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Dr. Kewal Krishan  - Cardiologist, Delhi

Dr. Kewal Krishan

MCH DNB (CTVS), Advanced fellowship, MS

Cardiologist, Delhi

20 Years Experience  ·  800 at clinic
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Dr. Kewal Krishan MCH DNB (CTVS), Advanced fellowship, MS Cardiologist, Delhi
20 Years Experience  ·  800 at clinic
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I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of the progr...

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of the program of heart transplant. And we have separate vertical of a heart transplant advert and echmo. I was trained in US in MIO clinic as well as mount stannic New York for five years and then came back to this country to start heart transplant, ventriculus device and echmo program.

So we have started this heart transplant program for those patients who are in end stage heart failure those who have already burned out, ejection fraction is less than 25% and they have problems of breathlessness or the problem of walking. When these patients go to other physicians they are they told them, give medications and there is no treatment left after this. So these patients we offer them heart transplant. Heart transplant is basically you take out the diseased heart and put a new heart which require a diseased brain death donor which is allocated by NOTO, National organ Tissue and transplant organization. So another thing is ventricular assist device which is an artificial pump which we, which we put in the heart and that takes blood from the heart and puts that blood into the aorta so it works as a left ventricle or right ventricle and or by ventricular so the patient life’s becomes normal, because before that the blood pumping was 2 litters and once we put the device or we put a new heart the pumping become 5 litters which is a normal and patient start to get blood to all organs and they become normal and their life becomes normal with that. So those patients who are with end stage heart failure, they are told by their physicians that there is no other treatment left for these, these patients. They can come to us and they can go to my website kewelkrishan.com and visit and what are the options left over for such kind of patients. So I am doing these surgeries for many years, almost 11 years I am doing this and results are really good. 90, more than 90% a 1 year survival, I am talking of those patients who otherwise die in 1 year so we, first the patient comes to us, we work up the patient, weather patient qualifies the heart transplant ventricle assist device or heart lung transplant and then we offer them accordingly and we put the patient, if the patient is ready to go to ventricular assist device which the cost is close to 19 lac and for the heart transplant the cost is close to 18 lac to 22 lac depending upon the age and other factors. So these patients they get benefit, they can speak to our previous patients also, how their life has transformed from a diseased patient to a normal person and they live a good quality of life and quality of life with either transplant or ventricular assist device it’s close to 15 to 20 so it’s not less. So it’s like a normal life so, and they live a normal life. People even can’t make they are going through this procedure.

So for future if you have any problem you can go to Lybrate to find my contact and contact me.

We will treat your patients and make them happy.

read more
I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of heart tra...

 

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of heart transplant ventricular assist device program. We have a separate vertical. Its only vertical in this country.

A spate department for heart transplant ventricle assist device and ECMO. When I was trained in US at MIO clinic and mount san in New York and then I came back to India and we started this ECMO program. ECMO is a Extracorporeal membrane oxygenation. When your patient is on ventilator in ICU and they are told that we don’t have any other option. When your lungs are completely diseased because of swine flu or other pneumonia or some any reason. The ventilator despise 100% settings of ventilator a full ventrilatory support, they are not being oxygenated, the organs will dead and the patient will die. So what we do is we put these patients are referred to us to put the patient on ECMO. ECMO is basically takes out 5 litters of blood in a minute from the body and puts back the oxygenated blood. Weather your lungs are working or not for a few days we can be use this. This thing, this thing, this particular therapy can be used up to 28 days to 36 days and what we do is we put the patient on ECMO, the ventilator settings we keep to the down level so the hearts, the lungs they get, they take rest. And it can be used either for heart or for lungs or for both the organs and once the patients get better we wean the ECMO and we put the patient, we remove the ECMO and patient goes home safely. We have done so far 52 ECMOs . so probably this is the maximum number in the country. We have referral number center for ECMO in this north India and, and our results are close to, to the international results, 60 to 70% results. I am talking of those patients those who otherwise would have died had they not put on ECMO. So believe me it’s a very important tools to save many lives. If your patient is on ventilator and Dr. says now there is no chance for survival you should first, I think you should concern, consult for weather their patient can be put on ECMO and save their life. And that’s the way we save many lives because of far acute conditions.

Thank you very much and if you can, you can go more on detail on this you go on my website, kewalkrishan.com or you can go to Lybrate website.

read more

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Kewal Krishan
He has over 15 years of experience as a Cardiologist. He is a MCH DNB (CTVS), Advanced fellowship. Book an appointment online with Dr. Keval Kishan on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 44 years of experience on Lybrate.com. Find the best Cardiologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MCH DNB (CTVS) - SMS Medical College Jaipur - 2002
Advanced fellowship - Mayo Clinic and Mount Sinai USA - 2010
MS - SMS Medical College Jaipur - 1998

Location

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Max Super Speciality Hospital

1,2, Press Enclave Road. Landmark: Select City Mall, Near Malviya Nagar Metro StationDelhi Get Directions
800 at clinic
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What To Know About Silent Heart Attacks?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
What To Know About Silent Heart Attacks?

A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a ‘silent heart attack’, medically known as ‘silent ischemia’, occurring due to the shortage of oxygen supply to the heart muscle.

The causes of a silent heart attack are similar to that of a heart attack. They include-

  1. Obesity or excess weight
  2. Lack of exercise
  3. Disorders such as diabetes
  4. High blood pressure
  5. High cholesterol
  6. Age, usually above 65
  7. Heart diseases
  8. Consumption of tobacco or smoking

A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal.

Diagnosis:

The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram or others. These tests can show certain changes which might be indicative of a heart attack.

An analysis of one’s overall health and the symptoms can aid in deciding whether few more tests are required.

How would you prevent a silent heart attack?

  1. Get your cholesterol and blood pressure count tested regularly.
  2. Refrain from smoking.
  3. Be aware of your body and call on a doctor if you feel there’s anything which is bothering you.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2879 people found this helpful

Claudication - Signs You Are Suffering From It!

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Claudication - Signs You Are Suffering From It!

Optimal blood supply is needed for all body parts to function at their best possible levels. Diseases that affect the blood flow and blood supply cause problems, especially in the target organs. Claudication, which is cramping of the muscles of the legs and arms, especially during exercise, is one such problem.

It is not a disease per se but a symptom of an underlying disease, most common being a peripheral arterial disease. It does not occur constantly, but is intermittent, which worsens during exercise and is relieved with rest. Very rarely, conditions like deep vein thrombosis, spinal stenosis, peripheral neuropathy, and some other musculoskeletal disorders can also cause claudication.

Causes:

Peripheral artery disease is the result of atherosclerosis or hardening of the arteries. With age, there is plaque accumulation along the arterial walls leading to narrowing of the artery. This reduces the vessel thickness and subsequently the amount of blood flowing to the target organs. This reduces oxygen supply to the organs, reducing their efficient functioning. In the instance of legs, especially during exercise, optimal blood flow is required for proper muscle contraction and relaxation. However, reduced blood flow will cause pain and cramping during exercise, manifesting as claudication. The damage to the artery could be a transient, one-off instance due to vasospasm (temporary narrowing); atherosclerosis (permanent narrowing); or due to complete blockage of an artery.

Symptoms:

Person with claudication would have extremities that are cool to the touch. In addition,

  • Pain when exercising which would be a dull, aching, or throbbing pain. The location and nature of the plaque will determine the severity and area of symptoms. Pain at rest gradually sets in as the disease progresses
  • In severe cases, there could be discoloration of the toes and fingers and sores can develop in the feet, toes, arms or fingers. There could also be a burning feeling in this area.
  • Poor healing of injuries (cuts, ulcers, etc.) in the arms and legs. These could develop gangrene and even require amputation.

Risk factors: As with any other circulatory disease, risk for peripheral artery disease include:

Treatment:

  • It can affect the quality of life by reducing ability to exercise and can even interfere with work. Regular medications and surgery are the two modes of treatment.
  • Cilostazol improves blood flow by dilating the arteries and therefore reduces pain.
  • Pentoxifylline reduces the blood viscosity and therefore allows for better free flow in the arteries.

In severe cases, revascularization may be used, but is usually managed with lifestyle changes, controlling risk factors, and the above medications. In case you have a concern or query you can always consult an expert & get answers to your questions!

3040 people found this helpful

Heart-Healthy Diet Tips - What To Eat To Prevent Heart Disease?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart-Healthy Diet Tips - What To Eat To Prevent Heart Disease?

Your diet plays a major role in the health of your heart, so eating healthy should be somewhere on the top of the list for keeping your heart healthy as well. There are numerous heart disorders that occur due to unhealthy food patterns and consumption. Lifestyle factors are the major causes of heart disease, and diet occupies an almost compelling spot when lifestyle factors are taken into consideration. Here is a list of foods that keeps your heart healthy:

  1. Lipid Profile Test: To keep track of your cholesterol level, you should undergo this test frequently, and take all precautionary measures to maintain a healthy heart. 

  2. Salmon: Omega-3 fatty acids are very important for your heart to function optimally. Fishes such as salmon and sardines are rich in omega-3 fatty acids which lower the risk of heart diseases such as arrhythmia (irregular heartbeat) and atherosclerosis (accumulation of plaque in the arterial walls).

  3. Oats: Like oats and milk for breakfast!? Congratulations! You are in luck; oatmeal has soluble fibers which help in lowering bad cholesterol levels. Just make sure that there is no added sugar in your oatmeal, as it will defeat the entire purpose.

  4. Blueberries: Blueberries are rich in antioxidants that reduce the risks of heart attack and also decrease your blood pressure. So go ahead! Toss some blueberries in your oatmeal to get your daily dose of antioxidants which are such pre-requisites for supreme health.

  5. Dark Chocolate: This will probably bring a smile to your lips. Dark chocolates contain polyphenols, a type of flavonoid, which is very good for your heart. Dark chocolate is known to reduce the risks of strokes and heart attacks. Watch the portion size as no matter what its benefits are, dark chocolates are still rich in calories.

  6. Citrus Fruits: Citrus fruits such as lemons and Indian gooseberry are rich in compounds that lower cholesterol levels in the body. Tip – Start your day with a lemon juice and warm water. This betters your metabolism and also keeps your heart in fine shape.

  7. Soy: Lo Behold Vegetarians! (and non-vegetarians as well). Soy is a protein rich food that is so good for your heart. It also contains heart-healthy fats and fibers that help bring down and normalize cholesterol levels.

  8. Tomatoes: Tomatoes are rich in an antioxidant called ‘lycopene’, which is very effective in getting rid of bad cholesterol. It thus helps in keeping your arteries healthy and reduces the risks of heart attacks.

  9. Nuts: Nuts such as almonds and walnuts are rich in Vitamin E which helps in lowering bad cholesterol in the body. Avoid nuts that come with added salt.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4568 people found this helpful

Heart Transplant - How To Manage Your Life Post Surgery?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart Transplant - How To Manage Your Life Post Surgery?

Heart transplant surgery is one of the most critical cardiac surgeries that exists. Since the procedure requires an open-heart surgery, it often takes a long time to complete the operation. General anaesthesia is applied to the patient so that he doesn't feel a thing. The surgeon then connects the patient to the heart-lung bypass machine so that oxygen-rich blood keeps flowing inside the body. The surgeon then separates the chest bone, opens the rib cage, takes out the old heart to replace it with the new one. As soon as the blood flow is restored, the new heart starts functioning (pumps blood). Sometimes an electric shock is required to make the new heart work.

What to expect after the procedure?
The patient is given pain medications and connected to a ventilator. It helps the patient to breath and ejects body fluid. The medications and the fluid in transferred to the body through IV tubes. The patient is kept in an intensive care unit till his condition stabilizes. He might have to spend a couple of weeks to one month in the hospital before he is permitted to go home.

What to expect after the patient is released from the hospital?
The patient is now closely monitored by the transplant team at the outpatient transplant center. Since the intensity and the frequency of the monitoring are frequent, many patients chose to stay close to the hospital. Frequent tests such as regular blood work, echocardiogram, heart biopsies etc. are conducted at regular interval to monitor any signs of the body rejecting the new heart.

What are the long-term adjustments needed?
consumption of immunosuppressants medications would be sacrosanct for the rest of the life. Since the immune system would never fully accept the new organ, immunosuppressant would ensure that the body's antibodies do not attack the new organ. Over time though, as the risk of rejection comes down, the dosage of the immunosuppressant is reduced by the doctor. Since immunosuppressant has some side-effects, a doctor also prescribes certain antifungal, antiviral and antibacterial medications as well.

  • Managing therapies, medications and lifelong health plan: Heart transplant essentially means following a set of lifelong instructions as prescribed by the doctor. Taking medications on time, eating healthy, regular exercise, skipping junk foods, refraining from tobacco and alcohol are some of the instruction a patient might have to abide by for the rest of his life. Meeting the doctor once in a quarter is also important to ensure that any upcoming complications could be addressed proactively.
  • Emotional Support: Often patients feel overwhelmed by the experience of a heart transplant. The stress of the procedure gets to some patients resulting in less sleep, low appetite, lethargy etc. It makes sense to talk to the doctor and seek help for the same.
4635 people found this helpful

Sleep Apnea And Heart Disease - Understanding The Risks Associated!

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Sleep Apnea And Heart Disease - Understanding The Risks Associated!

We're all guilty of making fun of snorers but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High Blood Pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardioyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (CPAP)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective.

Surgery is the last resort when it comes to treatment for sleep apnea. In case you have a concern or query you can always consult an expert & get answers to your questions!

4339 people found this helpful

Congestive Heart Failure - Understanding The Different Stages!

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Congestive Heart Failure - Understanding The Different Stages!

Congestive heart failure (CHF) is a chronic and progressive condition that reduces the pumping efficiency of the heart. There will be a buildup of fluid around the heart over a period of time. This fluid accumulation then will be seen in the abdomen, legs, lungs, and liver. This could be a life-threatening situation that requires immediate attention. Read to know to more about stages, causes, symptoms, and treatment of this condition.

Stages

There are 4 stages of heart failure, which is based on history and presenting.

  • Stage A: These people have a strong family history of hypertension, diabetes, or heart problems and have a fat-rich diet and history of alcohol or drug abuse, smoking.
  • Stage B: These people have the disease but have no symptoms. They may have hypertension, which needs to be controlled.
  • Stage C: They have definite cardiac symptoms like fatigue and shortness of breath even with walking or bending over. These patients need to monitor lifestyle including diet, exercise, and alcohol usage.
  • Stage D: Even after treating CHF, these patients continue to have symptoms and require lifestyle changes, medications, and even surgical intervention in some.

Symptoms 

In its initial stages, CHF will not present with any symptoms. Gradually, there will be symptoms which can be constant or intermittent.

  • General fatigue and weakness: Reduced blood supply to the vital organs reduces overall energy levels in the patient.
  • Faster heart beats: Since the efficiency has reduced, the heart muscles work harder to meet the body demands, causing faster heart rate.
  • Shortness of breath: Due to congestion of the lungs, their efficiency is reduced and so the person gets short of breath much easily than before. There is also difficulty breathing, especially when lying flat or at rest. There could be associated dry cough and wheezing, especially at night.
  • Fluid retention: The abdomen, ankles, and legs could be swollen, also resulting in weight gain, nausea, increased nocturnal urination. The internal examination would reveal fluid in the liver and other vital organs too.

Treatment: CHF requires a combination of lifestyle changes, medications, and in some cases surgical intervention.

  • Changes like quitting smoking, dietary modifications, exercise based on the severity of CHF would be essential.
  • Medications like beta blockers and angiotensin-converting enzyme inhibitors to improve blood pressure, cholesterol-controlling drugs, and diuretics to manage fluid retention would be advised.
  • Angioplasty or value repair surgeries may be required if more severe abnormalities are detected.

Though it cannot be cured, the onset can be delayed and the severity of symptoms reduced with lifestyle changes. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4447 people found this helpful

Open Heart Surgery - Things You Must Know About It!

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Open Heart Surgery - Things You Must Know About It!

Open heart surgery is a complicated heart procedure. Although the number of open heart surgeries performed over the past has decade has reduced significantly, howeevr, it is still an important surgical procedure to fix critical heart ailments.

Here is a quick fact-checker about this procedure:

  • The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
  • Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
  • This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
  • The patient is hooked to a heart-lung machine before the proceedings begin. This machine pushes blood to the body. It helps the doctor to stop the heart and perform the procedure. Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Then the surgeon gives a minor electric shock to the patient to restart the heart. Subsequently, the patient is taken off from the heart-lung machine.
  • The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
  • It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg. However, recent studies have shown that veins can be extracted from the internal chest wall. This results in a speedy recovery for the patient.
  • The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
  • One has to usually deal with heightened emotions after an open-heart surgery. Studies have shown that over 20 percent of the CABG patients suffer from depression, anger, and other emotional problems. This typically lasts for a year till everything becomes normal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2450 people found this helpful

ECMO - Extracorporeal Membrane Oxygenation

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Play video

 

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of heart transplant ventricular assist device program. We have a separate vertical. Its only vertical in this country.

A spate department for heart transplant ventricle assist device and ECMO. When I was trained in US at MIO clinic and mount san in New York and then I came back to India and we started this ECMO program. ECMO is a Extracorporeal membrane oxygenation. When your patient is on ventilator in ICU and they are told that we don’t have any other option. When your lungs are completely diseased because of swine flu or other pneumonia or some any reason. The ventilator despise 100% settings of ventilator a full ventrilatory support, they are not being oxygenated, the organs will dead and the patient will die. So what we do is we put these patients are referred to us to put the patient on ECMO. ECMO is basically takes out 5 litters of blood in a minute from the body and puts back the oxygenated blood. Weather your lungs are working or not for a few days we can be use this. This thing, this thing, this particular therapy can be used up to 28 days to 36 days and what we do is we put the patient on ECMO, the ventilator settings we keep to the down level so the hearts, the lungs they get, they take rest. And it can be used either for heart or for lungs or for both the organs and once the patients get better we wean the ECMO and we put the patient, we remove the ECMO and patient goes home safely. We have done so far 52 ECMOs . so probably this is the maximum number in the country. We have referral number center for ECMO in this north India and, and our results are close to, to the international results, 60 to 70% results. I am talking of those patients those who otherwise would have died had they not put on ECMO. So believe me it’s a very important tools to save many lives. If your patient is on ventilator and Dr. says now there is no chance for survival you should first, I think you should concern, consult for weather their patient can be put on ECMO and save their life. And that’s the way we save many lives because of far acute conditions.

Thank you very much and if you can, you can go more on detail on this you go on my website, kewalkrishan.com or you can go to Lybrate website.

2582 people found this helpful

Heart Transplant and Ventricular Cyst Device

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Play video

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of the program of heart transplant. And we have separate vertical of a heart transplant advert and echmo. I was trained in US in MIO clinic as well as mount stannic New York for five years and then came back to this country to start heart transplant, ventriculus device and echmo program.

So we have started this heart transplant program for those patients who are in end stage heart failure those who have already burned out, ejection fraction is less than 25% and they have problems of breathlessness or the problem of walking. When these patients go to other physicians they are they told them, give medications and there is no treatment left after this. So these patients we offer them heart transplant. Heart transplant is basically you take out the diseased heart and put a new heart which require a diseased brain death donor which is allocated by NOTO, National organ Tissue and transplant organization. So another thing is ventricular assist device which is an artificial pump which we, which we put in the heart and that takes blood from the heart and puts that blood into the aorta so it works as a left ventricle or right ventricle and or by ventricular so the patient life’s becomes normal, because before that the blood pumping was 2 litters and once we put the device or we put a new heart the pumping become 5 litters which is a normal and patient start to get blood to all organs and they become normal and their life becomes normal with that. So those patients who are with end stage heart failure, they are told by their physicians that there is no other treatment left for these, these patients. They can come to us and they can go to my website kewelkrishan.com and visit and what are the options left over for such kind of patients. So I am doing these surgeries for many years, almost 11 years I am doing this and results are really good. 90, more than 90% a 1 year survival, I am talking of those patients who otherwise die in 1 year so we, first the patient comes to us, we work up the patient, weather patient qualifies the heart transplant ventricle assist device or heart lung transplant and then we offer them accordingly and we put the patient, if the patient is ready to go to ventricular assist device which the cost is close to 19 lac and for the heart transplant the cost is close to 18 lac to 22 lac depending upon the age and other factors. So these patients they get benefit, they can speak to our previous patients also, how their life has transformed from a diseased patient to a normal person and they live a good quality of life and quality of life with either transplant or ventricular assist device it’s close to 15 to 20 so it’s not less. So it’s like a normal life so, and they live a normal life. People even can’t make they are going through this procedure.

So for future if you have any problem you can go to Lybrate to find my contact and contact me.

We will treat your patients and make them happy.

3001 people found this helpful

Heart Transplant - When Is It That You Have To Go For It?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart Transplant - When Is It That You Have To Go For It?

There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).

Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.

People who need a heart transplant:
A heart transplant may be essential in the following cases.

  • A congenital heart disorder (a person born with a heart problem).
  • Defective or diseased heart valves.
  • Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
  • Problems in the coronary artery.
  • Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
  • A heart transplant that failed previously.
  • Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).


However, under the following circumstances, a heart transplant may not be a wise idea

  • People with infections or chronic lung or kidney disorders.
  • A case of cancer in the past.
  • Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.

The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.

  • The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
  • In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
  • The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
  • Once the implantation takes place (without any complications), the surgeons sew the heart into place.
  • The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
  • To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
  • If no complications develop after the transplant, the patient is discharged within a fortnight.

In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. If you wish to discuss about any specific problem, you can consult a Cardiologist.

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