• Basic tests for Heart health
  • comprehensive tests for Heart - Health
  • Interventional procedures
  • Cardiac Surgery

Basic tests for Heart health

Electrocardiography (ECG or EKG) is the process of recording the electrical activity of the heart over a period of time using electrodes placed on the skin.

An echocardiogram often referred to as a cardiac echo or simply an echo, is a sonogram of the heart.

Treadmill Test (TMT) is a test used in Cardiology to measure the heart’s ability to respond to external stress in a controlled clinical environment.

A Holter monitor is a portable device for continuously monitoring various electrical activities of the cardiovascular system for at least 24 hours (often for two weeks at a time).

ABPM measures blood pressure at regular intervals during activity and rest. This record gives accurate information to your cardiologist on whether you really have elevated blood pressures throughout the day and night. It also informs your cardiologist how well your treatment for high blood pressure protects you.

Comprehensive tests for Heart – Health

A trans-esophageal echocardiogram is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patient’s oesophagus to examine the heart in greater detail as the heart is in front and very close to our food pipe.

Computed tomography or heart CT scan (CT coronary angiogram) is a procedure used to assess the extent of occlusion in the coronary arteries, usually in order to diagnose coronary artery disease.

A stress echocardiogram also known as a stress echo, uses ultrasound imaging of the heart to assess the wall motion in response to physical or pharmacological stress.

This test uses Magnetic Resonance Imaging to study the heart in great detail.

A CT Coronary Calcium score is used to evaluate the extent of calcium deposition on the coronary arteries, which is a surrogate indicator of arteriosclerosis, a stiffening process of the arteries and narrowing of its lumen. Thus it can serve as a predictor of future adverse cardiac events. It also has a small role in evaluating possible angina prior to the CT/Catheter Coronary angiograms.

Interventional procedures

Coronary angiography is a procedure that uses a special dye (contrast material) and x-rays to assess the blood flow through the arteries in the heart.

Fractional flow reserve (FFR) assessment involves determining the ratio between the maximum achievable blood flow in a diseased coronary artery and the theoretical maximum flow in a normal coronary artery.

Intravascular ultrasound (IVUS) is a diagnostic test. This test uses sound waves to see inside blood vessels. It is useful for evaluating the coronary arteries that supply blood to the heart muscles.

A pacemaker is an electrically-charged medical device. A pacemaker is needed if the heart pumps too quickly or slowly. The cardiologist implants it under the skin to help manage slow or irregular heartbeats called arrhythmias.

A biventricular pacemaker is a special pacemaker used for cardiac resynchronisation therapy in heart failure patients.

An implantable cardioverter-defibrillator (ICD) or automated implantable cardioverter defibrillator (AICD) is a device implantable inside the body, that is able to perform cardioversion, defibrillation, and pacing of the heart.

Angioplasty is a minimally invasive endovascular procedure to widen narrowed or obstructed arteries or veins using an inflatable balloon, typically to treat arterial atherosclerosis. There after a stent may be placed as a scaffolding to make sure that the blood vessel does not narrow and get obstructed again.

OCT guided angioplasty optical coherence tomography is the latest technology, beyond conventional contrast guided angiography, used in excellent imaging of the coronary arteries from inside the artery using near-infra-red light source delivered via an optical fibre positioned inside the artery of interest.

A rotablator is a small drill with a burr on the end that is coated in diamond dust. The rotablator is small enough to fit in an artery and strong enough to drill through the calcified plaque without any damage to the artery walls.

Trans-catheter aortic valve implantation (TAVI / TAVR)

Trans-catheter aortic valve implantation (TAVI / TAVR) Transcatheter aortic valve replacement (TAVR) is an innovative approach to the treatment of severe aortic stenosis (narrowing of the aortic valve opening).
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Excessively fast heart rates are of great concern to the cardiologist and they can be treated by a sophisticated, catheter based, technique called Radio frequency ablation. This is used in the treatment of Atrial Fibrillation, one of the commonest of cardiac arrhythmias. Ablation is the removal or melting away of electrically unstable areas in the heart.

Extracorporeal membrane oxygenation (ECMO) is a technique to provide both, cardiac and respiratory support in times of crisis. Know more

  • Atrial septal defect device closures
  • Percutaneous transluminal septal myocardial ablation with alcohol for HOCM(PTSMA)
  • Endovascular aortic repair and hybrid aortic repairs
  • Balloon atrial septostomy for Pulmonary arterial hypertension
  • Right heart catheterisation
  • IABP (Intra-Aortic Balloon Counter Pulsation) insertion
  • Interventions for Pulmonary artery thromboembolism- mechanical thrombectomy and catheter directed lysis.
  • Bronchial artery embolisation for intractable haemoptysis
  • Percutaneous mitral valve replacement
  • Percutaneous repair of paravalvular (prosthetic valve) leaks

Cardiac Surgery

Facilities at Heartcity

  • Exclusive, 100-bed cardiac care facility.
  • Cardiothoracic OT.
  • Offers Coronary Artery Bypass Graft Surgery (CABG).
  • Equipped to treat coronary artery disease, valvular heart disease, cardio myopathies, arrhythmia-related problems and pediatric heart disease.
  • A host of cutting-edge techniques including angioplasty with stenting, pacemaker implantation and pPeripheral interventions are done.
  • Full-fledged cardiac & cardio thoracic ICU.
  • Step down ICU.
  • Dedicated cardiac cath lab.

All diagnostic equipment like echocardiogram, TMT, holter, digital radiography are in place.

Beating heart bypass surgery is also called Off-Pump coronary artery bypass surgery (OPCAB). Both OPCAB and conventional on-pump surgery restore blood flow to the heart and are offered at Kauvery Hospitals.

In minimally invasive heart surgery, cardiac surgeons perform heart surgery through small incisions in the right side of your chest, as an alternative to open-heart surgery.

Valve repair diseases can damage heart valves to various extents. Some can be repaired but most may need replacement with a mechanical or bioprosthetic valve. Valve Repair can usually be done on congenital heart valve defects and this procedure has a good record of success. These major surgeries are undertaken with great precision, skill and safety at Kauvery Hospitals.

Pediatric Cardiology at Heart City Trichy offers ASD, VSD and PDA closure for children more than 10kgs of body weight. PDA coils and devices are also offered and Pediatric pacemakers can be implanted.

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