FOR YOUR HEART, TRUST THE EXPERT.

52, First Main Road, Gandhi Nagar, Adyar, Chennai, Tamil Nadu – 600 020Tel: + 91 44 4289 2222 Emergency helpline / Ambulance: +91 44 4933 4933Email: contactus.malar@fortishealthcare.com | www.fortismalar.com

About FortisFortis Healthcare Limited is a leading integrated healthcare delivery service provider in India. The healthcare verticals of the company primarily

comprise hospitals, diagnostics and day care specialty facilities. Currently, the company operates its healthcare delivery services in India,

Singapore, Dubai, Mauritius and Sri Lanka with 55 healthcare facilities (including projects under development), approximately 10,000 potential

beds and 270 diagnostic centres. In a global study of the 30 most technologically advanced hospitals in the world, its flagship, the Fortis

Memorial Research Institute’ (FMRI), was ranked No.2, by ‘topmastersinhealthcare.com, and placed ahead of many other outstanding medical

institutions in the world.

About Fortis MalarFortis Malar Hospital, formerly known as Malar Hospital, is one of the most distinguished multi super-specialty corporate hospitals in Chennai

providing comprehensive medical care in areas of cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopaedics, nephrology,

gynaecology, gastroenterology, urology, paediatrics, diabetics and so on.

Established in 1992, Malar Hospital became a household name for tertiary care hospital services in Chennai over the years. In late 2007, Fortis

Healthcare – India’s fastest growing hospital network, led by Dr. Parvinder Singh’s vision of creating an integrated healthcare delivery system in

India, acquired a stake in Malar Hospital Limited. Thus, the way to superlative healthcare services was paved!

Fortis Malar Hospital has a vast pool of talented and experienced doctors, who are further supported by a team of highly qualified, experienced

and dedicated support staff and cutting edge technology. More than 160 consultants and 650 employees have worked together to

manage over 11,000 inpatients in the last year alone. The hospital today has an infrastructure comprising of around 180 beds including

about 60 ICU beds, 4 Operation Theaters, state-of-the-art digital flat panel Cath Lab and an ultra-modern dialysis unit, besides a host of

other world-class facilities.

With unparalleled medical expertise supported by state-of-the-art infrastructure, Fortis Malar today is undoubtedly the most preferred healthcare

destination in Chennai catering to healthcare needs of people across the world. Conveniently located in South Chennai, approximately 12

kilometers away from Central Railway Station and Egmore Railway Station, and 13 kilometers away from the Domestic and International Airport,

it gives an excellent accessibility to both domestic and international patients.

What is heart failure?• The heart muscle is weaker than normal and not able to pump the blood at a rate commensurate with the body needs or the lower chambers of the heart are not able to relax and fill with blood as they normally do

• Less blood is pumped out of the heart to organs and tissues in the body

• Pressure in the heart increases

HEART FAILURE DOES NOT MEAN THAT YOUR HEART HAS STOPPED WORKING.

• When the heart cannot pump enough oxygen and nutrients to meet the body’s needs; it tries to adapt. The chambers of the heart stretch to hold more blood to pump through the body with each heartbeat.

• Hormones are released into the bloodstream to increase the heart’s pumping power and increase blood flow into the heart chambers. These changes provide temporary relief, but over time, the heart muscle walls continue to weaken and/ or stiffen.

THERE ARE TWO TYPES OF HEART FAILURES:

• Systolic left ventricular dysfunction (or systolic heart failure) occurs when the left ventricle doesn't contract with enough force, so less oxygen-rich blood is pumped throughout the body.

• Heart failure with preserved left ventricular function (diastolic heart failure) occurs when the heart contracts normally, but the ventricles do not relax properly or are stiff and less blood enters the heart during normal filling.

image chagneWhat causes heart failure?Doctors say that by themselves the signs of heart failure may not mean the patient has heart failure and he/ she should not be alarmed. However, people who have not been diagnosed with heart failure and experience more than one of the symptoms below should tell their doctor and ask for an evaluation of their heart.

People who have been diagnosed with heart failure should monitor their symptoms carefully and report any sudden changes to their doctor immediately.

By far the main symptom is extreme fatigue. The patient is not getting enough blood pumped from the heart to his/ her muscles. The body diverts blood away from less vital organs − muscles in the limbs − and focuses on supplying to the heart and brain.

Other symptoms depend on which part of the heart is predominantly involved.

• Left heart failure: · Breathlessness, panting (dyspnea) − this may happen at any time, but will be more noticeable or acute when the patient is active or lying down. At night will often need to sit up in bed or will have an urge to get some fresh air. · Cough

· Frothy spit (with the cough) - This happens when blood backs up in the pulmonary veins because the heart cannot keep up with the supply, causing fluid to leak into the lungs.

• Right heart failure: · Swollen ankles · Swollen legs · Enlarged liver · Enlarged stomach

This happens because as blood flow from the heart slows down, blood that returns to the heart through the veins backs up, causing fluid accumulation in the tissues. Kidneys find it harder to dispose of sodium and water, which in turn causes fluid retention in the tissues.

• Heart failure involving both ventricles will result in combination of symptoms and signs listed above.

The following conditions can cause heart failure:

• Heart valve disease

• Coronary artery disease

• Diabetes mellitus

• Kidney failure

• Heart muscle disease

• Anaemia

• Hypertension

• Chronic lung disease

• Heart rhythm abnormalities (atrial fibrillation etc.)

Understanding Heart TransplantA heart transplant is surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. Most heart transplants are done on patients who have end-stage heart failure.

Heart failure is a condition in which the heart is damaged or weak. As a result, it can't pump enough blood to meet the body's needs. "End-stage" means the condition is so severe that all treatments, other than a heart transplant, have failed.

THE HEART TRANSPLANT PROCESS

Heart transplants are done as a life-saving measure for end-stage heart failure. Survival rates for people receiving heart transplants have improved, especially in the first year after the transplant. After the surgery, most heart transplant patients can return to their normal levels of activity.

The heart transplant process starts when doctors refer a patient who has end-stage heart failure to a heart transplant center.

Staff members at the center assess whether the patient is eligible for the surgery. If the patient is eligible, he or she is placed on a waiting list for a donor heart.

Heart transplant surgery is done in a hospital when a suitable donor heart is found. After the transplant, the patient is started on a lifelong health care plan. The plan involves multiple medicines and frequent medical checkups.

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Maintaining a heart without failureFOR PEOPLE WHO HAVE HEALTHY HEART

If you have a healthy heart, you can take action to prevent heart disease and heart failure. To reduce your risk of heart disease:• Follow a healthy diet. A healthy diet includes a variety of vegetables and fruits. It also includes whole grains, fat-free or low-fat dairy products, and protein foods. A healthy diet is low in sodium (salt), added sugars, solid fats, and refined grains.

Know your EF, say not to heart failureEjection Fraction or EF is the percentage of blood being pumped out of your heart with each beat, determined by Heart Scan (ECHO cardiogram). Your EF is a clear indicator of your heart’s current health. Lower the EF, higher the possibility of sudden stoppage of the heart (Intractable Ventricular Fibrillation) and catastrophic death. A dilated low EF heart will continue to worsen and dramatically reduce life expectancy. But if the low EF is detected early, there is a

• If you smoke, make an effort to quit. Talk with your doctor about programs and products that can help you quit smoking. Also, try to avoid secondhand smoke.

• If you're overweight or obese, try to lose weight. Work with your health care team to create a reasonable weight-loss plan.

• Be physically active. People gain health benefits from as little as 60 minutes of moderate-intensity aerobic activity per week. The more active you are, the more you will benefit.

• Avoid using illegal drugs.

FOR PEOPLE WHO ARE AT HIGH RISK FOR HEART FAILURE

Even if you're at high risk for heart failure, you can take steps to reduce your risk. People at high risk include those who have coronary heart disease, high blood pressure, or diabetes.• Follow all of the steps listed above. Talk with your doctor about what types and amounts of physical activity are safe for you.• Treat and control any conditions that can cause heart failure. Take medicines as your doctor prescribes.• Avoid drinking alcohol.• See your doctor for ongoing care

higher chance of curative treatment in certain cases. So take the test and take control of your heart.

Your heart’s Ejection Fraction can be measured by various methods. The most commonly used technique is the ECHO cardiogram. It is an ultrasound scan that measures the pumping action of your heart. Sound waves are used to create a video image of the patient's heart, which helps the doctor see how well the heart is pumping. The doctor measures the percentage of blood pumped out of the patient's left ventricle (the main pumping chamber) with each heartbeat - this measurement helps in calculating the EF of the heart.

Services offered

About Fortis Heart Failure CentreIn an effort to keep heart failure complications under check, Fortis Malar has been tirelessly striving to bring better heart care to the country. Along with performing path-breaking surgeries, our team of experts at Fortis Malar has also been constantly introducing world-class heart management methods to India. Today, we offer comprehensive solutions to advanced heart failure conditions all under one roof.

In addition to cutting-edge Ventricular Assist Device (VAD) therapy, the Fortis Centre for Heart Failure and Transplant has changed the way heart patients are treated today. The centre offers outpatient ambulatory therapy for administration of inotropic medications which helps in rapidly improving symptoms and restoring vital organs to their normal conditions.

Medical ManagementOur expert team medically manages heart failure in patients with the latest available medications to control the progression of the condition, keeping patients out of the hospital, and reducing mortality. Also, the cardiac rehabilitation team counsels the patients and their family members on diet and other lifestyle modifications to limit symptoms and to optimise the patient’s ability to participate in daily routines.

What to do in case of heart failure?The patient may know about his heart failure when he has the symptoms (breathlessness, swelling, fatigue) for the first time. Once they are evaluated and diagnosed to have heart failure they are put on drugs the necessary medication.

Depending upon patient to patient they may remain symptoms free or may have minimal symptoms for months or years if they are on regular medication. Some may recover also.

Once they start having worsening of symptoms even on medical therapy, they will require frequent hospitalisation. From this point they may deteriorate rapidly which can lead to death or progress to a stage where further therapy (Transplant/ LVAD) cannot be done.

Hence, it is advised to contact the hospital that can perform transplant/ LVAD immediately once the worsening of their symptom starts.

FACT: Heart failure can killHeart failure is a very serious condition and can shorten your life. However, by working with your doctor, you can get effective treatments and make changes to your lifestyle that will both ease your symptoms and also prolong your life.

Electrical Device ManagementQualified electrophysiologists at our centre provide Cardiac Resynchronisation Therapy (CRT) with biventricular pacemakers and avoid life-threatening heart rhythm disorders with Implantable Cardioverter Defibrillators (ICDs).

Surgical ManagementHeart Transplant Programme: Since 2010, heart transplants have been regularly performed at Fortis Malar Hospital. And today our centre is internationally recognised benefitting patients with end-stage heart failure across the globe. We also focus on stabilisation of patients as they await donor heart and alternative options for patients who are not candidates for transplant.

Ventricular Assist Devices (VADs): Pioneers in LVAD implant as permanent therapy in India, our doctors have a vast experience with VADs implant as a bridge to transplant and as a permanent support for patients who are not candidates for heart transplant.

ECMO or Cardiac Revival ProgrammeECMO offers new rays of hope to patients with devastating lung injury or heart failure. Using this technology in early stages also helps saving tissue from further hypoxic injury. Unlike an ordinary heart-lung bypass machine, ECMO can be used for days. Thus ECMO not only allows the heart and lungs to recover, but also offers patients some time for heart transplant i.e. it can be used as a ‘Bridge-To-Transplant or LVAD implant’.

Avoiding a heart failure relapseThere’s no cure for congestive heart failure yet. But if you or a loved one is among those who are living with heart failure, even if it’s advanced, you should know that simple self-care measures can effectively help curb fatigue, shortness of breath, swelling, and other symptoms.

In addition to improving their quality of life, heart failure patients who practice good self-care are less likely to wind up in the hospital.

Here are nine self-care strategies suggested by some experts:

TAKE YOUR HEART MEDICINES

Strict adherence to the prescribed drug regimen is vitally important for people with heart failure, even those with advanced stages of the illness. “These drugs don’t just make people feel better,” Starling says. “They reduce hospitalizations and save lives.”

Heart failure patients typically take five to eight drugs, including diuretics (water pills), beta-blockers, ACE inhibitors, blood thinners, potassium supplements, and aspirin.

To keep such a challenging regimen as simple as possible (and to avoid the chance of a missed or repeated dose), ask your doctor if there are once-daily dosing options available. Why take two or more pills of a particular medicine each day when you could be taking just one?

CUT BACK ON SODIUM

The American Heart Association says people with heart failure should consume less than 2,000 mg of sodium a day. To get down to that level, you’ll probably have to ditch the salt shaker. (Instead, use spices and other seasonings to flavor food.) In addition, stay

away from cold cuts, cheese, and pickles, which have a lot of sodium. Be wary of fast food and any food sold in a can, bottle, or jar (which might contain lots of salt).

Talk to your doctor before turning to salt substitutes as they may be high in potassium, which can be dangerous for people with heart failure

Ideally, your meals will be prepared from fresh foods. If you must eat commercially prepared foods, look for low-sodium varieties. Read labels carefully to find how just how much sodium each serving contains. Try to choose low-sodium foods – no more than 140 mg per serving – to stay within your 2,000 mg daily goal.

DON’T DRINK ALCOHOL OR SMOKE

Tobacco smoke contains carbon monoxide and many other toxins, which interfere with the heart’s ability to pump oxygen-rich blood throughout the body. Alcohol weakens the heart’s pumping ability. Too much alcohol can cause heart failure and aggravate existing cases of the disease.

WEIGH YOURSELF EVERY DAY

Doctors consider rapid weight gain an early warning sign that the body is retaining salt and fluids -- evidence that the patient’s condition is worsening or that medication needs to be adjusted. Alert your doctor at once if you gain more than three pounds in a single day or five pounds in a week (or whatever amount specified by the doctor). For an accurate reading, be sure to weigh yourself at the same time each morning (after using the bathroom but before eating breakfast).

Are you overweight? Losing weight can be especially hard for advanced heart failure patients, because the vigorous exercise that helps burn calories is probably out of the question. But do what you can to shed some pounds, because extra weight puts extra strain on the heart.

KEEP A DAILY JOURNAL

Record your weight and -- ideally -- your blood pressure, along with any change in symptoms. Call your doctor if your blood pressure goes unusually high or low. Each time you visit the doctor, take along the journal and go over it together.

EXERCISE REGULARLY -- BUT CAREFULLY

Even in cases of advanced heart failure, walking and other forms of aerobic exercise can help strengthen your cardiovascular system in addition to helping with weight loss. Aim for 30 minutes of gentle exercise, five days a week, at a pace that feels comfortable.

Don’t exercise right after eating or in very hot or humid conditions. And avoid any form of exercise that involves straining to push, pull, lift, or carry. These so-called “isometric” exercises can overtax an already-weakened heart. Discuss your exercise plans with your doctor or nurse.

MAKE SURE YOUR IMMUNIZATIONS ARE UP TO DATE

People with heart failure are highly vulnerable to certain infections, such as influenza and pneumonia. In fact, pneumonia is a leading cause of death among heart failure patients. Be sure to get an annual flu shot. If you haven’t been vaccinated against pneumonia within the last five years, ask your doctor about getting one.

GET PLENTY OF REST

People with advanced heart failure often find they have trouble breathing while lying down. If you have this problem, try propping yourself up with an extra pillow or two. Your goal should be to get a full eight hours of sleep a night. If you feel tired during the day, try napping after lunch. Putting your feet up for a few minutes every couple of hours can give your heart a rest.

KNOW WHEN TO CALL YOUR DOCTOR

Certain symptoms merit a call to the doctor. Worrisome symptoms include rapid weight gain of several pounds within a few days, increased swelling, more difficulty breathing, decreased urination, and dizziness.

Also, make sure to talk to your doctor about “just in case” medications. For example, your doctor may suggest you take another diuretic if you develop increased swelling and weight gain, but you should never take extra medication without instructions to do some from your doctor. Discuss specific instructions with your doctor so you can be prepared to act quickly before things get worse.

Diagnostics / Evaluation of heart failure EchocardiographyEchocardiography (echo) is a painless test that uses sound waves to create pictures of your heart. This test gives your doctor information about the size and shape of your heart and how well your heart's chambers and valves are working. It measures the ejection fraction of the heart.

Peak oxygen consumption testMaximum oxygen consumption, also referred to as VO2max is one of the oldest fitness indices established for the measure of human performance. The ability to consume oxygen ultimately determines any human's or animal's ability for maximal work output over periods lasting greater than one minute.

Cardiac catheterisationCardiac catheterisation is a medical procedure used to diagnose and treat some heart conditions. A long, thin, flexible tube called a catheter is put into a blood vessel in your arm, groin (upper thigh), or neck and threaded to your heart.

Six minute walk test The purpose of the six minute walk is to test exercise tolerance in chronic respiratory disease and heart failure. The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is

allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway.

NT-Pro-BNP testWhen heart failure develops or worsens, the ventricles or lower chambers of the heart produce a substance that breaks down to form two proteins: B-type natriuretic peptide (BNP) and N-terminal-pro-BNP (NT-pro-BNP). Both substances are secreted in response to changes in pressure that occur with heart failure. These tests measure the concentration of B-type natriuretic peptide (BNP) or N-terminal pro B-type natriuretic peptide (NT-proBNP) in the blood in order to detect and evaluate heart failure.

ST2 testCardiac biomarkers are substances that are released into the bloodstream when the heart is damaged or stressed. In patients with heart failure, measurement of these biomarkers is used to help risk stratify, to assess treatment options, monitor progress, and guide in-hospital and post-discharge care. ST2 is one such biomarker. ST2 is a soluble protein expressed by the heart in response to disease or injury. Unlike many other cardiac biomarkers, ST2 levels change quickly in response to changes in the patient’s condition—thus helping physicians make informed decisions on an appropriate course of action to take and, if needed, to quickly adjust treatment.

CPR in case of heart failureCHECK RESPONSIVENESS

• Tap the person's shoulder and shout, "Are you OK?"

• Look for normal breathing. Call 911 if there is no response.

• Start Hands-Only CPR.

• Hands-Only CPR should not be used for adults whose cardiac arrest is due to drug overdose, near-drowning, or an unwitnessed cardiac arrest. In these cases, do a conventional CPR combination of chest compressions and rescue breathing.

DO CHEST COMPRESSIONS

• Place the heel of your hand on the center of the person's chest.

• Place the heel of your other hand on top of your first hand, lacing fingers together.

• Keep arms straight and your shoulders directly over your hands.

• Push hard and fast, compressing chest at least 2 inches.

• Let chest rise completely before pushing down again.

• Compress at least 100 times per minute.

STOP ONLY IF

• The person starts breathing normally

• A trained responder or emergency help takes over

• You are too exhausted to continue

• There is an automated external defibrillator (AED) to use

PrecautionsThere are many things we can do regarding our lifestyles to reduce the chances of ever developing heart failure in the first place, or at least to slow down its progression. For example:

• Give up smoking.

• Eat sensibly; this includes plenty of fruits and vegetables, good quality fats, unrefined carbohydrates, whole grains, and the right amount of daily calories.

• Exercise regularly and stay physically active (check with your doctor).

• Go easy on your salt intake.

• Make sure your bodyweight is ideal for your height.

• Consume alcohol within your national recommended limits.

• Get at least 7 hours of good quality sleep each night.

• Mental stress may be bad for the heart over the long-term. Try to find ways of reducing your exposure to mental stress.• If you already suffer from heart failure make sure you are up-to-date with all your vaccinations, and have your yearly flu-jab.

FACT: India ranks No. 1 in the world for number of cardiac patients, with 10% of the population affected. The US and Europe are jointly No. 2 with 7% each.*

Source: www.dalmiaglobal.com

MILESTONES IN HEART FAILURE MANAGEMENT,ALL IN A DAY’S WORK FOR US.

A Heartful of Milestones

(HeartMate II LVAD) surgeryperformed on a 58-year-old gentleman

permanent artificial heart pump implant India’s first

2012successful HVAD implant surgery performed

India’s firston a 42-year-old gentleman

2013

successfully performed on anHeart Transplant Surgery

Iraqi woman who had breast cancer

2013

successfully performed on aHeart Transplant Surgery

2 year old Russian baby

2015Implaltation on a First successful LVAD

patient on a ECMO

2014

2010

First successfulperformed

at Fortis Malar

Heart Transplant Surgery

2012Artificial Heart Technology (ECMO)

aided Heart Transplant Surgery performed on a 34-year-old

woman from Delhi at Fortis Malar

Successful2014

India’s first comprehensive Heart Failure Management Centre

Launch of

2013successfully performed on a

Heart Transplant Surgery40-year-old Pakistani gentleman

55KM in 45MIN

12KM in 7MIN

GandhiMandapam Fortis Malar

Hospital

Chennai

SPICBuilding

KathiparaJunction

ChennaiAirport

KIA

Yelahanka

Hebbal

NayandanahalliCircleKengeri

Bangalore

Interstate Heart Transplant using Green CorridorWhat is a Green Corridor?A Green Corridor is when all traffic signals are turned to green, so that vehicles can pass by without any interruptions. This can only be achieved by working in close coordination with the Traffic Police of the city which plays a huge role in ensuring that this happens smoothly.

Our successful effortOn the night of 3rd September, 2014, Fortis Malar Hospital, received information on a heart being available at Bangalore, for one of their patients at Chennai. Immediately, a cross matching of the donor and the recipient was done. The heart was found to be suitable.

So, early the next morning, a team of doctors from Fortis Malar comprising of Dr. Chowdhury, Consultant Cardio Thoracic Surgeon, and Dr. Murali, Cardiac Anaesthetist, were flown down to Bangalore. Simultaneously, a team carrying necessary medical equipment left by road to Bangalore.

On reaching Bangalore, the team checked and on finding the heart viable for transplant, started on the harvesting process right away. In the meanwhile, the team from Chennai, with the help of BGS Global, approached the Assistant Commissioner of Bangalore Police to facilitate the Green Corridor and priority security check at the airport.

Two ambulances, one with the heart and the other with the team, left BGS at 2.30 pm and reached the airport in less than 40 minutes, covering a distance of 42 kms. Their Air India flight took off at 3.30 from Bangalore and arrived at Chennai at 4.30 pm. The heart reached Fortis Malar Hospital at a record time of just 7 minutes.

48MIN

THE TEAM THAT MAKES US PROUD

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Dr. K. R. Balakrishnan, MS, MCh (CTVS) Director - Cardiac Sciences and Chief Consultant Cardiothoracic Surgeon

Dr. K. R. Balakrishnan is a distinguished Cardiothoracic Surgeon with over 30 years of experience in performing complex cardiothoracic and vascular surgeries. He is an acknowledged expert in Heart and Lung Transplantation in the subcontinent. Dr. K. R. Balakrishnan has extensive expertise in treating complex congenital heart diseases like switches in infancy, TAPVR and common AV Canal. He also specialises in the use of Homograft Conduits and repair of Hypoplastic Left Heart Syndrome. But that’s not all, he is also an expert in Valvular Heart Procedures like Valve Repair and Replacement, Aortic Root Displacement and the Ross procedure.

Dr. Suresh Rao K. G., MD, DMHOD - Cardiac Anaesthesiologist and Critical Care Specialist

Dr. Suresh Rao is a renowned Cardiac Anaesthesiologist with over 20 years of experience. He has played a vital role in Cardiac Surgery and Interventional Cardiology programmes. He is a member of various reputed cardiac units across India and abroad. Hence, his pro�ciency in handling complex cardiac surgeries such as Heart Transplantation, LVAD Implant, Heart Tumour removal, and Paediatric Cardiac Surgeries is excellent. With a special interest in Heart Transplantation and LVAD Implantation, he has also undergone intensive training at Bogenhausen Hospital, Germany, in their heart transplant unit.

www.fortisheartfailurecentre.com

Dr. S. K. Chowdhury, MS, MCh (CTVS), FIACSSenior Consultant Cardiothoracic Surgeon

Dr. S. K. Chowdhury is a well-known Cardiothoracic Surgeon with over 17 years of experience in performing a wide range of cardiothoracic and vascular surgeries. He specialises in managing advanced heart failure cases and minimally invasive cardiac surgeries. With a penchant to mentor young medical talents, he has also been actively involved in teaching for over 8 years.

Dr. Srinath Vijayashekaran, MS, DNB (Cardiothoracic Surgery)Consultant Cardiothoracic Surgeon

Dr. Srinath is an eminent Cardiothoracic Surgeon with over 11 years of experience in performing complex cardiothoracic and vascular surgeries. An expert in adult cardiac surgeries, he is experienced in handling cases that involve high risk due to preoperative low LVEF, Ischemic MR, Left Ventricular Aneurysm and Ventricular Septal Rupture or Unstable Angina with Haemodynamic Instability. He is also well-trained and experienced in performing a range of congenital cardiac surgeries.

Dr. G. Om Prakasham, MS, MCh, FACSConsultant Cardiothoracic and Vascular Surgeon

Dr. G. Om Prakasham is an eminent cardiothoracic surgeon with the experience of over 10 years in performing cardiothoracic and vascular surgeries in both adult as well as the paediatric age groups. He specialises in Coronary, Valvular and GUCH (Grown Up Congenital Heart) Surgery. His area of expertise also covers Heart Failure Management, Mechanical Assist Devices and Heart Transplantation.

Dr. Sanjiv Agrawal, MD, DMSenior Consultant Interventional Cardiologist

Dr. Sanjiv Agrawal is an eminent Interventional Cardiologist with extensive experience in performing both elective and primary Percutaneous Coronary Intervention (PCI) to manage single and multivessel CADs. Having worked at various reputed healthcare institutions across the globe and with accomplished Interventional Cardiologists for over 20 years, he is very pro�cient in managing acute cardiac emergencies .

Dr. S. K. Chowdhury, MS, MCh (CTVS), FIACSSenior Consultant Cardiothoracic Surgeon

Dr. S. K. Chowdhury is a well-known Cardiothoracic Surgeon with over 17 years of experience in performing a wide range of cardiothoracic and vascular surgeries. He specialises in managing advanced heart failure cases and minimally invasive cardiac surgeries. With a penchant to mentor young medical talents, he has also been actively involved in teaching for over 8 years.

www.fortisheartfailurecentre.com

Dr. Madan Mohan B, MD, DMSenior Consultant Interventional Cardiologist

Dr. Madan Mohan is a well-know Interventional Cardiologist with years of experience in performing interventional cardiology procedures such as primary and elective PCIs through both transfemoral and transradial routes. With a special interest in Heart Failure Management, he has undergone extensive training in using Left Ventricular Assist Device (LVAD) as destination therapy. He was also a part of the team that started regular ECMO and LVAD for Heart Failure in Chennai.

Dr. R. Ravikumar, MD, DM, FESC, FSCAI (USA) Senior Consultant Interventional Cardiologist

Dr. Ravikumar is a well-known Interventional Cardiologist with an experience of over 20 years in performing interventional cardiology procedures such as primary and elective Percutaneous Coronary Interventions (PCIs), Second Generation Stents and Valvuloplasties to name a few. With a the special interest in End-stage Heart Failure Management, he has undergone special training and has obtained a fellowship in Heart Failure from European Society of Cardiology.

Dr. V. K. Swamy, MBBS, DCH, CCT (UK), MRCPCH, FRCPCHConsultant Paediatric Cardiologist

Dr. V. K. Swamy is an eminent Paediatric Cardiologist with an experience of over 13 years in paediatric care including over 7 years in the �eld of Paediatric Cardiology. Having worked at several reputed healthcare institutions in their paediatric cardiac care units in UK for over 12 years, he specialises in paediatric cardiac surgeries and managing paediatric heart problems. He was also one of the �rst few trainees in UK who underwent training as a PEC (Pediatrician with a special interest in cardiology).

Dr. Arul Narayanan Consultant Paediatric Interventional Cardiologist

Dr. Arul Narayanan is well-known for Paediatric Intensive Care and Paediatric Cardiology with over 11 years of experience from the United Kingdom performing highly skilled congenital cardiac interventions like ASD, PDA, VSD device closures, Ballooning of Pulmonary, Aortic valve, Stenotic Pulmonary artery, Coarctation of aorta and stenting of Pulmonary, Aorta etc.

www.fortisheartfailurecentre.com