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MIOT HOSPITALS 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089 Tel: +91 44 4200 2288
Email: chief@miothospitals.com, www.miotinternational.com miot.international www.youtube.com/miothospitals
Interventional Cardiology
at MIOT International
Expert. Comprehensive. Together.For MIOT 24Ɨ7 Cardiac Emergency Care call us at:+91 44 2249 9800, +91 99413 66699, +91 98400 00555
Dear friends,
Looking at the lives we lead today, Iā€™m reminded of an old song, ā€˜Stop the world and let me off...ā€™
It mirrors the despair at the incredible stress and tension under which we all function, day after day.
Unfortunately, there are few easy ways of ā€˜getting offā€™ to regain our physical and mental equilibrium
- unless we make a conscious effort ourselves.
Stress has a direct impact on the heart as it releases certain substances which affect the heartā€™s
functioning. It also changes blood constitution, increasing chances of clotting. Today, this is
happening across ages - from students to anxious mothers to overworked adults, and as a result,
Heart Disease has become the leading lifestyle disease in India. We must not forget that heart
disease, which changes our lives overnight, is not limited to ā€˜Heart Attackā€™, but also includes
defects in our valves & electrical circuits that we are largely unaware of.
The good news is that all heart disease develops slowly. The changes that it makes in every hidden
corner can be picked up, prevented or corrected, with minimally invasive Interventional
Cardiology, provided the procedures are done by trained specialists with the right facilities.
At the state-of-the-art MIOT Centre for Interventional Cardiology, our team of experts, who
specialise in every part of the heart, focus on giving patients foolproof and patient-friendly
treatments, even in the most challenging of cases. This has seen our patients go home safely,
quickly, with long term results - and without the trauma of open surgery.
Let us start the process by getting a complete heart check done right here at MIOT under our
ā€˜Get a Status Update on Your Heartā€™ initiative. If there are no red flags, all you need to do is follow
a heart healthy lifestyle, as advised. If there are any issues, you can consult with our expert
specialists. Together they will ensure that you have the latest and best possible care - so that there
is minimal interruption in your plans for life.
Wishing you the best in all matters of the heart!
Warm regards,
Mallika Mohandas
Chairman, MIOT International
Interventional Cardiology, the preferred mode of heart
care across the world today, uses minimally invasive
procedures to diagnose and treat all types of conditions that
affect the heart and prevent it from functioning optimally.
Interventional Cardiologists use thin tubes called ā€˜cathetersā€™
to access the heart and assess it. They then treat disease
and protect against further damage using a range stents and
devices, or replace invasive procedures with the latest
drugs. Often, diagnosis and treatment is done at the same
time.
The beneļ¬ts to the patient, aside from a signiļ¬cant reduction
in overall cost, include decreased pain, less risk of
infection, smaller scars and shorter post-operative
recovery time as against open heart surgery.
Interventional Cardiology
Removing Trauma from
Cardiac Care
Dear friends,
Looking at the lives we lead today, Iā€™m reminded of an old song, ā€˜Stop the world and let me off...ā€™
It mirrors the despair at the incredible stress and tension under which we all function, day after day.
Unfortunately, there are few easy ways of ā€˜getting offā€™ to regain our physical and mental equilibrium
- unless we make a conscious effort ourselves.
Stress has a direct impact on the heart as it releases certain substances which affect the heartā€™s
functioning. It also changes blood constitution, increasing chances of clotting. Today, this is
happening across ages - from students to anxious mothers to overworked adults, and as a result,
Heart Disease has become the leading lifestyle disease in India. We must not forget that heart
disease, which changes our lives overnight, is not limited to ā€˜Heart Attackā€™, but also includes
defects in our valves & electrical circuits that we are largely unaware of.
The good news is that all heart disease develops slowly. The changes that it makes in every hidden
corner can be picked up, prevented or corrected, with minimally invasive Interventional
Cardiology, provided the procedures are done by trained specialists with the right facilities.
At the state-of-the-art MIOT Centre for Interventional Cardiology, our team of experts, who
specialise in every part of the heart, focus on giving patients foolproof and patient-friendly
treatments, even in the most challenging of cases. This has seen our patients go home safely,
quickly, with long term results - and without the trauma of open surgery.
Let us start the process by getting a complete heart check done right here at MIOT under our
ā€˜Get a Status Update on Your Heartā€™ initiative. If there are no red flags, all you need to do is follow
a heart healthy lifestyle, as advised. If there are any issues, you can consult with our expert
specialists. Together they will ensure that you have the latest and best possible care - so that there
is minimal interruption in your plans for life.
Wishing you the best in all matters of the heart!
Warm regards,
Mallika Mohandas
Chairman, MIOT International
Interventional Cardiology, the preferred mode of heart
care across the world today, uses minimally invasive
procedures to diagnose and treat all types of conditions that
affect the heart and prevent it from functioning optimally.
Interventional Cardiologists use thin tubes called ā€˜cathetersā€™
to access the heart and assess it. They then treat disease
and protect against further damage using a range stents and
devices, or replace invasive procedures with the latest
drugs. Often, diagnosis and treatment is done at the same
time.
The beneļ¬ts to the patient, aside from a signiļ¬cant reduction
in overall cost, include decreased pain, less risk of
infection, smaller scars and shorter post-operative
recovery time as against open heart surgery.
Interventional Cardiology
Removing Trauma from
Cardiac Care
Your heart pumps about 7200 litres of life-sustaining blood
everyday - an amazing collaboration of muscles, valves,
electrical circuits and blood vessels. Much like the famed,
multifunctional Swiss Army Knife, each part has a speciļ¬c
role to play. It is a system so intricate that when something
goes wrong with one part, it can have a domino effect on
your entire system.
While timeliness is critical in treating heart disease it is
equally important to treat completely and accurately.
This calls for Knowledge, Experience and Expertise. And
the latest modalities to diagnose and treat - in one centre.
Inspired by the Swiss Army Knife, this is exactly what we
offer patients at the MIOT Centre for Interventional
Cardiology. The centre has super specialists for every
type of heart condition: Coronary Artery Disease,
Valve Problems, Arrhythmia (irregular heartbeats) &
Heart Failure. They work as a seamless team, pooling
experience and expertise garnered from leading international
centres.
Our specialists treat heart disease at any stage, using
advanced Interventional procedures that are offered at only
a few centres in India. Their focus; ļ¬nding solutions that
are patient-friendly, treat completly and protect the
patientā€™s long-term quality of life.
Armed with cutting-edge tools & techniques, the latest devices
& drugs, they intervene, prevent, diagnose and correct all
types of cardiac conditions without open surgery. So that our
patients go home safely, quickly & with minimal discomfort.
Dept of Heart Failure &
Cardiac Transplantation
Dept of
Electrophysiology & Devices
Dept of Coronary Intervention
Dept of Structural Interventions &
Percutaneous Valves
The Complete Suite for
Advanced Cardiac Care
MIOT Centre for Interventional Cardiology
Your heart pumps about 7200 litres of life-sustaining blood
everyday - an amazing collaboration of muscles, valves,
electrical circuits and blood vessels. Much like the famed,
multifunctional Swiss Army Knife, each part has a speciļ¬c
role to play. It is a system so intricate that when something
goes wrong with one part, it can have a domino effect on
your entire system.
While timeliness is critical in treating heart disease it is
equally important to treat completely and accurately.
This calls for Knowledge, Experience and Expertise. And
the latest modalities to diagnose and treat - in one centre.
Inspired by the Swiss Army Knife, this is exactly what we
offer patients at the MIOT Centre for Interventional
Cardiology. The centre has super specialists for every
type of heart condition: Coronary Artery Disease,
Valve Problems, Arrhythmia (irregular heartbeats) &
Heart Failure. They work as a seamless team, pooling
experience and expertise garnered from leading international
centres.
Our specialists treat heart disease at any stage, using
advanced Interventional procedures that are offered at only
a few centres in India. Their focus; ļ¬nding solutions that
are patient-friendly, treat completly and protect the
patientā€™s long-term quality of life.
Armed with cutting-edge tools & techniques, the latest devices
& drugs, they intervene, prevent, diagnose and correct all
types of cardiac conditions without open surgery. So that our
patients go home safely, quickly & with minimal discomfort.
Dept of Heart Failure &
Cardiac Transplantation
Dept of
Electrophysiology & Devices
Dept of Coronary Intervention
Dept of Structural Interventions &
Percutaneous Valves
The Complete Suite for
Advanced Cardiac Care
MIOT Centre for Interventional Cardiology
Department of
Coronary Intervention
The Department of Coronary Intervention deals with all
conditions that affect the coronary arteries such as blocks
and calciļ¬cation. These can lead to life-threatening heart
attacks and permanent damage of the heart muscle if not
treated in time or correctly.
MIOTā€™s Interventional specialists access these blocked or
hardened blood vessels through the patientā€™s wrist or groin, to
make an accurate diagnosis through a Coronary Angiogram.
Once the size and extent of the block has been determined,
they can remove the blocks and restore blood ļ¬‚ow with
Medication, Angioplasty & Stenting, or Open Surgery.
Our specialists perform a number of advanced interventional
procedures such as:
ā€¢ Rotablation to clear the most stubborn blocks and widen
heavily calciļ¬ed arteries
ā€¢ Chronic Total Occlusion (CTO) Angioplasty to open arteries
that have been blocked for an extended period of time
ā€¢ Bifurcation Stenting - at the junction of two arteries
ā€¢ Left Main Coronary Artery Stenting
ā€¢ Vein Graft Stenting
Department of Heart Failure &
Cardiac Transplantation
Heart Failure is the term used when the pumping action of the heart is reduced. This can be either the left or right side of the
heart, or both. It is most commonly caused by Coronary Artery Disease, but can also happen due to Valvular Heart Disease,
infections caused by viruses or toxins (alcohol) and untreated hypertension.
Once the cause of the heart failure has been determined accurately, MIOTā€™s Interventional Cardiologists perform advanced
coronary interventions, valve repairs and replacement surgeries as required. In cases of Acute Heart Failure, our specialists
implant devices to assist the pumping of blood (Left Ventricular Assist Device, Intra-aortic Balloon Pump) to aid recovery or
as a bridge to a transplant. In Chronic Heart Failure, devices such as pacemakers to regulate heart rhythm (Cardiac
Resynchronisation) can help. Anti-heart failure medications are also used effectively, along with lifestyle changes.
Patients are monitored closely and regularly to adjust treatments, if necessary.
Rotablation, using a diamond-tipped drill, is an advanced procedure
used for stubborn blocks & heavily calciļ¬ed arteries.
Department of
Coronary Intervention
The Department of Coronary Intervention deals with all
conditions that affect the coronary arteries such as blocks
and calciļ¬cation. These can lead to life-threatening heart
attacks and permanent damage of the heart muscle if not
treated in time or correctly.
MIOTā€™s Interventional specialists access these blocked or
hardened blood vessels through the patientā€™s wrist or groin, to
make an accurate diagnosis through a Coronary Angiogram.
Once the size and extent of the block has been determined,
they can remove the blocks and restore blood ļ¬‚ow with
Medication, Angioplasty & Stenting, or Open Surgery.
Our specialists perform a number of advanced interventional
procedures such as:
ā€¢ Rotablation to clear the most stubborn blocks and widen
heavily calciļ¬ed arteries
ā€¢ Chronic Total Occlusion (CTO) Angioplasty to open arteries
that have been blocked for an extended period of time
ā€¢ Bifurcation Stenting - at the junction of two arteries
ā€¢ Left Main Coronary Artery Stenting
ā€¢ Vein Graft Stenting
Department of Heart Failure &
Cardiac Transplantation
Heart Failure is the term used when the pumping action of the heart is reduced. This can be either the left or right side of the
heart, or both. It is most commonly caused by Coronary Artery Disease, but can also happen due to Valvular Heart Disease,
infections caused by viruses or toxins (alcohol) and untreated hypertension.
Once the cause of the heart failure has been determined accurately, MIOTā€™s Interventional Cardiologists perform advanced
coronary interventions, valve repairs and replacement surgeries as required. In cases of Acute Heart Failure, our specialists
implant devices to assist the pumping of blood (Left Ventricular Assist Device, Intra-aortic Balloon Pump) to aid recovery or
as a bridge to a transplant. In Chronic Heart Failure, devices such as pacemakers to regulate heart rhythm (Cardiac
Resynchronisation) can help. Anti-heart failure medications are also used effectively, along with lifestyle changes.
Patients are monitored closely and regularly to adjust treatments, if necessary.
Rotablation, using a diamond-tipped drill, is an advanced procedure
used for stubborn blocks & heavily calciļ¬ed arteries.
When an artery is blocked, the Interventional Cardiologist
charts the treatment course depending on the location and
the severity of the block. Normally, this decision is made
based on the specialistā€™s reading of the 2D images in a
coronary angiogram.
At MIOT, our specialists perform sophisticated
interventional procedures along with the angiogram that
leave no room for guesswork in the diagnosis and treatment
of blocks in the heart. Thereby ensuring long term results
for patients and eliminating the need for repeat stenting.
Fractional Flow Reserve (FFR) is a factual assessment
procedure that measures the blood ļ¬‚ow & pressure in the
coronary artery. It gives our specialists the precise extent of
the block, and helps to choose the best course of treatment,
thereby improving long term outcomes.
Optical Coherence Tomography (OCT) gives specialists the
view from the inside of the affected arteries with high
resolution images. This is especially important in choosing
the stent, and verifying size, ļ¬t & its placement, thereby
ensuring better results.
Foolprooļ¬ng
Coronary Interventions
Optical Coherence Tomography (OCT) gives specialists
high deļ¬nition images of the inside of the arteries & aids accurate stenting in Angioplasty.
When an artery is blocked, the Interventional Cardiologist
charts the treatment course depending on the location and
the severity of the block. Normally, this decision is made
based on the specialistā€™s reading of the 2D images in a
coronary angiogram.
At MIOT, our specialists perform sophisticated
interventional procedures along with the angiogram that
leave no room for guesswork in the diagnosis and treatment
of blocks in the heart. Thereby ensuring long term results
for patients and eliminating the need for repeat stenting.
Fractional Flow Reserve (FFR) is a factual assessment
procedure that measures the blood ļ¬‚ow & pressure in the
coronary artery. It gives our specialists the precise extent of
the block, and helps to choose the best course of treatment,
thereby improving long term outcomes.
Optical Coherence Tomography (OCT) gives specialists the
view from the inside of the affected arteries with high
resolution images. This is especially important in choosing
the stent, and verifying size, ļ¬t & its placement, thereby
ensuring better results.
Foolprooļ¬ng
Coronary Interventions
Optical Coherence Tomography (OCT) gives specialists
high deļ¬nition images of the inside of the arteries & aids accurate stenting in Angioplasty.
The Department of Valve & Structural Interventions treats all
diseases that affect the Aortic, Mitral, Tricuspid or
Pulmonary valves through keyhole procedures, rather than
traditional open heart surgery, with outcomes that match
international standards.
Our dedicated specialists use the latest techniques and
devices to remove obstructions, repair & replace faulty
valves, and restore blood ļ¬‚ow. These procedures can be
done under local anaesthesia, even on patients who are
considered high-risk for open surgery.
Among the more complicated treatments offered are:
ā€¢ Transcatheter Aortic Valve Implantation (TAVI), which
involves placing a new valve within the existing damaged
aortic valve
ā€¢ Balloon Valvuloplasty to improve blood ļ¬‚ow through the
aortic or mitral valve
ā€¢ Mitral Clip to control leaks in the mitral valve
ā€¢ Valve in Valve Therapy for patients with pre-implanted
valves that are not functioning properly.
Department of Structural
Interventions & Percutaneous Valves
The Department of Valve & Structural Interventions treats all
diseases that affect the Aortic, Mitral, Tricuspid or
Pulmonary valves through keyhole procedures, rather than
traditional open heart surgery, with outcomes that match
international standards.
Our dedicated specialists use the latest techniques and
devices to remove obstructions, repair & replace faulty
valves, and restore blood ļ¬‚ow. These procedures can be
done under local anaesthesia, even on patients who are
considered high-risk for open surgery.
Among the more complicated treatments offered are:
ā€¢ Transcatheter Aortic Valve Implantation (TAVI), which
involves placing a new valve within the existing damaged
aortic valve
ā€¢ Balloon Valvuloplasty to improve blood ļ¬‚ow through the
aortic or mitral valve
ā€¢ Mitral Clip to control leaks in the mitral valve
ā€¢ Valve in Valve Therapy for patients with pre-implanted
valves that are not functioning properly.
Department of Structural
Interventions & Percutaneous Valves
The Department of Electrophysiology & Devices treats
all types of Arrhythmia.
An Arrhythmia is an irregular or out-of-sync heartbeat that
occurs when the electrical impulses to the heart, which
coordinate heartbeats, donā€™t work properly. The heart may beat
too fast (tachycardia), too slowly (bradycardia), too early
(premature contraction) or too irregularly (ļ¬brillation).
While most arrhythmias can be a nuisance, some can be
serious or even life-threatening.
Our experienced Electrophysiology experts study every patientā€™s
arrhythmia in-depth in MIOTā€™s state-of-the-art
Electrophysiology Lab, to get to the source of the irregularity.
They then work with other Interventional specialists to treat it
with the latest techniques and devices.
Treatments offered at MIOT for Arrythmia include Cardiac
Resynchronisation Therapy (CRT), implantation of ICDs
(Implantable Cardioverter Deļ¬brillators) and Pacemakers, as
well as Radiofrequency Ablation.
Department of
Electrophysiology & Devices
The Department of Electrophysiology & Devices treats
all types of Arrhythmia.
An Arrhythmia is an irregular or out-of-sync heartbeat that
occurs when the electrical impulses to the heart, which
coordinate heartbeats, donā€™t work properly. The heart may beat
too fast (tachycardia), too slowly (bradycardia), too early
(premature contraction) or too irregularly (ļ¬brillation).
While most arrhythmias can be a nuisance, some can be
serious or even life-threatening.
Our experienced Electrophysiology experts study every patientā€™s
arrhythmia in-depth in MIOTā€™s state-of-the-art
Electrophysiology Lab, to get to the source of the irregularity.
They then work with other Interventional specialists to treat it
with the latest techniques and devices.
Treatments offered at MIOT for Arrythmia include Cardiac
Resynchronisation Therapy (CRT), implantation of ICDs
(Implantable Cardioverter Deļ¬brillators) and Pacemakers, as
well as Radiofrequency Ablation.
Department of
Electrophysiology & Devices
The MIOT Centre for Childrenā€™s Cardiac Care offers comprehensive heart care for children upto 14 years with congenital and
rheumatic heart disease. Helmed by some of the countryā€™s leading Paediatric Cardiologists, and equipped with cutting-edge
modalities, it is, today, a global referral centre for neonates, including babies born pre-term and underweight.
Our Paediatric Interventional Cardiologists have vast expertise in the full range of imaging and interventional procedures,
including device-closure of septal defects, stenting of great vessels and balloon dilation of valves. It is the only centre in
India that performs Percutaneous Valve Replacements & Repairs, and is one of the few centres in India that offers
Paediatric Electrophysiology to track and treat arrhythmia in infants.
Interventional Cardiology
for Children at MIOT
All heart disease develops over time.
Therefore, it can be caught and treated early,
if we know what to watch out for.
Heart Failure
ā€¢ Shortness of breath
ā€¢ Cough that produces white sputum
ā€¢ Rapid weight gain
ā€¢ Swelling in ankles, legs & abdomen
ā€¢ Dizziness
ā€¢ Fatigue & weakness
ā€¢ Rapid or irregular heartbeats
ā€¢ Nausea
ā€¢ Chest pain
Valve Disease
ā€¢ Shortness of breath and/or difļ¬culty
catching your breath
ā€¢ Weakness or dizziness
ā€¢ Discomfort in your chest
ā€¢ Palpitations (irregular heartbeats)
ā€¢ Swelling in ankles, legs and abdomen
ā€¢ Rapid weight gain
Coronary Artery Disease
ā€¢ Chest pain
ā€¢ Shortness of breath
ā€¢ Palpitations (irregular heartbeats)
ā€¢ A faster heartbeat
ā€¢ Weakness or dizziness
ā€¢ Nausea
ā€¢ Sweating
Arrhythmias
ā€¢ Palpitations (a feeling of skipped heartbeats,
ļ¬‚uttering or "ļ¬‚ip-ļ¬‚ops" in your chest)
ā€¢ Pounding in your chest
ā€¢ Dizziness or feeling light-headed
ā€¢ Fainting
ā€¢ Shortness of breath
ā€¢ Chest discomfort
ā€¢ Weakness or fatigue (feeling very tired)
Symptoms &
Risk Factors
Major Risk Factors
ā€¢ Smoking
ā€¢ High cholesterol
ā€¢ Uncontrolled hypertension
(high blood pressure)
ā€¢ Physical inactivity
ā€¢ Being overweight or obese
ā€¢ Uncontrolled diabetes
ā€¢ Uncontrolled stress
ā€¢ Having a family history of heart disease
or sudden death for unexplained reasons
Indicators for various Heart Diseases
To Register for a complete Heart Screening for you or your loved ones at MIOT Centre for Interventional Cardiology, you can either
Call: +91 99410 13075, 98414 08953, Email: inv_cardiology@miothospitals.com or Visit us at: www.miotinternational.com
The MIOT Centre for Childrenā€™s Cardiac Care offers comprehensive heart care for children upto 14 years with congenital and
rheumatic heart disease. Helmed by some of the countryā€™s leading Paediatric Cardiologists, and equipped with cutting-edge
modalities, it is, today, a global referral centre for neonates, including babies born pre-term and underweight.
Our Paediatric Interventional Cardiologists have vast expertise in the full range of imaging and interventional procedures,
including device-closure of septal defects, stenting of great vessels and balloon dilation of valves. It is the only centre in
India that performs Percutaneous Valve Replacements & Repairs, and is one of the few centres in India that offers
Paediatric Electrophysiology to track and treat arrhythmia in infants.
Interventional Cardiology
for Children at MIOT
All heart disease develops over time.
Therefore, it can be caught and treated early,
if we know what to watch out for.
Heart Failure
ā€¢ Shortness of breath
ā€¢ Cough that produces white sputum
ā€¢ Rapid weight gain
ā€¢ Swelling in ankles, legs & abdomen
ā€¢ Dizziness
ā€¢ Fatigue & weakness
ā€¢ Rapid or irregular heartbeats
ā€¢ Nausea
ā€¢ Chest pain
Valve Disease
ā€¢ Shortness of breath and/or difļ¬culty
catching your breath
ā€¢ Weakness or dizziness
ā€¢ Discomfort in your chest
ā€¢ Palpitations (irregular heartbeats)
ā€¢ Swelling in ankles, legs and abdomen
ā€¢ Rapid weight gain
Coronary Artery Disease
ā€¢ Chest pain
ā€¢ Shortness of breath
ā€¢ Palpitations (irregular heartbeats)
ā€¢ A faster heartbeat
ā€¢ Weakness or dizziness
ā€¢ Nausea
ā€¢ Sweating
Arrhythmias
ā€¢ Palpitations (a feeling of skipped heartbeats,
ļ¬‚uttering or "ļ¬‚ip-ļ¬‚ops" in your chest)
ā€¢ Pounding in your chest
ā€¢ Dizziness or feeling light-headed
ā€¢ Fainting
ā€¢ Shortness of breath
ā€¢ Chest discomfort
ā€¢ Weakness or fatigue (feeling very tired)
Symptoms &
Risk Factors
Major Risk Factors
ā€¢ Smoking
ā€¢ High cholesterol
ā€¢ Uncontrolled hypertension
(high blood pressure)
ā€¢ Physical inactivity
ā€¢ Being overweight or obese
ā€¢ Uncontrolled diabetes
ā€¢ Uncontrolled stress
ā€¢ Having a family history of heart disease
or sudden death for unexplained reasons
Indicators for various Heart Diseases
To Register for a complete Heart Screening for you or your loved ones at MIOT Centre for Interventional Cardiology, you can either
Call: +91 99410 13075, 98414 08953, Email: inv_cardiology@miothospitals.com or Visit us at: www.miotinternational.com
MIOT HOSPITALS 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089 Tel: +91 44 4200 2288
Email: chief@miothospitals.com, www.miotinternational.com miot.international www.youtube.com/miothospitals
Interventional Cardiology
at MIOT International
Expert. Comprehensive. Together.For MIOT 24Ɨ7 Cardiac Emergency Care call us at:+91 44 2249 9800, +91 99413 66699, +91 98400 00555

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MIOT Centre for Interventional Cardiology

  • 1. MIOT HOSPITALS 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089 Tel: +91 44 4200 2288 Email: chief@miothospitals.com, www.miotinternational.com miot.international www.youtube.com/miothospitals Interventional Cardiology at MIOT International Expert. Comprehensive. Together.For MIOT 24Ɨ7 Cardiac Emergency Care call us at:+91 44 2249 9800, +91 99413 66699, +91 98400 00555
  • 2. Dear friends, Looking at the lives we lead today, Iā€™m reminded of an old song, ā€˜Stop the world and let me off...ā€™ It mirrors the despair at the incredible stress and tension under which we all function, day after day. Unfortunately, there are few easy ways of ā€˜getting offā€™ to regain our physical and mental equilibrium - unless we make a conscious effort ourselves. Stress has a direct impact on the heart as it releases certain substances which affect the heartā€™s functioning. It also changes blood constitution, increasing chances of clotting. Today, this is happening across ages - from students to anxious mothers to overworked adults, and as a result, Heart Disease has become the leading lifestyle disease in India. We must not forget that heart disease, which changes our lives overnight, is not limited to ā€˜Heart Attackā€™, but also includes defects in our valves & electrical circuits that we are largely unaware of. The good news is that all heart disease develops slowly. The changes that it makes in every hidden corner can be picked up, prevented or corrected, with minimally invasive Interventional Cardiology, provided the procedures are done by trained specialists with the right facilities. At the state-of-the-art MIOT Centre for Interventional Cardiology, our team of experts, who specialise in every part of the heart, focus on giving patients foolproof and patient-friendly treatments, even in the most challenging of cases. This has seen our patients go home safely, quickly, with long term results - and without the trauma of open surgery. Let us start the process by getting a complete heart check done right here at MIOT under our ā€˜Get a Status Update on Your Heartā€™ initiative. If there are no red flags, all you need to do is follow a heart healthy lifestyle, as advised. If there are any issues, you can consult with our expert specialists. Together they will ensure that you have the latest and best possible care - so that there is minimal interruption in your plans for life. Wishing you the best in all matters of the heart! Warm regards, Mallika Mohandas Chairman, MIOT International Interventional Cardiology, the preferred mode of heart care across the world today, uses minimally invasive procedures to diagnose and treat all types of conditions that affect the heart and prevent it from functioning optimally. Interventional Cardiologists use thin tubes called ā€˜cathetersā€™ to access the heart and assess it. They then treat disease and protect against further damage using a range stents and devices, or replace invasive procedures with the latest drugs. Often, diagnosis and treatment is done at the same time. The beneļ¬ts to the patient, aside from a signiļ¬cant reduction in overall cost, include decreased pain, less risk of infection, smaller scars and shorter post-operative recovery time as against open heart surgery. Interventional Cardiology Removing Trauma from Cardiac Care
  • 3. Dear friends, Looking at the lives we lead today, Iā€™m reminded of an old song, ā€˜Stop the world and let me off...ā€™ It mirrors the despair at the incredible stress and tension under which we all function, day after day. Unfortunately, there are few easy ways of ā€˜getting offā€™ to regain our physical and mental equilibrium - unless we make a conscious effort ourselves. Stress has a direct impact on the heart as it releases certain substances which affect the heartā€™s functioning. It also changes blood constitution, increasing chances of clotting. Today, this is happening across ages - from students to anxious mothers to overworked adults, and as a result, Heart Disease has become the leading lifestyle disease in India. We must not forget that heart disease, which changes our lives overnight, is not limited to ā€˜Heart Attackā€™, but also includes defects in our valves & electrical circuits that we are largely unaware of. The good news is that all heart disease develops slowly. The changes that it makes in every hidden corner can be picked up, prevented or corrected, with minimally invasive Interventional Cardiology, provided the procedures are done by trained specialists with the right facilities. At the state-of-the-art MIOT Centre for Interventional Cardiology, our team of experts, who specialise in every part of the heart, focus on giving patients foolproof and patient-friendly treatments, even in the most challenging of cases. This has seen our patients go home safely, quickly, with long term results - and without the trauma of open surgery. Let us start the process by getting a complete heart check done right here at MIOT under our ā€˜Get a Status Update on Your Heartā€™ initiative. If there are no red flags, all you need to do is follow a heart healthy lifestyle, as advised. If there are any issues, you can consult with our expert specialists. Together they will ensure that you have the latest and best possible care - so that there is minimal interruption in your plans for life. Wishing you the best in all matters of the heart! Warm regards, Mallika Mohandas Chairman, MIOT International Interventional Cardiology, the preferred mode of heart care across the world today, uses minimally invasive procedures to diagnose and treat all types of conditions that affect the heart and prevent it from functioning optimally. Interventional Cardiologists use thin tubes called ā€˜cathetersā€™ to access the heart and assess it. They then treat disease and protect against further damage using a range stents and devices, or replace invasive procedures with the latest drugs. Often, diagnosis and treatment is done at the same time. The beneļ¬ts to the patient, aside from a signiļ¬cant reduction in overall cost, include decreased pain, less risk of infection, smaller scars and shorter post-operative recovery time as against open heart surgery. Interventional Cardiology Removing Trauma from Cardiac Care
  • 4. Your heart pumps about 7200 litres of life-sustaining blood everyday - an amazing collaboration of muscles, valves, electrical circuits and blood vessels. Much like the famed, multifunctional Swiss Army Knife, each part has a speciļ¬c role to play. It is a system so intricate that when something goes wrong with one part, it can have a domino effect on your entire system. While timeliness is critical in treating heart disease it is equally important to treat completely and accurately. This calls for Knowledge, Experience and Expertise. And the latest modalities to diagnose and treat - in one centre. Inspired by the Swiss Army Knife, this is exactly what we offer patients at the MIOT Centre for Interventional Cardiology. The centre has super specialists for every type of heart condition: Coronary Artery Disease, Valve Problems, Arrhythmia (irregular heartbeats) & Heart Failure. They work as a seamless team, pooling experience and expertise garnered from leading international centres. Our specialists treat heart disease at any stage, using advanced Interventional procedures that are offered at only a few centres in India. Their focus; ļ¬nding solutions that are patient-friendly, treat completly and protect the patientā€™s long-term quality of life. Armed with cutting-edge tools & techniques, the latest devices & drugs, they intervene, prevent, diagnose and correct all types of cardiac conditions without open surgery. So that our patients go home safely, quickly & with minimal discomfort. Dept of Heart Failure & Cardiac Transplantation Dept of Electrophysiology & Devices Dept of Coronary Intervention Dept of Structural Interventions & Percutaneous Valves The Complete Suite for Advanced Cardiac Care MIOT Centre for Interventional Cardiology
  • 5. Your heart pumps about 7200 litres of life-sustaining blood everyday - an amazing collaboration of muscles, valves, electrical circuits and blood vessels. Much like the famed, multifunctional Swiss Army Knife, each part has a speciļ¬c role to play. It is a system so intricate that when something goes wrong with one part, it can have a domino effect on your entire system. While timeliness is critical in treating heart disease it is equally important to treat completely and accurately. This calls for Knowledge, Experience and Expertise. And the latest modalities to diagnose and treat - in one centre. Inspired by the Swiss Army Knife, this is exactly what we offer patients at the MIOT Centre for Interventional Cardiology. The centre has super specialists for every type of heart condition: Coronary Artery Disease, Valve Problems, Arrhythmia (irregular heartbeats) & Heart Failure. They work as a seamless team, pooling experience and expertise garnered from leading international centres. Our specialists treat heart disease at any stage, using advanced Interventional procedures that are offered at only a few centres in India. Their focus; ļ¬nding solutions that are patient-friendly, treat completly and protect the patientā€™s long-term quality of life. Armed with cutting-edge tools & techniques, the latest devices & drugs, they intervene, prevent, diagnose and correct all types of cardiac conditions without open surgery. So that our patients go home safely, quickly & with minimal discomfort. Dept of Heart Failure & Cardiac Transplantation Dept of Electrophysiology & Devices Dept of Coronary Intervention Dept of Structural Interventions & Percutaneous Valves The Complete Suite for Advanced Cardiac Care MIOT Centre for Interventional Cardiology
  • 6. Department of Coronary Intervention The Department of Coronary Intervention deals with all conditions that affect the coronary arteries such as blocks and calciļ¬cation. These can lead to life-threatening heart attacks and permanent damage of the heart muscle if not treated in time or correctly. MIOTā€™s Interventional specialists access these blocked or hardened blood vessels through the patientā€™s wrist or groin, to make an accurate diagnosis through a Coronary Angiogram. Once the size and extent of the block has been determined, they can remove the blocks and restore blood ļ¬‚ow with Medication, Angioplasty & Stenting, or Open Surgery. Our specialists perform a number of advanced interventional procedures such as: ā€¢ Rotablation to clear the most stubborn blocks and widen heavily calciļ¬ed arteries ā€¢ Chronic Total Occlusion (CTO) Angioplasty to open arteries that have been blocked for an extended period of time ā€¢ Bifurcation Stenting - at the junction of two arteries ā€¢ Left Main Coronary Artery Stenting ā€¢ Vein Graft Stenting Department of Heart Failure & Cardiac Transplantation Heart Failure is the term used when the pumping action of the heart is reduced. This can be either the left or right side of the heart, or both. It is most commonly caused by Coronary Artery Disease, but can also happen due to Valvular Heart Disease, infections caused by viruses or toxins (alcohol) and untreated hypertension. Once the cause of the heart failure has been determined accurately, MIOTā€™s Interventional Cardiologists perform advanced coronary interventions, valve repairs and replacement surgeries as required. In cases of Acute Heart Failure, our specialists implant devices to assist the pumping of blood (Left Ventricular Assist Device, Intra-aortic Balloon Pump) to aid recovery or as a bridge to a transplant. In Chronic Heart Failure, devices such as pacemakers to regulate heart rhythm (Cardiac Resynchronisation) can help. Anti-heart failure medications are also used effectively, along with lifestyle changes. Patients are monitored closely and regularly to adjust treatments, if necessary. Rotablation, using a diamond-tipped drill, is an advanced procedure used for stubborn blocks & heavily calciļ¬ed arteries.
  • 7. Department of Coronary Intervention The Department of Coronary Intervention deals with all conditions that affect the coronary arteries such as blocks and calciļ¬cation. These can lead to life-threatening heart attacks and permanent damage of the heart muscle if not treated in time or correctly. MIOTā€™s Interventional specialists access these blocked or hardened blood vessels through the patientā€™s wrist or groin, to make an accurate diagnosis through a Coronary Angiogram. Once the size and extent of the block has been determined, they can remove the blocks and restore blood ļ¬‚ow with Medication, Angioplasty & Stenting, or Open Surgery. Our specialists perform a number of advanced interventional procedures such as: ā€¢ Rotablation to clear the most stubborn blocks and widen heavily calciļ¬ed arteries ā€¢ Chronic Total Occlusion (CTO) Angioplasty to open arteries that have been blocked for an extended period of time ā€¢ Bifurcation Stenting - at the junction of two arteries ā€¢ Left Main Coronary Artery Stenting ā€¢ Vein Graft Stenting Department of Heart Failure & Cardiac Transplantation Heart Failure is the term used when the pumping action of the heart is reduced. This can be either the left or right side of the heart, or both. It is most commonly caused by Coronary Artery Disease, but can also happen due to Valvular Heart Disease, infections caused by viruses or toxins (alcohol) and untreated hypertension. Once the cause of the heart failure has been determined accurately, MIOTā€™s Interventional Cardiologists perform advanced coronary interventions, valve repairs and replacement surgeries as required. In cases of Acute Heart Failure, our specialists implant devices to assist the pumping of blood (Left Ventricular Assist Device, Intra-aortic Balloon Pump) to aid recovery or as a bridge to a transplant. In Chronic Heart Failure, devices such as pacemakers to regulate heart rhythm (Cardiac Resynchronisation) can help. Anti-heart failure medications are also used effectively, along with lifestyle changes. Patients are monitored closely and regularly to adjust treatments, if necessary. Rotablation, using a diamond-tipped drill, is an advanced procedure used for stubborn blocks & heavily calciļ¬ed arteries.
  • 8. When an artery is blocked, the Interventional Cardiologist charts the treatment course depending on the location and the severity of the block. Normally, this decision is made based on the specialistā€™s reading of the 2D images in a coronary angiogram. At MIOT, our specialists perform sophisticated interventional procedures along with the angiogram that leave no room for guesswork in the diagnosis and treatment of blocks in the heart. Thereby ensuring long term results for patients and eliminating the need for repeat stenting. Fractional Flow Reserve (FFR) is a factual assessment procedure that measures the blood ļ¬‚ow & pressure in the coronary artery. It gives our specialists the precise extent of the block, and helps to choose the best course of treatment, thereby improving long term outcomes. Optical Coherence Tomography (OCT) gives specialists the view from the inside of the affected arteries with high resolution images. This is especially important in choosing the stent, and verifying size, ļ¬t & its placement, thereby ensuring better results. Foolprooļ¬ng Coronary Interventions Optical Coherence Tomography (OCT) gives specialists high deļ¬nition images of the inside of the arteries & aids accurate stenting in Angioplasty.
  • 9. When an artery is blocked, the Interventional Cardiologist charts the treatment course depending on the location and the severity of the block. Normally, this decision is made based on the specialistā€™s reading of the 2D images in a coronary angiogram. At MIOT, our specialists perform sophisticated interventional procedures along with the angiogram that leave no room for guesswork in the diagnosis and treatment of blocks in the heart. Thereby ensuring long term results for patients and eliminating the need for repeat stenting. Fractional Flow Reserve (FFR) is a factual assessment procedure that measures the blood ļ¬‚ow & pressure in the coronary artery. It gives our specialists the precise extent of the block, and helps to choose the best course of treatment, thereby improving long term outcomes. Optical Coherence Tomography (OCT) gives specialists the view from the inside of the affected arteries with high resolution images. This is especially important in choosing the stent, and verifying size, ļ¬t & its placement, thereby ensuring better results. Foolprooļ¬ng Coronary Interventions Optical Coherence Tomography (OCT) gives specialists high deļ¬nition images of the inside of the arteries & aids accurate stenting in Angioplasty.
  • 10. The Department of Valve & Structural Interventions treats all diseases that affect the Aortic, Mitral, Tricuspid or Pulmonary valves through keyhole procedures, rather than traditional open heart surgery, with outcomes that match international standards. Our dedicated specialists use the latest techniques and devices to remove obstructions, repair & replace faulty valves, and restore blood ļ¬‚ow. These procedures can be done under local anaesthesia, even on patients who are considered high-risk for open surgery. Among the more complicated treatments offered are: ā€¢ Transcatheter Aortic Valve Implantation (TAVI), which involves placing a new valve within the existing damaged aortic valve ā€¢ Balloon Valvuloplasty to improve blood ļ¬‚ow through the aortic or mitral valve ā€¢ Mitral Clip to control leaks in the mitral valve ā€¢ Valve in Valve Therapy for patients with pre-implanted valves that are not functioning properly. Department of Structural Interventions & Percutaneous Valves
  • 11. The Department of Valve & Structural Interventions treats all diseases that affect the Aortic, Mitral, Tricuspid or Pulmonary valves through keyhole procedures, rather than traditional open heart surgery, with outcomes that match international standards. Our dedicated specialists use the latest techniques and devices to remove obstructions, repair & replace faulty valves, and restore blood ļ¬‚ow. These procedures can be done under local anaesthesia, even on patients who are considered high-risk for open surgery. Among the more complicated treatments offered are: ā€¢ Transcatheter Aortic Valve Implantation (TAVI), which involves placing a new valve within the existing damaged aortic valve ā€¢ Balloon Valvuloplasty to improve blood ļ¬‚ow through the aortic or mitral valve ā€¢ Mitral Clip to control leaks in the mitral valve ā€¢ Valve in Valve Therapy for patients with pre-implanted valves that are not functioning properly. Department of Structural Interventions & Percutaneous Valves
  • 12. The Department of Electrophysiology & Devices treats all types of Arrhythmia. An Arrhythmia is an irregular or out-of-sync heartbeat that occurs when the electrical impulses to the heart, which coordinate heartbeats, donā€™t work properly. The heart may beat too fast (tachycardia), too slowly (bradycardia), too early (premature contraction) or too irregularly (ļ¬brillation). While most arrhythmias can be a nuisance, some can be serious or even life-threatening. Our experienced Electrophysiology experts study every patientā€™s arrhythmia in-depth in MIOTā€™s state-of-the-art Electrophysiology Lab, to get to the source of the irregularity. They then work with other Interventional specialists to treat it with the latest techniques and devices. Treatments offered at MIOT for Arrythmia include Cardiac Resynchronisation Therapy (CRT), implantation of ICDs (Implantable Cardioverter Deļ¬brillators) and Pacemakers, as well as Radiofrequency Ablation. Department of Electrophysiology & Devices
  • 13. The Department of Electrophysiology & Devices treats all types of Arrhythmia. An Arrhythmia is an irregular or out-of-sync heartbeat that occurs when the electrical impulses to the heart, which coordinate heartbeats, donā€™t work properly. The heart may beat too fast (tachycardia), too slowly (bradycardia), too early (premature contraction) or too irregularly (ļ¬brillation). While most arrhythmias can be a nuisance, some can be serious or even life-threatening. Our experienced Electrophysiology experts study every patientā€™s arrhythmia in-depth in MIOTā€™s state-of-the-art Electrophysiology Lab, to get to the source of the irregularity. They then work with other Interventional specialists to treat it with the latest techniques and devices. Treatments offered at MIOT for Arrythmia include Cardiac Resynchronisation Therapy (CRT), implantation of ICDs (Implantable Cardioverter Deļ¬brillators) and Pacemakers, as well as Radiofrequency Ablation. Department of Electrophysiology & Devices
  • 14. The MIOT Centre for Childrenā€™s Cardiac Care offers comprehensive heart care for children upto 14 years with congenital and rheumatic heart disease. Helmed by some of the countryā€™s leading Paediatric Cardiologists, and equipped with cutting-edge modalities, it is, today, a global referral centre for neonates, including babies born pre-term and underweight. Our Paediatric Interventional Cardiologists have vast expertise in the full range of imaging and interventional procedures, including device-closure of septal defects, stenting of great vessels and balloon dilation of valves. It is the only centre in India that performs Percutaneous Valve Replacements & Repairs, and is one of the few centres in India that offers Paediatric Electrophysiology to track and treat arrhythmia in infants. Interventional Cardiology for Children at MIOT All heart disease develops over time. Therefore, it can be caught and treated early, if we know what to watch out for. Heart Failure ā€¢ Shortness of breath ā€¢ Cough that produces white sputum ā€¢ Rapid weight gain ā€¢ Swelling in ankles, legs & abdomen ā€¢ Dizziness ā€¢ Fatigue & weakness ā€¢ Rapid or irregular heartbeats ā€¢ Nausea ā€¢ Chest pain Valve Disease ā€¢ Shortness of breath and/or difļ¬culty catching your breath ā€¢ Weakness or dizziness ā€¢ Discomfort in your chest ā€¢ Palpitations (irregular heartbeats) ā€¢ Swelling in ankles, legs and abdomen ā€¢ Rapid weight gain Coronary Artery Disease ā€¢ Chest pain ā€¢ Shortness of breath ā€¢ Palpitations (irregular heartbeats) ā€¢ A faster heartbeat ā€¢ Weakness or dizziness ā€¢ Nausea ā€¢ Sweating Arrhythmias ā€¢ Palpitations (a feeling of skipped heartbeats, ļ¬‚uttering or "ļ¬‚ip-ļ¬‚ops" in your chest) ā€¢ Pounding in your chest ā€¢ Dizziness or feeling light-headed ā€¢ Fainting ā€¢ Shortness of breath ā€¢ Chest discomfort ā€¢ Weakness or fatigue (feeling very tired) Symptoms & Risk Factors Major Risk Factors ā€¢ Smoking ā€¢ High cholesterol ā€¢ Uncontrolled hypertension (high blood pressure) ā€¢ Physical inactivity ā€¢ Being overweight or obese ā€¢ Uncontrolled diabetes ā€¢ Uncontrolled stress ā€¢ Having a family history of heart disease or sudden death for unexplained reasons Indicators for various Heart Diseases To Register for a complete Heart Screening for you or your loved ones at MIOT Centre for Interventional Cardiology, you can either Call: +91 99410 13075, 98414 08953, Email: inv_cardiology@miothospitals.com or Visit us at: www.miotinternational.com
  • 15. The MIOT Centre for Childrenā€™s Cardiac Care offers comprehensive heart care for children upto 14 years with congenital and rheumatic heart disease. Helmed by some of the countryā€™s leading Paediatric Cardiologists, and equipped with cutting-edge modalities, it is, today, a global referral centre for neonates, including babies born pre-term and underweight. Our Paediatric Interventional Cardiologists have vast expertise in the full range of imaging and interventional procedures, including device-closure of septal defects, stenting of great vessels and balloon dilation of valves. It is the only centre in India that performs Percutaneous Valve Replacements & Repairs, and is one of the few centres in India that offers Paediatric Electrophysiology to track and treat arrhythmia in infants. Interventional Cardiology for Children at MIOT All heart disease develops over time. Therefore, it can be caught and treated early, if we know what to watch out for. Heart Failure ā€¢ Shortness of breath ā€¢ Cough that produces white sputum ā€¢ Rapid weight gain ā€¢ Swelling in ankles, legs & abdomen ā€¢ Dizziness ā€¢ Fatigue & weakness ā€¢ Rapid or irregular heartbeats ā€¢ Nausea ā€¢ Chest pain Valve Disease ā€¢ Shortness of breath and/or difļ¬culty catching your breath ā€¢ Weakness or dizziness ā€¢ Discomfort in your chest ā€¢ Palpitations (irregular heartbeats) ā€¢ Swelling in ankles, legs and abdomen ā€¢ Rapid weight gain Coronary Artery Disease ā€¢ Chest pain ā€¢ Shortness of breath ā€¢ Palpitations (irregular heartbeats) ā€¢ A faster heartbeat ā€¢ Weakness or dizziness ā€¢ Nausea ā€¢ Sweating Arrhythmias ā€¢ Palpitations (a feeling of skipped heartbeats, ļ¬‚uttering or "ļ¬‚ip-ļ¬‚ops" in your chest) ā€¢ Pounding in your chest ā€¢ Dizziness or feeling light-headed ā€¢ Fainting ā€¢ Shortness of breath ā€¢ Chest discomfort ā€¢ Weakness or fatigue (feeling very tired) Symptoms & Risk Factors Major Risk Factors ā€¢ Smoking ā€¢ High cholesterol ā€¢ Uncontrolled hypertension (high blood pressure) ā€¢ Physical inactivity ā€¢ Being overweight or obese ā€¢ Uncontrolled diabetes ā€¢ Uncontrolled stress ā€¢ Having a family history of heart disease or sudden death for unexplained reasons Indicators for various Heart Diseases To Register for a complete Heart Screening for you or your loved ones at MIOT Centre for Interventional Cardiology, you can either Call: +91 99410 13075, 98414 08953, Email: inv_cardiology@miothospitals.com or Visit us at: www.miotinternational.com
  • 16. MIOT HOSPITALS 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089 Tel: +91 44 4200 2288 Email: chief@miothospitals.com, www.miotinternational.com miot.international www.youtube.com/miothospitals Interventional Cardiology at MIOT International Expert. Comprehensive. Together.For MIOT 24Ɨ7 Cardiac Emergency Care call us at:+91 44 2249 9800, +91 99413 66699, +91 98400 00555