Adult cardiology

Adult cardiology

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Overview

The cardiology team at the centre offers specialized treatment for cardiovascular diseases and has a 24/7 emergency response team with a mobile ICU to quickly handle emergencies. The centre is equipped to provide comprehensive and multidisciplinary medical care for patients with complex conditions .

Facilities Available

Noninvasive Cardiovascular Imaging 

Echocardiographic Hemodynamic Laboratory

The heart has a complex, multi-dimensional shape. A proper assessment of the function of its parts requires a multi-dimensional depiction of its structural and functional intricacies. This complex physical relationship can be studied using reflections from high frequency sound waves, called ultrasound, which can give information on blood and heart muscle motion.


Services offered in echocardiography:  

  • Trans-thoracic Echocardiography
  • Trans-esophageal Echocardiography
  • Tissue Doppler Imaging (tissue velocity and strain imaging)
  • 3D Echocardiography
  • Contrast Echocardiography
  • Pharmacological Stress Echocardiography
  • Intra-operative Echocardiography

Four echo labs are located in the out-patient department. Echo machines are also used in the Cath lab, Surgical theatres and ICUs. Available machines include high end – Vivid 7 Dimensions 9GE), Philips IE 33 with 3 D with transesophageal probe.


Multi Detector Computed Tomography (MDCT)    

For the imaging of cerebrovascular, cardiac, visceral and peripheral vasculatures, CT coronary angiography using a Siemens Somatom 64 slice CT scanner enables accurate, noninvasive detection of significant coronary artery disease in patients hospitalized for acute chest pain syndrome and negative biomarkers. It is also useful for screening patients with intermediate risk for developing coronary artery disease. It is now the choice of diagnostic test for evaluating blood clots on arteries supplying lungs (pulmonary embolism).     
Diagnosis and treatment planning with nonoperative techniques for aortic aneurysms (thinning and bulging) as well as the dissection of the aorta needs good quality picture generated by MDCT. Occlusion of blood supply to legs, hands and other organs can also be accurately quantified by this technique.

CT coronary angiography enables: 

  • Accurate, noninvasive detection of significant coronary artery disease in patients hospitalized for acute chest pain syndrome and negative biomarkers 
  • Useful for evaluating blood clots on arteries supplying the lungs (pulmonary embolism) 
  • Occlusion of blood supply to legs, hands and other organs can also be accurately quantified 


Cardiac Magnetic Resonance Imaging (MRI) 3 TESLA    

This imaging is very useful in assessing the damage of heart muscles caused by heart attack, as well as: 

  • Evaluation of heart failure 
  • Detection and quantification of heart defects present at birth 
  • Tumors of the heart 
  • Pericarditis (inflammation of the sac covering the heart) 
  • Evaluation of arrhythmogenic RV dysplasia, sarcoidonic and other causes of ventricular arrhythmia and heart failure 


Nuclear Cardiology    

Using radioisotopes as a diagnostic tool, it is possible to assess the function of the heart and its blood supply. Our sophisticated facility has a Siemens gamma camera to perform the following procedures: 

  • Thallium and MIBI perfusion studies
  • Viability testing
  • MUGA (Ventriculogram)
  • Ventilation perfusion lung scans
  • Renal perfusion scans
  • Tc labelled RBC venogram for DVT


Positron Emission Tomography (PET)     

Positron emission tomography, also called PET imaging or a PET scan, combined with an MRI, is used to identify patients with damaged heart muscles likely to benefit from angioplasty and bypass surgery. It is also effective in determining the blood flow to the heart as well as infections and cancers. 


Syncope (Fainting) Evaluation    

Holter monitoring and head-up tilt tests with pharmacological challenges are utilised for the evaluation of patients with syncope.  

Interventional Cardiology;


Cardiac Catheterization Laboratory    

The cardiac catheterization lab is equipped with a twin suite Siemens HICOR digital imaging system which is fully networked. The Cath Lab is one of the larger volume centers in India and with the outstanding results achieved so far, the AIMS Cath Lab has played a role in elevating the hospital to national prominence.


Coronary Artery Disease    

Remediation offers the following services:

  • Diagnostic Angiogram
  • Intra-vascular Ultrasound
  • Fractional Flow Reserve (FFR)
  • Angioplasty and Stenting
  • Rotablation
  • Day care radial route angiogram and angioplasty
  • Primary angioplasty program offers 24x7 acute myocardial infarction treatments. In order to facilitate the rapid establishment of blood flow in occluded artery, we bypass the emergency room delay by transporting patients directly to the Cath Lab.


Peripheral Vascular Disease    

  • Angioplasty and stenting of blood vessels supplying the brain (carotid artery) to prevent catastrophic stroke in symptomatic patients with blocks
  • Renal angioplasty in patients with critically reduced blood flow to kidneys
  • Limb saving re-canalization of occluded peripheral vessels
  • Aortic angioplasty and stenting for congenital/acquired evaluation/aortoarteritis


Structural Heart Disease    

  • Device closure of heart defects - congenital atrial septal defect and ventricular septal defect 
  • Post myocardial infarction septal rupture device closure
  • Keyhole treatment of valvular heart disease, mitral, aortic, pulmonary and tricuspid balloon valvotomy
  • Alcohol ablation of septal myocardium in obstructive hypertrophic cardiomyopathy


Endovascular Treatment    

  • Aortic aneurysm treatment with stent grafts
  • Peripheral artery aneurysm-stent grafting


Electrophysiology Laboratory and Arrhythmia Service – 3D Non-Contact Mapping and Navigation System    

Amrita is one of the few centers in India offering comprehensive cardiac arrhythmia services and has taken the lead in providing the most modern cardiac arrhythmia care by installing a state-of-the-art, 3D mapping system. This system helps in navigating EP catheters in real time as well as for mapping any arrhythmias. This 3D system offers:

  • Long lasting cures for complex arrhythmias like post MI scar ventricular tachycardia, atrial fibrillation and focal tachycardia.  
  • Reduces procedural time and X-ray exposures (fluoroscopy) times.   

The EP team provides: 

  • Diagnostic electro-physiological study
  • Radio-frequency ablation of different arrhythmias in adults and children
  • Pacemaker implantation for patients with Brady (slow) arrhythmias
  • Cardiac resynchronization (bi-ventricular pacing) in patients with heart failure with expertise in optimization of therapy based on expert ECHO guidance
  • Automatic Internal Cardiac Defibrillator (AICD) for patients with potentially lethal heart rhythm abnormalities
  • Syncope evaluation including autonomic evaluation, Head-Up Tilt Testing
  • Pacemaker – AICD follow up clinic
  • Implantation of loop recorders for evaluation of syncope of unknown etiology. 

Preventive Cardiology and Rehabilitation

The Comprehensive Cardiac Health Checkup identifies high risk individuals and recommends lifestyle modification and drugs for primary prevention of coronary artery disease. Secondary prevention is enabled by risk factor identification, counseling, diet modification and with treatment of associated problems like diabetes mellitus with drugs, during hospitalization. 

Through the preventive cardiology packages we screen individuals for the risk factors towards developing heart disease and stroke and the necessary health advice to be followed to prevent progression towards atherosclerosis.  

Amrita Heart Check Basic:

  • Intended for screening of individuals above the age of 30. 
  • CVD 10 year risk score calculated based on internationally validated risk scores. 
  • Targets individuals with a predominantly sedentary job namely IT technocrats, lawyers, bankers, business executives, doctors etc. 
  • Follow up mandated depending on the CVD risk score. Yearly in high risk group, 2-3 years moderate risk group and 4-5 years in the low CVD risk category. 
  • The tests done as a part of the Basic panel include: 
  • Height, weight, BMI, Body fat% 
  • FBS, PPBS, HbA1c 
  • S Creatinine, Uric Acid 
  • E-GFR 
  • Lipid profile 
  • Hs-CRP 
  • AST/ALT 
  • ECG 
  • TMT 
  • ECHO 
  • 10 year CVD risk score 
  • Cardiac consultation 

Amrita Advanced Heart Health

  • Intended for Individuals above the age of 35 
  • Especially relevant for those with a Family history of cardiovascular disease (CVD), risk factors for CVD namely diabetes, hypertension, dyslipidemia, family history and tobacco use 
  • Individuals with symptoms of Obstructive Sleep Apnoea (OAS) and Erectile dysfunction (ED) 
  • Follow up mandated depending on the CVD risk score. Yearly in high risk group, 2-3 years moderate risk group and 4-5 years in the low CVD risk category. 
  • The tests done as a part of the advanced panel include: 
  • CBC 
  • Hs-CRP 
  • Urine Microalbumin 
  • TSH 
  • FBS,PPBS,HbA1c 
  • Urea, Creatinine, Uric Acid 
  • Lipid profile 
  • AST/ALT 
  • Lp(a) 
  • Apo B 
  • ECG 
  • TMT 
  • ECHO 
  • CT Cardiac Calcium Scoring 
  • 10 year CVD 
  • Cardiac consultation 

Services Offered

Outpatient Services  

The outpatient facility at the centre is designed to provide comprehensive evaluation and diagnosis for patients with chest pain and heart diseases using the latest biomedical equipment for accurate results with minimal discomfort.  

  • The multidisciplinary team offers heart care services for patients with coexisting medical conditions.  
  • Complete diagnosis, treatment planning, and recommendations in a single day for most patients.  


Emergency Response Team and Heart Station   
 

Amrita provides mobile coronary care units which are fully equipped with advanced life support systems, communication facilities with the Heart Command Center located in the Coronary Care Unit, and manned by well-trained and experienced paramedical and medical personnel. Patient transfer happens not only statewide, but also from neighboring states.


Coronary Care Unit (CCU)  
 

The Coronary Care unit is staffed by a specially trained physician and nurses capable of serving patients with heart attack, heart failure and arrhythmias. This 24-bed facility provides:  

  • Care for critically ill patients, including ventilatory support, invasive and non-invasive advanced life support 
  • Hemodynamic monitoring, including blood gas analysis, to manage patients on therapeutic medications for heart attack and heart failure 
  • Infection control protocols and 1:1 critical care nursing to improve outcomes 
  • 24x7 availability of a trained physician/cardiologist code blue team and immediate access to cathlab 
  • High-quality care, quick response, and effective management of patients' health conditions. 

Contact

Phone: 0484 - 2851553, 0484 – 6681553 
Email: cardiology@aims.amrita.edu 

Doctors

Dr.M. S. Harikrishnan
Clinical Professor, Interventional Cardiologist& Cardiac Electro physiologist
MD, DM
Dr.M. Vijayakumar
Consultant & Professor
MD, DNB (Med), DM (Cardio) (Fellow Thorax Center Rotterdam)
Dr.Navin Mathew
Clinical Professor & Senior Interventional cardiologist
MD, DM (Cardiology)
Dr.Praveen. G. Pai
Clinical Professor
MD, DNB(Med), DM
Dr.Rajesh Thachathodiyl
Senior Interventional cardiologist, Director – CTA program, Professor & Head
MD, DM, FACC, MBBS
Dr.Saritha Sekhar S
Clinical Associate Professor
MD (Internal med), DNB (Card)
Dr.Hisham Ahamed
Clinical Associate Professor, Program Lead, Amrita HCM Center Co –Director, Amrita Cardio-Oncology Clinic
MD, DM
Dr.Jaideep C. Menon
Consultant cardiologist
MD, DM

Overview

The cardiology team at the centre offers specialized treatment for cardiovascular diseases and has a 24/7 emergency response team with a mobile ICU to quickly handle emergencies. The centre is equipped to provide comprehensive and multidisciplinary medical care for patients with complex conditions .

Facilities Available

Noninvasive Cardiovascular Imaging 

Echocardiographic Hemodynamic Laboratory

The heart has a complex, multi-dimensional shape. A proper assessment of the function of its parts requires a multi-dimensional depiction of its structural and functional intricacies. This complex physical relationship can be studied using reflections from high frequency sound waves, called ultrasound, which can give information on blood and heart muscle motion.


Services offered in echocardiography:  

  • Trans-thoracic Echocardiography
  • Trans-esophageal Echocardiography
  • Tissue Doppler Imaging (tissue velocity and strain imaging)
  • 3D Echocardiography
  • Contrast Echocardiography
  • Pharmacological Stress Echocardiography
  • Intra-operative Echocardiography

Four echo labs are located in the out-patient department. Echo machines are also used in the Cath lab, Surgical theatres and ICUs. Available machines include high end – Vivid 7 Dimensions 9GE), Philips IE 33 with 3 D with transesophageal probe.


Multi Detector Computed Tomography (MDCT)    

For the imaging of cerebrovascular, cardiac, visceral and peripheral vasculatures, CT coronary angiography using a Siemens Somatom 64 slice CT scanner enables accurate, noninvasive detection of significant coronary artery disease in patients hospitalized for acute chest pain syndrome and negative biomarkers. It is also useful for screening patients with intermediate risk for developing coronary artery disease. It is now the choice of diagnostic test for evaluating blood clots on arteries supplying lungs (pulmonary embolism).     
Diagnosis and treatment planning with nonoperative techniques for aortic aneurysms (thinning and bulging) as well as the dissection of the aorta needs good quality picture generated by MDCT. Occlusion of blood supply to legs, hands and other organs can also be accurately quantified by this technique.

CT coronary angiography enables: 

  • Accurate, noninvasive detection of significant coronary artery disease in patients hospitalized for acute chest pain syndrome and negative biomarkers 
  • Useful for evaluating blood clots on arteries supplying the lungs (pulmonary embolism) 
  • Occlusion of blood supply to legs, hands and other organs can also be accurately quantified 


Cardiac Magnetic Resonance Imaging (MRI) 3 TESLA    

This imaging is very useful in assessing the damage of heart muscles caused by heart attack, as well as: 

  • Evaluation of heart failure 
  • Detection and quantification of heart defects present at birth 
  • Tumors of the heart 
  • Pericarditis (inflammation of the sac covering the heart) 
  • Evaluation of arrhythmogenic RV dysplasia, sarcoidonic and other causes of ventricular arrhythmia and heart failure 


Nuclear Cardiology    

Using radioisotopes as a diagnostic tool, it is possible to assess the function of the heart and its blood supply. Our sophisticated facility has a Siemens gamma camera to perform the following procedures: 

  • Thallium and MIBI perfusion studies
  • Viability testing
  • MUGA (Ventriculogram)
  • Ventilation perfusion lung scans
  • Renal perfusion scans
  • Tc labelled RBC venogram for DVT


Positron Emission Tomography (PET)     

Positron emission tomography, also called PET imaging or a PET scan, combined with an MRI, is used to identify patients with damaged heart muscles likely to benefit from angioplasty and bypass surgery. It is also effective in determining the blood flow to the heart as well as infections and cancers. 


Syncope (Fainting) Evaluation    

Holter monitoring and head-up tilt tests with pharmacological challenges are utilised for the evaluation of patients with syncope.  

Interventional Cardiology;


Cardiac Catheterization Laboratory    

The cardiac catheterization lab is equipped with a twin suite Siemens HICOR digital imaging system which is fully networked. The Cath Lab is one of the larger volume centers in India and with the outstanding results achieved so far, the AIMS Cath Lab has played a role in elevating the hospital to national prominence.


Coronary Artery Disease    

Remediation offers the following services:

  • Diagnostic Angiogram
  • Intra-vascular Ultrasound
  • Fractional Flow Reserve (FFR)
  • Angioplasty and Stenting
  • Rotablation
  • Day care radial route angiogram and angioplasty
  • Primary angioplasty program offers 24x7 acute myocardial infarction treatments. In order to facilitate the rapid establishment of blood flow in occluded artery, we bypass the emergency room delay by transporting patients directly to the Cath Lab.


Peripheral Vascular Disease    

  • Angioplasty and stenting of blood vessels supplying the brain (carotid artery) to prevent catastrophic stroke in symptomatic patients with blocks
  • Renal angioplasty in patients with critically reduced blood flow to kidneys
  • Limb saving re-canalization of occluded peripheral vessels
  • Aortic angioplasty and stenting for congenital/acquired evaluation/aortoarteritis


Structural Heart Disease    

  • Device closure of heart defects - congenital atrial septal defect and ventricular septal defect 
  • Post myocardial infarction septal rupture device closure
  • Keyhole treatment of valvular heart disease, mitral, aortic, pulmonary and tricuspid balloon valvotomy
  • Alcohol ablation of septal myocardium in obstructive hypertrophic cardiomyopathy


Endovascular Treatment    

  • Aortic aneurysm treatment with stent grafts
  • Peripheral artery aneurysm-stent grafting


Electrophysiology Laboratory and Arrhythmia Service – 3D Non-Contact Mapping and Navigation System    

Amrita is one of the few centers in India offering comprehensive cardiac arrhythmia services and has taken the lead in providing the most modern cardiac arrhythmia care by installing a state-of-the-art, 3D mapping system. This system helps in navigating EP catheters in real time as well as for mapping any arrhythmias. This 3D system offers:

  • Long lasting cures for complex arrhythmias like post MI scar ventricular tachycardia, atrial fibrillation and focal tachycardia.  
  • Reduces procedural time and X-ray exposures (fluoroscopy) times.   

The EP team provides: 

  • Diagnostic electro-physiological study
  • Radio-frequency ablation of different arrhythmias in adults and children
  • Pacemaker implantation for patients with Brady (slow) arrhythmias
  • Cardiac resynchronization (bi-ventricular pacing) in patients with heart failure with expertise in optimization of therapy based on expert ECHO guidance
  • Automatic Internal Cardiac Defibrillator (AICD) for patients with potentially lethal heart rhythm abnormalities
  • Syncope evaluation including autonomic evaluation, Head-Up Tilt Testing
  • Pacemaker – AICD follow up clinic
  • Implantation of loop recorders for evaluation of syncope of unknown etiology. 

Preventive Cardiology and Rehabilitation

The Comprehensive Cardiac Health Checkup identifies high risk individuals and recommends lifestyle modification and drugs for primary prevention of coronary artery disease. Secondary prevention is enabled by risk factor identification, counseling, diet modification and with treatment of associated problems like diabetes mellitus with drugs, during hospitalization. 

Through the preventive cardiology packages we screen individuals for the risk factors towards developing heart disease and stroke and the necessary health advice to be followed to prevent progression towards atherosclerosis.  

Amrita Heart Check Basic:

  • Intended for screening of individuals above the age of 30. 
  • CVD 10 year risk score calculated based on internationally validated risk scores. 
  • Targets individuals with a predominantly sedentary job namely IT technocrats, lawyers, bankers, business executives, doctors etc. 
  • Follow up mandated depending on the CVD risk score. Yearly in high risk group, 2-3 years moderate risk group and 4-5 years in the low CVD risk category. 
  • The tests done as a part of the Basic panel include: 
  • Height, weight, BMI, Body fat% 
  • FBS, PPBS, HbA1c 
  • S Creatinine, Uric Acid 
  • E-GFR 
  • Lipid profile 
  • Hs-CRP 
  • AST/ALT 
  • ECG 
  • TMT 
  • ECHO 
  • 10 year CVD risk score 
  • Cardiac consultation 

Amrita Advanced Heart Health

  • Intended for Individuals above the age of 35 
  • Especially relevant for those with a Family history of cardiovascular disease (CVD), risk factors for CVD namely diabetes, hypertension, dyslipidemia, family history and tobacco use 
  • Individuals with symptoms of Obstructive Sleep Apnoea (OAS) and Erectile dysfunction (ED) 
  • Follow up mandated depending on the CVD risk score. Yearly in high risk group, 2-3 years moderate risk group and 4-5 years in the low CVD risk category. 
  • The tests done as a part of the advanced panel include: 
  • CBC 
  • Hs-CRP 
  • Urine Microalbumin 
  • TSH 
  • FBS,PPBS,HbA1c 
  • Urea, Creatinine, Uric Acid 
  • Lipid profile 
  • AST/ALT 
  • Lp(a) 
  • Apo B 
  • ECG 
  • TMT 
  • ECHO 
  • CT Cardiac Calcium Scoring 
  • 10 year CVD 
  • Cardiac consultation 

Services Offered

Outpatient Services  

The outpatient facility at the centre is designed to provide comprehensive evaluation and diagnosis for patients with chest pain and heart diseases using the latest biomedical equipment for accurate results with minimal discomfort.  

  • The multidisciplinary team offers heart care services for patients with coexisting medical conditions.  
  • Complete diagnosis, treatment planning, and recommendations in a single day for most patients.  


Emergency Response Team and Heart Station   
 

Amrita provides mobile coronary care units which are fully equipped with advanced life support systems, communication facilities with the Heart Command Center located in the Coronary Care Unit, and manned by well-trained and experienced paramedical and medical personnel. Patient transfer happens not only statewide, but also from neighboring states.


Coronary Care Unit (CCU)  
 

The Coronary Care unit is staffed by a specially trained physician and nurses capable of serving patients with heart attack, heart failure and arrhythmias. This 24-bed facility provides:  

  • Care for critically ill patients, including ventilatory support, invasive and non-invasive advanced life support 
  • Hemodynamic monitoring, including blood gas analysis, to manage patients on therapeutic medications for heart attack and heart failure 
  • Infection control protocols and 1:1 critical care nursing to improve outcomes 
  • 24x7 availability of a trained physician/cardiologist code blue team and immediate access to cathlab 
  • High-quality care, quick response, and effective management of patients' health conditions. 

Contact

Phone: 0484 - 2851553, 0484 – 6681553 
Email: cardiology@aims.amrita.edu 

Doctors

Dr.M. S. Harikrishnan
Clinical Professor, Interventional Cardiologist& Cardiac Electro physiologist
MD, DM
Dr.M. Vijayakumar
Consultant & Professor
MD, DNB (Med), DM (Cardio) (Fellow Thorax Center Rotterdam)
Dr.Navin Mathew
Clinical Professor & Senior Interventional cardiologist
MD, DM (Cardiology)
Dr.Praveen. G. Pai
Clinical Professor
MD, DNB(Med), DM
Dr.Rajesh Thachathodiyl
Senior Interventional cardiologist, Director – CTA program, Professor & Head
MD, DM, FACC, MBBS
Dr.Saritha Sekhar S
Clinical Associate Professor
MD (Internal med), DNB (Card)
Dr.Hisham Ahamed
Clinical Associate Professor, Program Lead, Amrita HCM Center Co –Director, Amrita Cardio-Oncology Clinic
MD, DM
Dr.Jaideep C. Menon
Consultant cardiologist
MD, DM