Cardiac Catheterization Procedure
Cardiac Ablation Procedure
Treatment Of Restenosis
Vascular Surgery Treatment
Mitral Valve Replacement Surgery
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment of Hip Disorders
Cerebral Palsy Treatment
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
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Patient Review Highlights
The heart is a muscle that pumps blood to the body through a network of arteries and veins controlled by valves. A heart disease could mean a problem in any of these organs, heart per se, the blood vessels, or the valves. Like it or not, heart problem is a chronic condition. It starts without any notice, and for sure, it is not going to go away completely. What can be done, though, is to manage it beautifully and lives and enjoy life so that the heart disease is not stopping you.
When there is a person with the chronic condition, it is not just that person who is affected, but the near and dear ones as well. When heading out for a dinner or when planning a gathering, there would be certain things that need to be accounted for and considered to accommodate the needs of the affected person. These very soon become a way of life and can be done effortlessly.
The following are some things to bear in mind when living with a heart patient.
- Diet: Heart patients would have some dietary preferences based on the heart condition per se. This may include a need for more whole grains and vegetables, need for specific types of oils, specific cooking methods, etc. At home, it is essential to ensure these things are always stocked up. When heading out, whether it is to visit someone or out for a meal, take into account whether these would be available. The next best option should be kept in mind so that dietary intake is not affected. Gradually, with time, substitutes can be identified with which they could manage in most places.
- Medications: Make sure the medication kit is always readily available. Make sure the person does not miss any medications, whether at home or outside. Ensure the regular medicines are in stock and some common emergency ones are also readily available.
- Routine: Whether it is their morning walk or yoga or meditation, it is better to stick to the routine as much as possible. The person also should learn to adapt based on circumstances; however, to the maximum extent possible, these should be continued without major interruption.
- Monitoring: Be it blood pressure, sugar levels or weight, these need to be monitored regularly and any deviations should be brought to the notice of the doctor immediately.
- Other equipment: Whether it is a walker, inhaler, or a wheelchair, these should be functional and available. The home or the living place should not be cluttered to allow for the easy use of this equipment.
While these may initially require some effort, with time, it would just happen naturally. If you wish to discuss about any specific problem, you can consult a cardiologist.
How many of us had heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.
What is ECMO?
ECMO is a life support device that is put in place when a patient’s heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.
Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.
How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.
How long a patient can be on ECMO?
- After seven days of being put on ECMO,there are chances of patient getting an infection.
- In case the patient contracts an infection, it is recommended to take the patient off ECMO support.
Our survival is solely reliant on the working of the heart. It is this that makes the prospect of a heart failure so fatal and so terrifying. Notwithstanding what the heart evokes, a heart failure is not indicative of a defunct heart; but only a situation when the heart pumps weaker than what is generally deemed as natural. Consequently, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. The oxygen that is produced by the heart in such a scenario is scanty and insufficient for the body.
body responds with its own defense mechanism, as the heart, in an attempt to hold more blood, stretches its chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This very condition in medical terminology is referred to as congestive heart failure.
Different causes can contribute to the onset of such a fatal condition. Some of them are
- Coronary artery disease: In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.
- Heart attack: The sudden, unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning.
- Diseases: Though the term may be generic and over expansive, most of the ailments which people suffer from tend to manifest themselves by posing a potential threat to the functioning of the heart. A high blood pressure, kidney disease, even a thyroid disease can cause congestive heart failure.
Every disorder is preceded by certain symptoms, and congestive heart failure is no different. Some of them are
- Fatigue: This is one of the most perceptible symptoms of congestive heart failure. One of the earliest premonitions of an impending heart failure is a nagging sense of weariness and lethargy.
- Swelling: As the condition is characterized by accumulation and build-up of fluids in various part of the body, swelling is an inevitable symptom of this condition and a clear indication of the ailment.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
Cardiac arrest is reported to be the number one cause of sudden death for people over the age of 40. As it strikes fast and without prior warning, it usually leaves no time for getting help to the patient. Many lives can be saved if the necessary first aid is given immediately by people who know what to do in case of a cardiac arrest.
So first let us know about the signs of a cardiac arrest:
- Loss of consciousness: A person may feel dizzy, sweat, faint or collapse suddenly. You can tell if someone has just fainted and not had a cardiac arrest if they are still breathing or have a pulse.
- No breathing
- No pulse
- Muscle twitching.
Now that you have recognized the signs; here is what you can do:
- Call the ambulance and try getting an emergency medical professional to attend to the person.
- If professional help isn't available, emergency resuscitation measures must begin. An automated external defibrillator (AED) can rapidly determine whether the person has an abnormal heart rhythm that can be treated by an electric shock (called defibrillation). AEDs are available in many public gathering places, such as stadiums and concert halls. An AED is used before calling for help and before attempting cardiopulmonary resuscitation (CPR) because an AED is more likely to save lives. If the AED detects ventricular fibrillation, it provides an electrical shock (defibrillation) that can restore normal heart rhythm and start the heart beating again. Emergency medical care should be obtained even if the heart has started beating again. If a person remains in cardiac arrest after an AED is used, CPR should be done.
- If a person remains in cardiac arrest after an AED is used, other measures are begun, such as opening the airway and cardiopulmonary resuscitation (CPR).
- CPR combines artificial respiration (mouth-to-mouth resuscitation, or rescue breathing) to supply oxygen to the lungs with chest compressions, which circulate oxygen to the brain and other vital organs by forcing blood out of the heart.
To do CPR (artificial respiration), the rescuer's mouth covers the person's mouth and then rescuer slowly exhales air into the person's lungs (rescue breaths). The person's airway must remain opened during artificial respiration. To prevent air from escaping from the person's nose, the person's nose can be pinched shut as the rescuer exhales into the mouth.
Talk to your doctor to find out if you are at risk of a cardiac arrest.
If I sleep flatly will get upper abdomen pain and feeling like whole chest tightness. Taken ecg was normal . Please tell.
Complications in the heart valve occur when the functioning of the heart valve is impaired. Valves of the heart allow the blood to flow in one direction and prevent the blood from flowing back into the ventricles of the heart.
Heart valve diseases can be classified as follows:
- Valvular stenosis: This condition occurs when the valves of the heart does not open completely due to stiffness. As the opening is narrow, the heart has to work hard to pump blood. This condition may lead to heart failure.
- Valvular insufficiency: This is a condition where the valve does not close tightly. This causes some of the blood to flow back to the valve. As this condition deteriorates, the heart has to work harder to pump blood.
Types and Causes of valve diseases:
- Acquired valve disease: The structure of the valve changes due to various infections or rheumatic fever. Rheumatic fever is caused by bacterial infection that had not been treated. It tends to occur in children and cause inflammation of the valve.
- Congenital valve disease: This condition usually affects the pulmonary valve where the size of the valve is abnormal.
- Bicuspid aortic valve disease: It is a type of valve disease that impairs the aortic valve. Instead of the regular three cusps, the bicuspid valve only has two. This may cause the valve to be stiff or cause it to leak.
- Mitral valve prolapse: This condition causes the valve to flop back when the heart contracts. This condition also causes the leaflets of the valve to turn irregularly and cause it to stretch. This condition causes the valve to leak.
Symptoms: The symptoms of valve diseases are as follows:
- Weakness: This condition may cause weakness and cause severe discomfort while performing daily activities.
- Palpitations: Symptoms such as irregular heartbeats, skipped beats and rapid heart rhythm occurs in this condition.
- Rapid weight gain: This condition can cause you to gain weight very rapidly.
- It may cause swelling in your ankles, abdomen and feet.
- This condition causes shortness of breath.