Angiogram and Angioplasty: Types, Procedures, Benefits, Risks, and Alternatives
Department of Cardiology
Oct 12, 2022
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.
Our superlative cardiac experts handle the most delicate of cardiac cases across all ages. Their range of treatment expertise includes the entire spectrum of cardiac conditions including congenital heart disease, coronary artery disease, heart rhythm disorders, disorders of heart failure, and valvular disease. Best in their speciality, our team of eminent echo cardiologists, electrophysiologists, interventional cardiologists, radiologists and cardiovascular surgeons are skilled in treating the most challenging of heart conditions including paediatric surgeries even in the newborn.
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.
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.
A Holter monitor is a small, wearable, ambulatory electrocardiography device that keeps track of heart rhythms and records all heartbeats.
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.
Commonly known as bypass surgery, this is a procedure done to restore blood flow in a narrow or blocked artery. The procedure is an open heart surgery that requires a large incision to be made to access the chest cavity. The surgeon takes out a blood vessel from one part of your body and uses to divert blood flow away from the blocked coronary artery…
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…
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…
This is a non-surgical procedure that is used to treat coronary arteries for stenosis. It is a combination of angioplasty & stenting that widens narrowed and blocked coronary arteries and restores blood flow from the heart. In cases of acute heart attacks (Myocardial Infarctions), PCI is used as an emergency treatment. PCI is considered to be an alternative…
A cardiac device helps control irregular heartbeats to protect against heart rhythm disorders. One of the most commonly used cardiac devices is a pacemaker, which produces electrical stimuli to the heart to help it maintain rhythm. An Implantable Cardioverter Defibrillator (ICD) is used to assist the heart's ventricles to restore their capacity after…
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…
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,…
The treatment of heart disorders in children requires specialized equipment and knowledge.
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…
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…
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.
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.
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…
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…
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…
Ventricular septal defects (VSD) are located between the lower chambers or ventricles of the heart which pump blood to the body. Ventricular septal defects can be located in several different sections of the wall between the lower chambers of the heart.
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…
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…
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,…
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.…
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).
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.
The Adult cardiology treatments and services include Coronary angiogram and angioplasty (radial and femoral), Emergency Percutaneous Coronary Intervention (PCI), Complex coronary interventions (Left main, bifurcation, chronic total occlusion, rotaablation), Coronary lesion physiological assessment and imaging (FFR, IVUS, OCT), Electrophysiological Radio Ablation including 3D ablation, Structural heart disease intervention including Transaortic valve implantation, Left Atrial Appendage closures, Balloon Mitral Valvotomy, Balloon pulmonary valvotomy, Adult congenital heart disease interventions including atrial septal defect closure, ventricular septal defect closure, PDA device closures, pulmonary AVM closures, Peripheral angiogram and angioplasty and cardiac device implantation including pacemaker, ICD implantation and CRT implantation.
The Paediatric Cardiology treatments and services include
Manipal Hospitals' cardiologists 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.
Cholesterol, Hypertension, Obesity, Diabetes, Smoking, Family history of heart disease
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.
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 Hospital is a multidisciplinary heart hospital where you will have access to all possible range of solutions from experienced doctors, nurses and trained medical staff. Our heart specialists, heart surgeons, nurses work as a team to provide the highest level of patient care. Our cardiologists offer the latest medications and interventional heart disease procedure to provide better heart care results to our patients.
The different heart conditions that a cardiologist can treat are:
Congenital heart disease
Coronary heart disease
Congestive heart disease
High blood pressure
Chest pain and angina
Symptoms of heart diseases may be different for men and women. For example, men are more likely to have chest pain, women are more likely to have other symptoms along with chest pain such as shortness of breath, nausea and extreme fatigue.
Other symptoms include:
Pain in the neck, jaw, throat, upper abdomen or back
Weakness or coldness in legs or arms
The symptoms of a heart attack include:
Squeezing or aching sensation in the chest
Shortness of breath
Lightheadedness or sudden dizziness
The first year after a heart transplant is very critical. People who have a heart transplant are monitored very closely by heart specialists for any infection or rejection. But after one year a life expectancy of a transplant without any complications tends to rise. Statistics says that people live for around 11-14 years after a transplant.
There are a few things you can do to prevent a heart attack:
Control your blood pressure and cholesterol levels
Go for regular medical checkups to check for blood pressure, cholesterol and diabetes
Maintain a healthy weight
Eat lean proteins, such as fish and beans, fruits and vegetables and whole grains
A cardiologist does not perform heart surgery, they just perform some tests and procedures which include:
Assessing the patient’s heart and cardiovascular health
Interpreting the results of EKGs and other tests
Referring patients to other specialists
Performing cardiac catheterizations
The interventional cardiologist uses a catheter (a small flexible tube) to repair damaged or weakened vessels, heart narrowed arteries or other affected parts of the heart. They are trained in performing advanced invasive procedures on the patients. The procedures performed by an interventional cardiologist include angioplasty and stenting, atherectomy, embolic protection, percutaneous valve repair, balloon angioplasty, etc.
For some patients, heart disease can be reversed or managed at the best heart hospital in Bangalore, with the help of lifestyle changes like:
Engaging in some sort of physical activity daily.
Following a healthy diet.
Controlling medical issues like high BP, high cholesterol, and type-1 and type-2 diabetes
Maintaining a healthy weight.
Get rid of smoking.
However, for advanced cases, lifestyle changes alone will not be enough to reverse the disease. In such instances, medical interventions like medications, and surgery may be essential to treat heart disease. Consult a famous heart specialist in Bangalore for advanced treatment.
There are numerous treatments for heart disease, including:
Adopting a healthy diet
Engaging in regular physical activity
Maintaining a healthy weight
Different medications are used for treating heart disease like Aspirin
Beta-blockers - Calcium channel blockers, ACE inhibitors, etc.
Some interventional procedures include Angioplasty, Atherectomy, Coronary artery stenting, etc.
Some of the surgical procedures for heart issues include heart transplants, coronary artery bypass surgery, heart valve surgery, etc. Consult the best hospital for heart surgery in Bangalore like Manipal Hospitals.
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.
Oct 12, 2022