Кардиологија

Who Needs Cardiology Treatment?

Anyone experiencing heart-related symptoms or conditions may require cardiology treatment. You should consult a heart specialist if you have:

• Persistent chest pain or discomfort
• Недостаток на здив
• Неправилно чукање на срцето (аритмија)
• High blood pressure or cholesterol levels
• A family history of heart disease
• Вродени срцеви мани
• Fatigue, dizziness, or swelling in legs (potential signs of heart failure)

Early detection and treatment can significantly improve the quality of life and further prevent severe complications.

Types of Cardiology Procedures

Cardiology encompasses a wide range of treatments and surgeries. The common types include:

• Angioplasty and Stent Placement – Opens blocked arteries and restores blood flow.
• Coronary Artery Bypass Grafting (CABG) – Redirects blood around blocked arteries.
• Pacemaker or ICD Implantation – Regulates abnormal heart rhythms.
• Valve Repair or Replacement – Treats malfunctioning heart valves.
• Трансплантација на срце - Replaces a diseased heart with a healthy donor heart.
• Catheter Ablation – Corrects arrhythmias by destroying abnormal tissue.
• TAVI/TAVR (Transcatheter Aortic Valve Replacement) – A minimally invasive alternative to open-heart valve surgery.

Evaluation and Diagnostics Before Surgery/Cardiology Procedures

Before performing any procedure, cardiologists conduct a thorough evaluation. Common diagnostic steps include:

• Електрокардиограм (ЕКГ/ЕКГ)
• Ехокардиограм
• Стрес тест
• Коронарна ангиографија
• CT/MRI Scan
• Крвни тестови

These tests help the medical team choose the right treatment path.

Селекција и планирање на хируршки интервенции/процедури

After the evaluation, a team of cardiologists and cardiac surgeons collaborates to decide the best treatment plan. They consider:

• The severity and type of heart condition
• Age, lifestyle, and overall health of the patient
• Results from diagnostic tests
• Potential risks and expected outcomes

The planning includes choosing between surgical and non-surgical procedures, preparing the patient physically and mentally, and scheduling the operation.

Постапка на кардиолошки третман

The procedure depends on the specific condition. Here's how some of the common treatments work:

Invasive Cardiology Procedures

These require incisions and open surgery, often involving general anesthesia and a longer recovery time.

• Robotic Heart Bypass Surgery: This minimally invasive variant of traditional bypass uses robotic arms for precise movement through small chest incisions to reroute blood around blocked arteries.
• Heart Bypass Surgery (CABG): A surgical procedure that creates alternate pathways for blood to bypass blocked coronary arteries, improving blood flow to the heart.
• Heart Valve Repair: Involves surgical correction of defective heart valves to restore proper blood flow direction, typically done via open-heart surgery.
• Вентрикуларен септален дефект (VSD): A procedure to close an abnormal hole between the ventricles of the heart, typically done surgically in children or adults.
• Атријален септален дефект (АСН): Surgical closure of a hole in the atrial wall (upper chambers) to prevent abnormal blood mixing, improving cardiac efficiency.
• Bentall Procedure: A complex open-heart surgery involving replacement of the aortic valve, aortic root, and ascending aorta with a composite graft.
• Aortic Valve Repair: Surgical repair of the aortic valve to correct stenosis or regurgitation, allowing normal blood flow from the heart.
• Double Valve Replacement: A surgery where both the aortic and mitral valves are replaced with artificial or biological valves to restore heart function.

Interventional Cardiology Procedures

These are minimally invasive, catheter-based procedures typically done through arteries without large incisions.

• Коронарна ангиографија: A catheter-based imaging technique to visualize the coronary arteries using contrast dye, used to detect blockages or narrowing.
• Balloon Mitral Valvuloplasty: A catheter procedure to open a narrowed mitral valve by inflating a balloon to improve blood flow.
• Balloon Pulmonary Valvuloplasty: Similar to mitral valvuloplasty, this uses a balloon catheter to open a narrowed pulmonary valve.
• Pacemaker Implantation: A minimally invasive procedure where a small device is implanted under the skin to regulate abnormal heart rhythms.
• Transcatheter Aortic Valve Implantation (TAVI): A catheter-based procedure to replace a stenotic aortic valve, typically for patients at high surgical risk.
• Coronary Artery Angiography (CAG): A specific type of coronary angiography to visualize and assess blockages in the coronary arteries using contrast dye.
• Ангиопластика: A catheter-based procedure that uses a balloon to open blocked or narrowed coronary arteries, often followed by stent placement.

Non-Invasive Cardiology Procedures

These do not involve cutting or catheter insertion and are used for diagnosis or medical management.

• Atherosclerosis Treatment: Typically involves lifestyle changes, medications, and monitoring to manage plaque buildup in arteries and reduce cardiovascular risk.
• Cardiac Asthma Treatment: Involves managing underlying heart failure with medications like diuretics, ACE inhibitors, and beta-blockers to relieve wheezing and breathlessness.
• Coronary Artery Disease (CAD) Treatment: Managed with medications (statins, antiplatelets), diet, and exercise; angioplasty or bypass may be needed if it progresses.
• Третман на хипертензија: A medical management approach using antihypertensive drugs, lifestyle changes, and regular monitoring to control high blood pressure.
• Mitral Valve Repair (Early Medical Management): In mild cases, medications can manage symptoms and delay surgery, including diuretics, beta-blockers, and anticoagulants.
• Myocardial Bridge Treatment: Often managed non-invasively with beta-blockers or calcium channel blockers; surgery is considered only in severe cases.
• Pericarditis Treatment: Involves anti-inflammatory medications like NSAIDs or colchicine to reduce inflammation of the pericardium.
• Cardioversion Treatment: A non-invasive, outpatient procedure where a controlled electric shock is delivered to restore normal heart rhythm.
• Myocardial Infarction Treatment: Includes non-invasive elements like oxygen therapy, medications (aspirin, nitrates, thrombolytics), followed by interventional steps if needed.

Risks & Potential Complications of Heart Treatment

Although advanced techniques have reduced complications, risks still exist:

• Bleeding or infection at the surgery site
• Blood clots leading to stroke or heart attack
• Arrhythmias or irregular heartbeat
• Damage to blood vessels or nerves
• Allergic reaction to anesthesia or contrast dye
• Need for repeat procedures

Doctors take extensive precautions to minimize these risks through careful planning and monitoring.

Cost of Heart Treatment in India

India offers affordable treatment as compared to other Western nations. Treatment in India costs a fraction of what it costs in countries like the USA and the UK. The cost of heart treatment in India depends on the type of hospital, the expertise of the doctor, the type of treatment required, etc.

• CABG: 5,800 УСД-12,000 УСД
• Implantable Cardioverter-Defibrillator (ICD) Implant: 12,000 УСД - 19,000 УСД
• Cardiac Valve Replacement: 7,000 УСД - 10,000 УСД
• Patent Ductus Arteriosus (PDA) Closure: 4,100 УСД - 4,200 УСД
• Heart Double Valve Replacement: 8,500 УСД - 12,500 УСД
• Трансплантација на срце: 55,000 УСД - 65,000 УСД
• Fontan Surgery: 4,500 УСД - 8,000 УСД
• Pulmonary Artery Banding (PAB): 6,000 УСД - 7,000 УСД
• Tetralogy of Fallot (TOF) Correction: 7,500 УСД - 9,000 УСД

Why Choose India for Heart Treatment?

India has emerged as a global hub for cardiac care, and here’s why:

• Напредна технологија: Robotic surgeries, 3D mapping for arrhythmias, and TAVR procedures are widely available.
• Искусни специјалисти: Indian cardiologists are internationally trained and highly skilled.
• Достапност: Cardiology treatment in India costs a fraction of what it does in the US or Europe.
• Минимално време на чекање: Fast-track surgeries and shorter appointment times in India.
• Глобално признавање: Hospitals like Fortis Escorts, Manipal Hospitals, and Apollo have received international accreditations (e.g., JCI, NABH).
• Значајни пресвртници: India’s first heart transplant was performed in New Delhi, and Indian surgeons have pioneered several minimally invasive cardiac procedures.

Top Heart Specialists in India

Some of the top heart specialists in India are:

1. Д-р Нареш Трехан - Medanta – The Medicity, Gurgaon
2. Д-р Деви Прасад Шети - Narayana Health, Bengaluru
3. Dr. K. K. Talwar - PSRI, Delhi
4. Dr. Ramakanta Panda - Asian Heart Institute, Mumbai
5. Dr. Ashok Seth - Fortis Escorts Heart Institute, Delhi

These doctors have decades of experience and global recognition for their work.

Best Hospitals for Heart Treatment in India

Some of the best hospitals in India for heart treatment are :

1. Меданта - Медицината, Гургаон
2. Аполо болница, Ченаи
3. Институт за придружба на срцето Фортис, Newу Делхи
4. Азиски институт за срце, Мумбаи
5. Manipal Hospitals, Бенгалуру

These hospitals offer world-class care, advanced infrastructure, and high patient satisfaction rates.