Medical Evaluation in IndiaYour doctors will talk with you about : -
- The kind of heart problem you have, the symptoms it's causing, and how long you have had symptoms
- Your history and past treatment for heart problems, including surgeries, procedures, and medicines
- Your family's history of heart problems
- Your history of other health problems and conditions, such as diabetes or high blood pressure
- Your age and general health
The doctors also may do blood tests, such as a complete blood count, a cholesterol test, and other tests as needed.
Diagnostic Tests in India
Medical tests are done to find out more about your heart problem and your general health. This helps your doctors decide whether you need heart surgery, what type of surgery you need, and when to do it.
EKG (Electrocardiogram) : -
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An EKG is a simple and painless test that records the electrical activity of your heart. This test is used to help detect and locate the source of heart problems. A technician attaches sticky patches, called electrodes, to the skin of your chest, arms, and legs. The electrodes are attached with wires to a machine that records your heart's electrical signals.An EKG shows how fast your heart is beating and whether its rhythm is steady or irregular. It also shows where in your heart the electrical activity starts, and whether it's traveling through your heart in a normal way. Stress Test : -
Some heart problems are easier to diagnose when your heart is working harder and beating faster than when it's at rest. During stress testing, you exercise (or are given medicine if you're unable to exercise) to make your heart work hard and beat fast. During the stress test, your blood pressure is checked and an EKG is done. Other heart tests also may be performed. Echocardiography : -
Echocardiography is a painless, noninvasive test. "Noninvasive
" means that no surgery is done and no instruments are inserted into your body.
This test uses sound waves to create a moving picture of your heart. Echocardiography provides information about the size and shape of your heart and how well your heart chambers and valves are working. The test also can show areas of poor blood flow to your heart, areas of heart muscle that aren't contracting normally, and previous injury to your heart muscle caused by poor blood flow. Coronary Angiography : -
Coronary angiography (an-jee-OG-ra-fee) uses a special dye to show the insides of your coronary arteries on x-ray pictures. An angiogram shows the location and severity of blockages in blood vessels. To get the dye to your coronary arteries, a procedure called cardiac catheterization is used. Cardiologists usually do cardiac catheterizations in a hospital. You're awake during the procedure, and it usually causes little to no pain.
During this procedure, a catheter (a thin, flexible tube) is passed through an artery in your leg or arm and threaded to your heart. The dye is injected into your bloodstream through the tip of the catheter. Aortogram : -
An aortogram is an angiogram of the aorta. The aorta is the main artery that carries blood from your heart to your body. An aortogram may show the location and size of an aortic aneurysm and the arteries that are involved. Chest X Ray : -
A chest x ray provides a picture of the organs and structures inside your chest, including the heart, lungs, and blood vessels. This test gives your doctor information about the size and shape of your heart. A chest x ray also shows the position and shape of the large arteries around your heart.
Cardiac Computed Tomography Scan : -
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A cardiac computed tomography (CT) scan provides computer-generated, x-ray images of your internal organs. A liquid dye that can be seen on an x ray is injected into a vein in your arm. The dye outlines arteries and veins in your heart on the CT scan. A cardiac CT scan can show whether plaque is narrowing your coronary arteries or whether you have an aneurysm. A CT scan also can find problems with heart function and heart valves. Cardiac Magnetic Resonance Imaging : -
Cardiac magnetic resonance imaging (MRI) is a safe and noninvasive test that uses magnets and radio waves to create images of the inside of your body. Cardiac MRI uses a computer to create images of your heart as it's beating. The computer makes both still and moving pictures of your heart and major blood vessels.
Cardiac MRI shows the structure and function of your heart. This test is very accurate at finding aneurysms and determining their size and exact location. - : Key Points : -
- Heart surgery is done to correct problems with the heart. More than half a million heart surgeries are done each year in the United States for a variety of heart problems.
- The most common type of heart surgery in adults is coronary artery bypass grafting (CABG). During CABG, surgeons use healthy arteries or veins taken from another part of the body to bypass (that is, go around) blocked arteries.
- Heart surgery also is done to repair or replace valves that control blood flow through the heart, repair structures in the heart, implant devices to regulate heart rhythms, or replace a damaged heart with a healthy heart from a donor
- Traditional open-heart surgery is done by opening the chest wall to operate on the heart. The patient is connected to a heart-lung bypass machine. This machine takes over the pumping action of the heart, makes sure the blood gets enough oxygen, and allows surgeons to operate on a still heart.
- In recent years, new ways of doing heart surgery have been developed. One new way is off-pump, or beating heart, surgery. This is like traditional open-heart surgery, but it doesn't use a heart-lung bypass machine. Minimally invasive heart surgery uses smaller incisions (cuts) than traditional open-heart surgery. Some types of minimally invasive heart surgery use a heart-lung bypass machine and others don't.
- Studies are under way to compare new types of heart surgery to traditional heart surgery.
- Different types of heart surgery are used to fix different heart problems. Heart surgery is used to bypass blocked arteries, repair or replace heart valves, treat arrhythmias (irregular heartbeats), repair aneurysms, treat angina (chest pain or discomfort), and replace a diseased heart with a healthy one.
- Heart surgery is used to treat people who have severe heart diseases and conditions when other treatments have failed.
- Your doctors will determine whether you need heart surgery based on the kind of heart problem you have, your history and past treatment for heart problems, your family's history of heart problems, whether you have other health conditions, your age, and your general health.
- What happens before, during, and after heart surgery depends on the type of surgery you have. CABG, the most common type of heart surgery, usually takes 3 to 5 hours.
- After surgery, your doctor will let you know how to care for yourself. You may need followup medical care, lifestyle changes, medicines, or cardiac rehabilitation.
- The risks of heart surgery include bleeding, infection, fever, reaction to the medicine used to make you sleep, irregular heartbeats, and death. (The risk of death is higher in people who are already very sick.) Use of a heart-lung bypass machine can cause blood clots to form in your blood vessels and block blood flow.
- The results of heart surgery often are excellent. For very ill people who have severe heart problems, heart surgery can reduce symptoms, improve quality of life, and increase lifespan.
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