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What is Coronary Angiography

Coronary angiography is a medical procedure used to diagnose and evaluate conditions related to the heart and blood vessels. It involves the use of a special dye and X-ray imaging technology to examine the inside of the coronary arteries.

During the procedure, a long, thin tube called a catheter is inserted into an artery, usually in the groin or wrist. The catheter is then guided through the arteries and into the heart, where a small amount of dye is injected. The dye shows up on X-ray images, allowing doctors to see any blockages or narrowings in the coronary arteries.

While coronary angiography is generally considered a safe and effective procedure, there are some risks involved, including bleeding, infection, and damage to the blood vessels or heart. Your doctor will discuss these risks with you before the procedure and will take steps to minimize them.


Why Dr Vikas Kataria

One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field.

Coronary Angioplasty

Coronary angioplasty, also known as percutaneous coronary intervention (PCI), is a minimally invasive procedure used to treat narrowing of the coronary arteries, which can cause chest pain (angina) and increase the risk of a heart attack.

During a coronary angioplasty, a thin, flexible tube (catheter) is inserted through an artery in the groin or wrist and guided to the blocked or narrowed part of the artery in the heart. A small balloon at the tip of the catheter is inflated to widen the artery and improve blood flow. In some cases, a small metal mesh tube called a stent may be placed in the artery to help keep it open.

Here are some important fact abour angioplasty


Who needs coronary angioplasty?

Coronary angioplasty may be recommended for people with coronary artery disease who have chest pain or other symptoms that affect their daily activities, or who have a high risk of a heart attack. It may also be used as an emergency procedure to treat a heart attack.

What are the risks of coronary angioplasty?

Like any medical procedure, coronary angioplasty carries some risks, including bleeding, infection, and damage to the artery or surrounding tissue. There is also a small risk of a heart attack or stroke during the procedure.

How to prepare for coronary angioplasty?

Before the procedure, you will need to stop taking certain medications and fast for a few hours. Your doctor will also perform some tests to evaluate your heart and determine the best approach for the procedure.

What to expect during and after coronary angioplasty?

The procedure usually takes about an hour and is done under local anesthesia. Afterward, you will need to lie flat for a few hours to allow the artery to heal. Most people can return to normal activities within a few days, but your doctor will provide specific instructions based on your individual situation.

Why Dr Vikas Kataria

One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field.

Pacemaker Implantation

A pacemaker is a small, battery-operated device that helps regulate the heartbeat. It is implanted under the skin in the chest or abdomen and connected to the heart through one or more leads. A pacemaker can help treat a variety of heart conditions, including slow or irregular heartbeats.


Some important fact about pacemeker to know


Who needs a pacemaker?

A pacemaker may be recommended for people with a slow or irregular heartbeat that is causing symptoms such as fatigue, dizziness, or fainting. It may also be used to treat certain types of heart failure.


How is a pacemaker implanted?

The procedure to implant a pacemaker usually takes about an hour and is done under local anesthesia. A small incision is made in the chest or abdomen, and the leads are threaded through a vein and guided to the heart. The pacemaker is then connected to the leads and implanted under the skin.


What are the risks of pacemaker implantation?

Like any medical procedure, pacemaker implantation carries some risks, including bleeding, infection, and damage to the heart or surrounding tissue. There is also a small risk of a collapsed lung.


What to expect after pacemaker implantation?

After the procedure, you may need to stay in the hospital overnight for observation. Your doctor will provide specific instructions for caring for the incision site and avoiding certain activities for a period of time. You will also need to have regular check-ups to ensure that the pacemaker is working properly.


How effective is a pacemaker?

A pacemaker is a highly effective treatment for regulating the heartbeat and reducing symptoms of certain heart conditions. Most people with a pacemaker can resume normal activities and enjoy an improved quality of life.


One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field.

What is AICD Implantation?

An implantable cardioverter-defibrillator (AICD) is a small device that's implanted under the skin in the chest. It's used to monitor the heart's rhythm and deliver electrical shocks to restore a normal heartbeat if it detects an irregular rhythm.


Who Needs AICD Implantation?

AICD implantation is typically recommended for patients who are at high risk of sudden cardiac arrest. This includes patients who have had a previous cardiac arrest, have a history of heart disease, or have certain genetic conditions that increase the risk of arrhythmias.


How is AICD Implantation Performed?

The procedure to implant an AICD typically takes about one to two hours and is done under local anesthesia. During the procedure, a small incision is made in the chest, and the AICD is inserted under the skin and connected to leads that are threaded through the veins into the heart.


What is Recovery Like After AICD Implantation?

Most patients are able to leave the hospital within a day or two after the procedure. It's important to avoid heavy lifting or strenuous activity for several weeks after the implantation to allow the incision to heal properly. Your doctor will provide specific instructions on how to care for the incision site and when you can resume normal activities.


What are the Risks of AICD Implantation?

As with any surgical procedure, there are risks associated with AICD implantation. These include infection, bleeding, and damage to the heart or blood vessels. Your doctor will discuss these risks with you in detail and help you determine if AICD implantation is the right treatment for you.


"One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field."

Heart Failure Management

A chronic condition in which the heart is unable to effectively pump blood to meet the body's needs. Heart failure management aims to alleviate symptoms, slow disease progression, and improve the quality of life for patients with heart failure. It typically involves a combination of lifestyle modifications, medications, and other interventions, and may vary depending on the severity of the condition and the underlying cause.

  • Lifestyle modifications: Lifestyle changes play a crucial role in heart failure management. These may include dietary modifications such as reducing sodium intake, managing fluid intake, and following a heart-healthy diet, as well as regular physical activity, weight management, quitting smoking, limiting alcohol intake, and managing stress.
  • Medications: Medications are often prescribed to manage heart failure. These may include diuretics to reduce excess fluid buildup, ACE inhibitors, ARBs, or angiotensin receptor-neprilysin inhibitors (ARNIs) to dilate blood vessels and reduce strain on the heart, beta blockers to lower heart rate and decrease workload on the heart, aldosterone antagonists to reduce fluid retention, and other medications as deemed appropriate by the healthcare provider.
  • Medical devices: Certain medical devices may be used in heart failure management, such as implantable cardioverter-defibrillators (ICDs) to help regulate abnormal heart rhythms, cardiac resynchronization therapy (CRT) devices to improve the coordination of heart contractions, and left ventricular assist devices (LVADs) to help pump blood in advanced cases of heart failure.
  • Cardiac rehabilitation: Cardiac rehabilitation programs may be recommended for individuals with heart failure to improve physical fitness, reduce symptoms, and enhance overall well-being. These programs typically include supervised exercise, education on heart-healthy lifestyle changes, and support for emotional well-being.

"One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field."

Echocardiography

It is a non-invasive imaging test that uses ultrasound waves to create real-time images of the heart. It is a valuable diagnostic tool in assessing the structure and function of the heart, and is commonly used to evaluate various heart conditions, including heart failure.

During an echocardiogram, a technician places a transducer, which is a handheld device that emits ultrasound waves, on the chest over the heart. The ultrasound waves then bounce off the heart structures and return to the transducer, creating images of the heart on a computer screen. These images provide detailed information about the size, shape, function, and movement of the heart's chambers, valves, and blood vessels.

Echocardiography can provide important information for heart failure management, including:

  • Assessing heart function: Echocardiography can measure the ejection fraction, which is the percentage of blood pumped out of the heart with each beat. This helps determine how well the heart is pumping and can provide valuable information on the severity of heart failure.
  • Evaluating heart structure: Echocardiography can assess the size, thickness, and shape of the heart chambers and walls, and can detect abnormalities such as enlarged chambers or thickening of the heart muscle, which may be indicative of certain heart conditions that can cause heart failure.
  • Assessing valve function: Echocardiography can evaluate the function of heart valves, including the mitral valve, a common valve affected in heart failure. It can detect any abnormalities, such as leaking or narrowing of the valves, which can contribute to heart failure.
  • Assessing fluid status: Echocardiography can help assess fluid status by evaluating the presence of excess fluid in the pericardial sac or the pleural spaces around the lungs, which can be important in managing heart failure and determining appropriate treatment strategies.
  • Monitoring changes over time: Echocardiography can be used to monitor changes in heart function and structure over time, which can help assess the response to treatment and guide ongoing management decisions.

"One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field."

Holter Monitoring

Holter monitoring, also known as ambulatory electrocardiography, is a diagnostic test used to monitor and record the electrical activity of the heart continuously over a period of time, typically 24 to 48 hours or even longer. It is a type of portable electrocardiogram (ECG) that provides a continuous recording of the heart's electrical signals during a person's normal daily activities, including sleep, exercise, and routine tasks.

Holter monitoring is commonly used to evaluate and diagnose various heart conditions, including arrhythmias (abnormal heart rhythms), palpitations, unexplained fainting or dizziness, and suspected cardiac symptoms such as chest pain. It is a valuable tool for detecting and analyzing abnormal heart rhythms that may not be captured during a standard ECG, which provides only a brief snapshot of the heart's activity.

During a Holter monitoring test, small electrodes are attached to the chest and connected to a portable ECG recorder, which is worn by the patient in a small pouch or clipped to the waist or shoulder. The patient then goes about their normal activities while the device continuously records the heart's electrical signals. The patient may be asked to keep a diary of their activities and symptoms during the monitoring period to correlate with the recorded data.

After the monitoring period is completed, the recorded data is analyzed by a healthcare provider, typically a cardiologist, who examines the ECG tracings to identify any abnormal heart rhythms or other patterns that may indicate a heart condition. The results of the Holter monitoring test can help guide diagnosis, determine appropriate treatment strategies, and assess the effectiveness of ongoing treatments for heart conditions.

Holter monitoring is generally a safe and non-invasive test, although some patients may experience mild skin irritation from the electrode adhesive. It is important for patients to follow any instructions given by their healthcare provider during the monitoring period, such as avoiding water contact or certain activities that may interfere with the accuracy of the test results.

Overall, Holter monitoring is a valuable diagnostic tool in cardiology that allows for continuous monitoring and recording of the heart's electrical activity, providing important information for evaluating and managing various heart conditions, including arrhythmias and other cardiac symptoms.

"One of the top cardiologists in Delhi is Dr. Vikas Kataria, the Senior Consultant Cardiologist, Dept.of Cardiology, Holy Family Hospital, New Delhi, a leading multi-specialty hospital in the city. Dr. Vikas Kataria has more than 17 years of experience in cardiovascular surgery and has performed more than 5,000 heart surgeries. He is a pioneer in the field of minimally invasive cardiac surgery and has received numerous awards and accolades for his contributions to the field."

Treadmill Test

Also known as a treadmill stress test or exercise stress test, is a medical diagnostic test used to evaluate the performance of the cardiovascular system during exercise. It involves walking or running on a treadmill while being monitored by medical professionals to assess how well your heart responds to increased levels of physical activity.

During a treadmill test, you will typically be hooked up to an electrocardiogram (ECG) machine, which records the electrical activity of your heart. Blood pressure, heart rate, and oxygen levels may also be monitored during the test. The treadmill speed and incline may be adjusted to gradually increase the intensity of the exercise.

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