be an excellent alternative to standard angiography with better outcomes.

 

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