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Our Services

Our Services

CARDIO-METABOLIC CONSULTATION

A cardio-metabolic consultation is usually taken for any heart-related ailments – which includes but is not limited to 

  • High blood pressure / Hypertension – young onset high BP, difficult to treat hypertension
  • Chest pain – usually indicative of a heart attack
  • Shortness of breath – may indicate poor heart function or a valve problem
  • Dizziness – May be because of a heart problem, or circulation problem
  • Sudden unconsciousness / Syncope– may mean a serious heart block or an irregularity in the    heart rate
  • Palpitations /Feeling your own heart beat as fast – May indicate an irregular heart rate
  • Cardiac arrest survivor
  • Diabetes and Lipid abnormality management

Preventive cardiac evaluation – If you have concerns like obesity, diabetes, or a family history of heart disease, it’s time to get evaluated by a cardiologist. This helps reduce your odds of cardiac events or diseases in the future.
Cardiac evaluation before any professional sporting activity.

ECG

What is it ?
The ECG helps record your heart’s electrical activity, heart rate and rhythm with the help of 10 electrodes attached on your body. It is a basic investigation.

When do I need this test ?
If you are experiencing palpitations, shortness of breath, chest pain or dizziness or loss of consciousness.

  • ECG helps identify serious problems.

Do I need to prepare anything?
You don’t need any fasting or preparation for this test.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Usually no after effects, however very rarely a slight skin reaction may be occur to the electrodes.

2D ECHOCARDIOGRAPHY / 2D ECHO

What is it ?
It is a non-invasive test which helps to analyse the structure of the heart and its valves, and functioning of the heart as a whole as well as its parts.

When do I need this test ?
2D Echo is done to evaluate

  • Any underlying heart condition
  • Malfunctioning of heart valves
  • Heart function
  • Before any major surgery
  • Congenital heart diseases in children and adults
  • Strain imaging

Do I need to prepare anything?
You don’t need any fasting or preparation for this test.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Usually no after effects.

TREAD MILL TEST (TMT)/ STRESS TEST

What is it ?
It is a cardiac stress test, wherein the heart’s response to exercise / sustained stress is evaluated in a controlled environment.
After checking vitals, chest leads are applied and you are made to walk on a treadmill. Every 3 minutes, the speed and slope is increased on the treadmill, till you achieve the target heart rate.

When do I need this test ?
If you have chest pain or shortness on breath on exertion.

  • If you need to stop while walking, as it gives you discomfort and tiredness/ fatigue,
    Then you may need one.

Do I need to prepare anything?
Don’t eat immediately prior to the test.
Avoid Caffeine
Make sure you have taken your regular medications.
Some medicines may need to avoided prior to the test – speak to your doctor.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Not of the test. There is a rare risk of a heart event, like a heart attack, however care is taken with complete monitoring by a trained nurse, under the supervision of a trained cardiologist.

HOLTER MONITORING

What is it ?
Holter monitoring is done for a period of 24 hours to 7 days, to record the heart beat continuously , to detect any unusual changes happening through the day.
A small, battery operated device is attached to the body, which records your heart beat while you do your daily activities.

When do I need this test ?
If you have symptoms which may suggest irregularity or problems with your heart activity.

  • Palpitations / fluttering sensation in the heart.
  • Fast/ slow heart beat.
  • Sudden loss of consciousness.
  • Dizziness
  • Transient paralysis of the body / slurring
  • Stroke

Do I need to prepare anything?
You don’t need any fasting or preparation for this test. You can carry on your daily activities as usual, including regular exercising. You need to record any symptoms you experience during that period.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Usually no after effects.

AMBULATORY BP MONITORING

What is it ?
Ambulatory blood pressure monitoring is a test done to monitor your blood pressure at fixed intervals of 30-60 minutes, throughout a 24 hour period, while you do your daily activities.
A small machine is attached to your belt, which is connected to a cuff wrapped on your arm. You may be asked to keep a diary of any symptoms experienced during this period.

When do I need this test ?
It is used to confirm if you suffer from high blood pressure and how the readings fluctuate through the day.
Also needed to check if your BP medicine is controlling the blood pressure well throughout the day and even during night hours.

Do I need to prepare anything?
You don’t need any fasting or preparation for this test.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Usually no after effects.

DOBUTAMINE STRESS ECHO

What is it ?
Dobutamine stress echo is done if you cant exercise. A drug ‘Dobutamine’ is injected into your vein, which causes your heart to beat faster and thus mimics the changes which may occur with stress and exercise. Echo is done to check the function and structure of the heart.

When do I need this test ?

  • To evaluate the cardiac status before any surgery.
  • To look for changes under stress, to find out your risk of future heart attack.
  • Sudden loss of consciousness.
  • To determine limits for safe exercise

Do I need to prepare anything?
Avoid smoking or use of tobacco in any form, for a day prior to the test.

  • To evaluate the cardiac status before any surgery.
  • Avoid caffeine intake within 3 hours of the test.
  • Avoid beta blocking drugs.
  • Fasting of 4 hours is required

 

Will it hurt?
No, it is completely painless.

Are there any side effects?

Possible risks of the test are

  • Chest pain
  • High blood pressure
  • Irregular heart beats.
  • Very rarely, heart attack.

At JP cardiac care, we do this test under completely monitored circumstances, under the control of the expert cardiologist, BLS trained nurse along with the availability of all emergency drugs, defibrillator and oxygen.

PAEDIATRIC 2D ECHO

What is it ?
An echo is done to view the structure and function of your child’s heart and major blood vessels.
When does your child need this test ? To demonstrate the structure of the heart and its components- walls, valves and to detect any defect in the same. To assess the function of the heart Can detect abnormalities of the heart like holes between the chambers, fluid around the heart, mass inside the heart, etc.

Do I need to prepare anything?
If your child is 6 years or less, he/she may need mild sleeping medication – either given as a spray or syrup.
Do not give milk /solids to your child for 8 hours prior to the scheduled procedure.
Breast milk is allowed for 4 hours before the scheduled procedure.

Will it hurt?
No, it is completely painless.

Are there any side effects?
Usually no after effects.

CORONARY ANGIOGRAPHY

What is it ?
A coronary angiography is a procedure to visualise the heart’s blood supply. A type of dye is injected into the blood vessels of the heart, by putting a catheter from the groin or the wrist.

When do I needs this?

  • Any symptoms of heart attack – jaw pain, chest pain
  • Any breathlessness
  • Abnormal ECG, Echo or stress test

Do I need to prepare anything?

  • It may be performed as an emergency in case of major heart attack.
  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
A small local injection is given to prevent pain at the site of needle puncture – either the groin or the wrist. The procedure per se is painless.

Are there any side effects?

  • Allergic reactions to the dye or medications used
  • Kidney damage
  • Excessive bleeding
  • Irregular heart rate
  • Rare risk of stroke, heart attack, injury to the catheterized artery.

CORONARY ANGIOPLASTY

What is it ?
Coronary angioplasty, or percutaneous coronary intervention, is a procedure to open the blocked blood vessels of the heart. A tiny balloon is inserted to open up the blocked vessel, which is often combined with the placement of a stent. There are various types of stents available to help keep the artery open and decreasing its chances of getting blocked again – bare-metal stents and drug-eluting stents.

When do I need?

  • In an emergency, an angioplasty is done if you suffer from a major heart attack
  • it is called as PAMI (Primary Angioplasty in Myocardial Infarction)
  • You have chest pain, breathlessness
  • Previous heart attack.
  • Positive stress test

Do I need to prepare anything?

  • It may be performed as an emergency in case of major heart attack.
  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
A small local injection is given to prevent pain at the site of needle puncture – either the groin or the wrist. The procedure per se is painless.

Are there any side effects?

  • Allergic reactions to the dye or medications used
  • Kidney damage
  • Excessive bleeding
  • Irregular heart rate
  • Rare risk of stroke, heart attack, injury to the catheterized artery.
  • Re-narrowing of the artery
  • Blockage of the stent

ADVANCED CORONARY INTERVENTIONS WITH DIFFICULT ANGIOPLASTIES IVUS

It is a diagnostic test , in which sound waves are used inside the blood vessels of the heart. It helps the cardiologist to know the condition of the coronary arteries from inside.
It helps to identify plaques and cholesterol deposits and helps to make sure that the stent is correctly placed during angioplasty.

ADVANCED CORONARY INTERVENTIONS WITH DIFFICULT ANGIOPLASTIES IVUS

It is a diagnostic test , in which sound waves are used inside the blood vessels of the heart. It helps the cardiologist to know the condition of the coronary arteries from inside.
It helps to identify plaques and cholesterol deposits and helps to make sure that the stent is correctly placed during angioplasty.

OCT (Optical Coherence Tomography)

It is a novel technology to assess the severity of coronary blockage for angioplasty, thus provides critical information to guide the procedure in case of difficult angioplasties.

ROTABLATION (ROTATIONAL ATHERECTOMY)

A small rotating cutting blade is used to open up a blocked artery and remove the build up of calcium in the artery walls.

ORBITAL ATHERECTOMY

Helps to modify the calcified plaque in the blood vessel, thus allowing balloon and stent expansion in heavily calcified artery blockages.

INTRA VASCULAR LITHOTRIPSY (IVL)

Helps minimise trauma to soft tissue while breaking the intimal calcium inside the coronary artery, thus help optimise stent delivery, expansion, while reducing complications.

LASER ANGIOPLASTY

This cutting edge procedure helps to burn and vaporise the plaque inside the coronary vessel.

PENUMBRA

It is a procedure to remove the thrombus from any large vessel. Can be used in major heart attacks and also in acute ischemic strokes.

PACEMAKER IMPLANTATION

What is it ?
A pacemaker is a small electrical device, implanted usually in the chest, to treat slow heart rhythms and missed beats. There are various types of pacemakers – single chamber with one lead, dual chamber with two leads and biventricular with three leads.

When do I need?

  • When you gave a delay in the heart electrical signals, such that your heart beats very slowly
  • If you have missed beats in the heart beat
  • Post cardiac arrest

Do I need to prepare anything?

  • It may be performed as an emergency in case of major heart attack.
  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?
Usually no after effects.

CRT-D CARDIAC RESYNCHRONISATION DEVICE

Is a special type of pacemaker which helps coordinate the pumping action of the heart muscle

When do I need?

  • If you have heart failure
  • When your heart is pumping out of sync

Do I need to prepare anything?

  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?
Usually no after effects.

IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) IMPLANTATION

What is it ?
It is a device to deliver an electrical shock to the heart , during an irregular life-threatening heart rhythm.
Some devices may have both a pacemaker and ICD combined.

When do I need test?

  • your heart is beating too fast and this is not effectively controlled by medication
  • Your heart beat is irregular
  • Post cardiac arrest

Do I need to prepare anything?

  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?
Usually no after effects.

BMV

What is it ?
A minimally invasive procedure, to restore the flow of blood through the mitral valve on the left side of the heart

When do I needs this procedure?

  • Mitral valve stenosis / Narrowing of the left ventricle valve

Do I need to prepare anything?

  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?
Usually no after effects.

BPV

What is it ?
A minimally invasive procedure, to widen and open the pulmonary valve and restore the normal flow through the pulmonary artery.

When do I needs this procedure?

  • Isolated pulmonary valve stenosis.

Do I need to prepare anything?

  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?
Usually no after effects.

ASD/ VSD device closure

What is it ?
An atrial septal defect (ASD) is a hole in the heart between the two atria.
A ventricular septal defect (VSD) is a hole in the heart between the two pumping chambers or ventricles.
These both defects are usually congenital, but can happen post major heart attack.

When do I needs this procedure?
If a child has symptims related to the defect – which may be faster breathing or get tired/ have sweating while feeding. Also child may not gain weight.
Some defects may be unnoticed till adulthood and there would symptoms in adults – feeling tired, feeling out of breath, a pale or bluish skin tinge.

Do I need to prepare anything?
In children, this procedure is done under general anesthesia and need overnight fasting In adults, it is done under local anesthesia

  • If it is a planned procedure, do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications

Will it hurt?
Usually done under local anesthesia, and is not painful.

Are there any side effects?

  • Bleeding
  • Infections
  • Heart rhythm problems
  • Disruption of nearby heart vakves, causing leakage
  • Cardiac surgery

Patent ductus arteriosus (PDA) device closure

What is it ?
Patent ductus arteriosus (PDA) is a congenital heart condition in which there is a connection between the pulmonary artery and aorta.This can cause mixing of oxygenated and deoxygenated blood, thus disrupting the heart and lung function.

When do I needs this procedure?
Children more than 6 months of age, who show a persistent defect.
In adults, if the PDA persists and lung pressures are not irreversibly elevated.

Do I need to prepare anything?
In children, this procedure is done under general anesthesia and need overnight fasting In adults, it is done under local anesthesia

  • In children, this procedure is done under general anesthesia and need overnight fasting
  • In adults, it is done under local anesthesia

Will it hurt?
No, it is not usually painful

Are there any side effects?

  • Rupture of the blood vessel
  • Complication with positioning of the device
  • Leakage through the device

Peripheral angioplasties

What is it ?
It is a procedure to restore blood gflow through blocked arteries outside the heart – could be in the legs, or in the neck or in the kidney or other organs.

When do I needs this procedure?
Blocked or narrowed blood vessel, outside the heart

Do I need to prepare anything?
In children, this procedure is done under general anesthesia and need overnight fasting In adults, it is done under local anesthesia

  • In children, this procedure is done under general anesthesia and need overnight fasting
  • In adults, it is done under local anesthesia

Will it hurt?
No, it is not usually painful

Are there any side effects?

  • Injury to the blood vessel
  • Bleeding
  • Infection
  • Allergic reactions
  • Kidney damage

IVC filter

What is it ?
A filter is placed in the inferior vena cava, a large vessel which carries blood to the heart from the lower part of the body. The filter is placed via a small incision in the groin or neck.

When do I need this procedure ?

  • If you have a DVT (a thrombus in the deep vein of your leg/ pelvis)
  • If you have had a pulmonary embolism
  • If you are at a high risk of getting a DVT

Do I need to prepare anything?

  • Do not eat after the midnight before the angiogram
  • Ask your doctor if you should take your regular medications
  • Avoid smoking

Will it hurt?
No, it is not usually painful

Are there any side effects?

  • Infection
  • Bleeding
  • Allergic reactions
  • Damage to the blood vessel
  • Blockage of the vein – leading to leg swelling
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