Scope of Service- Cardiology
The branch of Non-Invasive Cardiac Sciences deals with the variety of cardiac procedures and is involved in detecting and treating the problems without using any fluids, injections or any type of body piercing instruments. The team specializes in providing crucial diagnosis and early treatment options to patients of all age groups. The team is expert in using the finest and efficient technologies to ensure complete patient comfort, safety and satisfaction. The accurate diagnosis and dedicated treatment of various cardiac problems by the expert team, helps save lives of many patients due to early management of the disease.
The services offered by the department are superior in quality and are available for both outpatients and inpatients. Some of such services provided are as mentioned:
The Centres have dedicated Cardiothoracic CCUs with 1:1 nursing ratio, round the clock. They are well equipped with bedside color doppler, echocardiography system, continuous oxygen supply, infusion pumps, defibrillator, ventilators, invasive as well as non-invasive pressure monitoring systems, temporary pace maker (transdermal as well as transvenous), intra aortic balloon pump, ABG (Blood Gas machine) and electrolytes analysis machines.
Electrophysiological studies have been used for decades to evaluate cardiac arrhythmias and to get a basic understanding of their mechanisms. Venticular tachyarrhythmias are the commonest cause of sudden cardiac death (SCD). The patients are investigated by an EP study and, if required, provided with implantable cardioverter defibrillator (ICD) as a life saving device. We have capabilities for multi-site pacing for patients of Heart Failure and Dilated cardiomyopathy. Recently a bilateral pacing was performed for intermittent Atrial Fibrillation.
The Non-invasive Cardiac Laboratory is run by senior cardiologists who are dedicated to the work in the field. The procedures done here include stress echoes, dobutamine stress echoes, vascular dopplers, trans-oesophageal echoes, intra-operative TEE and fetal echoes. Interventional cardiology is a non-surgical branch of Cardiac sciences wherein the procedure is performed with the help of a catheter – a flexible and small tube. These types of procedures are utilized to fix or repair weakened or damaged blood vessels, clogged arteries, or other affected parts in the heart structure. The Team specializes in rendering various interventional services with superlative quality services and utmost care. Some of the common conditions treated by the department are as mentioned:
- Coronary artery disease: A narrowing of the arteries which supply the heart muscle with blood and oxygen.
- Heart valve disease: Occurs when the valves which control blood flow into the heart’s chambers are not working correctly.
- Peripheral vascular disease: The heart can also be affected by clogged or hardened veins and arteries which are in other parts of the body. Interventional cardiology procedures performed at Fortis include:
- EP Study (Diagnostic) and Ablation
- Angiography and Angioplasty of arteries of neck, leg, arm and kidney
- Heart failure device and AICD implantation
- Coronary Angiography, Angioplasty and Stenting
- ASD, VSD, PDA device closure
- Permanent Pacemaker (Single and Double Chamber)
- Endovascular aneurysm repair
Angioplasty: When plaque clogs the arteries, it becomes difficult for blood to flow normally. Angioplasty inserts a tiny balloon into the clogged vein and pushes plaque against the walls, allowing for increased blood flow.
Stenting: Stenting is usually done in conjunction with angioplasty. A cardiac stent is a small metal coil which permanently holds a clogged vein open.
Non-invasive cardiology identifies heart problems without using any needles, fluids, or other instruments inserted into the body. Non-invasive cardiologists utilize techniques such as:
Echocardiography: The usage of ultrasound waves to create images of the heart and surrounding structures in order to identify how well the heart pumps blood, infections, and structural abnormalities.
Cardiac electrophysiology: Study and testing of the electrical currents which generate heartbeats.
Stress tests: Stress testing usually involves exercise which is closely monitored by the cardiologist. These exercises provide information about how a person’s heart performs under physical stress.
Heart monitors: Heart monitors may also be called a Holter monitor or cardiac event recorder. Heart monitors are essentially tape recorders for your heart’s electrical activity over a set amount of time.
CT scans: CT scans produce images of the affected area examined by the cardiologist for any heart diseases and atherosclerosis.
Interventional cardiology is a non-surgical technique which uses a catheter – a small, flexible tube – to repair damaged or weakened vessels, narrowed arteries, or other affected parts of the heart structure. Common conditions treated by interventional cardiology include:
Coronary artery disease: Narrowing of the arteries which supply the heart muscle with blood and oxygen.
Heart valve disease: Occurs when the valves which control blood flow into the heart’s chambers are not working correctly.
Peripheral vascular disease: Your heart can also be affected by clogged or hardened veins and arteries in the other parts of your body.
Cath Lab: The department in the whole group is equipped with 13 most advanced flat panel Cath Labs of GE & Siemens
Non-Invasive Cardiology Lab: It includes 12 channels of Electrocardiography, Case Computerised Tread Mill (GE-Marquette), GE Vivid 3, and Philips Envisor-C Color Doppler with Stress Echo & Transesophageal Echocardiography, Telemetry, 24 hour Holter monitoring (GE) and Enhanced External Counter Pulsation (EECP).
Operation Theatre: The department in the whole group consists of 14 state-of-the-art fully equipped OTs comparable to the best in the world: Sarns & Stokart Shiley Heart Lung Machines, Siemens Ventilators, and HP Monitoring systems
Electrophysiology: The equipment includes a multichannel EP recorder, GE-Combo lab, Micropace Stimulator, St. Jude RF Ablator, etc.
Advanced Coronary Care Unit: We have advanced world-class facilities to treat all kinds of heart conditions. Specially designed Isolation Units have been built for very sick patients. The unit is equipped with Central Monitoring System having hi-tech monitors: All eyes on All patients at All times.