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.

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Good Health – A few vital indicators!

 Good health
Vital parameters for good health

We all talk of good health. Are there some common parameters which indicate good health ?


Blood Pressure :The force of blood pressing against your artery walls is your blood pressure
Ideal BP is 120/80mm.  BP over 140/90mm increases risk of heart attacks and strokes.
Cholesterol : Cholesterol is a fat-like, waxy substance in the blood which gets deposited in your arteries and reduces blood supply.
Ideally total cholesterol, which should be less than 200mg/dL; tri-glycerides, which should be less than 150mg/dL; good’ HDL cholesterol, greater than 60mg/dL and ‘bad’ LDL cholesterol, less than 100mg/dL. Higher levels of cholesterol may block blood flow to the heart an increase risk of heart disease.
 BMI or Body Mass Index is a key indicator for fat in the body  measures body fat using your height and weight.
Ideally  BMI should be between 18.5 to 24.9. BMI less than 18, indicates under weight with possible nutritional deficiencies.
A BMI of 25 and above is considered to be overweight, while 30 and above is considered to be obese. 
Sugar: The amount of glucose in the blood is called sugar
Sugar is measured by Fasting Sugar, PP sugar or HbAIc tests (hemoglobin Alc ).
A high HbAIc indicates pre diabetes, insulin resistance which lead to diabetes. Ideally HbAlc should be less than 5.7% and fasting glucose should be less than 126mg/dL.
Diabetes is usually diagnosed when HbAlc is 6.5% or higher, while your fasting glucose is 126mg/dL or higher. High sugar levels can damage blood vessels, increasing risk of heart disease and kidney failure.

How Does High Blood Pressure Affect Your Heart

Blood Pressure,Open Heart SurgeryUncontrolled blood pressure can damage the heart , the main organ responsible for pumping blood in the body in a number of ways.

Cause narrowing of arteries- As the pressure of blood flowing from your arteries increases. it damages the inner lining of your arteries. Fat from food collects in the damaged part of your arteries causing further narrowing and damage. Eventually arteries become less elastic limiting proper blood supply to the body.

Coronary heart disease-  As the arteries get damaged due to narrowing, a high blood pressure can lead to sudden chest pains  and subsequent heart attack or even arrhythmias.

When the damage becomes extensive, angioplasty, stenting also may not help and an Open Heart Surgery maybe required.

Enlarged Left Heart– As high blood pressure forces the heart to work harder to pump blood , the left ventricle or the left heart becomes thicker and tougher increasing risk of heart attack,  heart failure or a cardiac arrest.

Heart Failure-  Over a period of time, the heart becomes, weaker, less efficient and begins to fail.

If you know of someone suffering from High Blood Pressure,  coronary heart disease,  email us your medical reports on info@ihealthkonnect.com and Consult Now.

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Silent Heart Attack

Silent heart attack,Cost of open heart surgery in India

And most importantly, it is good to get a check up done every 6 months post the age of 30.

The maximum damage during a heart attack occurs in the first one hour.
It is important to reach a good cardiac care hospital as soon as possible.
Sometimes coronary angioplasty is done immediately and very often open heart surgery may also be advised.
Cost of a coronary angioplasty with 1 stent may vary from US$ 4000 to US$ 5500 depending upon the type pf stent. Open heart surgery in India costs between US$ 6500 to US$ 7500.

 

Congenital Heart Disease in Children, What to do if your child suffers from one

Congenital heart disease (CHD) in children,is your child suffering from one

Congenital Heart Disease

Congenital Heart Disease is a problem with the heart’s structure and function that is present from birth.

Congenital heart disease (CHD) can describe a number of different problems affecting the heart. It is the commonest type of birth defect. Congenital heart disease causes more deaths in the first year of life than any other birth defects.

Congenital heart disease is often divided into two types:

Cyanotic (blue skin color caused by a lack of oxygen) and non-cyanotic or acyanotic.

In non cyanotic congenital heart defects, blood flows from the left side of the heart to the right side of the heart due to a structural defect often known as a hole  in the septum.

The following lists cover the most common congenital heart diseases:

Cyanotic

  • Ebstein’s anomaly
  • Hypoplastic left heart
  • Pulmonary atresia
  • Tetralogy of Fallot ( TOF)
  • Total anomalous pulmonary venous return
  • Transposition of the great vessels
  • Tricuspid atresia
  • Truncus arteriosus
  • Non-cyanotic:
  • Aortic stenosis
  • Atrial septal defect (ASD)
  • Atrioventricular canal (endocardial cushion defect)
  • Coarctation of the aorta
  • Patent ductus arteriosus (PDA)
  • Pulmonic stenosis
  • Ventricular septal defect (VSD)

These problems may occur alone or together. Most children with CHD do not have other types of birth defects. However, heart defects may be part of genetic and chromosomal syndromes. Some of these syndromes may be passed down through families.

Examples include:

  • DiGeorge syndrome
  • Down syndrome
  • Marfan syndrome
  • Noonan syndrome
  • Trisomy 13
  • Turner syndrome

Often, no cause for the heart problem can be found. Congenital heart diseases continue to be investigated and researched. Drugs such as retinoic acid for acne, chemicals, alcohol, and infections (such as rubella) during pregnancy can contribute to some congenital heart problems.

Poorly controlled blood sugar in women who have diabetes during pregnancy has also been linked to a high rate of congenital heart defects. Symptoms depend on the condition. Although congenital heart disease is present at birth, the symptoms may not appear right away.

Defects such as coarctation of the aorta may not cause problems for years. Other problems, such as a small VSD, ASD, or PDA may never cause any problems. Most congenital heart defects are found during a pregnancy ultrasound.

When a defect is found, a pediatric heart doctor, surgeon, and other specialists can be there when the baby is delivered. Having medical care ready at the delivery can mean the difference between life and death for some babies. Treatment of the baby depend on the defect and the severity of symptoms.

Very often, the baby does not reach critical milestones such as speech, walking etc due to lack of oxygen which hampers brain development and overall growth.

Children with CHD( Congenital Heart Defect) also fall sick very often with pneumonia, breathlessness and are in and out of the hospital.Though it is a tough choice for a patient, getting a surgery done often takes care of the above problems and recovery is quick and the babies are able to make up for lost time and reach age appropriate milestones.

Therefore it is in the child’s best interest to get surgery done within 1 year or a little below 2 years before the pulmonary pressure increases and the medical condition becomes irreversible.

Cost of most surgeries for CHD  varies from US$ 4500 to US$ 11000.

Ihealthkonnect as India’s 1st price discovery and comparison platform empowers not only Indian residents but also overseas patients in connecting to the best doctors and hospitals for open heart surgery.

Patients are not only able to search ,discover best heart hospitals in India and take a free 2nd opinion and estimated cost of surgery from some of the best doctors, best cardiologists in India but also save on cost of surgeries as well.

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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.