Heart Failure Treatment in India

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Heart Failure Treatment in India Heart Failure
(HF) - a condition in which a weakened heart
cant pump enough blood throughout the body. This
leads to reduced quality of life, frequent
hospitalization and high mortality. Although
Heart Failure, like other heart ailments, has
been acquiring epidemic proportions in India in
the recent past, it has not received adequate
public attention. Heart Failure usually cant be
cured, but thanks to advances in technology and
drug discovery, it can be effectively managed and
patients quality of life is improved. Coupled
with appropriate lifestyle changes, the
inexorable progression of the disease can even be
arrested. Hence the importance of early diagnosis
and treatment.

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What is Heart Failure ? Heart Failure does not
mean that heart has stopped working or is about
to stop working. Heart Failure is a condition in
which the heart becomes so weak that it has
trouble pumping a normal amount of blood carrying
enough oxygen and nutrients to meet the body's
needs. While the word failure sounds alarming
as it implies that the heart has suddenly stopped
working, the medical term actually describes a
chronic syndrome that typically develops
slowly. By itself, Heart Failure is not a
disease. Heart Failure develops either as a
result of damage to the heart muscle (caused by
coronary artery disease, infection or toxic
exposure to chemicals such as alcohol and drugs)
or when too much strain is placed on the heart
because of years of untreated high blood pressure
or an abnormal heart valve. The longer the heart
must overwork to compensate for its shortcomings,
the more its pumping ability is impaired. The
failing pump causes blood and fluid to back up
throughout the circulatory system - the lungs,
legs, feet and ankles - and the kidneys retain
excess water and sodium. Heart Failure is also
known as Congestive Heart Failure because of such
fluid buildup.

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• Signs and Symptoms of Heart Failure
• In the early stages, Heart Failure may not have
  any symptoms. In the later stages, the patient
  may have severe symptoms because the weakened
  heart is unable to pump enough oxygen-rich blood
  with each contraction to satisfy the body.
• The most common symptoms are -
• Difficulty in Breathing - Fluid back up into and
  around the lungs can cause shortness of
• breath with exercise or difficulty in
  breathing at rest. Some people with Heart Failure
  must prop themselves up with extra pillows to
  breathe more easily.
• Chronic Cough - The build-up of fluid in the
  lungs causes the lungs to work harder.
• Patients may have a persistent cough or
  wheezing (a whistling sound in the lungs, or
  labored breathing).
• Edema - Less blood to the kidneys causes fluid
  and water retention, resulting in swollen
• ankles, legs and abdomen and weight gain.
  Symptoms may cause an increased need to urinate
  during the night.
• Loss of Appetite - Bloating in the abdomen may
  result in loss of appetite or nausea. Patients
  have the feeling of being full, even when they
  have not eaten for a long time. Their abdomen may
  become swollen or distended.
• Fatigue - Less blood to major organs and muscles
  makes one feel tired and weak.
• Patients find even walking difficult.

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• What are Types of Heart Failure ?
• Left-Sided Heart Failure - In left-sided or left
  ventricular (LV) heart failure, the left side of
  the heart must work harder to pump the same
  amount of blood. There are two types of
  left-sided heart failure. Drug treatments are
  different for the two types.
• Systolic failure The left ventricle loses its
  ability to contract normally. The heart
• can't pump with enough force to push enough
  blood into circulation.
• Diastolic failure or dysfunction The left
  ventricle loses its ability to relax normally
• (because the muscle has become stiff). The
  heart can't properly fill with blood during
• the resting period between each beat.  
• Right-Sided Heart Failure - Right-sided or
  right ventricular (RV) heart failure usually
• occurs as a result of left-sided failure.
  When the left ventricle fails, increased fluid
• pressure is, in effect, transferred back
  through the lungs, ultimately damaging the
  heart's
• right side. When the right side loses
  pumping power, blood backs up in the body's
  veins.
• Congestive Heart Failure - Congestive heart
  failure is a type of heart failure which
• requires seeking timely medical attention,
  although sometimes the two terms are used
• interchangeably. A test called the
  ejection fraction (EF) is used to measure how
  well your
• heart pumps with each beat to determine if
  systolic dysfunction or heart failure with
• preserved left ventricular function are
  present.

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• Diagnosis for Heart Failure
• There is no single test that can diagnose Heart
  Failure. The patient may have to go some of the
  following tests
• EKG (Electrocardiogram) - This test is used to
  measure the hearts electrical
• activity. It may show if the patient has
  had a heart attack or if there is thickening of
  the walls in the hearts pumping chambers
  (ventricles) or if the heart rhythms are
  abnormal.
• Chest X-ray - A chest X-ray shows if the heart is
  enlarged or if there is fluid in the
• lungs, or any lung disease.
• BNP Blood Test - This test checks the level of a
  hormone called BNP (B-type
• natriuretic peptide) that rises in Heart
  Failure.

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• 4. Thyroid Function Tests - These tests reveal
  whether an overactive or an under
• -active thyroid is responsible for Heart
  Failure.
• 5. Echocardiogram - Echocardiogram enables the
  doctor to evaluate the size,
• thickness and pumping action of the heart,
  as well as evaluate how well the heart
• valves are functioning. A stress
  echocardiogram may also be useful in assessing
• how well the heart is functioning at rest
  and during exercise.
• 6. Coronary Angiography - This test, usually
  performed along with cardiac
• catheterization, helps the doctor see the
  flow of blood to the heart muscle.
• Magnetic Resonance Imaging (MRI) - MRI shows
  detailed images of the
• structures and beating of the heart,
  enabling the doctor to assess if parts of the
  heart are weak or damaged.

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• Surgical Treatment Options for Heart Failure in
  India
• Surgery is aimed at stopping further damage to
  the heart and improving its function. Procedures
  include
• Heart Pumps - These mechanical devices, called
  left ventricular assist devices
• (LVADs), are implanted into the abdomen and
  attached to a weakened heart to help it pump
  blood throughout the body. Implanted heart pumps
  can significantly extend and improve the lives of
  some people with end-stage Heart Failure who are
  waiting for a new heart or who aren't qualified
  for a heart transplant.
• Pacemakers ICDs - Implanted devices can control
  arrhythmias (abnormal heart
• rhythms) that may result from Heart
  Failure. Devices include pacemakers to treat a
  too-slow heart rate and implantable cardioverter
  defibrillators (ICDs) to stop a too-rapid heart
  rate that could be life threatening. Sometimes a
  biventricular pacemaker is combined with an ICD
  for people with severe Heart Failure.

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• 3. Coronary Artery Bypass Grafting Surgery - The
  most common surgery for Heart
• Failure is bypass surgery, if Heart Failure
  is caused by coronary artery disease and
• there are blockages that can be "grafted" or
  bypassed.
• Coronary Stenting - This refers to the insertion
  of a wire mesh metal tube called a
• stent into a clogged vessel to help keep it
  open. This usually occurs in conjunction with
  balloon angioplasty. Balloon angioplasty is a
  catheter-based procedure in which plaque is
  pressed back against artery walls to make more
  room for blood to flow through the artery.
• Heart Valve Surgery - Diseased heart valves can
  be treated both surgically
• (traditional heart valve surgery) and
  non-surgically (balloon valvuloplasty).

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• Cardiac Resynchronization - Cardiac
  resynchronization is designed to correct a
  condition called ventricular dysynchrony in which
  the two lower chambers of the heart (known as the
  left and right ventricles) do not beat at the
  same time. The surgery helps the two sides of the
  heart beat together again and improve the hearts
  efficiency. In this procedure, a biventricular
  pacemaker is implanted to coordinate, or
  synchronize, muscle contractions in the
  ventricles.
• Heart Transplant - A heart transplant is
  considered when Heart Failure is so
• severe that it does not respond to all
  other therapies. Heart transplants have
  dramatically improved the survival and quality of
  life of people with severe Heart Failure. But the
  availability of a donor heart is a big problem.

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FAQ - Heart Failure Treatment in India What are
Other Treatment Options for Heart
Failure? Severe heart failure may require the
following treatments when other therapies no
longer work. They are often used when a person is
waiting for a heart transplant
Intra-aortic balloon pump (IABP) Left
ventricular assist device (LVAD) How will I get
Best Heart Failure Surgery And Treatment In
India? To get the best Heart Failure Surgery and
Treatment in India, all one has to do is send us
his/her medical reports and with the help of our
network of best surgeons, we will find the best
facility for you. Is Heart Failure Surgery in
India more successful? The cardiac surgeons in
India are renowned around the world for excellent
skills and extensive knowledge. Many people from
around the world visit India every year for best
Heart Failure Surgery.

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What is a pacemaker and how does it work? A
pacemaker is a small device placed in the chest
or abdomen to help control abnormal heart
rhythms. It uses electrical pulses to prompt the
heart to beat at a normal rate. It helps monitor
and control the heartbeat. The electrodes detect
your heart's electrical activity and send data
through the wires to the computer in the
generator. For further information or free
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