Best Cardiologists in Shalimar Bagh | Fortis Hospital Delhi

1. Dr. Nityanand Tripathi Best Cardiologists in Fortis Hospital Shalimar Bagh Delhi Drnityanandtripathi.com

2. Dr. Nityanand Tripathi is a highly experienced cardiologist with over two decades of clinical and interventional expertise in cardiology and electrophysiology. He has completed his MBBS and MD (Medicine) from the prestigious Institute of Medical Sciences Banaras Hindu University Varanasi and a DM (Cardiology) from King George Medical University Lucknow. As one of the Best Cardiologists in Fortis Hospital Shalimar Bagh Delhi, Dr. Tripathi has a proven track record of providing exceptional cardiac care to his patients. His extensive knowledge, skills, and dedication to his field have earned him a reputation as a trusted and compassionate healthcare provider. With a focus on personalized care and the latest medical advancements, Dr. Tripathi is committed to helping his patients achieve optimal health and well-being. INTRODUCTION

3. Type of Cardiovascular Disease • Coronary Artery Disease • Coronary Angiography • Sudden Cardiac Death • Coronary Angioplasty • AICD Implantation • Pacemaker Implantation • TAVI/TAVR • Electrophysiology & RFA

4. Coronary Artery Disease Coronary Artery Disease (CAD) is a prevalent heart condition characterized by the accumulation of plaque in the coronary arteries, which supply oxygen-rich blood to the heart muscle. This buildup of plaque, composed of cholesterol and other substances, gradually narrows the arteries, restricting blood flow to the heart. CAD can lead to serious complications such as heart attacks, abnormal heart rhythms, or heart failure. Symptoms of CAD include chest pain (angina), weakness, nausea, cold sweats, pain in the arms or shoulder, and shortness of breath. It is crucial to note that CAD can be asymptomatic for a long time, earning it the nickname "silent killer." Lifestyle factors like obesity, physical inactivity, unhealthy diet, and smoking, along with genetic predisposition, contribute to the risk of developing CAD. Diagnosis of CAD involves various tests like ECG, echocardiogram, stress test, chest X-ray, cardiac catheterization, and coronary angiogram. Treatment for CAD includes lifestyle modifications, risk factor management, medications, and in some cases, procedures or surgery. Cardiac rehabilitation is essential for recovery post-heart attack or heart-related procedures, focusing on physical activity, education on healthy living, and stress management. Early recognition of symptoms, prompt medical attention, and adherence to treatment plans are crucial in managing CAD and reducing the risk of severe complications like heart attacks and heart failure.

5. Coronary Angiography Coronary angiography is a medical procedure that uses X-rays and a special dye to visualize the heart's blood vessels, specifically the coronary arteries. It is performed by inserting a thin, flexible tube called a catheter into an artery, usually in the groin, arm, or neck, and guiding it to the heart. The dye is then injected, and X-ray images are taken to observe how the dye moves through the arteries. This helps identify any blockages or narrowing caused by plaque buildup, which can reduce blood flow to the heart and potentially lead to a heart attack. The procedure is typically performed in a hospital room that resembles an operating theater, and patients are awake but may receive sedation to help them relax. After the procedure, patients are taken to a recovery area where their heartbeat, blood pressure, and oxygen levels are monitored. Some patients may go home the same day, while others may need to stay in the hospital for a day or more, depending on the results of the test.

6. Coronary Angioplasty Coronary angioplasty is a minimally invasive procedure used to open blocked coronary arteries caused by coronary artery disease. It involves inserting a catheter with a tiny balloon at its tip into the narrowed artery through a blood vessel, usually in the groin, arm, or neck. The balloon is then inflated to widen the artery and restore blood flow to the heart muscle. In most cases, a small wire mesh tube called a stent is placed in the newly opened artery to keep it from narrowing again. This procedure is often performed in an emergency setting during a heart attack or as an elective surgery for suspected heart disease. It is widely practiced and has risks, including bleeding, blood clots, infection, heart attack, stroke, and coronary artery damage. However, major complications are rare.

7. Sudden Cardiac Death Sudden cardiac death (SCD) is a sudden, unexpected death caused by a change in heart rhythm, leading to sudden cardiac arrest. It is the largest cause of natural death in the U.S., responsible for about 325,000 adult deaths annually. SCD can occur during a heart attack, but it is not the same as a heart attack. It is caused by abnormal heart rhythms called arrhythmias, the most common being ventricular fibrillation. Risk factors include previous heart attack, coronary artery disease, ejection fraction under 40%, prior episode of sudden cardiac arrest, family history of sudden cardiac arrest or SCD, certain abnormal heart rhythms, ventricular tachycardia or ventricular fibrillation after a heart attack, congenital heart defects or blood vessel abnormalities, history of syncope, heart failure, hypertrophic cardiomyopathy, significant changes in blood levels of potassium and magnesium, obesity, diabetes, recreational drug abuse, and taking drugs that are "pro-arrhythmic." Prevention involves managing risk factors, keeping regular follow-up appointments with a doctor, making lifestyle changes, taking medications as prescribed, and having interventional procedures or surgery as recommended.

8. Pacemaker Implantation Pacemaker implantation is a surgical procedure that involves placing a small, battery-powered device under the skin near the collarbone. The device, also known as a cardiac pacing device, contains a generator and leads that connect to the heart. The generator sends electrical signals to the heart when it senses it is beating too slowly. This helps maintain a regular heartbeat and can alleviate symptoms such as fatigue and fainting caused by arrhythmias. The procedure is typically performed under local anesthesia; most people can return to normal activities within a few days. Pacemakers can be temporary or permanent, with permanent pacemakers used to treat long-term heart rhythm problems. There are different types of permanent pacemakers, including single-chamber, dual-chamber, and biventricular pacemakers, each with specific indications and uses.

9. AICD Implantation An Automatic Implantable Cardioverter Defibrillator (AICD) is a device implanted in the chest to monitor and correct abnormal heart rhythms. The procedure is done in a cardiology lab, with the device inserted below the collarbone through a small incision. Leads are guided into the heart through a vein and connected to the device. After testing, patients can expect a short hospital stay, usually 3-4 days, and a quick return to normal activities. Regular follow-ups are necessary to ensure the device functions properly and to monitor for any complications.

10. Electrophysiology & RFA Electrophysiology (EP) studies and Radiofrequency Ablation (RFA) are procedures used to diagnose and treat arrhythmias, or irregular heart rhythms. During an EP study, catheters are placed in the heart to measure electrical signals and stimulate the heart to create abnormal rhythms, helping doctors identify the cause of the arrhythmia. RFA is often performed during an EP study and involves using heat energy to destroy the abnormal heart tissue causing the arrhythmia. These procedures are typically performed by heart rhythm specialists and can be done for diagnostic or therapeutic purposes, with success rates for RFA ranging from 80-90% for certain arrhythmias. After the procedure, patients will need to rest and may experience some discomfort, but will typically be able to return to normal activities within a few days.

11. TAVI/TAVR Transcatheter Aortic Valve Implantation (TAVI) or Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure used to treat severe aortic stenosis, a condition where the aortic valve in the heart narrows, reducing blood flow. During the procedure, a catheter is inserted through a small incision in the leg, groin, or chest, and guided to the heart's aortic valve. A balloon or self-expanding valve is then placed within the narrowed valve, expanding it and improving blood flow. TAVI/TAVR is typically recommended for patients who are at intermediate or high risk for surgical aortic valve replacement. The procedure has been shown to have similar or better outcomes compared to surgical aortic valve replacement, with less pain, shorter hospital stays, and faster recovery times.

12. Cardiovascular disease symptoms in the body Cardiovascular disease symptoms in the body can very depending on the specific condition. Common symptoms include chest pain, shortness of breath, irregular heartbeats, fatigue, dizziness, fainting, swelling in the legs, and discomfort in the arms, shoulders, jaw, or back. These symptoms may indicate conditions like coronary artery disease, heart attack, arrhythmias, congenital heart defects, heart muscle disease, and pericarditis. It's crucial to recognize these signs and seek medical help promptly if you experience them.

13. The risk factors for Cardiovascular Disease The risk factors for Cardiovascular Disease (CVD) in India include hypertension, diabetes mellitus, dyslipidemia, smoking, obesity, and low physical activity. These factors are linked to the higher incidence of CVD in the Indian population. Tobacco use is a key modifiable risk factor for CVD in India, with a higher prevalence among males compared to the global average. Diabetes is prevalent in India, with approximately one in ten individuals aged 18 years having elevated blood glucose levels, contributing significantly to the CVD burden. Additionally, hypertension is a major concern, affecting one in four individuals over 18 years in India and contributing significantly to the country's mortality rate.

14. 56,450 The total number of cardiovascular disease patients in India in 2024

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