How many of us actually care for our bodies? We take New Year resolutions and give them up. We buy treadmills and end up using it to dry clothes. We join expensive health clubs and then ensure that we are too busy use the membership. We even service our vehicles on time, but fight our spouses and parents when they insist on annual health check-ups.

Let’s face it - we have enough going on in our lives - and the easiest thing to neglect is one’s own body. And unfortunately, most of the time, it is the heart that bears the brunt of all this.

Here are five simple, easy ways to good health. And yes, they are free.

walk

Get walking

Sedentary lifestyle is one of the main causes of cardiac diseases. Low physical activity means low metabolism and accumulation of cholesterol in the arteries, which in turn may lead to formation of blocks in the heart.

So, what do you need to do? Simple. Just walk - for at least 40 minutes a day, without fail. And see how your body gets fitter and your heart healthier, by the day.
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family

Spend time with your loved ones

Technology has taken over our lives. It’s got us caught in its web so much so that we are increasingly spending more time with our gadgets compared to our loved ones. We prefer to ‘chat’ than talk, we use emoticons to laugh, smile and cry and meet friends on chat groups. At the end of it, we do not have time for anything, including taking care of ourselves. And the result? Increased stress levels - which means high blood pressure (hypertension) and higher risk of acquiring coronary heart diseases.

deink

Drink Up

Did you know that 60% of your body is made of water? Keeping your body hydrated means keeping yourself healthy. Water not only flushes out all the toxins from your body, but also keeps you healthy and alert. It improves blood circulation, which translates to a healthier heart. Make sure you drink at least 2 litres of water every day – the difference will show.

eat healthy

Eat Healthy

A good diet is undoubtedly the key to good health. Recent studies have revealed that what you eat can actually alter the way your genes behave. If you love food,make sure your heart loves what you eat as well. Eat more veggies (especially green leafy vegetables) and fruits that rich in fibre, fish, white meat (chicken),heart healthy nuts and brown rice. Change the way you make food by using heart friendly oils like olive, canola or rice bran oil. Keep away from foods that have too much of oil, salt and sugar in it. And most importantly, eat right, at the right time.

sleep well

Sleep Well

Did you know that your body repairs itself while you are sleeping? A good night’s sleep calms you down, controls stress and blood pressure, keeps you alert, helps maintain youthful looks and most importantly, keeps heart diseases at bay.That’s why you should sleep – as they say - sleep like a baby. For at least 7 hours,everyday.

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Aster Centre of Excellence in Cardiac Sciences

​One of the most advanced facilities in the region for comprehensive heart care, the Aster Centre of Excellence in Cardiac Sciences offers adult general cardiology, paediatric & neonatal cardiology, preventive cardiology, interventional cardiology, cardiovascular thoracic surgery, paediatric cardiac surgery, electrophysiology and heart transplant services.
Designed to function like an independent hospital, the centre has an outpatient wing, an inpatient wing, a day-care unit, dedicated Cardiac ICUs, dedicated cardiac surgery suites, a state-of-the-art imaging facility and a 24-hour Rapid Access Chest Pain Clinic to handle all emergencies.

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    The Team

    What sets Aster Centre of Excellence in Cardiac Sciences apart is its outstanding team of doctors comprising adult cardiologists, adult cardio thoracic vascular surgeons, paediatric cardiologists, paediatric cardiac surgeons, electro physiologists, cardiac and interventional radiologists. Multidisciplinary in approach, they take time out to listen to patients carefully and provide the best of treatment, with the help of ACLS/BLS/ATLS/PALS certified nurses, dieticians, rehabilitation therapists and qualified technicians.

      CARDIAC SCIENCES
      Dr. Anil Kumar R
        Dr. Anil Kumar R

      Dr. Anil Kumar R, Senior Consultant, CoE Cardiac Sciences, is a veteran Cardiologist with more than 22 years of experience. Former Professor of Cardiology at JIPMER, he has worked in UK, UAE and India and is rated among the top Cardiologists in Kerala. An expert in Interventional Cardiology and Cardiac Electrophysiology, his areas of special interest are advanced management of heart failure and preventive Cardiology.

      Dr. Manoj P Nair
        Dr. Manoj P Nair

      Dr. Manoj P Nair is Senior Consultant, Cardio Vascular Thoracic Surgery, CoE Cardiac Sciences. A veteran Cardiac Surgeon with 20 years of experience and over 5700 surgeries to his credit, he is trained to perform all Cardiovascular and Thoracic surgery procedures – a talent, unmatched. He is former Professor of CVTS and pioneered Hybrid Aortic Aneurysm Surgery in Kerala.

      Dr. Sajan Koshy
        Dr. Sajan Koshy

      Dr. Sajan Koshy is Senior Consultant, Paediatric Cardiac Surgery, CoE Cardiac Sciences. He has more than 15 years of experience in Cardiology and is an expert in Paediatric Cardiac Surgery - especially Cardiac Surgery in newborns with congenital heart diseases. He has been instrumental in creating public awareness on Pediatric Cardiac Surgery in North Kerala, in association with NGOs.

      Dr. Anil S.R
        Dr. Anil S.R

      Dr. Anil S.R is Consultant, Paediatric Cardiology, CoE Cardiac Sciences. He has more than 14 years of experience in comprehensive management of cardiac diseases in children and is an expert at Paediatric Cardiac Interventions, 2D and 3D Echocardiography and Fetal Echocardiography. He is a national board certified trainer for FNB program for Paediatric Cardiology.

      Dr. Sunil Shivdas
        Dr. Sunil Shivdas

      Dr. Sunil Shivdas is Consultant, Interventional Cardiology, CoE Cardiac Sciences. With more than 3 years of experience, he is an expert in complex Coronary Interventional procedures like Primary Angioplasties, Bifurcations, Chronic Total Occlusions and his areas of special interest include Interventional Structural Heart Disease, Peripheral Arterial Disease and Heart Failure Management.

      Dr. Raja Sekhar Varma
        Dr. Raja Sekhar Varma

      Dr. Raja Sekhar Varma is Consultant, Interventional Cardiology, CoE Cardiac Sciences. He has more than 9 years of experience in complex Cardiac and Endovascular procedures, and is an expert in diagnostic non-invasive procedures. His areas of special interest include Complex Coronary Angioplasty, Arrhythmia Management, Interventions for Acute MI, Interventions for Structural Heart Disease and heart failure and complex Endovascular Interventions.

      Dr. Praveen Sreekumar
        Dr. Praveen Sreekumar

      An Adult Interventional Cardiologist with extensive training in advanced electrophysiology procedures; Dr. Praveen Sreekumar’s areas of special interest include complex angioplasties, adult electrophysiology studies including 3D Mapping and radiofrequency ablation of Atrial Fibrillation and Paediatric EPS.

      Dr. Viju Joseph Abraham
        Dr. Viju Joseph Abraham

      A Cardiac Surgeon, Dr. Viju Joseph Abraham is trained to perform cardiac, thoracic and vascular surgeries in adults and children.

      Dr. George Varghese K
        Dr. George Varghese K

      A Cardiovascular Thoracic Surgeon who has 4 years of experience as a General Surgeon, Dr. George Varghese K is trained in surgical management of heart diseases in adults.

      Dr. Shiju K Sleeba
        Dr. Shiju K Sleeba

      A General Physician trained in Cardiology and Neurology, Dr. Shiju has experience in management of sepsis and toxicological emergencies including snake bite envenomation, and organophosphorus poisoning.

      The Heart Team Approach

      In order to ensure optimal, evidence-based treatment to patients, the doctors here adopt a unique Heart Team Approach wherein the entire team discusses every case in detail and create a customised treatment strategy.

        Advanced Technology

        Aster Centre of Excellence in Cardiac Sciences offers medical technology to ensure high-precision diagnosis and effective treatment

        • South Asia’s first OR 1 Karlstroz fusion integrated Operation Theatres with autopilot anaesthesia
        • South India’s first ICCA (IntelliSpace Critical Care and Anaesthesia) ICUs

        • India’s first Independent ICUs with a view

        • Level 3 Paediatric & Neonatal ICUs

        • India’s first flat panel bi-plane vascular hybrid cathlab

        • Kerala’s first 4th generation 16 Slide PET CT with Time of Flight Technology

        • Philips EPIQ echocardiography machines for 2D and 3D cardiac imaging

        • 256 slice Philips iCT scanner for Angiography

        • 3 Tesla Widebore MRI

        • CLARITY Cathlab

        • ECMO (Extra Corporeal Membrane Oxygenation)

        <>• Inhaled Nitric Oxide Therapy

          Understanding Your Heart

          Your heart, which is approximately the size of your fist, is the strongest muscle in your body and keeps working day and night, continuously, to pump blood through your body.

          A beautifully and intricately designed engine, the heart beats about 100,000 times a day, pumping 6 litres of blood through your body, which in turn flows through 60,000 miles of blood vessels.


            ​The heart can lose its ability to function normally due to disorders/ diseases that are either congenital (by birth) or acquired. Called heart failure (reduced ability of the heart to pump blood to meet the body’s needs), these conditions of require medical and/or surgical management. Treatments for heart ailments are mostly life-long and one should always ensure that enough precautions/ preventive measures are taken so that there is no further damage to the heart.

            When the heart disease can no longer be managed medically or surgically, a heart transplant might be the only way forward.

            What Causes Heart Diseases or Heart Failure?

            What are the risk factors?

            Heart diseases may be either congenital (by birth) or acquired.

            It’s always good to get your heart health evaluated, especially if you are above 40.

              Congenital Heart Defects

              Heart defects that are present from the time of birth, which include heart valve defects, problems with the heart’s walls, disorders with the heart’s muscle, which can lead to heart failure or defects in connection among blood vessels.

              Congenital heart problems are defects, not diseases. The defect is caused when the heart or blood vessels near the heart fail to develop normally before birth. If the defect is severe, symptoms start showing during the first few months after birth itself - the baby may go blue and the blood pressure can plummet after birth. Other common symptoms include breathing difficulties, feeding problems and poor weight gain.

              Minor congenital defects are usually diagnosed in a routine medical check up. It is mandatory to get the child treated and the condition medically/ surgically managed, as ignoring symptoms may lead to life-threatening conditions.

                Aster Paediatric Cardiology

                Led by a team of doctors comprising highly experienced Pediatric Cardiologists/ Interventional Cardiologists and Paediatric Cardiac Surgeons who offer expert treatment for comprehensive management of heart diseases in children and neonates.

                Considered one of the best facilities for Paediatric Cardiac Care in the region, the doctors here have treated several children with rare congenital heart defects, from around the world.

                Cardiac team breathes life into Mahsa Rawfi from Afghanistan

                Save the Little Hearts Programme

                  Men and Heart Diseases

                  Men, those especially above the age of 65 are highly prone to heart diseases. Conditions like high cholesterol levels, diabetes, stress, hypertension, unhleathy eating, smoking and excess alcohol elevates the risk steeply.

                  Women and Heart Disease

                  The occurrence of heart disease is very high in women over 40 years old, especially after menopause. The reasons are usually stress, hypertension, coronary heart disease (blocked arteries) and an unhealthy lifestyle.​

                  How Is A Heart Problem Diagnosed?

                  Understandably, a heart problem can be managed effectively – medically or surgically – only if the diagnosis is accurate. Aster Centre of Excellence in Cardiac Sciences has the best of diagnostic and therapeutic technology to ensure the best of treatment to patients.

                  Here’s how heart problems are detected:

                  • Cardiologist consultation

                  • ECG/ EKG (ElectroCardioGram)

                  • Chest X-Ray

                  • Stress Test/ Treadmill Test (TMT)

                  • Tilt Table Test

                  • Cardiac Catheterisation: Also called a coronary angiogram, a catheter is inserted into your heart to understand the exact problem and to decide upon what correction needs to be made.

                  Aster Centre of Excellence in Cardiac Sciences offers three cath labs including India’s first flat panel bi plane hybrid vascular cath lab and CLARITY cath lab for cardiac cathetarisations.

                  • Electrophysiology Test

                  Your heart’s rhythm or electrical activity is recorded to detect any unusual pattern in the functioning of the heart.

                  • Aster Centre of Excellence in Cardiac Sciences offers a state-of-the-art Electrophysiology facility that’s manned by a team of highly trained Electrophysiology experts.

                  • CT Heart Scan

                  Computed tomography or CT scan) helps visualise your heart’s anatomy.

                  Aster Centre of Excellence in Cardiac Sciences offers a 256 slide Philips iCT scan that delivers high-quality, high-clarity results.

                  • Heart MRI

                  A heart MRI helps your doctor to see the outside and inside of your heart.

                  Aster Centre of Excellence in Cardiac Sciences offers 3.0Tesla Wide Bore MRI that produces images of exceptional quality to help detect even the slightest problem with incredible accuracy.

                  • Myocardial Biopsy

                  The doctor uses a special catheter to remove a piece of the heart tissue for further examination,

                  • Pericardiocentesis

                  Also called the pericardial tap, a needle is used to obtain a sample of the fluid in the sac surrounding the heart.

                    Coronary Artery Disease

                    The most common of all heart problems, Coronary Heart Disease is caused when the coronary arteries or the arteries that supply blood to the heart get blocked. This results in a significant reduction of blood flow to the heart, depriving it of oxygen. Coronary Heart Disease can also be caused by atherosclerosis - a condition that leads to hardening of the arteries.​

                    Coronary heart disease can cause angina or extreme pain in the chest, a heart attack or even sudden death.

                      Metabolic Syndrome

                      ​People with metabolic syndrome are twice as prone to heart diseases, as this condition leads a cluster of risk factors that can cause cardiovascular disease and diabetes, including Atherosclerosis, peripheral vascular disease, diseases related to fatty buildups in artery walls, coronary heart disease, heart attack, stroke and type 2 diabetes. Metabolic syndrome is also called insulin resistance syndrome.

                        Cholesterol

                        Low levels of good HDL cholesterol and high levels of bad LDL cholesterol is not at all a good thing for your heart. It’s very, very crucial to control your cholesterol levels to prevent formation of blocks.

                        Here are a few simple ways to keep your cholesterol levels under control:

                        • Eat healthy; avoid high fat, oily food

                        • Eat food that’s high in Omega 3, like fish

                        • Increase the amount of fibre in your food

                        • Avoid red meat

                        • Use healthy cooking oil with high smoking point

                        • Exercise every day: walk for at least 45 minutes a day

                        • Keep a check on your body weight

                        • Drink at least 2 litres of water

                        • Avoid stress

                        Medical management, if required

                          Stress

                          Stress can actually destruct your body, especially your heart. It elevates the levels of adrenaline and cortisol, changes the way the blood clots and acts as a catalyst that increases the risk of heart diseases.

                          Here are some simple, practical stress-busters:

                          • Take time out to spend with your loved ones

                          • Think positive

                          • Set realistic goals for yourself

                          • Laughter is indeed the best medicine

                          • Exercise regularly

                          • Eat healthy

                          • Keep your body hydrated

                          • Meditate

                          • Prayers always bring you peace of mind

                          • Conquer road rage

                          • Do not depend on cigarettes, alcohol or drugs to reduce stress

                          Sleep for at least 7 hours a day

                            High Blood Pressure

                            High blood pressure can cause serious damage to the heart (Hypertensive Heart Diseases) as it may lead to heart failure, arrhythmia (irregular heartbeats), ischemic heart disease (your heart doesn’t get enough oxygen), heart attack (when blood flow to the heart is interrupted) and cardiac arrest (the heart stops working, causing sudden death).

                            You can keep your blood pressure in control by:

                            • Tame stress – it’s the main reason for elevated BP

                            • Exercise regularly

                            • Eat healthy – avoid junk food, red meat and fried food

                            • Keep a check on the sodium content in your food

                            • Keep your body hydrated

                            • Spend time with your loved ones

                            • Praying and meditating will calm you

                            • Quit smoking

                            • Avoid Alcohol

                            • Medical management, if required

                            Regular check-ups

                              Diabetes

                              One of the major reasons for cardio vascular diseases, diabetes increases the chances of a heart attack or stroke. Some people with diabetic heart disease may not present symptoms at all.There is also a high risk of “silent heart attack” as diabetes-related nerve damage may blunt the pain.

                              Keep your blood sugar levels under control by:

                              • Eat healthy – avoid sugary, high-calorie, high-oil food

                              • Increase the fibre content in your food

                              • Drink lots of water

                              • Brisk walking for at least 45 minutes a day

                              • Keep your Blood Pressure & Cholesterol levels under control

                              • Quit smoking

                              Quit alcohol

                                Smoking

                                Did you know that the nicotine content in cigarette narrows and hardens the arteries, obstructing free flow of blood to the heart? This can lead to serious heart ailments and even a sudden cardiac arrest. So remember, you cannot smoke away your stress. It will only leave you with more trouble and a damaged heart.

                                  Alcohol

                                  If there’s one thing that can cause mass destruction to your mental and physical wellbeing, it’s alcohol – in indiscriminate quantities. Regular use of alcohol in excess can cause arrhythmia or irregular beating of the heart and cardiomyopathy (disease of the heart muscle).

                                    Unhealthy Diet

                                    You may love rich food, but your heart definitely doesn’t. Junk food, fried food, salty snacks, red meat, fat-rich sweets and even your favourite desserts can have adverse effects on your heart, if you aren’t careful. Unhealthy diet leads to complications like high levels of cholesterol, high blood pressure, diabetes and obesity, which in turn become the reason for serious cardiovascular diseases.

                                    A healthy diet comprises:

                                    • Well balanced meals, at the right time

                                    • High fibre food including pulses and whole grain food

                                    • Lots of vegetables, mostly as salads

                                    • Fruits (if your blood sugar levels are in control)

                                    • Food rich in omega 3, like fish

                                    • Lean protein like chicken and fish

                                    • Nuts like almonds

                                    • Skimmed milk

                                    • Avoid red meat

                                    • Avoid high-fat diary products

                                    • Avoid food with excess sugar

                                    • Avoid fried food and snacks

                                    • Avoid aerated drinks

                                    Think healthy food is boring? Try these recipes

                                    Simple tips for healthy cooking:

                                    Use olive/ canola / rice bran oil.

                                    Using more oil doesn’t make the dish tastier – oil is just a medium to help food cook faster.

                                    Opt for healthier cooking methods like steaming, grilling and dry frying.

                                    If you prefer roasted nuts, make sure you dry roast them (roasting without oil).

                                    Use whole-wheat/ multigrain flour.

                                    Opt for brown/ unpolished rice. White rice is essentially just starch.

                                    Use skimmed milk and low-fat dairy products.

                                    Vegetable Shorba

                                    A delicately spiced vegetable broth that will curb your mid-meal hunger pangs Heat a small amount of oil in a thick-bottomed pan. Add finely sliced onions, carrots, cabbage, beans, potatoes, salt and black pepper powder. Pour in water, close with a lid and cook till he vegetables turn soft.Strain the stock and keep it aside. Puree the vegetables in a blender.Boil the stock with a bit of pureed tomatoes, a stick of cinnamon, a bayleaf and a pinch of jeera powder. Add in the pureed veggies and finely chopped coriander leaves. Don’t let it thicken too much. Serve with multigrain toasts.

                                    Grilled Fish with Pineapple Salsa

                                    Fish is rich in Omega 3, which does wonders for your heart.Try this incredibly easy-to-make Grilled Fish recipe, which healthy and packed with flavours.

                                    To make the marinade, add a teaspoon of ginger paste, a teaspoon of garlic paste, a teaspoon of chilly powder (according to your preference), half a teaspoon of turmeric powder, a teaspoon and a half coriander powder, a generous pinch of saunf powder (fennel, dry roasted and powdered), a pinch of jeera powder and salt to a cup of skimmed yoghurt. Mix well. Marinate fish fillets in this for around 10-15 minutes.Heat a thick bottomed pan, and pour in a bit of olive oil or rice bran oil (rice bran oil is rich in Omega 3 as well). Place the fish on the pan and cook on medium flame. When one side is cooked well, turn over the pieces gently. Remove from the pan as soon as the other side is cooked. You can drizzle a bit of oil on the fish when its cooking, if you want to.

                                    For the Salsa:

                                    Chop semi-ripe pineapple into tiny cubes. Add finely chopped onions, crushed red chilies, salt and mix well. Serve this along with the grilled fish.

                                    Peppery Chicken Curry

                                    Chicken is low on fat (lean meat) and hence a healthier option compared to red meat (beef, mutton & pork).Cut, wash and drain the chicken pieces. To this, add finely sliced onions, finely chopped tomatoes, curry leaves, crushed garlic and ginger, crushed green chilies, coarsely ground pepper, coriander powder,turmeric powder, garam masala powder, a bit of vinegar, salt and a table spoon of oil. Mix well and let this marinate for at least 30 minutes. Heat a pressure cooker, put in the marinated meat and sauté for a few minutes. You can add a bit of water so that it does not stick to the bottom of the pan. Add a bit more of water, close the lid and pressure cook (1 or 2 whistles – or until the meat is cooked).

                                    Dum Biryani

                                    You’ll love this low-fat, healthy version of the good old biryani.To make the rice: Boil the required amount of water (3 cups of water for 1 cup of rice). Add in a couple of sticks of cinnamon, cloves, cardamom, salt, lime juice and one and tablespoon of oil. Add the washed,soaked and drained rice into this and cook till the rice is three-fourth done. Drain the excess water and keep the rice aside.For the masala: Mix ginger and garlic paste, green chilly paste, chilly powder, coriander powder, garam masala powder, turmeric powder,salt, finely chopped coriander and mint leaves with skimmed yoghurt.Heat a thick-bottomed pan and add one and a half tablespoonsof oil, along with one level spoon of ghee. Add finely sliced onions and a bay leaf. Sauté till the onions are cooked. Add in the marinated meat and cook gently till the meat is almost cooked and the gravy thickens. Remove half of this into a dish. Add half of the pre-cooked rice to the pan. Layer this with the meat mix and add rest of the rice. Add finely chopped mint and coriander leaves. Heat a flat cooking pan and place the pot on it. Reduce the heat to minimum, close the lid tightly and cook till done.Serve with fresh cucumber and tomato salad.

                                    Nutty Love

                                    Here’s the reason to fall in love with dark chocolates. A recent study has revealed that dark chocolate promotes blood circulation, lowers cholesterol and keeps your heart healthy. Add in the four heart-friendly nuts - almond, pistachios, walnut and peanuts and you get Nutty Love.Melt good quality dark chocolate and add finely chopped nuts to it. Mix well and pour into small heaps on a tray lined with butter paper. Let it cool.

                                    Allergic to nuts? Just enjoy the dark chocolate!

                                    Broken Wheat Kheer

                                    Cracked wheat is packed with fibre and palm jaggery is a natural sweetener that’s full of goodness. Combine these two with a bit of coconut milk (yes, it is good for your heart: rich in nutrients and lactose-free, coconut milk contains Lauric Acid that lowers the risk of heart

                                    disease) and you get a dessert you can indulge in! Pressure-cook a cup of broken wheat. Melt the palm jaggery with water, strain and add the syrup to the cooked wheat, along with a generous pinch of powdered cardamom. As it starts thickening, add coconut milk. Keep stirring and make sure it does not boil too much and split. Switch off the fire, leave it to cool a bit and enjoy.

                                      Vitamin D

                                      Low levels of Vitamin D is being increasingly linked to heart diseases like congestive heart failure and peripheral artery disease. So make sure you keep a regular check on your Vitamin D levels. And the best way to get it for free? Sunlight!

                                        What Are The Symptoms Of Heart Disease?

                                        You should seek immediate medical help if you or your loved ones experience the following symptoms

                                        • Short breath: you may have difficulty in breathing

                                        • Choking, gasping – even in sleep

                                        • Excess Sweating

                                        • Exhaustion: even the slightest physical exertion causes discomfort/ panting

                                        • Palpitation: Continuous episodes of a rapid, fluttering, ticklish feel in the heart

                                        • Dizziness/ lightheadedness

                                        • Tightness and pressure in the chest: Like someone is exerting pressure/ suffocating you inside

                                        • Nausea, vomiting, indigestion

                                        • Swelling in your legs, feet and ankle

                                        Irregular heartbeats

                                        Angina or chest pain: Feels like something is stuck in chest and crushing you, painfully. The pain may radiate to your back, hand and jaws. This may be an indication of a heart disease or an onset of heart attack. Never ever ignore this symptom; you need to seek immediate medical help – without fail.

                                          Aster Rapid Access Chest Pain Clinic

                                          A 24-hour facility for handling all cardiac emergencies, patients brought in here are provided expert medical care by a team of trained cardiologists, emergency care physicians and nurses.


                                            The quality of life of a heart patient depends on how well his or her heart problem is managed. Heart problems can be treated medically or surgically – your doctor will decide the best possible way forward, after taking into consideration your diagnosis/ test results and health condition.

                                            At the Aster Centre of Excellence in Cardiac Sciences, the doctors follow a unique Heart Team Approach wherein the entire team discusses every case in detail and create a customised treatment strategy to ensure optimal, evidence-based treatment to patients.

                                            Modes Of Treatment

                                            Angioplasty & Stents​

                                            Angioplasty is a non-surgical procedure that helps open blocked heart arteries. At times, Stent are placed during angioplasty to facilitate normal blood flow.
                                            The first facility in Kerala with 3 cath labs including low radiation clarity cath lab and flat panel hybrid biplane cath lab, with state-of-the-art electrophysiology lab and intravascular and fractional flow reserve estimate

                                              Bypass Surgery or Coronary Artery Bypass Grafting (CABG)

                                              CABG is a surgical procedure wherein a blocked artery is bypassed within a blood vessel taken from another part of the body, enabling blood to flow freely into the heart again.

                                              CABG:Post Surgical Care

                                              Hospital Stay

                                              A patient who undergoes CABG will usually need to stay for 7 days in the hospital, of which 2 will be in the ICU, post surgery. However, the number of days may vary according to the health condition of the patient.A patient who undergoes CABG will usually need to stay for 7 days in the hospital, of which 2 will be in the ICU, post surgery. However, the number of days may vary according to the health condition of the patient.

                                              Before The Surgery

                                              • If your heart’s condition is such that it requires surgical correction, your doctor will explain to you the procedure, advantages, expected outcome and risk factors in detail.

                                              • Our Guest Relation Executive will help you with the rest

                                              of the formalities.

                                              • Please inform us in advance if you are covered by health insurance.

                                              • All relevant documents pertaining to the insurance should be submitted.

                                              • You will need to make an advance payment for the surgery.

                                              • Please make sure you give your doctor the complete list of medications you are taking, including vitamins and herbal medicines.

                                              What To Bring

                                              • A complete list of your medications.

                                              • All relevant documents for the insurance, if any.

                                              • Personal items including eyeglasses, dentures and hearing aids.

                                              • Denture cups are available upon request.

                                              Accommodation

                                              You may choose from the following options:

                                              • Ward

                                              • Twin sharing rooms

                                              • Single/ standard rooms

                                              • Deluxe room

                                              • VIP room

                                              • Presidential Suite

                                              Please note that all options are subject to availability

                                              The Night Before The Surgery

                                              • You will need to fast for at least 12 hours before the procedure.

                                              • You are not supposed to eat or drink anything, including water.

                                              • Avoid swallowing any water when brushing your teeth.

                                              • Bathe/wash from neck down with the anti-bacterial

                                              soap/solution provided.

                                              • Hand over all your personal belongings like eyeglasses and jewellery to your bystander / relative.

                                              • You will be prepped for the surgery, which will include shaving / clipping of the area of incision.

                                              • You will be given instructions on how to do breathing exercise and a Spirometer as well.

                                              The Day Of The Surgery

                                              • Follow your normal routine (brushing, using the rest

                                              room etc.)

                                              • If you want to bathe, wash neck down with the

                                              anti-bacterial soap provided.

                                              • All make up, including nail polish should be removed.

                                              • It is natural to feel scared and nervous about the surgery:

                                              relax, you have an exceptional team of doctors to take care of you.

                                              Recovering In The ICU

                                              • You will be shifted to the ICU immediately after the surgery.

                                              • Our exceptional team of Cardiac Intensivists, Surgeons and Cardiologists will ensure you are taken care of well.

                                              • The interiors of the ICU might be a bit intimidating because of the machines, monitors and beeping sounds.

                                              • An endotracheal tube will be inserted to help you breathe.

                                              • The tube will be connected to a respirator and removed

                                              a few hours after you regain consciousness.

                                              • You may feel cold or even shiver a bit - don’t worry,

                                              it’s perfectly normal.

                                              Controlling Pain

                                              • You will be given medication to control pain in measured doses.

                                              • However if the medications affect your breathing and/or blood pressure, the dosage will be altered.

                                              Coughing & Deep Breathing

                                              • As you recover in the ICU, the nurses will monitor your blood pressure, pulse rate and breathing.

                                              • The respiratory therapist will help remove any secretions that may have settled in your lungs during surgery to prevent post-operative pneumonia.

                                              • The therapist will help you use your incentive spirometer, followed by instructions on deep breathing exercises.

                                              • You should repeat these exercises every hour.

                                              Movement & Changing Position

                                              • While lying in bed, moving / shifting positions often will help improve blood flow to your legs and remove secretions that may have settled in your lungs.

                                              • Move your feet / wiggle your toes / point your feet towards your head and then towards the bed.

                                              • Your nurse will help you turn from one side to another.

                                              Shifting From The ICU

                                              • Your Surgeon and Anesthesiologists will decide the best time for you to be transferred from the ICU to the ward / room.

                                              • Most often, patients are transferred to the ward in a couple of days.

                                              • If you have to remain in the ICU, your Surgeon / consulting Doctor will explain the specific reasons for the extended monitoring.

                                              • Do not panic if your stay in the ICU is extended by a day or two: it just means you need a bit of extra care.

                                              Getting Back To Normal

                                              • After your stay in the ICU, you will be shifted to the ward/ room. Our team will monitor your progress continuously and help you recover well.

                                              • You will start returning to normalcy once you are shifted to the room.

                                              • Increase your physical activity by going on walks.

                                              • You may start walking (assisted by our staff) to the restroom when you are up to it.

                                              • Doing things on your own will hasten your recovery, however make sure you seek the help if required.

                                              Food

                                              • Eating right is an important aspect of healing.

                                              • You may not feel hungry at all and food might even taste different. Try eating in smaller quantities, more frequently.

                                              • If you have trouble eating or choosing what food to eat, talk to one of our dieticians.

                                              Sleep

                                              • You may not be able to sleep soon after the surgery due to post-operative care (nurses monitoring your vital signs during the night) and unfamiliar surroundings.

                                              • Take your pain medication half an hour before bedtime

                                              to sleep better.

                                              • Arrange your pillows to a comfortable position.

                                              • Avoid naps during the day.

                                              Visitors

                                              • Only a limited number of visitors will be allowed.

                                              • It is advisable to avoid visitors completely for some time to prevent infections.

                                              • Visitors should wash their hands before entering your room.

                                              • For your safety and the safety of other patients on your floor, friends and relatives should not visit if they have signs of any infection/ fever or even common cold.

                                              Mood Swings, Anxiety & Depression

                                              A major procedure like heart surgery can cause extreme stress. Patients may experience mood swings, anxiety and even depression after the surgery. Please talk to your doctor if required.

                                                • Valve Disease Treatment

                                                Surgical management of valve diseases using conventional method or minimally invasive balloon valvuloplasty.

                                                • Electrical Cardioversion

                                                Electrophysiological management of arrhythmia

                                                • EECP

                                                Blood vessels are simulated so that they develop small branches and create a natural bypass around the narrowed or blocked arteries.

                                                • Ablation

                                                Ablation, used to treat abnormal heart rhythms, or arrhythmias,

                                                can be performed surgically or non-surgically.

                                                • Pacemakers

                                                A small device that sends electrical impulses to the heart muscle to maintain optimum heart rate and rhythm, a pacemaker can also be used as a treatment option for congestive heart failure and hypertrophic cardiomyopathy.

                                                • Implantable Cardioverter Defibrillators (ICD)

                                                Treats abnormal heart rhythms.

                                                • Lead Extraction

                                                Removal of one or more leads from inside the heart.

                                                Left Ventricular Assist Device (LVAD)

                                                The left ventricular assist device, LVAD or VAD, is a almost like mechanical heart that helps the heart pump oxygen-rich blood throughout the body.

                                                Heart Transplant

                                                Replacing the diseased heart with a healthy, donated heart.

                                                  Living With A Heart Disease

                                                  It’s not easy to live with a heart disease, but your quality if life depends on how you manage the problem. You are the caretaker of your own health.

                                                  Here’s how you can manage the problem well:

                                                  • Regular check-ups & consultation with your doctor

                                                  • Adopt a healthy lifestyle

                                                  • Exercise regularly

                                                  • Maintain a healthy body weight

                                                  • Eat healthy

                                                  • Keep your body hydrated

                                                  • Control stress

                                                  • Keep your sugar levels in control

                                                  • Keep your Blood Pressure in control

                                                  • Quit smoking

                                                  • Avoid alcohol

                                                  Cardiac Rehabilitation

                                                  Your doctor may recommend cardiac rehabilitation to help you embrace healthy lifestyle. A customised program, this includes exercise, education, advise/ support for making lifestyle changes and healthy diet.

                                                  Cardiac rehab may benefit you if you have:

                                                  • Cardiovascular disease

                                                  • You are recuperating from a heart attack

                                                  • Underwent a cardiac procedure like angioplasty or heart surgery

                                                  • An implantable device like pacemaker or defibrillator has been placed

                                                  • Have arrhythmia or abnormal heart rhythm

                                                  Cardiac Rehabilitation: Benefits

                                                  • Improves your quality of life

                                                  • Enhances the ability to carry out daily activities of daily

                                                  • Reduces risk of heart diseases

                                                  Mental wellbeing: helps you overcome anxiety and depression

                                                    To know more

                                                    To know more about our Cardiac Science Programmes, visit our Centre of Excellence in Cardiac Science at astermedcity.com and discover how we live up to our simple promise: We’ll Treat You Well.

                                                    To know more, call us at: +91 8111998111

                                                    For International Enquiries:

                                                    Oman Ahmed Estih Mobile: +968 – 93212154Email : ahmed.estih@asteroman.com
                                                    UAE Sumesh Nair Mobile :+971– 529902212 Email : sumesh.nair@dmhealthcare.com
                                                    KenyaGeoffrey Nato Mobile :+254 – 721174628Email :geoffrey.nato@dmhealthcare.com
                                                    Uganda Elyse Mobile :+256 – 754285247 Email :ininahazwe.elyse@dmhealthcare.com

                                                    Aster Medcity is a 670-bed JCI and NABH accredited quaternary care facility with one Multispeciality Hospital and eight Centres of Excellence.

                                                    Please fill the form below and click 'submit'. One of our Guest Relations Executives will contact you within a day.

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