low cost heart failure surgery in india

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Heart Failure Treatment in India

Heart Failure (HF) - a condition in which a weakened heart can’t pump enough blood throughout the body. This leads to reduced quality of life, frequent hospitalization and high mortality. Although Heart Failure, like other heart ailments, has been acquiring epidemic proportions in India in the recent past, it has not received adequate public attention.

Heart Failure usually can’t be cured, but thanks to advances in technology and drug discovery, it can be effectively managed and patients’ quality of life is improved. Coupled with appropriate lifestyle changes, the inexorable progression of the disease can even be arrested. Hence the importance of early diagnosis and treatment.

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What is Heart Failure ?

Heart Failure does not mean that heart has stopped working or is about to stop working. Heart Failure is a condition in which the heart becomes so weak that it has trouble pumping a normal amount of blood carrying enough oxygen and nutrients to meet the body's needs. While the word ‘failure’ sounds alarming as it implies that the heart has suddenly stopped working, the medical term actually describes a chronic syndrome that typically develops slowly.

By itself, Heart Failure is not a disease. Heart Failure develops either as a result of damage to the heart muscle (caused by coronary artery disease, infection or toxic exposure to chemicals such as alcohol and drugs) or when too much strain is placed on the heart because of years of untreated high blood pressure or an abnormal heart valve.

The longer the heart must overwork to compensate for its shortcomings, the more its pumping ability is impaired. The failing pump causes blood and fluid to back up throughout the circulatory system - the lungs, legs, feet and ankles - and the kidneys retain excess water and sodium. Heart Failure is also known as Congestive Heart Failure because of such fluid buildup.





Signs and Symptoms of Heart Failure

In the early stages, Heart Failure may not have any symptoms. In the later stages, the patient may have severe symptoms because the weakened heart is unable to pump enough oxygen-rich blood with each contraction to satisfy the body.

The most common symptoms are -1. Difficulty in Breathing - Fluid back up into and around the lungs can cause shortness of breath with exercise or difficulty in breathing at rest. Some people with Heart Failure must prop

themselves up with extra pillows to breathe more easily.2. Chronic Cough - The build-up of fluid in the lungs causes the lungs to work harder. Patients may have a persistent cough or wheezing (a whistling sound in the lungs, or labored

breathing).3. Edema - Less blood to the kidneys causes fluid and water retention, resulting in swollen ankles, legs and abdomen and weight gain. Symptoms may cause an increased need to urinate during

the night.4. Loss of Appetite - Bloating in the abdomen may result in loss of appetite or nausea. Patients have

the feeling of being “full,” even when they have not eaten for a long time. Their abdomen may become swollen or distended.

5. Fatigue - Less blood to major organs and muscles makes one feel tired and weak. Patients find even walking difficult.





What are Types of Heart Failure ? Left-Sided Heart Failure - In left-sided or left ventricular (LV) heart failure, the left side

of the heart must work harder to pump the same amount of blood. There are two types of left-sided heart failure. Drug treatments are different for the two types.• Systolic failure: The left ventricle loses its ability to contract normally. The heart

can't pump with enough force to push enough blood into circulation.• Diastolic failure or dysfunction: The left ventricle loses its ability to relax normally

(because the muscle has become stiff). The heart can't properly fill with blood during the resting period between each beat.

Right-Sided Heart Failure - Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side. When the right side loses pumping power, blood backs up in the body's veins.

Congestive Heart Failure - Congestive heart failure is a type of heart failure which requires seeking timely medical attention, although sometimes the two terms are used interchangeably. A test called the ejection fraction (EF) is used to measure how well your heart pumps with each beat to determine if systolic dysfunction or heart failure with preserved left ventricular function are present.





Diagnosis for Heart Failure

There is no single test that can diagnose Heart Failure. The patient may have to go some of the following tests –

1. EKG (Electrocardiogram) - This test is used to measure the heart’s electrical activity. It may show if the patient has had a heart attack or if there is thickening of

the walls in the heart’s pumping chambers (ventricles) or if the heart rhythms are abnormal.

2. Chest X-ray - A chest X-ray shows if the heart is enlarged or if there is fluid in the lungs, or any lung disease.

3. BNP Blood Test - This test checks the level of a hormone called BNP (B-type natriuretic peptide) that rises in Heart Failure.





4. Thyroid Function Tests - These tests reveal whether an overactive or an under -active thyroid is responsible for Heart Failure.

5. Echocardiogram - Echocardiogram enables the doctor to evaluate the size, thickness and pumping action of the heart, as well as evaluate how well the heart valves are functioning. A stress echocardiogram may also be useful in assessing how well the heart is functioning at rest and during exercise.

6. Coronary Angiography - This test, usually performed along with cardiac catheterization, helps the doctor see the flow of blood to the heart muscle.

7. Magnetic Resonance Imaging (MRI) - MRI shows detailed images of the structures and beating of the heart, enabling the doctor to assess if parts of the

heart are weak or damaged.





Surgical Treatment Options for Heart Failure in India

Surgery is aimed at stopping further damage to the heart and improving its function. Procedures include –

1. Heart Pumps - These mechanical devices, called left ventricular assist devices (LVADs), are implanted into the abdomen and attached to a weakened heart to

help it pump blood throughout the body. Implanted heart pumps can significantly extend and improve the lives of some people with end-stage Heart Failure who are waiting for a new heart or who aren't qualified for a heart transplant.

2. Pacemakers & ICDs - Implanted devices can control arrhythmias (abnormal heart rhythms) that may result from Heart Failure. Devices include pacemakers to treat a

too-slow heart rate and implantable cardioverter defibrillators (ICDs) to stop a too-rapid heart rate that could be life threatening. Sometimes a biventricular pacemaker is combined with an ICD for people with severe Heart Failure.





3. Coronary Artery Bypass Grafting Surgery - The most common surgery for Heart Failure is bypass surgery, if Heart Failure is caused by coronary artery disease and there are blockages that can be "grafted" or bypassed.

4. Coronary Stenting - This refers to the insertion of a wire mesh metal tube called a

stent into a clogged vessel to help keep it open. This usually occurs in conjunction with balloon angioplasty. Balloon angioplasty is a catheter-based procedure in which plaque is pressed back against artery walls to make more room for blood to flow through the artery.

5. Heart Valve Surgery - Diseased heart valves can be treated both surgically (traditional heart valve surgery) and non-surgically (balloon valvuloplasty).





6. Cardiac Resynchronization - Cardiac resynchronization is designed to correct a condition called ventricular dysynchrony in which the two lower chambers of the heart (known as the left and right ventricles) do not beat at the same time. The surgery helps the two sides of the heart beat together again and improve the heart’s efficiency. In this procedure, a biventricular pacemaker is implanted to coordinate, or synchronize, muscle contractions in the ventricles.

7. Heart Transplant - A heart transplant is considered when Heart Failure is so severe that it does not respond to all other therapies. Heart transplants have

dramatically improved the survival and quality of life of people with severe Heart Failure. But the availability of a donor heart is a big problem.





FAQ - Heart Failure Treatment in India

What are Other Treatment Options for Heart Failure?

Severe heart failure may require the following treatments when other therapies no longer work. They are often used when a person is waiting for a heart transplant: Intra-aortic balloon pump (IABP) Left ventricular assist device (LVAD)

How will I get Best Heart Failure Surgery And Treatment In India?

To get the best Heart Failure Surgery and Treatment in India, all one has to do is send us his/her medical reports and with the help of our network of best surgeons, we will find the best facility for you.

Is Heart Failure Surgery in India more successful?

The cardiac surgeons in India are renowned around the world for excellent skills and extensive knowledge. Many people from around the world visit India every year for best Heart Failure Surgery.





What is a pacemaker and how does it work?

A pacemaker is a small device placed in the chest or abdomen to help control abnormal heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate. It helps monitor and control the heartbeat. The electrodes detect your heart's electrical activity and send data through the wires to the computer in the generator.

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