Nashik
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Angioplasty and Stent Placement

Angioplasty and Stent Placement Angioplasty and stent placement is a minimally invasive, image-guided procedure used to treat coronary artery disease (CAD) — a condition caused by the narrowing or blockage of the heart's blood vessels due to plaque buildup. What is Angioplasty? Angioplasty, also known as Percutaneous Coronary Intervention (PCI), involves the insertion of a small balloon through a catheter into a narrowed coronary artery. The balloon is gently inflated to widen the artery and restore blood flow to the heart muscle. What is a Stent? In most cases, a stent — a small, mesh-like metallic scaffold — is placed at the site of the blockage to keep the artery open permanently. Drug-eluting stents are commonly used to reduce the risk of re-narrowing (restenosis). When is it recommended? Acute heart attack (STEMI/NSTEMI) Unstable angina or chest pain not relieved by medication Significant coronary artery narrowing found on angiography High-risk coronary lesions with compromised blood flow Benefits of Angioplasty and Stenting Rapid symptom relief (e.g., chest pain, breathlessness) Minimally invasive with faster recovery Improved heart function and reduced risk of heart attacks Short hospital stay (typically 1–2 days) Advanced Techniques Available For patients with complex or calcified lesions, we also offer: Rotational Atherectomy (ROTA) Intravascular Lithotripsy (IVL) Intravascular Ultrasound (IVUS) CHIP angioplasty for high-risk cases

Pacemaker, ICD, and CRT

1. Pacemaker A pacemaker is a small, battery-operated device implanted under the skin (usually near the collarbone) to help regulate abnormally slow heart rhythms (bradycardia). When is it needed? Sinus node dysfunction Heart block (AV block) Symptomatic bradycardia How it works: The pacemaker sends electrical impulses to the heart to maintain a normal heart rate. It monitors your heart’s rhythm and activates only when needed. Types: Single-chamber pacemaker (usually for the right atrium or right ventricle) Dual-chamber pacemaker (coordinates activity between atrium and ventricle) Leadless pacemaker (a newer, miniaturized version placed directly into the heart) 2. ICD (Implantable Cardioverter Defibrillator) An ICD is a device designed to detect and treat life-threatening fast heart rhythms, such as ventricular tachycardia or ventricular fibrillation. When is it needed? History of sudden cardiac arrest High risk of ventricular arrhythmias (e.g., post-heart attack, low ejection fraction) Certain genetic arrhythmia syndromes (e.g., Long QT syndrome) How it works: The ICD continuously monitors the heart rhythm. When a dangerously fast rhythm is detected, it delivers an electric shock to restore normal rhythm (defibrillation). It may also perform anti-tachycardia pacing (ATP) to correct rhythm without shock. 3. CRT (Cardiac Resynchronization Therapy) CRT is used to improve the efficiency of a weak or failing heart by synchronizing the contractions of the left and right ventricles. When is it needed? Heart failure with reduced ejection fraction (HFrEF) Wide QRS complex on ECG (especially LBBB pattern) Persistent symptoms despite optimal medical therapy How it works: CRT devices use three leads—in the right atrium, right ventricle, and a coronary vein over the left ventricle—to coordinate heart contractions and improve cardiac output. Types: CRT-P (CRT with pacemaker function) CRT-D (CRT with defibrillator function)

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