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Max Super Speciality Hospital, Ghaziabad

Max Super Speciality Hospital

  4.5  (621 ratings)

Cardiologist Clinic

W-3, Sec-1, Vaishali Ghaziabad
1 Doctor · ₹800 · 3 Reviews
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Max Super Speciality Hospital   4.5  (621 ratings) Cardiologist Clinic W-3, Sec-1, Vaishali Ghaziabad
1 Doctor · ₹800 · 3 Reviews
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Max Super Speciality Hospital
Max Super Speciality Hospital is known for housing experienced Cardiologists. Dr. Gaurav Minocha, a well-reputed Cardiologist, practices in Ghaziabad. Visit this medical health centre for Cardiologists recommended by 84 patients.

Timings

MON, FRI-SAT
11:00 AM - 12:00 PM
TUE, FRI-SAT
01:00 PM - 04:00 PM
WED
01:00 PM - 05:00 PM

Location

W-3, Sec-1, Vaishali
Vaishali Ghaziabad, Uttar Pradesh - 201012
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Videos (1)

Hello! <br/><br/>My name is Dr. Gaurav minocha. I am a cardiologist practising in New Delhi. So t...

Hello!

My name is Dr. Gaurav minocha. I am a cardiologist practising in New Delhi. So today I will be talking about coronary angiography which is a common test which is prescribed to patients with heart disease. There are many myths associated with the test. Many people are scared of the test and commonly they come back to us complaining that they might suggest or advice the test but would rather not go for it. So today I will be talking about some integrations, how the test is done and whether it is an actually complicated test or not. Firstly it is important to understand why the test is done? So angiography is a test which is done basically to diagnose heart disease.

So in patients having angima, chest pain heart condition are the patients who are candidates for this test. So mostly we would do a test like ECG, treadmill test, echo-cardiogram to ascertain whether you need an angiography and how soon it should be done. But then there are some conditions like in case of heart attack where we need to do it in an emergency and these patients do not give us much time. So in that situation, you have to realise that we do not have time to wait and discuss too much and we should go ahead with the angiogram because that is the procedure on the basis of which the treatment starts. Now how the test is done- basically we need to inject some contracts into the coronary artery which delineates the coronary artery and helps us to find out the blockages in the coronary artery.

There are two main routes that we use- first is the radial route which is through the hand and the second one is through the leg. Commonly, the femoral route or the leg route has been used but now I along with many other doctors have started using the radial route which is more comfortable for the patient and has fewer complications. We use local anaesthesia to numb the area through which we enter the artery and then we slide 2-millimetre caster through the artery into the heart and then we take injection into the heart recorded with the X-ray equipment.

The test itself takes around 15 to 30 minutes. It gives us a lot of information about the heart artery and according to that, we can decide whether the patient needs just a medical therapy, whether you need a Bypass surgery or in most situations, we can do the angioplasty. So the complications which are associated with the test or what the patients are scared of, but I can reassure you that the complications rates are less than 1%. The risk of dying which is the most common question asked to us is less than 1 per 1000. So it's a fairly safe test and gives us a lot of information so do not be scared of it. The recovery after coronary angioplasty is fairly fast.

We normally discharge the patient on the same day. Staying required is half a day. If we do it through the hand, we can discharge and you can go back in 2 hours and in case it is done through the groin then we need to keep you rested for half a day to 4-6 hours and once the bleeding is controlled then we can send you back to home. The implications of the test are that in case we find blockages in the heart arteries we may advice to go ahead with a coronary angioplasty wherein we may put in a thin wire and over it, we send a stent through the same route.

So it's preferable sometimes to do the angioplasty and stenting at the same stage. Some patients may require a bypass surgery which may be planned over the next few days and if you're lucky enough the arteries are normal then we can discharge you the same day. I would like to wind up by saying that it's a safe gold standard test for the diagnosis and treatment of heart diseases. Please do not be scared of it. It will be useful in your treatment.

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Doctor in Max Super Speciality Hospital

Dr. Gaurav Minocha

DM - Cardiology, MD, DM - Cardiology, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist
90%  (621 ratings)
24 Years experience
800 at clinic
₹300 online
Available today
01:00 PM - 05:00 PM
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Coronary Angiography

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Play video

Hello!

My name is Dr. Gaurav minocha. I am a cardiologist practising in New Delhi. So today I will be talking about coronary angiography which is a common test which is prescribed to patients with heart disease. There are many myths associated with the test. Many people are scared of the test and commonly they come back to us complaining that they might suggest or advice the test but would rather not go for it. So today I will be talking about some integrations, how the test is done and whether it is an actually complicated test or not. Firstly it is important to understand why the test is done? So angiography is a test which is done basically to diagnose heart disease.

So in patients having angima, chest pain heart condition are the patients who are candidates for this test. So mostly we would do a test like ECG, treadmill test, echo-cardiogram to ascertain whether you need an angiography and how soon it should be done. But then there are some conditions like in case of heart attack where we need to do it in an emergency and these patients do not give us much time. So in that situation, you have to realise that we do not have time to wait and discuss too much and we should go ahead with the angiogram because that is the procedure on the basis of which the treatment starts. Now how the test is done- basically we need to inject some contracts into the coronary artery which delineates the coronary artery and helps us to find out the blockages in the coronary artery.

There are two main routes that we use- first is the radial route which is through the hand and the second one is through the leg. Commonly, the femoral route or the leg route has been used but now I along with many other doctors have started using the radial route which is more comfortable for the patient and has fewer complications. We use local anaesthesia to numb the area through which we enter the artery and then we slide 2-millimetre caster through the artery into the heart and then we take injection into the heart recorded with the X-ray equipment.

The test itself takes around 15 to 30 minutes. It gives us a lot of information about the heart artery and according to that, we can decide whether the patient needs just a medical therapy, whether you need a Bypass surgery or in most situations, we can do the angioplasty. So the complications which are associated with the test or what the patients are scared of, but I can reassure you that the complications rates are less than 1%. The risk of dying which is the most common question asked to us is less than 1 per 1000. So it's a fairly safe test and gives us a lot of information so do not be scared of it. The recovery after coronary angioplasty is fairly fast.

We normally discharge the patient on the same day. Staying required is half a day. If we do it through the hand, we can discharge and you can go back in 2 hours and in case it is done through the groin then we need to keep you rested for half a day to 4-6 hours and once the bleeding is controlled then we can send you back to home. The implications of the test are that in case we find blockages in the heart arteries we may advice to go ahead with a coronary angioplasty wherein we may put in a thin wire and over it, we send a stent through the same route.

So it's preferable sometimes to do the angioplasty and stenting at the same stage. Some patients may require a bypass surgery which may be planned over the next few days and if you're lucky enough the arteries are normal then we can discharge you the same day. I would like to wind up by saying that it's a safe gold standard test for the diagnosis and treatment of heart diseases. Please do not be scared of it. It will be useful in your treatment.

2746 people found this helpful

Heart Attack And Cardiac Arrest - Know The Differences!

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Heart Attack And Cardiac Arrest - Know The Differences!

A heart attack and Cardiac Arrest may sound like terms that have the same medical meaning. They are not. While a heart attack occurs when the flow of blood to the heart is blocked, a cardiac arrest occurs when the heart stops to beat. You might want to know the causes behind the conditions and the symptoms and signs that one may experience. Read on to know about them.

What is a heart attack and what is a cardiac arrest?
When the flow of blood towards the heart gets blocked, a heart attack occurs. This may be due to a clot in the arteries or plaque buildup on the walls of the arteries. A sudden cardiac arrest occurs when the affected individual's heart malfunctions as well as it stops to beat all of a sudden.

Thus, it is evident that heart attack is actually a circulation problem whereas cardiac arrest is an electrical problem. During a heart attack, blood rich in oxygen is not allowed to reach a particular part of the heart because of a blocked artery. If quick treatment is not done for reopening the blocked artery, then that specific section of the heart which receives nourishment from that artery tends to die.

In cardiac arrest, as the heart stops beating unexpectedly, so organs like brain, lungs, etc. also stop receiving blood. It results in a sudden fall in blood pressure as well as the circulatory system tends to collapse. Usually, the affected individual loses consciousness because the flow of blood to the brain decreases. Death might follow if emergency treatment is not carried out immediately.

Quite like the conditions are different, the symptoms are also different. Here are some of the most common symptoms of both heart attack and sudden cardiac arrest. It will assist you in understanding that both these health issues are different.

Symptoms of a heart attack:
Pressure or pain in abdomen or chest, trouble breathing, sweating, dizziness, chest tightening feeling, pain that spreads to arm or jaw, losing unconsciousness, heart palpitation, etc. are some of the basic signs. According to studies, nearly one-thirds of the heart attack patients do not undergo chest pain during heart attacks.

Particularly women experience atypical symptoms other than the ones that are mentioned above. Few of them include gastric pain, vomiting, nausea, breathing problem without any chest pain, getting unconscious, etc.

Symptoms of Cardiac Arrest:
Collapse, dizziness, trouble in breathing, chest pain, blue discoloration of face, etc. are the most common sudden cardiac arrest's signs. A huge number of people who experience cardiac arrest do not experience any symptoms at all.

Though both heart attack and cardiac arrest are linked to each other some way or the other, yet they are different. However, both the conditions need immediate medical assistance, an absence of which may prove fatal.

CPR - Why Is It Required?

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
CPR - Why Is It Required?

Cardiopulmonary resuscitation or CPR is an activity that should be learnt by everybody. It’s a skill that comes handy at the time of the crisis. Owing to the fact that 90 percent of the overall cardiac related conditions occur outside the hospital, learning CPR becomes essential. A person with the knowledge of CPR can save the life of a patient in those crucial seconds when life hangs in the balance. Here is a brief know how about CPR and the way it is done:

Before CPR is started:
It is necessary to tap the patient on the shoulder and ask if he is fine. If the answer is not in the affirmative, seeking medical help is the best possible alternative. If medical help such as ambulance is out of reach, starting the CPR is the best possible way to go.

CPR for children above 9 years:
The patient should be laid on their back and the person intending to give the CPR should kneel next to the shoulder and neck of the patient. The heel of one hand should be placed to the center of the chest of the patient. The heel of the other hand should be placed over the lace and first fingers together. The elbow of the person intending to give the CPR should be kept straight and the shoulder should be aligned directly over the hands. Thus, begins the process of compression as hard as possible. The aim should be to compress at least 100 times within a single minute. The chest should be given the chance to arise fully in between each compression. One small hat tip in this regard is to give the CPR in the disco mode. One beat at a time.

CPR for infants and children below 9 years:
Before starting the CPR, the head should be tilted backward and the chin should be lifted upward to open the passage for the airway. In case the breathing is absent, either of the below-mentioned rescue breaths should be applied:

  1. For a child, the nose should be shut and mouth should be completely sealed.
  2. For an infant, the seal is applicable on the mouth and the nose both.

This should be followed by blowing in the mouth till the chest has a visible rise. There should at least be 30 chest compressions given to the patient within a minute. While For a child the chest should be pushed with one or two hands, for an infant, the chest should be pushed with no more than three fingers. The above steps should be repeated three to four times. In case you have a concern or query you can always consult an expert & get answers to your questions!

Beating Heart Surgery - What All Should You Know

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Beating Heart Surgery - What All Should You Know

Beating heart surgery is known to help improve the lives of many individuals each year. The surgery is done on the heart while your heart continues to beat. It is usually recommended in the case of a coronary artery disease.

Beating Heart Surgery or Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Surgery (OPCAB) is a bypass surgery performed on your heart while it is beating. When your arteries cannot supply adequate blood to your heart and other body parts, you are required to undergo a CABG surgery.

Your heart will not be stopped during the surgery and your lungs will continue to function during the surgery to ensure proper blood flow. A tissue stabilization system is used to immobilize the area of the heart on which the surgeon needs to work.

What happens before a beating heart surgery?
A complete health check with chest X-rays, blood work, an electrocardiogram (ECG), and a coronary angiogram is done. The ECG detects the source of the problem. An angiogram is like an X-ray which uses a dye to show all the arteries that supply blood to the heart. These tests help the surgeon decide whether the patient is fit for the surgery and where the blocks are in the arteries.

What happens during a beating heart surgery?
The surgeon cuts a section of healthy vein or artery from a part of your body and treats it. This is the graft that will be used to create a bypass in the blood circulation of the heart. One end of the graft is attached to an area above the artery blockage in your heart. The other end is fixed to the area below the blockage. Once the graft is perfectly attached, the bypass is created and the blood flow to your heart is restored.

The trickiest part in a CABG surgery is to suture or stitch the muscles of the beating heart. Hence, the stabilization system to keep the heart steady during the surgery is used. The stabilization system is made up of a heart positioner and a tissue stabilizer. The heart positioner guides and holds the heart in a fixed position, which provides easy access to the blocked arteries. The tissue stabilizer holds the area of the heart steadily while the surgeon can perform the surgery.

What happens after a beating heart surgery?
While your duration of stay in the hospital may vary depending on the outlook of your surgery, you will be in the Intensive Care Unit (ICU) so as to be monitored throughout the day. Once you are stable and alert, you will be transferred to the room, where you will be taken care of till you are stable to be discharged. Specific instructions on diet, incision care, medications, activity, and other routine will be given. In case you have a concern or query you can always consult an expert & get answers to your questions!

2579 people found this helpful

Why Do People Need A Heart Transplant?

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Why Do People Need A Heart Transplant?

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

2675 people found this helpful

Now days frequently I am getting Hugh BP 150/100 OR 140/90. KINDLY ADVISE ME HOW TO OVER COME ON THIS. Due to this I am getting saviour headache.

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Now days frequently I am getting Hugh BP 150/100 OR 140/90.
KINDLY ADVISE ME HOW TO OVER COME ON THIS. Due to this I ...
You may need to start on bp drugs if it is persistently high. Diet low in salt and rich in fruits and vegetables is useful but not a replacement for drugs if they're required.
464 people found this helpful
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Hello Doctor I have bad cholesterol more than its required because of that I am having fluctuations in bp and unable to do work so what I can do.

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Hello Doctor I have bad cholesterol more than its required because of that I am having fluctuations in bp and unable ...
The only common link is diet and weight. Reduce calories esp from carbs and exercise. May need medication as per levels of bp and cholesterol.
108 people found this helpful
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Why You Must Not Dismiss Chest Pain as a Minor Affair!

DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Why You Must Not Dismiss Chest Pain as a Minor Affair!
Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1. It may feel like you are suffering from indigestion or gas or fullness and pressure.

2. It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4. If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
3496 people found this helpful

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