Department of Cardiology


The Department of Cardiology in CSI Mission general hospital was started from 4th of April 2008. It looks after adults and children with many forms of heart and blood vessel problems. Patients who are critically ill, are admitted to the Intensive Care Unit. This makes it quick and easy for sick patients with heart problems to get medical care.

Department of Cardiology looks after the following problems:
Ischemic heart disease - where the blood supply to the heart is poor. Patients get angina, shortness of breath, swollen ankles etc.
Heart failure - when the heart does not work properly. People may get tired, short of breath, swollen ankles etc
Valvular heart disease - the valves in the heart have an opening that is too small or the valves leak.
Hypertension - high blood pressure (Increased BP).
Cardiac rhythm abnormalities - the heart beats too fast or too slow or irregularly.
Congenital heart problems - when someone is born with heart problems.
Vascular problems - the blood vessels in the body can become narrow or blocked. This often causes pain. Cardiology can open some of these blocks and so make the blood supply better.

What are the tests performed in Cardiology?
Non-invasive investigations(tests that do not need needles or operations) include:
An electrocardiogram (ECG) records the electrical patterns of the heart.
Echocardiography (Echo), an ultrasound scan of the heart.
Stress testing, TMT.
Holter test. This records the ECG while the person is walking around for one day i.e., 24hrs.
Head Up Tilt Test (HUTT) - to evaluate causes of fainting

Invasive Cardiology
There is a state of the art Siemens flat panel catheterisation  laboratory . In the cardiac catheterisation laboratories, often just called the cath labs they do invasive tests and invasive procedures.
Invasive tests involve putting needles, wires or tubes into the body.
Cardiac catheterization - the study of the heart by putting a tiny tube into the heart. Then the doctor injects a 'dye' that shows the inside of the heart.
Coronary angiogram - injecting a 'dye' to show the arteries of the heart.
 
Invasive Procedures
Procedures which can be performed in our cath lab are
Coronary angioplasty. This is a treatment where special contrast is put into the heart to show the arteries on an Xray. The doctor widens any narrow arteries. This enlarges narrow areas or removes blocks. The blood can then flow faster.
Defect closures - abnormal holes in the heart can be closed. This includes Atrial Septal Defect (ASD) and a Patent Ductus Arteriosus (PDA).
Pacemaker implantation - putting in an electrical machine to help the heart beat at the right speed. Temporary ones are just for a short time and are then taken out. Permanent ones stay in the patient and the patient goes home with it.

 


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