Cardiology & CVTS

Cardiology & CVTS care in Nashik

Cardiology Department focuses on holistic approach to Cardiac Care through invasive & non-invasive therapeutic & diagnostic services managed by dedicated team of doctors. At department of cardiology we have a dedicated team of cardiologists and cardiothoracic and vascular surgeons, who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments. Our team of doctors, nurses, technicians and other heart experts are there to ensure excellence in patient care with human touch.

Cardiology

Department of Cardiology at Apollo Hospitals Nashik is committed to provide health care of international standard at an affordable cost. Our highly qualified team of cardiologists along with the latest technology ensures best possible care for a wide spectrum of heart diseases.

Interventional Cardiology

The Interventional Cardiology Department is manned by trained and dedicated personnel and is one of the busiest in the city. Coronary stenting is routine and performed by most of the interventional cardiologists. Patients with high risk and multi vessel involvement are also treated.

Primary angioplasty, an approach of opening blocked coronary artery during acute myocardial infarction, in place of thrombolysis is practised in suitable cases. Non-coronary intervention deals with a variety of cardiovascular abnormalities. Subclavian, iliac, femoral and carotid artery balloon angioplasty and stenting are being performed. Vascular dissection and aneurysm repair are also conducted with covered stents. Recently, owing to the advent of several percutaneous interventions, it is being increasingly used to guide these interventions. For example, device closure of ASD, VSD, placement of stent grafts as well as BMV.

Department of Non-Invasive Cardiology

Non-invasive cardiology is relatively new field dealing with cardiac ultrasound as well as various modalities of stress. It has broad range of applications in which encompasses the entire spectrum of cardiac and vascular disease. It is crucial to the evaluation and management of coronary artery disease, rheumatic and valvular heart disease, cardiomyopathies, peripheral vascular, reno- vascular carotid artery disease. At Apollo Hospital we are performing basic & advanced echocardiographic and also Doppler based procedures including Echo, (2-D, 3D and contrast echo, TEE), stress echo, carotid and vascular Doppler studies, dyssynchrony evaluation. In addition, this lab is extremely busy with TMT procedures every day.

Common Diseases

General cardiology services include preoperative evaluation and treatment and assessment of:

• Acute Coronary Syndrome
• Myocardial Infarction
• Angina
• Ischemic Heart Disease
• CAD with TVD DVD or SVD
• Dyslipidaemia
• Congenital Heart Disease
• Valvular Heart Disease
• Rheumatic Heart Disease
• Hypertension and related problem
• Cardiac Rhythm Abnormality
• Complete Heart Block
• Sinus Brady or Tachycardia
• Atrial Fibrillation
• Infective Endocarditis
• Myopathies
• Infiltrative disease of the heart
• Inflammatory disease of the heart
• Congestive Heart Failure
• Cardiogenic Shock
• Noninvasive evaluation of heart disease patients
• Peripheral Artery Disease
• Disease of the aorta, including Marfan’s syndrome and aortic aneurysm
• Aneurism Repair
• Other services include care for pregnant women with heart disease

Cardiothoracic & Vascular Surgery

Cardio-Thoracic and Vascular surgery involves the treatment of diseases affecting organs inside the chest (thorax), including (heart disease) and lungs (lung disease), and that of blood blood vessels. Department is manned by dedicated personnel who are trained from best institutions in the country. The Centre of Cardio-Thoracic Surgery, Apollo Hospitals is a Centre of Excellence, which attracts thousands of patients and performs virtually every type of heart surgery.

Utilizing advanced medical and surgical equipment, the expert team of physicians and nurses practice evidence-based medicine blended with patient-centred care. Cardio-Thoracic team at Apollo Hospitals has the experience of having performed a large number of Cardiac Surgeries- including bypass surgeries, valve surgeries and congenital heart diseases. From intervention to Cardio-Thoracic surgery and rehabilitation, the institute’s approach hinges on personalized care, recognizing that every patient is unique. The Cardiac surgical unit has performed a wide range of surgeries – with results comparable to any of the international benchmarks.

Milestones

The commitment of our Cardiologists and Cardio-Thoracic surgeons to the prevention and treatment of heart disease has led to the achievement of better outcomes and improved quality of life for thousands of cardiac patients who visit us every year, making Apollo Hospitals the most sought after hospital in India for cardiac procedures & surgery.

• Our CVTS Dr. Abhay Singh Walia performed first Uncommon case of Dextrocardia (with Situs Inversus) with triple vessel critical coronary artery disease: Treated with total arterial bypass grafting
• Our Cardiologist Dr.Sudhir Shetkar implanted Most advance cardiac pacemaker with remote monitoring capability.
• Apollo Hospitals, Nashik completes over 2000 cardiac surgeries including Bypass, Valve replacements etc.
• Apollo Hospitals, Nashik has successfully completed over 10000 angiographies & angioplasties
• Apollo Hospitals, Nashik successfully performed over 5000 heart checks
• Apollo Hospitals, Nashik has a 24×7 State-of-the-art Cath Lab

Coronary Angiography

This is a procedure by which a contrast material is injected directly into the blood vessel (coronary arteries) and is seen by a specialized X-ray machine which takes picture in real time motion. A small tube is inserted through the groin (femoral artery) or through the hand (radial or ulnar artery) which goes up to the origin of coronary arteries and then the contrast material is injected directly into these arteries.

It is a relatively painless procedure which takes 15-20 minutes to complete and the patient can go home in one hour if done through the hand or in 4-5 hours if done through the groin. With the availability of newer generation contrast agents, the chance of developing any serious complication is almost negligible (less than 0.001%). Angiography can tell us how many coronary arteries are blocked and outline the site and degree of block, which helps in planning the further course of treatment like medical management if blockages are less than 50% or angioplasty or bypass surgery if block is more than 50-70%

Beating Heart Surgery

Coronary Bypass Surgeries are performed using contemporary techniques including the off-pump bypass. Over 98% of the surgeries are “off-pump” or “beating heart” surgeries. During off-pump or beating heart surgery, the heart-lung machine is not used. The surgeon uses advanced operating equipment to stabilize (hold) portions of the heart and bypass the blocked artery in a highly controlled operative environment. Meanwhile, the rest of the heart keeps pumping and circulating blood to the body. This offers patients faster post-operative recovery and extracts less of a toll on their systems.

Interventional Cardiology

Coronary Interventional Procedures

Coronary angiogram is an invasive imaging procedure to evaluate or confirm the presence of coronary artery disease, valve disease or disease of the aorta, to evaluate heart muscle function and to determine the need for further treatment.

This is a procedure by which a contrast material is injected directly into the blood vessel (coronary arteries) and is seen by a specialized X-ray machine which takes picture in real time motion. A small tube is inserted through the groin (femoral artery) or through the hand (radial or ulnar artery) which goes up to the origin of coronary arteries and then the contrast material is injected directly into these arteries.

It is a relatively painless procedure which takes 15-20 minutes to complete and the patient can go home in one hour if done through the hand or in 4-5 hours if done through the groin. With the availability of newer generation contrast agents, the chance of developing any serious complication is almost negligible (less than 0.001%). Angiography can tell us how many coronary arteries are blocked and outline the site and degree of block, which helps in planning the further course of treatment like medical management if blockages are less than 50% or angioplasty or bypass surgery if block is more than 50-70%.

CABG (Coronary Artery Bypass Graft)

CABG is the shortened more popular name for Coronary Artery Bypass Grafting. Coronary artery bypass grafting is the surgical procedure in which the grafts are connected up to the blocked arteries. This surgery aims to supply the starved heart muscle with more blood by passing the blockages.

The blood vessels from the patient’s own body, which he can spare, are used to perform these bypasses. The internal mammary arteries supply blood to the chest wall and the breast bone. The left internal mammary artery commonly known as the LIMA is used to bypass the LAD, which is the most important artery of the heart. The best results have been observed with use of this artery, which makes this the surgeon’s favourite. The veins from the legs called the saphenous veins and the radial artery from the arm are also used. The surgeon studies the coronary arteries and tailors his plan of revascularization to suit the needs of the individual patient. Once the surgeon joins up or anastomoses the grafts, blood flows through them into the blocked arteries beyond the blocks thus bypassing them. The blocks are not removed but are bypassed, hence the name bypass surgery!
In the Conventional CABG the heart-lung machine is used to perform the operation. The heart-lung machine allows the heart’s beating to be stopped, so the surgeon can operate on a surface, which is blood-free and still. The heart-lung machine maintains life despite the lack of a heartbeat, removing carbon dioxide from the blood and replacing it with oxygen before pumping it around the body.
Beating Heart bypass surgery allows surgeons to perform surgery on the heart while it is still beating. The heart-lung machine is not used. The surgeon uses advanced operating equipment to stabilize (hold) portions of the heart and bypass the blocked artery in a highly controlled operative environment. Meanwhile, the rest of the heart keeps pumping and circulating blood to the body.

Emergency Cardiac Surgery

Surgeries for treatment of complications caused by the dilatation of the aorta (aortic aneurysm).

Management of dissection of aorta

Management of all trauma related to heart and great vessels

Heart Valve Surgery

Specialized surgery which is performed for the treatment of abnormalities like Mitral Regurgitation (MR) (a valvular heart disease which results in the abnormal leaking of blood through the mitral valve, from the left ventricle into the left atrium of the heart), or Aortic Stenosis (a condition where the aortic valve becomes narrower than normal, impeding the flow of blood) are routinely performed.

Preventive Heart Care

Apollo Hospitals offers multiple preventive health check packages especially to prevent or detect heart disease at an early stage.

Apollo Heart Check

This is a special package for accurate diagnosis of heart disease and the associated risk factors.

The Apollo Heart Check Package Includes The Following Tests:

Hemogram:
Hemoglobin | Packed Cell Volume | RBC Count | MCHC, MCV,MCH | Total WBC/Differential Count | ESR Peripheral Smear | Platelet Count

Biochemical Parameters:
Fasting & PP Blood Sugar | Urea/Creatinine | Uric Acid

Lipid Profile:
Total Cholesterol | HDL Cholesterol | LDL Cholesterol | Triglycerides | Total Cholesterol/HDL Ratio

Liver Function Tests:
Total Protein/Albumin/Globulin | SGPT, SGOT | Alkaline Phosphatase | GGTP | S. Bilirubin

General Tests:
Blood Grouping- Rh Typing | Complete Urine Analysis | Stool Test | ECG (Resting) | X-Ray Chest | Ultras onogram of the abdomen (Screening only) | Pap Smear (for women) | Clinical examination, medical summary and advice by a Senior Consultant Physician | Surgical Consultation for men and Gynec Consultation for women.

Cardiac and Other Tests:
Cardiac Stress Analysis (CSA/TMT) | Pulmonary Function Test (PFT) | Diet Counselling | Echo Cardiogram |Cardiac Consultation

Apollo Advanced Heart Check

The Apollo Advanced heart check is a high-end comprehensive package, which consists of all tests included in Apollo Heart Check and additionally comprises of advanced blood tests including Sr. Homocysteine, Sr. Apolipoprotein (A1 & B), Lipoprotein (A) and Sr. Fibrinogen that are good indicators of associated coronary artery disease risks in an individual. The package also includes an advanced 64 Slice CT heart scan and consultation with a Cardiologist.

Thoracic Surgery

Cardiothoracic Surgery

Extensive and challenging thoracic procedures (lung, esophagus, etc.) are undertaken by our thoracic surgeons with the best results. These include operations for removal of malignancies from the lung and oesophagus. They perform minimally invasive procedures on the lung and oesophagus as well as VATS (Video-assisted Thoracoscopic Surgery).