CARDIAC SURGERY - TREATMENTS AND PROCEDURES

STEADYING YOUR

HEARTBEAT

About 

The CK Birla Hospitals BMB performs over a thousand open heart surgeries in a year and focuses on offering high standards of personal care to every patient. A dedicated team of cardiac surgeons, cardiac anaesthetists, perfusionists and nursing care specialists work to ensure successful surgical results.

The centre is fully equipped and proficient in adult cardiac care (Chronic heart diseases) and paediatric cardiac care (congenital heart diseases). The hospital has been tendering quality patient care, diagnosis, surgery and research for close to 30 years and houses eminent cardiologists and cardiac surgeons who have efficiently performed nearly 2 lakh Cath procedures and over 20000 Cardiac surgeries over the years.

Click below to know more:

Coronary Angioplasty
All about Pacemakers

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STEADYING YOUR

HEARTBEAT

About 

The CK Birla Hospitals BMB performs over a thousand open heart surgeries in a year and focuses on offering high standards of personal care to every patient. A dedicated team of cardiac surgeons, cardiac anaesthetists, perfusionists and nursing care specialists work to ensure successful surgical results.

The centre is fully equipped and proficient in adult cardiac care (Chronic heart diseases) and paediatric cardiac care (congenital heart diseases). The hospital has been tendering quality patient care, diagnosis, surgery and research for close to 30 years and houses eminent cardiologists and cardiac surgeons who have efficiently performed nearly 2 lakh Cath procedures and over 20000 Cardiac surgeries over the years.

Click below to know more:

Coronary Angioplasty

All about Pacemakers

Coronary Angioplasty

Human heart is a muscular organ that pumps blood around the body delivering oxygen and other nutrients to the body cells. Heart gets its blood supply from the coronary arteries, which play a vital role in keeping the heart healthy and pumping properly. Coronary arteries can become narrowed because of fatty deposits built up within the artery walls, which reduce blood flow to the heart and cause chest discomfort.

  • About the Procedure

Coronary Angioplasty is a procedure used to open narrowed or blocked heart arteries by putting up a stent and thereby restoring normal blood flow to the heart muscles.

  • Benefits of Coronary Angioplasty

Angioplasty can improve symptoms of blocked arteries such as chest pain and shortness of breath. It can also be used during heart attack to quickly open a blocked artery and reduce the amount of damage to the heart and improve the chances of survival.

How safe is Coronary Angioplasty?

A Coronary Angioplasty is one of the most common types of treatment for the heart and is a life saving procedure. The risk of routine Angioplasty is 0.5 % (1 in 200).

  • Is Angioplasty painful?

No. Angioplasty is done under local anaesthesia with very little or no pain. Patients are completely awake and may even watch the procedure on screen.

  • How is the procedure done?

Angioplasty is done in the Cardiac Catheterization Laboratory (Cath Lab). It is a minimally invasive procedure done under local anaesthesia by inserting a catheter (thin tube) through a small puncture in a leg or arm artery. Some dye (contrast) is injected into the catheter so that the arteries can be seen on the X-Ray screen. This helps in showing where the narrowing in the arteries are and how severe they are. Watching on the special X-Ray screen, a thin wire is then passed inside the artery through the blocked segment. This is followed by insertion of a tiny balloon at a spot where the artery is narrowed to help widen the artery. The final step involves permanent placement of a small wire mesh tube called the stent, to fully open the artery and reduce the risk of it narrowing again.

  • How long does the procedure take?

The procedure can take anything between 30 min to 60 min (or even longer if multiple narrowing are present). Patient typically spends 2 days in the hospital.

Post Angioplasty

Patients are advised to lie down in bed for a few hours after the procedure. They usually start walking the next day and can return to normal physical activities in a few days.

As a precaution, it is usually recommended to avoid heavy lifting or vigorous physical activity for 1-2 days after the procedure.

Recovering from an Angioplasty

Before leaving the hospital, a patient is advised on:

  • Medication
  • Desired improvement on diet and lifestyle
  • Wound care and hygiene during recovery

A follow-up appointment is provided to monitor progress.

Lifestyle changes

If you have undergone Coronary Angioplasty, it is still important to follow certain precautionary measures to reduce the risk of having problems in the future:

  • Stop smoking
  • Eat a healthy diet with low level of fat and salt
  • Try to lose weight if you are overweight
  • Be active and exercise regularly
  • Take all your prescribed medication on time everyday
  • Control diabetes and high BP with appropriate medication

Pacemaker

The human heart is divided into four chambers — two ATRIA and two VENTRICLES. Sitting right on top in the atria is a tiny electrical generator, called the SA node, which produces electrical impulses 60-100 times each minute regularly and in rhythm. This in turn is conducted to lower chamber by electrical wiring system of heart comprising AV node, left bundle (anterior and posterior branch) and right bundle. Each electrical impulse creates one contraction of the heart. First the atria contracts followed by the ventricles. The heart is totally dependent on this current to pump blood out.

Whenever a defect develops in any component of the electrical system and the rate becomes very slow, an artificial pacemaker is required to restore normal heart rate. Pacemaker is a small device that provides micro electric stimulation to help the heart beat regularly.

Single Chamber Pacemaker

Single chamber pacemaker has one lead which goes either to the right ventricle or to the right atrium and it gives impulses to that single chamber.

Dual Chamber Pacemaker

Dual chamber pacemaker has two leads. One goes to the right atrium and the other to right ventricle and both chambers are therefore sensed (observed) and paced when required.

Single Chamber Pacemaker

Single chamber pacemaker has one lead which goes either to the right ventricle or to the right atrium and it gives impulses to that single chamber.

Dual Chamber Pacemaker

Dual chamber pacemaker has two leads. One goes to the right atrium and the other to right ventricle and both chambers are therefore sensed (observed) and paced when required.

Benefits of having a Pacemaker

The pacemaker help the heart beat regularly and does not allow it to pause or beat too slowly. It improves the ability of the heart to pump regularly and on time. Having the pacemaker can significantly improve the quality of life for someone who is suffering from a slow heart rate. The device can be life saving for some people. Many patients get relief from symptoms such as light headedness, dizziness and fainting. Some people feel they have more energy. Some people feel safer as the pacemaker can keep their heart beat going, in case it goes amiss.

How Pacemaker works?

A pacemaker is a small device about the size of a match box that weighs 20-50gm. It consists of a pulse generator which has a battery and a tiny computer circuit and one or more wires known as pacing leads, which get attached to the heart. A pacemaker uses batteries to send micro electrical signals to the heart helping it to beat regularly when required. The pulse generator emits micro electrical impulses through the wires to the heart. The rate at which the electrical impulses are sent is called the pacing rate.

Almost all modern pacemakers work on demand. This means they discharge micro electrical impulses only when needed by the heart. If the pacemaker senses that the heart has missed a beat or is beating too slowly, it sends signal at a steady rate. If it senses that the heart is beating normally by itself, it doesn’t send out any signal.

How is Pacemaker fitted?

Having a pacemaker implanted is a relatively straight forward process. Implantation neither requires a surgeon or anaesthetist nor does it require operation theatre. The procedure is done in Catheterization Laboratory (Cath Lab) by a cardiologist. It is usually carried out under local anaesthesia, which means that someone undergoing the implantation can be awake and is able to talk during the procedure. The generator is usually placed under the skin near the collar bone on the left or right side of the chest. The generator is attached to a wire that is guided through a vein to the heart. The procedure usually takes about an hour and most people leave the hospital a day or two after the procedure.

After Pacemaker implantation procedure

After the procedure, one should be in a position to return to most normal physical activities. As a precaution it is usually recommended that strenuous activities should be avoided for around 4 to 6 weeks after having a pacemaker fitted. One should avoid lifting arm on implantation side above the shoulder height and taking it behind the back, for couple of weeks. One can feel the pacemaker after implantation, but would soon get used to it. It may seem a bit heavy at first and may feel uncomfortable when lying in certain positions