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Heart Diseases Treatment Services

Our range of products include Primus Heart Treatment Services, Interventional Cardiology Treatment Services, Invasive And Non-Invasive Cardiology Treatment Services, Cardiothoracic And Vascular Surgery Services, Angioplasty And Stents Treatment Services and Interventional Cardiology And Heart Surgery Services.

Primus Heart Treatment Services
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General Information

  • It provides immaculate, economical and evidence-based patient care. The institute is equipped with cutting-edge technology and state of the art infrastructure in the field of Interventional Cardiology, Cardiac Surgeries both adult and paediatric.
  • All of our cardiac services are geared to provide rapid access to cardiac diagnosis (such as cardiograms), investigations and treatment for patients with all forms of heart disease.
  • Facilities also include: Sophisticated operation theatres, experienced operating theatre staff, dedicated cardiac wards and intensive care units ensuring the highest levels of quality care 24X7

   Approaches to Cardiac care:

In most cases of heart diseases, the aim is to find a combination of treatments involving lifestyle modifications, medicines, devices, or surgery that will help the heart function properly.

  • Treatment requires you and your doctor to work together to find an effective solution that one can manage in the long-term and will result in the best quality.
  • Our cardiac experts are always available to provide consultation and treatment for all aspects of cardiovascular care and prevention.

The Department is dynamic & innovative, dedicated to excellence in research and clinical care. Our aim is to provide a healthier and happier future to the patients by providing the best cardiac care.

Steps to undertake lifestyle changes:

  • For most people, heart failure is a life-long condition that cannot be cured. If you have been diagnosed with heart failure, you can still reduce the risk of further episodes by some lifestyle changes.
  • Stopping smoking (if you smoke) will quickly reduce your risk of having a heart attack to near that of a non-smoker. Other lifestyle changes, such as eating healthily and taking regular exercise, will also improve your symptoms and reduce the pressure on your heart.
    • Ask our physician or healthcare professional to help you with nutrition and other necessary advice that is appropriate for you and your health.

Faq Cardiology:

What causes high blood pressure?
While the cause of high blood pressure in most people remains unclear, a variety of conditions – such as getting little or no exercise, poor diet, obesity, older age and genetics – can lead to hypertension.

What are systolic and diastolic blood pressures?
The blood pressure reading is measured in millimeters of mercury (mmHg) and is written as systolic pressure the force of the blood against the artery walls as your heart beats over diastolic pressure the blood pressure between heartbeats. For example, a blood pressure reading is written as 120/80mmHg, or 120 over 80. The systolic pressure is 120 and the diastolic pressure is 80.

What is the treatment for high blood pressure?
High blood pressure treatment usually involves making lifestyle changes and, if necessary, drug therapy. Lifestyle modifications for high blood pressure include:

  • Losing weight
  • Stopping smoking
  • Eating a healthy diet, such as the DASH diet
  • Reducing the amount of salt in your diet
  • Regular exercise or walk
  • Limiting  consumption

High blood pressure drugs include angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, diuretics, beta blockers and calcium channel blockers.

What health problems are associated with high blood pressure?

Certain serious health conditions are linked to high blood pressure, which includes:

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Interventional Cardiology Treatment Services
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General Information

The Interventional Cardiology department at Primus is a healthcare Institute for the diagnosis and treatment of heart and vascular disorders. It offers huge expertise in prevention and comprehensive management along with rehabilitation of patients with coronary and non-coronary cardiac problems. Equipped with highly advanced cardiac and endovascular lab, the department is at the forefront of providing exemplary treatment to patients with quality care.

Interventional Cardiology Procedures include:

  • Coronary angiography and angioplasty.
  • Peripheral angiography and angioplasty of the neck, leg, arm and kidneys.
  • EP study – diagnostic and ablation.
  • Permanent pacemaker – single and double chamber.
  • ICD implantation
  • ASD, VSD and PDA device closure.

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Invasive And Non-Invasive Cardiology Treatment Services
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Services at Primus Invasive Cardiology include:

    Coronary Angiography
    Peripheral Angiography
    Angioplasty & Stenting
    EP Study
    Temporary Pacing
    Permanent Pacemaker Implantation (PPI)
    Intracardiac Defibrilator Implantation(ACD)

Non-invasive cardiology

Services at Primus Non-invasive cardiology include:

    Clinical Evaluation
    ECG, X-Ray Chest
    Biochemical Tests
    2 & 3D Echocardiography ( ECG)
    Contrast Echocardiography ( ECG)
    Trans Esophageal Echocardiography (TEE)
    Stress Electrocardiogram (TMT)
    Stress Echocardiography
    Dobutamine Stress Echocardiography
    Various Dopplers:
    Carotid artery
    Peripheral Artery
    Venous
    Internal Mammary Artery (IMA)
    Radial Artery & Renal Artery Doppler Study
    Various Dopplers:
    Holter Monitoring

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Cardiothoracic And Vascular Surgery Services
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General Information


The Heart Centre at Primus Hospital, India forms one of the best group of Cardiologist and Cardio Thoracic Surgeons who are committed to excellence in patient care, performing a wide variety of procedures.

Cardiothoracic and Vascular Surgery Procedures include:

  • Coronary arteries bypass graft surgery.
  • Off pump bypass surgery without using bypass
  • Valve surgeries.
  • Maize procedure.
  • Bentall Procedure, root replacement, Aortic surgeries including dissection
  • All Thoracic procedures Lobectomies, Pneumonectomy, segmental resection, biopsies,
  • VATS
  • All Vascular procedures Aortic aneurysms surgery, Dissections, Peripheral arterial bypass as well as Endovascular repairs.
  • Diabetic Foot Clinic
  • Endovascular Repair
  • Hybrid Procedures
  • Transcathter Aortic Valve Implantation(TAVI)

Paediatric Cardiology and Cardiac Surgery

1) Paediatric Cardiology

  • Balloon pulmonary valvotomy (BPV).
  • ASD, VSD and PDA device closure in children.
  • Cardiac Cath

2) Paediatric Cardiac Surgery

  • Closed heart surgeries such as PDA interception, BT shunt, Glenn shunt, Pulmonary artery banding, and Pacemaker implantations.
  • Simple open heart surgeries such as ASD and VSD closure.
  • Complex open heart surgeries like Intra-cardiac repairs, Arterial Switch Operation, Double Switch Operation, and Toff, etc.
  • Valve repairs/replacements, and ROSS procedure.

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General Information

What is Angioplasty?

Angioplasty is a treatment that uses balloon to improve blood flow to the heart by opening a narrowed or blocked coronary artery. It is usually followed by stent placement

How does Angioplasty work?

It may help control your symptoms, to lower your chance of further heart problems, you will need to make and maintain changes to your lifestyle and regularly and take medicines. It is life saving in patients with heart attack and is the treatment of choice.

What is a stent?

A stent is a metal mesh tube that can be inserted into a narrowed artery. It acts as an internal support framework to keep the artery open, by continuing to press plaque back against the artery wall. This allows blood to flow freely through the artery.

Often a stent is coated with medication which is slowly released into the surrounding area, helping to lower the chance of the artery blocking again.

When can I go home after an angioplasty?

You may need to stay in hospital for 1-2 days following the procedure. You may be asked to drink fluids to prevent dehydration and flush the dye from your kidneys.

When can I get back to normal activities?

Most people resume normal everyday activities within one to two days of returning home and can usually go back to work after a week.

Risks involved in having an angioplasty

Minor complications may include:

  • Bleeding and hematoma formation at the wound site – this should improve after a few days.
  • Allergy to the contrast dye used, causing symptoms such as a rash – you should discuss any allergies that you have with your cardiologist before having the procedure.

More serious complications are very rare, but may include:

  • Damage to the artery in the arm or groin from the catheter, possibly affecting blood supply to the limb.
  • Heart attack
  • Stroke
  • Damage to the kidneys caused by the contrast dye
  • Tissue damage caused by X-ray radiation if the procedure is prolonged
  • Serious bleeding
  • Arrhythmias
  • Cardiac tamponade
  • Death.

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General Information


Interventional Cardiology and Heart surgery is performed to correct several types of heart problems. It can fix problems in the heart valves and arteries, restore blood flow, or replace a diseased heart altogether.

Primus Heart Institute is a part of Primus Super Specialty Hospital – which is one of India’s largest, private sector hospitals. The Centre provides state-of-the-art comprehensive cardiac care to the patients.

There have been many advances in surgery and cardiology and it becomes very important to maintain a rational approach. To deliver the best of care, the Heart Team at Primus comprises of Cardiac Surgeons, Cardiologists, Physicians, Cardiac Anesthesiologists and Intensive Care Experts who work in synergy to get the best possible outcomes.

Our Centre

The Heart Centre offers you a range of world-class treatments and services all under one roof: from Diagnostic Non-invasive Cardiology, CT imaging to top-class Interventional Cardiology and the full range of Cardiac and Vascular Surgeries.

There have been many new developments in treating heart failure. If medication and lifestyle changes are not enough to control your symptoms, your doctor may suggest:

Cardiac Resynchronization Therapy (CRT)

A normal heart sends electrical signals to “ventricles” of the heart to make them pump at the same time. Sometimes in heart failure patients, the two chambers do not pump together. A special pacemaker called CRT (a small battery-powered device) is placed under the skin that helps make the two sides of the heart beat in a coordinated manner. CRT is a pacemaker that tells both ventricles to pump at the same time, thus reducing your heart failure symptoms and increasing your ability to exercise and be more active. At the same time, life threatening arrhythmias can be taken care by implantation of CRT-D.

Implantable Cardioverter Defibrillator (ICD)

Some patients with heart failure have dangerously fast heartbeats called “Ventricular Tachycardia” or “Ventricular Fibrillation” which can cause serious symptoms such as fainting or even death. An ICD can be inserted under your skin, with an aim to recognise a dangerous heartbeat. The ICD then returns it to a normal beat through an electrical signal. If your heart needs both CRT and ICD; they can be placed at the same time using one device.

Pacemakers

Both single and double chamber pacemakers are being put under the skin in the patients who have slow heart rates & are symptomatic with history of falls.

Devices of congenital heart disease – ASD, VSD, PDA are closed with devices without requiring major surgery.

 

Heart Pumps

A Ventricular Assist Device (VAD) is a mechanical pump inserted into your body to improve blood flow. When your heart is unable to pump enough blood to the various organs of your body, an open heart surgery is required to implant the mechanical pump. The VAD works together with your own heart to pump more effectively. VADs can stabilize your heart condition, thereby allowing you to become stronger and feel better. VADs are also used as an alternative to heart transplantation for patients who are waiting for a new heart.


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General Information

Cardiovascular sciences at Primus Super Specialty Hospital are part of an integrated, multidisciplinary team of doctors and health care professionals who provide individualized care. Represented by the best cardiologists and cardiac surgeon in the country, our Department of Cardiac Science meets a tremendous success rate in cardiac surgeries and Interventional cardiology Equipped with advanced medical technology we have achieved the highest rate of success in cardiac surgeries in the form of cardiac bypass surgery and interventional cardiology. We have also achieved an overwhelming triumph in our minimal invasive surgeries; in the recent past. They ensure you receive exactly the care you need by working with experts in cardiovascular medicine, gastroenterology and hepatology, hematology, oncology, pulmonary medicine, critical care medicine, vascular medicine, endovascular surgery, anesthesiology, pathology, radiology, pediatrics, and physical therapy. Your care team may also include nurse practitioners, physician assistants, dietitians and geneticists.

Cardiologists and cardiothoracic surgeons treat many conditions and perform many complex procedures, including heart failure device implants pacemakers ICD complex angioplasty, heart transplantation, heart valve surgery, surgery to treat congenital heart defects in children and congenital heart disease in adults, trans catheter aortic valve replacement and implantation of ventricular assist devices, and total artificial hearts. Our ambulance services are also unmatched.

When do you need a vascular surgeon?

If you have any of the following, you should seek advice from a vascular surgeon

  • Ache or pain in the legs, feet, thighs or buttocks that is brought on by walking or exercise
  • Constant pain in the legs
  • Blue or black discoloration of the toes or fingers
  • Diabetes with ulcer or any problem in the foot.
  • Cramps, pain, fatigue and restlessness in the legs at night
  • Have bunch of blue lines going up on your legs
  • Swelling in the legs
  • Itchiness or eczema in the legs, especially with brown-grey colour on ankles
  • Have mini strokes or have recovered from a stroke
  • Been detected to have any problem of the aorta or any other blood vessel

Any swelling in the body with pulsation (pulsatile swelling)

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General Information

Aortic valve repair and aortic valve replacement are procedures that treat diseases affecting the aortic valve. When the aortic valve isn’t working properly, it can interfere with blood flow as well as force the heart to work harder to supply the necessary blood to the rest of your body.

In some people, aortic valve disease may not cause any signs or symptoms for years. Others may experience shortness of breath, fatigue, and chest pain, loss of consciousness, irregular heartbeat (arrhythmia), heart failure and sudden cardiac death.

Aortic valve repair or aortic valve replacement can treat aortic valve disease and help restore normal blood flow, reduce symptoms, prolong life and help preserve the function of your heart muscle.

Several conditions of the Aortic Valves such as Aortic Valve Stenosis and Aortic Valve Regurgitation call for replacement of the affected valves which is attained by performing surgery. The course of action taken for valve replacement is an open-heart surgery. Some people have the option of minimally invasive method to replace the aortic valve. These techniques include a catheter procedure.

 Valve Replacement

The need for heart valve repair or replacement surgery may arise when valves are damaged or diseased and do not work well.

 Valve Opening

Valve Stenosis occurs when a valve doesn’t open fully. The valve may have become hardened or stiff with calcium deposits or scarring. Some reasons why heart valves become narrow and stiff include infection (such as rheumatic fever) and aging. Stiffening or narrowing of valve(s).

 Treatments

Medical care is essential once heart disease is diagnosed, with the goals of stabilizing the condition immediately, controlling symptoms over the long term, and providing a cure when possible.

 Repairing or replacing valves through Catheter procedures (Non-Surgical) – In this procedure, a thin tube (catheter) is inserted into a blood vessel (in the groin or arm) and is threaded to the heart guided by imaging techniques. The catheter enables the interventionalist to have a better view of the inside on a video monitor and conduct the procedure.

 Open-heart surgery– When the condition can’t be managed solely by medications, an open-heart surgery might be recommended. This surgery is carried out under the influence of general anaesthesia and requires the use of a heart-lung machine to substitute the essential functions of the heart and the lungs during the surgery. A small cut is placed between the child’s ribs to reach his heart or the damaged valve and the defect is repaired using stitches or clips. In cases where heart valves are severely damaged, the damaged valves may be replaced by artificial valves (made from animal valves or human valves taken from donors).

The duration largely depends upon the number of valves to be replaced or repaired. Minimally Invasive Cathartic procedures (Non-Surgical) have a shorter recovery time than surgery. They are often preferred over surgical repair or replacement as they are less painful.

Coronary artery bypass-

 This open heart surgery which use arteries or veins to bypass the diseased coronaries. It can be done either on pump or veins off pump.

Non invasive faculties available at Primus Hospital include ECG, 2D and 3D echocardiography, exercise stress Echo, dobutamine stress echo treadmill testing, 24 hours holter monitoring contrast echocardiography, Transesophageal, echocardiography. Experienced and skilled technicians and staff make the patients undergo the tests smoothly.

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