Diagnosing and Treating an Enlarged Heart

In continuation of our last blog on what is an enlarged heart, today we would discuss ” how to diagnose an enlarged heart and treatment options for the same

Enlarged Heart, treatment options
Enlarged Heart, treatment options
Early diagnosis is critical to managing an Enlarged Heart.
Upon a physical examination, a cardiologist may hear a murmur in the heart, unusual heartbeats, water retention in the legs, abdomen, fluid retention in the lungs.
After a physical examination, a few tests that may be carried out are :
  • Angiogram or catheterization, checks for blockages in the heart. A flexible tube is inserted via the groin, dye injected and pictures of the heart taken to check for blockages and heart function. In case of blockages, stenting or angioplasty is carried out at the same time.
  • ECG uses electrodes to detect heart activity.
  • Echo, uses sound waves to detect heart activity and take pictures of the heart.
  • MRI is used to take pictures of the heart and blood vessels to detect anomalies.
  • CT Scan is also used to take pictures of the arteries in the heart and is often used for patients with pacemakers and other implanted devices.
  • Stress Echo: The patient is made to exercise and then heart tests are administered. Along with ECG, Stress Echo shows heart rate, rhythm, and activity.

 

  • Some of the common treatment options are:

 

  • Angioplasty or Stenting are often carried out when blockages or fat, calcium deposits are found in the arteries.Stents can be bare metal or drug-eluting which help open up the arteries.
  • CABG or an open heart surgery in case of multiple blockages also help.
  • Heart Valve surgeries, such as single valve repair,  DVR( Double valve replacement ),  MVR(Mitral valve replacement, Mital valve repair), VSD, ASD  help take care of valve-related heart problems which impair blood flow and lead to an enlarged heart over time.
  • VAD or Ventricular assist devices, help in heart failure by helping a weak heart pump blood. VAD can be, LVAD( left ventricular assist device) or RVAD( Right ventricular assist device). ICD combo devices and Pacemakers also help weak hearts or a heart with impaired function.
  • Heart Transplant is the very last option when all else fails to support patients with extreme heart failure.
To discover and compare, the cost of  CABGPDA, VSD, ASD repair, Truncus arteriosus, TOF, Fontan Repair, Angiogram, AngiographyAngioplasty,  Heart Transplant, LVAD, from the best heart hospital in India, click here.

To  ask a free question or get a free 2nd opinion for your medical condition,

CONSULT NOW

To compare the cost of surgery in India,

COMPARE NOW

To get an estimated cost of surgery, based on your medical condition, from the best heart hospital in India, best heart hospital in Delhi,

REQUEST QUOTE

To search for the best doctors in India, the best heart doctor in India, the best heart surgeon in India,  the best heart specialist in Delhi, click on

FIND A DOCTOR

Chat with us live on now,

LIVE CHAT

Enlarged Heart

We often hear of an enlarged heart, what does it mean? How does one’s heart get enlarged? And how does it affect our health?

Heart Disease
Heart Disease
Our heart is a pear-shaped muscle pumping oxygen-rich blood throughout the body.
Sometimes due to certain factors, birth defects- congenital heart defects, our heart muscle has to work much harder causing it to enlarge or become bigger in size.
Once the heart becomes enlarged, it is almost impossible to get it back to the original size.Therefore timely detection and management is the key.
Let’s try and explore factors which lead to an enlarged heart, a medical condition, which is impossible to cure but can be managed medically.
  • Congenital heart defects or heart defects one is born with us as PDA, VSD, ASD, Mitral valve defect, left untreated lead to high pulmonary pressures, which in turn lead to thickening of the arterial wall and also an enlarged heart.Though most babies are routinely scanned for congenital heart defects in developed countries, treatment upon detection and early intervention and management still remains the key.Many parents despite detection, are often scared to get surgical interventions without realizing that they are hampering both mental and physical growth and putting children at risk of enlarged heart and other complications later on in life.

 

  • Lifestyle-related complications such as hypertension or high blood pressure also lead to an enlarged heart over a period of time.In case of high blood pressure, the heart has to pump harder to deliver blood to the rest of your body, thereby thickening and enlarging the heart muscle.High blood pressure may also enlarge the upper chambers of the heart, the left ventricle and also weaken the heart long-term.

 

  • Coronary artery disease or CAD (blocked arteries requiring stenting, angioplasty) can also lead to a heart attack. A part of the heart muscle dies during a heart attack, causing the heart muscle to work harder to supply blood to the entire body which over long-term leads to an enlarged heart.

 

  • Abnormal Heart Beat or Arrhythmia is often ignored but may cause an enlarged heart over a period of time.

 

  • Anemia or low level of iron in the body, where the body doesn’t have enough Red Blood Cells to carry blood to the body, leads to rapid, irregular heartbeat causing the heart to pump harder to make up for lack of sufficient oxygen in the blood.Sicklers or patients suffering from sickle cell anemia are at an increased risk and despite hearsay, a Bone Marrow Transplant or a BMT remains the only curative treatment for Sickle Cell Anemia, Thalassemia Major.

 

  • Thyroid disorders, also lead to various heart diseases over a period of time leading to an enlarged heart.
The biggest complications arising from an enlarged heart are heart failure,  SCA or SCD (sudden cardiac arrest or sudden cardiac death) or what is known as a silent heart attack in laymen language.
Heart Failure: During heart failure, the heart muscle weakens and the ventricles, stretch or dilate to a point that the heart cannot pump blood efficiently, leading to a sudden cardiac arrest.
Silent heart attack or SCD: An enlarged heart causes the heart rhythm to be so slow that the muscle is unable to move blood or it may cause a heart rhythm, so fast that the muscle is unable to beat properly resulting in sudden death.
More on diagnosis and treatment options in our next post.
Stay tuned in for more.
To discover and compare, the cost of PDA, VSD, ASD repair, Truncus arteriosus, TOF, Fontan Repair, Angiogram, Angiography, Angioplasty, from the best heart hospitals in India, click here.
Click here, to ask a free question or a get a free second opinion online.
To get an estimated cost of your surgery, from the best hospitals in India, click here.
To live chat with us, click now!

 

Heart Disease -Stuff you must know !

open heart bypass surgery
open heart bypass surgery

Heart disease kills more people than any other disease. Over 30% of deaths across the world are due to heart disease as per WHO estimates.

Ignorance, lack of awareness, refusal to get basic routine checkups, account for the high mortality rate.

Unhealthy dietary habits, alcohol abuse, use of tobacco, lack of exercise, obesity, diabetes, hypertension and genetics are the primary reasons for developing heart disease.

Most cases go undiagnosed till the patient suffers a heart attack.

Here is a list of types of heart disease which we should all know about.

Clogged Arteries: Fat and cholesterol build up in the arteries leads to plaque and mineral deposits which restricts or blocks blood flow to the heart. Usually clogged arteries are not diagnosed unless one gets chest pains or gets breathless. An angiography is often carried out for diagnosis. Stenting or an angioplasty takes of blocked arteries. A surgeon may insert a balloon or a wire mesh to open up your arteries. If the blockage is severe, a CABG or open heart bypass surgery may be required. In CABG, or open hear bypass surgery, blood vessels from other parts of the body are taken and damaged blood vessels of the heart are replaced or bypassed.

Arrhythmia: Irregular heart beat can either be too slow or too fast. Although rarely fatal, arrhythmia increases pre disposition to heart attack, heart failure and even stroke.
An ICD  detects irregular heart beat and send electric impulses to takes care of Arrhythmia.

Hole in the heart :  PDA, VSD, ASD, Mitral Valve Defects,  commonly known as hole in the heart, sometimes congenital heart defects are not diagnosed even till adulthood. Growth milestones may be compromised and problems may persist later in life.
Serious defects require surgical intervention however some can be managed with medical management.

Heart Muscle Disease: Our heart is a muscle which weakens due to obesity, high blood pressure, diabetes and hence the heart struggles to pump blood in the body.
Heart muscle disease or cardiomyopathy can lead to heart failure.

A Pacemaker is implanted to take care of heart muscle disease.

Enlarged Heart: As the heart muscle becomes weak, the heart enlarges in order to pump blood and the rhythm increases. However the heart also becomes weaker and consequently it leads to decreased blood flow.

Heart Attack: Clogged arteries can restrict and even stop blood flow to the heart. Without blood flow, our heart doesn’t get the oxygen required which damages the heart and this is what is known as a heart attack. The more restricted the blood flow, the more life threatening and severe, the heart attack.

Heart Failure: Failure of the heart to pump blood to the body is known as heart failure and this can lead to death.

Without surgical intervention or medical management as may be required, heart disease progresses and even post diagnosis and surgical intervention, drastic life style changes are required for managing the medical condition.

To get a free 2nd opinion on your heart problem Consult Now

To find out  and compare cost of CABG or cost of open heart surgery in India, or compare cost of ICD, Pacemaker implantation, Click here

Chat with us on facebook at m.me/ihealthkonnect

Better Safe Than Sorry ! Watch out for early indicative symptoms of a Heart Attack before it happens

Heart Attack, Open heart surgery cost in IndiaHeart Attack:

Cardiac arrest or a heart attack is a leading cause of premature death around the world.

Stress, junk food, lack of exercise, smoking, high blood pressure, too much alcohol and an unhealthy lifestyle are the biggest culprits.

Very often a cardiac arrest catches you unawares but it is possible to recognize early symptoms and not be caught unawares.

Symptoms of Heart Attack:

The following symptoms may be indicative of “A Cardiac Arrest On Its Way”

Shortness of Breath- Breathing difficulty or shortness of breath just means a heart attack around the corner. As your heart  gets less blood, your lungs do not get enough oxygen. This is a critical indicator and if you suddenly feel short of breath, just make a dash to your doctor.

Dizziness-  Less blood flow means less blood circulation to the brain as well and hence the dizziness. Though it could be an indicator of other problems, it could be an indicator of an upcoming heart problem as well

Cold Sweat- Breaking into cold sweat is a big red flag and calls for an immediate visit to the doctor

Fatigue- General weakness is often a result of poor blood circulation and less oxygen due to narrowed arteries.  As the heart gets reduced blood supply, there is  subsequent less oxygenation and consequently fatigue and weakness.

Chest Discomfort- Most patients with heart attacks often complain of tightness, discomfort in the chest over months and the tightness may  build up till an actual heart attack happens.

Angiography or an angiogram can tell us on the number of blocked arteries, in which case stenting or angioplasty may be required.

Sometimes, an open heart surgery may also be required.

To compare cost of open heart surgery, angioplasty

COMPARE NOW

Consult for the free second medical opinion

CONSULT NOW

Chat with us on facebook at m.me/ihealthkonnect