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Cardiac Sciences

Cardiac Sciences

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ardiac Science involves analysing known and suspected heart disease. We aim to treat our patients with Expertise, Care and Total Commitment using the latest innovations and techniques making us the best cardiology hospital in Hyderabad. Our goal is to provide patients with exceptional care for heart disorders, including crucial diagnosis, monitoring, prevention, treatment and rehabilitation. We strive to deliver the best in terms of medical expertise and research, thereby providing a unique experience to our patients and their families. The Institute is composed of some very dedicated and diligent Cardiologists, Cardiothoracic Surgeons, Paediatric Cardiologists/Surgeons and Interventional Radiologists. Our interdisciplinary approach means each patient receives the attention of a team of specialists working together to determine the best option for the patient. The hospital gives patients as well as referring physicians across the region, access to this seamless and comprehensive approach to care.

OVERVIEW

Heart is the epicenter of cardiovascular system, which is vitally responsible for smooth functioning of the body. It beats about 2.5 million times over the average lifetime, pushing millions of gallons of blood to every part of the body. This steady flow facilitates oxygen, fuel, hormones and other components. Failure of heart leads to failure of essential functions.

We at Star Hospitals, understand the importance of maintaining a healthy heart. The Cardiology Department of STAR Hospitals is one of the finest in the city, imparting exceptional quality care, excellent treatment and improved quality of life for our patients. Our teams of highly specialized and qualified cardiologists diagnose, treat and manage common and rare heart conditions, the symptoms of which are:

  • Chest pain
  • Chest Pressure
  • Shortness of breath or breathlessness
  • Palpitations
  • Loss of consciousness
  • Swelling of feet
  • High blood pressure
  • Speech difficulties
  • Vision changes
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OVERVIEW

STAR Hospitals proudly adds another feather to its cap, being the first one to use the Octopus Tissue Stabilizer and STAR Fish Cardiac Positioner. It holds the distinction for having conducted one of the largest randomized studies in CABG procedures, on patients with impaired kidney function, undergoing coronary bypass surgery. To add to its credit, it has performed first Robotic Heart Surgery in South India, the second Heart Transplantation in Andhra Pradesh. It has developed and published innovative techniques using arterial grafts in coronary bypass surgery.

SERVICES AND FACILITIES

Our Cardiothoracic surgery services comprise of:

  • Beating Heart Surgery, which is an Off pump Coronary Artery Bypass Surgery (CABG); On pump CABG, High Rate CABG and Redo CABG.
  • Multiple Arterial Revascularization using Bilateral Mammary Artery Graft and High Risk Graft
  • Mitral valve repair procedures for ischemic mitral regurgitation and left ventricular restoration procedure for left ventricular aneurysm
  • Surgical myocardial revascularization in patients with compromised kidney function
  • Operations for valvular heart diseases – more than 3000 procedures
  • Redo and re-redo surgical operations
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OVERVIEW

Heart disease is difficult enough when it strikes adults, but can be tragic in the case of children. It is estimated that about 1,30,000 to 2,70,000 children are born with Congenital Heart Disease (CHD) each year in India, of which approximately 80,000 newborns would require medical intervention during their infancy.

Congenital heart diseases (CHD) are a group of heart diseases that children are born with, usually caused by heart defects that are present at the time of birth. CHDs that affect children include:

  • Heart Valve Disorders like a narrowing of the aortic valve and pulmonary valve, which restrict blood flow of the body and lungs respectively.
  • Hypoplastic Left Heart Syndrome, where the left side of the heart is underdeveloped
  • Disorders involving holes in the heart, typically in the walls between the chambers and between major blood vessels leaving the heart, including:
    • Ventricular Septal Defects
    • Atrial Septal Defects
    • Patent DuctusArteriosus
  • Blue Baby Syndrome – Caused by Tetralogy of Fallot, it is a combination of four defects, including:
    • A hole in the ventricular septum
    • A narrowed passage between the right ventricle and the pulmonary artery
    • A thickened right side of the heart
    • A displaced aorta

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Faqs On Heart Attacks and Heart Diseases

Heart disease is the number one killer world-over. Indians suffer at younger age and have more severe disease. There are several types of heart diseases like coronary artery disease( heart attacks),hypertension, valve-diseases, infections, heart failure, cardia muscle weakness, arrythmias, conduction problems, heart defects present from birth (Congenital heart diseases); but heart attacks are most common and can be fatal if not addressed in time.

Common heart attack signs and symptoms include:

- Chest pain/tightness/pressure/ heaviness/ discomfort (angina) often on exertion after a full meal; May be associated with sweating
- Shortness of breath/ sever fatigue
- Pain in the neck, jaw, throat, upper abdomen or back
- Pain, numbness, weakness or coldness in your legs or arms if the blood vessels in those parts of your body are narrowed.

1. What are the first symptoms of heart attack?

The earliest warning to track could be recurrent chest pain or pressure. Many people have warning signs and symptoms hours, days, or weeks in advance. Some people can have mild pain, while others may have more severe pain. Sometimes there may not be any symptoms. In some, the first sign may be sudden cardiac arrest and the patient may not even reach the hospital. Often angina may be confused with indigestion.

2. What are the common heart problems?

i. Coronary artery disease Coronary artery disease (CAD), the most common heart disease, happens when LDL/ "bad" cholesterol builds up plaque in your heart's arteries and reduce the blood flow to the muscles of the heart.

ii. Heart failure Your heart contracts and relaxes pumping blood continuously to every part of your body. If your heart muscle becomes weak or stiff or your heart valves develop problems, or other conditions reduce or change your heart's pumping ability, it's called congestive heart failure (CHF).

iii. Arrhythmias/ heart blocks
Arrhythmia means that your heart beats too fast, too slow, or irregularly.
- Atrial fibrillation/atrial flutter, an irregular and often rapid heartbeat
- Supraventricular tachycardia, a fast heartbeat
When the nerves of the heart have defective conduction heart-blocks can be precipitated

iv. Valvular heart diseasev
There are 4 different valves in the heart, and each of them can develop problems. Here are some types of valvular heart disease:
- Mitral valve regurgitation
- Mitral valve stenosis
- Mitral valve prolapse
- Aortic valve regurgitation
- Aortic valve stenosis
- Endocarditis

v. Aortic aneurysms
The aorta is the large blood vessel that carries blood from the heart to the rest of the body. An aortic aneurysm is when the aorta enlarges or develops a bulge, due to inherited diseases or longstanding high blood pressure or high cholesterol.

vi. Heart infections Some infections can attack the heart directly. Tuberculosis, viruses, and some other infections can inflame the sac surrounding the heart, causing pericarditis. Some viruses can attack the heart muscle, causing myocarditis, a swelling of the heart muscle.

vii. Heart problems at birth Some children are born with heart defects. These problems may involve the valves, the vessels leading to and from the heart, or a hole between the pairs of heart chambers.

3. What factors make one prone to the heart-attacks

Yes, the elderly, post-menopausal women, smokers, diabetic and hypertensive patients, those with large bellies and those habituated to sedentary work and those who always become stressed and worry too-much are prone for coronary artery disease. Some families and races are predisposed to early atherosclerosis and heart attacks.

4. How stress can cause heart disease?

Stress can most often be defined to be an unavoidable part of life and can come from a number of physical sources like not getting adequate sleep or having other kinds of illnesses. Another factor for stress can be emotional, worrying about not having enough money or the death of a dear one. Stress can also be caused from lesser dramatic causes like everyday obligations and pressures.
Your body’s response to stress is supposed to protect you from the adverse effects. But, if it's constant, it can cause more harm to you. A hormone called cortisol is released in response to stress. Studies suggest that high levels of cortisol from long-term stress can increase the blood cholesterol content, further triglycerides, blood sugar, and blood pressure. These are common risk factors that contribute to heart disease. Build-up of plaque deposits in the arteries can also be caused by Stress.
Even minor stress can make way to heart problems like poor blood flow to the heart muscle. This is a condition where the heart doesn't get enough blood or oxygen. And, long-term stress can affect how the blood clots. In addition, people with stress might smoke or choose other unhealthy ways to deal with stress.

5. How do you stop a heart attack immediately?

The first and most important is to look out for symptoms. To remember is that not all heart attacks begin with a sudden, crushing chest pain. Sometimes, some cause no symptoms at all, especially those that happen to people with diabetes.They could begin slowly, with mild pain and with a mellow discomfort. They can happen while you're at rest or while you are up and active. How severe they are can mostly depend on the factors such as your age, gender, and medical conditions.
What you can do: DON’T NEGLECT ANY CHEST PAIN/DISCOMFORT Call emergency right away. Do not drive yourself. Seek help, call your friend. An early ECG may make big difference

6. Is there any first aid?

- Chew and swallow an aspirin unless you are allergic to aspirin.
- Take nitro-glycerine, if prescribed on earlier occasion. If you think you are having a heart attack and your doctor has previously prescribed nitro-glycerine for you, take it as directed.
- Begin CPR if the person is unconscious. Get in contact with the health line services and follow the directions given.
- If you have not received CPR training, doctors recommend performing only chest compressions. The dispatcher can instruct you in the proper procedures until help arrives.
- If an automated external defibrillator is immediately available and the person is unconscious, follow the device instructions for using it.

7. Will a heart attack wake you up?

Very often you get-up with pain or breathlessness. But sometimes especially in elderly it can occur silently.

8. What is the best food for heart patients?

1. Leafy Green Vegetables
Are high in vitamin K and nitrates, which can help reduce blood pressure and improve arterial function.
2. Whole Grains
eating whole grains is associated with lower cholesterol and systolic blood pressure, as well as a lower risk of heart disease.
3. Berries
Berries are rich in antioxidants. Studies show that eating them can reduce multiple risk factors for heart disease.
4. Avocados
High in monounsaturated fats and potassium. They may help lower your cholesterol, blood pressure and risk of metabolic syndrome.
5. Fatty Fish and Fish Oil
Are both high in omega-3 fatty acids and may help reduce heart disease risk factors, including blood pressure, triglycerides and cholesterol.
6. Walnuts
Can help reduce cholesterol and blood pressure and may be associated with a lower risk of heart disease.
7. Beans
High in resistant starch and have been shown to reduce levels of cholesterol and triglycerides, lower blood pressure and decrease inflammation.
8. Dark Chocolate
High in antioxidants like flavonoids. It has been associated with a lower risk of developing calcified plaque in the arteries and coronary heart disease.
9. Tomatoes
Rich in lycopene and have been associated with a lower risk of heart disease and stroke, as well as an increase in “good” HDL cholesterol.
10. Almonds
High in fibre and monounsaturated fats and have been linked to reductions in cholesterol and belly fat.

9. What foods should heart patients avoid?

1. Fried Foods
Reducing your blood cholesterol after a heart attack is one of the top remedies to keep in check to protect your heart health. Saturated and trans fats can lead to high blood cholesterol and a build-up of plaque in your arteries, so it’s wise to cut fried foods from your diet.
2. Hot Dogs, Sausage, and Other Processed Meats
Processed meats, like hot dogs, sausage, and lunch meat, are loaded with sodium and nitrates. This can raise your blood pressure and your risk of another heart attack. High blood pressure is particularly dangerous because there usually are not any symptoms.
3. Sugary Baked Goods
A heart-healthy diet limits sweet treats because they often contain saturated fats that raise your blood cholesterol and refined sugar that sends your blood sugar levels skyrocketing.
4. Salted Nuts and Snacks
To eat a smart diet for heart disease, you need to take note of where salt slips into your diet unexpectedly. Nuts are rich with good-for-you fats but try to switch from salted to unsalted ones. The same goes for crackers and other savoury snacks. 5. Milk Chocolate
Milk chocolate is not the worst food to eat, but dark chocolate is much better for you if you’re trying to improve your diet after a heart attack.

10. Is alcohol bad for your heart?

Heavy drinking can turn you in and prone to get some serious health problems like liver disease, cancer, and peptic ulcers, among others. Regular or high alcohol use can hurt your heart and lead to diseases of the heart muscle, called cardiomyopathy. Drinking alcohol regularly also can raise your blood pressure. Binge drinking as in consuming four or more drinks for women and five or more for men in about 2 hours can cause irregular heart rhythms commonly called arrhythmias. So even if you do not have any alcohol during the week, you shouldn’t save all of your drinking for the weekend and overdo it, this could lead to dangerous results.

11. How do you survive a heart attack alone?

- Call 108 immediately – make a request for an ambulance it being the quickest and safest transportation to the hospital.
- If you are driving, pull over – you can lose consciousness very quickly. Even if a hospital is nearby, do not drive yourself.
- Take an aspirin – Chewing slowly on an aspirin can help slow down the heart attack and buy more time for responders.
- Relax your body as much as possible – the more physical activity you perform, the faster the heart attack will progress.
- Try to cool your body temperature – If possible, put a cool cloth under your armpits or on your wrists to help speed up the process

12. How much exercise one should do?

Brisk walking, cycling, swimming, or any aerobic exercises for at least 30 minutes per day will be a good preventive step to prevent heart attacks.

13. Can Kids and Teens Get Heart Disease or Have Heart Attacks?

The kids and young can suffer from cardiac defects present from birth. They need to be tested by tests and take specialised advice. In this modern era more and more adolescents and young adults are getting obesity and hypertension. Some of them smoke al well. These need education and counselling about weight, diet and exercises.

Our Team

MBBS, MS - General Surgery, MCh - Cardiothoracic Surgery

Experience: 28 Years

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