Signs of Heart Failure That One Must Not Ignore

You should know that not all health problems come with warning signs. You may not see an alarming clutch followed by a fall to the floor like you mostly see in the movies. Some heart symptoms happen in the chest, and it’s difficult to tell what’s happening. But you should know one thing: cardiovascular diseases, including heart failure, claim approximately 17.9 million lives worldwide, as per WHO. So, if you are also someone dealing with cardiovascular issues, you are in the right place to seek knowledge.

Based on the insights from Dr. Sujay Shad, the best heart doctor in Delhi at Sir Ganga Ram Hospital, here we will discuss what heart failure is and what signs of it you shouldn’t ignore! 

What Is Heart Failure? 

Heart failure is a condition where your heart fails to pump enough blood to meet the body's needs. It can result from various underlying issues such as coronary artery disease, high blood pressure, heart valve disorders, etc.

Signs of Heart Failure That You Need To Watch Out For 

• Nausea, Indigestion, Heartburn, or Stomach Pain

Some people may experience nausea, indigestion, heartburn, or stomach pain or in some cases, they may even vomit. As per a recent study, women are more likely to have these symptoms than men. However, you may also have an upset stomach for various reasons unrelated to your heart. It can be related to something you ate, but you should not be deluded that it can not affect your heart health. 

• Chest Discomfort 

Chest discomfort is the most common sign of heart danger. So, if you have a blocked artery or are experiencing a heart attack, you may feel pain, tightness and pressure in your chest. This feeling usually lasts longer than a few minutes. The chances of it happening when you are on rest or doing something physical. If you feel any chest discomfort, consult your doctor. 

• Pain Spreading To The Arm 

Another symptom of a heart attack is the pain that radiates down the left side of the body. When the heart muscle doesn't get enough oxygen-rich blood, it leads to chest pain or discomfort that may spread to the arm, neck, jaw or back. These symptoms usually occur because the heart and the nerves in these areas share the same pain pathways, so pain signals from the heart can be referred to in these regions. However, it's crucial to consult a cardiologist for proper diagnosis and treatment, especially if experiencing chest pain or discomfort.

• Feel Dizzy or Lightheaded 

A lot of changes in your lifestyle can make you feel dizzy or lightheaded, like you are not eating enough or drinking enough or standing up too fast. Regardless, if you feel unsteady and have chest discomfort and shortness of breath, it is best to get medical help immediately.

• Jaw or Throat Pain  

Throat or jaw pain may not be heart-related as in this tissue, a cold or muscle problem usually causes them. However, if you are feeling pain or pressure in the centre of your chest that spreads up to your jaw or throat, it could be a sign of a heart attack that you need to get alert for. 

• Gets Exhausted Easily 

Are you unexpectedly fatigued or winded after doing something you had no problem doing, like carrying groceries from the car or climbing the stairs? In that case, you should immediately make an appointment with your doctor. Feeling extremely exhausted or unexplained weakness, sometimes for days at a time, can be a symptom of heart disease, especially for women. 

• Snoring 

You should know it is normal to snore a little while you sleep. However, unusually loud snoring that sounds more like gasping or choking can indicate sleep apnea. It is when you stop breathing several times in the night while still sleeping. This condition can put extra stress on your heart and increase the risk of risk of heart failure. 

• Irregular Heartbeat 

It may be normal for your heart to race when you are too excited or nervous or skip a beat occasionally. But if you are experiencing something beyond that, like palpations or an irregular heartbeat that persists longer, or if you have any chest pain, pressure, dizziness or shortness of breath, it is best to talk to a cardiologist at the earliest. 

• Your Legs, Ankles, And Feet Are Swollen 

Having swollen legs, ankles, and feet could indicate that your heart doesn't pump blood as effectively as it should. When your heart fails to pump fast enough, blood backs up in the veins and causes bloating. Moreover, heart failure can also make it exceptionally harder for your kidneys to get rid of extra water and sodium from the body, which leads to bloating. 

• Sweating 

Sweating excessively, particularly during rest or exertion, can be a sign of heart failure. It occurs because the body attempts to regulate temperature in response to decreased cardiac output and impaired circulation. If you are experiencing persistent sweating along with other symptoms like shortness of breath and fatigue, you should seek medical consultation immediately. 

Final Words 

The heart is a healthy part of your body, and keeping it healthy is necessary. So make sure you follow a healthy routine by quitting smoking, switching to more nutritious alternatives, adding green and fresh vegetables to your diet, exercising daily, and consulting a cardiologist at the right time. 

You can consult Dr. Sujay Shad at Sir Ganga Ram Hospital, the best hospital for heart surgery in Delhi. With more than three decades of experience, he is an expert when it comes to your heart health. So consult him today, and take care of your heart by visiting Sir Ganga Ram Hospital in Delhi today! 

Coronary Bypass Surgery: Ideal Candidates, Procedure and Recovery

The blood vessels that provide the heart with oxygen, nutrition, and energy are called coronary arteries. A serious narrowing or blockage of these arteries may result in a heart attack or other complications. Thus, it is crucial to maintain the heart's blood supply. In these cases, coronary bypass surgery is performed.

In this blog, we will learn about coronary bypass surgery in detail, including ideal candidates, the procedure of the surgery, and the recovery period. To help readers understand it better with proper knowledge, we have gathered information from Dr. Sujay Shad, a renowned heart doctor in Delhi. Keep reading to learn.

Understanding Coronary Bypass Surgery

When a coronary artery becomes clogged or obstructed to the point where blood flow becomes unnatural, doctors can design a bypass to restore normal blood flow. When there is complete or partial blockage of the coronary arteries, bypass surgery is done. With coronary artery bypass surgery, a blocked or partially blocked cardiac artery is bypassed by a new blood vessel. During the procedure, a healthy blood vessel from the leg or chest is removed. The blood vessels are linked beneath the clogged cardiac artery. The new pathway improves the flow of blood to the heart muscle.

Ideal Candidates for Coronary Bypass Surgery

Coronary artery bypass surgery opens a blocked heart artery and allows blood to flow through it again. In cases where other immediate treatments are not working, the surgery might be performed as an emergency heart attack treatment. If a person has any of the following conditions, the doctor may advise coronary artery bypass surgery:

1. A blockage in the left main heart artery. The heart muscle receives a large amount of blood from this artery.
2. Severe narrowing of the main heart artery.
3. Severe pain in the chest brought on by multiple heart artery narrowing. Even when the heart is at rest or only slightly exerted, the narrowing decreases blood flow to it.
4. More than one damaged coronary artery and poor function of the left lower chamber of the heart.
5. A heart artery blockage that is unresponsive to coronary angioplasty treatment. This minimally invasive procedure enlarges the artery by using a balloon at the end of a thin tube known as a catheter. To keep the artery open, a tiny coil known as a stent is usually utilized.
6. An angioplasty with or without a stent that hasn't worked. For instance, following stenting, an artery narrowed once again.

What is the Coronary Bypass Surgery Procedure?

When a patient has multiple bypasses, complex vascular disease, or other underlying medical conditions like diabetes, heart bypass surgery is the recommended course of treatment. 

An open bypass procedure has the following stages: 

1. General Anesthesia: An anesthesiologist will put the patient to sleep with a general anesthesia to make him ready for surgery and insert a breathing tube into the patient's windpipe.
2. Graft Vessel Harvesting: The patient's leg, arm, or chest will be used by surgeons to remove the vessels that are needed for the procedure.
3. Incision and Opening: To reach the patient's heart, the surgeon will cut an incision in the middle of their chest and separate their sternum. At this point, they will momentarily stop the heart from beating.
4. Cardiopulmonary Bypass: Doctors may place a person on cardiopulmonary bypass. In order to do this, the patient must be hooked up to a machine that will operate their heart and lungs. This bypass does not have to be used for every surgery.
5. Grafting: To reroute blood flow, surgeons will affix the new graft vessels to both sides of the blockages.
6. Restoring Blood Flow: If cardiopulmonary bypass is required, doctors will remove it and verify that blood is passing through the grafted vessel as intended.
7. Closure: The surgeons will use metal wires to secure the sternum and suture up the incision site after verifying that blood is flowing through the graft. The patient will be admitted to an intensive care unit in order to heal.

Usually, the process takes three to six hours. However, this can change based on the number of grafts an individual needs.

Recovery After Surgery

1. First 3-5 days

The majority of patients begin to walk to the bathroom and based on a variety of clinical factors, they may be moved to the ward or SICU. During this time, patients are gradually becoming more independent in meeting their own needs, even though nurses and doctors are always present.

2. Initial Evaluation following a Week

A CXR, an ECG, and a few blood tests are necessary for this clinic visit. Most patients are able to increase their exercise by going for short walks in the nearby parks.

3. One Month Following Surgery

It takes about two months for people in employment to regain strength; most independent workers who have control over their schedules have returned to work by this point.

Conclusion

During a coronary bypass procedure, a blood vessel from the arms, legs, or chest is cut out and used to create a bypass or detour around the blockage in the coronary artery. This enables blood to reach the heart again. Heart bypass surgery lowers the risk of death and heart attack and is a relatively safe and effective procedure. Additionally, the procedure may lessen chest pain, which is one of the symptoms of coronary artery disease. 

If one is concerned about the surgery or the bypass surgery cost in Delhi, they may consult with Dr. Sujay Shad at Sir Ganga Ram Hospital. The coronary bypass surgery at Sir Ganga Ram Hospital starts at Rs. 3,55,000. Dr. Shad is one of the most well known heart doctors and has delivered many successful surgeries at very reasonable prices. To get the benefits, consult the doctor now!

Can One Live A Long Life After Heart Bypass Surgery?

Heart Bypass Surgery or Coronary Artery Bypass Surgery is a surgical procedure in which a surgeon creates a bypass around blocked or narrowed coronary arteries, allowing increased blood flow to the open grafts beyond the blockage to supply blood to the heart muscles. If other immediate treatments fail, the surgery may be performed as an emergency treatment for a heart attack. 

Individuals who undergo this surgery or those who are recommended to get it have numerous questions on their minds. One such common question is: what would be the life expectancy after a heart bypass surgery?

This blog is being drafted to answer this question and explain the factors that would determine the life expectancy after this surgery. The information is being gathered from the insights of the expert and senior heart doctor in Delhi, Dr. Sujay Shad, to make this a valuable guide for the readers. The post will also include why getting this surgery is essential in the first place and in what situations the doctor advises the surgical procedure. Let’s begin by learning the importance of getting heart bypass surgery. 

Why is Heart Bypass Surgery Essential?

The heart has three major coronary arteries. Over time, fatty deposits can form on the inside of these arteries, resulting in Coronary Heart Disease and decreased blood flow to the heart. When this occurs, one may experience chest pain, shortness of breath, and a heart attack.

The number of blocked coronary arteries determines whether the patient has single-, dual-, or triple-artery disease. Heart bypass surgery is used to relieve the symptoms of coronary heart disease and reduce the risk of having a heart attack.

When Would Coronary Artery Bypass Surgery Advice?

If one has any of the following conditions, the doctor may advise one to have coronary artery bypass surgery:

• A blockage in the left main coronary artery. This artery carries a lot of blood to the heart muscle.
• The main heart artery is severely constricted.
• Severe chest pain is caused by the narrowing of several heart arteries. The narrowing reduces blood flow to the heart even during light exercise or rest.
• More than one diseased heart artery and the lower left heart chamber aren't working correctly.
• A heart artery blockage that cannot be treated with coronary angioplasty. A balloon attached to the tip of a thin tube called a catheter is used to widen the artery. A small coil known as a stent is typically used to keep the artery open.
• An unsuccessful angioplasty with or without a stent. An artery, for example, narrowed again after stenting.

How Long Will One Live Following Bypass Surgery?

While the answer will differ for each individual, there is good news in general: patients who have CABG or heart bypass surgery can and often do live long, healthy lives afterward.

Those who successfully complete a heart bypass and survive the first month of recovery have a survival rate comparable to the general population. And they're doing it with significantly improved heart function!

However, listening to the cardiothoracic surgeon, cardiologist, and other medical providers is key to living a healthy life. One has worked hard to repair the heart; now it's time to keep it in top condition.

What are the Results of Heart Bypass Surgery?

Most people feel better after recovering from coronary artery bypass surgery. Some people have been symptom-free for years. However, the graft or other arteries may clog in the future. If this occurs, one may require another surgery or procedure.

The long-term outcome is determined by how well one controls blood pressure, cholesterol levels, and chronic conditions such as diabetes. It is critical to take the medications exactly as prescribed.

What Are the Lifestyle Changes To Keep The Heart Healthy?

Making lifestyle changes can help one manage and even improve heart health. Try the following steps:

• One should not smoke. Tobacco use is a significant risk factor for heart disease, particularly atherosclerosis. Quitting smoking is the most effective way to lower the risk of heart disease and its complications.
• Eat a wide range of fruits, vegetables, and whole grains. Consume less sugar, salt, and saturated fat.
• Control the weight. Obesity increases the risk of heart disease. One should enquire with the doctor about what constitutes a healthy weight for them.
• Exercise. Diabetes, high cholesterol, and high blood pressure are all risk factors for heart disease that can be managed with regular exercise. With the doctor's permission, aim for 30 to 60 minutes of physical activity most days of the week. The doctor will guide when it is safe to resume exercising after surgery.
• Get enough rest. Sleep deprivation has been linked to an increased risk of heart disease and other chronic diseases. Adults should sleep for 7 to 9 hours per day.

Conclusion

Although most people recover well from heart bypass surgery, it is important to remember that the procedure does not treat the underlying coronary heart disease. As a result, it is critical to take care of the heart by adhering to lifestyle recommendations suggested by the doctor. 

In most cases, heart bypass surgery can save a person's life. However, one should have this surgery only after consulting with an experienced heart surgeon. The surgeon will guide one the best about the surgery. One can consult Dr. Sujay Shad, a leading heart doctor at Sir Ganga Ram Hospital, home to the best heart surgeon. Make an appointment if one wants to learn about the bypass surgery cost in Delhi or have any concerns about the procedure.

The  doctor and insurance experts at Sir Ganga Ram Hospital, can help you get details on this surgery cost and if this is covered in insurance. Contact for more details!

What is Worse Heart Attack or Cardiac Arrest?

There is a widespread misconception that heart attacks and sudden cardiac arrest are similar, if not the same, conditions. However, because both are medical emergencies involving heart health, distinguishing between them is important. A blood clot typically blocks the heart's blood supply during a heart attack, whereas an electrical failure causes the heart to stop beating completely during a sudden cardiac arrest. 

From this, one can easily understand that cardiac arrest is more severe, as it can lead to death within minutes if proper care is not provided.

Furthermore, this blog is being made to dispel the myth that a heart attack and a cardiac arrest are the same thing, as well as to inform readers on which is more fatal. This essay was written using critical information taken from the insights of Dr. Sujay Shad, a prominent heart doctor in Delhi practicing at Sir Ganga Ram Hospital. We will determine which of these two conditions is more dangerous. Furthermore, we will go over these conditions, their symptoms, and the reasons for them. Let’s now go right into the details.

Heart Attack: It’s Causes & Symptoms

A heart attack ensues when the flow of blood to the heart from one or more coronary arteries is diminished or blocked. 

Causes: The obstruction is mainly caused by a buildup of fat, cholesterol, and other substances in the arteries leading to the heart (coronary). Plaques are fatty, cholesterol-containing formations.

Symptoms: Some signs of a heart attack are more common than others. However, most people associate a heart attack with chest pain. However, it's important to remember that not every heart attack presents "classically." In some individuals, particularly women and people assigned female at birth, diabetics and the elderly may also develop "atypical" symptoms with their heart attack. It includes symptoms such as abdominal or back pain or even no symptoms at all.

Among the Symptoms are:

• Angina (a type of chest pain)
• Breathing difficulty
• Fatigue
• Insomnia
• Indigestion or nausea
• Palpitations in the heart
• Anxiety
• Sweating
• Feeling dizzy or lightheaded.

Cardiac Arrest: It’s Causes & Symptoms

Cardiac arrest is a potentially life-threatening disorder in which the heart stops beating. The heart is no longer pumping blood. This puts the organs and the entire body at risk of death within minutes. They must be supplied with oxygen at all times. The oxygen is delivered via blood.

Causes: The majority of abrupt cardiac arrests are caused by abnormal heart rhythms known as arrhythmias. Ventricular fibrillation is the most frequent life-threatening arrhythmia. This is characterized by unpredictable, disorganized impulse firing from the heart's ventricles (bottom chambers). When this occurs, the heart becomes unable to pump blood. One could die in minutes if one does not receive treatment.

Other causes of cardiac arrest include:

• Coronary artery disease
• Heart problems that are present from birth
• Changes in the structure of the heart are caused by disease or infection
• Excessive physical exertion or blood loss.

Symptoms of cardiac arrest may include:

• Fainting
• Chest discomfort
• Breathing difficulty
• Vomiting and nausea
• Palpitations in the heart
• Feeling dizzy or lightheaded.

Difference B/w Heart Attack & Cardiac Arrest

A heart attack can be fatal. Plaque usually clogs the arteries that supply blood to the heart. The heart's muscle tissue can begin to die if it is deprived of oxygen and nourishment. The goal is to get blood flowing back to the heart as soon as possible; otherwise, a heart attack can cause irreversible damage and even death. 

In contrast, the heart begins racing in a confused, disorganized manner after cardiac arrest. Almost immediately, blood ceases to circulate. One falls unconscious, ceases breathing, and has no pulse. The brain begins to die from a lack of oxygen and blood flow unless the heartbeat is restored as soon as possible. According to Cleveland Clinic research, less than 10% of persons who suffer from sudden cardiac arrest survive. 

What is Worse, Heart Attack or Cardiac Arrest

The information provided above makes it clear that cardiac arrests are more life threatening than heart attacks. Heart attacks do not cause the heart to cease fully beating, as it does during a cardiac arrest. Furthermore, a cardiac arrest necessitates prompt medical attention. Because a lack of timely medical assistance might result in death within minutes, a heart attack still has a possibility of survival. 

In addition, the treatment for heart attack includes medications and surgical procedures such as Coronary artery bypass surgery (CABG) and Coronary angioplasty and stenting. Some doctors also suggest cardiac rehabilitation. However, the treatments for cardiac arrest involve Implantable cardioverter-defibrillator (ICD), Coronary angioplasty, Coronary artery bypass surgery, Radiofrequency catheter ablation, and Corrective heart surgery. 

Note: The expert heart surgeon determines the best treatment options after a thorough examination of the patient’s condition. 

Conclusion

Both a heart attack and a cardiac arrest are serious heart disorders. If one is experiencing any difficulties that reflect indications of either of the two diseases, one should seek immediate medical attention.

In such instances, one can seek the advice of Dr. Sujay Shad, a renowned heart surgeon and transplant specialist. The skilled surgeon is a pioneer in the field of heart surgery. He provides superior care to his patients based on his extensive experience spanning more than three decades. He is well-known for doing successful procedures such as coronary bypass surgery, aortic surgery, heart valve surgery, septal myectomy for HOCM, and many more. One can visit the surgeon to learn more about these surgeries and their expenses, such as the bypass surgery cost in Delhi at Sir Ganga Ram Hospital.

Reasons for Undergoing CABG Surgery

Coronary artery bypass grafting is an open heart surgery that is performed to treat one or more blockages in the heart arteries that are responsible for supplying the heart muscles with oxygen-rich blood. If a heart artery gets blocked, it can cause chest pain or discomfort and other unpleasant symptoms such as fatigue, nausea, dizziness, or shortness of breath. A blocked artery can also lead to a heart attack.

To provide the readers with a better understanding of the reasons for undergoing coronary artery bypass grafting, Dr. Sujay Shad, a renowned heart doctor in Delhi at Sir Ganga Ram Hospital, has shared important insights about the same in this blog. Keep reading to learn more.

Who is Eligible for Coronary Artery Bypass Grafting?

The patient is eligible for coronary artery bypass grafting if they suffer from severe coronary artery diseases that are difficult to correct with stent placement or angioplasty. The surgery could be risky if one has the following:

• Chronic health conditions such as diabetes, high blood pressure, peripheral artery disease, kidney disease, or lung disease
• Consume a lot of alcohol

Note: The eligibility criteria for various heart surgeries differ from patient to patient and largely depend on their general health, medical history, and medical conditions. To know if you are eligible for a procedure, it is best to consult a heart surgeon. For further queries, schedule a consultation with Dr. Sujay Shad, the best heart surgeon in Delhi, India, at Sir Ganga Ram Hospital.

Why Does One Undergo CABG Surgery?

Coronary artery bypass grafting (CABG) surgery is a common procedure that treats severe coronary artery diseases. Here are some of the reasons why one might want to undergo CABG surgery:

1. Severe Coronary Artery Diseases: A heart surgeon recommends CABG for patients with significant blockage or narrowing of the coronary artery. This condition can restrict the blood flow to the heart, lead to chest pain, and increase the chances of a heart attack.
2. Failed Medical Management: If lifestyle changes, medications, and other treatments have not been successful in controlling the symptoms of coronary artery disease, CABG may be an effective treatment option.
3. Multiple Blockages: CABG is also chosen when there are multiple blockages in the coronary arteries or if the arteries are located in critical areas. In such a case, the procedure asks for bypassing the blocked arteries with the help of healthy blood vessels from other parts of the body. This helps correct the blood flow.
4. Left Main Coronary Artery Disease: The left main artery is responsible for supplying a large portion of the heart with blood. If this artery gets blocked, it increases the risk of a heart attack. CABG is recommended to bypass the blockage and restore blood flow to the heart.
5. Chronic Stable Angina: Patients with chronic stable angina, a condition that is characterized by recurrent chest pain or discomfort during physical activities, undergo a CABG to relieve the symptoms and improve their quality of life.
6. Emergency Cases: CABG is performed as an emergency procedure after a heart attack if the patient is unstable or if other interventions, such as percutaneous coronary intervention (PCI), are not suitable.

Note: One must understand that the decision to undergo CABG surgery is based on a thorough evaluation by a professional. The reasons for undergoing the surgery may vary depending on the medical condition of the patient and their overall health.

How is Coronary Artery Bypass Grafting Performed?

There are two different methods for performing a CABG surgery. These include:

1. On-pump CABG, which is the traditional way of performing CABG
2. Off-pump CABG is the newer way.

On-Pump Coronary Artery Bypass Grafting Involves Steps As Below:

• The patient will be administered general anesthesia by the heart surgeon.
• A breathing tube will be inserted into the patient's heart to help the patient breathe.
• To drain the urine, a catheter is inserted into the bladder.
• Once the anesthesia starts taking effect, the heart surgeon makes an incision over the breastbone called the sternum.
• The surgeon then cuts the breastbone, and this procedure is called a median (middle) sternotomy (cutting of the sternum).
• Once the sternum is cut, the surgeon opens the rib cage to reach the heart.

To learn about bypass surgery cost in Delhi, book a consultation with Dr. Sujay Shad, a well-known heart surgeon, at Delhi’s prestigious hospital, Sir Ganga Ram Hospital, today! 

When Does a Person Need Bypass Surgery?

 Coronary artery disease (CAD) affects millions of people worldwide and is a leading cause of heart-related complications and death. While lifestyle modifications and medications can help manage CAD, there are cases where bypass surgery becomes necessary. 

A leading heart doctor in Delhi, Dr. Sujay Shad explains that coronary artery bypass grafting (CABG), commonly known as bypass surgery, is a surgical procedure that reroutes blood flow around blocked or narrowed arteries, restoring blood supply to the heart. He further elaborates on the need for getting a well-qualified surgeon to perform this kind of surgery. 

In this blog, we will explore the circumstances in which a person may require bypass surgery.

When Does A Patient Need Bypass Surgery?

• Severe Coronary Artery Disease

The primary indication for bypass surgery is the presence of severe coronary artery disease. When the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of plaque, it can lead to chest pain (angina), shortness of breath, and other symptoms. If lifestyle changes, medications, and less invasive procedures, such as angioplasty and stenting, are not effective in alleviating symptoms or improving blood flow, bypass surgery may be recommended.

• Multiple Blocked Arteries

Bypass surgery is particularly beneficial when multiple coronary arteries are blocked or narrowed. If three or more major arteries supplying the heart are severely obstructed, bypass surgery is often the preferred treatment. By creating new pathways for blood flow using grafts, such as veins from the leg or arteries from the chest, the surgeon can bypass the blockages and improve blood supply to the heart muscle.

• Left Main Coronary Artery Disease

The left main coronary artery is a critical artery that forms a large portion of the heart muscle. If it becomes significantly narrowed or blocked, bypass surgery may be necessary. The left main artery disease requires prompt attention, as it poses a higher risk of life-threatening events, such as heart attack or cardiac arrest. Bypass surgery can effectively restore blood flow to this vital artery and reduce the risk of complications.

• Failure of Non-Surgical Treatments

Before considering bypass surgery, heart surgeons usually exhaust non-surgical treatment options, such as medications and lifestyle modifications. If these interventions fail to control symptoms, improve blood flow, or prevent further progression of coronary artery disease, surgery may be the next logical step. Bypass surgery can offer long-term relief and reduce the need for frequent hospital visits or invasive procedures.

• Failed Angioplasty or Stenting

Angioplasty and stenting are minimally invasive procedures commonly used to treat coronary artery disease. During angioplasty, a balloon-tipped catheter is used to widen the narrowed artery, and a stent (a tiny mesh tube) is placed to keep the artery open. However, in some cases, these interventions may not achieve the desired results. If the artery re-narrows or if complications arise following angioplasty or stenting, bypass surgery may be required to restore blood flow effectively.

Heart Surgery Cost?

Those who want to know the heart surgery cost in Delhi must understand that many factors affect its costs such as: 

• The severity of the condition. 
• Location of the facility. 
• Doctor’s qualification. 
• Doctor’s experience. 
• Doctor’s expertise, etc. 

Importance of a Bypass Surgery

Bypass surgery is a vital and highly effective treatment option for individuals with severe coronary artery disease. It becomes necessary when non-surgical treatments and less invasive procedures fail to provide relief or improve blood flow adequately. By creating alternative pathways for blood circulation, bypass surgery restores oxygen-rich blood supply to the heart, reducing symptoms and lowering the risk of life-threatening complications.

If you or a loved one experiences severe chest pain, shortness of breath, or other symptoms associated with coronary artery disease, it is crucial to seek medical attention promptly. A qualified heart doctor can assess your condition, perform diagnostic tests, and determine the most appropriate treatment plan, which may include bypass surgery if necessary.

Remember, each case is unique, and decisions regarding bypass surgery are made on an individual basis after considering various factors. Trust your heart surgeon and his team to guide you through the process and help you make informed decisions to safeguard your heart health. If you are looking for the top heart surgeon in Delhi, visit Dr. Sujay Shad at Sir Ganga Ram Hospital, now!

Coronary Artery Bypass Grafting - Who Needs It?

CABG stands for Coronary Artery Bypass Grafting is a surgical procedure that helps restore blood flow to the heart muscle by bypassing blocked or narrowed coronary arteries. It involves taking a blood vessel from another part of the body, such as the leg or chest, and attaching it to the heart to bypass the blocked artery. 

It is a common procedure that has already helped millions of people with heart disease to regain their health and improve their quality of life. But who needs CABG, and how one can identify that candidates eligibility criteria and bypass surgery cost in Delhi has been answered by Dr Sujay Shad in this blog. 

Who needs CABG?

CABG is usually recommended for people with severe Coronary Artery Disease (CAD), which is a condition where the arteries that supply blood to the heart muscle become narrowed or blocked. 

CAD is caused by a buildup of plaque, which is made up of cholesterol, fat, and other substances, on the walls of the arteries. As the plaque grows, it can restrict blood flow to the heart and cause chest pain (angina) or even a heart attack.

CABG may be recommended for people with CAD who have:

1. Severe symptoms: If someone has severe chest pain or shortness of breath that is not relieved by medication or lifestyle changes, a heart specialist in Delhi may recommend CABG.
2. Multiple blockages: If the person has been diagnosed with more than one blocked artery, or if the blockages are in a difficult-to-reach location, CABG may be the best option.
3. Left main coronary artery disease: A person with blockage in the left main coronary artery, which supplies blood to the majority of the heart muscle, CABG is usually the recommended treatment.
4. Diabetic patients: People with diabetes may be at higher risk for complications from stents or angioplasty, making CABG a better option for them.
5. Decreased heart function: If someone has been diagnosed with weakened heart function and the cause of it is coronary artery disease, CABG is the best option to improve the heart function.

How can one identify the right candidate for the Coronary Bypass Surgery in Delhi?

If someone has the symptoms of CAD, such as chest pain or shortness of breath, then the heart doctor in Delhi will perform tests to determine if the person has CAD and how severe it is. The examination of CAD include below-mentioned test:

1. Electrocardiogram (ECG): This test records the electrical activity of one’s heart and can detect any abnormalities.
2. Stress test: This test measures how well an individual’s heart responds to exercise or medication, and can detect if there is reduced blood flow to the heart.
3. Coronary angiogram: This test uses a special dye and X-rays to visualize the inside of the coronary arteries and detect any blockages.

If someone has been diagnosed with CAD, the cardiac surgeon will discuss treatment options with the patient. If CABG is recommended, the patient will undergo a thorough evaluation to make sure that the candidate is a good candidate for surgery. This evaluation may include:

1. Physical exam: Cardiac surgeons will perform a physical exam to evaluate one’s overall health and fitness for surgery.
2. Blood tests: Blood tests will be performed to check your overall health, including the patient’s kidney and liver function.
3. Imaging tests: Imaging tests, such as a chest X-ray, CT scan, or MRI, may be performed to evaluate the condition of the heart and lungs.
4. Cardiac catheterization: This procedure may be performed to evaluate the severity and location of the blockages in the coronary arteries.

If someone is deemed a good candidate for CABG, the heart specialist will discuss the procedure with the candidate and explain the risks and benefits. One will have an opportunity to ask any questions before making a decision about whether to proceed with surgery.

Cost of Coronary artery bypass surgery

The cost of coronary artery bypass surgery can vary widely depending on several factors, including the location of the hospital, the experience of the surgeon, the type of hospital, the extent of the surgery, and any additional medical treatments or medications required. 

Whereas this cost may increase due to differences in the cost of living and medical practices in other cities. However, it is important to note that these costs are estimates and may vary widely depending on individual circumstances. It is essential to consult with a qualified medical professional for an accurate estimate of the cost of this procedure. 

To learn more about CABG pay a visit to Dr. Sujay Shad a renowned cardiac surgeon in Delhi practising at Sir Ganga Ram Hospital.

He has helped many patients by performing best life saving cardiac and heart surgeries. Using the best approaches and advanced techniques he has helped many many patients to get a new life.

To know more about these procedures pay a visit now at Sir Ganga Ram Hospital today!

Heart Failure: Causes, Treatment, and Recovery

 Heart failure is a condition in which the heart is unable to pump enough healthy blood to meet the body’s requirements. An inadequate blood supply disrupts the body’s major functions, which may result in further serious problems. According to statistics, heart failure is a prevalent health condition that has affected about 26 million people worldwide and is still on a continuous rise (1). 

With an increasing number of cardiac patients, medical scientists are working daily to make heart treatments affordable and available for all. In this blog, Dr. Sujay Shad, the best heart doctor in Delhi, explains the available treatment for heart failure under his expertise. He also discusses the various causes and risk factors that may lead to heart failure. 

Keep scrolling till the end to read some genius tips to keep the heart healthy. 

Causes and Risk Factors

The majority of people with heart failure also have another health problem. Coronary artery disease (CAD), an illness that narrows the arteries that deliver blood and oxygen to the heart, is one of the leading causes of heart failure. Some other conditions that may contribute to the risk of heart failure are: 

• Hypertension: The heart of the person suffering from high blood pressure works harder than usual to supply blood to other organs. However, over time, this pressure makes the heart muscles either too stiff or weak, which eventually may cause problems in pumping blood effectively. 
• Defective heart valves: The heart's valves ensure that blood flows in the right direction. When a heart defect, coronary artery disease, or a heart infection damages a valve, the heart has to work harder, which can make it weaker over time. This may lead to heart failure. 
• Injured heart muscles: Damage to the heart muscles may also cause heart failure. Some health conditions,  infections, alcohol, use of illegal drugs, and in some cases, some chemotherapy drugs may lead to damage to heart muscles. 
• Myocarditis: This condition may also cause inflammation and cardiac muscle pain. It is a viral inflammation caused by various viruses, including the COVID-19 virus, and can lead to heart failure on the left side.
• Congenital heart disease: When the heart or heart valves do not develop properly at birth, it may lead to an extra burden on the developed part of the heart to make sufficient blood. This may lead to an exertion of the healthy parts and heart failure. 
• Irregular heartbeats: When the heartbeats are irregular due to certain health conditions, it may cause exertion on the heart and cause heart failure. 
• Other risk factors: Some other health conditions and factors may also increase one’s risk of having heart failure. These are:
• Health conditions:
• Diabetes 
• Lung diseases 
• HIV 
• High blood pressure 
• Obesity 
• Heart attack 
• Sleep apnea
• Anemia 

• Lifestyle factors: 
• Smoking 
• Alcohol 
• Use of illegal drugs 
• Fatty food 
• 65 years of age or older 
• Family history of heart disease
• Inactive lifestyle

Symptoms of Heart Failure 

Dr. Sujay Shad explains that one may experience the following symptoms of heart failure: 

• Fatigue 
• Weight gain 
• Loss of appetite and nausea
• Continuous coughing 
• Irregular heartbeat 
• Swelling in the stomach
• Breathing problems
• Swelling on the leg, especially around the ankle
• Shortness of breath while lying down
• Frequent urge to urinate 

Heart Transplant Surgery for Heart Failure

There are several ways and open heart surgeries that may help treat heart failure. However, when the body does not respond to any other treatment, Dr. Sujay Shad, an expert heart doctor, opts for heart transplant surgery. 

This is an open heart surgery, where the surgeon will change either the patient’s heart’s faulty part or the whole heart and replace it with a donor’s heart. 

The surgery may sound complicated, but when done by an expert like Dr. Shad, who is known for providing the best open heart surgery in Delhi provides a high success rate with a faster recovery pace. 

In the past few years, medical treatments for heart disease have advanced, and device treatments for heart failure have also improved. Smart machines that help the heart pump blood are easy to use, last long, and cause few problems. Heart transplantation gives long-lasting results at a fraction of the cost and improved quality of life.

Tips for Healthy Heart 

As rightly said, precaution is better than cure. These healthy heart tips can help one save themselves from the risk of heart failure: 

• Eat healthy diet 
• Quit smoking and alcohol 
• Go running, dancing, skipping, or any physical activity 
• Have a cube of dark-medium dark chocolate daily 
• Maintain healthy weight
• Control cholesterol, BP, and blood sugar
• Stay stress-free 
• Indulge in hobbies 
• Laugh more 
• Limit salt intake 

Dr. Sujay Shad, an expert heart doctor examines the patient’s medical history and current medical condition before suggesting further treatments. Visit him at Sir Ganga Ram Hospital for successful open heart surgery in Delhi. The expert heart surgeon will first provide a thorough diagnosis of the patient and then suggest the appropriate treatment.

Heart Bypass Surgery: Purpose & Procedure

 Heart bypass surgery, also known as coronary artery bypass graft (CABG) surgery, is performed to improve the heart's blood flow. A surgeon can bypass the damaged arteries by removing blood vessels from another body part. Worldwide about 200,000 of life saving heart surgeries are done by doctors annually.

Contrary to popular belief, there are numerous misconceptions concerning bypass surgery, and many believe it can have negative outcomes. Individuals with blockages that cover more than 70% of their arteries are candidates for this surgery since angioplasty, which involves placing stents in the arteries to enhance blood flow, is ineffective. Some basic factors about bypass surgery are addressed by Dr. Sujay Shad, Professor, Senior Consultant in Cardiac Surgery, Director of Cardiac Transplants at Sir Ganga Ram Hospital and the top heart doctor in Delhi.

What is Heart Bypass Surgery?

Heart bypass surgery is performed when coronary arteries become clogged or damaged. The oxygenated blood is delivered to the heart by these arteries. If these arteries are blocked, or blood flow is restricted, the heart cannot work properly. This may result in heart failure.

Bypass surgery is one of the most popular kinds of open-heart surgery. Most people have great outcomes and enjoy a decade or longer of symptom-free living. One will still require a balanced diet, regular exercise, and perhaps medication to stop more blockages. However, before the procedure, one should be aware of what to expect, how to prepare, potential difficulties, and the course of the recovery.

Why Does One Need a Heart Bypass?

The symptoms of coronary artery disease are treated with bypass surgery. This occurs when plaque, a waxy substance, accumulates inside the arteries of the heart and prevents blood and oxygen from getting to it.

Heart bypass surgery may be recommended by the doctor if,

• One experiences severe chest discomfort that the doctor believes is caused by a blockage in a number of the arteries that carry blood to the heart.
• The left ventricle, which pumps the majority of the blood, isn't functioning as it should because at least one of the coronary arteries is diseased.
• The left main coronary artery, which supplies the majority of the blood to the left ventricle, is blocked.
• Other procedures one has undergone either didn't work or made the arteries narrower once more.
• One now has obstructions.

A coronary artery disease can result in heart attack. It can result in a blood clot and stop the flow of blood. The sufferer can benefit greatly from a bypass procedure.

What Happens During a Heart Bypass?

Most procedures last between three and six hours. One will be sleeping off the entire time. The doctor will place a breathing tube in the patient's mouth. It is connected to a ventilator, which will take care of breathing during and immediately after the procedure.

• The heart surgeon will cut down the chest from the centre. The patient’s rib cage will then be spread open, allowing the surgeon access to the heart.
• The patient’s heart will be momentarily stopped using medicines by the surgical team. While the heart isn't beating, a device known as a heart-lung machine will keep blood and oxygen moving through the patient's body.
• A blood vessel, known as a graft, will then be removed by the surgeon from another area of the body, such as the chest, leg, or arm. One end of it will be connected to the patient's aorta, a sizable artery that leaves the heart. The second end is then attached to an artery that is below the obstruction.
• Due to the graft, the blood now has a new pathway to the heart. The surgeon might do several bypass procedures during the same procedure if one has many blockages (double bypass, triple bypass, etc.).
• The surgeon might not need to stop the heart in some circumstances. Others merely require minor trims. These procedures are named "keyhole." They are referred to as "off-pump" procedures.
• Robotic surgical tools are used during some operations. The optimal surgery for one will be suggested by the heart surgeon after a proper examination.

Before the procedure, one should discuss these with the surgeon. One will be able to exercise more, and the chances of suffering a heart attack will be reduced. The procedure can lengthen one’s life, which is the best part. 

One can get the best heart bypass surgery done by the renowned heart surgeon Dr. Sujay Shad at Sir Ganga Ram Hospital, heart hospital in Delhi. The doctor will first thoroughly examine the patient before making the best recommendations. 

Visit Sir Ganga Ram Hospital to learn more about the bypass surgery cost in Delhi. 

Open Heart Surgery: Basic Things One Should Know

 

During a heart transplant surgery, a deteriorating heart is replaced with a healthier donor heart to save the sick patient's life. Most frequently, patients who require a heart transplant are those whose cardiac diseases have not improved enough with medicine or other treatments. 

Everyone feels a little nervous whenever surgery is suggested, mainly when it concerns the heart. A renowned cardiac surgeon with a significant understanding of heart transplants, open heart surgery, and treatments for treating heart failure, Dr. Sujay Shad has offered vital information about Open Heart Surgery in Delhi in this blog.

When is Open Heart Surgery Required?

A CABG (coronary artery bypass graft) procedure may involve open-heart surgery. Individuals with coronary heart problems may require a bypass artery graft. Coronary heart disease develops when the arteries that provide oxygen and blood to the heart muscle narrow and harden. When fatty tissue forms plaques on the coronary artery walls, hardening occurs. Blood flow is hampered by the narrowing arteries caused by this plaque. A heart attack could happen if the heart's blood supply is impacted.

Other reasons may include the following:

• The replacement or repair of heart valves, which allow blood to flow through the heart

• The repair or replacement of damaged or abnormal heart tissue

• The implantation of medical devices to assist the heartbeat normally

• The replacement of a dysfunctional heart with a donor heart (heart transplantation)

What are the Risks Involved?

• Refusal of the Implanted Heart: One of the most alarming risks after a heart transplant is the body rejecting the donor's heart. If the immune system considers the donor heart a foreign object, this could lead to rejection, which could harm the organ. Every patient receiving a heart transplant receives immunosuppressants.

• Problems With the Arteries: The arterial valves in the heart could possibly thicken and harden after the transplant. Due to this, the heart may struggle to pump blood, which could cause a heart attack, cardiac arrest, myocardial infarctions, or early cardiac death.

• Primary Graft Failure: The most frequent cause of death in the first few months after transplant is primary graft failure, in which the donated heart is not functioning. 

Note: Immunosuppressants must be taken by the person for the rest of their life; among other factors, they can significantly damage the kidneys. Immunosuppressive drugs make it more difficult for a person to fight infections—in the first year following the operation. Thus, it is advised to follow the doctor’s advice. 

What Happens Before the Surgery?

• Inform the doctor about all medications one is taking, including over-the-counter pharmaceuticals, vitamins, and herbal remedies. Let them know if one has a herpes outbreak, the flu, a cold, or a fever. The doctor might advise quitting smoking and stopping blood-thinning drugs, such as two weeks before the procedure.

• One can experience alcohol withdrawal if one regularly consumes three or even more drinks each day and stops soon before the procedure. Following open-heart surgery could result in potentially fatal consequences like seizures or tremors. To lower the chance of these issues, the doctor can assist patients with alcohol withdrawal. 

How is the Procedure Carried Out?

A CABG takes three to six hours:

• Anaesthesia is administered to the patient. That guarantees that the patient will be sleeping off and will remain pain-free throughout the entire procedure.

• An 8 to 10 inch cut is made in the chest by the surgeon.

• The surgeon makes a full or partial cut through the breastbone to access the patient's heart. 

• The patient might be attached to a heart-lung bypass device after the heart is visible. The machine pumps blood out from the heart for the surgeon to perform surgery. Some more recent techniques use something other than this device.

• The surgeon creates a new passage around the obstructed artery using a functional vein or artery. The wire is left within the body after the surgeon uses it to seal the breastbone. The first cut has been repaired.

• After surgery, the breastbone is repaired with small plates and screws known as sternal plating.  Sternal plates may normally be necessary for individuals who are at high risk, including those who have undergone several surgeries or are elderly. 

What Happens After the Procedure?

In order to determine whether the system is rejecting the new heart, periodic cardiac biopsies are performed in the first few months after transplantation, when rejection is particularly likely to happen. Over time, less frequent biopsies become necessary. Any signs of resistance, including gaining weight, feeling out of breath, a fever, weariness, and decreased urination, will be examined in terms of one's health.

Book an appointment with Dr. Sujay Shad, best bypass surgeon in Delhi, at Sir Ganga Ram Hospital straight away to learn more about heart problems and life-saving heart transplant surgery.

Angina Signs And Symptoms- What To Do To Save A Life

Angina is a syndrome- a set of symptoms including chest pain or discomfort which occurs due to insufficient oxygen-rich blood supply to the heart muscles. It is not a disease but a warning sign of having a risk of heart attack or stroke. It is usually caused by coronary artery disease- a heart disease wherein coronary arteries become narrowed, hence reducing blood flow to the heart. ‘When this happens, the heart may beat faster and harder to receive more blood, causing a noticeable pain in the chest area’ shares Dr. Sujay Shad, an expert and senior heart doctor in Delhi practising at Sir Ganga Ram Hospital

 

Signs of Angina

 

The main symptom of angina is chest pain or discomfort which usually-

 

• feels dull, tight/squeezed, or heavy and it may radiate to the jaw, neck, arms, shoulders, back, or belly
• is triggered by stress or physical exertion
• stops after some resting.

 

The chest discomfort usually starts behind one’s breastbone and some people may not be able to exactly locate the source of pain. Some people feel angina like their indigestion or gas. Due to a lack of oxygen supply to the heart, a person can experience symptoms that are not felt in the chest area, called angina equivalents. These include:

 

• Fatigue or extreme tiredness
• Shortness of breath
• Nausea or Vomiting
• A lot of sweating.

 

Types of angina

 

Angina can be of varying kinds including:

 

1.  Stable Angina (Angina Pectoris): It is a temporary feeling of pain, pressure, fullness, or squeezing sensation at the centre of the chest, lasting for only 5 minutes or less. This feeling may spread to other body parts and may feel like gas or indigestion. The symptoms may show up and disappear in predictable patterns for at least 2 months. It is usually noticed in people having strong emotions like extreme anger, anxiety, or stress; during body exertion like walking up a hill; after having a heavy meal; any time when the heart is made to work harder; in extreme weather conditions (too hot or too cold). Usually, it is the case with patients suffering from coronary artery disease. Proper rest and certain medications can alleviate it. 

  

2.  Unstable Angina: Unlike usual stable angina, the pain feels more intense or worsens, and may last for more than 20 minutes. It may go away and return and may be accompanied by shortness of breath. It can happen to anyone while resting or sleeping or during light physical activity. It is not predictable, may be a sign of a heart attack, and rest or medications may not let it fade away.  

 

3.  Microvascular Angina: It refers to severe chest pain lasting for at least 10 minutes. The patient may even experience shortness of breath, fatigue, sweating, or trouble sleeping. It occurs during physical exertions, periods of strong emotions, and normal daily routines. It is a symptom of coronary microvascular disease. Immediate relief cannot be provided by medications.

 

4.  Prinzmetal (Variant or Vasospastic) Angina: The chest pain is unbearable or the lower chest may feel like having vague pain or pressure. It may spread to the jaw, neck, or left shoulder and may go along with fainting, nausea, dizziness, or cold sweat. It happens in a recurrent pattern when one is sleeping or resting often between 12 a.m. to 8 a.m. It is the least commonly occurring angina which can be relieved by certain medications. It is a symptom of coronary spasms affecting younger people.

 

When to Seek Medical Help?

 

If a person is diagnosed with angina and experiences an attack of chest pain that disappears after a few minutes of resting, he/she must have an urgent appointment with a general physician. The doctor would be able to identify if the pain is caused by a heart problem and refer the patient for certain tests. Chest pain lasting for more than a few minutes must be taken more seriously and the patient must consider it an emergency.

 

By becoming aware of the signs and symptoms of angina, one can take immediate steps for its treatment and perhaps save a life- maybe his/her own life. If one is having unexpected or severe chest pain, it could be a possible sign of an upcoming heart attack. So act promptly, call emergency services, and get to the hospital for medical assistance from a cardiologist to avoid serious health issues.

 

How Angina Can Be Treated?

 

Angina can be probably treated with certain medications that are taken for remaining life and also proper rest. Medications may be prescribed for treating attacks, preventing future attacks, and reducing the risk of having strokes or heart attacks. Medications may not be suitable in every patient case. Sometimes, surgery may be needed to save a life. An operation of the heart to improve blood flow to the muscles may be recommended. For instance, if the patient has angina due to coronary artery disease, the cardiac surgeon may fix a blocked artery by coronary artery bypass graft surgery or coronary angioplasty and stent placement.

 

Living with angina

 

If one is diagnosed with angina, then it’s important to have a healthy lifestyle to avoid the risk of heart attacks and strokes. Hence, the patient must:

 

• Have a healthy, well-balanced diet
• Quit smoking
• Limit alcohol intake
• Lose and maintain body weight- if overweight or obese
• Regular exercise- mild to moderate intensity ones are usually safe.

 

If one is experiencing the above mentioned symptoms and want to know more about the ways and treatments that can help one to live healthy, consult now with Dr. Sujay Shad, best cardiologist and heart doctor in Delhi at Sir Ganga Ram Hospital. He is an expert heart surgeon with experience in performing many lifesaving heart surgeries. To know more consult today!