Joint Commission International
(JCI) Accredited Hospital

Heart Centre

The Heart Centre at Apollo Bramwell Hospital is one of the most advanced in the region and offers seamless, integrated, complete cardiac care ranging from comprehensive preventive checks to major interventional surgeries.

Since cardiac problems cannot be treated in isolation, we use a multi-disciplinary approach that monitors the patient in every aspect before proceeding with a method of treatment. At the Heart Centre, you will have access to the latest diagnostic tools all under one roof, while the impeccable record of our well trained staff ensures that you are in the safest hands possible.

Our Heart Centre is equipped with the latest innovations in cardiology that aid in accurate diagnosis and treatment planning. It houses advanced technology such as a 64-slice dual source CT scanner, a flat-panel cardiac catheterization lab (Cath Lab), a 3-D eco-cardiography, and a 1.5 T MRI.

The combination of our state-of-the-art technology, expert cardiologists and cardiovascular surgeons enables us to provide broad treatment options, including recommendations for lifestyle modification.

At the Apollo Bramwell Heart Centre, we provide an array of heart related services – the Best Practice Service – across a Continuum of Care. Continuum implies that there is no break or gap in available service.

At the Heart Centre we provide the following:

  • Preventive Health Services (promoting good health). Please read more on our Design A Lifestyle programmes.
  • Screening and Assessments (investigations). Our Cardiac Screening packages start as from Rs 4000 only.
  • Diagnostics (confirming the severity of a problem)
  • Services (treating the problem)
  • Surgeries (treating a very serious problem)
  • Rehabilitation (making sure the recovery is complete)
  • Maintenance (making sure the problem doesn’t reoccur)

Our Heart Centre is an example of a Continuum of Care that extends across nine (9) distinct Centres of Excellence at Apollo Bramwell Hospital.

Invasive cardiology procedures offered at ABH:

Coronary Angiography

Is used to visualize blood flow in the coronary arteries. A long thin tube called a catheter is inserted in an artery in the groin area or forearm , up to the heart and into the coronary artery. An X ray dye is injected through the tube and the blood flow is examined on an X Ray monitor.

When is it needed: If a patient has symptoms of Coronary Heart Disease such as chest pain or if the screening test reveal that there are some abnormalities.

Coronary Angioplasty

Is a procedure to remove any obstruction or blockages caused by plaque or “ fatty streaks” which will help improve blood flow to the heart muscle. Before the angioplasty the doctor will know exactly which arteries are blocked using angiography. During the angioplasty a thin tube with a balloon on its tip ( a balloon catheter) is inserted in the blocked/narrowed artery through the groin or forearm. The balloon is then inflated to compress the plaque against the inner artery wall. In most cases, a small mesh tube called a stent is placed in the artery to keep it open. The stent is wrapped around the deflated balloon catheter before it is inserted in the blocked artery. The stents are coated with medicine to ensure that the artery is not blocked again.

When is it needed: If a person does an angiography and it reveals that there are blocked arteries

Fractional Flow Reserve (FFR)

Is a technique used to measure the extent to which the arteries are blocked. This test is performed by placing a wire in the affected artery and has a pressure transducer on the tip. After administering a medicine (adenosine) to dilate and increase the blood flow to the heart, pressures are measured in the normal part of the artery and in the section of the artery where there is a blockage. A ratio is then calculated and if it falls below 0.75 then there is very high likelihood that the blockage can lead to ischemia. If the ratio is greater than 0.8 then optimal medical therapy is used instead of Coronary angioplasty.

When is it needed:  When the angiography reveals that patients have blocked arteries, FFR is used to check how badly the artery is blocked.

Pacemaker insertion

A healthy heart has its own pacemaker. Some hearts don’t beat regularly and a pacemaker is used to regulate this problem. A pacemaker sends electrical impulses to the heart to maintain a suitable heart rate and rhythm. The lead(s) and the pacemaker is inserted through the incision and into the vein then guided to the heart with the aid of the fluoroscopy machine.

Who needs it: Individuals who experience episodes of dizziness and loss of consciousness.

Cardiac Surgeries offered at Apollo Bramwell Hospital

CABG (Coronary Artery Bypass Grafting)

CABG is a type of surgery which improves blood flow to the heart. During CABG, a healthy artery or vein from the body is connected, or grafted, to the blocked coronary artery. The grafted artery or vein bypasses (that is, goes around) the blocked portion of the coronary artery. This creates a new path for oxygen-rich blood to flow to the heart muscle. Surgeons can bypass multiple coronary arteries during one surgery.

Who needs it: Patients with multiple blockages in the blood vessels which supply blood to the heart.

Heart Valve Surgery

Heart valve surgery is used to repair or replace diseased heart valves. Blood that flows between different chambers of your heart must flow through a heart valve. During heart valve surgery, one or more valves are repaired or replaced. Repair means that the valve is mended, while replacement means the diseased valve is removed and a new valve is inserted in its place.

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Doctors

Dr. Mahesh Krishna KUMAR

SENIOR CONSULTANT INTERVENTIONAL CARDIOLOGY


Dr. Teeluck Kumar GUNESS

VISITING CONSULTANT CARDIOTHORACIC SURGERY