DEPARTMENT OFCARDIOLOGY
Introduction
AIG Centre of Excellence for Cardiovascular Sciences offers comprehensive cardiac
care services supported by the latest technology, advanced infrastructure and exper-
tise in treating rare and complex heart conditions. The multidisciplinary approach to
cardiac care involves renowned senior cardiologists, electrophysiologists, cardiac
surgeons, critical care intensivists, anesthetists, cardiac technicians and nurses, for
rapid response time. Our cardiologists are leaders in research, diagnosis and thera-
pies for people with heart conditions.
Highlights of Cardiology services
24x7 cardiac care provided by in-house senior cardiologist
Primary angioplasty with DOOR to BALLOON time of 19 minutes
Every patient coming to Emergency is seen by consultant cardiologist
Heart team approach for Complex coronary interventions, structural heart disease (SHD) interventions like TAVR
Largest experience in complex coronary interventions including rotabla-
tion, left main coronary artery interventions, intracoronary imaging
(IVUS/OCT), guided PCIs, bifurcation PCIs, Chronic Total Occlusion
Percutaneous Coronary Intervention (CTO PCIs)
Experienced group of cardiologists that has performed one of the
highest TAVR / TAVI procedures and other Transcatheter Valve proce-
dures such as TMVR, in the country
Team of 27 Cardiologists and 8 Critical Care Specialists
World-renowned Electrophysiology team
Advanced Facilities & TechnologyThree advanced Philips Catheter labs using FFR, HD IVUS and OCT technology
22-bed Cardiac ICU, Non-invasive labs, four state-of-the-art cardiac surgery theatres
Advanced Diagnostic and Non-Invasive Cardiology equipment including, 4D ECHO, TEE,
DSE and Holter Monitoring, 24-hour ambulatory BP monitoring, IABP, ECMO, Ventilators
Cardiac Nuclear Scanning
Electrophysiology labs with CARTO and EnSite NavX 3D cardiac mapping systems
Multi-vessel and Complex Angioplasties
Peripheral and Carotid Angioplasties
Percutaneous interventions for congenital heart diseases
Percutaneous Valve replacements and repairs (TAVR, TMVR)
Balloon dilatation of stenosed valves (Valvuloplasty), like PBMV, PBPV
Electrophysiological studies
Ablation procedures for complex arrhythmias
Pacemaker implantation including ICDs and CRTDs
Cardiology Procedures:
Patient underwent primary left main PCI with door to balloon time of 12 min. In view
of his labile haemodynamics, IABP support was initiated and patient was transferred
to ICU. In ICU he required CRRT and other vital organ support systems. After initial
stormy course in ICU patient made a remarkable recovery and was discharged on day
9 with mild LV dysfunction. He is under regular follow-up and is doing well.
Critical cases
She was on steroids for an under-
lying rheumatological condition. In ER on
evaluation her pulse was 130 bpm, BP 80/60,
O2 saturation was 90% with apparently clear
lung fields. She deteriorated rapidly, her O2
saturation dropped to 60%, and shortness of
breath worsened.
Case study I
Case study II
52 year-old male patient (electrician) came
to ER in a collapsed state at 06:00 pm. Prior
to ER admission he was complaining of chest
pain and shortness of breath from last 3
hours. An ECG done in another hospital had
revealed anterior QRBBB STEMI. He was
immediately resuscitated by ER team and
seen by in-house senior cardiologist and
24x7 primary PCI team. He was taken imme-
diately for primary PCI which revealed left
main coronary artery total occlusion.
40 year-old lady was admitted to ER with severe shortness of breath and chest pain
of half an hour duration. Prior to this episode, she had recently arrived from USA a
day before.
She was immediately intubated and kept on ventila-
tory support. She was urgently attended by
in-house consultant Cardiologist and ER team.
Diagnosis of massive PTE was suspected and urgent
bedside echo revealed RA/RV dilation with RVSP ~
50 mmHg. Suddenly patient had multiple episode of
brady arrest, immediately resuscitated with ongo-
ing CPR, and thrombolysed with IV tenecteplase
40mg. Subsequently she started responding to
thrombolytic treatment and her haemodynamics
and oxygen saturation improved.
A 48 year-old patient complaining of back pain in inter scapular region radiating
anteriorly since 3 days, came to ER with worsening of chest and back pain since 1
hour. Prior to ER admission he was seen by a physician in another clinic, ECG was
done which was normal, diagnosed as ACS with no ECG changes and loading medica-
tions were given.
He was seen by in-house consultant cardiologist and noted to have Marfanoid
features. Physical examination revealed regular pulse rate, all peripheral pulses were
felt.
• BP: 120/50 RVL, 110/50 LVL, 150/50 RLL, 150/40 LLL
• JVP was normal and heart sounds were normal
• There was EDM > 50% diastole grade III / IV
• Lungs were clear
• ECG was normal
Echocardiogram was done with suspected diagnosis of aortic dissection / aortic
aneurysm with aortic regurgitation. Echocardiogram revealed Flap in aortic root with
moderate aortic regurgitation. MRA confirmed the diagnose of Type A aortic dissec-
tion. Patient’s clinical condition deteriorated rapidly, he developed CHF and was
taken for emergency surgery. He underwent emergency Bentall procedure. On day
18, he was discharged, on follow-up is doing well.
Case study III
She made a good recovery in ICU and was extubated after 48 hours. CT pulmonary
angio revealed residual thrombi in segmental and subsegmental arteries. She was
discharged in a stable condition with newer oral anticoagulants (NOAC).
AIG Hospitals cardiology team
Dr Chennapragada Sridevi DNB (Medicine), DNB (Cardiology), MNAMS, CCDS, Consultant Cardiologist and Electrophysiologist
Dr R Prasada Reddy MD (Internal Medicine), DM (Cardiology), Director & Consultant Cardiologist
Dr Narsimhan Calambur MD, DM (AB), Senior Consultant Cardiologist and Electrophysiologist
Dr Raghava Raju MD, DM (Cardiology), Consultant Cardiologist
Dr D N Kumar MD, DM (Cardiology), Consultant Cardiologist
Dr B Soma Raju MD, DM (Cardiology), Director & Head of Department - Cardiovascular Sciences
Dr Rajeev Menon MD, DNB (Cardiology), Consultant Cardiologist
Dr Anuj Kapadiya MD, DM (Cardiology), Consultant Cardiologist
Dr Swaroop G Bharadi DNB (Medicine), DNB (Cardiology), Consultant and Interventional Cardiologist
Dr Soumen Devidutta MD, DM (AIIMS), Post Doctoral Fellowship in Electrophysiolgy and Pacing, Post Doctoral Fellowship in Interventional cardiology (NHC, Singapore), Consultant Cardiologist and Electrophysiologist
Dr Sachin Yalagudri MD, DM (Cardiology), Consultant Cardiologist and Electrophysiologist
Dr Daljeet Kaur Saggu MD, DM, Fellowship in Electrophysiology, Consultant Cardiologist and Electrophysiologist
Dr Nilkanth C Patil MD, DM Cardiology (AIIMS), Consultant Cardiologist
Dr Arundhati Bordoloi MD (Internal Medicine), DNB (Cardiology), Consultant Cardiologist
Dr Anne Uday Kiran MD, DM (Cardiology), Consultant Cardiologist
Dr Govind Jhadav MD (Internal Medicine), DNB (Cardiology), Consultant Cardiologist
Dr Bharat Veeramachaneni MD (General Medicine), Consultant Physician
Dr Vickram Vignesh R MD, DM (Cardiology), Fellow in Electrophysiology
Dr Muthiah Subramanyam MD, DM, MRCP, Fellow in Electrophysiology
Dr Bhishma Chowdary MD DM (Cardiology), Consultant Cardiologist
Dr Garikapti Kishore MBBS, PGDDM, MBA LLM, Associate Cardiologist
Dr V Satyasheel Reddy MBBS, PGDCC, Advanced Health Care management (ISB), Associate Cardiologist
Dr Madhukar Cheerla MBBS, PGDCC, CCCS, Associate Cardiologist
Dr Kaleem Akhtar Razzaqui M.B.B.S., PGDCC., CCEBDM. Junior consultant Cardiology
Dr Vijaya Roopesh Kale MBBS, Senior Registrar - Cardiology
Dr Koyya Sushmalatha V MD (Internal Medicine), PGDCC (Cardiology), Associate Cardiologist
Dr Cymantha B MBBS,PGDCC (Cardiology), Associate Cardiologist
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