What Should You Know About Coronary Angiography?
Angiography is a medical test used to detect abnormalities in the blood vessels ...
In matters of the heart, ours is one of the largest cardiac speciality centres of excellence in India offering comprehensive heart care, diagnostics and treatment including minimal invasive procedures under one roof.
Manipal Hospital has become a synonym for world-class cardiac care facilities. The cardiology department of the Manipal hospital is a one-stop solution with highly best cardiologists in Dwarka, Delhi for diagnosing and treating all types of cardiovascular diseases.
The department makes use of cutting-edge technologies to diagnose and treat various heart diseases.
Highly experienced paramedical staff assists the team during procedures. The post-surgical care and rehabilitation services at the Manipal hospital are one of the best in the country.
The department is totally in sync with the advancements in the treatment of cardiovascular conditions and is continuously implementing them at the hospital to provide better and highly effective treatment.
Our expert cardiac team comprises echocardiologists, interventional cardiologists, electrophysiologists, radiologists, and cardiovascular surgeons and has successfully performed 2161 cardiac procedures to date.
A Holter monitor is a small, wearable, ambulatory electrocardiography device that keeps track of heart rhythms and records all heartbeats.Read More
An X-ray imaging test is done to see if there are any restrictions in blood flow going to your heart. This is the most common test to help doctors diagnose heart conditions. During coronary angiography, a small catheter or tube is inserted through the skin into an artery in the groin or the Hand. Through a special x-ray viewing instrument, the catheter…Read More
TMT or Tread Mill Test or Stress Test or Exercise Test measures how well the heart works when it is beating fast and working hard. A stress test helps doctors see if the heart is getting enough blood during these times.Read More
An echocardiogram is an ultrasound of the heart. It uses standard 2D, 3D and Doppler ultrasound to create images of the heart. The test does not involve any radiation.Read More
Coronary angioplasty is routinely done to open clogged heart arteries. It can improve symptoms such as chest pain and shortness of breath. Angioplasty is also often used during a heart attack to quickly open a blocked artery and reduce the amount of damage to your heart. It involves inserting and inflating a tiny balloon into the spot where your artery…Read More
An ECG or Electrocardiogram is a simple, non-invasive procedure that records heart rate and its rhythms. ECG is done to look or check for known heart conditions or how healthy the heart is before or after surgery.Read More
Emergency percutaneous coronary intervention/emergency angioplasty is a procedure that is recommended to treat patients suffering from obstructive coronary artery disease, ST-Elevation Myocardial Infarction (ST EMI) or a massive and sudden heart attack in which one of the heart's major arteries is blocked.Read More
A cardiac device is implanted under the skin of your chest or abdomen to control heartbeat disorders. A cardiac device such as a pacemaker or an implantable cardioverter-defibrillator (ICD) is recommended if you have had a ventricular arrhythmia (irregular heartbeat), a heart attack, or a congenital heart disease.Read More
Percutaneous coronary intervention (PCI) is a minimally invasive procedure to open blocked coronary arteries allowing unobstructed blood flow to the heart. This procedure is performed under local anaesthesia and uses X-ray to help the cardiologist view the site of your blocked artery. An intravenous (IV) line will be inserted in your arm and you will…Read More
This is a procedure that involves the opening of the chest cavity and creating a bypass system that allows blood to pump through your body without going through the heart. During open heart surgery, the heart is stopped for a period of time until surgical procedures or investigations can be completed. Once the surgical objective has been achieved,…Read More
The treatment of heart disorders in children requires specialized equipment and knowledge.Read More
Manipal Hospitals’ Cardiac Unit boasts of futuristic diagnostic and testing machinery that combines advanced technology and high precision tools to present the most complex of cases with accuracy. Typical cardiac tests reveal the extent of the damage done to the coronary arteries, helping our cardiologists to plan the appropriate and most effective…Read More
An electrophysiology test reveals how electrical signals move through your heart. When these signals show normal movements, your heartbeat is regular. When these signals are abnormal, your heartbeat is irregular and this is called an arrhythmia. Radiofrequency ablation (RA) is the procedure to treat some types of arrhythmias. Together it takes about…Read More
Transcatheter Aortic Valve Implantation (TAVI)
The aortic valve controls the blood flow from your heart to the rest of the organs. TAVI is a minimal invasive procedure to replace your damaged or diseased aortic valve with a new man-made one using a narrow tube called a catheter. This is inserted into a large blood vessel in your groin or chest.Read More
Using specialized cardiac MRI's, a cardiologist evaluates hemodynamic changes in the body to identify congenital heart disease. Identifying congenital heart defects at an early stage is crucial to improving the life expectancy and quality of life of patients.Read More
For children suffering from narrowing or blockage in the aortic valve, the best treatment option is balloon dilation. The treatment is minimally invasive, reducing the discomfort and recovery time for the patient. A deflated balloon is attached to a thin tube known as a catheter which is navigated to the narrowed artery, where it is inflated, opening…Read More
The mitral valve is a valve with two flaps in the heart that lies between the left atrium and the left ventricle. Sometimes, the valves don't open or close properly, disrupting the blood flow through your heart to your body and also causes blood to leak backward to the left atrium. The valve may also be narrowed. Balloon Mitral Valvuloplasty is a procedure…Read More
The heart’s two lower chambers are the ventricles and the right ventricle pumps blood to the lungs. It connects to the pulmonary artery, the main blood vessel leading to the lungs. Between the right ventricle and the pulmonary artery is the pulmonary valve, one of the heart’s four valves. In a normal heart, the pulmonary valve opens fully when the…Read More
VSD is a hole in the wall called septum, separating the two lower chambers of the heart. In a normal heart, only the left side pumps blood to the body, and the right side to the lungs. With an abnormal opening between the ventricles, a large amount of oxygen-rich (red) blood from the heart's left side is pushed through the hole into the right side.…Read More
Adult congenital heart disease (ACHD) Congenital heart disorders are the most common type of birth defect. These can range from simple ones with no symptoms to complex types which are severe and life-threatening such as a hole in the heart that causes blood from the left and right sides of the heart to mix, or even a narrowed valve that blocks blood…Read More
PDA is an unclosed hole in the aorta, the main artery that carries blood away from your heart. In a normal heart, its left side pumps blood only to the body while the right pumps blood to the lungs. If you have PDA, extra blood gets pumped from your body artery or aorta into the lung (pulmonary) arteries. If the PDA is large, the extra blood being…Read More
This condition occurs when arteries and veins have abnormal connections between them. Pulmonary AVMs act as direct conduits between the pulmonary artery and the pulmonary vein, which reduces blood oxygen levels, and also allows clots and bacteria to bypass the normal filtration process of the lung capillaries. Pulmonary AVMs are prone to rupturing,…Read More
The automated implantable cardioverter-defibrillator (AICD) is a tiny electronic device that is implanted in the chest to prevent sudden death from cardiac arrest caused due to fast heart rhythms called tachycardias. The surgery involves inserting insulated wires into the veins near your collarbone and moving them through X-ray images, to your heart.…Read More
CRT is prescribed for patients with heart failure or arrhythmia (irregular heart beat). There are two types of CRT devices – one is the biventricular pacemaker and the other is the same device which includes a built-in implantable cardioverter defibrillator and is called a cardiac resynchronization therapy defibrillator (CRT-D).Read More
Knowing your baby is growing normally and safely in your womb is one of the happiest phases for a mother-to-be. Routine tests for you and your baby can ensure all is going well. If your gynaecologist detects an abnormal heart beat or any other conditions in the foetus, she may recommend a foetal echocardiogram.Read More
Heart disease has emerged as a leading cause of death in India, accounting for 25% of all deaths. Evidence suggests a rising burden owing to the rapid adaptation of a sedentary lifestyle coupled with a westernized diet. Heart disease affects patients in the most productive years of their lives and is associated with reduced quality of life and considerable economic burden.
Cardiology is the branch of medicine that specializes in the diagnosis and management of heart diseases such as arrhythmia, heart failure, angina, coronary artery disease, etc. Manipal hospital is the best heart hospital in Dwarka, Delhi considered as one of the most advanced and comprehensive cardiac care centres. The department offers a multi-disciplinary approach in the treatment and management of all the cardiovascular diseases, including complex conditions. We have best cardiologists in Dwarka, Delhi who specialize in all branches of cardiology including invasive, non-invasive and interventional cardiology. The department has the best pediatric heart specialists in Delhi who treat pediatric patients in need of cardiac treatment. We aim to provide the best cardiac care to our patients at a highly affordable cost.
Non-invasive cardiology: This subspecialty of cardiology deals with the detection of treatment of heart diseases using external tests such as imaging techniques.
The various imaging tests available at our hospital include:
Electrocardiogram (ECG): Records the electrical signal generated by the heart and can detect the abnormal heart rhythm.
Echocardiogram (ECHO): It uses ultrasound to understand and define the structure of the heart and its abnormalities including heart size, the efficiency of pumping, valves and holes in the heart, etc.
Stress ECHO: Looks at heart efficiency at rest and on peak exercise and helps screen for blockage in the heart vessels.
Treadmill Test: Monitors ECG during exercise on a treadmill.
Dobutamine Stress Echocardiogram (DSE): This test is used as an alternative to the stress ECHO in patients who are unable to exercise. A medicine known as dobutamine is injected in the vein to make the heart beat faster.
24-hour Holter’s Monitoring: It is a battery-operated device that can monitor heart rate and rhythm (ECG) for 24-48 hours.
Ambulatory Blood Pressure Monitoring (ABPM): A device that can be used to measure blood pressure around the clock.
Transesophageal Echocardiogram (TEE) test: It involves an endoscopy-guided ultrasound of the heart to get a detailed and precise image of the heart. This test is used to check for abnormalities in the heart valves and chambers.
Pediatric Echocardiogram: It is a safe and painless test that makes use of ultrasound to obtain an image of a child’s heart. It is generally used to detect heart problems present at birth.
Foetal Echocardiogram: This test is done to detect heart abnormalities in the growing foetus during the second trimester of pregnancy.
Invasive cardiology: This branch of cardiology makes use of open-heart surgery or minimally-invasive procedures to treat various heart conditions such as heart blockage or valve defects.
The various procedures available in our hospital include:
Angiography: Angiography is used to detect the presence and degree of blockage in the blood vessels of the heart. This procedure involves the use of a special dye, injected through the catheter, and an X-ray device to monitor its flow within the blood vessels.
Angioplasty including complex angioplasty and stenting: Coronary angioplasty is a procedure for opening the blockage of an artery. During coronary angioplasty, a balloon is inflated in the blocked part of the artery to allow a smooth flow of blood. Coronary angioplasty may or may not use a stent, a metal mesh that expands inside an artery to maintain optimal blood circulation through it.
Rotablation: A specialized catheter used to remove plaque from the arteries. The catheter fitted with a sharp diamond-tip rotates at high speed to dislodge the plaque and is used for calcified lesions.
Intravascular Ultrasound (IVUS): It is a diagnostic test to detect abnormalities in the artery walls, such as deposition of plaques. It makes use of a catheter fitted with an ultrasound wand that is inserted into the coronary artery via the groin area and helps define the character of blockages.
Fractional Flow Reserve (FFR) procedure: It is used to measure blood pressure and flow through a specific part of the coronary artery. It is generally done during a routine coronary angiography for assessing the criticality of blockages.
Peripheral & Carotid Angioplasty: Clogged arteries are widened with the help of tiny inflated balloons and stents to restore adequate blood flow in the peripheral arteries and the carotid artery supplying blood to the brain.
Transcatheter aortic valve replacement (TAVR): A minimally invasive procedure that does aortic valve replacement through the groin without opening the chest.
Electrophysiology and pacing: This branch of cardiology deals with the diagnosis and management of conditions related to heart rhythm, known as arrhythmias.
Electrophysiology Study (EPS): It is a study of the electric system of the heart and done to detect the origin and conduction of normal and abnormal heartbeats. This is done in a special room known as the cath lab with an EPS system and the patient is mildly sedated during the procedure.
Radiofrequency Ablation (RFA): It uses radiofrequency energy to delete a small area of the heart tissue to correct abnormal circuits in the heart to restore normal rhythm.
Pacemaker: A small battery-operated device is placed near the collarbones with wires inside the heart to treat slow heart rates and episodes of blackouts.
Automated Implantable Cardioverter Defibrillator (AICD): It is a small battery-operated device placed inside the chest that can detect irregular heartbeats and deliver electric shocks to the heart to treat dangerous abnormal heart rhythm and save a life.
Pediatric cardiology: Our hospital boasts of an expert team and advanced technologies in diagnosing and treating various heart issues in children including:
Diagnosis and evaluation of congenital heart defects and post-diagnosis counseling
Closure of septal defects such as Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD): The septal defects are successfully treated by the experts at Manipal hospital, through Minimally invasive surgery.
Balloon Dilatation of Stenotic Valve in Neonates: valve stenosis is a condition characterized by narrow valve opening and reduced blood supply. In children, the condition may be present at birth and can be corrected through balloon dilatation surgery.
Patent ductus arteriosus closure: The ductus arteriosus is a hole that allows the blood to skip flowing to the lungs for getting oxygenated when the baby is in the womb. However, this hole should close naturally, when the baby is born to allow blood to receive oxygen from the lungs. In some infants, this hole remains open even after birth and is known as patent ductus arteriosus. In such cases, the hole is closed surgically either by suturing or by placing a metal clip.
Cardiac catheterization study: A long narrow tube known as a catheter is inserted into the blood vessels and moved up to the heart to diagnose and treat various heart diseases.
Coil embolization: An aneurysm is a bulging or a weak spot in the blood vessels. An aneurysm can burst to cause blood to leak out of the blood vessels. This can lead to a stroke or haemorrhage. Coil embolization is a minimally invasive procedure in which the aneurysm is filled up with metal coils to prevent blood flow through it.
Manipal Hospitals' best cardiologists in Delhi and cardiovascular surgeons believe in precise diagnosis for effective treatment. The faculty includes - Expert echo cardiologists - Electro physiologists - Interventional cardiologists and radiologists
After gathering general information about the patient's health from our cardiologist will review the patient's medical history, and do a complete physical examination. Then the doctor might order the necessary investigations to determine the health of your heart.
Our heart consists of four chambers; right atrium, left atrium, right ventricle, and left ventricle. The right atrium connects to the right ventricle, and the left atrium connects to the left ventricle with the help of a tricuspid valve and mitral valve, respectively. However, in a healthy heart, there is no direct connection between the two atria or the two ventricles. In cases of septal defects, there is an opening between either the two atria or two ventricles. It is known as a hole in the heart.
Cholesterol, Hypertension, Obesity, Diabetes, Smoking, Family history of heart disease
The cardiac rehabilitation program is for people suffering from cardiovascular diseases. Through this program, the patient can recover faster from their cardiac illness/surgery and restore normal activity and lifestyle under the supervision of the doctors. If you have a heart attack, heart valve surgery, coronary bypass surgery, or percutaneous coronary intervention, you may opt for a cardiac rehabilitation program.
Mild discomfort or pain in the chest area, it may radiate to the neck, jaw, or arm on the left side of the body and is usually associated with shortness of breath, nausea, and sweating. Diabetics and women may not have chest discomfort but may have only a few of the associated symptoms.
Yes, some heart diseases can be inherited such as high blood cholesterol, cardiomyopathies, arrhythmias and congenital heart diseases.
Some illnesses can cause heart disease, but a majority of heart diseases can be prevented by adopting a healthy lifestyle.
Yes, a yearly health check-up that includes a blood pressure check, lipid, and cholesterol test and a discussion with your doctor about other risk factors should not be overlooked.
Manipal Hospitals is dedicated to providing high-quality, personalised care and building long-term partnerships with its patients. Our Cardiology department and its patients are a testament to this. Contact us to know more about heart problems and book an appointment with one of our Cardiovascular specialists today.
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