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This section answers some of the most frequently asked questions related to EHIRC,the services offered by EHIRC and cardiovascular diseases.
The questions that are included in this section have been organized into different categories for your convenience. Please select a category relevant to the questions for which you would like to seek answer.
In case you are not able to find the relevant category, please select “All categories” from the list to view all the questions listed in this section.
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If you need any specific advice from our expert cardiologists for any of your cardiovascular problem, you are welcome to post your problem by clicking here. You will receive the answers for such problems via email normally within 96 hours.
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| After surgery |
| 1. Stair climbing after surgery |
| 2. Walking after surgery |
| 3. Joining work after surgery |
| 4. Bed rest after surgery |
| 5. Steel wires |
| 6. Sex after surgery |
| 7. Conception after surgery |
| 8. Travelling after surgery |
| 9. Travelling after surgery. |
| 10. Smoking /drinking after surgery |
| 11. Position of sleeping |
| 12. Food after surgery |
| Birth defects of heart |
| 13. A.S.D |
| Complaints |
| 14. Complications after Angioplasty |
| 15. Bypass Surgery |
| General |
| 16. CABG |
| 17. Heart disease |
| 18. Weakness from blood donation |
| 19. Quantity of Blood to be donated |
| 20. Time gap between blood donations |
| 21. Prerequisites to donate blood |
| 22. Blood requirement for surgery |
| 23. Blood Donation |
| 24. Donor's blood group |
| 25. Blood from professional donors |
| 26. O positive - a universal donor ? |
| 27. Blood transfusion |
| 28. Testing of donated blood |
| 29. Effect of anti-coagulant on menstrual cycle |
| 30. Open & closed heart surgery |
| 31. Suphenous Vein |
| 32. Blood Donation |
| 33. Type of valves used in surgery |
| 34. Life span of valves |
| Instructions |
35. Track progress Instructions.
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| 36. View Angio CD |
| Surgery |
| 37. Angiography Report |
| 38. By pass surgery |
| 39. Peripheral Vascular Disease |
| After surgery |
Question # : 1
Title : Stair climbing after surgery |
| Description:- Is stair climbing allowed after the surgery |
| Answer :- Yes, from the day of discharge patients can climb stairs slowly to avoid getting tired. It would not lead to angina or heart attack. |
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Question # : 2
Title : Walking after surgery |
| Description:- When and how much a patient should walk after surgery |
| Answer :- Usually by the 3rd or 4th day of the surgery patients are allowed to walk. He/She should not get tired. |
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Question # : 3
Title : Joining work after surgery |
| Description:- When can a patient join office/Work? |
| Answer :- You may gradually return to work in approx. 8 weeks after discharge. |
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Question # : 4
Title : Bed rest after surgery |
| Description:- Do patient's need bed rest after surgery? |
| Answer :- Not at all. Infact patients are encouraged to start light activities like walking reading watching TV soon after the surgery. |
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Question # : 5
Title : Steel wires |
| Description:- Are steel wires which are put in the chest after the surgery taken out after a period of time? |
| Answer :- There is no need to remove them, they can remain there. |
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Question # : 6
Title : Sex after surgery |
| Description:- Can a patient have normal sex life after surgery? |
| Answer :- The exertion reached by a patient during intercourse is similar to walking approx. half a mile at a brisk pace or climbing one or two flights of stairs. When you can perform these activities without becoming fatigued or short of breath, sexual activities can be resumed. |
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Question # : 7
Title : Conception after surgery |
| Description:- Is it safe for a woman to conceive after surgery? |
| Answer :- Yes it is completely safe but they must inform their gynecologist that they are on anticoagulants. |
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Question # : 8
Title : Travelling after surgery |
| Description:- How soon the patient can understand long distance journey after the surgery? |
| Answer :- Normally patient can undertake journey right after the stitch removal, i.e 15 days after the surgery. But the final decision is taken by the doctor after assessing the patien over all conditions |
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Question # : 9
Title : Travelling after surgery. |
| Description:- Is it safe to travel by air? |
| Answer :- It is safe to travel in air crafts which have pressurised chambers. |
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Question # : 10
Title : Smoking /drinking after surgery |
| Description:- Can i smoke/ drink after surgery? |
| Answer :- It is important that you must stop smoking and do not resume it. Never drink alcohal during the recovery period after that the patient is advised to consult their their doctor. |
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Question # : 11
Title : Position of sleeping |
| Description:- Can I assume side way position while sleeping? |
| Answer :- Patients are allowed to take sideways position but not for long (5-10 minutes) but always with the support of pillow. It is alright to take left side position also, if the patient is comfortable. |
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Question # : 12
Title : Food after surgery |
| Description:- What kind of food or diet can I take after surgery? |
| Answer :- The dietician will guide you about the quantity and quality of food at the time of discharge and subsequent follow-ups. |
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| Birth defects of heart |
Question # : 13
Title : A.S.D |
Description:- My sister, 28yrs ,newly married was by chance
diagnosed having A.S.D. OSTIUM SECUNDUM
type. Is treatment necessary? Is any non invasive technique available? |
Answer :- Yes, there are non surgical ways of closing an ASD. If the hole is suitable, then we can close it by catheter based techniques. To determine the suitability, we have to do a transesophageal echocardiography.
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| Complaints |
Question # : 14
Title : Complications after Angioplasty |
| Description:- six months after angioplasty with a stent on my RCA, I have been diagnosed as "reversible perfusion defect in the iferior wall of myocardium" through Stress Thalium test. Normal perfusion in rest of myocardium. Is repeat angioplasty indicated? |
| Answer :- A reversible perfusion defect in the inferior wall of Myocardium indicates blockage in the RCA. I would suggest a repeat angiography.
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Question # : 15
Title : Bypass Surgery |
Description:- My mother is 61 years and in fairly good health though she has Diabetes for last 20 years. 2 days back she went through angiogram revealing 2 blokages of 80% each.
what are the chances of recovery after surgery and how soon she should proceed with surgery ?
What will be the apprx total charges if By pass is done in Escort ?
Can we buy blood ( A+ve) in Delhi from your prescribed banks as it expensive to bring in donars from Bangladesh ?
how long will it take to complete the whole thing from admitting in Escort to fly back ?
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Answer :- Chances of recovery after the surgery are 95-98%. The approximate charges would be 2 lakhs indian rupees.
It will take total 15 days stay in Delhi. |
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| General |
Question # : 16
Title : CABG |
Description:- 1.What would be approx. total expenses for investigation,surgery and hospital package for CABG?
2. Total days of stay in hospital and in Delhi after surgery
3. Does the hospital accept Senior Citizen Unit Plan issued by Unit Trust of India for payment of charges?
4. Whether prior appointment is required for consultation,invest. and CABG? |
Answer :-
1. Approx. expenses would be 2 lakh INR.
2. 10 day stay in hospital and 1 week in Delhi after surgery.
3. Yes.
4. Yes, you require prior appointment for consultation .
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Question # : 17
Title : Heart disease |
| Description:- Please tell me about the best medicines for the heart blockage? Also the best and the convienient way for knowing how much blockage is there and its treatment. |
Answer :- There is no such " Best " medicine for heart blockage. Infact just medicines can not open the blockages in the heart.
The best way of knowing extent of blockages, is coronary angiography. The treatment can be either a balloon angioplasty or bypass surgery, depending upon a severity of blockage.
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Question # : 18
Title : Weakness from blood donation |
| Description:- Does blood donation lead to any kind of weakness |
| Answer :- No it does not lead to any kind of weakness or impotency. |
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Question # : 19
Title : Quantity of Blood to be donated |
| Description:- How much blood can one person donate at a time and how long does the body need to make up for it? |
| Answer :- 300ml can be donated at a time and the volume of blood is made within 24 hrs in the body. |
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Question # : 20
Title : Time gap between blood donations |
| Description:- What is the suitable time gap between two donations? |
| Answer :- Three Months. |
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Question # : 21
Title : Prerequisites to donate blood |
| Description:- What are the prerequisites to donate blood? |
Answer :- a) Donor should be between 18-55 years of age
b) Should not be suffering from hypertension, diabetics, thyroid dysfunction, epilespsy psychiatric disorder, jaundice in last 20 years, malaria, typhoid or viral in last 6 months.
c) Should not have had surgery in the last 6 months
d) Should not be under weight or anemic
e) Pregnant, lactating and menstruating women are not advised to donate blood. |
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Question # : 22
Title : Blood requirement for surgery |
| Description:- How many units are required for surgery? |
| Answer :- 2-6 units depending on the type of surgery. |
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Question # : 23
Title : Blood Donation |
| Description:- Does one need to keep stand by (fresh blood) donors? |
| Answer :- Yes, if the patient is having redo surgery or if he or she is having negative blood group. In such cases it is recommended that the stand by donor should give a sample of his or her blood at least 24-48 hrs before. Surgery for testing for cross matching and infection. |
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Question # : 24
Title : Donor's blood group |
| Description:- What should be the blood group of the donors? |
Answer :- If the patients blood group is positive A, B, O or AB then the donors could be of any group.
In case of negative blood group A, B, O or AB then the donors should preferably of the same group or a part of the donations should be of the same group. |
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Question # : 25
Title : Blood from professional donors |
| Description:- Can the families get blood from professional donors or from other blood banks? |
| Answer :- No it is not advisable to get blood from professional donors as they are not healthy. They donate blood very frequently afainst the stipulated time period of 3 months. In view of prevalence of AIDS/Hepatitis B & C professional donors should NEVER be engaged. Recognized licensed blood banks could be approached. |
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Question # : 26
Title : O positive - a universal donor ? |
| Description:- Can a patient be given O Positive blood during surgery if the family is not able to arrange the donation of required blood group? |
| Answer :- The concept of Universal donor and recipient is no longer held by medical science. However O Positive blood is given in extreme cases. |
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Question # : 27
Title : Blood transfusion |
| Description:- Is blood transfusion serious after surgery? |
| Answer :- It is not serious but it is sometimes done to make up for the volume and coagulation factors. |
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Question # : 28
Title : Testing of donated blood |
| Description:- Does EHIRC test the blood donated by the donors in their blood bank? |
| Answer :- Yes EHIRC carries out tests for AIDS/HbsAG/Malaria/VDRL |
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Question # : 29
Title : Effect of anti-coagulant on menstrual cycle |
| Description:- How does anti-coagulant medicine affect the menstrual cycle? |
| Answer :- By and large it doesn't affect the cycle. |
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Question # : 30
Title : Open & closed heart surgery |
| Description:- What is the difference between open and closed heart surgery? |
| Answer :- Open heart surgery is a technique where during the surgery where the circulation of blood through the body is taken over by the heart lung machine. Most types of cardiac surgeries eg. bypass surgery, valve replacement and some other cardiac defect repair can be performed by using this approach. |
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Question # : 31
Title : Suphenous Vein |
| Description:- Does taking out suphenous vein leads to weakness in the limb? Are there any restrictions on the movement? |
| Answer :- No it does not lead to any kind of weakness and there are no restrictions on the movement also but in the initial 3 months after surgery, patients are advised to wear crepe bandage, not to sit cross legged. And not to keep the leg in the hanging position for a long time. |
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Question # : 32
Title : Blood Donation |
| Description:- Is it possible that the blood which is donated by the family members is given to the patient? |
| Answer :- Yes, if the donors are healhy and are of the same blood group as of the patient and the blood cross matches. |
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Question # : 33
Title : Type of valves used in surgery |
| Description:- What kind of valves are used in surgery? |
| Answer :- Both Mechanical and Biological valves are used. The surgeon would decide which one would be best suited for you |
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Question # : 34
Title : Life span of valves |
| Description:- Do they last life long? |
| Answer :- The life span is around 10-15 years but they may last longer also if all necessary precautions are taken. |
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| Instructions |
Question # : 35
Title : Track progress Instructions.
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Description:- Instructions on how to access the ehirc.com to track progress.
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Answer :- 1. Click on the browser on your computer after connecting it to the internet through an ISP service
2. Log on to ehirc.com
3. Click on "Guests" section.
4. Under "Interact with EHIRC Online", click on "Track an Inpatient's Progress".
5. Follow next instructions on the site using the IPD No. and Password.
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Question # : 36
Title : View Angio CD |
| Description:- Download software to view Angio CD |
Answer :- ACOM.PC Lite 2.0 - the basic functionality of ACOM.PC now available for free!
To download the software copy the following address in your browser
http://www.medical.siemens.com/siemens/en_INT/gg_ax_FBAs/files/multimedia/pclite.exe
or
click on the follow hyperlink
ACOM.PC Lite
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| Surgery |
Question # : 37
Title : Angiography Report |
Description:- MY FATHER - AGE 71 YRS WT.83 KG APPROX
AS PER ANGIOGRAphy report
1. 100% BLOCK ( RIGHT SIDE )
2. 99 % BLOCK ( LEFT SIDE )
3. 80 % BLOCK ( LEFT SIDE )
Angioplastic was tried in 80% blocked vein but
failed.
Suggest. |
| Answer :- Dear Manoj,
Thanks for contacting us.
He needs CABG.
Thanks,
Dr.Nishith Chandra
MD, DM
Consultant Cardiologist
Escorts Heart Institute & Research Centre
Okhla Road
New Delhi
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Question # : 38
Title : By pass surgery |
| Description:- Does a surgeon change the diseased coronary artery during the bypass surgery? |
| Answer :- No the arteries are not changed but as the name suggests a new route for the blood to flow is constructed by interposing a piecs of blood vessel between the parental artery (arota) and the remaining healthy part of the narrowed coronary artery. |
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Question # : 39
Title : Peripheral Vascular Disease |
| Description:- Is Bypass Surgery possible in the limbs? |
| Answer :- Yes. The risk factors (Diabetes Mellitus, Raised Cholesterol and High Blood Pressure) that cause blockages in the arteries of the heart, can and do cause similar blocks in the arteries to the limbs. Lower limbs are affected in a majority of cases. In indicated patients peripheral angiography followed by Bypass surgery or Angioplasty is successful in a high percentage of patients. |
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