• Best Heart Transplant Hospital in India

    Heart Transplant Team

  • Best Heart Transplant Hospital in India
    Kauvery heart failure and transplantation centre

The future of
advanced cardiology.

The Kauvery heart failure and transplantation centre provides comprehensive multidisciplinary care for heart failure patients to promote and restore their quality of life. The highly qualified team of doctors and supportive staff including the specialised heart failure nurses will strategise a personalised care plan taking into account the co-morbidities. The treatment offered takes a comprehensive approach to heal the heart starting from diet, exercise, psychosocial help to medications, device implants and heart transplants.

Advantages of the Heart Failure and Transplantation Centre

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The safest facility for complex cardiac procedures according to European and American Standards

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Dedicated heart emergency department with internationally skilled cardiologists

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Dedicated Cardiac ICU
and CCU

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Specialised cardiac electrophysiology and interventional cardiology team

The Hybrid Cath Lab Operating Room

The Hybrid Cath Lab Operating Room

Kauvery Hospital houses India’s first flex-arm hybrid cath lab operating room. A one of its kind technology that boosts clinical precision and accuracy. It is the safest facility for complex cardiovascular interventions according to American and European guidelines and standards

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Featured services in the heart ACCiST centre

Heart Failure

One in five people will develop heart failure, a life-threatening condition where the heart is unable to pump enough blood around the body. There are two types of heart failure:

  • Systolic: A condition where the heart muscle is weakened. This usually happens when the left ventricle is enlarged and can’t contract the way it should. As a result, it can’t pump with enough force to push blood through the body.
  • Diastolic: A condition where heart muscle is stiff and unable to relax or contract properly. As a result, the heart can’t fill up with enough blood, which reduces the amount of blood pumped through the body.

If your heart issues don't respond to treatment with medications, devices or other surgeries, you may be a candidate for a heart transplant. In a heart transplant, the diseased heart is replaced with a healthy, working heart from a donor.

Our heart failure team works with you and your family to treat and monitor your condition. From lifestyle changes like diet and exercise to medications, device implants and transplants, we personalize a care plan that best meets your needs.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of the body. Cardiomyopathy can lead to heart failure.

The main types of cardiomyopathy include

Dilated Cardiomyopathy: The main pumping chamber of the heart - left ventricle — becomes enlarged (dilated) and can’t effectively pump blood out of the heart. Although this type can affect people of all ages, it occurs most often in middle-aged people and is more likely to affect men. The most common cause is coronary artery disease or heart attack.

Hypertrophic Cardiomyopathy: This type involves abnormal thickening of the heart muscle, particularly affecting the muscle of the heart’s main pumping chamber (left ventricle). The thickened heart muscle can make it harder for the heart to work properly.

Hypertrophic cardiomyopathy can develop at any age, but the condition tends to be more severe if it becomes apparent during childhood. Most affected people have a family history of the disease, and some genetic mutations have been linked to hypertrophic cardiomyopathy.

Restrictive cardiomyopathy: The heart muscle becomes rigid and less elastic, so it can’t expand and fill with blood between heartbeats. This least common type of cardiomyopathy can occur at any age, but it most often affects older people. Restrictive cardiomyopathy can occur for no known reason (idiopathic), or it can be caused by a disease elsewhere in the body that affects the heart, such as when iron builds up in the heart muscle (hemochromatosis).

Arrhythmogenic right ventricular dysplasia: In this rare type of cardiomyopathy, the muscle in the lower right heart chamber (right ventricle) is replaced by scar tissue, which can lead to heart rhythm problems. It’s often caused by genetic mutations.

Treatment might include medications, surgically implanted devices or other interventional / surgical procedures, in severe cases, a heart transplant may be needed.

Circulatory Support

Treating Heart Failure with Implanted Devices

Implantable cardiac defibrillators (ICD): are small, battery-powered devices that generate electrical impulses and perform pacing / give direct current shock to revive a patient from cardiac arrest due to ventricular tachycardia/fibrillation.

Cardiac Resynchronization Therapy (CRT): This treatment uses a special pacemaker that syncs the left and right ventricles of heart failure patients, to make it pump more efficiently. This can be combined with an implantable cardiac defibrillator.

Mechanical-Assist Devices

  • An intra-aortic balloon pump (IABP) increases cardiac output and blood flow, which is usually placed inside the main blood pipe (aorta) through a blood vessel in the groin.
  • Temporary assist devices are mechanical pumps that help the heart pump blood through the body. They allow the heart to stabilize while the care team decide what other treatment options are best.
  • Ventricular assist devices (VADs) are permanent mechanical pumps that help the heart pump blood through the body. This can be left ventricular assist device (LVAD) or right ventricular assist device (RVAD)

LVADs are a therapy for end-stage heart failure and an alternative to heart transplant for some patients.

Heart Transplantation

Advanced heart failure due to dilated and ischemic cardiomyopathies, complex congenital heart disease and life threatening arrhythmias despite optimal treatment. Prior to consideration of transplantation, a comprehensive evaluation of patient is carried out including a thorough multiorgan and multidisciplinary workup. Some of the contra indications to a transplant include irreversible pulmonary hypertension, recent history of malignancies, active infection and multiple organ dysfunction. Suitable candidates are placed on the waitlist for transplantation. After surgery, they would be commenced on lifelong immunosuppression and managed by a multidisciplinary team with attention to rehabilitation and typical discharge from the hospital within two to three weeks. Post-transplant, they would be reviewed at regular intervals for surveillance of graft function and patient’s well-being with emphasis on identifying episodes of acute rejection and infection. Currently the one-year survival post heart transplantation is 85-90%. About 30-40% may develop chronic rejection in the form of cardiac allograft vasculopathy by 5 years and 60% are expected to survive beyond 10 years post-transplant. Majority of heart transplant recipients return to a normal quality of life and 30% return to active employment.

Patient information

Upon appointment our specialists will consult with you to arrive at the appropriate diagnosis, post which a suitable care plan will be strategized keeping in mind your co-morbidities. From diagnosis to discharge, our heart failure team will take care of you every step of the way.

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Book an Appointment +91 9150277712