Department of Cardiology
At Aster RV Hospital JP Nagar, we offer the best in class comprehensive cardiac care which includes preventive, noninvasive, interventional, and cardiac surgical care. Our dedicated team of highly skilled and experienced cardiologists in Bangalore combines their expertise with the latest technologies to offer you the best clinical outcomes.
At Aster RV, one of the leading heart hospital JP Nagar, we treat the person as a whole and not just the disease. Our heart specialists diagnose and treat heart disorders, such as chest pain (angina), high blood pressure, coronary artery disease, heart valve problems, cardiomyopathies, arrhythmias, heart failure, and high cholesterol. They are well experienced in performing Coronary angiogram and angioplasties, pacemaker, and various device implantations including Implantable Cardioverter Defibrillator (ICD), Cardiac Resynchronisation Therapy (CRT) and Device Closures (For ASD/ VSD/PDA).
The department is backed by the world’s most advanced hybrid cath lab (biplane and monoplane) with the latest facilities like IVUS, OCT, iFR, FFR, and Rota ablation. This is further complemented by a highly advanced 3D Echocardiography lab.
We are one of the few hospitals in Bangalore having a dedicated Heart Failure Clinic to diagnose and manage patients with heart failure. Highly advanced aortic interventional, surgical and hybrid procedures including Transcatheter Aortic Valve Intervention (TAVI/ TAVR) are performed here.
Aster RV is the Best cardiac hospital in Bangalore, performing a wide range of preventive care services, heart care screening, advanced diagnostic tests, and cardiac rehabilitation programs for post coronary angioplasty and bypass patients. Specialized packages for screening for sports like a marathon, running, trekking, bungee jumping, cycling, high altitude activities are available.
Health condition speciality
Varicose veins, commonly affecting the legs and feet, are a prevalent condition characterized by swollen and twisted veins. In rural India, more than 30% of senior citizens suffer from varicose veins, posing a significant strain on healthcare resources. These veins often cause discomfort, pain, and aesthetic concerns for those affected. In severe cases, varicose veins can lead to complications such as skin ulcers or vein rupture, exacerbating the impact on an individual's health and overall well-being.
Using Cyanoacrylate Glue Embolization (CAE) therapy to treat varicose veins is a relatively new development in vein care. Comparing this novel process to conventional treatment procedures, there are several clear advantages:
1. **Minimally Invasive Procedure**: Compared to traditional surgery, CAE causes less stress to the body because it just requires little skin incisions or punctures. Patients find this feature especially appealing because it frequently results in shorter recovery times and reduced pain following surgery.
2. **Local anesthetic**: CAE is carried out under local anesthetic, as opposed to conventional surgery, which can call for general anesthesia. This lessens the dangers of general anesthesia while enabling patients to stay conscious and awake during the entire process.
3. **Painless Post-operative Period**: Patients usually have little pain during the healing phase after receiving CAE treatment. Compared to traditional surgical methods, which may cause greater agony during the healing phase, this is a major improvement.
4. **No danger of Nerve harm**: When compared to conventional surgical techniques, CAE therapy reduces the danger of nerve harm. This is so that other tissues and nerves won't be needlessly injured during the operation, which specifically targets the afflicted veins.
5. **Elimination of Postoperative Compression Stockings and Activity Restrictions**: CAE does away with the necessity for patients to wear compression stockings and limit their physical activity throughout the healing phase, in contrast to traditional treatments that frequently call for these measures. Following the surgery, patients can return to their regular activities rather quickly, which expedites their return to their daily routines.
All things considered, the advent of CAE therapy is a noteworthy development in the treatment of varicose veins, providing patients with a more effective, efficient, and safe option. For those afflicted with this prevalent vascular ailment, CAE offers the potential to improve overall patient experience and improve outcomes by addressing the shortcomings of standard surgical procedures.
Renal stones, affecting approximately 10% of the global population, pose significant health risks and challenges worldwide. These crystallized deposits within the kidneys not only cause renal damage but also induce excruciating symptoms such as colic pain, fever, haematuria, and potentially life-threatening complications like sepsis. Hence, prompt diagnosis and intervention are crucial imperatives in mitigating the adverse effects of renal stones.
Diagnosis and Treatment Strategies:
Effective management hinges upon accurate symptom identification and the judicious use of diagnostic modalities. Among these, computed tomography (CT) scans play a pivotal role in confirming diagnoses and devising appropriate treatment plans. The evolution of treatment methodologies has ushered in advanced approaches such as percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), both offering minimally invasive alternatives to traditional interventions.
Conclusion:
In essence, the management of renal stones necessitates a multifaceted approach that integrates timely diagnosis, advanced treatment modalities, and patient education. By prioritizing these principles, healthcare providers can mitigate the burdens imposed by renal stones, empower patients to make informed decisions about their care, and ultimately enhance the quality of life for individuals grappling with this prevalent and often debilitating condition.
Cervical spondylosis, also known as cervical disc disease, is a prevalent condition characterized by the degeneration of the cervical spine's discs and vertebrae. This degenerative process can result in a range of symptoms, including neck pain, stiffness, and radiating pain or numbness in the arms, along with occasional weakness of the limbs.
Treatment Options:
The management of cervical spondylosis varies depending on the severity of symptoms and the individual's unique circumstances. Initially, conservative approaches are typically recommended, which may include:
Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, reducing pain and enhancing overall function.
Pain Medications: Non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with cervical spondylosis.
Lifestyle Modifications: Making adjustments to daily activities, ergonomic improvements, and practicing proper body mechanics can help minimize strain on the cervical spine and alleviate symptoms.
Interventional Pain Management:
In cases where conservative measures fail to provide sufficient relief, interventional pain management techniques may be recommended. These procedures, performed under local anesthesia as outpatient procedures, involve minimally invasive approaches to target specific areas of the spine affected by nerve compression or inflammation. Some common interventions include:
Epidural Steroid Injections: Delivering anti-inflammatory medications directly into the epidural space can help reduce pain and inflammation around the affected nerves.
Facet Joint Injections: By injecting a combination of anesthetic and steroid medications into the facet joints, pain relief and improved function can be achieved for patients with facet joint-related pain.
Nerve Blocks: Blocking the transmission of pain signals along specific nerve pathways can provide temporary relief for individuals experiencing severe or persistent pain.
Radiofrequency Ablation: This procedure involves using heat generated by radiofrequency energy to disrupt the function of targeted nerves responsible for transmitting pain signals, offering long-lasting pain relief for some patients.
Advanced Surgical Options:
In cases of severe or refractory cervical spondylosis, surgical intervention may be necessary to alleviate symptoms and restore spinal stability. Surgical options may include:
Spinal Fusion: This procedure involves fusing two or more vertebrae together to stabilize the spine and reduce pressure on affected nerves.
Disc Replacement: In selected cases, damaged cervical discs may be replaced with artificial implants to maintain spinal mobility while alleviating pain and dysfunction.
Conclusion:
Cervical spondylosis can significantly impact an individual's quality of life, but with timely diagnosis and appropriate treatment, many patients can find relief from their symptoms and regain function. At Aster MIMS Kannur, we offer a comprehensive range of conservative and advanced treatment options, including interventional pain management techniques and state-of-the-art surgical procedures, to help individuals effectively manage cervical spondylosis and achieve optimal outcomes. If you or a loved one are experiencing symptoms of cervical spondylosis, don't hesitate to reach out to our expert team for personalized care and guidance.
Lumbar spondylosis, also known as Lumbar Disc Disease or Disc Prolapse, is a degenerative condition that affects the lower spine, particularly the lumbar region. This condition is characterized by the wear and tear of spinal discs and facet joints, often resulting in a spectrum of symptoms including lower back pain, stiffness, numbness, reduced range of motion, weakness in the legs, and even urinary symptoms.
Treatment Options:
Treatment for lumbar spondylosis is tailored to the severity of the condition and the individual's specific needs. Initially, conservative approaches are typically recommended, including:
- Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, thereby reducing pain and enhancing overall function.
Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with lumbar spondylosis.
Lifestyle Modifications: Incorporating regular exercise, maintaining a healthy weight, and practicing proper body mechanics can help minimize strain on the lumbar spine and alleviate symptoms.
Surgical Intervention:
In cases where conservative treatments fail to provide adequate relief, or if there are neurological complications such as nerve compression, surgical interventions may be necessary. One advanced surgical technique for lumbar spondylosis is Percutaneous Endoscopic Lumbar Discectomy (PELD). This minimally invasive procedure involves inserting a thin tube with a camera and surgical tools through a small incision. PELD offers several advantages, including reduced tissue damage, faster recovery times, lower risk of infection, and less post-operative pain compared to traditional open surgery.
Minimally Invasive Pain Management:
In addition to surgical options, minimally invasive pain and spine interventions can play a crucial role in managing symptoms associated with lumbar spondylosis. Procedures such as epidural steroid injections, nerve root blocks, radiofrequency ablation, and spinal cord stimulation target specific pain pathways or nerves, providing effective pain relief and improving overall function for individuals with lumbar spondylosis.
Conclusion:
Navigating lumbar spondylosis requires a comprehensive approach that considers the individual's symptoms, severity of the condition, and treatment goals. By incorporating conservative treatments, advanced surgical techniques, and minimally invasive pain management procedures, healthcare providers can effectively manage symptoms and improve quality of life for patients with lumbar spondylosis. If you or a loved one are experiencing symptoms of lumbar spondylosis, consult with a healthcare professional for personalized evaluation and treatment options.
Lumbar spondylosis, also known as Lumbar Disc Disease or Disc Prolapse, is a degenerative condition that affects the lower spine, particularly the lumbar region. This condition is characterized by the wear and tear of spinal discs and facet joints, often resulting in a spectrum of symptoms including lower back pain, stiffness, numbness, reduced range of motion, weakness in the legs, and even urinary symptoms.
Treatment Options:
Treatment for lumbar spondylosis is tailored to the severity of the condition and the individual's specific needs. Initially, conservative approaches are typically recommended, including:
- Physical Therapy: Targeted exercises and manual therapy techniques can help improve strength, flexibility, and posture, thereby reducing pain and enhancing overall function.
Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and analgesics may be prescribed to alleviate pain and inflammation associated with lumbar spondylosis.
Lifestyle Modifications: Incorporating regular exercise, maintaining a healthy weight, and practicing proper body mechanics can help minimize strain on the lumbar spine and alleviate symptoms.
Surgical Intervention:
In cases where conservative treatments fail to provide adequate relief, or if there are neurological complications such as nerve compression, surgical interventions may be necessary. One advanced surgical technique for lumbar spondylosis is Percutaneous Endoscopic Lumbar Discectomy (PELD). This minimally invasive procedure involves inserting a thin tube with a camera and surgical tools through a small incision. PELD offers several advantages, including reduced tissue damage, faster recovery times, lower risk of infection, and less post-operative pain compared to traditional open surgery.
Minimally Invasive Pain Management:
In addition to surgical options, minimally invasive pain and spine interventions can play a crucial role in managing symptoms associated with lumbar spondylosis. Procedures such as epidural steroid injections, nerve root blocks, radiofrequency ablation, and spinal cord stimulation target specific pain pathways or nerves, providing effective pain relief and improving overall function for individuals with lumbar spondylosis.
Conclusion:
Navigating lumbar spondylosis requires a comprehensive approach that considers the individual's symptoms, severity of the condition, and treatment goals. By incorporating conservative treatments, advanced surgical techniques, and minimally invasive pain management procedures, healthcare providers can effectively manage symptoms and improve quality of life for patients with lumbar spondylosis. If you or a loved one are experiencing symptoms of lumbar spondylosis, consult with a healthcare professional for personalized evaluation and treatment options.
FAQs
Want to find out more about the treatment? The answer to your questions can be found below.
What is a heart attack?
In some patients, the blood supply to a part of the heart muscle stops suddenly. This happens most often due to the formation of a clot inside one of the three coronary arteries supplying blood to the heart muscle. When this happens, the heart muscle that receives blood from the respective coronary artery gets damaged. This is termed as a heart attack.
It is advised to quickly visit the Best Cardiology Hospital in Bangalore nearby to get treated by a cardiologist.
Are there different types of heart attacks? If so, what are they?
Based on the variation in the ECG during a heart attack, doctors recognize two types of heart attacks. ST-elevation Myocardial Infarction (STEMI) Non-ST-elevation Myocardial infarction (NSTEMI). STEMI and NSTEMI differ not only in the variation in the ECG but also in their severity. In general, STEMI is more likely to be immediately fatal or disabling than NSTEMI. Consequently, STEMI requires more urgent treatment than NSTEMI in most instances. However, this is just a thumb rule: Some NSTEMIs can be equally ominous and may require emergency treatment just like STEMI.
What are the specific tests required to diagnose heart disease?
Patients suspected to have a heart attack require to undergo ECG or electrocardiogram immediately. If the initial ECG is not diagnostic but the symptoms and signs are highly suggestive of a heart attack, repeating the ECG after 30-60 minutes and performing a blood test to detect high levels of cardiac enzymes such as Cardiac Troponins or CK-MB are additionally useful. Old heart attacks are often diagnosed based on ECG or Echocardiography.
What time of the day does one usually get a heart attack?
Heart attacks can occur at any time of the day. However, due to various neuro-hormonal variations associated with the circadian rhythm, some clustering of heart attacks is noted in the mornings between 6 am and 12 noon. Some physicians have noted more heart attacks in the wee hours, i.e., between 3 and 6 am.
What are the common causes of heart disease?
Various risk factors increase the chances of a person having a heart attack. Smoking, High Blood pressure, Diabetes. physical inactivity, high cholesterol levels, obesity, and poor diet are important risk factors. These can be potentially controlled to reduce heart attack risk. Therefore, these are termed Modifiable Risk factors.
Older age, male sex, family history, Post-menopausal state in women are factors that can increase heart attack risk but cannot be altered. These are called non-modifiable risk factors.
South Asians appear to have a very high risk of having heart attacks at a younger age, compared to Caucasians and Asians such as Japanese.
How are heart attacks treated?
As soon as a diagnosis of heart attack is made, blood-thinning medications (Aspirin, Clopidogrel are common ones) are administered. The definitive treatment is Coronary angiography followed by primary coronary angioplasty to restore blood flow in the coronary artery causing the attack.
However, if for some reason, angioplasty cannot be performed, certain medicines (thrombolytic drugs, or clot busters) are administered in the form of injections. Primary Angioplasty is a more effective and safer form of treatment for a heart attack, but in some circumstances (e.g., remote areas) these drugs can be life-saving.
What is Coronary Angioplasty?
Coronary angioplasty is a procedure performed to widen narrow or blocked sections of the coronary vessels thereby restoring the blood flow. A thin balloon is inserted into the coronary artery and inflated at the site of the block to widen the narrowed artery. This makes a way for the opening of the blockages. A stent is generally then placed to prevent future blockages.
What is Coronary Artery Bypass Grafting (CABG) Surgery?
Coronary Artery Bypass Grafting (CABG) is a procedure where a surgeon makes new routes (bypass) around blocked or narrowed coronary arteries with one or more grafts allowing increased blood flow to the vessel past the blockage. These grafts are typically healthy blood vessels from the chest, arm, or leg of the patient.
What are the precautions to be taken post a heart surgery or angioplasty?
It is important to maintain a healthy lifestyle post a heart surgery includes: Quit smoking. Eat a healthy diet that is low in saturated fat. Lower your cholesterol levels. Try to maintain a healthy weight. Exercise regularly. Control other conditions, such as diabetes and high blood pressure. Do not skip any medications prescribed by your doctor.
What is Normal blood pressure?
Normal blood pressure is defined as blood pressure of 120 mmHg systolic, 80 mmHg diastolic. Blood pressure of 140/90 or higher is termed as hypertension.
Why is high blood pressure dangerous?
Higher the blood pressure, higher is the risk of damage to the heart and blood vessels in major organs such as the kidney and brain.
Uncontrolled hypertension can lead to an enlargement of the heart, heart attack, and eventually heart failure. Hypertension can also lead to blindness, stroke, and kidney failure.
What is heart failure?
Heart failure is a condition in which your heart is not pumping normally and is unable to deliver oxygen-rich blood throughout the body. It does not mean the heart has stopped working. It means that it is working at lower efficiency. The heart muscle is either too weak and cannot pump blood to the rest of the body with enough force (systolic failure) and/or has trouble relaxing and becomes stiff (diastolic failure). This causes a build-up of fluid (congestion) in the lungs, feet, and other body tissues. This generally develops slowly but can also present very rapidly.
Is there a link between blood sugar and heart attack?
Anything in excess or deficiency is a problem. The same applies to blood sugar. High blood sugar levels can increase the risk of heart diseases like heart attack and heart failure. Low blood sugar (Hypoglycaemia) can precipitate arrhythmias and heart attacks. Long term uncontrolled blood sugar can lead to blocks in the peripheral arteries like in the brain, legs, and abdomen.
Are heart attacks hereditary or can they be age-dependent?
Family history plays an important role in the causation of heart attacks. The risk of a heart attack in a person more than doubles if a first-degree relative (parents, siblings, or children) has had a heart attack in the past.
While there are exceptions, heart attacks are generally seen in older adults. The typical age for a man to have a heart attack is 55 years and above and for a woman it is 65 years and above.
When heart attacks are seen in men younger than 55 years and women younger than 65 years it is termed as Premature Heart Attack or Premature Coronary artery disease.
In India, during the last two decades, more and more adults who are younger have been noted to have heart attacks. Studies have shown that between 15-22% of all heart attacks are seen in adults younger than 40 years of age.
Do all types of heart attacks have the same symptoms?
Of course not. Symptoms of heart attack can vary from case to case. The commonest symptom of a heart attack is chest pain. This is seen in about 70% of all heart attack patients. The remainder can present with breathlessness, arm or back pain, cold sweats, loss of consciousness, or palpitations. Some patients may have no symptoms at all and are said to have a Silent Heart attack.
If you experience any of these symptoms, then immediately consult the Best Cardiologist in Bangalore.
How do a heart attack and stroke differ?
A lot of people use these terms interchangeably.
Heart attack refers to damage to the heart muscle. Stroke refers to paralysis of limbs or face or any other neurological function due to damage to the brain resulting from clotting or bleeding in the blood vessels of the brain. They are clinically different and the terms should ideally not be interchanged.
What should I do if I have symptoms suspicious of a heart attack?
First, seek help. Make any person in proximity aware of your situation. The most important step to ensure a safe outcome in a heart attack is to see that you reach a hospital with appropriate facilities as soon as possible. It is a good practice to be aware of the hospitals around you and the facilities they provide. When someone has chest pain or other symptoms suggestive of a heart attack, the immediate first aid should be to take 350 mg of the soluble form of Aspirin (common trade names Disprin or Aspisol in India). Ideally, the tablet should be chewed because the medicine is absorbed from the mucosal membrane of the oral cavity and starts to act immediately. If the patient cannot chew the tablet for some reason, the tablet can be dispersed in a small quantity of water and taken orally. If I see someone who is having a heart attack, what can I do to ensure he survives till help arrives? Call the nearest hospital with cardiac facilities as soon as you recognise that someone around you might be having an ongoing attack. Shift the person to a comfortable position and reassure them. If possible, give them an Aspirin tablet to chew. While waiting for help to arrive, monitor their breathing and pulse. If they lose consciousness, initiate Cardiopulmonary resuscitation (CPR).
How can I reduce my risk of developing heart disease?
A disciplined lifestyle would not only take care of the heart but also keep other diseases at bay. The key changes are
Quit smoking
Exercise regularly
Maintain a healthy weight
Control blood pressure and diabetes well
Keep cholesterol levels in check
Manage stress
What is Coronary Angiography?
It is a procedure to detect blockages in the blood vessels of the heart. A thin hollow tube or catheter is inserted via the artery of the forearm or the thigh. Through this catheter, a special contrast dye is injected into the coronary arteries and X-ray images are obtained to visualize the blood flow in the coronary arteries.
Can a stent get blocked again? Is it possible to insert another stent in the same place?
Yes. In about 5-10% of patients, especially those who are not on medication, have uncontrolled diabetes, develop kidney failure, or continue to smoke, stents can show narrowing (restenosis). If a disciplined lifestyle is not followed, new blockages can appear in other areas of the vessels too.
Stent restenosis can be treated by balloon angioplasty, a second stent, drug-coated balloons, or by Bypass surgery.
Is bypass surgery a permanent solution for heart blocks?
No treatment for coronary blocks can be considered a permanent solution. A small number of patients can have the failure of bypass surgery very early. In a majority, Bypass surgeries can help to feel better and prolong life for over 10-15 years. Again, lifestyle and adherence to medical advice after bypass surgery are of paramount importance in keeping the procedure durable. Visit Best Heart Hospital in Bangalore to avail of advanced heart surgeries or procedures.
What are the various types of heart diseases?
There are various types of disorders related to the heart.
Congenital heart disease is a defect of the heart which are present since birth.
Arrhythmias are abnormal heart rhythm or irregular heartbeat affecting the electrical conduction.
Coronary artery disease is caused by the narrowing of the coronary arteries leading to the decreased blood supply to the heart.
This can potentially lead to angina, heart attacks, weakening of the heart muscle, or sudden death.
Cardiomyopathy refers to diseases affecting the heart muscle. Some types of cardiomyopathy are genetic, while others occur because of an infection or reasons that are less well understood.
Heart failure happens when the heart is not properly pumping blood throughout the body. In this condition often the heart's pumping capacity is reduced.
Valvular heart disease affects how the valves function to regulate blood flow in and out of the heart chambers.
Hypertension is a condition in which the blood vessels have persistently increased pressure, putting them under increased stress. It is often known as high or raised blood pressure.
Pericardial diseases affect the outer layer (pericardium) of the heart. It can be affected by a variety of conditions that include inflammation (pericarditis), stiffness (constrictive pericarditis), and fluid accumulation (pericardial effusion).
What causes high BP or hypertension?
The cause of high blood pressure is unclear in most people. However, older age, physical inactivity, poor diet, obesity, kidney problems, alcohol use, certain birth control pills, and persistent stress can all contribute to the development of hypertension.
People with high blood pressure usually have no signs when their blood pressure is excessively high, or if they have already had high blood pressure.
How to prevent high blood pressure?
High blood pressure can be prevented and controlled by maintaining a healthy diet.
Reduce your salt intake. Increase the intake of vegetables and fruits. Avoid saturated fats.
Engage yourself in moderate exercises. Aim for a minimum of thirty minutes of aerobic activity, such as brisk walks for five days a week.
Avoid and stop smoking and other tobacco products and avoid alcohol abuse.
Reduce stress levels by engaging with fun activities and meditation.
If advised medications, please take them regularly.
Does erratic sleep over the long run lead to a potential heart attack? Are the professionals working night shifts at a higher risk of a heart attack?
Yes. Every individual needs at least 6-8 hours of undisturbed sleep. Studies have shown that working night shift meddles with the body’s circadian rhythm, putting it under stress and making it more susceptible to heart problems like irregular heartbeats and heart attack.
What is valvular heart disease?
The heart’s valves keep blood flowing through the heart in the right direction. But a range of conditions can result in valvular damage. Valves may narrow (stenosis), not close properly (prolapse) or leak (regurgitation or insufficiency). This can cause your body to be disrupted by the blood flow through your heart.
Is there a link between obesity and heart disease?
Yes. Being overweight and obese can cause a high risk of multiple heart problems. It can lead to high blood pressure. Excess weight also increases the chance of atherosclerosis (cholesterol deposits in the arteries causing blocks), abnormal heart rhythms, heart attacks and significantly increases the risk of heart failure.
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