Showing posts with label wockhardt hospitals heart care. Show all posts
Showing posts with label wockhardt hospitals heart care. Show all posts
Heart Care Services at Wockhardt Hospitals,Bannerghata Road,Bangalore
Thursday, August 20, 2009
Wockhardt Hospitals ,Bangalore is a center of excellence in interventional Cardiology and Cardiac Surgeries in the country, it has to its name a history of path- breaking procedures, be it the first- ever Conscious Off Pump Coronary Artery Bypass Surgery and Awake Heart Surgery in India.
Wockhardt Hospital and Heart Institute,, Cunningham Road has been our first, single- specialty corporate Cardiac care Hospital. This center has performed more than 15,000 heart operations and 40,000 interventional cardiology procedures since its inception and has become a renowned tertiary level heart care center. The Institute is now a preferred destination for cardiac patients not only in India but also from all over the US, UK, Canada, Middle East and Africa. It is also a teaching center for clinicians from the sub- continent.
Heart care Services
Heart care Services
Adult Cardiology & Cardiac surgery
- Interventional Cardiology procedures
- Coronary Angiography, Angioplasty and Stenting
- Angiography & Angioplasty of arteries of neck, leg, arm and kidney
- EP Study Diagnostic and Ablation
- Permanent pacemaker (Single & Double Chamber)
- Heart failure device and AICD implantation
- Valvuloplasty
- ASD, VSD, PDA device closure
- Endovascular aneurysm repair
Cardiothoracic and Vascular Surgery procedures
- Off pump bypass surgeries (almost all the bypass surgeries are done off pump)
- Valve surgeries
- Valve repairs
- Maize procedures for AF
- ROSS restriction and valve sparing root replacement Awake heart surgeries (on or off pump cardiac surgeries under high thoracic epidural without sensational anesthesia) Surgery for heart failure
- Left ventricle size restoration surgery
- Left ventricle artist services
- Pediatric Cardiology & Cardiac- surgery
- Endovascular aneurysm repair
- Balloon pulmonary valvotomy (BPV)
- Balloon aortic valvuloplasty
- Device closure of ASD, VSD, PDA Embolisation of MAPCA
- Pediatric Cardiac Surgery
- The entire gamut of cardiac diseases from newborn to adolescent, Dedicated operating rooms and post- operative ICUs with state-of-the-art equipment and experienced staff round the clock to provide continuous, excellent care.
- Procedures performed Closed heart surgeries like BT shunt, PDA interception, BD Glenn Shunt Simple open heart surgeries, like ASD closure and VSD closure Complex open heart surgeries, like intra cardiac repairs, Arterial switch operation, double switch operation, Rastelli operation, etc Valve repairs, replacements, ROSS procedure ECMO facility.
Mitral Valve Replacement: Diagnosis and Treatements
Monday, May 25, 2009
Dr. Ganeshakrishnan Iyer, Consultant Cardio Vascular Surgeon, Wockhardt Hospitals shares his thoughts on " Mitral Valve Replacements"
The Mitral Valve is located between the left Atrium and the left ventricle of the heart. It acts as a one way door that allows blood flow from the left Atrium to the left ventricle and prevents it from flowing back into the chamber as the heart pumps blood through the Aorta to the rest of the body.
Damage to the Mitral valve affects the normal flow of blood from the lungs to the left Atrium and to the left ventricle. The blood may flow in a reverse direction back into the lungs which could lead to various respiratory problems and several other complications or there could be obstruction to the flow of blood from Left Atrium to Left Ventricle.
Causes of Mitral Valve Replacement
The causes for Mitral Valve Prolapse are classified into congenital and acquired. The acquired causes are categorized as: 1) rheumatic heart disease and 2) degenerative heart disease.
Rheumatic heart disease is a condition in which permanent damage to heart valves is caused by rheumatic fever. The heart valve is damaged by a disease process that generally begins with a strep throat caused by streptococcus a bacteria that may eventually cause rheumatic fever. Symptoms of rheumatic fever are fever, swollen, tender, red and extremely painful joints - particularly the knees, ankles, elbows, or wrists, nodules over swollen joints, red, raised, lattice-like rash, usually on the chest, back, and abdomen, uncontrolled movements of arms, legs, or facial muscles weakness and shortness of breath. The symptoms of rheumatic fever may resemble other bone disorders or medical problems. You need to consult your physician for a diagnosis.
Degenerative heart disease is the disease that has progressed gradually and that there is no specific event that has caused it.
Symptoms
The symptoms related to mitral valve failure progresses slowly, however in certain cases the patients don’t experience most symptoms until the disease is in an advanced stage, and there are also cases where the patient does not experience any symptoms at all.
The general symptoms include chest pains, shortness of breadth, difficulty in breathing, unusual heart heartbeat and fatigue.
Diagnosis
Diagnosis is often based firstly on the symptoms of the patient. A skilled doctor may detect a murmur in the heart beat during a regular health checkup. There are a number of tests that can help diagnose the disease.
Electrocardiograms (ECG) – gives a complete record of the electrical activities of the heart, any abnormalities of the electrical impulses of the heart shows up in this test
Echocardiograms – gives the doctor graphic representation of sound waves that are bounced of the heart to detect any abnormalities in the valves of he muscles of the heart.
Electrocardiograms (ECG) – gives a complete record of the electrical activities of the heart, any abnormalities of the electrical impulses of the heart shows up in this test
Echocardiograms – gives the doctor graphic representation of sound waves that are bounced of the heart to detect any abnormalities in the valves of he muscles of the heart.
Cardiac Catheterization – where a dye is injected into the blood stream and an x ray is taken that shows the direction of blood flow.
Treatment
Surgery to replace or repair the mitral valve is often the best option. However if the damage is beyond repair the total replacement is the only other option. Mitral valve replacement surgery is performed to replace the damaged or diseased valve with an artificial one. The artificial valve may be made of metal and pyrolytic carbon (Synthetic) or it may be derived form biological tissue (Biological).
Bypass Surgery:Reasons for The Procedure and Benefits
Tuesday, March 31, 2009
Doctor Sameer Diwale, Cardiovascular and Thoracic Surgeon, Wockhardt Heart Center at LB Nagar talks about the procedure for doing a Bypass Surgery and the benefits which accompanies this surgery
Cardiovascular and Thoracic Surgeon, The term “bypass surgery” was very prominent in the headlines across the media recently. This was due to the fact that our Minister Dr. Manmohan Singh underwent this procedure a couple of months ago .
Cardiovascular and Thoracic Surgeon, The term “bypass surgery” was very prominent in the headlines across the media recently. This was due to the fact that our Minister Dr. Manmohan Singh underwent this procedure a couple of months ago .
What does bypass surgery mean? When is it recommended for patients? What are the benefits of this operation? What are the different ways in which it can be performed? These are some common queries that came immediately to mind when one hears this term.
Bypass surgery means exactly what it says. Wherever there is an obstruction to the smooth flow of blood to the heart, heart surgeons can create a “bypass” road so as to restore the blood supply to the heart. This is exactly like building a flyover over a busy junction that is blocked due to heavy traffic. Surgeons are trained to remove (spare) arteries or veins from the patient’s own body and use them to construct bypass channels.
Bypass surgery generally is recommended for patients who have more than one block in their arteries that supply blood to the heart. Bypass is also recommended if there is a single block but it is at a critical location. In this situation, balloon angioplasty/stent placement is not possible or is considered risky. Bypass Surgery is strongly recommended for diabetic patients with one or more blocks in view of its superior long term results.
The greatest benefit of the bypass operation is that it eliminates the risk of having a sudden major heart attack in patients suffering from blocked circulation to their hearts . Therefore, this is a life-saving operation. The other major benefit is that a patient’s quality of life improves dramatically after the operation as he/she no longer suffers from chest pain. The patient is free to pursue an active lifestyle without the constant worry and anxiety associated with heart disease. Moreover, the beneficial effects of this operation lasts for 15 to 20 years if due care is taken.
Bypass surgery is conventionally carried out using a heart-lung machine and the heart is stopped for the duration of the operation. This is a very safe and standard technique and millions of patients have undergone the operation in this manner. The operation is also done on a beating heart which is a more recent technique and has certain advantages over the traditional method, especially in patients suffering from lung or kidney disease and patients who are at risk of having a stroke (paralytic attack).
Wockhardt Hospitals Heart Care is a Center of Excellence and offers both the above techniques of bypass surgery. Great care is taken to assess the profile of each patient so as to select the most appropriate technique. This approach has resulted in outstanding success rate for bypass surgery, that is at par with the best hospitals in the world. Our focus is to offer all our patients an active, long and healthy life.
Dr. Sameer Diwale, Cardiovascular and Thoracic Surgeon,
Wockhardt Heart Center, L.B.Nagar,
Hyderabad.
For scheduling an online appointment with any of our heart and cardiac care doctors. Pls write into enquiries@wockhardthospitals.net
Wockhardt Heart Center, L.B.Nagar,
Hyderabad.
For scheduling an online appointment with any of our heart and cardiac care doctors. Pls write into enquiries@wockhardthospitals.net
Thyroid Disorders,Diagnosis and Treatements
Wednesday, March 11, 2009
Doctor Archana Juneja,M.D (Med.),DM (Endo), DNB (Endo),Consultant Endocrinologist at Wockhardt Hospitals, Mumbai shares her thoughts with us on "Thyroid Disorders"
The thyroid is an endocrine gland located in the front of the neck, overlying the wind pipe (trachea) and food pipe (oesophagus). It produces the hormones triiodothyronine (T3) and thyroxin (T4) which circulate in the blood. These hormones control the metabolism and function of our body cells. Thyroid Stimulating Hormone (TSH), a hormone produced by the pituitary gland in our brain, regulates the production of T3 and T4. T3 and T4, in turn, exert a negative feedback effect on the TSH production.
Iodine is the main constituent of the thyroid hormones.
Thyroid disorders arise either because of abnormal production of thyroid hormones (excess or under), abnormal structure or congenital developmental disorders.
Goiter: Goiter refers to an enlargement of the thyroid gland. Common causes for goiter are iodine deficiency and auto immune thyroid disease wherein antibodies, which slowly destroy the thyroid, are produced in the body. The symptoms of thyroid dysfunction are very subtle and can be easily overlooked. Hence a high index of suspicion is required to diagnose these disorders.
Hypothyroidism :Hypothyroidism refers to reduced activity of the thyroid gland leading to underproduction and low levels of T3 and T4 hormones in the blood. The TSH levels rise due to the negative feedback effect of the low hormone. This can occur because of primary damage to the thyroid gland by antibodies or because of drugs like lithium, amiodarone or iodine containing solutions. Very rarely, some pituitary tumors cause low TSH levels and thereby reduce the production of T3 and T4. This is called secondary hypothyroidism.
Hypothyroidism is more common in females. The usual symptoms of hypothyroidism (uncontrolled) include slowing of metabolism with tiredness, lethargy, cold intolerance., weight gain, mood changes, dry coarse skin, hoarse voice, heavy menses, infertility, anemia, high cholesterol etc. In children hypothyroidism leads to short stature and low IQ.
Diagnosis
This is diagnosed by checking blood hormone levels which show low normal T3 and T4 with elevated TSH in primary hypothyroidism and a normal TSH with low T3 and T4 in secondary hypothyroidism. Tests like anti-microsomal or anti-thyroglobulin antibodies establish the cause of the problem.
Treatement
Treatement
Treatment is replacing the deficient hormones by thyroxine tablets (T4 tablets eg: Eltroxin, Thronorm, Thyrox). The dose required is 1.6-1.8 mcg/kg to be taken every day in the morning on an empty stomach. Drugs like iron, calcium and antacids interfere with thyroxine and need to be spaced out. Treatment is usually lifelong except in rare circumstances. Yearly monitoring of TSH is required to decide the appropriate dose for each patient.
Hyperthyroidism :Hyperthyroidism refers to over activity of the thyroid leading increased T3 and T4 levels in the blood. TSH levels are low (below 0.3mIU/L). This can occur usually because of stimulating antibodies or rarely due to pregnancy, drugs and some ovarian tumors.
It can affect both sexes but is more common in males. The usual symptoms of uncontrolled hyperthyroidism include weight loss, palpitations, increased sweating, tremulousness, prominence of eyes, heat intolerance etc. In addition to these, silent diseases like irregular heart rate, heart failure, osteoporosis and worsening of diabetes can occur. Cigarette smoking can worsen this state.
Diagnosis
Diagnosis is by detecting high normal T3 and T4 with low TSH levels in blood. Further investigations like technetium or radio-iodine scans may be useful to distinguish between thyroiditis (temporary hyperthyroidism, no treatment required) or Graves' disease (definitive therapy required).
Treatment
There are various options like drugs, surgery and radioactive iodine depending on various factors like age, goiter size, eye complications, recurrent disease etc. In addition, beta-blockers for controlling symptoms and calcium and Vit. D supplements should be given to prevent osteoporosis.
Nodular goiter:
Refers to benign growth of thyroid in patches leading to formation of nodules (single/multiple). The thyroid enlarges slowly and most common symptoms are of compression of the trachea or the esophagus. Thyroid hormone levels are usually normal. An ultrasound, a technetium scan or fine needle aspiration cytology (FNAC) of the nodule may be required.
Treatment options are watchful observation, surgery or radioactive iodine ablation depending on the clinical condition.
Thyroid malignancies are rare and usually seen with single nodules. Risk factors are extremes of age, large size and a rapid increase in size. The prognosis is good if detected early. Surgery followed by radioactive iodine therapy and thyroxin supplementation lifelong is the usual protocol of treatment.
Thyroid disorders in Pregnancy:
Thyroid disorders can lead to infertility and miscarriages in women. Thyroid hormones are essential for normal brain development in the fetus. The developing fetus does not have a functioning thyroid gland till, at least 6months of pregnancy. It is totally dependent on the mother’s thyroid hormone, which should be maintained in the normal range. Both low and excess thyroid hormones in the mother can adversely affect the fetus. Low thyroid hormone levels in the fetus causes mental retardation. Hence, a hypothyroid mother should continue her thyroxin tablets in pregnancy and if necessary, may need to increase her dose. Similarly hyperthyroidism can cause low birth weight and heart failure in the fetus. A hyperthyroid mother should take tablets to control he hormone levels and should have blood tests done at regular intervals.
All babies born to mothers with thyroid problems should have thyroid hormone levels done on the 7th day of life.
Thyroid Facts To Remember:
Thyroid disorders do not kill a person but significantly affect the quality of life.
The symptoms are very subtle and can be easily overlooked.
Thyroid problems can be easily diagnosed and treated.
Timely intervention improves the quality of life and well being of the patient.
Dr. Archana Juneja brings with her to Wockhardt Hospitals dedicated training and clinical expertise in Endocrinology from K.E.M. Hospital, Mumbai. She has also worked as a Consultant Endocrinologist at Chennai and has managed a comprehensive spectrum of endocrine cases including the extremely rare Carney’s complex and intersex disorders.
has extensive research experience on Polycystic Ovarian Syndrome, Cushing’s syndrome, thyroid disorders in pregnancy, and insulinomas and has also worked in collaboration with Interventional Radiologists on projects like Inferior Petrosal Sinus Sampling (IPSS) for ACTH and Arterial Stimulation and Venous Sampling (ASVS) for insulin, which is being done at very few centers in India.
To schedule an online Appointments with Dr Archana Juneja Please write into enquiries@wockhardthospitals.net or click here
To schedule an online Appointments with Dr Archana Juneja Please write into enquiries@wockhardthospitals.net or click here
Wockhardt Hospitals Expertise in Heart Care
Friday, February 27, 2009
Heart Specialists at Wockhardt Hospitals have found an extremely advantageous surgical procedures which will offer a permanent solution during "Atrial fibrillation"-An Abnormal fast beating of the heart caused by disturbed electrical discharges.The surgery uses the technique of irrigated radio frequency modified maze procedure,which is performed to treat trial fibrillation along with an open heart surgery for valve replacement
Wockhardt Hospitals is the 1st hospital chain in India to treat Chronic Atrial Fibrillation using Maze III procedure.
Atrial fibrillation is usually accompanied by symptoms related to a rapid heart rate. Rapid and irregular heart rates may be perceived as palpitations, exercise intolerance, and occasionally produce angina .
To know more about Wockhardt Hospitals expertise in cardiac and heart care,log onto http://www.wockhardthospitals.net
The Wockhardt Hospitals Cardiac Rehabilitation Centre
Thursday, February 26, 2009
At Wockhardt Hospitals we believe that a heart ailment is not cured until the patient walks out feeling as good as new.Which is why our 360 degree heart care is a combination of state of art surgery and world class port operative facilities. From Cardio workouts to monitoring we help you to get back on your feet as soon as possible. Because we don’t just perform surgeries, we put people back in their lives.
The Wockhardt Cardiac Rehabilitation center is exclusively meant for post operative care to heart patients. We believe in exercise programs that are tailor made to suit the patients’ medical conditions. You are requested to contact doctors at wockhardt or your GP before beginning any exercise program.
Poor breathing robs energy and negatively affects mental alertness. Unless breathing is exercised, aging affects the respiratory system as follows:
Stiffness: The rib cage and surrounding muscles get stiff causing inhalation to become difficult.
Less elasticity and weak muscles leave stale air in the tissues of the lungs and prevents fresh oxygen from reaching the blood stream.
Rapid, Shallow Breathing: This type of breathing, often caused by poor posture and weak or stiff muscles, leads to poor oxygen supply, respiratory disease, sluggishness, or heart disease.
The following exercises are simple ways to deepen breathing and to cleanse the lungs. These exercises will also increase energy and decrease tension.
Lie flat on your back on a reclined bed and get a proper sense of deep breathing. (You can use pillows ) You also need to support the site of surgery with a cushion. The natural course of breathing in that position will create a slight rise in the stomach upon inhaling and a slight fall upon exhaling.)
know more about Wockhardt Hospitals Cardiac Rehabilitation Program
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