Cardiology

• Interventional Cardiology which includes
• Coronary intervention including complex angioplasties, PAMI(Primary Angioplasty in Acute Myocardial Infarction)
• Pacemakers including CRT Devices
• Automatic Implantable Cardioverter-Defibrillator (AICD)
• Congenital anomalies device closures
• Peripheral interventions like Aneurysm coiling, Embolization

• Non invasive Cardiology
• Echocardiogram (Echo)
• Stress Test (TMT) (CSE) (DBE)
• Holter
• Ambulatory Blood Pressure (ABP) monitoring
• Transesophageal echocardiography (TEE)
• Bubble Echo study including CABG, Valve replacement, Aortic Surgery, Aneurysm Surgery

• Cardiothoracic and Vascular Surgery
• Arrhythmia Services
• Heart Failure Clinic

The institute also offers round-the-clock multidisciplinary, comprehensive emergency care to patients suffering from critical heart diseases. We are equipped with state-of-the-art Intensive cardiac care unit that has technologically advanced monitoring equipment and certified staff to administer emergency services 24x7.

Our Heart Centre offers the most comprehensive care to patients suffering from various heart diseases. Our cardiologists and cardiovascular surgeons are well trained in evaluating, diagnosing and performing cardiovascular surgery in order to treat patients suffering from heart rhythm disorders. Staff at Jupiter Hospital implants hundreds of implantable devices to help people live a quality of life without worrying much about their heart.

What Is Cardiac Resynchronization Therapy (CRT)?
Cardiac resynchronization therapy (CRT), also termed as biventricular pacing, involves the use of a special kind of pacemaker known as a biventricular pacemaker - that works by sending small electrical impulses through the leads attached to it, in order to keep the right and left ventricles pumping together, called AV synchrony. It is designed to help the ventricles contract normally and improve the heart’s rhythm and symptoms associated with arrhythmia or heart failure.

How Does A Biventricular Pacemaker Work?
The pacemaker is implanted just below the collarbone. There are three wires connected to the device's monitor that helps in detecting heart rate irregularities and in synchronising the heart by emitting tiny pulses of electricity to correct them.

Diagnostic Procedure
The doctor performs several tests to diagnose the cause of irregular heartbeats, before implanting a biventricular pacemaker. These tests are performed using:

• Electrocardiogram (ECG)
• Holter monitoring
• Echocardiogram
• Stress test
• Special Echo

Benefits Of CRT
Cardiac resynchronization therapy (CRT) helps in improving the heart’s efficiency by increasing blood flow in patients who have experienced heart failure symptoms such as shortness of breath that aren't controlled with medication. It improves the overall quality of life of the patient and decreases hospitalisation and morbidity.

Results
Having a biventricular pacemaker will help in improving the symptoms caused due to heart failure & slow heartbeats.

The Heart Centre has a team of dedicated cardiologists and cardiac surgeons offering patient-centric care to people suffering from a condition called Ventricular Tachycardia, otherwise known as a fast heartbeat, or a chaotic heartbeat. We use state-of-the-art facilities and treatment modalities at the centre to diagnose, treat and prevent various disorders related to abnormal heartbeats.

What Is An Implantable Cardioverter Defibrillator (ICD)?
An Implantable Cardioverter Defibrillator (ICD) is a small device about the size of business-card that is used as an aid to treat people with dangerously abnormal heart rhythms. It constantly monitors the patient’s heartbeat and delivers electric shock/ pulses automatically when it detects an abnormal heart rhythm.
People who have sustained ventricular tachycardia, fainted from a ventricular arrhythmia survived a cardiac arrest, or suffering from coronary artery disease, abnormal heart muscles, inherited heart defect, Brugada syndrome and arrhythmogenic right ventricular dysplasia can be benefited with Implantable Cardioverter Defibrillator (ICD).

How Does An Implantable Cardioverter Defibrillator (ICD) Work?
ICD is surgically implanted below the collarbone (usually below the left collarbone) in a pocket under the skin. One or two insulated wires attached to ICD runs into the heart chamber via veins of the heart in order to constantly monitor for abnormal heart rhythms. The device helps in instantly correcting the abnormal heartbeats by automatically delivering electric shock/ pulses.

Diagnostic Procedure
The doctor performs several tests to diagnose the cause of irregular heartbeats, before implanting an Implantable Cardioverter Defibrillator. These tests are performed using:

• Electrocardiography (ECG)
• Echocardiography
• Holter monitoring
• Event recorder
• Electrophysiology study (EPS)

Benefits Of ICD
ICDs are capable of continuously monitoring your heartbeat and detecting any abnormal heartbeats (arrhythmias). It even stops the abnormal heartbeats by delivering electrical pulses to restore a normal heart rhythm when necessary.

Result
For anyone who has survived cardiac arrest, ICDs have become standard treatment and they are increasingly used in people at high risk of sudden cardiac arrest. ICD has a capability of lowering your risk against sudden cardiac arrest (SCA) and offers the best protection.

A doctor will evaluate the patient’s current medical condition by performing some diagnostic tests to ensure that he is healthy enough for an implant. The diagnostic process includes Comprehensive Heart Failure Work- Up Which Comprises Of Prep Work-Up.

Sr. No.	OPD Investigations.
1	Cardiology Consultation
2	BMI ≤ 35 / ≥ 20
2	BMI ≤ 35 / ≥ 20
3	2D Echo
4	X-ray Chest
5	CPET and VO2 Max
6	CBC
7	RFT
8	LFT
9	Blood Group
10	Triple H
11	Thyroid Profile
12	Lipid Profile
13	HbA1C
14	ECG