Coronary Artery Disease (CAD)

Coronary artery disease (CAD) is the most common type of heart disease. In CAD the coronary arteries (tubes) that take blood to the heart are narrow or blocked. This happens when cholesterol, plaque , calcium deposits build up inside the arteries.

Plaque is caused by:

  • Fat and cholesterol in the blood
  • High blood pressure
  • Smoking
  • Too much sugar in the blood (usually because of diabetes)

When plaque blocks an artery, it’s hard for blood to flow to the heart. A blocked artery can cause chest pain or a heart attack

Common symptoms of a heart attack

A heart attack happens when blood flow to the heart is suddenly blocked. Common signs of a heart attack include:

Chest pain (or feeling pressure, squeezing, or fullness in your chest)

Pain or discomfort in the upper body – like the arms, back, neck, jaw, or upper stomach (above the belly button)

  1. Trouble breathing (while resting or being active)
  2. Feeling sick to your stomach or throwing up
  3. Feeling dizzy, light-headed, or unusually tired
  4. Breaking out in a cold sweat

Part of the heart may die if the person is not given help quickly

Coronary Angioplasty

Angioplasty is  used to treat a heart attack. During coronary artery bypass grafting, a healthy artery or vein from your body is removed. The artery or vein is then connected, or grafted, to bypass the blocked section of the coronary artery. The grafted artery or vein bypasses or  goes around the blocked portion of the coronary artery providing a new route for blood to flow to the heart muscle.

CABG and open heart surgery in India

CABG and open heart surgery in India

India has emerged  as a major healthcare destination. Having invested millions of USD in infrastructure, medical equipment, medical schools and colleges today Indian healthcare benefits from thousands of trained healthcare professionals who graduate every year from premier medical colleges and are trained at some of the best healthcare facilities in India and abroad.

Some of the best heart doctors or best cardiologists in India are able to take care of  open heart surgeries, cabg,  pediatric cardiology, interventional cardiology such as angiography , stenting  or angioloasty .

Cost of cabg in India  varies from usd 6500 to Usd 7500 usually and includes 5-7 days stay in the hospital.

The cost usually includes cost of surgery, food and hospital stay for both patient and one attendant for the specified period.

Incase of an increased ICU stay or complications the cost may increase a bit but still is much much cheaper than other countries such as  USA, Thailand, Turkey, Singapore and Egypt without compromising on the quality of care and treatment.

The cost of open heart surgery in India thus is almost one tenth of cost of heart surgery in USA.

There is a similar difference in cost between European countries such as UK, German and also Australia.

Open Heart Surgery Cost is also much lower than that in several parts of Middle East be it Saudi Arabia, Oman , UAE, Egypt and also South Africa, benefitting patients from across the world.

It is also worth noting that cost of living in India is also much cheaper than most countries, be it an underserved geography like Kenya, Nigeria or a developed country like USA.

Hence the patient and his family are able to stay post operatively at an affordable cost till the patient recovers well and is able to go back.

This is important as for a medical patient it is essential that not only is the surgical procedure carried out at an affordable cost, “ a cost which fits the pocket” but the patient is also able to stay post the surgery and recover well before going back home.

Even after including the cost of air tickets which is a USD 1000 from a country like USA or Canada,  cost of stay which doensot exceed USD 25 per day,  cost of treatment usually doesnot exceed  USD 12000, much much less than cost of open heart surgery  in USA at USD 133,000.

Treatment Options post confirmation of Heart Attack

Once the diagnosis of a heart attack is confirmed or strongly suspected, doctors start treatments promptly to try to restore blood flow through the blood vessels supplying the heart. The two main treatments are clot-busting medicines and  coronary angioplasty to open blocked coronary arteries.

Immediate treatment for Heart Attacks

The following are done right away if a heart attack is suspected, even before the diagnosis is confirmed.

  • Aspirin to prevent further blood clotting
  • Nitroglycerin to reduce your heart’s workload and improve blood flow through the coronary arteries
  • Oxygen therapy
  • Treatment for chest pain

Are you at a risk of a 2nd heart attack

Once you’ve had a heart attack, you’re at higher risk for another one. Most people are not able to differentiate between an angina and a heart attack pain.

Knowing the difference between angina and a heart attack is important. Angina is chest pain that occurs in people who have Coronary Heart Disease.

The pain from angina usually occurs after physical exertion and goes away in a few minutes when you rest or take medicine as directed.

The pain from a heart attack usually is more severe than the pain from angina. Heart attack pain doesn’t go away when you rest or take medicine.

If you don’t know whether your chest pain is angina or a heart attack, is important to call your doctor right away.

The symptoms of a second heart attack may not be the same as those of a first heart attack so it is important not to take a chance if you’re in doubt.

Unfortunately, most heart attack victims wait 2 hours or more after their symptoms start before they seek medical help. This delay can result in lasting heart damage or death.

Managing Stress

Research shows that the most commonly reported “trigger” for a heart attack is an emotionally upsetting event—particularly one involving anger. Also, some of the ways people cope with stress—such as drinking, smoking, or overeating—aren’t healthy.

Learning how to manage stress, relax, and cope with problems can improve your emotional and physical health. Healthy stress-reducing activities, such as a stress management program, meditation, physical activity, relaxation therapy and talking to friends, family also help

Physical Activity

Routine physical activity can lower many risk factors for coronary heart disease, including LDL (“bad”) cholesterol, high blood pressure, and excess weight. Physical activity also can lower your risk for diabetes and raise your HDL cholesterol level. HDL is the “good” cholesterol that helps prevent another heart attack.

Moderate-intensity aerobic exercise at least 2 hours and 30 minutes per week, or vigorous aerobic exercise for 1 hour and 15 minutes per week. Aerobic exercise, such as brisk walking, is any exercise in which your heart beats faster and you use more oxygen than usual. The more active you are, the more you will benefit. Participate in aerobic exercise for at least 10 minutes at a time spread throughout the week.