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CARDIOLOGY-NON-INVASIVE (CATHLAB, ECG, TMT, ECHO, HOLTER)

Cath Lab :

The cardiac catheterization laboratory also known as Cath Lab, offers a variety of diagnostic & Interventional Cardiology procedures used in treatment of Coronary artery & peripheral vascular diseases.

At SMRC, we have a fully equipped Cath Lab with electronic cardiac table, multichannel cardiac monitor (MAC Lab) & dedicated team of Cardiologists, nurses and technicians.
Procedures:
· Left and right heart catheterization
· Coronary angiography
· Coronary Angioplasty & Stenting
· Peripheral angiography & Angioplasty
· Carotid Angiography & angioplasty
· Renal Angiography and Angioplasty
· Temporary pacemaker implantation (TPI)
· Permanent Pacemaker Implantation (PPI)
· Intra – aortic balloon pump placement (IABP)
· Implantable cardiac defibrillator (ICD Device implantation)
· Balloon Valvoplasty mitral aortic and pulmonary
· Device closure of ASD, VSD & PDA
· Stent deployment Coil Embolization

 

Electrocardiogram (ECG):

An electrocardiogram (ECG) is a test that checks for problems with the electrical activity of your heart. An EKG translates the heart’s electrical activity into line tracings on paper. They are called waves.

Electrocardiogram is a primary test mainly used to:

  • Check the heart’s electrical activity.
  • Find the cause of unexplained chest pain, which could be caused by a heart attack, inflammation of the sac surrounding the heart (pericarditis), or angina.
  • Find the cause of symptoms of heart disease, such as shortness of breath, dizziness, fainting, or rapid, irregular heartbeats (palpitations).
  • Find out if the walls of the heart chambers are too thick (hypertrophied).
  • Check how well medicines are working and whether they are causing side effects that affect the heart.
  • Check how well mechanical devices that are implanted in the heart, such as pacemakers, are working to control a normal heartbeat.
  • Check the health of the heart when other diseases or conditions are present, such as high blood pressure, high cholesterol, cigarette smoking, diabetes, or a family history of early heart disease.

 

CARDIAC STRESS TEST or TREADMILL TEST (TMT)  is a test used in Medicine and Cardiology to measure the Heart’s ability to respond to external Stress in a controlled clinical environment.

The cardiac stress test is done with heart stimulation, either by exercise on a treadmill, pedalling a stationary exercise bicycle ergometer or with intravenous pharmacological stimulation, with the patient connected to an Electrocardiogram (or ECG).

The level of mechanical stress is progressively increased by adjusting the difficulty (steepness of the slope) and speed. The test administrator or attending physician examines the symptoms and blood pressure response. With use of ECG, the test is most commonly called a cardiac stress test, but is known by other names, such as exercise testing, stress testing treadmills, exercise tolerance test, stress test or stress test ECG.

 

ECHO CARDIOGRAPHY (2D ECHO)

Echocardiogram, often referred to as a cardiac echo or simply an echo, is a sonogram of the heart.  Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.

Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It provides helpful information like the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An Echocardiogram  gives the  physicians other estimates of heart function such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes).

Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of Stress Echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is noninvasive (doesn’t involve breaking the skin or entering body cavities) and has no known risks or side effects.

This allows assessment of both normal and abnormal blood flow through the heart. Color Doppler is used to visualize any abnormal communications between the left and right side of the heart, any leaking of blood through the valves (valvular regurgitation), and to estimate how well the valves open (or do not open in the case of valvular stenosis).

HOLTER  TEST

AHoltermonitor is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours (often for two weeks at a time).The Holter’s most common use is for monitoring heart activity (electrocardiography or ECG. Its extended recording period is useful for observing occasional cardiac arrhythmias or epileptic events which would be difficult to identify in a shorter period of time. For patients having more transient symptoms, a cardiac event monitor which can be worn for a month or more can be used.

How it is used: When used for the heart, (much like standard electrocardiography) the Holter monitor records electrical signals from the heart via a series of electrodes attached to the chest. Electrodes are placed over bones to minimize artifacts from muscular activity. The number and position of electrodes varies by model, but most Holter monitors employ between three and eight. These electrodes are connected to a small piece of equipment that is attached to the patient’s belt or hung around the neck, and is responsible for keeping a log of the heart’s electrical activity throughout the recording period.

 

Doctor’s Name Qualification Timings
Prof. (Dr.) G.R. KANE MD, DM(CARDIOLOGY), FACC (USA) Saturday
Dr. PANKAJAM VAIDYA DNB(MED), DNB (CARDIOLOGY) Mon, Wed, Fri  11.30 am – 12.30 pm