Heart Failure Management Hospitals In India

Prevent Heart Attack and Stroke By Having Simple Things

There are three main things that has to be followed to prevent heart attack.
They are having a balanced diet , try to avoid smoking and the final thing is try to keep your blood pressure at healthy level.

Eating unhealthy food with high fat will make your arteries hard which in terms cause for high risk for heart attack or stroke.Eating continuous fatty foods will cause generating more fatty plaques in your arteries this is due to fatty foods contains Cholesterol.

Smoking habit is also a risk factor for Heart attack and stroke.Because it causes atherosclerosis and high blood pressure which in terms causes heart attack or stroke.

Continuous high blood pressure make your heart and arteries extra strain which can increase the risk of heart attack or stroke.Having regular exercise can make your blood pressure down and keep your heart and blood vessels strong.And also the regular exercise will help you for weight loss consult your Doctors for recommendations.

For to know more about Prevention of heart attack and stroke you can contact us directly from our Web site : heartsurgeonindia.com

Heart Transplant Surgeon in India

Heart Transplant is the surgical strategy for  replacing an ailing heart of an individual and substitute it with a healthy heart acquired from a recently brain dead donor. For the patients in the vicinity of heart failure, heart transplant is the sole accessible option. Earn the best Heart Failure Treatment in India by heart specialist.

Procedure of Heart Transplant :

Heart transplant procedure is done only after undergoing thorough medical investigation. The patient needs to stand by until the most applicable heart is being chosen that accomplishes all the parameters like body size, blood type and immunological match. The adaptability of the patient to work with the transplant team is quite decisive, so as to keep up with an intact lifestyle ensuring his better health before carrying out the transplantation.

The surgery might extend up to 6 hours or more. Once the transplantation team gets done with the surgical procedure, the patient is kept under observation for minimum a couple of days, in Cardiac Intensive Care Unit (CICU). If he does not seem to generate any perilous condition, he can be safely shifted from CICU.

A heart transplant may be done for treating the following conditions like :

• Coronary heart disease
• Viral infections of the heart
• Hereditary condition
• Damaged heart muscles and valves

We administer you the advanced Health Disease Treatment with the aid of Best Heart Transplant Surgeon in India, DR. Kuldeep Chulliparambil. We warrant you all our support and expertise for the betterment of your health and life.

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With a healthy heart the beat goes on..!!!

Heart Diseases and Changing Lifestyle

Heart plays an important role in the overall functioning of a human body. It is an organ that pumps blood throughout the body via circulatory system, supply oxygen and nutrients to the tissues and remove carbon dioxide and other waste from the body.

Imagine a situation where your heart stopped working

There is a big chance for heart failure or heart disease if we don’t care our heart properly. There are number of reasons behind this. One of the main reasons is our changing lifestyle. Our new lifestyle is immensely related with heart diseases. 

Risk Factors :

Risk factors associated with heart failure are:

• High amount of fat and cholesterol level in the blood
• Uncontrolled stress and anger
• Heavy smoking
• Obesity or Overweight  
• Excess amount of sugar content in the blood or Diabetes
• Improper exercise
• Blood vessel inflammation

Signs and Symptoms :

Most common symptoms of heart failure are

• Swelling in the feet, legs, ankles, abdomen and veins in the neck
• Tiredness
• Difficulty in breathing  

Dr. Kuldeep Chulliparambil at Renai Medicity helps you to keep your heart safe. We provide complete care from the initial stage itself. We offer wide range of solutions for all types of Heart Disease Treatment in Kochi. We give complete counselling for patients to maintain their heart healthy.

Dr. Kuldeep provide patient care with the help our experienced and dedicated staff including physicians, surgeons, transplant coordinators, cardiologists, physical therapists and nurses and ICU staff. Our goal is to provide highly sophisticated and advanced care for our patients in a cost effective way. Some of the suggestions that we provide to our patients to keep their heart safe are

• Quit smoking
• Control high blood pressure
• Do proper exercise
• Control diabetes
• Manage stress and be active

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Heart Attack - Causes, Symptoms & Preventions

Love your each heart beats(Cardiac arrest)

“Heart”is a muscular organ that sends blood through the circulatory system of our body each time. Apart from blood, heart also pumps nutrients and oxygen through blood to all the parts of the human body .It pumps 4-5 litre of blood each minutes during the time of rest also. Heart diseases are one of the inevitable problem in our society that are even affected by the youngsters too.

One person dies every 33 seconds due to heart attacks in India. This is only because of the life style of Indians ,we are adopting more western outlook. During this situation we should understand the following things such as

What is heart attack ?

• Its a conditions that occurs due to the inadequate supply of the oxygen to the region of heart will cause damage in the area of heart muscle.
• Cardiac arrest is a conditions when heart stops or else the condition where unable to send enough blood to the essential organs.
• Heart failure leads to the sudden end for both breathing and effective heart functions.

Heart attack symptoms

Early warning signs of a heart attack

• Heavy pressure in center of chest.
• Pain arise in shoulder, neck and arms.
• Shortness of Breath
• Discomforts in chest,fainting
• Acidity etc.

Note: If you having any of these kind of problem happens the best key is to get the patient early into the hospital as soon as possible after one set of symptoms.

Other heart diseases

Heart can affect many diseases such as

• Coronary heart diseases
• Arrhythmia
• Heart failure
• Heart value diseases.
• Cardiomyopathy
• Pericardities
• Aortic disease
• Vascular diseases.

What you should do?

For preventing heart problems you should practice the following things

• Reduce hypertension
• Reduce the risks of diabetes
• Balanced diet
• Regular Exercise
• Reduce salt intake

Importance of preventions is not yet came into practice.

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Main Heart Disease Seen in Children

Congenital Heart Disease is a common heart disease includes abnormalities in Cardiovascular vascular structure. Congenital Heart Diseases are defects forming in the heart while the foetus is developing.

We can see the symptoms of these defects from birth or childhood itself. Some of the defects won't be showing any symptoms.

What causes Congenital Heart Disease?

The causes of Congenital Heart Diseases is unknown, but there are some common factors that may cause these Diseases.

• Genetic or Chromosomal Abnormalities that is Down Syndrome
• Having certain medications or drugs or alcohol during pregnancy
• Maternal viral infection in first trimester can lead to congenital heart defects.

It can also cause by hereditary or if the parent have congenital heart disease then the risk of having the disease in child will be double.

What are the types of Congenital Heart Diseases?

Common types of Congenital Heart Diseases are,

Heart Valve Defects: These defects will narrow the heart value and completely stops the forward flow of blood. Other defects are leakage in valves, this is because the valves will not close completely and allow blood to flow backward.

Defects in the walls between atria and ventricles of Heart: Holes or passageways will form in the walls and it causes the mixing of oxygenated and de-oxygenated blood between right and left sides of heart.
Heart Muscle Defects or Abnormalities which can cause Heart Failure.

What are the Symptoms of Congenital Heart Disease in Adults?

Symptoms of Congenital Heart Diseases will be seen from birth, right after birth, in childhood or until adulthood. May be it won't show any symptoms. Common symptoms in adults are,

• Shortness of breath
• Limited ability to exercise

How is Congenital Heart Disease diagnosed?

Initially the doctor will check the patient, if the doctor hears an abnormal heart beat or heart murmur from the patient, then the doctor will recommend some test for confirming the disease. Depending on the sound of heart beat, the test will differ.

Common tests for diagnosing Congenital Heart Disease are,

• Echo-cardiogram
• Chest X-ray
• Electrocardiogram
• Cardiac Catheterising
• MRI

How is Congenital Heart Disease treated?

Congenital Heart Disease can be severe or mild. According to the severety, the treatment method may change. Mild condition may not need any treatment. Other conditions may need medications, surgery etc. The patients with these disease need life long monitoring and regular check ups with the Doctor.

Congenital Heart Disease in Children

There are several types of congenital heart diseases that are detected and treated early in infancy. These are abnormal connections between the heart blood vessels. Oxygenated blood will flow to lungs instead of flowing to the body parts and de-oxygenated blood will flow to body parts instead of flowing to lungs. This may lead to heart failure.

Some of the congenital heart diseases that affect infants are,

• Patent ductus arteriosus
• Tetralogy of Fallot
• Transposition of the great vessels
• Coarctation of the aorta
• Heart valve problems

Symptoms of Congenital Heart Disease in Infants & Children

• A Bluish tint to skin, fingers & lips
• Fast breathing & poor feeding
• Recurrent lung infections
• Inability to exercise
• Poor weight gain

How are Congenital Heart Defects in Children is treated?

Some of the congenital heart defects needs surgery and other need interventional treatments to repair the problem. The children may need medications for improving the functionality of  their heart. The treatment must be availed from expert cardiologist who is specialised in Congenital Heart Disease treatment.

Dr. Kuldeep Chulliparambil, best heart surgeon in Kerala offers effective treatment for all cardiac issues in children with well advanced technologies.Dr Kuldeep Kumar Chulliparambil is well renowned as one of the top cardiac surgeons in Cochin, Ernakulam, Kerala, India with an experience of more than 20 years in offering cardiac treatment.

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New Hope for Heart Failure Condition!

Heart Failure is also called as Congestive Heart Failure and is becoming very common now a days. In this condition, heart muscle will not pump adequate blood to all parts of our body. The left and right ventricles of our heart or the main chambers of heart will become stiff and fill only less amount of blood in between each heart beat and leads to weakening of heart muscle.

Heart problems can be acute or chronic. These are affecting most of the people because of the changes in lifestyle, worst food habits like fast food, soft drinks etc. An healthy diet will always avoid the chance of Heart Failure. Exercise, having less salt, cholesterol free food, avoiding all fast foods etc can give us a healthy life.

How Heart Failure Treated?

Multiple options are there for the treatment for Heart Failure. Initial step in the treatment will be medication and change of routine habits by monitoring all the aspects which can affect heart problems. If the condition is critical then surgical methods will be adopted by the concerned centre or hospitals.

What Surgical procedures are used for treating Heart Failure Condition?

Surgical procedures are opted for preventing further damage to the heart and to improving the functions of the heart. The surgical options include

• Bypass Surgery
• Heart Pacemaker Surgery
• LVAD
• Heart Valve Surgery
• ECMO
• HeartTransplant

Bypass Surgery

Bypass surgery is very common surgery done when someone have a Heart Attack because of Blocks. These blocks will be in coronary arteries and the doctor will surgically remove the blocks by giving the blood a new path way to heart.

Heart Pacemaker Surgery 

 

Heart has its own pacemaker for maintaining a specific beat rate. Sometimes these pacemaker may don't work and causes a less beat rate. This will lead to Heart Failure condition, so an artificial pacemaker will be placed to support the heart to beat in a normal rate. The artificial pacemaker will send electrical impulses to heart muscle for beating in regular basis. This surgery is done for syncope, congestive heart failure condition etc.

Heart Valve Surgery

When a Heart Failure condition arises, the valves of the heart which helps the forward flow of blood in the heart will not close completely, this will allow the blood to flow backwards. For this condition, the heart valve can be repaired or replaced with the surgery.

ECMO or Extra-corporeal Membrane Oxygenation

ECMO is a heart – lung bypass machine which pumps and oxygenates blood for the whole body. It is widely used for cardiopulmonary support for patients recovering from Heart – Lung failure. Also used in Heart Surgeries by bypassing the functions of heart and lung to ECMO.

LVADor Left Ventricular Assist Device

 

 

LVAD implant is done for patients with irreversible left heart failure condition, high mortality rate if intervened immediately, the patients who are waiting for transplants. This LVAD will help damaged heart to pump oxygenated blood from left ventricle to aorta to whole body parts. The device is a battery operated mechanical pump and will also help to improve the functioning of kidney, liver and brain.

Heart Transplant

Heart Transplant is recommended for a patient when his heart is not responding to any other treatments or therapies. This is opted as the last option in the Heart Failure Treatment.

How Can I Prevent Further Heart Damage?

There are several routine habits which caused the Heart Failure condition, so stop all those habits for a better life after a Heart Failure. Only the patient himself can do this for avoiding future complications. Some common habits which should be avoided are,

• Smoking or Chewing Tobacco
• Check with the weight, avoid being obese
• Control high blood pressure, avoid salt
• Control cholesterol levels, avoid fatty food items
• Control diabetes levels, avoid sugar items
• Avoid alcohol drinks

How Can I Improve My Quality of Life?

Eat a Healthy Diet: Avoid eating fast food, having soft drinks, having oily and salty food items. Eat food items having high fibre and potassium, eat more vegetables. Control total daily intake of food and reduce weight.

Exercise regularly: Your doctor will be prescribing a cardiovascular exercise program to be followed and this will make you feel better and will give you a good healthy life.

Don't overdo it: Plan your work for a day. Don't over do any works or over exercise.

Take medications as prescribed: Don't stop the medication unless doctor insist to stops it. Continuing the medications can reduce the risk of heart failure in future.

Dr. Kuldeep Chulliparambil, best heart surgeon in Kerala offers effective treatment for all cardiac issues with well advanced technologies. Dr Kuldeep Kumar Chulliparambil is well renowned as one of the top cardiac surgeons in Cochin, Ernakulam, Kerala, India with an experience of more than 20 years in offering cardiac treatment

heartsurgeonindia.com

Mail us: heartsurgeonindia@gmail.com

Heart Transplantation Procedure & Its Complications

Heart Transplantation is a surgical transplant process done in patients by replacing their damaged heart with a healthy heart. This procedure is practising from the late 1960s.

Father of Heart Transplantation procedure is Norman Shumway, but the first successful adult heart transplantation is done by Chritaain Barnard, a South African Cardiac Surgoen on December 3, 1967 at Groote Schuur Hospital, Cape Town, South Africa. Now around 3,500 heart transplants are done annually worldwide.

Heart Transplantation can be done is two ways, Orthotopic & Heterotopic procedure. Even it has several methods to do, there are several complications for doing it successfully. All other surgeries need only the patient and a surgeon, but transplantation procedure needs a donor to donate a working and healthy heart. Finding a donor with compatible heart is a very difficult task. The donor heart should be close enough in matching with patient's tissues, otherwise the patient's body may reject the new heart.

Who Can Have Heart Transplantation Procedure?

Everyone with a heart disease is not a good candidate for Heart Transplantation. There are several factors to have a heart transplant.

• If the patient have severe coronary heart disease.
• End Stage of Heart Failure – when medications, other treatments is no longer affect the patient.
• Severe angina (chest discomfort due to poor blood flow)
• Severe defects in the heart, which cannot be treated with surgeries and medications.
• Life threatening & abnormal heart beating which doesn't respond to medications.
• Other causes like heart tumors, heart damages, cardiomyopathy, heart valve abnormalities.

Also there are conditions in which heart transplantation will not do,

• The patient is malnourished, means if the patient doesn't have proper health to undergo a surgery.
• The patient is over aged, 55-60.
• The patient have diseases like cancer, HIV, had a severe stroke or dementia.
• Have infections like active hepatitis.
• Having insulin dependent diabetes
• Having kidney, lungs, liver or nerve diseases.
• Having pulmonary hypertension and other diseases affecting neck and leg blood vessels.
• If the patient is a smoker or alcoholic or having habits which will damage the new heart.

The doctors will check every possibility and impossibilities before conducting a Transplantation.

Steps Involved In Transplantation

Step 1: The transplant team will be analysing the patient for confirming that the patient is eligible for the procedure. All the test regarding the procedure will be done. The patient will be monitored for several weeks or months before the transplant.

Step 2: After all the medical checkups, if the patient is eligible, he/she will be added into the national waiting list for a heart. According to several factors, the patient's place in the list will be decided. Factors like the severity of the disease, body type, body size, immunologic match, likelihood that a transplant will be successful.

Step 3: The patients who are waiting for a heart is normally will be in a critical state, so they will be given external mechanical circulatory support devices like ECMO, LVAD etc. It is very difficult for the patient to maintain a healthy routine for cooperating with the transplantation team in waiting period. This will ensure optimal health before the procedure.

Step 4: The patient awaiting the donor heart will be called for surgery at any time if the donor is ready. The donor heart can be from diseased or brain dead person, also called as beating heart cadaver. The donor heart will be examined by a group of surgeons and if it is suitable and matching with the recipient then the surgery will be done immediately.

Step 5: The patient is given general anaesthesia, and a cut is made through the breastbone or they will open the chest (median strenotomy). The blood flow will be changed to heart-lung bypass machine while the surgeon works on the heart. This machine will supply oxygenated blood to all parts of the patient's body.

Step 6: During the transplantation procedure, the surgeons have 2 options for the surgery, they are Orthotopic & Heretotopic. According to condition of donor heart and recipient heart, they will choose any one of the methods.

Orthotopic

In orthotopic procedure, the patient's heart is removed and the new donor heart is fixed. This is done if the patient's heart is so weak and the donor heart is healthy to handle the patient's functions.

Heterotopic

In Heretotopic procedure, without removing the patient's heart, the donor heart will be attached and this is effectively called as “Double Heart”. This is done for giving the patient's heart a chance to recover or if the donor heart is not that healthy to function. So in this condition, the patient's heart will get support from the donor heart to function normally. In future, if the donor heart fails it can be removed. 

Step 7: After attaching or replacing the new heart, the external heart-lung bypass machine will be disconnected. Now the blood will flow through the transplanted heart. Then the chest will be stitched back.

Step 8: Now tubes will be attached to drain air, fluid, and blood from chest for some days.

Step 9: For 24 to 48 hours after surgery, the patient will be in the Intensive Care Unit or ICU for the closer monitoring of the patient.

Care After Transplantation

The patient is recommended to stay 7-21 days in Hospital after surgery. Because close monitoring is needed for the patient to ensure that there is no infections, bleeding and to make sure the heart is healthy and working well. Regular check ups will be needed for 3 months and normal recovery time is 6 months. Need to take blood test, x-rays and echo cardiograms regularly for many years.

Regular check ups are recommended because, the body can reject the new transplanted heart. The immune system in our body considers the new heart as an infection and it will fight against it. So the patient will be given immunosuppressent medications for resisting the immune system. It will be a life long medication for the patient. These medications will have side effects. The doctor will often prescribe for heart muscle biopsy for knowing if the body is rejecting the new heart. The surgery can also lead to other diseases like lung problems, kidney failure, blood clots, heart attack, stroke etc.

Heart Transplantation is a life saver procedure for those who are going to die. This gives the patient some more time to live in this world. 10-15 years is the average life expectancy after a Heart Transplantation, if the patient successfully suppress the rejection.

Dr. Kuldeep Chulliparambil, best heart surgeon in Kerala offers effective treatment for all cardiac issues with well advanced technologies. Dr Kuldeep Kumar Chulliparambil is well renowned as one of the top cardiac surgeons in Cochin, Ernakulam, Kerala, India with an experience of more than 20 years in offering cardiac treatment.

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Mail us: heartsurgeonindia@gmail.com