Cardiac Catheterization

The cardiology department at sinaiclinic  Hospital is equipped to deal with all conditions related to the heart, in both preventative and therapeutic aspects.  It is housed in a custom-built unit with all the diagnostic equipment under one roof. Based on the clients needs, the following investigations are regularly done:Diagnostic Tests
Electrocardiogram (ECG) - recording of the electrical waves from the heart to assess the heart rate, rhythm, heart wall thickness and chamber enlargement as well as for early detection of heart attacks.

Chest x-ray - to assess heart size and to look for early signs of heart failure.
Holter monitoring - a small Walkman size device is connected to the chest wall with wires, which records the ECG for 24 hours. This will be analysed by a special computer. The final report will show us the 24 hour pattern of the heart rhythm at work and at rest. The readings are evaluated by our senior consultants.
Ambulatory blood pressure monitoring - a special blood pressure cuff is connected to the patient's arm which records the blood pressure and pulse rate on a cassette recorder.
Treadmill exercise test - the patient walks on a computerised treadmill at a predetermined speed and gradient. The blood pressure, heart rate and ECG are continuously monitored by the computer during the exercise. This is a sensitive test to detect early signs of heart disease, specially heart attacks or blockage in the coronary arteries. This test is always conducted in the presence of a cardiologist.
Echo doppler test with colour doppler blood flow imaging - using ultrasound, the heart is imaged from various angles. Heart chambers, muscles, valves and blood vessels can all be seen on the video screen and measurements made. Colour blood flow imaging is used to detect all normal and abnormal blood flow patterns inside heart chambers and blood vessels and to measure the velocity of blood flow for precise diagnosis of abnormalities.

Cardiac catheterization

a medical procedure used to diagnose and treat some heart conditions.

A long, thin, flexible tube called a catheter is put into a blood vessel in your arm, groin (upper thigh), or neck and threaded to your heart. Through the catheter, your doctor can do diagnostic tests and treatments on your heart.

For example, your doctor may put a special type of dye in the catheter. The dye will flow through your bloodstream to your heart. Then, your doctor will take x-ray pictures of your heart. The dye will make your coronary (heart) arteries visible on the pictures. This test is called coronary angiography (an-jee-OG-rah-fee).

The dye can show whether a waxy substance called plaque (plak) has built up inside your coronary arteries. Plaque can narrow or block the arteries and restrict blood flow to your heart.

The buildup of plaque in the coronary arteries is called coronary heart disease (CHD) or coronary artery disease.

Doctors also can use ultrasound during cardiac catheterization to see blockages in the coronary arteries. Ultrasound uses sound waves to create detailed pictures of the heart's blood vessels.

Doctors may take samples of blood and heart muscle during cardiac catheterization or do minor heart surgery.

Cardiologists (heart specialists) usually do cardiac catheterization in a hospital. You're awake during the procedure, and it causes little or no pain. However, you may feel some soreness in the blood vessel where the catheter was inserted.

Cardiac catheterization rarely causes serious complications

 

Intensive Care Unit (ICU)

We have a state-of-the art intensive care unit with facilities for bedside and central monitoring of ECG, blood oxygen, blood pressure or venous pressure. The unit is staffed by some of the best trained nurses and doctors and is fully equipped for artificial ventilation of patients with respiratory or cardiac failure .

Inpatient rooms
Private ward rooms also include facilities for bedside monitoring of ECG and blood oxygen saturation.

Preventative Cardiology
Risk factor profiling is done for all patients attending the department. Early detection and treatment of risk factors for heart attacks is the only method of reducing the incidence of death and disability due to heart attack in the community. Our lipid profile examining facility estimates directly all sub fractions of cholesterol , the carrier proteins for cholesterol. Similarly the serum homocysteine, one of the early correctable risk factors for heart attack and stroke, can be detected.

 

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