Nagpur: âWorld Heart Dayâ is celebrated every year in September. This year, Wockhardt Hospitals in Nagpur are launching a âHeart Failure Clinic – Dil Dhadakne Doâ dedicated to patients with heart failure.
The clinic was launched in the presence of the expert and highly qualified cardiac team from Wockhardt Hospitals, Nagpur. The team includes Dr Nitin Tiwari, Senior Consultant in Cardiology, Dr Achyut Khandekar, Senior Consultant in Cardiology, Dr Dinesh Padole, Consultant in Cardiology and Dr Sameet Pathak, Senior Consultant in Cardiovascular and Thoracic Surgery.
What is heart failure?
During his speech at the launch, Dr Tiwari informed that heart failure does not mean the heart has stopped working. Rather, it means that the heart is working less efficiently than normal. Due to various possible causes, blood circulates more slowly through the heart and body and the pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body’s needs.
Heart failure is one of the most common causes of death in the country and around the world. One study indicates that 50% of patients with heart failure die within the first five years of diagnosis and 90% within ten years.
Dr Dinesh Padole spoke about the causes of heart failure and said heart failure often develops after other conditions have damaged or weakened the heart.
In heart failure, the heart’s main pumping chambers (the ventricles) can become stiff and not fill properly between beats. In some people, the heart muscle can be damaged and weakened. The ventricles can stretch to the point that the heart cannot pump enough blood around the body. Dr Dinesh Padole spoke about the main causes of heart failure and said heart failure often develops after other conditions have damaged or weakened the heart, such as major blockages in the heart arteries (80% of cases ), rheumatic heart disease, diabetes, cancer, inflammatory conditions (20% remainder)
Speaking on this occasion, Dr Achyut Khandekar discussed the signs and symptoms of heart failure. He informed that over time the heart can no longer meet the typical demands placed on it to pump blood to the rest of the body.
Heart failure can be continuous (chronic) or it can start suddenly (acute).
Signs and symptoms of heart failure may include:
â¢ Shortness of breath with activity or when lying down
â¢ Fatigue and weakness
â¢ Swelling of the legs, ankles and feet
â¢ Fast or irregular heartbeat
â¢ Reduced ability to exercise
â¢ Persistent cough or wheezing with white or pink mucus tinged with blood
â¢ Swelling of the stomach area (abdomen)
â¢ Very rapid weight gain due to fluid accumulation
â¢ Nausea and lack of appetite
â¢ Difficulty concentrating or decreased alertness
â¢ Chest pain if heart failure is caused by a heart attack
Dr Dinesh Padole also spoke about the medical management of HF and said that optimal medical management led by proper guidelines is the cornerstone of heart failure management and can give patients many symptoms during one year. He said beta blockers, RNAI inhibitors, SGLT2, MRAs are the backbone of HF treatment and stressed the importance of fluids and sodium titration in these patients. He also said that patients with heart failure usually get sick and are hospitalized due to secondary infections and said all of these patients should be periodically vaccinated against pneumococcus and influenza.
By discussing ahead of time, the team briefed on heart failure diagnosis, device therapy, and surgical management. Patients who have coronary bypass surgery also sometimes suffer from heart failure. To improve the pumping of the heart, we can implant a cathode ray tube to reduce the risk of sudden cardiac death, we can implant the AICD to save the precious life of a patient with heart failure.
Dr Sameet Pathak presented the surgical management of patients with heart failure. He said surgery that can be used to improve heart failure includes coronary artery bypass grafting (CABG), valve replacement surgery, and heart transplantation. Dr Pathak also informed that Wockhardt Hospitals in Nagpur are also planning to work intensively on heart transplants.
The Heart Failure Clinic will be operational every day from 1 p.m. to 2 p.m. At the same time, for patients requiring care outside these hours, a medical team will be available 24/7. This clinic is unique in its kind as it offers comprehensive care, one of the most experienced teams, all the necessary tests and investigations available under one roof and also a large team including other support specialties such as nutritionist, physiotherapeutic rehabilitation, telephone follow-ups and counselor. .
Wockhardt hospitals are a recognized name in the city. Medical facilities such as cardiology, brain and spine, ortho and joint replacement, laparoscopic surgery, dialysis and kidney transplantation, ENT, cancer care, intensive care, general surgery, gynecology, ambulance, 24 Ã 7 emergency services and 24 Ã 7 pharmacy service can be served under one roof. More information on Wockhardt Hospitals can be obtained at: 0712 6624444/4100.