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Cardiology

Metro Heart Institute, Noida was set up in June 1997 by Dr. Purshotam Lal, a pioneer of Interventional Cardiology in India and a Padmavibhushan Awardee by the President of India. Immediately after foraying into  the  heart care segment, Metro Multispeciality hospital was started in September, 1998 followed by Metro centre for Liver and Digestive diseases, Metro Centre for Respiratory Diseases and Metro Heart Institute in Faridabad, Lajpat Nagar- Delhi, Naraina Road – Delhi, Meerut, Metro Cancer Institute at Preet Vihar- Delhi and Metro Hospital and Research Institue, Vadodra, Gujarat.

SPECIALIZED SERVICES

NON INVASIVE CARDIOLOGY

The patient’s cardiac status is assessed by sophisticated  diagnostic equipment for assessment of early  coronary disease.  It includes 12 channel Electrocardiography,Case 15 Computerised Tread mill (Marquette), GE Vivid 3 colour doppler with stress Echo and Transoesophageal echocardiography, Telemetry and 24 hour Holter monitoring.

INTERVENTIONAL CARDIOLOGY

The department is headed by Dr. Purshotam Lal , a pioneer of Interventional cardiology ,consisting of a team of highly qualified and skilled interventional Cardiologists. Under his leadership the centre have grown into the most specialized centre for Angiography and angioplasty.

ANGIOGRAPHY

Dr. Purshotam Lal introduced a new concept of Angiography through left elbow to rule out any blocks in the coronary arteries of the heart. This new concept of Angiography is practised as ‘METRO CORONARY SCREENING’.

1)      Angiography done on out patient basis through elbow or wrist.

2)      Angiography with various blood studies and echocardiography.

3)      It enables the individual / patient to go home in less than 10 minutes.

More than 9000 cases have been performed with 100% success rate, the largest series in Medical literature.

ANGIOPLASTY

Dr. Purshotam Lal is the most decorated interventional cardiologist in the world. He has performed-

  • Largest Angioplasties  as a single operator in the world – Heal survey
  • Largest no. of angioplasties in a year as a single operator in India.
  • Awarded distinguished Achievement  award of highest order for performing largest

No. of angioplasties as a single operator in the country

  • Dr. Lal performs more than 2000 angioplasties in a year as a single operator

Angioplasty performed at Metro Heart Institute performed  by Dr. Lal is also done on out patient basis.

  • Angioplasty can be done through elbow or wrist on out-patient basis
  • Angioplasty can be done with good success rate in heart attack and complex situations
  • Angioplasty can be done successfully After bypass &failed by pass grafts
  • Angioplasty can be done with drug coated balloon
  • Angioplasty can be done with drug  eluting stents
  • Angioplasty can be done with diamond drilling ( rolablator) for calcified arteries particularly in elderly patient  in poorly functional fundamental left ventricle.

DEPARTMENT OF ELECTROPHYSIOLOGY

A team of highly trained and dedicated electrophysiologists are performing RF ablations for the patients suffering from cardiac arrhythmia, implantation of variety of pacemakers and intracardiac defibrillators etc.

DEPARTMENT OF CARDIOTHORACIC AND VASCULAR SURGERY

The department consists of two state-of –the art fully equipped operation theatres of international standards under the leadership of highly experienced cardiac surgeons who have played a pioneering role in the multivessel beating heart surgery and bloodless heart surgery.  We are conducting a wide variety of surgeries such as bypass surgery, beating heart surgery, open heart surgery, valve replacements, total corrective surgeries for congenital heart diseases etc. with results at par with international standards.

PREVENTIVE CARDIOLOGY

We at Metro Heart Institute believe that  “Prevention is Better Than Cure” and offer various heart check-up packages along with lifestyle management facilities including Yoga, mediation etc. under the guidance of experienced cardiologists

INTENSIVE CARE UNITS

The  hospital has a 45 bedded Intensive Coronary Care and High Dependency Unit equipped with International quality life support equipments manned round the clock by a trained staff of intensivists, cardiac anesthesists and qualified nurses.

Introduced largest No. of newer techniques such as atherectomy, rotablator, stenting for the first time.

20 FIRSTS

1) Slow Rotational Angioplasty (Drilling)- November, 1989- helps in opening 100% blocks.

A breakthrough procedure where a catheter is attached to a motor to drill open a blocked artery of the heart in a patient who has suffered a heart attack.

2) Inoue balloon Mitral Valvuloplasty (Opening of tight valve of the heart)- September, 1989- has proved of great help in saving thousands of patients from surgery and girls from scar.

3) Coronary Atherectomy (Shaving of fatty tissue) – September, 1990-helps in removing fatty tissues from the blocked arteries in difficult cases where balloon does not work.

4) Endomyocardial Biopsy with Echo guidance- July, 1990- An outpatient procedure useful for patients undergoing heart transplantation.

5) Transcatheter Closure of PDA with Ivalon Plug- September, 1990- A cheap method to close an abnormal duct in children.

6) Supported Angiography with the support of Cardiopulmonary Bypass- October 1990- The patient is put on heart lung machine without any surgery for high risk angioplasty.

7) Transjugular intrahepatic portosystemic shunt (TIPS)- November, 1990-Useful for patient suffering from liver cirrhosis and liver transplantation.

8) Non- surgical left atrio femoral bypass support (Closed Artificial Heart)- July, 1991- helpful during cardiogenic shock and as a bridge to Heart Transplantation.

9) Coronary Stenting – June, 1991, 1991- Helps in preventing reoccurrence after the angioplasty.

10) Athreo- Abration (Rotablator- Diamond Drilling) – February, 1992- Helps in dealing with calcified arteries commonly found in diabetics.

11) Non- Surgical Closure of PDA by Russian technique – July, 1992- an effective and cheap method to close abnormal blood vessel in children without surgery.

12)  Non- Surgical Closure of Atrial Septal Defect (Heart Hole) – September, 1992- has saved lot of young girls from traumatic scar on the chest and thus from social stigma.

13)  Ballon Mitral Valvuloplasty without Cathlab – February, 1995- Useful during pregnancy.

14)  Pullback Atherectomy – June, 1996 – helps to deal with difficult blocks in the coronary arteries.

15)  Gold Stent – August, 1997 – less blood clot formation, less foreign body reaction.

16) Non-Surgical Closure of multiple heart holes – May, 1997 – saved many from heart surgery.

17) Thrombectomy (A device to remove blood clot from the heart artery) – April 4, 1997- Helps in removing the blood clot from the blocked artery.

18) Acolysis (Dissolving of blood clot with ultrasound) – February, 1998 – Helps in dissolving the blood clot particularly during the heart attack.

19) Repairing non-surgically aneurysms of abdominal aorta and iliac arteries – July, 1998- an alternate to a complex surgery leading to high mortality and helps many elderly patients.

20) Angiogenesis – April, 1998 – helps in production of new blood vessels at the site of block.

21) Metro Coronary screening – November 1999 – A concept made user friendly for the timely detection of critically dangerous blocks in the heart arteries particularly in individuals who have phobia of conventional coronary angiography.

22) Percutaneous aortic valve replacement – July 2004 – An unbelievable achievement in the field of interventional cardiology where the diseased aortic valve can now be replaced by a new valve non-surgically.

23) Local drug Delivery Catheter (Genie) in lieu of expensive drug eluting stents – July 2005.

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