Rhythm of glory

Heart Transplant

Overview

Overview

The department of cardiology at Continental Hospitals offers excellence in treatment & care for all cardiac ailments. We are one of the best hospitals for heart diseases in India, renowned for superior patient care & excellent patient outcomes. An expert team of cardiac consultants and surgeons deliver world-class cardiac care for patient suffering of a wide range of cardiac ailments including – coronary artery disease, congenital heart disease, aortic stenosis, irregular heartbeat, abnormal heart rhythm, heart failure, amongst others.

A compassionate and dedicated nursing team, state-of-the-art infrastructure, advanced operation theaters and post-operative care makes us one of the best cardiac hospitals in the country.

At Continental Hospitals, in addition, to excellent treatment for ailments, we remain steadfastly committed to preventive care as well. Our modern lifestyle makes us susceptible to various types of heart ailments, however, with simple lifestyle changes it is possible to prevent several heart ailments or delay their possible onset.

Diseases & Conditions

Department of cardiology at Continental Hospitals provides excellent treatment & care for a wide array of cardiac conditions as listed below:

  • Angina: Common chest pain caused by reduced blood flow to the heart muscles.
  • Atrial Septal Defect: Is a common congenital heart disorder wherein a baby is born with a hole in the wall (septum) that separates the two upper chambers (atria) of the heart.
  • Cardiac Arrhythmia: Variations in the electrical signals that alters the regular heartbeat rate.
  • Cardiomyopathy: A disease of the heart muscle making it make harder for the heart to pump blood to the body
  • Congenital Heart Disease: Is an abnormality or defect of the heart that an individual carries from the time of birth wherein the heart or the blood vessels near the heart do not develop normally adequately.
  • Congestive Cardiac Failure: Is the inability of the heart to pump blood with normal efficiency causing the heart muscles to work harder to pump blood to the body.
  • Dyspnea: Shortness of breath caused by heart or lung disorders.
  • Hypertension: Is blood pressure exerted by the circulating blood on the walls of blood vessels, making them susceptible to hemorrhage.
  • Hypertensive Heart Disease: Is a heart condition caused by high blood pressure resulting in thickening of heart muscles, coronary artery disease and others.
  • Ischemic Heart Disease: Is a heart condition wherein fatty plaque deposits narrow arterial walls leading reducing blood flow to the heart muscles.
  • Myocardial Infarction: Commonly known as heart attack, is the permanent damage to the heart muscle leading to heart failure.
  • Rheumatic Heart Disease: Is the damage to the heart valves by rheumatic fever.
  • Ventricular Septal Defect: Is a common congenital heart disorder wherein a baby is born with a hole in the wall (septum) that separates the two upper chambers (atria) of the heart.

Diagnosis

The department of cardiology at Continental Hospitals is equipped with state-of-the-art diagnostic facilities for the early detection and diagnosis of all types of heart diseases. Diagnosis for cardiac ailments is performed with the help of tests including – blood tests, ECG, stress test, imaging, and angiography amongst others.

Our team of expert interventional cardiologists ensure that every patient undergoes a thorough and necessary diagnostic procedures to identify cardiac ailments early, accurately, and adequately to arrive at an appropriate treatment plan.

The specialized diagnostic procedures undertaken for identifying heart-diseases

  • Electrocardiogram (ECG) – An ECG scans and records the electrical signals in the heart and provides an insight into the rate at which the heart is beating.
  • Echocardiogram (2D Echo) – A 2D Echo employs sound waves to create 2-dimensional images of the heart and helps provide an insight into the movement of the blood through the heart and heart valves.
  • Stress Test – During the course of a stress test the patient is made to walk on a treadmill or ride a stationary bike and the doctors record/monitor the condition of the heart during this period. This helps in analyzing the performance & condition of the heart under stress.
  • Coronary Angiogram – This is a diagnostic procedure undertaken to identify and repair blockages in the heart arteries. The procedure is performed with a long, thin, flexible tube – known as a catheter inserted into the blood vessel. Doctors inject a specialized dye through the catheter, which helps identify the pattern of blood flow in the heart and possible blockages in the same.
  • Cardiac CT – A cardiac CT is performed to diagnose coronary artery diseases, and typically formed on patients suffering with an irregular heart rhythm.
  • Cardiac MRI – A cardiac MRI creates detailed images of the heart using magnetic waves, and cardiologists often use a specialized dye to have a better visualization of the heart and the blood vessels.

Resuming life as before

A patient can resume work after 3 to 6 months of the transplant. This is to make sure the new organ has been accepted and to guard nascent organs against infections. Driving can be resumed after 2 to 3 months since that the time is taken to heal the breastbone. If not healed, chances of irreversible damage are high in case of an accident. Visiting a dentist is the scariest thought from the perspective of the physician and surgeon. That is because the oral cavity is the easiest place for infections to enter the bloodstream. Dentists must be made aware of the transplant and if need be consult with the surgeon. So also, with pregnancy. Medications or the procedure have no bearing on fertility. But pregnancy must be deferred to after a year of the transplant at least. Keeping the surgeon/physician in the loop with the gynecologist is a good idea. Swimming is to be done with caution and if too many people swim in the pool it is advisable not to. International travel is fine, but keep the doctors in the loop. Certain destinations need specific vaccinations and the doctor must be sounded off before taking those. Also, always ensure that a medical center is available in the place you plan to visit.

Keep infections at bay

Basic and simple precautions can help do that. Simple things like wearing a mask in public places or while doing work at home like cooking, cleaning must be used. Stay away from others with infection or children who have just taken a vaccination. Wash hands, cut nails, wash raw produce thoroughly before consumption, use clean utensils, boil water and such others. 

Dietary restrictions after transplant

Diet restrictions must very strictly be observed after transplant and it is crucial to understand why. Salt or sodium and fluid intake must be kept in check. Else this causes a lot of strain on the heart. Any salt substitutes need to be ratified by the dietician. Calorific intake must be kept within bounds as it is the main source of weight gain. Weight gain has to be ruled out at all costs since it adds pressure to the new heart. Increased weight implies increased cholesterol levels in your blood which will induce coronary artery disease in the patient’s heart.

Survival chances

About 95% of the patients who have undergone surgeries survive one year afterward, 90% survive for two years and so on till about 50% survive for up to 10 years! The reason for not surviving longer is usually an infection of some kind. Utmost care is taken to keep infections to a minimum and combat them fiercely even if they do creep in.

Recovery process and medication

Patients have to stay in the hospital for between 2 and 3 weeks after surgery, of which about a week or sometimes 2 may be in intensive care. Pain during this period is managed by our doctors using pain medication. Besides these many other drugs are taken. Immune suppressants that suppress the natural immune system of the patient are essential for the new organ to be accepted. They remain one of the lifelong medications to be taken. Antibiotics, antivirals, and fungicides are therefore required to keep infections at bay. To speed up the recovery process supplements of vitamins and minerals may be given. Preventive medicines like coronary artery disease-preventing ones and those to regulate blood pressure are given. Of these only 2 or 3 will remain lifelong. At no point can medications be stopped without consultation with the physician.

Sourcing the heart

The heart is sourced from dead persons and it has to be transplanted within 4 to 6 hours after that, until which time it has to be stored in a sterile container at fixed temperatures. Blood groups of donors and recipients have to match exactly in the case of adults. For children his condition is relaxed. During the exchange, the patient is kept on a heart-lung machine. The transplanted heart is made to beat while the patient is still on the machine and it is made sure that the heart is functioning properly before completing the surgery.  

Treatments

The department of cardiology at Continental Hospitals offers excellence in treatment & care for all types of heart diseases. We have an expert panel of cardiologists with decades of experience in performing the most complicated heart surgeries.

Course of treatment for each patient varies from the type of disease, co-morbidities, patient history & lifestyle, among other factors. From clinical interventions to lifestyle alterations, and to surgeries and transplants, the department of cardiology at Continental Hospitals, Hyderabad offers the complete spectrum of treatment options for all cardiac diseases.

Cardiac surgeries and procedures performed by the expert cardiac surgeons at Continental Hospitals, Hyderabad include:

Angioplasty & Stenting

An angioplasty & stenting procedure is employed to identify and repair blocked arteries of the heart and improve blood supply to the affected region. A thin, flexible tube known as a catheter, is inserted into the blood vessel to identify possible blockages of the cardiac arteries. A special balloon and a metal mesh tube, known as a stent, is then use to open up the blocked artery, restoring blood flow to the affected region.

Congenital Heart Surgery

Congenital heart procedures are performed on children born with heart defected such as septal defects, valve stenosis, and ventricular defects amongst others.

Coronary Artery Bypass

A coronary artery bypass is a commonly performed procedure to bypass blocked arteries of the heart and improve blood supply to the affected region. This is an invasive open-heart procedure, wherein doctors use a graft from the saphenous vein to create a bypass between the aorta and the affected blood vessel in the heart.

Heart Transplant

A heart transplant is a treatment option for end-stage heart failure wherein all other possibilities of clinical and surgical interventions no longer remain viable as a long-term solution for the patient. For a heart transplant, the doctors will need a cadaver organ suitable for the patient’s age and other factors.

Heart Valve Replacement A heart valve replacement procedure is undertaken to replace diseased valves. Valves act as gateways to regulate the flow of blood through the four chambers of the heart, and diseased valves either obstruct the flow of blood – known as stenosis; or do not arrest the reverse flow of blood adequately – known as regurgitation.

Pacemaker Insertion

A pacemaker is an electrical device that helps regulate the heart rhythm. It consists of a long-lasting battery and is placed superficially under the patient’s skin and connected to the heart. A pacemaker helps regulate the heart beat by sending in electrical signals. This helps patients lead a normal life and undertake the usual activities with much ease and comfort.

The department of cardiology at Continental Hospitals, Hyderabad is known as one of the best hospitals for heart diseases in India, because of the excellent infrastructure and state-of-the-art facilities. We remain steadfast in our commitment to provide, prevent, and improve cardiac care for every single one of our patients.

Continental Hospitals has consistently set a benchmark for the highest standards of medical care. Equipped with state-of-the-art operation theatres and advanced infrastructure to deliver excellence in cardiac care. An expert panel of cardiac surgeons perform all kinds of invasive and non-invasive procedures at the hospital.

The facilities at Continental Hospitals for cardiac care include:

  • Cardiac Preventive & Nutrition Centre
  • Advanced Heart Failure Centre
  • Arrhythmia Centre
  • Cardiac Catheterization Lab
  • Comprehensive Cardiovascular & Thoracic Surgery Services
  • Electrophysiology Lab with 3D Cardiac Mapping & Radio Ablation System

  • Echocardiography (2D & 3D) Lab

Our Doctors

The team of cardiologists at Continental Institute of Cardiovascular Sciences is extensively trained in diagnosing and implementing correctional procedures in the most difficult forms of cardiovascular diseases and malfunctioning conditions. Having gained immense international expertise in surgical, interventional and minimally invasive procedures, our specialists are regarded as the best cardiologists in Hyderabad as they form a collaborative team with vascular surgeons, cardiac electrophysiologists, diagnosticians and critical care specialists to create a multidisciplinary approach to every case they are presented with.

Considered among the best cardiologists in Hyderabad, our team is known for the caring, compassionate and respectful manner of communicating with patients and their families which helps to dispel any fear and doubts from their hearts. We make sure that our patients are fully aware of their medical condition and understand the recommended treatment plan well. Our doctors go to extra lengths in assisting our patients in every way and ensure that they take timely, well- informed decisions. Delivering quality medical care with a humane touch is the belief with which our cardiologists achieve maximum successful outcomes, making Continental Hospitals one of the best heart hospital in India.

At Continental Institute of Cardiovascular Sciences at Continental Hospitals, a patient has access to Hyderabad’s most comprehensive multidisciplinary team of specialists, who employ the advanced and innovative therapies to treat patients having cardiac ailments. The patients at Continental Hospitals will benefit from the advanced, superior care in the diagnosis and treatment of heart attacks making it the best hospital for the treatment of heart diseases.

Dr. Meeraji Rao Senior Consultant Interventional Cardiologist at Continental Hospitals Gachibowli Hyderabad India
Dr Meeraji Rao Dandangi

MBBS, MD (Internal Medicine), DM (Cardiology), FACC, FSCAI, FICC

Senior Consultant – Cardiology

Dr. Krishana Mohan Lalukota Senior Consultant Interventional Cardiologist, Heart Failure and Device Specialist at Continental Hospitals Gachibowli Hyderabad India
Dr Krishna Mohan Lalukota

MBBS, MRCP (UK), FRCP (London)

MBBS, MRCP (UK), FRCP (London)

Dr. Pradheep Rachkonda Senior Consultant Cardiothoracic Surgeon at Continental Hospitals Gachibowli Hyderabad India
Dr Pradeep Rachakonda

MBBS, MS (General Surgery), MRCS, MCH (CTVS)

Senior Consultant – Cardiothoracic Surgery

Dr Abhishek Mohanty

MBBS, MD (General Medicine), DM (Cardiology)

Consultant – Interventional Cardiology

Dr. Rama Krishnudu Interventional Cardiologist Continental Institute of Cardiovascular Sciences at Continental Hospitals Gachibowli Hyderabad India
Dr. A. Rama Krishnudu

MBBS, MD (General Medicine), DM (Cardiology)

Consultant – Interventional Cardiology

Dr. Syed Mustaq M Qadri Clinical Cardiologist at Continental Hospitals Gachibowli Hyderabad India
Dr. Syed Mustaq M. Quadri

MBBS, FCD, PG Dip in Clinical Cardiology, PGCD (Boston)

Clinical Cardiologist

We are with you in your journey to better health

A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.

 

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