Heart Failure Surgery and Treatment in India at Affordable Cost

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	PATIENTS MANAGED- 230 approx / EVERY YEAR
	PATIENT SATISFACTION- 97%
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	PERSONALISED APPROACH- 1 PATIENT MANAGER FOR EVERY 5 PATIENTS.

What is Heart Failure?

Heart failure, also called congestive heart failure, is a condition in which the heart can no longer pump enough blood to the rest of the body. In this condition blood moves through the heart and body at a slower rate, and pressure in the heart increases. Therefore, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming thicker and stiffer. This helps to keep the blood moving for a short while, but then the heart muscle walls weaken and are not able to pump as strongly. The heart muscle walls are damaged and do not pump or fill normally. The kidneys often respond by causing the body to retain fluid (water) and sodium. If fluid builds up in the arms, legs, ankles, feet, lungs or other organs, the body becomes congested; congestive heart failure is the term used to describe this condition. Heart failure is the leading cause of hospitalization in people over age 65.

What are Symptoms of Heart Failure?

Symptoms of heart failure most often begin slowly. At first, they may only occur when you are very active. Over time, breathing problems and other symptoms may be noticed even when you are resting. Common symptoms are:

• Shortness of breath with activity, or after lying down for a while
• Cough
• Swelling of feet and ankles
• Swelling of the abdomen
• Weight gain
• Irregular or rapid pulse
• Palpitations
• Difficulty sleeping
• Fatigue, weakness, faintness
• Loss of appetite, indigestion

Other symptoms may include decreased alertness or concentration, decreased urine production, nausea and vomiting and increased urge to urinate at night. Infants may sweat a lot.

Some patients with heart failure have no symptoms. In these people, the symptoms may develop only with these conditions:

• Abnormal heart rhythm (arrhythmias)
• Anemia
• Hyperthyroidism
• Infections with high fever
• Kidney disease

What are Types of Heart Failure?

• Left-Sided Heart Failure - In left-sided or left ventricular (LV) heart failure, the left side of the heart must work harder to pump the same amount of blood. There are two types of left-sided heart failure. Drug treatments are different for the two types.
• Systolic failure: The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation.
• Diastolic failure or dysfunction: The left ventricle loses its ability to relax normally (because the muscle has become stiff). The heart can't properly fill with blood during the resting period between each beat.  

• Right-Sided Heart Failure - Right-sided or right ventricular (RV) heart failure usually occurs as a result of left-sided failure. When the left ventricle fails, increased fluid pressure is, in effect, transferred back through the lungs, ultimately damaging the heart's right side. When the right side loses pumping power, blood backs up in the body's veins.
• Congestive Heart Failure - Congestive heart failure is a type of heart failure which requires seeking timely medical attention, although sometimes the two terms are used interchangeably. A test called the ejection fraction (EF) is used to measure how well your heart pumps with each beat to determine if systolic dysfunction or heart failure with preserved left ventricular function are present.

Top Heart Surgery Hospitals in India

Our association with the top heart surgery hospitals in India has NAB accreditation and offers excellent laboratory and diagnostic services, affordable healthcare and heart care to the patients. The hospitals located at Delhi, Gurgaon, Noida, Ahmedabad, Mumbai, Bangalore, Chennai, Nagpur, Hyderabad and Kerala are equipped with world class facilities and offer world class quality care and treatments. The best heart surgeons in India provide consistent committed cardiac care to the patients.

What are the Causes of Heart Failure?

Heart failure is caused by many things that damage the heart muscle, including:

• Coronary artery disease 
• Heart
• Cardiomyopathy 
• Heart defects
• Diabetes
• High blood pressure (hypertension)
• Arrhythmia (abnormal heart rhythms)
• Kidney disease
• Obesity (being overweight)
• Medications — some chemotherapy agents

Heart failure often occurs when several diseases or conditions are present at once.

How to Test and Diagnose Heart Failure?

A physical examination may reveal the following:

• Fluid around the lungs (pleural effusion)
• Irregular heartbeat
• Leg swelling (edema)
• Neck veins that stick out (are distended)
• Swelling of the liver

Listening to the chest with a stethoscope may reveal lung crackles or abnormal heart sounds. This condition may also alter the results of other tests which include blood chemistry, complete blood count, creatinine clearance, liver function tests, blood test (Uric acid, Sodium), Urinalysis.

The following tests may be used to diagnose or monitor heart failure:

• Chest x-ray
• ECG
• Echocardiogram
• Cardiac stress tests
• Heart CT scan
• Heart catheterization
• MRI of the heart
• Nuclear heart scans

What are the Treatments of Heart Failure?

• Heart failure caused by damage to the heart that has developed over time can't be cured. But it can be treated, quite often with strategies to improve symptoms.

• Heart failure patients need multiple medications. Each one treats a different symptom or contributing factor. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects.
• Medicines decrease the clotting (coagulating) ability of the blood.  Thus blood thinners or anti-coagulators are usually advised. They do not dissolve existing blood clots but are used to treat certain blood vessels, heart and lung conditions.
• Medicines may also prevent the clots from becoming larger and causing more serious problems.
• They are often prescribed to prevent first or recurrent stroke.

What are Surgerries of Heart Failure?

• Surgical Procedures Without Devices
  
• Implantable Medical Devices
  
• Surgical Procedures Without Devices - Heart valve surgery, coronary bypass surgery (CABG), and angioplasty may help some people with heart failure.
  
• Implantable Medical Devices - The following devices may be recommended for certain patients with heart failure:
  
• A pacemaker to help treat slow heart rates or other heart signaling problems.
  
• A biventricular pacemaker to help the both sides of your heart contract at the same time; it is also called cardiac resynchronization therapy.
  
• An implantable cardioverter-defibrillator that recognizes life-threatening, abnormal heart rhythms and sends an electrical pulse to stop them.

What are Other Treatment Options for Heart Failure?

Severe heart failure may require the following treatments when other therapies no longer work. They are often used when a person is waiting for a heart transplant:

• Intra-aortic balloon pump (IABP)
• Left ventricular assist device (LVAD)

What Lifestyle Changes to be made to treat heart failure?

The patient will need to make some changes in his daily life to treat heart failure.

• Eat less salt.
• Be more active.
• Stay at a healthy weight, or lose weight if you need to. Even a few pounds can make a difference.
• Stop smoking.
• Limit alcohol.
• Control blood pressure.
• Control diabetes.

What are Advantages of Heart Failure Surgery and Treatment in India?

Once the diagnosis of heart failure is established, a number of pharmacologic strategies are available to limit and reverse the manifestations of HF. In particular, mortality rates among patients with heart failure can be reduced drastically. Treatment increases survival and decreases repeat hospitalizations.

What are Risks and Side Effects Associated with Heart Failure Surgery and Treatment?

Possible side effects of medications include cough, gastrointestinal upset (such as nausea, heartburn, and diarrhea), headache, light-headedness and fainting, low blood pressure, muscle cramps. Possible Complications could be pulmonary edema and total heart failure (circulatory collapse)

Why consider India for Heart Failure Surgery and Treatment?

The doctors and researchers in India have actively contributed in developing new ways to diagnose and treat people who have heart failure. At top heart surgery hospitals in India, each year doctors internationally trained in heart care (cardiologists) evaluate and treat thousands of people who have congestive heart failure. Cardiologists and other specialist staff heart failure clinics in India work together as a team to diagnose and treat all forms of congestive heart failure. The advanced facility in most of the hospitals is devoted specifically to surgical advanced heart failure treatment.

Cities in India offering Treatment and Surgery for Heart Failure at some of the finest cardiac hospital in India are as follows

What is Cost of Heart Failure Surgery and Treatment in India?

• The Average Cost of Heart Failure Surgery in India approximately Rs. 2,00,000 ($2,500) to 4,80,000 ($6,000). The Heart Failure Surgery cost in India is almost ¼ of the cost that in UK, US and other developed countries.
• Most hospitals of India offer programs involving individualized multidisciplinary post-discharge healthcare, with a major focus on specialist nurse management to ensure that the patient receives optimal treatment, are clinically and economically effective in reducing the typical burden imposed by Heart Failure. These programs appear to be most effective in 'high-risk' patients who typically have recurrent readmissions in high-cost units as many hospitals provide low cost heart failure surgery India

Some of the common countries from which patients travel to India for surgery are: