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Cardiac Sciences

One of the most advanced facilities of its kind in the region, the Centre of Excellence in Cardiac Sciences at Aster Medcity offers advanced cardiology, interventional cardiology, electrophysiology, cardiac surgery, heart transplant and cardiac rehabilitation services for both adults and children.

Designed to function like an independent hospital, the centre has an outpatient division, an inpatient division, a day care section, a state-of-the-art cardiovascular imaging section including nuclear medicine, a dedicated electrophysiology lab, an interventional cardiology wing, dedicated adult and paediatric cardiac surgical suites, dedicated cardiac ICUs and a 24-hour Rapid Access Chest Pain Clinic to handle all emergencies.

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One of the most advanced facilities of its kind in the region, the Centre of Excellence in Cardiac Sciences at Aster Medcity offers advanced cardiology, interventional cardiology, electrophysiology, cardiac surgery, heart transplant and cardiac rehabilitation services for both adults and children.

Designed to function like an independent hospital, the centre has an outpatient division, an inpatient division, a day care section, a state-of-the-art cardiovascular imaging section including nuclear medicine, a dedicated electrophysiology lab, an interventional cardiology wing, dedicated adult and paediatric cardiac surgical suites, dedicated cardiac ICUs and a 24-hour Rapid Access Chest Pain Clinic to handle all emergencies.

The exceptional team of doctors comprising Adult Cardiologists/Interventional Cardiologists, Cardiac Electrophysiologists, Adult Cardiac Vascular Thoracic Surgeons, Paediatric Cardiologists, Paediatric Cardiac Surgeons, Cardiac Anaesthesiologists and Interventional Radiologists offers optimal, evidence-based treatment to patients, with the help of trained nurses, technicians, dieticians and rehabilitation experts. They follow a unique heart team approach to ensure personalised treatment to patients by discussing each and every case in detail as a team and deciding the best way forward.

Aster Centre of Excellence in Cardiac Sciences offers a comprehensive range of diagnostic and therapeutic medical technology to ensure high-precision diagnosis, accurate treatment and best possible medical outcomes.

For more details on our Cardiology services, call: + 91 81119 98143 / Cardiac Surgery, call: +91 81119 98021

24/7 Aster Heartline +91 81119 98111

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CARDIOLOGY TEAM SPEAKS

Treatments

Outpatient Services

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers a wide range of outpatient services for detection and treatment of complex heart diseases and disorders. This includes:

  • Cardiac structural/functional evaluation including advanced imaging
  • Heart Failure Clinic
  • Cardiac Electrophysiology Clinic
  • 2D / Live 3D Echocardiography
  • Colour Doppler imaging
  • Tissue Doppler imaging
  • Strain Quantification
  • Trans-Esophageal Echocardiography including live 3D TEE
  • 24-hour ambulatory blood pressure monitoring
  • 24-hour ECG monitoring (Holter monitoring)
  • Cardiac stress tests including Tread Mill Test, Dobutamine Stress Echocardiography, Head Up Tilt Test (HUTT)

Heart Rhythm Clinic

Centre of Excellence in Cardiac Sciences at Aster Medcity offers Advanced electrophysiology (EP) services for comprehensive arrhythmia (irregular heartbeat) management

  • OP evaluation of syncope, giddiness, palpitation
  • Holter, ELR and ILR implantation
  • Head Up Tilt Test (HUTT)
  • Conventional EP studies: Diagnostic & RF Ablation
  • 3D Mapping & Radio Frequency Ablation for Atrial tachyarrhythmias, Idiopathic ventricular tachycardia, Scar ventricular tachycardia, Post-operative arrhythmias, Ablations in adult congenital heart patients, PV isolation for paroxysmal atrial fibrillation, Ablation in persistent atrial fibrillation and Paediatric arrhythmias

Cardiac Devices Implantation

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers expert cardiac devices implantation services for non-surgical management of complex heart diseases in adults and children.

  • Pacemakers
  • Automated implantable cardioverter defibrillator (AICD)
  • Heart failure management devices - CRT & CRT D implantation
  • Intracardiac lead extraction
  • TAVI (Transcatheter Aortic Valve Implantation) – valve implants made in India

Interventional Cardiac Procedures For Adults

The exceptional team of Interventional Cardiologists at the Aster Centre of Excellence in Cardiac Sciences offers highly-advanced interventional cardiology services for non-surgical management of heart diseases like blocks and weakened or narrowed arteries, using a catheter - a small, flexible tube that’s inserted through the arm or leg.

  • 24/7 primary angioplasty with a door to balloon time of less than 90 minutes
  • Elective coronary angiography and angioplasty, including complex coronary angioplasty for Chronic Total Occlusions (CTO), Bifurcations, left main angioplasty, multi-vessel angioplasty
  • Diagnostic cardiac catheterisations
  • Percutaneous valvoplasty
  • Interventional management of adult congenital (birth defects) heart disease including device closures
  • LVAD (Left Ventricular Assist Device) / VAD (Ventricular Assist Device) closures
  • Implantation of advanced cardiac devices
  • Implantation of IVC filters
  • Resynchronisation therapy by biventricular pacing
  • Electrophysiology studies & radiofrequency ablation for cardiac arrhythmias

Cardio – Vascular – Thoracic Surgery For Adults

The highly-experienced Cardiac Surgery team at the Aster Centre of Excellence in Cardiac Sciences offers advanced cardio vascular- thoracic (CVT) surgical services for management of complex heart diseases and disorders in adults.

  • CABG (Coronary Artery Grafting Bypass Surgery) / Bypass Surgery
  • Major aneurysms, pulmonary embolisms and peripheral vascular surgery
  • Heart failure surgery
  • Complex valve repair surgeries
  • Hybrid procedures for cardiac and vascular surgery
  • Minimally invasive cardiac surgery
  • Thoracoscopic surgery – minimally invasive thoracic surgery
  • Bronchoscopies – rigid and fibre optics

24/7 Emergency Cardiac Treatment

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers comprehensive services for management of all cardiac emergencies – interventional and surgical. The 24-hour Rapid Access Chest Pain clinic here provides specialised care for patients brought in to the Emergency Rooms with suspected cardiac problems, including heart attack.

  • Immediate care and treatment for heart attack
  • Cardioversion
  • Pericardiocentesis
  • Arterial line placement
  • CVP and pulmonary artery catheter placement
  • Temporary pacing

Paediatric Cardiac Care

Led by highly-experienced Paediatric Interventional Cardiologists and Paediatric Cardiac Surgeons, the Paediatric Heart Care team at the Aster Centre of Excellence in Cardiac Sciences comprises provides evidence-based, multidisciplinary treatment for advanced management of heart diseases / disorders in infants and children.

Paediatric Interventional Cardiology

Highly-specialised, non-surgical management of heart diseases in children and infants, using state-of-the-art technology and implants.

  • Diagnostic cardiac catheterisation
  • ASD (Atrial Septal Defect) closure
  • VSD (Ventricular Septal Defect) closure
  • PDA (Patent Ductus Arteriosus) closure
  • Collateral device closures
  • Coil closure of PDA (Patent Ductus Arteriosus)
  • Coil closure of MAPCA (Major Aortopulmonary Collateral Artery)
  • Balloon pulmonary/aortic valvoplasties
  • LPA (Left Pulmonary Artery) / PDA (Patent Ductus Arteriosus) / Coarctation of aorta stenting
  • Balloon dilatation of coarctation of aorta and branch pulmonary artery stenosis
  • Permanent pacemaker implantation

Paediatric Cardiac Surgery

Advanced surgical management of complex heart conditions in children, including congenital heart defects.

  • Cardiac surgery for neonates or new-borns
  • Patent ductus arteriosus surgery
  • Atrial septal defect surgery
  • Ventricular septal defect surgery
  • Tetralogy of Fallot surgery
  • Coarctation of aorta surgery
  • AV canal defect surgery
  • Arterial switch operation
  • Repair of double outlet right ventricle
  • Total anomalous drainage of pulmonary veins
  • Single ventricle repair surgery
  • Valve repair surgery
  • Thoracotomy ASD (atrial septal defect) closure
  • Paediatric minimally invasive heart surgery
  • Hybrid procedures for comprehensive management of complex heart conditions

Heart & Lung Transplantation

Aster Centre of Excellence in Cardiac Sciences is one of the only few facilities in South India to offer heart and lung transplant in both adults and children.

Cardiac Rehabilitation

The Cardiac Rehabilitation Therapists here provides holistic rehabilitation services to patients who have undergone complex interventional procedures, surgeries and transplant.

Doctors

Dr. Anil Kumar R

Senior Consultant
Dr-anil-kumar_sr-consultant__medium

Dr. Raja Sekhar Varma

Senior Consultant
Dr rajasekhar varma consultant medium

Dr. Manoj P Nair

Senior Consultant
Dr manoj nair sr consultant medium

Dr. Sajan Koshy

Senior Consultant
Dr sajan koshy sr consultant medium

Dr. Praveen Sreekumar

Consultant
Praveen 439x 300 jan 10 medium

Dr. George Varghese K

Senior Specialist
George varghese medium

Dr. Lincoln Samuel

Senior Specialist
Lincoln 439x300 medium

Dr. Sajish M

Specialist
Sajish inner medium

Dr. Teffy Jose

Senior Specialist
Teffy 439x300

Dr. Mohamad Shafiq K

Specialist
Mohammed shafik cardiology inner medium

Facilities

Inpatient Facilities

Aster Medcity offers world-class inpatient care to its patients, with the support of an award-winning team of Nurses, Therapists and Technicians.

  • Wards, double rooms, standard rooms, executive rooms, deluxe rooms presidential suites
  • Dedicated Cardiac ICU
  • Independent ICUs with a view that minimise chances of infection and ICU psychosis
  • Dedicated cardiac surgery suites
  • Advanced infection control facilities
  • State-of-the-art cardiac imaging

World-Class Technology

Aster Centre of Excellence in Cardiac Sciences is first facility in Kerala to offer three cathlabs with a state-of-the-art electrophysiology lab / intravascular ultrasound, fractional flow reserve estimate and rotablation. The comprehensive range of medical technology here includes:

  • Flat panel hybrid vascular biplane cathlab
  • Low radiation CLARITY cathlab
  • OR1 Karl Storz Fusion Integrated C Green OT certified surgical suites with autopilot anaesthesia and live sharing facility
  • Philips IntelliSpace Critical Care & Anaesthesia digital ICU
  • ECMO (Extra Corporeal Membrane Oxygenation)
  • Philips EPIQ Echocardiography machines for 2D and live 3D imaging
  • Trans-Oesophageal Echocardiography with Doppler, Colour Doppler modalities
  • Dobutamine stress test for physically disabled patients
  • Intra-operative trans-oesophageal ECHO / Doppler / Colour-flow Doppler
  • Philips 256 Slice iCT scan
  • Wide Bore 3.0 Tesla MRI cardiac studies
  • Philips Astonish True Flight Select PET-CT with Time Of Flight technology
  • GE SPECT-CT Optima NM 640 Gamma Camera

Patient Stories & Case Studies

Prevention

Your Heart

Your heart, which is almost the size of your first, is the strongest muscle in your body. It beats around 1,00,000 times a day, pumping 7600 litres of oxygenated blood through the 60,000 mile stretch of blood vessels in your body. Controlled by the Cardiac Conduction System, which is a special group of cells on the heart walls that send signals to the heart muscles to contract, the beating sound of the heart is caused by the process of heart valves opening and closing.

Your heart is what keeps you alive so you need to take good care of it. All you need to do is adopt a healthy lifestyle and undergo periodic health check-ups to ensure that everything is fine.

Heart Diseases

Heart diseases can occur due to congenital (by-birth) structural defects of the heart and cardiovascular problems caused by unhealthy lifestyle.

Causes of heart diseases and heart failure

  • Congenital or by-birth structural defects of the heart
  • Coronary heart problems including blocks in the arteries
  • High cholesterol that leads to formation of blocks
  • Hypertension or high blood pressure
  • Diabetes or high blood sugar
  • Smoking
  • Unhealthy food with lots of salt and fat content
  • Sedentary lifestyle and lack of exercise
  • Stress
  • Obesity or excessive body weight
  • Excess alcohol consumption

Risk Factors For Heart Diseases

  • Men and women above the age of 45 (or lesser if there’s a family history / leads unhealthy life)
  • Smokers
  • People with lifestyle diseases like hypertension, high cholesterol, diabetes and obesity
  • People with metabolic disorders
  • Women who’ve crossed menopause
  • People with family history of heart diseases

Symptoms Of Heart Diseases

Heart Attack: Seek Emergency Medical Care

If you experience any of the following symptoms, seek immediate medical help. Remember, do not wait for symptoms to go away on its own. Heart attack is a life-threatening medical emergency.

  • Crushing pain in the chest
  • Pain, pressure, tightness in the chest that radiates to the shoulder blades, arm, chest, jaw or upper abdomen
  • Excessive sweating
  • Severe heartburn, nausea, vomiting
  • Fatigue and light-headedness
  • Severe palpation and breathlessness

Call Aster Emergency on 155218

Heart Diseases: Signs You Should Not Ignore

Consult a Cardiologist if you notice even one of the following problems. Abnormal symptoms are your body’s way of telling you that something is not right - so never ignore the signs, however minor they may seem.

  • Frequent pain in the chest
  • Unexplained discomfort in the chest
  • Chest pain that radiates to the shoulder, arm and jaw
  • Dizziness
  • Breathlessness, especially while carrying weights or climbing stairs
  • Palpitation / Irregular or fast heartbeat
  • Swelling in the feet
  • Persistent cough
  • Prolonged fever (could be infection in the valves)
  • Bluish lips and nails

Preventing Heart Diseases

Cardiovascular diseases have become a common health problem. According to worldwide estimates, even people below 45 years of age are being diagnosed with serious heart problems like blocks and narrowed arteries. The primary reason for this is unhealthy, sedentary lifestyle. Bad eating habits, regular consumption of foods high in salt, sugar and fat, lack of physical exercise, persistent stress, smoking, drinking...the heart has to bear the brunt of it all.

Making changes to your lifestyle can keep your heart healthy. It’s simple - here’s what you need to:

  • Eat healthy, on time.
  • Avoid food high in salt, sugar and fat.
  • Eat more vegetables, pulses, legumes and fruits, eat less red meat.
  • Drink lots of water.
  • Exercise for at least 40 minutes a day – brisk walking being the easiest form of exercise you can do.
  • Maintain optimal body weight.
  • Quit smoking.
  • Avoid alcohol.
  • Manage stress.
  • Sleep for 6-8 hours.
  • Stay happy.

A Heart Healthy Diet

Consuming food products with high sugar content on a regular basis can put you at the risk of becoming a diabetic. Diabetes can damage your heart and increase the risk of heart diseases and heart attack.

Food products with high salt content can lead to elevated blood pressure levels, which across time can cause hypertension. This in turn can lead to hypertensive heart diseases like heart failure, thickening of the heart muscle and ischemic heart disease. Hypertension can also cause symptoms like chest pain and irregular heartbeat.

Foods high in fat or oil can cause the blood cholesterol levels to rise. Excess cholesterol can leads to formation of blocks (plaque deposit) in the coronary arteries, obstructing blood flow in the heart. Coronary artery block is one of the main reasons for heart attack in both men and women.

Include the following in your daily diet to keep your heart healthy:

  • Eat nutritious, balanced meals that include:
  • Vegetables
  • Green leafy vegetables
  • Fruits
  • Wholegrain
  • Pulses
  • Legumes
  • Low-fat dairy products
  • Probiotics, including yoghurt
  • White meat
  • Fish that’s rich in Omega 3 (like sardine and salmon)
  • Eat food rich in Vitamin D like tuna, salmon, spinach, soya beans and okra
  • Plenty of water
  • Cook food in healthy oils like canola, corn and olive oil
  • Use limited amount of oil and cooking fats

Exercise To Keep Your Heart Fit And Healthy

Your heart needs regular exercise to stay fit. Lack of exercise can lead to health complications like high cholesterol, blocks in the arteries, diabetes, hypertension and obesity, which in turn increase the risk coronary heart diseases and heart attack.

The easiest way to ensure that your heart gets enough exercise is to brisk walk. The simplest weight bearing exercise you can do, brisk walking for 40 minutes a day- without taking a break - helps you:

  • Stay fit, healthy and active (10,000 steps burns approximately 500 calories)
  • Burns excess body fat and controls body weight
  • Lower the risk of high blood pressure, cholesterol and diabetes
  • Gain more stability and muscle strength
  • Increase and maintain stamina
  • Relieve muscle tension
  • Decrease stress, anger and anxiety

Brisk Walking: The Right Way

  • Always walk on an even surface
  • Wear walking shoes so that you don’t hurt your feet
  • Wear loose fitted clothes
  • Step 1 - Warm up: start off by walking slowly, at a leisurely pace, giving time for your muscles to warm up.
  • Step 2 - gather speed: walk as briskly as you can
  • Step 3 - slow down: decrease the speed of walking till you reach a leisurely pace and stop
  • Make sure you walk for at least 45 minutes.
  • Cover a set distance each day.
  • A pedometer/ fitness watch / fitness app on the phone can help record the number of steps you’ve walked. Make sure it is not less than 10,000 steps.
  • Listening to music while you walk can help calm your mind.
  • Always carry a bottle of water with you to ensure that you do not get dehydrated.
  • Do not drink or eat immediately after walking.
  • Shower only after 30 minutes, after all the sweat has cooled down.
  • You will be able to walk more as your fitness levels improve.
  • It’s good to find a walking group to make your trips fun.
  • Walk every day.

Quit Smoking To Save Your Heart

People who smoke almost four times more prone to heart diseases compared to non-smokers. In fact, smoking is so bad for the heart that even people who are exposed to second-hand smoke are at the risk of acquiring heart diseases.

Tobacco in cigarettes is packed with chemicals, including a toxin called ‘nicotine’ that damages the heart and blood vessels.

  • Nicotine damages your heart by:
  • Reducing the amount of oxygen that enters your heart
  • Plaque build-up (wax like substance) that narrows and hardens arteries (atherosclerosis)
  • Decreasing the flow of oxygen rich-blood to the body
  • Raising blood pressure
  • Increases heart rate
  • Highers the risk of coronary and peripheral artery diseases
  • Creates clots, which in turn can cause heart attack/ stroke

Ways To Stay Away From Smoking

Saying “no” to cigarettes is saying “yes” to a health heart. It requires tremendous willpower to say “no” to smoking, as nicotine addiction isn’t easy to overcome. Here are some effective ways to avoid smoking:

  • Keep all reminders out of sight - empty cigarette packets, lighters, matches and even ashtrays.
  • When you feel like smoking, take a deep breath and hold on for around 10 seconds. Exhale slowly. Repeat this until you overcome the urge.
  • Avoid activities that were connected to smoking. Instead do constructive things that make you happy.
  • Use non-smoking areas in public places.
  • Using nicotine patches and gums can help rid of the urge.
  • Do not switch over to e-cigarettes as they are packed with nicotine as well.
  • Never substitute smoking with food. Eating unhealthy food can make you prone to health problems like weight gain, diabetes and hypertension.

De-Stress Your Heart

Persistent stress can cause hypertension, which is one of the primary causes of heart diseases. Unmanaged high blood pressure can lead to heart problems like arrhythmia or irregular heartbeats, ischemic heart disease - a condition wherein your heart does not get sufficient oxygen, heart attack - blood flow to arteries of the heart gets interrupted heart failure. Hence it important to keep your stress levels under control to keep your heart healthy.

Ways To Manage Stress

  • Take some time out for yourself.
  • Find time to do things that you love and make you happy
  • Avoid thinking of worst scenarios and stressing over problems you don’t have any control over.
  • Vent your when you should. Don’t let stress manifest and ruin your peace of mind.
  • Sharing your problems with someone reliable can help you de-stress.
  • Set realistic goals - don’t burden yourself with responsibilities that you can’t handle at home and work.
  • Eat healthy as a well-nourished body can cope up with stress better.
  • Exercise is a very effective stress- buster.
  • Avoid smoking as it will only aggravate stress.
  • Alcohol will only worsen stress, anxiety and depression.
  • Drink plenty of water.
  • Meditation can help relieve stress and anxiety.
  • Prayers can calm the mind.
  • Sleep for 6-8 hours every day as sleep is the best way to restore mental peace.
  • Laugh a lot - according to a research by Maryland University, laughter increases the blood flow to the heart and HDL (good cholesterol) content, while decreasing harmful stress hormones and artery inflammation.

Regular Heart Check-Ups For Early Detection And Prevention

Cardiac check-ups at regular intervals can help you keep a check on your heart health. Early detection can help treat heart problems effectively and prevent heart failure.

Cardiac check-ups at regular intervals can help you keep a check on your heart health. Early detection can help treat heart problems effectively and prevent heart failure.

Cardiac check-ups at regular intervals can help you keep a check on your heart health. Early detection can help treat heart problems effectively and prevent heart failure.

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