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Heart Institute

Best Heart Hospital in Mumbai, India

Overview

The Heart Institute at Nanavati Max Super Speciality Hospital is a cardiac care centre in Mumbai offering comprehensive treatment for cardiovascular conditions, including angina, coronary artery disease, valvular heart disease, rhythm disorders, congenital heart disease, and heart failure. Services range from diagnostic and nuclear imaging to non-invasive cardiology, interventional cardiology, electrophysiology, cardiac and vascular surgery, advanced heart failure care and heart transplantation.

The heart care team comprises cardiologists, cardiac surgeons, cardiac anaesthesiologists, intensivists and other specialists who work through a Heart Team approach. This allows complex treatment decisions to be considered collectively, particularly when more than one treatment option, such as angioplasty, stenting or surgery, may be appropriate.


Why Choose Nanavati Max for Cardiac Care

Multidisciplinary Heart Team

Cardiologists, cardiac surgeons, cardiac anaesthesiologists, intensivists and other specialists work together through a Heart Team approach for cardiac care.

Comprehensive Cardiac Services

The Heart Institute provides diagnostic, non-invasive, interventional, and surgical cardiac services for a wide range of heart conditions.

Advanced Interventional Cardiology

The institute provides coronary interventions, angioplasty, pacemaker and ICD services, structural heart procedures, and other interventional treatments.

Minimally Invasive and Surgical Options

Cardiac care includes minimally invasive procedures as well as open cardiac surgery, with robotic surgical systems available for selected procedures.

Round-the-Clock Emergency Cardiac Care

The Heart Institute provides multidisciplinary emergency care, supported by an Intensive Cardiac Care Unit and a 24x7 operational cath lab for cardiac emergencies.


Heart Attack: What to Do in the First Hour

A heart attack is a medical emergency. Prompt treatment can help restore blood flow to the heart and limit damage to the heart muscle.

Call for emergency help immediately if someone has:

  • Chest pain, pressure, tightness or discomfort that persists or keeps returning
  • Pain or discomfort spreading to the arm, jaw, neck, back or upper abdomen
  • Breathlessness, cold sweating, nausea, dizziness or sudden unusual fatigue

A heart attack does not always cause typical chest pain. Women, older adults and people with diabetes may experience symptoms such as breathlessness, unusual tiredness, nausea or indigestion-like discomfort.

Do not wait for the symptoms to settle or drive the person yourself if emergency medical transport is available. Note when the symptoms began, as this information can help the treating team determine the most appropriate treatment.

The Heart Institute provides round-the-clock multidisciplinary emergency care and has an Intensive Cardiac Care Unit for patients with serious cardiac conditions. Its interventional cardiology unit also has a 24x7 operational cath lab for cardiac emergencies, including primary angioplasty for acute myocardial infarction.


Conditions We Treat

Most people arrive at a cardiac unit with a diagnosis or a symptom rather than a procedure in mind. The Heart Institute provides evaluation and treatment across a broad range of cardiovascular conditions.

Coronary artery disease and heart attack

Coronary artery disease develops when the arteries supplying the heart become narrowed or blocked. It can cause angina and may lead to a heart attack. Depending on the location and severity of the blockages, treatment may include medicines, coronary angioplasty and stenting, or coronary artery bypass surgery.

Heart valve disease

Valve disease includes stenosis, where a valve does not open adequately, and regurgitation, where it does not close properly. The Heart Institute treats aortic, mitral, pulmonic, and tricuspid valve conditions, including congenital and acquired disease, rheumatic heart disease, and infective endocarditis. Treatment may involve valve repair or replacement through an appropriate surgical or minimally invasive approach.

Heart rhythm disorders

The Heart Institute manages rhythm conditions including atrial fibrillation, atrial flutter, bradycardia, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, Brugada syndrome, long QT syndrome and sick sinus syndrome. Treatment may include medication, cardioversion, catheter ablation, pacemakers or implantable cardioverter-defibrillators.

Heart failure

Heart failure occurs when the heart cannot pump enough blood to meet the body's needs. Management may include medication, cardiac resynchronisation therapy, implantable defibrillators and mechanical circulatory support. For selected patients with advanced heart failure, ventricular assist devices or heart transplantation may also be considered.

Congenital heart disease

Congenital heart disease refers to structural abnormalities of the heart that are present from birth, including septal defects and congenital valve abnormalities. Depending on the condition, treatment may involve catheter-based closure or cardiac surgery. The hospital also provides paediatric cardiology and paediatric cardiac surgical care, supported by specialised paediatric critical care when required.

Aortic and vascular disease

The cardiothoracic and vascular surgery services manage conditions such as thoracic and abdominal aortic aneurysms, aortic dissection, peripheral arterial disease, carotid artery disease and other vascular conditions. Treatment may involve open surgery, endovascular procedures or other catheter-based interventions depending on the condition.


Cardiac Care at the Heart Institute

The Heart Institute is organised into specialist units covering different aspects of cardiovascular diagnosis, intervention and surgery.

Interventional cardiology

Catheter-based treatment is available for coronary, structural and vascular heart disease. Procedures include complex angioplasty, primary angioplasty during a heart attack, pacemaker and defibrillator implantation, closure of selected congenital defects, TAVI and peripheral vascular interventions.

Cardiac and vascular surgery

The Cardiothoracic and Vascular Surgery Unit provides beating-heart bypass surgery and conventional CABG, valve repair and replacement, congenital cardiac surgery, aortic procedures, vascular surgery and selected minimally invasive procedures. Critical care support includes modalities such as ECMO, IABP and CRRT when clinically required.

Arrhythmia services

The Arrhythmia Services Unit evaluates and treats abnormal heart rhythms, including atrial fibrillation and other supraventricular and ventricular arrhythmias. Care may include electrophysiology studies, catheter ablation, device implantation and ongoing device management.

Coronary angiography and angioplasty

The CAG and PTCA Unit provides diagnostic coronary angiography and coronary angioplasty and stenting. The wider interventional service also supports selected carotid and peripheral vascular interventions through multidisciplinary collaboration.

Non-invasive cardiology

Non-invasive cardiac assessment includes echocardiography, treadmill stress testing, Holter monitoring, ambulatory blood pressure monitoring and transoesophageal echocardiography. These investigations help assess heart structure, function, rhythm and cardiovascular risk before treatment decisions are made.


Robotic and Minimally Invasive Cardiac Surgery

Not every heart operation requires a conventional open approach. Where the diagnosis, anatomy and overall health allow it, cardiac procedures may be performed through smaller incisions or with robotic assistance.

The hospital's robotic cardiac surgery programme uses the Da Vinci Xi system, which provides surgeons with enhanced visualisation and precise instrument control. Minimally invasive approaches may reduce surgical trauma, postoperative discomfort and hospital stay for appropriately selected patients.

However, robotic or minimally invasive surgery is not appropriate for every patient. The choice depends on the heart condition, anatomy, previous surgery, overall health, and complexity of the procedure. Conventional surgery may remain the safer or more effective option in complex cases.

The hospital's cardiac surgery services include minimally invasive approaches for selected procedures, including certain valve operations, CABG and congenital cardiac procedures.


Advanced Heart Failure: Devices and Transplant

For patients whose heart failure remains severe despite appropriate medical treatment, advanced therapies may include cardiac resynchronisation, implantable defibrillators, ventricular assist devices and heart transplantation. The appropriate option depends on the severity and cause of heart failure, heart function, other medical conditions and transplant suitability.

Cardiac Resynchronisation Therapy (CRT)

What it is. Cardiac resynchronisation therapy, also called biventricular pacing, uses a specialised pacemaker to coordinate the contractions of the ventricles. It may be considered for selected patients with heart failure and electrical conduction abnormalities.

How it works. The device is implanted beneath the skin, usually below the collarbone, with leads positioned to deliver electrical impulses that coordinate ventricular contraction.

How you are assessed. Assessment may include an ECG, Holter monitoring, echocardiography and other investigations to determine the cause and severity of the rhythm or heart failure problem.

What it achieves. In suitable patients, CRT can improve heart failure symptoms and quality of life and reduce hospitalisations.


Implantable Cardioverter Defibrillator (ICD)

What it is. An implantable cardioverter-defibrillator is a device that continuously monitors the heart rhythm and can deliver electrical therapy when it detects a dangerous ventricular arrhythmia. It may be considered for people who have survived cardiac arrest or have a high risk of life-threatening ventricular arrhythmias.

How it works. The device is implanted beneath the skin, with one or more leads connected to the heart depending on the type of ICD. It monitors the rhythm continuously and delivers appropriate therapy when required.

How you are assessed. Evaluation may include ECG, echocardiography, Holter or event monitoring and, in selected patients, an electrophysiology study.

What it achieves. An ICD can help protect appropriately selected patients against sudden cardiac death caused by dangerous ventricular arrhythmias.


Ventricular Assist Devices (VAD)

The Heart Institute provides ventricular assist devices for selected patients with advanced heart failure and complex cardiac conditions. A multidisciplinary team assesses whether mechanical circulatory support is appropriate.

What it is. A ventricular assist device is a mechanical pump that helps move blood from a ventricle to the circulation. An LVAD, for example, supports blood flow from the left ventricle to the aorta.

How it works. The pump is surgically implanted and connected to the heart and major blood vessels. An external component powers and controls the system.

How you are assessed. Assessment involves a comprehensive advanced heart failure evaluation. This may include cardiac imaging, functional assessment, blood tests and other investigations to determine whether mechanical circulatory support is appropriate.

What it achieves. A VAD may be used as a bridge to heart transplantation or, in selected patients who are not transplant candidates, as longer-term mechanical circulatory support.


Heart Transplantation

The Heart Transplantation Unit provides multidisciplinary evaluation and treatment for patients with advanced heart failure and other severe cardiac conditions who may require transplantation. The team includes advanced heart failure and transplant cardiology, interventional cardiology, cardiothoracic surgery, electrophysiology, and cardiovascular imaging expertise.

What it is. A heart transplant replaces a diseased heart with a suitable donor heart obtained from a deceased donor. It is considered for selected patients whose condition remains severe despite appropriate medical and surgical treatment.

How the waiting list works. Patients who are considered suitable for transplantation are placed on the relevant transplant waiting pathway. When a donor heart becomes available, matching considers factors such as blood group, body size and the recipient's medical condition. During transplantation, a heart-lung machine supports circulation while the diseased heart is replaced.

How you are assessed. Evaluation may include blood tests, cardiac catheterisation, cardiac CT or MRI, chest X-ray, coronary angiography, echocardiography, ECG, metabolic stress testing and myocardial biopsy, depending on the patient's clinical situation.

What to expect afterwards. Lifelong immunosuppressive medication is required to reduce the risk of rejection. Patients also require long-term monitoring for rejection, infection, medication effects and other complications.


Risks and Complications

Every cardiac procedure carries potential risks. The level of risk depends on the diagnosis, procedure, age, heart function and other medical conditions. Your treating team should discuss the risks specific to your situation before treatment.

For catheter-based procedures such as angiography, angioplasty and device implantation, recognised risks can include bleeding or bruising at the access site, contrast reactions, effects on kidney function, heart rhythm disturbances and, less commonly, injury to a blood vessel or the heart.

For open cardiac surgery, possible complications include bleeding, infection, atrial fibrillation, kidney injury, stroke and complications related to anaesthesia or cardiopulmonary bypass. Recovery varies according to the procedure and the patient's health.

For heart transplantation and ventricular assist devices, additional considerations include rejection, infection related to immunosuppression, bleeding, stroke and, with VADs, complications involving the driveline or mechanical system.

Risk can be reduced through appropriate pre-operative assessment, optimisation of existing medical conditions, careful medication review, smoking cessation where applicable, and appropriate post-procedure monitoring.


Cardiac Care Cost at a Hospital in Mumbai

The cost of cardiac care at Best Heart Hospital in Mumbai varies depending on the diagnosis, treatment approach, and level of care required. There is no single cost that applies to every patient.

Factors that may influence the overall cost include:

  • Whether treatment is medical, catheter-based, or surgical
  • For angioplasty, the number of vessels treated and the type and number of stents required
  • For surgery, the type and complexity of the procedure and whether it is open, minimally invasive, or robotic
  • The type of cardiac device required, such as a pacemaker, ICD, or CRT device
  • For valve procedures, whether the valve is repaired or replaced and the type of replacement used
  • Whether treatment is planned or required as an emergency
  • Length of stay in the Intensive Cardiac Care Unit or hospital
  • Diagnostic investigations and specialist consultations
  • Medicines, rehabilitation and follow-up care after treatment

The actual cost is determined after assessing the patient's condition and developing an appropriate treatment plan. 


Cardiology Hospital in Mumbai: Planning Your Visit

For chest pain, sudden breathlessness, collapse, or symptoms suggestive of a heart attack, seek emergency medical care rather than waiting for a routine appointment.

For a planned cardiology consultation, bring previous ECGs, echocardiograms, angiogram images, and other relevant cardiac investigations, along with recent blood reports and a current list of medicines and doses.

If you have previously undergone angioplasty or another cardiac procedure, bring the available procedure records and device or stent information. These records can help the treating team understand your previous treatment and plan the next steps.

If another hospital has recommended a cardiac procedure and you are uncertain about the treatment options, seeking a second opinion can help you understand whether medical management, angioplasty, minimally invasive surgery or conventional surgery is more appropriate.


Our Cardiac Team

The Heart Institute includes cardiologists, cardiac surgeons, electrophysiologists, cardiac anaesthesiologists, intensivists and cardiovascular imaging specialists. These teams work across interventional cardiology, arrhythmia management, cardiac and vascular surgery, critical care, advanced heart failure and transplantation.

This multidisciplinary structure allows patients with complex cardiac conditions to be assessed across the relevant specialities rather than having each aspect of care considered in isolation.


Frequently Asked Questions

1. Which heart hospital in Mumbai should I choose?

When comparing a cardiac hospital, consider whether it provides emergency interventional cardiology, cardiac surgery, electrophysiology, advanced heart failure care, intensive cardiac care, and other relevant services in the same setting. It is also useful to understand how cardiologists, cardiac surgeons, and other specialists collaborate when more than one treatment option is possible.

2. What are the types of cardiac or heart surgery?

Common cardiac operations include coronary artery bypass grafting (CABG), heart valve repair or replacement, congenital heart surgery, aortic procedures, and selected minimally invasive or robotic cardiac procedures. Advanced cardiac care may also include mechanical circulatory support and heart transplantation for appropriately selected patients.

3. Does the hospital offer minimally invasive procedures for heart conditions?

Yes. Nanavati Max Hospital provides minimally invasive and robotic cardiac surgery for selected patients. The Da Vinci robotic system is used for appropriate procedures, while conventional surgery remains preferable for some complex cases. Suitability depends on the heart condition, anatomy, previous surgery, and overall health.

4. How long does heart surgery generally take?

The duration depends on the type and complexity of the operation, the surgical approach, and the patient's condition. Your cardiac surgical team can provide a more meaningful estimate after reviewing the specific procedure planned.

5. How long will I be in hospital after heart surgery?

Hospital stay varies according to the operation and recovery. Patients commonly receive close monitoring in a cardiac intensive care setting immediately after major surgery before moving to a step-down unit or ward. Recovery continues after discharge and may include medication, wound care, follow-up, and cardiac rehabilitation.

6. Does the Heart Institute provide paediatric cardiac care?

Yes. Nanavati Max provides paediatric cardiology and paediatric cardiac surgical care, including care for children with congenital heart conditions. Paediatric intensive care is also available for children requiring critical or post-operative support.

7. What are the risks of cardiac surgery?

The risks depend on the procedure and the patient's overall health. Possible complications include bleeding, infection, rhythm disturbances, kidney injury and stroke. Your cardiac team should assess your individual risk before treatment rather than relying on a general estimate.

8. Can a heart attack occur without noticeable symptoms?

Yes. Some heart attacks may cause mild or unusual symptoms rather than typical chest pain. Breathlessness, unusual fatigue, nausea, or discomfort in the upper body can occur. Anyone with possible heart attack symptoms should seek urgent medical assessment.

9. What happens after heart surgery?

After major cardiac surgery, patients are closely monitored in a cardiac intensive care setting before moving to a ward or step-down unit. Following discharge, recovery may involve medicines, wound care, follow-up appointments, activity guidance and cardiac rehabilitation.

10. Is a second opinion useful before heart surgery?

A second opinion can be useful when a major procedure such as bypass surgery, valve surgery or advanced heart failure treatment has been recommended. It can help you understand the diagnosis, available treatment options and why a particular approach has been advised.

11. What advanced treatments are available for severe heart failure?

For selected patients with advanced heart failure, treatment may include cardiac resynchronisation therapy, implantable cardioverter-defibrillators, ventricular assist devices and heart transplantation. The appropriate treatment depends on the severity of heart failure, underlying cause, heart function and overall health.

12. What should I bring to my first cardiology appointment?

Bring previous cardiac reports and imaging, including ECGs, echocardiograms, angiogram images and other relevant investigations. A current list of medicines and details of previous cardiac procedures can also help the cardiologist understand your medical history.

13. Will I have problems with depression after heart surgery?

Low mood can occur after major surgery, including cardiac surgery, and it can be treated. Staying consistent with medicines and follow-up, participating in cardiac rehabilitation where advised, and having support at home can help during recovery. If low mood persists or starts affecting daily life, speak with your healthcare team about appropriate mental health support.

Disease Management Group

Cardiothoracic and Vascular Surgery Unit
Invasive Interventional Cardiology Unit

Our Medical Experts

Nanavati Max Hospital is home to 350+ eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.

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