Emphasis is of use of new diagnostics tools leads more specific & best possible cardiac treatment .
Cardiologist in India emphasis is on use of new diagnostic tools in conjunction with the physical examination. Hospitals in India has an international reputation in all aspects of diagnosis and treatment; of patients of all age groups with heart problems from fetal life, through infancy and childhood to adolescence and adulthood.
Hospitals in India for cardiology well equipped with Diagnostics tools such as " Cardiac cauterizations " Echocardiography " Electrocardiography Sophisticated nuclear techniques are used to monitor blood flow to the heart. Nuclear studies performed after exercise or chemical stress continue to be an expanding area of diagnosis.
Nuclear Cardiology in India :
The Nuclear Cardiology Laboratory evaluates cardiac blood flow and function through the use of small amounts of radioactive materials. Nuclear cardiology can help identify patients who might benefit from angioplasty or bypass surgery after a heart attack. Images of the heart provided by special cameras detect the presence and function severity of heart disease, especially coronary artery disease. Many nuclear imaging procedures are performed in conjunction with exercise or pharmacological stress testing.
Electrophysiology:
The Electrophysiology Laboratory studies the electrical system of the heart by examining disturbances of heart rhythm under controlled circumstances, using small catheters that are inserted through blood vessels into the heart.
Echocardiography:
The Echocardiography Laboratory offers a variety of noninvasive ultrasound and sonogram techniques to image cardiac structures and function, including blood-flow through cardiac chambers. An echocardiogram can help diagnose heart valve problems and determine their severity. Echo techniques provide information about conditions such as heart muscle contraction, valve motion, blood clots in heart chambers, and scar tissue from heart attacks.
Myocardial contrast echocardiography is a quick and convenient diagnostic tool using microbubbles and ultrasound to measure blood flow to the heart muscle. It can detect coronary artery disease in its earliest stages, as well as assess the presence or healthy tissue in congestive heart failure and evaluate various techniques used in bypass surgery
EECP (Enhanced External Counterpulsation)
EECP is a noninvasive mechanical method to deliver extra blood to the heart. This method can help to reduce or eliminate angina -- chest pains caused by coronary artery disease and has been approved for use in patients with congestive heart failure. EECP uses compressed air to inflate three sets of cuffs that wrapped around the patient's calves, lower thighs and upper thighs while they lie on the treatment table. The cuffs are inflated in a sequence. Treatment sessions are for one hour, five days per week for seven weeks, on average.
Blood Tests:
Blood tests measure different components in your bloodstream to show your healthcare provider how healthy your blood and heart are.
o C-Reactive Protein Test : can help predict cardiovascular risk over and above that of major risk factors. An hs-CRP of more than .20mg/dL predicts high risk for stroke and heart attack. C-reative protein is a substance in the blood that occurs when inflammation occurs. Physicians have found that atherosclerosis (fatty buildup in artery walls) also produces an inflammatory process, so it registers on this test. o Lipid Profile measures your LDL (bad) and HDL (good) cholesterol and triglycerides. o Blood sugar (glucose) detects the presence of diabetes and glucose intolerance (pre-diabetic). Both are significant heart and vascular disease risks. o Complete blood count, thyroid studies, arterial blood gases, and other tests help diagnose other conditions that may be the cause of your symptoms.
Angiography:
Angiography involves inserting a long, thin tube (catheter) through your arm or leg artery to your heart. A dye is then sent through the catheter into your coronary arteries. An angiogram can show the movement of the dye through your heart and blood vessels, showing the exact location and severity of any blockages.
Multi-detector CT calcium scoring:
Also known as calcium screening or a calcium-scoring scan, this test is used to detect calcium deposits found in atherosclerotic plaque in the coronary arteries. The more coronary calcium means more coronary atherosclerosis, or the greater amount of plaque buildup within vessels in the coronary system. In large patient groups, patients with very high calcium scores have more frequent cardiovascular events, including heart attack. However, this test is not absolute in predicting an individual's risk for cardiovascular disease problems.
Cardiac MRI :
Cardiac MRI evaluates the anatomy and function of chest structures, including the heart, lungs, major vessels, and pericardium (the outside lining of the heart). MRI uses large magnets and radio-frequency waves to produce pictures of these structures, such as the heart; no X-ray exposure is involved. This technology gathers information about the heart as it is beating, creating moving images of the heart throughout its pumping cycle. It can be used to measure heart size and function, localize heart damage from a heart attack, and look for areas that are not receiving adequate blood flow.
Vascular:
The Vascular Laboratory tests determine the adequacy of blood flow in arteries and veins throughout the body. Ultrasound and pressure measurements are used to identify blockages and reduced flow, and to assist in the diagnosis of peripheral vascular, abdominal and carotid artery disease (referred to as carotid intimal medial thickness study).
Vascular Reactivity Study (referred to as brachial artery reactivity) :
This test uses a blood pressure cuff to measure your blood vessels' ability to dilate after the blood flow is stopped for five minutes. The diameter of a healthy blood vessel is able to expand 25 percent above baseline, but blood vessels with fatty buildup may not expand at all.
All these diagnostics tools in India are more advanced and make ease to the Cardiologist to gets right diagnosis leads to specific cardiac treatment. with high success rate .