Heart specialist Doctor in delhi

Dr. Rajneesh Malhotra

Chief-CTVS, Max Delhi & NCR Hospital

Dr. Rajneesh Malhotra is the Chief of Cardiac Surgery at Max Super Speciality Hospital, New Delhi. He also offers a consultation at Dharm Clinic, Kalkaji, New Delhi. He is an expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD's), Robotic Cardiac Surgery.

Education

• MBBS from King George Medical College, Lucknow
• MS(General Surgery) from King George Medical College, Lucknow
• M.Ch Cardio-Thoracic Surgery from Laxmipat Singhania Institute of Cardiology, Kanpur
• Fellowship in Cardiac Surgery from the Department of Thoracic and Cardiovascular Surgery, Hospital, Uppsala, Sweden
• Minimally Invasive Cardiac Surgery: Medtronic Inc.Minneapolis, USA

Experience

• 25 years of rich experience in Cardiac Surgery
• Work as Director - Cardiac Surgery, Medanta: The Medicity, Gurgaon 2009-2012
• Work as Senior Consultant - Cardiac Surgeon, Escorts Heart Institution and Research Centre, Delhi
• Work as Chief Consultant - Cardiac Surgeon, Durden's Heart Surgical Centre, Colombo, Srilanka

Awards

• Chapters in Books: Asia Pacific Cardiology: Developments in Total Arterial Myocardial Revascularisation
• Chapters in Books: Elsevier Educational Series In Cardiology: History of Cardiac Transplant
• Chapters in Books: International Travel Awards Recipient - Asian Society of Cardio-Vascular Surgery, Fukuoka, Japan
• Chapters in Books: Best Oral Presentation at Annual Scientific Meeting of International Society of Minimally Invasive Cardiac Surgery at San Francisco, USA
• dr. j. j. Sood Oration Award 2013

For More Detail Cardiac Surgeon In Delhi

Why you need the Services of the Best Heart Specialist Doctor in Delhi

Anybody living in Delhi with a heart condition needs the services of the best heart specialist doctor in Delhi.

Best heart specialist doctor in Delhi is the medical professional who can tell you if you suffer from heart ailments.

What is a Heart

Like other muscles in the body the heart is also a muscle. While a person controls other muscles in the body, the person cannot control the heart muscle as it beats 72 times in a minute completing a cardiac cycle every minute of its life in an involuntary action.

What are the Functions of a Heart

The heart is among the most vital organs in the body. It functions as a pump to circulate blood through a system of blood vessels. The heart functions throughout its life time. If the heart stops pumping blood then it dies and so does the person.

The heart performs its functions of receiving used blood from all over the body through the veins, sending the blood to the lungs for purification and receiving the purified blood from the lungs and finally pumping the purified blood to other parts of the body through the arteries. The heart comprises the heart chamber which is a muscle. The heart chamber comprises four parts and together with the circulatory system performs its assigned tasks.

What is Heart Disease

The heart is the central muscle that controls the function of pumping blood to all parts of the body. The heart supplies blood through the circulatory system consisting of blood vessels. The group comprising the heart and the blood vessels together with the blood that circulates in the body is the cardiovascular group.

Any disease that affects the heart and the blood vessels is a heart disease or a cardiovascular disease.

Types of Heart Disease

The various diseases affecting the heart include

• Congenital heart defects or the disease a person is born with
• Heart rhythm anomalies
• Coronary artery disease
• Blocked or narrowed blood vessels
• Heart attack
• Stroke
• Angina or chest pain
• Valve malfunctions
• Heart muscle problems

What are Symptoms of Heart Disease

Symptoms depend on the disease affecting the specific part of the cardiovascular system. They include

• Fainting, shortness of breath, dizziness, fatigue, numbness, fluttering,
• Pain in the chest, jaw, neck, abdomen and throat
• Swelling in feet, abdomen,
• Irregular heartbeats, rhythmic changes, slow or fast heartbeats
• Dry cough, skin rashes, fever
• Rhythmic changes, slow or fast heartbeats

Congenital heart defects are defects that a person is born with. The symptoms for disease of the heart due to congenital defects showing up at birth include

• Poor weight gain, shortness of birth, swelling around the eyes, abdomen and legs and pale blue or grey skin color

See My PPT http://www.slideboom.com/presentations/2282230/Heart-Transplant-In-Delhi

Port Access Cardiac Surgery In Delhi

Port-Access surgery has been one of the most innovative forms of cardiac operations and has been widely used for the treatment of several cardiac diseases. Port access surgery is a version of the traditional coronary artery bypass graft where the sternum is not split. Small incisions or ports are made in the chest through which the surgeon will perform the operation. Port- Access technique is safe and permits reproduction of standardized results with the use of a very limited surgical approach.

We are convinced that this is a superior procedure for certain types of surgery, including isolated primary mitral valve repair or replacement(MVR), repair of a variety of atrial septal defects (ASDs), and atrial tumors (Myxoma).

Major advantages of port access surgery are minimal trauma, lesser pain, very small incision, lesser stay in the hospital, cosmetic advantage and faster recovery.

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Success Rate of Bypass Surgery in India

To know the success rate of bypass surgery in India, we need to first find out what a heart bypass is, as well as how the surgery is done and how successful it is.

Heart Bypass Surgery or CABG Surgery

The heart bypass surgery is defined as a common procedure of surgery which incorporates diverting blood around the clogged arteries of the heart. This Surgery is also known as CABG which stands for; Coronary Artery Bypass Surgery also pronounced as “Cabbage”. CABG is known as a Gold standard surgical treatment for coronary artery disease. The success rate for this is said to be of 98 percent.

The coronary arteries, these are the arteries that bring blood to the heart muscles, they become clogged due to the plaque formation. Plaque formation is the building up of fat or cholesterol. This can slow down or even stop blood flow from flowing through blood vessels, which would then result in chest pain or a heart attack. When there is an increased amount of blood flow to the heart muscle, the chest pain and the risk of heart attacks could be reduced. This is the main reason, CABG surgery is done.

How is Surgery Done?

Down the center of the chest along the chest bone, an incision is made, which opens the rib cage apart so the heart is exposed. When the heart is exposed, it stops. The pumping and blood circulation function is then taken over by the heart-lung machine. A segment of a healthy blood vessel is taken from another part of the body which detours the blocked coronary artery.

A patient can undergo around three or more bypass grafts, this depends on the number of arteries that are blocked. There are many new surgical procedures. Some of them remove the use of the heart-lung machine or the need for making a larger incision. Others include the off-pump or beating heart surgery and the Minimally Invasive Surgery etc.

The Success Rate of Bypass Surgery in India

The success rate depends on the factors that should be considered while selecting the surgery procedure according to the individual. The success rate for bypass surgery is 98%. Studies show that after the surgery, the patients with the risk of heart attacks due to poor heart muscle functions have seen improvement in the function and the risk is reduced.

The success rate is also based on patients kidney problems, diabetes or hypertension, the lower the risk factors, the higher success. It also helps with reduced memory loss or thinking skills, lower death rates, low injury to the heart, few heart rhythm problems, etc.

India offers treatments at very reasonable costs and this makes it the healthcare hub even for international patients. They also provide the latest medical treatment facilities and offer the best of services as per the patients' comfort. The bypass surgery is available in major cities of India, like Delhi, Chennai, Bangalore, Kolkata, and Hyderabad.

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Lifestyle Changes After Heart Transplant Surgery

Heart Transplant is a major advancement in surgery for people whose heart stops functioning and they have to undergo heart transplant surgery. However, after the heart transplant surgery, it is important to have certain lifestyle changes done to your daily routine, your food etc. If you undergo heart transplant surgery in India, your transplant would suggest a host of post-surgery changes in eating/lifestyle for faster recovery.

What are the lifestyle changes required after heart transplant?

Upon consulting experts of heart transplant surgery in Delhi, you will get to know that after a heart transplant surgery, it is really important to maintain an optimum body weight to keep a check on the blood pressure, cholesterol, blood glucose levels, etc. Keeping the body weight in check helps in lowering the risk of transplant disease.

• Maintaining an ideal body weight: It is really important after the heart transplant surgery in India, to keep your weight in control. A higher body weight means more blood needs to be pumped which would further mean higher pressure on the heart to pump. Body weight can be kept in control by-
  • Following a healthy diet.
  • Doing exercise.

It is very important as a post-surgery requirement to plan a right diet schedule and exercises that are required for your body type to stay healthy.

• Caffeine, alcohol, and tobacco: It is the utmost requirement to stop or keep a strict check on the consumption of these –
  • Caffeine: Caffeine is a CNS stimulant; consuming caffeine puts more pressure on the heart to pump the blood. Some of the serious effects of caffeine consumption are irregularities in heart rate, diarrhoea and insomnia.

Some of the less serious side effects include a headache, nervousness and trembling.

• • Alcohol:  Alcohol consumption should also be strictly controlled or should be altogether stopped. Alcohol affects the working of the liver which is a vital organ for the breakdown and metabolism of food and many medicines. Example – cyclosporine is broken down in the liver; therefore, for the medicines to work properly you should stop taking alcohol.

Apart from this, alcohol is high in calories and does not have any nutrient content. Alcohol increases the level of triglycerides in the body.

• • Smoking Tobacco: One should stop smoking and any sort of intake of tobacco in the body. Tobacco consumption reduces the capacity of the red blood cells to carry oxygen to various body parts; as a result,recovery of the injured tissues takes time.
  • Physical exercise: After the heart transplant surgery in Delhi, it is important to have a daily exercise plan as per the capability and strength of the body. Exercise helps in regaining the muscle strength and keeps the mood elevated.

However, the connection of the heart with nerves is not the same and one should not expect the body to respond in the same way as before surgery.

However, there will not be any chest pain due to angina or any other heart disorder after the transplant. It is important that one gets back to his or her normal routine and do some exercise as it would help in keeping the mood raised up and a faster recovery after the heart transplant will occur.

5 Essential Tips for the Care of a Pediatric Cardiac Patient

Coronary illness is sufficiently troublesome when it strikes grown-ups; however, it can be particularly more severe in kids. A wide range of heart issues can influence youngsters. These include congenital heart defects, atherosclerosis, viral infections that affect the heart, and even heart disease acquired later in childhood due to sicknesses or hereditary disorders. Fortunately, with medical advancements and expertise of cardiology specialists in Delhi, numerous kids with coronary illness go ahead to live dynamic and active lives.

Here are the 5 essential tips suggested by the best cardiologist specialists in Delhi that may prove vital in the care of pediatric cardiac patients and help them stay as healthy and comfortable as possible:

Oxygen Therapy

The child suffering from cardiac problems requires extra oxygen supply at home. A small tube that rests at the entrance of the child’s nose helps to stabilize the supply of oxygen. The amount of oxygen as prescribed by physician should only be given through oxygen therapy.

Be patient and control your emotions

It is your attitude towards the patient that helps in the early revival than the magic of the medicines. Parents dealing with their child must show empathy and compassion. This will motivate the child and will be helpful in his early recovery. Don’t get irritated by abnormal behavior of the child during the treatment procedure.

Give medicines on time

Parents should be aware about the correct dosage and proper method to provide medicines to their children.You may even hire a professional nurse to take care of your child. Being strong, heart medicines can be hazardous if not given accurately. We also suggest that you maintain a written chart/record of your child’s medication.

Avoid external infections

The immunity of a child who suffers from a congenital heart disease is usually weak. So, parents have to take special care of their child. This is the reason that many cardiac patients are given antibiotic before surgical procedures. Strictly follow hygiene instructions given by the doctor and make it a habit for the child also.

Maintaining your child’s dental health and keeping him or her away from tooth infections is also very important in this regard. Any signs of skin infection or infection at the site of wound should immediately be reported to the treating doctor.

Take care of child’s nutritional needs

Infants affected by cardiac diseases have a higher metabolic rate and hence consume more calories. Proper care of their nutrition is must for keeping them in sound state. Being child, he or she may insist on having food items that may not be good for his or her health. When made to stay away from such stuff, they tend to get agitated, so handle them with utmost patience as this is bound to happen with anyone.

Make sure you always have something or the other to offer them as a healthy choice. Give small and frequent meals that are easy to digest and given them enough energy.

We also suggest you to keep a list of cardiology specialists in Delhi , particularly those handling pediatric cases, handy so that during emergency you can reach out to them.

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Find out if you are prone to coronary artery disease

Coronary artery disease (CAD) is quite common among people below the age of 50, and its incidences are steadily increasing in India. Cardiac surgeons and cardiologists treat lot of young patients suffering from CAD, requiring either angioplasty or bypass surgery.

The most common causes for CAD are stressed lifestyle, increasing urbanisation, smoking, unhealthy eating habits, increasing diabetes, hypertension, addiction to drugs, especially cocaine, and excessive alcohol intake.

Fortunately, all the reasons mentioned above are modifiable and can be changed or controlled, However, unmodiflable factors include familial hyper triglycerides and increased cholesterol in the blood that can be only controlled to some extent and put people at an increased risk of CAD.

It is a devastating disease, precisely because an otherwise healthy person may die or become disabled without warning at a young age. When the afflicted individual is under the age of 50, the consequences for the family, friends and colleagues are particularly catastrophic and unexpected.

The incidences of CAD in young adults are about 3% of all the coronary artery disease, but the incidences are steadily increasing and it may be “the tip of an iceberg, ” says Dr. Rajneesh Malhotra.

As young, asymptomatic patients typically do not undergo medical test regularly, the true prevalence of this disease may be underestimated.

It is well recognised that these patients are mostly males and may have several risks factors as mentioned above. Cigarette smoking has been the single factor that has been associated that most with CAD in young adults. It increases the risk three times more as compared to non smokers. It also causes damage to the inner lining of vessels, causing more thrombosis. Coronary vasospasm occurs in the person who take coca in in the person who take coca in or any such drugs.

There have been several causes of acute myocardial infarction in patients who suffer Frome acute alcohol intoxication

Young woman have a protective effect because of oestrogen, but if they are smokers, diabetic, hypertensive or on oral contraceptives, they are also equally prone for coronary artery disease. If the patients can control these modifiable risk factors, have a better prognosis than the elderly and go for periodic check-up of lipid profile, blood sugar, stress test and CT coronary angiography, they can diagnose coronary artery disease at an early stage and control the damage. Modified lifestyle, yoga and de-stressing helps a lot in taking care of such diseases.

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Symptoms which indicate your child might have a heart problem.

Heart disease can affect us at any age, but it can be especially tragic when it does occur in children. But it is important form us to know that there are certain heart conditions with which children can be born, also called congenital heart disease. These heart conditions, most of the time go unnoticed because the symptoms that they cause do not become very obvious until later on in life when the child is a little older and becomes more active. But if the condition is very severe, symptoms may manifest early in childhood, and this is the reason doctors do a complete physical examination of the newborn, including listening to the heart with the stethoscope, which will help them to detect these abnormalities as early as just after birth. Therefore this increased awareness that the so called ‘’heart diseases’’ which people assumed affected only adults, can be present in children as well, is very important, because it is only the parent who spend the entire day with their babies, who can tell these subtle changes and abnormalities which need to be further investigated.

Most of the time with cardiac diseases the commonest mistake which people make is that they assume the symptoms of thedisease to be natural reaction of the child and dismiss it easily. Therefore not a lot of attention is paid to it, until the symptoms become so bad and the condition has almost reached a point of fatality.  People fail to relate these symptoms with that of a cardiac challenge, of a child who is having a difficult time keeping up the demand of increasing activity. This is why we need to educate the parents of the possibility that their child might be affected with a heart condition, and that they have to be observant in order to detect the symptoms as early as possible, so that prompt medical attention can be given.

The symptoms of heart diseases will vary depending on the child’s age. Because the symptoms in babies who are less active, will be different to those in older children who are more active. So let’s take a look at the possible symptoms depending on the age of children:

Neonates and infants

This age group includes babies up until their first year of life. In this age group it becomes very important that we pay close attention to the physical differences because they can be missed very easily. These include unusual drowsiness in the baby, where you might notice that you baby is even refusing feeds because of this increased drowsiness. Or you might notice that your baby is sweating unusually or your baby’s skin is turning blue when he/she gets tired or when they have to exert themselves such as when they breastfeeding and suckling or when they crying. You also might notice that your baby is having a hard time breathing and it might look to you like you baby is breathing very rapidly. Other than this, the only symptom of heart disease might be that you baby fails to thrive and does not have the required weight gain and growth pattern. And this can be very easily ignored. All of these indicate that there is a possible underlying heart disease, and you should think about having your baby checked by a doctor immediately.

Toddlers

This is the age group when your child starts to walk and explore everything around them. Again if they are not performing activities as any other child in the same age group, then this should get you worried as to why your child cannot keep up. If you observe that you child starts to tire easily or gets breathless after taking a few steps, or starts to sweat excessively when involved in some activity, this again should cause some concern. If their lips or tongue goes blue while they are exerting themselves or if they have fainting spells as well as uncoordinated jerky movements, then again it might indicate towards an underlying heart condition. This age group is where you have to always compare your child with other children and if they are able to keep up with the rest and perform in a similar manner.

Older children and teenagers

Again the symptoms experienced by older children are very similar with easy fatigability and breathlessness, as well as fainting attacks. But the difference is that these children are able to communicate changes that they feel better than younger kids, and they may sometimes come and tell you that they can feel their heart beating very fast and loud. Again the most important thing to do when they do complain of such symptoms is to pay attention to this without dismissing them easily.

When it comes to congenital heart disease, there might be conditions which to not need any treatment at all and will resolve on their own. But there might be more fatal conditions which need prompt attention, and the correct intervention at the right time might mean the difference between the complete reversal of the condition or your child having to live with the condition lifelong.

And if your child is indeed diagnosed with such a heart condition, then you need to make sure that your child, their teachers at school as well as their caretakers are made aware of the warning signs of the condition, so that the necessary prompt action can be taken, to bring the condition under control and prevent greater damage from happening.