Fortis Hospital, Noida

Heart Attack or Angina may cause a myriad of symptoms and may not always present as Central Precordial Chest Pain radiating to the left arm, so it’s important to know all the signs: - Chest pain or discomfort: any kind of chest pain or discomfort, it can be sharp or dull, heaving or just a mild discomfort - Shortness of breath more than usual - Discomfort in the upper abdomen or epigastric region - Retrosternal burning - Choking sensation - Pain in throat, like something is stuck - Pain in the upper back between two shoulder blades - Sweating / Anxiety / Palpitations - Giddiness/ Fainting - Pain in jaws usually left side - Chest pain and discomfort associated with nausea and vomiting

We specialize in treating a diverse array of heart conditions including coronary artery disease, heart failure, arrhythmias, Valvular heart disease, Congenital heart defects, Pericardial diseases, Cardiomyopathies, etc.

Treatment options depend on the type and severity of the heart condition. We offer a range of treatments, including medications, lifestyle changes, cardiac rehabilitation, angiography, angioplasty, PTCA, minimally invasive procedures, TAVI or TAV, heart bypass surgery.

In the Department of Cardiac Sciences at Fortis Hospital, Noida; we perform a variety of diagnostic tests, including electrocardiograms (ECG), echocardiograms (ECHO), stress ECHOs, cardiac catheterization, and electrophysiology studies.

Coronary Artery Disease (CAD) or Ischemic Heart Disease is a condition affecting the arteries that run on the surfaces of the heart and supply blood to the heart muscles. The most common cause of CAD is atherosclerosis, where fatty deposits including cholesterol and other fats, calcium, and certain other elements carried in the blood build up as plaque on the inside of artery walls. This can cause either chest pain (Angina pectoris), or a heart attack.

Angioplasty is a non-surgical procedure designed to dilate (widen or expand) narrowed coronary arteries. First, a doctor inserts a thin plastic tube (a catheter) into an artery in your arm or leg. He or she then guides this catheter to the aorta (the large artery that conducts blood from the heart to the rest of the body). From there it passes to the coronary arteries. As the doctor guides the catheter to the coronary arteries, a special x-ray camera called fluoroscope monitors the procedure. Once the catheter engages the coronary artery, a thin wire (PTCA wire) is passed into the coronary artery across the narrowed segment.

In bypass surgery, blood vessels from the chest or leg grafted to the coronary artery beyond its most diseased segment. In PTCA, however the obstructed part of the coronary artery is widened rather bypassed.

TAVR is a method to replace the aortic valve in the heart using a small catheter or tube about the diameter of a pencil. This eradicates the requirement for traditional open heart surgery. The catheter is commonly inserted through an artery in the groin. In most cases, this process usually takes about two hours. The new valve, which is made of natural material, is stitched inside a metal stent that is placed inside the patient's own aortic valve through the catheter. The procedure is done while the heart is still beating, eliminating the need for a heart lung bypass machine.

The most common causes of kidney disease are hypertension and diabetes. These two diseases can affect every organ in the body. If not well controlled, either of these conditions can result in kidney failure and dialysis. Other diseases that attack multiple organs including the kidney are lupus, HIV and viral hepatitis.

Symptoms can include blood in the urine or urine that is foamy, fatigue, high blood pressure, weight loss, ankle swelling from retained fluid, anemia, nausea or vomiting. Kidney disease is often silent until late in the course and after severe damage has occurred.

Stop smoking, maintain a healthy weight, and exercise. Talk to your doctor about ways to adjust your diet. Other important aspects of kidney therapy are careful regulation of blood pressure if you have hypertension, and tight control of your blood sugar if you are diabetic.

The Joint National Commission (JNC7) report on hypertension recommends patients target a blood pressure less than 130/80. Another panel of experts who specialize in kidney disease agree with the JNC recommendations except in patients with a lot of protein in their urine. They recommend more aggressive blood pressure reduction to 125/75.

Despite widespread belief, there is no evidence that drinking 8 glasses of water is good for your kidneys. The one exception is patients who have recurrent kidney stones. In this population drinking water is among the most effective therapies to prevent the recurrence of kidney stones.

Urination frequency varies widely, but most healthy people use the bathroom four to eight times a day. More frequent urination or waking up at night to go to the bathroom may signal a health problem or simply that you're drinking too much before or at bedtime.

Generally, it's a good idea to call your doctor or schedule an appointment if you: Have a sudden onset of incontinence Are wearing a urine absorption pad because of frequent accidents Find that incontinence is interfering with your quality of life

Nephrology is a specialty of internal medicine that focuses on the treatment of diseases that affects the kidneys. Your kidneys are extremely important and serve several vital functions: waste and excess fluid removal from the blood, maintaining your body’s electrolyte balance, releasing hormones with functions such as managing blood pressure. A nephrologist can help you by looking at the state of your kidneys, and determining if you have or are at risk of kidney disease. Here are some signs to know when it is the right time to pay a visit to a nephrologist. Diabetes Diabetes is the leading cause of kidney failure. Professionals have stated that diabetes causes tremendous stress and damage to the kidneys. If you are diabetic, you should see a nephrologist as you might be having no symptoms in the early stages but might be losing protein in the urine which will gradually lead to kidney failure. High Blood Pressure This is the second most important cause of kidney failure. Having high blood pressure can lead to damage to the kidneys or even kidney failure.The kidneys help filter waste and extra fluids from the blood, and they use a lot of blood vessels to do so. When the blood vessels becomedamaged, the nephrons that filter your blood don’t receive the oxygen and nutrients they need to function properly. If you have high blood pressure, consult a nephrologist to learn how you can protect your kidneys and better manage your blood pressure Changes in Urination This is an important symptom that there may be something wrong with your kidneys. Unusual changes in urination include: urinating more at night, having decreased frequency or not at all, having frothy urine or having blood in the urine A Family History of Kidney Disease If there is a history of heart disease in your family, it would be wise to consult a nephrologist. Nephrologists can help prevent and treat the early stages of kidney disease. Having an underlying predisposition could potentially put you at risk, making early testing important for your health. Administering tests early on can help detect signs of decreasing kidney function. Heart disease Anyone with heart disease should also see a nephrologist as they are at increased risk for kidney disease. Young female having joint pains, hair loss, difficulty to conceive or having abortions, leg swelling or swelling around the eyes should also see a nephrologist as might me suffering from autoimmune disease that can affect multiple organs including kidneys Any patient less than 30 years or above 50 years with hypertension, should immediately see a nephrologist as kidneys might me the cause for the same which if in early stages might be diagnosed and treated.

Dialysis Maintenance haemodialysis Acute haemodialysis SLEDD Peritoneal dialysis (CAPD) CRRT Plasmapheresis Interventional nephrology Acute dialysis catheters: Non tunnelled catheters Permacath insertions Kidney biopsies Av fistula creation Kidney transplantation Living related SWAP transplant ABO incompatible Preventive nephrology and screening programme

Cardiac ailments or heart diseases are a group of disease which affect the heart and blood vessels of the body. These can be both, symptomatic or asymptomatic and either acute or chronic. Cardiac ailments commonly faced by patients in India range from Hypertension Cardiovascular diseases like Coronary Artery Diseases (CADs) and Atherosclerosis Angina, Heart attack or Myocardial Infarction, Structural defects of the heart like valvular defects and cardiomyopathies (muscular defects) Congenital heart defects like Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), tetralogy of Fallot, in both adult and paediatric patients. defect in electrical conduction of heart or Arrythmias or abnormal heart rhythm Infections of Heart like Rheumatoid Heart Disease Peripheral Artery Disease Aortic aneurysms Pericardial defects like Pericarditis and Pericardial Effusion

If you are coming to Fortis Escorts, we understand that it might not be the best moment of your life. But we assure you that our team strives to make your stay in the hospital as comfortable and smooth as possible. Right from booking the first appointment till the patient’s requirement is met, patient experience is a priority for us at all steps. In the OPD clinic, our aim is to make this experience seamless for the patient and their families. Our doctors take their time talking and listening to you with adequate appointment slot duration of around 10-15 mins. Our doctors and other staff believe in engaging the patients in an informed decision-making. Our doctors are easily accessible through their coordinators and patients can get in touch with them on the phone or through secure email services. Doctors and their teams work in complete coordination to provide multidisciplinary and comprehensive care and services to patients suffering from heart diseases.

FEHI caters to a wide range of treatment facilities ranging from low-tech to high-tech therapies. Treatment for heart disease comprises medication, surgery and other interventional and diagnostic procedures both for children and adults. With technologically advanced Cath labs and state-of-the-art OTs, our dedicated team of doctors and trained nursing staff has the capacity to perform a staggering 10000 CABGs every year. Our doctors have the skills and expertise in performing Minimally invasive or Non-invasive cardiac interventions, advanced technology heart surgeries and Conventional Open-Heart surgeries. Facilities- FEHI has 310 beds 13 Fully functional OTs, including 2 C-ARM & 1 laser and 5 Cath Labs including one EP Lab, a Dedicated ICU for highly critical patients with ECMO support, and 158 Critical Care Beds. We have 2 Heart Stations equipped with the latest 3D Echocardiography machines, Nuclear Medicine technology with Gamma Camera and the Latest DR 6 X-ray machines (2 fixed and 4 mobile), Dual Head 256 slices CT Machine and an MRI machine with 1.5 T, USG machines, Bone Densitometer, Mammography machine and Adult Bronchoscope plus advanced Endoscopy Suites with EUS., Elastography and ERCP facility & ESWL Room The team of cardiac specialists caters to a wide range of services and treatment facilities ranging low to high technology and advanced therapies. Treatment for heart disease comprises of medications, surgeries and other interventional and diagnostic procedures. With technologically advanced Cath labs and state of the art OTs, our dedicated and highly experienced team of doctors /trained nursing staff has the capacity to perform staggering 10000 CABGs every year. Our doctors have the skills and expertise in performing Minimally invasive or Non-invasive cardiac interventions, Robotic heart surgeries and Conventional Open-Heart surgeries. Non-invasive and Preventive cardiology: The services offered by the department are superior in quality and are available for both outpatients and inpatients. Some of such services provided are as mentioned Transthoracic Echocardiogram (TTE) Stress Echocardiogram Transoesophageal Echocardiogram (TEE) Dobutamine Stress Echocardiogram Coronary Computed Tomography Angiogram (CTA) Exercise Stress Test with Nuclear Imaging Implantable Cardioverter/Defibrillators and Pacemaker Interrogation Heart monitors/Holter monitor Nuclear Cardiology Interventional cardiology EP Study (Diagnostic) and Ablation Angiography and Angioplasty of arteries of neck, leg, arm and kidney Heart failure device and AICD implantation Coronary Angiography, Angioplasty and Stenting ASD, VSD, PDA device closure Valvuloplasty- TAVR, TMVR Permanent Pacemaker (Single and Double Chamber) Endovascular aneurysm repair Cardiac Surgeries Aortic Surgery - Carried out to repair/replace aortic aneurysms & dissections Aortic Valve Surgery that is performed to repair or replace an aortic valve. The surgery can be carried out in the following different ways Endoscopic Non-Sternotomy MAZE Procedures for AF Arrhythmia surgery - A surgical procedure to correct irregular heart rhythms such as atrial fibrillation or ventricular tachycardia. Corrective surgery to fix or treat a genetic heart defect or congenital heart surgery Coronary Artery Bypass Graft (CABG) – off pump / keyhole Surgery for heart failure LVAD or Left ventricular assist device - A device that aids in the pumping function, thereby circulating blood inside the body. Left ventricular remodelling/surgical ventricular restoration – This is a technique that provides the heart with a more normal shape post a MI, allowing the heart to pump blood efficiently. Heart transplant - A surgery to treat end-stage heart failure - a condition that occurs when the heart can't pump enough oxygenated blood to meet the needs of the body's organs. Awake heart surgeries (on or off-pump cardiac surgeries under high thoracic epidural without general anaesthesia) Cardiothoracic and vascular procedures/surgery Major Aortic Cardiac Aneurysm Surgeries Minimal access aortic arch replacement Aortic surgery Hybrid Endovascular aortic surgery At Fortis Escorts, our hospital is also equipped with dedicated Cardiothoracic ICUs with up to a 1:1 nursing ratio, 24X7. Each ICU is equipped with the following facilities: Echocardiography (ECG) system Colour Doppler system Continuous oxygen supply Infusion pumps Defibrillator Ventilators Pressure monitoring systems Temporary pacemaker both transdermal and transvenous Intra-aortic balloon pump ABG (Blood Gas machine) Electrolytes analysis machines Paediatric cardiology surgeries , cardiac defect repair treatments, TOF, AV Shunt