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Coronary Artery Disease in India

Coronary Artery Disease in India

Coronary Artery Disease is a disease in the heart's major blood vessels. The usual cause is the build-up of plaque, which causes coronary arteries to narrow and therefore limited blood flow to the hea... ... Read More
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Medanta - The Medicity, Gurgaon
1

Medanta - The Medicity, Gurgaon

Super Specialty
  • 1250 Number of beds
  • Gurgaon
ABOUT HOSPITAL

Doctors for Coronary Artery Disease in Medanta - The Medicity, Gurgaon

Dr. Naresh Trehan

Chairman
Cardiac Surgeon
  • 40 years of experience

Dr Anil Bhan

Chairman
Cardiac Surgeon
  • 37 years of experience

Dr. Ali Zamir Khan

Associate Director
Cardiac Surgeon
  • 24 years of experience

Dr. R. K. Saran

Director
Cardiac Surgeon
  • 30 years of experience

Dr. Vijay Kohli

Chairman
Cardiac Surgeon
  • 35 years of experience

Dr. Bhuvnesh Kumar Aggarwal

Principal Consultant
Cardiac Surgeon
  • 31 years of experience
Fortis Escorts Heart Institute, New Delhi
2

Fortis Escorts Heart Institute, New Delhi

Multi Specialty
  • 285 Number of beds
  • New Delhi
ABOUT HOSPITAL

Doctors for Coronary Artery Disease in Fortis Escorts Heart Institute, New Delhi

Dr. Surendra Nath Khanna

Director
Cardiac Surgeon
  • 25 years of experience

Dr Z S Meharwal

Director
Cardiac Surgeon
  • 27 years of experience

Dr. Naveen Saraf

Principal Consultant
Cardiac Surgeon
  • 20 years of experience

Dr. Surender Nath Khanna

Additional Director
Cardiac Surgeon
  • 25 years of experience
Apollo Hospitals, Greams Road, Chennai
3

Apollo Hospitals, Greams Road, Chennai

Super Specialty
  • Number of beds
  • Chennai
ABOUT HOSPITAL

Doctors for Coronary Artery Disease in Apollo Hospitals, Greams Road, Chennai

Dr. Vijay Shankar S

Senior Consultant
Cardiac Surgeon
  • 30 years of experience

Dr. Robert Mao

Consultant
Cardiac Surgeon
  • 25 years of experience

Dr. Pramod Kumar

Consultant
Cardiac Surgeon
  • 22 years of experience

Dr Dillip Kumar Mishra

Consultant
Cardiac Surgeon
  • 31 years of experience

Dr. Girinath M R

Consultant
Cardiac Surgeon
  • 45 years of experience

Dr. Sridhar L F

Consultant
Cardiac Surgeon
  • 27 years of experience

Cost for Coronary Artery Disease in India

PPI-Permanent Pacemaker Implant - Single Chamber

Range

USD 450 -55000

Frequently Asked Questions related to Coronary Artery Disease

Aortic Valve replacement- Mechanical Valve

Question: How can I strengthen my heart valve?

There are ways to strengthen the heart valve firstly, Get moving as your heart is a muscle and as with any muscle, exercise is what strengthens it., Quit smoking, Lose weight, Eat heart-healthy foods and don't take the stress.

Question: How long does it lasts?

Mechanical valves in some patients have lasted as long as 25 years without problems. Tissue valves in some patients have lasted as long as 15 years without problems.

Question: Do mechanical heart valves make noise?

A still poorly addressed issue of mechanical valve prostheses is the noise they produce. This is perceived by many patients, many are happy to hear their heart constantly beating, but some dislike the noise.

Question: Can mechanical heart valves be rejected?

Mechanical valves are made from carbon and metal. Tissue (biological or bioprosthetic) valves are usually made from animal tissue, or sometimes from human tissue (in which case they may be called homograft valves), that has been treated to make sure it is not rejected by the body.

Question: What happens when damaged aortic valve is left untreated?

Your treatment depends on the severity of your condition. You may need surgery to repair or replace the valve. Left untreated, aortic valve stenosis can lead to serious heart problems.

Question: What are the various types of valves? Can I choose the type of valve I want or will doctor advice me for that?

There are two main types of heart replacement valves to choose from — mechanical and biological, Doctor will advise according to the patient age, lifestyle, food habits etc.

Question: How much time does it take to fully recover from aortic valve replacement surgery?

After an aortic valve replacement, you'll usually need to stay in the hospital for about a week. The time it takes to fully recover varies depending on factors like your age and overall health.

Your breastbone will usually heal in about 6 to 8 weeks, but it maybe 2 to 3 months before you feel your normal self again.

Question: Can you exercise after aortic valve replacement?

Exercising will help to speed up your recovery and it's a key component of a healthy lifestyle. Exercise increases your fitness levels, helps control blood pressure, weight and cholesterol and keep you relaxed.

Question: Is surgery the only option for damaged aortic valves ?

When valves are damaged or diseased and do not work the way they should they may need to be repaired or replaced.

Question: Which is better mechanical or tissue valve?

Mechanical valves last longer than tissue valves. They are less likely to wear out or break down. If you are age 50 or younger, a mechanical valve may be a good choice.

However, the patient has to follow a strict blood thinner medication regime. Hence, the tissue valve is advised for older people to avoid the risks of blood thinners.

Question: If you are doing Minimally invasive surgery, does it offer same results as Open surgery or will the results be compromised because of this technique?

That is absolutely right. If your surgeon felt, he will not be able to achieve the desired results in minimally invasive surgery, he will not offer it in the first place.

Question: What is the life of an mechanical valve?

Mechanical valves usually last 20 years or more.

Heart Bypass- Minimally Invasive CABG

Question: Would the local doctor in my country be given any special instructions to manage my condition post surgery?

You will be given a discharge summary at the time of discharge from the hospital. This document has all relevant details for your local doctor to follow you up post-surgery.

But your local doctor can also get in touch with treating surgeons through us. Talk to your case manager and we will be happy to facilitate.

Question: Will I be able to smoke/ consume alcohol after surgery?

Smoking is absolutely prohibited post-surgery. Occasional and moderate drinking is generally allowed.

Question: Why am i not been offered Angioplasty as an alternative?

Bypass surgery is generally considered the better option in cases where the patient's arteries are blocked in multiple areas or where their left main coronary artery is narrowed.

Sometimes patients will prefer the less invasive angioplasty as they would like to resume work sooner.

Question: What are the latest technology and techniques available for CABG?

Minimally invasive surgery also called keyhole surgery.

Question: I drink liquor frequently. Will i be able to drink normally after this surgery?

Occasional drinking post-CABG is acceptable. It is important for the patient to maintain a healthy lifestyle.

Since coronary artery disease is a lifestyle disease and can very well be managed by a change in lifestyle post-surgery.

Question: What to expect after CABG?

Recovering from a coronary artery bypass graft procedure takes time and everyone recovers at slightly different speeds.

Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and downstairs after 5 or 6 days. Most people make a full recovery within 12 weeks of the operation.

Question: When can I be sexually active again?

Resume sexual activities in six-eight weeks

Question: Can patient use stairs after the procedure?

If you can walk normally at your usual pace, you can also climb two flights of stairs at your usual pace

Question: Will I be able to walk normally after my surgery?

Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and downstairs after 5 or 6 days. Most people make a full recovery within 12 weeks of the operation.

Question: Long term follow up is required?

The doctor will advise you to run investigations after 6 months, 1 year and share the reports electronically to review the progress and condition of the heart.

Question: ICU Stay, total hospital stay, stay near hospital, when can I fly back?

You'll usually need to stay in the hospital for around 7 days after having a coronary artery bypass graft (CABG) so medical staff can closely monitor your recovery. ICU for 1-2 days.

During this time, you may be attached to various tubes, drips, and drains that provide you with fluids and allow blood and urine to drain away.

Those who have had a heart valve repair or replacement surgery or coronary artery bypass grafts (open heart surgery) can usually fly after 4 weeks.

Question: If you are doing Minimally invasive surgery, does it offer same results as Open surgery or will the results be compromised because of this technique?

That is absolutely right. If your surgeon felt, he will not be able to achieve the desired results in minimally invasive surgery, he will not offer it in the first place.

Question: Where all the incisions be made on my body? Chest only? Chest and legs?

A series of small incisions are made between your ribs on the left side of your chest, directly over the artery to be bypassed. The incisions usually are about 3 inches long.

Taking veins from the legs has traditionally been done but with advanced techniques, doctors do it endoscopically and hence NO more cuts other than chest incision.

Question: I am 70 years old, Is it safe for me to undergo this surgery?

Coronary artery disease is generally an old age problem and hence people of up to 70-75 years of age can safely undergo the procedure.

Question: Is it necessary to do open surgery, can it not be done through minimally invasive technique?

In most cases, minimally invasive surgery can be offered, but if your surgeon is insisting on open surgery, there have to be medical reasons for it.

You should clarify all such apprehensions during your clinical evaluation with the treating surgeon.

Question: How long do you have to take blood thinners after bypass surgery?

The surgeon must find a balance between preventing clots and having a patient bleed too much during surgery.

For some patients who routinely take a blood thinner prior to surgery, the dose of blood thinners that are typically taken each day is stopped at least 24 hours, and up to a week, prior to the surgery.

Question: Success rate of CABG?

CABG in today's world has become a very routine procedure. Most doctors we work with operate about 20-25 such patients every month. The success rate of CABG surgery is easily more than 95%.

Question: Can CABG be avoided?

The most important is that the need for bypass surgery arises as to the result of a preventable condition, namely, coronary artery disease.

If you take care of yourself, eat well, exercise and take heart-healthy supplements, the chances are good that you may be able to avoid a bypass.

Question: What are the risks of CABG?

Possible risks of coronary artery bypass graft surgery (CABG) include:
Bleeding during or after the surgery.
Blood clots that can cause heart attack, stroke, or lung problems.
Infection at the incision site.
Pneumonia.
Breathing problems.
Pancreatitis.
Kidney failure.
Abnormal heart rhythm

Question: What to expect during CABG?

During CABG, a surgical team will take one or more blood vessels from another part of your body and create newer blood vessels to take blood into the heart.

Heart Transplant

Question: How long is the heart transplant procedure?

A heart transplant operation usually takes between 4-6 hrs.

Question: What can i expect after an heart transplant?

It takes about six to eight weeks for your incisions to heal.

Question: How is matching done for heart transplant?

When checking whether a heart is a good match the team will look at the quality of the heart, the size, and how well it matches blood and tissue type.

Question: What are the risks associated with Heart Transplants?

The most common causes of death following a transplant are infection and rejection. With the exception of having to take lifelong medication to keep the body from rejecting the new heart.

Question: What are the Contraindication for heart transplant?

 

Contradictions are: Insulin-dependent diabetes with severe organ dysfunction Recent thromboembolism such as stroke Advanced kidney, lung, or liver disease Metastatic cancer Life-threatening diseases including acute infection or systemic disease such as systemic lupus erythematosus, sarcoidosis Vascular disease.

Question: What are the steps in Heart transplant surgery?

Heart Transplant procedure consists of three stages: The first stage is harvesting the heart from the donor. The second removing the recipient's damaged heart And lastly is the implantation of donor's heart.

Question: What are heart transplant Rejection Symptoms?

General symptoms of heart transplant rejection are- Fever Fluid collection in lungs Decreased oxygen level in blood Shortness of breath.

Question: How is the functioning of heart assessed?

Functioning of heart is assessed by: Echocardiogram - measures the Ejection Fraction or EF which is a measure of how well the heart is contracting. NT-pro BNP - a hormone that rises in the blood as a response to a failing heart.

Question: What is the survival rate for heart transplant patients?

85 to 90 percent patients live 2 years or more. 60% of them live for 5 years or more.

Question: Are the hospitals in your panel internationally accredited?

At Vaidam, we are proud to associate with several Joint commission international (JCI )accredited Indian hospitals in our panel. Also Vaidam is the first and only online medical facilitator in India accredited by NABH. This recognition is an acknowledgment to the quality of care being provided to patients, safety standards and services.

Question: How long does it typically take for hospital to arrange for cadeveric donor for me?

Unfortunately, there can never be a commitment on how long one has to wait. It depends on a lot of factors - age, height, weight, blood group of the patient, Indian patients in waiting queue, International patients in waiting queue before the patient.

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Videos related to Coronary Artery Disease

Heart Bypass Surgery Explained by Dr. Sanjeev Malhotra

Suresh Chandra sharing his experience about Heart Bypass Surgery

Heart Diseases and Treatments Explained by Dr. Yugal K. Mishra

 

 

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