Dr. Viveka Kumar is best heart specialists offers an effective cardiac treatment
Heart Surgery and Treatment!
Cardiology is a medical specialty and a branch of internal medicine concerned with disorders of the heart. It deals with the diagnosis and treatment of such conditions as congenital heart defects, coronary artery disease, electrophysiology, heart failure and valvular heart disease. Subspecialties of the cardiology field include cardiac electrophysiology, echocardiography, interventional cardiology and nuclear cardiology.
- Angiography (Radial)
- Angioplasty (Radial)
- Multivessel Angioplasty
- Leadless Pacemaker
- Subcutaneous ICD
Angiography is a minimally invasive medical test that helps physicians diagnose and treat medical conditions. Angiography uses one of three imaging technologies and, in most cases, a contrast material injection is needed to produce pictures of blood vessels in the body.
- x-rays with catheters
- computed tomography (CT)
- magnetic resonance imaging (MRI)
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- Outdoor Checkup
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Multi vessel angioplasty
The association of primary angioplasty with multi vessel lesions is not frequent and has been analyzed in various studies and meta-analyses.
The findings echo past studies, which have shown patients with multiple narrowed arteries have better outcomes with coronary artery bypass grafting or CABG or heart bypass surgery, than with angioplasty, also known as percutaneous coronary intervention or PCI, a less-invasive option in which a stent is inserted to hold the arteries open.
The normal, healthy heart has its own pacemaker that regulates the rate at which the heart beats.
However, some hearts don't beat regularly. And a pacemaker device can correct the problem. A pacemaker is a small device that sends electrical impulses to the heart muscle to maintain a suitable heart rate and rhythm. It is implanted just under the skin of the chest during minor surgery.
The pacemaker has two parts: the leads and a pulse generator. The pulse generator houses the battery and a tiny computer, and resides just under the skin of the chest. The leads are wires that are threaded through the veins into the heart and implanted into the heart muscle. They send impulses from the pulse generator to the heart muscle, as well as sense the heart's electrical activity.
Each impulse causes the heart to contract. The pacemaker may have one to three leads, depending on the type of pacemaker needed to treat your heart problem.
A balloon valvotomy is a minimally invasive procedure. A doctor uses a thin flexible tube (catheter) that is inserted through an artery in the groin or arm and threaded into the heart. When the tube reaches the narrowed mitral valve, a balloon device located on the tip of the catheter is quickly inflated. The narrowed or fused mitral valve leaflets are separated and stretched open as the balloon presses against them. This process increases the size of the mitral valve opening and allows more blood to flow from the left atrium into the left ventricle.
What is TAVI
TAVI is minimally invasive surgical procedure repairs the valve without removing the old, damaged valve. The surgery may be called a trans catheter aortic valve replacement (TAVR) or trans catheter aortic valve implantation (TAVI).How does it work?
This procedure is similar to a stent placed in an artery, the TAVI approach delivers a fully collapsible replacement valve to the valve site through a catheter. Once the new valve is expanded, it pushes the old valve leaflets out of the way and the tissue in the replacement valve takes over the job of regulating blood flow.What is involved in a TAVI procedure?
Usually valve replacement requires an open heart procedure in which the chest is surgically separated (open) for the procedure. The TAVI procedures can be done through very small openings that leave all the chest bones in place.
The TAVR procedure is performed using one of two different approaches, allowing the cardiologist or surgeon to choose which one provides the best and safest way to access the valve:
- Entering through the femoral artery called the transfemoral approach, which does not require a surgical incision in the chest
- Using a minimally invasive surgical approach with a small incision in the chest and entering through a large artery in the chest or through the tip of the left ventricle (the apex), which is known as the transapical approach.
- At this time the procedure is reserved for those people for whom an open heart procedure poses intermediate risk.
- TAVI can be an effective option to improve quality of life in patients who otherwise have limited choices for repair of their aortic valve.
Unlike most pacemakers that are placed in the patient's chest with leads running to the heart, Leadless pacemaker is implanted directly into the patient’s heart.
BENEFITS OF Leadless pacemaker
- Permits you to safely undergo magnetic resonance imaging (MRI), a diagnostic tool doctors use to "see" inside the body
- Adjusts your heart rate automatically by sensing changes in your body related to your activity level and adjusting your heart rate accordingly
- Features an estimated battery longevity of 12 years