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OFFICEOffice timings 9 am to 5 pm (IST)Sir Ganga Ram Hospital
New Delhi 110060
- Dr. P.K. Khanna
- Dr. J.P.S. Sawhney
- Dr. Subhash Manchanda
- Dr. Rajat Mohan
- Dr. R.R. Mantri
- Dr. Rajneesh Jain
- Dr. Sangeeta Sachdeva
- Dr. Rajiv Passey
- Dr. Ashwani Mehta
- Dr. Anjali Arora
- Dr. Bhuwanesh Kandpal
- Dr. Arun Mohanty
- Dr. B.S. Vivek
- Dr. Aman Makhija
- Dr. Manish Kr. Sharma
- Dr. Amit Jindal
- Dr. H.L. Kher
The department of cardiology at Sir Ganga Ram Hospital was started in 1977 with basic facilities for monitoring and treatment of patients. Over the years, the department is recognized as the, state of the art cardiac centre nationally and internationally. Dharma Vira Heart Centre was inaugurated in 1999 by his Excellency Late Sh.K.R.Narayanan, the then President of Republic of India. This new center started cardiology and cardiac surgery services. There has been a recent addition in 2011of pediatric cardiology wing in the existing Dharma Vira heart center .The centre is proud of providing all cardiac care facilities starting from basic intensive care to highly skilled cardiac interventions, non invasive investigations and Pediatric cardiac surgery and cardiology treatment including congenital heart disease, at affordable price. The care of treatment provided is as good as the best in anywhere in the world
The faculty is rich mixes of young and experienced consultants who are not only dedicated and devoted to their patients but also highly lettered and have very large number of publications in national and international indexed journals. They are represented at all conferences and symposia in the country and abroad. Quite a few of them are invited as guest faculty.
Department of Cardiology
Department of Cardiac Surgery
Dr. P.K.Khanna, Advisor
Dr. Ganesh Shivnani, Chairperson
Dr. J.P.S.Sawhney, Chairperson
Dr. Sujay Shad, Director Heart and Lung Transplant
Dr. S.C.Manchanda, Director – Executive Health Check Up
Dr. S.Dubey, Sr. Consultant
Dr. R.R. Mantri, Director – Cath Lab
Dr. A. Maheshwari, Chairperson
Dr. Rachna Gupta, Consultant
Dr. Rajat Mohan, Director – Non Invasive Lab
Dr. Elvin Daniel, Clinical Asst.
Dr. Rajneesh Jain, Co-Director – Cath Lab
Dr. Sangeeta Sachdeva, Co-Director
Department of Paediatric Cardiac Sciences
Dr. Rajiv Passey, Sr.Consultant Cardiologist
Dr. Raja Joshi, Chairperson
Dr. Ashwani Mehta, Sr.Consultant Cardiologist
Dr. Neeraj Agarwal, Paed. Cardiologist
Dr. B.Kandpal, Consultant Cardiologist
Dr. Mridul, Paed. Cardiologist
Dr. Arun Mohanty, Consultant Cardiologist
Dr. Reena Khantwal Joshi, Paed. Anesthetist
Dr. B.S.Vivek, Consultant Cardiologist
Dr. Mahendra Narwaley, Associate Consultant
Dr. Aman Makhija, Consultant Cardiologist
Dr. Manish Kr.Sharma, Assc. Consultant Cardiologist
Dr. H L Kher, Retired Consultant
Dr. Anjali Arora (Lipid Clinic)
Dr. Kushal Madan, Cardiac Rehabilitation Consultant
Dr. Monika Sharma, Clinical Psychologist
Highlights of the department
- 24x7 availablity of cardiology consultants at the center enabling quality care to the patients and round the clock intervention cardiology services
- One of the largest series of successful primary angioplasty program of the country.
- First heart transplant in 2011 the private sector in the Northern India. The patient is hale and hearty and enjoying a normal life after 1 year.
- 433 cardiac surgeries without a single mortality and has earned the honour of place in LIMCA book of records.
- Successful cardiac surgery for patients of HOCM
- Successful surgery for patients of chronic pulmonary thromboembolism
- Comprehensive Cardiac rehabilitation program
- Journal of Preventive Cardiology for fellow physicians
- The project of stem cells is already in the pipeline and awaiting clearance from Medical Council of India
Infrastructure at the Dharmavira Heart Centre
- Two operation theatres
- 17 bed post operative complex
- 2 digitised cardiac cath lab
- 16 bed intensive coronary care unit
- 18 beds Cardiology ward
- 3 bedded Radial Lounge
- 6 bedded Cath recovery
- Paediatric cardiology ICU
Admissions in the department of Cardiology in the year 2012
Total number of admissions - 5728 patients
a. Male -3465
b. Female -2213
Total number of patients admitted in major diagnostic conditions
Coronary Artery Disease - 4230
Rheumatic Heart Disease – 202
Others - 1326
Cardiac Catheterisation Procedures
More than 4,000 invasive procedures are performed each year in the Cardiac Catheterisation Lab. Cath lab teams include highly skilled and specialised nurses, cardiovascular and cath lab technologists. The experienced team assists the cardiologist in providing services 24 hours a day for scheduled and emergency procedures. The Centre provides state-of-the-art imaging equipment that visualizes and detects coronary artery disease. The images can be stored in the system as a guide for immediate or later treatment of the disease process. State-of-the-art electrophysiology equipment is utilised by the cardiologist and staff to diagnose and treat advanced cardiac dysrhythmias (irregular cardiac rhythms).
Procedures performed in the Cardiac Catheterisation Lab include:
- Left and right heart catheterisation
- Percutaneous transluminal coronary angiography
- Percutaneous transluminal coronary angiograplasty, (Coronary Stent)
- Athrombectomy (Clot Removal System)
- Peripheral arteriograms & interventions
- Permanent pacemaker implantation
- Catheter ablation of arrhythmias
- Permanent pacemaker insertion
- Implantable cardiac defibrillators
- Cardiac resynchronisation therapy
- Balloon Valvotomies - Mitral, Aortic and pulmonary
- Percutaneous Closure of ASD, VSD and PDA
- Electrophysiology studies
Cath Lab procedures during the year 2012
The department of Cardiology has grown remarkably in past 5 years in terms Salient features of Cardiac interventions at Dharma Vira heart centre.
Trans Radial Coronary Angiography:-
More than 80% of the procedures are done through transradial route as compared to femoral route. What used to be a nightmare for a patient to have a coronary angiography through femoral artery approach and lie in the hospital for 36-48 hours is now a walk in procedure. Most of the interventions in this centre are done through radial artery. We have now a Radial Artery Lounge where patients for coronary angiography are admitted on the laungers and enjoy watching TV with a cup of coffee after the procedure and go back home in 3-4 hrs.
Primary angioplasty at the Dharma Vira Heart Centre: SGRH experience
- Primary angioplasty with stent implantation is now widely recognised as the treatment of choice for acute myocardial infarction. Numerous studies have documented the superiority of this mode of treatment over the traditional thrombolytic therapy.
- The Dharma Vira Heart Centre has an active primary angioplasty programme with an interventional cardiologist and other necessary staff such as an anaesthetist, a technician, staff nurse, etc. available round-the-clock.
- This is a much higher percentage than in other centres and is due to round-the-clock operatibility of the Cath. Lab.
- The radial artery approach has been used for primary angioplasty in most of the cases since last 8 years. This makes the procedure highly patient friendly, allows early mobilisation and avoids the complications of a groin puncture.
- Due to the availability of rapid transport and good coordination among the various members of the Cath. Lab. team, the Dharma Vira Heart Centre has been able to achieve a very low 'door to balloon time' of 44 minutes (range 28-110 min).This means that most patients can expect to have their artery opened within 44minutes of entering the casualty. This time is well within the recommended time of 60 minutes by the American Heart Association (AHA)/American College of Cardiology (ACC). The overall success rate of the procedure was 98.2% with a mortality of 2.8%. This compares favourably with international data. The mortality rate in cases of cardiogenic shock was 24%, which is again below the 30% mortality observed in international trials
Catheter Ablation of arrythmias
This is a procedure to treat abnormal fast heart rhythms. In particular, people may be born with abnormal electrical connections that predispose them to a fast rhythm called "supraventricular tachycardia" or SVT for short.and also Ventricular tachycardias ( VT).
In some individuals SVT and VT is a rare occurrence, and they can be treated with medication. In other individuals this can be frequent and quite distressing requiring visits to the emergency room for treatment. In these situations, catheter ablation is recommended to isolate the precise area of the heart that is responsible for the rapid heartbeat, and cauterise that area with radiofrequency energy to permanently cure the disorder.
Implantable Cardioverter Defibrillator (ICD)
The primary function of an ICD is to recognise and treat dangerous fast heart rhythms from the lower chambers of the heart (ventricles) such as ventricular tachycardia and ventricular fibrillation.
First introduced in the early 1990s, these devices have undergone a tremendous evolution, with an ever-decreasing size yet with increasing power and complexity. Similar to a pacemaker (indeed each ICD also incorporates a fully functional pacemaker), these devices consists of a generator (a battery and electronic circuits) and one or more electrode leads, threaded through a vein under the collarbone to the inside of the heart chambers,
Several important differences need to be mentioned: compared to a pacemaker generator, the ICD generator is significantly larger (about the size of a small pager) and unlike a pacemaker, the ICD can recognise and effectively treat fast heart rhythm problems.
Cardiac resynchronisation therapy
What is cardiac resynchronisation therapy?
Cardiac resynchronisation therapy (CRT) is used to to treat the delay in heart ventricle contractions that occur in some people with advanced heart failure The CRT pacing device (also called a biventricular pacemaker) is an electronic, battery-powered device that is surgically implanted under the skin.The device has 2 or 3 leads (wires) that are positioned in the heart to help the heart beat in a more balanced way.
CRT and ICD therapy
Some patients with heart failure may benefit from a combination of CRT and an implantable cardiac defibrillator (ICD). These devices combine biventricular pacing with anti-tachycardia pacing and internal defibrillators to deliver treatment as needed.
Benefits of CRT
CRT improves symptoms of heart failure in about 50 percent of patients who have been treated maximally with medications but still have severe or moderately severe heart failure symptoms. CRT improves survival, quality of life, heart function, the ability to exercise, and helps decrease hospitalisations in select patients with severe or moderately severe heart failure.
Who is eligible to receive a CRT device?
People with heart failure who have a poor ejection fraction (<35%) are at risk for fast, irregular and sometimes life-threatening heart rhythms.
Introduced in the mid 1950s, these devices are typically implanted through a small incision under the skin in the region of the left or right collarbone.
A pacemaker consists of a generator (a battery with electronic circuits) and one or more electrode leads, threaded through a vein under the collarbone to the inside of the heart chambers. The pacemaker battery may last up to 7-10 years and individuals with a pacemaker should receive regular follow up to assure proper function of the device and the battery.
Modern pacemakers fit comfortably into typical everyday life, and do not interfere with any of the usual everyday appliances, such as microwaves.
Electrophysiology Studies (EP)
This is a specialty field within cardiology that studies the mechanism(s) and treatment of heart rhythm problems (arrhythmias). We have electrophysiology facilities for the diagnosis and therapy of arrhythmias and heart blocks. In general, treatment options for heart rhythm disorders may consist of medication, catheter abalation, placement of a pacemaker or implantable defibrillator.
Non Invasive Cardiology Services
There has been growth in all the non invasive procedures done at the department. The waiting time for the patients for undergoing the procedures has been reduced over the years. Also there has been addition of the state of the art Ec ho machines. Today we are able to offer all non invasive cardiac procedures to the patients.
There is also a full fledged support of the Nuclear cardiology department .also non ivasive CT coronary and other angiographies are being offerd to the patients. We are also one of very few institutions in the country where we can offer Cardiac MRI and PET scan services.
Total - 16330
ECG - 24454
TMT, Stress Echo- 4532
Head Up Tilt test - 456
Holter monitoring - 1024
Number of non invasive procedures done in 2012
Some of the common diagnostic procedures performed are:
- 3D Echocardiography
- Electrocradiogram (ECG)
- Stress Echocardiography
- Head Up Tilt Test
- Tread Mill Test
- Holter monitoring
- Fetal Echocardiography
- Trans Oesophageal Echocardiography
- CT coronary Angiography
State of the art Non Invasive test at the centre
CT Angiography -