DEPARTMENT OFCARDIOLOGY

Introduction

AIG Centre of Excellence for Cardiovascular Sciences offers comprehensive cardiac

care services supported by the latest technology, advanced infrastructure and exper-

tise in treating rare and complex heart conditions. The multidisciplinary approach to

cardiac care involves renowned senior cardiologists, electrophysiologists, cardiac

surgeons, critical care intensivists, anesthetists, cardiac technicians and nurses, for

rapid response time. Our cardiologists are leaders in research, diagnosis and thera-

pies for people with heart conditions.

Highlights of Cardiology services

24x7 cardiac care provided by in-house senior cardiologist

Primary angioplasty with DOOR to BALLOON time of 19 minutes

Every patient coming to Emergency is seen by consultant cardiologist

Heart team approach for Complex coronary interventions, structural heart disease (SHD) interventions like TAVR

Largest experience in complex coronary interventions including rotabla-

tion, left main coronary artery interventions, intracoronary imaging

(IVUS/OCT), guided PCIs, bifurcation PCIs, Chronic Total Occlusion

Percutaneous Coronary Intervention (CTO PCIs)

Experienced group of cardiologists that has performed one of the

highest TAVR / TAVI procedures and other Transcatheter Valve proce-

dures such as TMVR, in the country

Team of 27 Cardiologists and 8 Critical Care Specialists

World-renowned Electrophysiology team

Advanced Facilities & TechnologyThree advanced Philips Catheter labs using FFR, HD IVUS and OCT technology

22-bed Cardiac ICU, Non-invasive labs, four state-of-the-art cardiac surgery theatres

Advanced Diagnostic and Non-Invasive Cardiology equipment including, 4D ECHO, TEE,

DSE and Holter Monitoring, 24-hour ambulatory BP monitoring, IABP, ECMO, Ventilators

Cardiac Nuclear Scanning

Electrophysiology labs with CARTO and EnSite NavX 3D cardiac mapping systems

Multi-vessel and Complex Angioplasties

Peripheral and Carotid Angioplasties

Percutaneous interventions for congenital heart diseases

Percutaneous Valve replacements and repairs (TAVR, TMVR)

Balloon dilatation of stenosed valves (Valvuloplasty), like PBMV, PBPV

Electrophysiological studies

Ablation procedures for complex arrhythmias

Pacemaker implantation including ICDs and CRTDs

Cardiology Procedures:

Patient underwent primary left main PCI with door to balloon time of 12 min. In view

of his labile haemodynamics, IABP support was initiated and patient was transferred

to ICU. In ICU he required CRRT and other vital organ support systems. After initial

stormy course in ICU patient made a remarkable recovery and was discharged on day

9 with mild LV dysfunction. He is under regular follow-up and is doing well.

Critical cases

She was on steroids for an under-

lying rheumatological condition. In ER on

evaluation her pulse was 130 bpm, BP 80/60,

O2 saturation was 90% with apparently clear

lung fields. She deteriorated rapidly, her O2

saturation dropped to 60%, and shortness of

breath worsened.

Case study I

Case study II

52 year-old male patient (electrician) came

to ER in a collapsed state at 06:00 pm. Prior

to ER admission he was complaining of chest

pain and shortness of breath from last 3

hours. An ECG done in another hospital had

revealed anterior QRBBB STEMI. He was

immediately resuscitated by ER team and

seen by in-house senior cardiologist and

24x7 primary PCI team. He was taken imme-

diately for primary PCI which revealed left

main coronary artery total occlusion.

40 year-old lady was admitted to ER with severe shortness of breath and chest pain

of half an hour duration. Prior to this episode, she had recently arrived from USA a

day before.

She was immediately intubated and kept on ventila-

tory support. She was urgently attended by

in-house consultant Cardiologist and ER team.

Diagnosis of massive PTE was suspected and urgent

bedside echo revealed RA/RV dilation with RVSP ~

50 mmHg. Suddenly patient had multiple episode of

brady arrest, immediately resuscitated with ongo-

ing CPR, and thrombolysed with IV tenecteplase

40mg. Subsequently she started responding to

thrombolytic treatment and her haemodynamics

and oxygen saturation improved.

A 48 year-old patient complaining of back pain in inter scapular region radiating

anteriorly since 3 days, came to ER with worsening of chest and back pain since 1

hour. Prior to ER admission he was seen by a physician in another clinic, ECG was

done which was normal, diagnosed as ACS with no ECG changes and loading medica-

tions were given.

He was seen by in-house consultant cardiologist and noted to have Marfanoid

features. Physical examination revealed regular pulse rate, all peripheral pulses were

felt.

• BP: 120/50 RVL, 110/50 LVL, 150/50 RLL, 150/40 LLL

• JVP was normal and heart sounds were normal

• There was EDM > 50% diastole grade III / IV

• Lungs were clear

• ECG was normal

Echocardiogram was done with suspected diagnosis of aortic dissection / aortic

aneurysm with aortic regurgitation. Echocardiogram revealed Flap in aortic root with

moderate aortic regurgitation. MRA confirmed the diagnose of Type A aortic dissec-

tion. Patient’s clinical condition deteriorated rapidly, he developed CHF and was

taken for emergency surgery. He underwent emergency Bentall procedure. On day

18, he was discharged, on follow-up is doing well.

Case study III

She made a good recovery in ICU and was extubated after 48 hours. CT pulmonary

angio revealed residual thrombi in segmental and subsegmental arteries. She was

discharged in a stable condition with newer oral anticoagulants (NOAC).

AIG Hospitals cardiology team

Dr Chennapragada Sridevi DNB (Medicine), DNB (Cardiology), MNAMS, CCDS, Consultant Cardiologist and Electrophysiologist

Dr R Prasada Reddy MD (Internal Medicine), DM (Cardiology), Director & Consultant Cardiologist

Dr Narsimhan Calambur MD, DM (AB), Senior Consultant Cardiologist and Electrophysiologist

Dr Raghava Raju MD, DM (Cardiology), Consultant Cardiologist

Dr D N Kumar MD, DM (Cardiology), Consultant Cardiologist

Dr B Soma Raju MD, DM (Cardiology), Director & Head of Department - Cardiovascular Sciences

Dr Rajeev Menon MD, DNB (Cardiology), Consultant Cardiologist

Dr Anuj Kapadiya MD, DM (Cardiology), Consultant Cardiologist

Dr Swaroop G Bharadi DNB (Medicine), DNB (Cardiology), Consultant and Interventional Cardiologist

Dr Soumen Devidutta MD, DM (AIIMS), Post Doctoral Fellowship in Electrophysiolgy and Pacing, Post Doctoral Fellowship in Interventional cardiology (NHC, Singapore), Consultant Cardiologist and Electrophysiologist

Dr Sachin Yalagudri MD, DM (Cardiology), Consultant Cardiologist and Electrophysiologist

Dr Daljeet Kaur Saggu MD, DM, Fellowship in Electrophysiology, Consultant Cardiologist and Electrophysiologist

Dr Nilkanth C Patil MD, DM Cardiology (AIIMS), Consultant Cardiologist

Dr Arundhati Bordoloi MD (Internal Medicine), DNB (Cardiology), Consultant Cardiologist

Dr Anne Uday Kiran MD, DM (Cardiology), Consultant Cardiologist

Dr Govind Jhadav MD (Internal Medicine), DNB (Cardiology), Consultant Cardiologist

Dr Bharat Veeramachaneni MD (General Medicine), Consultant Physician

Dr Vickram Vignesh R MD, DM (Cardiology), Fellow in Electrophysiology

Dr Muthiah Subramanyam MD, DM, MRCP, Fellow in Electrophysiology

Dr Bhishma Chowdary MD DM (Cardiology), Consultant Cardiologist

Dr Garikapti Kishore MBBS, PGDDM, MBA LLM, Associate Cardiologist

Dr V Satyasheel Reddy MBBS, PGDCC, Advanced Health Care management (ISB), Associate Cardiologist

Dr Madhukar Cheerla MBBS, PGDCC, CCCS, Associate Cardiologist

Dr Kaleem Akhtar Razzaqui M.B.B.S., PGDCC., CCEBDM. Junior consultant Cardiology

Dr Vijaya Roopesh Kale MBBS, Senior Registrar - Cardiology

Dr Koyya Sushmalatha V MD (Internal Medicine), PGDCC (Cardiology), Associate Cardiologist

Dr Cymantha B MBBS,PGDCC (Cardiology), Associate Cardiologist

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