Our well-integrated ‘Cardiac Care Center’ at AMRI Hospitals, offers a comprehensive and multidisciplinary approach for treating patients suffering from chronic heart diseases. We have a team of highly experienced and qualified cardiologists, surgeons, paramedics, and dedicated nursing staff, and advanced infrastructure to offer accurate and precise treatment suitable for patients of all ages. Our pioneering contribution for preventing, diagnosing, and treating complex cardiac diseases has led to the achievement of providing improved quality of life to numerous cardiac patients. At AMRI Hospitals, we are committed to provide the highest standards of post-surgery care & excellent rehabilitation facilities under the supervision of the country’s best & leading doctors having international level expertise.
An aortic aneurysm is a balloon-like bulge in the aorta, the large artery that carries blood from the heart through the chest and torso. Aortic aneurysms can dissect or rupture. The force of blood pumping can split the layers of the artery wall, allowing blood to leak.
Aneurysms occur in the aorta and also brain, back of the knee, intestine or spleen. A ruptured aneurysm can result in internal bleeding and stroke. It can sometimes be fatal.
Aneurysms often have no symptoms until they rupture.
Emergency surgery may be required. The choice depends on the location, size and condition of the aneurysm.
Aortic aneurysm include:
In many cases it is detected during routine medical tests. Based on the symptoms and family history doctor may order ECG, Echocardiogram, chest Xray, CTScan, MRI, ultrasound of the heart to name a few.
The goal of treatment is to prevent the aneurysm from increasing further and to treat it before it dissects or ruptures. Depending on the size and growth rate of the patient’s aortic aneurysm, treatment may vary from cautious monitoring to surgery.
Basically treatment options are – Medication, Surgery including endovascular surgery and emergency surgery.
The most appropriate way to prevent aortic aneurysm is to control it from worsening by keeping one’s blood vessels as healthy as possible. The following steps might help:
Controlling cholesterol and fat in one’s diet
Sick sinus syndrome is the inability of the heart's sinus node to create the right heart rate. It causes irregular heart rhythms (arrhythmias). Sick sinus syndrome is also known as sinus node dysfunction or sinus node disease.
The sinus node is an area of specialized cells in the upper right chamber of the heart. This area controls one’s heartbeat. In sick sinus syndrome, the electrical signals are abnormally paced. The patient’s heartbeat can be too fast, too slow, interrupted by long pauses — or an alternating combination of these rhythm problems. Sick sinus syndrome is relatively uncommon, but the risk of developing it increases with age. Many people with sick sinus syndrome eventually need a pacemaker.
Signs and symptoms may include:
Problems of the sinus node may be due to the following reasons:
Common heart disease risk factors may increase the risk of sick sinus syndrome:
When the heart's natural pacemaker, that is sinus node isn't working properly, the heart can't work efficiently. This can lead to:
The following tests may be advised by the doctor:
The primary treatment goals are to reduce or eliminate symptoms and to manage and treat any other health conditions that may be contributing to sick sinus syndrome. The treatment options include - medication, pacemaker implant and procedures like AV node ablation. AV node ablation, Cardiac ablation for atrial fibrillation.
This condition is named after the French doctor who first identified it in 1862. In Raynaud's disease smaller arteries that supply blood to the skin become excessively narrow in response to cold temperature or stress, limiting blood supply to the affected area(vasospasm). The fingers, toes, ears and tip of the nose are commonly involved. It's often accompanied by changes in the colour of the skin. It is more common in people in colder climates. Treatment of Raynaud's disease depends on its severity. Raynaud's disease isn't disabling for most people, but it can affect one’s quality of life.
Types of Raynaud’s disease
During an attack the affected areas of the skin usually first turn white. Then, they often turn blue and feel cold and numb. As the area gets warmth and circulation improves, the affected areas may turn red, throb, tingle or swell.
The cause of this phenomenon is not exactly known. Cold temperatures are most likely to trigger an attack. Exposure to cold, such as putting one’s hands in cold water or being in cold air will most likely trigger. For some people, emotional stress can trigger the symptoms.
Causes of Secondary Raynaud’s disease include:
Risk factors for secondary Raynaud's include:
If Secondary Raynaud's is severe it can cause tissue damage due to reduced blood flow. Rarely, extreme untreated cases might require removing the affected part of the body.
To determine whether the patient has primary or secondary Raynaud's, the doctor might advise a test called nailfold capillaroscopy. If the doctor thinks that another condition, such as an autoimmune disorder or a connective tissue disease, may be causing Raynaud's, then the following blood test may be ordered:
Actually, no one blood test can diagnose Raynaud's, it will depend on patient’s symptoms and medical history.
The treatment aims at
There are treatment options like -
Medication - Depending on the cause of the patient’s symptoms, medications might help to widen blood vessels and increase blood flow.
Surgeries and medical procedures – In cases of severe Raynaud's the following treatments may be advised :
In Myocardial ischemia blood flow to the heart muscle (myocardium) is obstructed by a partial or complete blockage of a coronary artery due to build up of plaques (atherosclerosis). Myocardial ischemia, also called cardiac ischemia, decreases the heart muscle's ability to pump blood. A severe blockage can lead to a heart attack. Myocardial ischemia is common among women, older people and diabetics.
Treatment for myocardial ischemia involves improving blood flow to the heart muscle. It may include medications and procedures like angioplasty.
Myocardial ischemia occurs when the blood flow through the coronary arteries reduces. The low blood flow also decreases the amount of oxygen in the heart muscle.
Myocardial ischemia can develop slowly as arteries become blocked over time. Or it can occur quickly when an artery becomes blocked suddenly.
The following conditions can cause myocardial ischemia:
Including Aspirin, Beta blockers, Calcium Channel blockers
Surgery & Procedures
Prevention and life style modification
It is a condition that occurs when the heart's aortic valve narrows. The valve doesn't open fully, which reduces or blocks blood flow from the heart into the main artery (Aorta) and to the rest of the body. The treatment depends on the severity of one’s condition. Surgery to repair or replace the valve may be required.
The causes of Aortic Stenosis include:
In order to diagnose doctor reviews the symptoms and orders several tests to confirm. It may include the following:
Treatment for aortic valve stenosis depends on the signs and symptoms and the severity of the condition.
Surgery and other procedures
Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of your body. Cardiomyopathy can lead to heart failure. The main types of cardiomyopathy include dilated, hypertrophic and restrictive cardiomyopathy. Treatment includes medications, surgically implanted devices, heart surgery or in severe cases, a heart transplant depending on the type of cardiomyopathy and its severeness.
In the beginning there might be no signs or symptoms. But as the disease advances, signs and symptoms appear.
Usually the cause of the cardiomyopathy is unknown. In some patients it can be the result of another condition (acquired) or inherited. Some of the reasons for developing Cardiomyopathy can be as follows:
Types of Cardiomyopathy
Detection is usually based on the following investigations:
The treatment depends on the types of Cardiomyopathy. The basic aims of cardiomyopathy treatment are :
There are different types of medications to treat cardiomyopathy. The medications help to
Non surgical procedures
Surgery and device implants
Various types of devices are surgically implanted in the heart to improve its function and control the symptoms. It includes -
Types of surgeries include:
Atherosclerosis is a condition when there is buildup of fats, cholesterol and other substances termed as plaque inside the artery walls. The plaque narrows the arteries blocking the smooth blood flow. The plaque is also responsible for forming a blood clot.
Although atherosclerosis is often considered a heart problem, it can affect arteries anywhere in one’s body. Atherosclerosis can be treated. Healthy lifestyle habits can help prevent atherosclerosis.
Usually atherosclerosis symptoms are not felt until an artery is very narrowed or clogged. Sometimes a blood clot completely blocks blood flow, or even breaks apart and can trigger a heart attack or stroke.
Symptoms of moderate to severe atherosclerosis depend on which arteries are affected.
Atherosclerosis in heart arteries - chest pain or pressure (angina).
Atherosclerosis in the arteries leading to brain - sudden numbness or weakness in your arms or legs, difficulty speaking or slurred speech, temporary loss of vision in one eye, or drooping muscles in your face.
Atherosclerosis in the arteries in arms and legs - leg pain when walking (claudication) or decreased blood pressure in an affected limb.
Although the exact cause is unknown, it may develop due to the following reasons:
There are several diagnostic procedures:
Some of these improved life style methods may help:
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Attendant of PT Bhairab Mahanta, a patient of cardiac arrest talks about his experience at #AMRIHospitalsBhubaneswar. He expresses his satisfaction with the treatment facilities offered by the hospital and the care provided by the staff. The son of Bhairab Mahanta is content with his decision of choosing AMRI Hospitals.
Nawal Kishore Agarwal, a patient of heart disease talks about his overall experience at AMRI Hospitals Saltlake during heart surgery, under the observation of Dr. Sushmit Bhattacharya, He appreciates the staff for taking good care of him and recommends AMRI Hospitals to the patients suffering from heart diseases.
by Dr. Jitendra Nath Patnaik, Senior Cardiac Surgeon, AMRI Hospitals Bhubaneswar
Varicose vein is a condition presents as prominent dilated leg veins over single or both legs. Very common now-a-days, associated with prolonged standing, heavy physical work and obese persons. More often neglected and ignored in early stages but may lead to worrisome complications like excessive bleeding and non healing ulcer over leg.
The traditional treatment was surgery, laser ablation and RF ablation.
The latest modality of treatment is Venaseal implant( Glue) injection.
Advantages being Patient can come and go home driving after the procedure . Procedure includes only a small puncture in the leg, No cuts, No anesthesia, No pain, No scar and No Hospital stay. As no scar, cosmetically acceptable for young females. No post procedure medications is required.
This procedure is being done for the First time in Odisha by Our team in AMRI Hospital, Bhubaneswar in a 39 yr old male, He was suffering with a non healing venous ulcer since last few years. Thankful to Dr Vivek, Dr Smruti, Br Anuroop and his team, Technician team Prakash, Srikant for all the support. Special thanks To Medtronics team Dr Jayant and Mr Animesh for technical and logistic support.
Hoping that this should be accepted as common modality of treatment of Varicose vein.