The Heart Institute at Nanavati Max Super Speciality Hospital is a committed centre offering state-of-the-art comprehensive cardiac care to patients with cardiovascular diseases such as angina, coronary artery disease, valvular heart disease, rhythm disorder, congenital cardiac disease and heart failure. From diagnostic, nuclear scans, PET/ CT scan, non-invasive cardiology, to top-class interventional radiology, interventional cardiology, and neuro interventional services, including the full range of cardiac and vascular surgery, we offer a full range of treatment and services under one roof.
Our heart care team comprises of cardiac surgeons, cardiologists, cardiac anaesthesiologists, intensivists, and intensive care experts have adopted a 'Heart Team' approach and work in synergy for delivering the best possible outcomes. Our experts at the institute are recognised for their expertise in the field of Interventional cardiology including Primary Angioplasty in Myocardial Infarction (PAMI), Coronary Bypass Surgery, Total Arterial Grafting, Complex Congenital Cardiac Surgery, Surgery for Aneurysm, etc. We perform a wide range of coronary angioplasty and interventions required for correction of congenital anomalies and electrophysiology studies.
The dedicated specialist units at the institute are further streamlined into various sub-disciplines of ‘Cardiac Care’. These include:
- Invasive Interventional Cardiology which includes
- Coronary intervention including complex angioplasties, PAMI(Primary Angioplasty in Acute Myocardial Infarction)
- Automatic Implantable Cardioverter-Defibrillator (AICD)
- Congenital anomalies
- Peripheral interventions
- Non invasive Cardiology
- Echocardiogram (Echo)
- Treadmill Stress Test (TMT)
- Ambulatory Blood Pressure (ABP) monitoring
- Transesophageal echocardiography (TEE)
- 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.
Cardiac Resynchronization Therapy (CRT)
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 or order to treat patients suffering from heart rhythm disorders.
Staff at Nanavati Max 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 Works?
The pacemaker is implanted just below the collarbone. There are three wires connected to the devices monitor that helps in detecting heart rate irregularities and in synchronizing the heart by emitting tiny pulses of electricity to correct them.
The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting a biventricular pacemaker. These tests are performed using:
- Electrocardiogram (ECG)
- Holter monitoring
- Stress test
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 in hospitalization and morbidity.
Having a biventricular pacemaker will help in improving the symptoms caused due to heart failure & slow heartbeats.
Implantable Cardioverter Defibrillator (ICD)
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 is used as an aid to treat people with dangerously abnormal heart rhythms. It constantly monitors the patient’s heartbeat and delivers electrica 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 monitors for abnormal heart rhythms. The device helps in instantly correcting the abnormal heartbeats by automatically delivering electric shock/ pulses.
The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting an Implantable Cardioverter Defibrillator. These tests are performed using:
- Electrocardiography (ECG)
- 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.
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 offer the best protection.
Heart Pumps (Ventricular Assist Device (VAD))
The Heart Centre at Nanavati Max Super Speciality Hospital offers multiple innovative treatments for people with advanced heart failure, including offering ventricular assist devices-heart pumps to treat complex heart problems, such as amyloidosis, restrictive cardiomyopathy, and other high-risk conditions. Our experts follow a multidisciplinary team-based approach in order to provide a coordinated, patient-centric treatment plan to each patient under our care.
What Are Ventricular Assist Devices (VAD)?
A ventricular assist device (VAD) is a heart pump that helps pump blood from the lower chambers of your heart (the ventricles) to the rest of your body. Also known as a mechanical circulatory support device, VAD is implanted in people who have weakened hearts or heart failure.
How Do Ventricular Assist Devices (VAD) Work?
VAD is a mechanical pump that is a surgically implanted in the left side of the chest, around the heart in a sac known as the pericardial space. The pump is connected to the heart at the bottom of the left ventricle through a driveline cable, where it draws oxygen-rich blood through the pump and pushes it into the aorta. From the Aorta, the blood can flow to the rest of the body.
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.
Benefits of VAD
For the patient awaiting a heart transplant, VAD is a life-saving therapy. VAD or Left Ventricular Assist Device (LVAD) is capable of restoring the functions of the failing heart, thereby eliminating the need for a transplant.
Depending upon your medical condition you may be able to return to many of the daily life activities, such as returning to work, exercising, being sexually active, driving, participating in hobbies, etc.
The Heart Transplantation Unit at Nanavati Max Heart Centre is a dedicated unit providing the most comprehensive care to patients with advanced heart problems including heart failure. Our transplant unit follows a multi-disciplinary approach to evaluate and treat patients who may require a heart transplant.
Our team of specialists consists of highly renowned advanced heart failure/ transplant cardiologists, interventional cardiologists, cardiothoracic surgeon, electrophysiologists, cardiovascular imaging specialists, and cardiovascular surgeons focuses on treating the most complex cases of heart failure using a patient-centric approach. The goal of a heart transplant is both to improve the patient’s longevity and quality of life.
What Is a Heart Transplant?
A heart transplant is a surgical process which involves the removal of the diseased heart from the patient’s body and replaces it with a healthy heart acquired from the deceased organ donor (the one who is declared brain dead by the doctors). It is a medical treatment procedure that is reserved for people who have tried medications or other surgeries, but their conditions haven't sufficiently improved.
How does a patient get a Heart Transplant?
To get a heart transplant, the patient is first put on a transplant waiting list and waits for a donor to become available. When the heart is available for donation it is matched with the patient based on blood type, body size, and UNOS status (based on the recipient's medical condition). Doctors even consider the length of time the recipient has been waiting.
Once the heart is available it is harvested from the donor’s body and transplanted in a patient’s body. During the process, the patient is placed on a heart-lung machine to help the body receive vital oxygen and nutrients from the blood even though the heart is being operated on.
To evaluate your medical condition, the doctor may conduct several diagnostic tests like:
- Blood Tests
- Cardiac Catheterisation
- Cardiac Computerized Tomography (CT) Scans
- Cardiac Magnetic Resonance Imaging (MRI)
- Chest X-Ray
- Coronary Angiogram
- Electrocardiogram (ECG)
- Metabolic Stress Test
- Myocardial Biopsy
Benefits of Heart Transplant
It has been observed that people who have received heart transplant enjoy a high quality of life and can return to their daily life activities. Woman with heart transplant can also become pregnant.
Most patients can live up to 20 years after the heart transplant. However, they have to take immunosuppressants for lifetime to prevent organ rejection and fight infection.
Intra-Aortic Balloon Pump (IABP)
Temporary & Permanent Pacemakers
Treatment & Surgeries
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