Cardiology

The Hospital has always sought to use cutting edge technology and has a continuous quest to provide the very best Cardiac Care available in the world today. It has the Integris Allura Flat Panel Detector (FD10) with advanced technology that has taken cardiovascular imaging to a new level.

Highlights :

1st Cardiac Centre to introduce state-of-the-art Flat Panel Digital
   Cath Lab in Kolkata

1st Cardiac Centre to perform Balloon Mitral Valvotomy in Kolkata


The versatile Cardiac Catheterization Laboratory provides complete cardio-vascular intervention where the work is not just limited to the heart but also other parts of the body.


Interventional Cardiology

The department performs the following invasive & non invasive procedures:

  Coronary Angiogram, Right and Left Heart Catheterization
  Coronary Angioplasty (PTCA)
  Angiography & Angioplasty via Radial Route
  Primary PTCA
  Angiography and Angioplasty with stenting of the neck arteries (Carotid &
    Vertebral)
  Angiography of the blood vessel inside the brain
  Balloon / Aortic / Mitral / Pulmonary Valvuloplasty
  Angiography and angioplasty of the arteries of the limbs of the limbs up to
    the foot.
  Angiographic diagnosis of intestinal bleeding
  Embolotherapy of bleeding in Liver, Pancreas, kidney, Lungs and
    haemangioma in other organs
  Angioplasty of the narrowed arteries of the kidney
  Permanent Pacemaker Implantation
  Biventricular Pacing and ICD (implantable cardioverter-defibrillator)
    Implantation
 

Non Invasive Cardiology

The Cardiology department has the full range of equipments & tests which ensures that a complete picture emerges for patients mainly with Ischaemic heart disease, the most prevalent cardiac illness among adults.

The following diagnostic procedures are carried out routinely:

TMT & Holter :
Treadmill Test (TMT) or exercise stress test is one of the commonest forms of stress tests used to induce provokable myocardial ischemia for diagnostic evaluation of coronary artery disease. The heart rate and blood pressure are monitored continuously along with 12 lead ECG (Electrocardiogram) with computerised ST and arrhythmia detection algorithms. Test is stopped if the subject develops limiting angina, syncope, breathlessness, fatigue or when the target heart rate is achieved.

A Holter monitor is a continuous tape recording of a patient's ECG for 24 hours. Since it can be worn during the patient's regular daily activities, it helps the Cardiologist to correlate symptoms of dizziness, palpitations or black outs. Since the recording covers 24 hours, on a continuous basis, Holter monitoring is much more likely to detect an abnormal heart rhythm when compared to the ECG which lasts less than a minute. It can also help evaluate the patient's ECG during episodes of chest pain, during which time there may be telltale changes to suggest ischemia or reduced blood supply to the muscle of the left ventricle. The resultant output from these machines is extremely reliable to the Cardiologists for deciding the treatment modalities and best possible patient care.

2-D Echocardiography and Colour Doppler studies
Two-dimensional Echocardiography can provide excellent images of the heart, paracardiac structures, and the great vessels. During a standard Echocardiography, the sound waves are directed to the heart from a small hand-held device called a transducer, which sends and receives signals. Heart walls and valves reflect part of the sound waves back to the transducer to produce pictures of the heart. Doppler studies show normal and abnormal flow across different valves.


2-D Evaluation includes the assessments of followings:

Chamber dimensions and Wall thickness
LV function (Ejection fraction)
Regional wall motion abnormalities
Valvular morphology
Septal integrity
Intracardiac clot and vegetation
Pericardium
Aorta and Pulmonary Artery ( only the segment adjacent to heart)
SVC and IVC ( only the segment adjacent to heart)

Doppler Evaluation includes the assessments of followings:

Flow velocity and flow pattern across the valves to identify valve stenosis,
   pressure gradients, diastolic LV dysfunction etc 
Detection and gradification abnormal flows like in septal defects, PDA,
   valvular regurgitations