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Dr Ramji Mehrotra | What is cardiac resynchronization therapy?

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Cardiac resynchronization therapy (CRT) is a specialized medical treatment designed to improve the function of the heart in individuals with certain types of heart failure. Also known as biventricular pacing, CRT involves the implantation of a device that helps coordinate the contractions of the heart's ventricles, thereby enhancing its pumping efficiency. This therapy has proven to be a valuable option for individuals who experience heart failure symptoms despite optimal medical management. Heart failure can occur due to various underlying conditions, such as coronary artery disease, hypertension, or cardiomyopathy. As a result, individuals with heart failure may experience symptoms like fatigue, shortness of breath, fluid retention, and reduced exercise capacity. According to Dr. Ramji Mehrotra , one of India’s most popular cardiac surgeons, CRT is primarily used to treat a specific subset of heart failure patients with "dyssynchrony". Dyssynchrony refers to a lack ...

Dr. Ramji Mehrotra | Cardiac CT Scan

Cardiac computed tomography (CT) scan, also known as cardiac CT angiography or CTA, is a cutting-edge diagnostic tool that provides detailed images of the heart and its blood vessels. This non-invasive imaging technique has revolutionized the field of cardiology by offering unparalleled insights into the structure and function of the heart. Uses of Cardiac CT Scan According to Dr. Ramji Mehrotra , leading cardiovascular surgeon in the NCR region, there are several uses of the Cardiac CT scan including: 1.    Coronary Artery Disease (CAD) Assessment: One of the primary applications of cardiac CT is the evaluation of coronary arteries. It helps identify blockages, stenosis, or plaques within these vital blood vessels that supply oxygen and nutrients to the heart muscle. This is particularly important for diagnosing CAD, a leading cause of heart disease. 2.    Calcium Scoring: Cardiac CT scans can measure the amount of calcium buildup in the coronary arteries,...

Magnetic Resonance Imaging for Heart Disease

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Magnetic Resonance Imaging (MRI) has emerged as a crucial diagnostic tool in the realm of heart disease and offers insights into cardiac structure and function. This non-invasive imaging technique employs powerful magnetic fields and radio waves to create detailed cross-sectional images of the heart, enabling healthcare professionals to assess its condition with remarkable accuracy. Dr Ramji Mehrotra , India’s leading cardiovascular surgeon, is of the opinion that MRI's ability to visualize soft tissues, blood vessels, and even the beating heart itself makes it particularly valuable in diagnosing various heart conditions. One of its primary applications is the evaluation of myocardial infarctions, commonly known as heart attacks. By detecting regions of compromised blood flow and tissue damage, MRI aids in determining the extent and location of the infarction, guiding treatment strategies. Furthermore, MRI plays a pivotal role in assessing cardiac function. It precisely measure...

What Causes Pericarditis?

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  Pericarditis, an inflammatory condition affecting the pericardium - the thin sac-like membrane surrounding the heart, can be a source of acute chest pain and discomfort. While it is often idiopathic or without a known cause, pericarditis can also be triggered by various factors. Understanding these underlying causes is essential for accurate diagnosis, effective treatment, and prevention of recurrence. Ø   Viral Infections: One of the primary causes of pericarditis is viral infections, particularly those caused by the coxsackievirus and echovirus. These viruses can directly invade the pericardium, triggering an inflammatory response. The immune system's reaction to the viral presence can lead to the release of inflammatory chemicals, causing the pericardium to become irritated and inflamed. Ø   Bacterial Infections: While less common, bacterial infections can also result in pericarditis. Bacteria such as Streptococcus, Staphylococcus, and Mycobacterium tuberculo...

How Vitamin D protects against heart failure

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  Vitamin D, often referred to as the "sunshine vitamin," is crucial for maintaining bone health and regulating calcium levels. However, according to medical research it has significant impact on cardiovascular health also, specifically in protecting against heart failure. India’s leading cardiovascular surgeon Dr. Ramji Mehrotra says that Vitamin D's protective effect on the heart is due to several mechanisms. Firstly, it plays an important role in modulating the renin-angiotensin-aldosterone system (RAAS), which regulates blood pressure and fluid balance. Adequate Vitamin D levels have been associated with decreased activation of this system, resulting in lowered blood pressure and reduced strain on the heart. Moreover, Vitamin D exhibits anti-inflammatory properties. Chronic inflammation is a key contributor to the development and progression of heart failure. Vitamin D helps to mitigate inflammation by inhibiting the production of inflammatory cytokines and promo...

Heart Emergency & What to Do

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A heart emergency is a critical medical situation that requires immediate attention and response. The heart is a vital organ responsible for pumping oxygenated blood throughout the body, and any interruption to its normal functioning can lead to life-threatening consequences. Understanding how to recognize the signs of a heart emergency and knowing what steps to take can make a significant difference in saving lives. Recognizing the Signs Leading cardiac surgeon Dr. Ramji Mehrotra says that recognizing the signs of a heart emergency is crucial in initiating prompt action. The common symptoms of a heart attack are: Ø   Chest pain or discomfort: This could manifest as a feeling of pressure, squeezing, fullness, or pain in the center of the chest, which may last for a few minutes or come and go. Ø   Pain or discomfort in other areas: The pain may spread to the arms (usually the left arm), back, neck, jaw, or stomach. Ø   Shortness of breath: Experiencing difficult...

Dr Ramji Mehrotra | CPR and How to perform it

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  CPR (Cardiopulmonary Resuscitation) is a life-saving technique that can be performed in emergency situations when someone's breathing or heartbeat has stopped. It is crucial to know how to perform CPR as it can significantly increase the chances of survival until professional medical help arrives. CPR combines chest compressions and rescue breaths to keep the blood flow and oxygen circulation going in a person's body. The main goal of CPR is to maintain vital organ function until advanced medical support can be provided. Dr. Ramji Mehrotra , India’s leading cardiac surgeon, suggests that CPR can be performed following the steps below: 1.     Assess the situation: Ensure the environment is safe for both the victim and you. If the person is unresponsive, check if they are breathing or have a pulse. If not, it is time to start CPR. 2.     Call for help: Dial the emergency services number or ask someone nearby to do so. It is important to get pro...