Percutaneous Transluminal Coronary Angioplasty (PTCA) treatment in India

Coronary Artery Disease & Symptoms:
Coronary artery disease (CAD) is a narrowing of the blood vessels that supply blood and oxygen to the heart. The most common symptom of coronary artery disease is angina, or chest pain. Angina can be described as a discomfort, heaviness, pressure, aching, burning, fullness, squeezing, or painful feeling in your chest. It can be mistaken for indigestion or heartburn. Angina may also be felt in the shoulders, arms, neck, throat, jaw, or back. Some other symptoms of coronary artery disease include:
  • Shortness of breath
  • Palpitations (Irregular Heartbeats)
  • A faster heartbeat
  • Weakness or dizziness
  • Nausea
  • Sweating
Diagnosis & Tests:
Investigations like EEG, Chest X- Ray, Stress test, Tilt Table test, Echocardiogram, Electrophysiology, Angiography, CT Heart Scan, Myocardial Biopsy, Heart MRI may be suggested by the doctor.
What is Angiography?
An angiography helps diagnose conditions that affect blood vessels and flow of blood through them. The image on an angiogram is used to plan surgeries involving the blood vessels, such as Coronary Artery Bypass Grafting (CABG) or Open Heart Surgery & coronary angioplasty (PTCA), which are performed to treat coronary heart disease.
Treatment for Coronary Heart Disease in India
PTCA is a treatment of coronary artery disease. In angioplasty a balloon-tipped catheter is inserted through the skin into a blood vessel and to the clogged portion of the artery. There it is threaded into the blockage and inflated, compressing the plaque (build up of fat and cholesterol) against the arterial walls. Frequent postoperative reclogging (narrowing of blood vessel) of the treated area has led to the use of stent (sometimes coated with a drug that inhibits narrowing of a blood vessel) designed to hold the plaque back.
Radio Frequency Ablation (RFA) Procedure in India
(RFA) is a medical procedure where part of the electrical conduction system of the heart, tumor or other dysfunctional tissue is ablated using the heat generated from the high frequency alternating current to treat a medical disorder.
Radio frequency ablation is a minimally invasive procedure used in the treatment of varicose veins and certain types of Artery Blockages. It is an alternative to the traditional stripping operation. If radio frequency ablation is recommended, a doctor will explain the procedure in detail, including possible complications and side effects.An intravenous (IV) line may be placed in a vein in your arm before the procedure and a local anesthetic and mild sedative may be used to reduce any discomfort during RFA. You may be awake during the process to aid in properly assessing the procedure.

Electro Physiology Study (EPS)

Electrophysiology Study (EP test or EP study) is a minimally invasive procedure which tests the electrical conduction system of the heart to assess the electrical activity and conduction pathways of the heart. The study is indicated to investigate the cause, location of origin, and best treatment for various abnormal heart rhythms. This type of study is performed by an electro physiologist and using a single or multiple catheters situated within the heart through a vein or artery.
The study involves placing wire electrodes in the heart. These electrodes measure electrical activity in the heart and its muscle cells. The procedure is done in a hospital laboratory by trained staff that includes a cardiologist, technicians, and nurses. The electrodes detect the heart’s electrical activity and are used to check the heart’s electrical system.
Electrical signals may be used to make the heart skip beats or produce an abnormal heart rhythm. This can help the doctor understand more about what is causing the abnormal heart rhythm or where in the heart it is starting.
Why is the Test Performed?
Your doctor may order this test if you have signs of an abnormal heart rhythm (arrhythmia). Information from this study helps your doctor learn how severe the arrhythmia is, and the best treatment for it. Before this test is done, your cardiologist may have recommended that you have other tests.
An EPS may be done to:
  • Test the function of your heart’s electrical system
  • Pinpoint a known abnormal heart rhythm (arrhythmia) that is starting in the heart, and help decide the best therapy for it
  • Determine whether you are at risk for future heart events, especially sudden cardiac death
  • See if medicine is controlling an abnormal heart rhythm
  • See whether you need a pacemaker or implantable cardioverter-defibrillator (ICD)