Welcome to our Cardiac specialist Center in Globals Hospital Gwalior

Intensive Care Units

ICCU

We have an Intensive coronary care unit located on the ground floor next to the emergency department. The unit is fully equipped with all facilities to address a range of needs of critically ill cardiac patients. Our nursing staff has many years of experience working in the cardiac ICUs and provides close supervision with the help of a central monitoring system with a 1:1 nursing ratio for ventilated and critically ill patients while a 1:2 ratio for other patients. We have reliable, sophisticated high-tech equipment such as multichannel monitors, defibrillator, ventilators, IABP system pumps, etc. capable of providing care to all complex patient needs dealing with cases such as heart attack, heart failure, acute coronary syndrome and all kinds of emergency cardiac situations.

RECOVERY ROOM

The recovery room is a specialized intensive cardiac care unit wherein patients from who undergo cardiac surgery (CABG, open-heart surgery, Valvular heart surgery like mitral valve repair and replacement, AVR, DVR, etc.) and those who’ve undergone interventional cardiac procedures from cathlab (ASD, VSD device closure) are managed postoperatively and continuously monitored, until they are stable enough to be shifted out towards. Patients regain consciousness under the supervision of nurses working closely with anesthetists in a safe environment. The length of time spent inside the ICU depends upon the type of surgery performed and the condition of the individual patient. The ICU has strict infection control protocols and visitors are not allowed inside the ICU for patient safety reasons. However, attendants are counseled after surgery, kept informed about the current state of the patient, and their loved one is shown to them through glass windows without allowing any of the visitors inside. We are committed to giving quality care to our patients in an environment marked by deep empathy.

Cardiac Diagnostics

ECG (Electrocardiogram)

ECG is an electronic heart rate monitoring test. Every beat passes through the heart with electrical impulses (or waves). The muscle is compressed and blood is drained from the heart by this action. Electrodes on the neck, wrists, and ankles to perform an ECG are mounted and registered. An ECG indicates what is happening in various areas of the heart and can cause an abnormality or prior damage.

Stress test

Stress test tests the ability of the heart in a regulated clinical environment to respond to external pressure. Whether exercise (treadmill) or intravenous injection (dobutamine) contributes to stress reaction. As your body is working harder, it needs oxygen, so the heart needs to pump additional blood. The test shows if blood source in cardiac arteries (coronary arteries) is reduced).
MT (Treadmill test) – TThis is the stress test typically includes walking on a taper, thus ECG monitoring of your cardiac rhythm, blood pressure, and respiration. The treadmill is rising in speed and tilt throughout the experiment. The results show how well the pressure of different exercise rates is influenced by your brain.
DSE (Dobutamine Stress Echo) - The echo of pressure is an ultrasound and exercise test mix. Dobutamine is a drug given to put the heart under similar pressure as with exercise and then ECHO is performed. This helps cardiologists determine the state of your heart muscle and the arteries that supply the muscle.

Holter

Holter - A lightweight, handheld wearable monitor is a Holter monitor that continually tracks heart electricity for 24 to 48 hours or more. It can detect abnormalities in heart rhythm that an electrocardiogram cannot detect. Ambulatory Blood Pressure Monitor Ambulatory monitor for blood pressure is a mobile device that monitors blood pressure. It is used for measuring blood pressure during a 24-hour cycle at specified times. A one-time assessment of blood pressure is often inadequate to check whether blood pressure is too high or too low. You can be referred for ambulatory blood pressure screening if your doctor believes you have hypertension or other issues with blood pressure.

ECHO and Color Doppler

An ECHO (echocardiogram) is an imaging technique that uses ultrasound waves to generate the heart images, also known as a transthoracic echocardiogram (TTE). The heart and blood supply are tested in a diagnostic test, which decides how deep the heart is and how well the valves function. An ultrasound device is mounted on the patient's head, which is used to produce heart images with high-frequency sound waves. Blood flow level and direction are measured by Doppler technology.

Trans-esophageal Echo

In this test, sound waves are used to create pictures of the heart muscle, chambers, valves as well as blood vessels. This test gives more details than a standard echocardiogram can give. In this test, the echo transducer is attached to a thin tube that is passed through the mouth, down the throat, and into the esophagus.

Peripheral Vascular Imaging

Imaging of peripheral blood vessels using ECHO and color Doppler is done to diagnose Peripheral vascular disease (PVD), or atherosclerosis of peripheral blood vessels.

Cardiac Catheterization Lab

Cardiac catheterization lab, simply known as Cath lab, is where cardiologists perform diagnostic procedures (such as angiography and electrophysiology studies) and therapeutic interventions to treat many types of heart conditions.

Coronary Angiography

Gold Standard Examination for Coronary Artery Disease Diagnosis is coronary angiography. It is safe, effective, time-efficient and extremely reliable. A special dye (contrast) and X-rays are used to track how blood travels through your heart's arteries. The treatment takes 30 to 60 minutes most of the time. In other arteries like the renal artery, the same technique is used to assess blockages).

Electrophysiology Studies (EPS)

In the trials of Electrophysiology (EPS), patients with irregular heartbeats (called arrhythmias) are observed by using cardiac catheterization techniques. EPS shows how the heart responds to electrical guided signals. Such signs will allow cardiologists to figure out where the arrhythmia starts in the heart and what drugs can prevent it. EPS can also help doctors know how to stop arrhythmias using other catheter techniques.

Angioplasty (including PAMI)

An Angioplasty is a procedure used with a balloon catheter to dilate a narrowed coronary artery. The groin is inserted into a small tube (catheter), which then passes into the heart and coronary arteries. Then the catheter removes a balloon. In the blood vessel, the balloon is inflated to flatten any plaque blocking it and increasing the blood flow. After the blockage by dilation of the balloon is removed, most patients should receive a stent immediately. Stents are thin, metal mesh cylinders that are supplied and extended in the artery to the blockage spot. Stents act as fabric for keeping the artery open, allowing blood to flow freely, thus healing with a normal diameter. Elective angioplasty is conducted in patients without heart attacks but with blockages that are sufficiently severe to warrant an intervention procedure. Primary angioplasty (PAMI) is used in patients with an acute myocardial infarction (a heart attack) is the most important condition).

Rotablation

Sometimes, when the plaque (buildup of fat, cholesterol in the artery's inner lining) is particularly hard, or so narrow that the balloon can’t pass through it during angioplasty, rotablation may be used. A special catheter (a thin tube) is inserted along the wire with a tiny drill at its tip. This drill is used to grind away the plaque to gradually widen the narrowing in the artery. Once this is done, a balloon can be inserted and the angioplasty proceeds as usual.

FFR Guided PCI

FFR is a direct wire-based technique, which can accurately calculate blood and blood pressure through a portion of a coronary artery. FFR (Fractional Flow Reserve). At the time of coronary angiography, FFR is made through a regular diagnostic catheter. The fractional flow reservation calculation is useful in determining whether or not angioplasticity is carried out on certain blockages.

CRT/ CRT-D (Cardiac Resynchronization Therapy)

Two kinds of CRT devices are available. One form of pacemaker is different. The other system is the same, but also contains the built-in implantable cardioverter-defibrillator (ICD). It's known as a cardiac resynchronized pacemaker. The type is called a defibrillator (CRT-D) heart resynchronization therapy. Although CRT-P is a standard pacemaker to treat sluggish rhythms, it also provides small electrical impulses to the left and right ventricles so that the pumps contract more efficiently. A CRT-D is a special tool for patients with heart failure who are at high risk of sudden heart death. A CRT-D can treat heart rhythms dangerously fast (arrhythmias), which can result in sudden heart arrest. If the machine detects extremely rapid heartbeats, then it gives the heart a shock. This shock prevents erratic rhythm (defibrillation). The dangerously fast rhythm could cause death in minutes without this life-saving therapy. CRT systems have a battery that wears out over time. The battery can not be replaced if it is permanently installed inside the unit. So the whole machine should be replaced if the battery is running out. The battery life depends on the settings your doctor programs and how much therapy you receive.

ICD & Pacemaker Implantation

ICD

Arrhythmias were caused by problems with the electrical system of the heart that are abnormal heart rates and rhythm. ICD is the tool that can fix these life-threatening arrhythms and is an implantable cardioverter-defibrillator. It can perform cardioversion, defibrillation, and pacing of the heart. It is entrenched below the skin on the chest.

Pacemaker

The heart rate and rhythm are regulated and recorded. A pacemaker's primary purpose is to ensure the heart rhythm is not slowed down. It is implanted under the skin on the chest.

Balloon Valvotomy

In this procedure, A small catheter in the groin or arm is inserted into the heart by an artery. Once the tube enters the enclosed cardiac valve, a balloon on the catheter end is inflated which causes the valve to expand.

PDA, ASD, VSD Closures

PDA (Patent Ductus Arteriosus), ASD (Atrial Septal Defect) and VSD (Ventricular Septal Defect) are congenital birth defects of the heart. All of these defects require blood to flow after the left side of the heart on the left side of the heart. The majority of these defects can be corrected in a cath lab without needing open-heart surgery.

Electrophysiology Studies

Electrophysiology studies are minimally invasive procedures used for diagnostic study whichtests the Heart electrical system conduction. For people with cardiovascular diseases, it is recommended (arrhythmias).

Pacemaker

The heart rate and rhythm are regulated and recorded. A pacemaker's primary purpose is to ensure the heart rhythm is not slowed down. It is implanted under the skin on the chest.

Cardiac Operation Theatre

Globals Hospital is a pioneer in cardiac operation theatre set up which was established in 1990. Our cardiac set up includes two dedicated operating rooms with modern equipment which includes Laminar flow with HEPA filter, Drager – Fabius plus anesthesia machine, Philips MP 70 anesthesia invasive monitor along with two indigenous Heart-lung machines, two latest Datascope intra-aortic balloon pumps, etc. Globals Hospital has performed all types of cardiac surgeries including pediatric cardiac surgeries.

Types of surgeries done at NMWIC

• CABG (Bypass) : Heart's electric drive system. Coronary artery bypass operation sometimes called coronary bypass operations or bypass operations, is a procedure to restore normal blood flow to an obstructed coronary artery. It is recommended for people with coronary rhythmic issues. A healthy blood flow is taken from the hip, arm or neck and extended beyond the blocked arteries of the heart. , thereby creating a bypass for improved blood flow. It is a major open-heart surgery indicated in patients with more than one diseased coronary artery.
• Valve Repair & Replacement : Diseased and narrowed heart valve which cannot be repaired/ replaced in the cath lab can be repaired in Project open-heart. In this project, a large chest incision has been made, so that the surgeon is able to repair the valve(s) and remove the heart.
• Vascular surgery : These are the surgeries performed on diseased blood vessels of the peripheries. Examples - Peripheral bypass, embolectomies, carotid endarteriotomies for prevention of strokes, etc.