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Dr. Byomakesh Dikshit- Cardiologist In Bhubaneswar

Cardiologists at Apollo Hospitals

Find Heart Specialists

Cardiologists at Apollo Hospitals

Dr. Byomakesh Dikshit is a Cardiologist In  Bhubaneswar associated with Apollo hospitals In  Bhubaneswar .

  • Qualification: MBBS, MD( Medicine-PGI), DM( Cardiology), FNB(Interventional Cardiology)
  • Department: Cardiology
  • Specialty: Cardiologist
  • Locality:  Bhubaneswar 
  • Consultant in:  Apollo Hospitals Bhubaneshwar
  • Address -Apollo Hospitals, 251, Old Sainik School Road, Unit-15, Orissa, Bhubaneswar – 751 005 
  • Experience : 10 years
  • appointment– MON- SAT( 10:00 AM-05:00 PM )
  • Contact Number: 0674 – 6661016/1066

You can consult Dr. Byomakesh Dikshit for

About Apollo Healthcare

Apollo Healthcare was established in 1983. The hospital has a presence in over 120 countries, houses 7000 + doctors, 4000+ pharmacies across places. Centers at Chennai and Hyderabad are the Joint Commission International-accredited. 

Milestones- Cardiac care

  • Apollo Hospitals, Chennai successfully performed four back-to-back MitraClip procedures in a single day.
  • India’s first advanced Aquilion One Prism 640-slice CT Scanner was introduced by Apollo Hospitals, Chennai.
  •  Apollo Hospitals, Chennai, implanted the first Artificial Pulmonary Valve (32mm) without surgery.
  • Apollo Hospitals, Indore, conducted India’s second successful Renal Denervation (RDN) Therapy for treating uncontrollable hypertension.
  • Apollo Hospitals, Chennai introduced the HIS-bundle-pacing procedure, a new technique to treat bradyarrhythmias.
  •  Apollo Hospitals, Indore implanted the first neonatal permanent pacemaker on a 2-day-old newborn baby.
  • The Guwahati center removed a cardiac tumor through Minimally Invasive Cardiac Surgery.
  • The hospital at Nellore- is the first hospital to perform TAVI in Rayalaseema & the coastal region of Andhra Pradesh on a 69-year-old patient.
  • The Indore facility- is the first hospital in Madhya Pradesh to perform Transcatheter Aortic Valve Replacement (TAVR) on a 69-year-old female patient.
  • Navi Mumbai center- successfully performed its first heart transplant on a 33-year-old male patient in 2019. The center also implanted the smallest and advanced leadless pacemaker on an 85-year-old patient.
  • Apollo Hospitals, on a 69-year-old patient, performed the first balloon-expandable TAVR in Visakhapatnam. 
  • Bhubaneswar facility was the first hospital in Odisha to perform Alcohol Septal Ablation (ASA) procedure.
  • Apollo Hospitals, Chennai, completes over 50,000 cardiac surgeries includes Bypass, Valve replacements, Pediatric cardiac procedures, Transplants, and Minimally invasive procedures.
  • Apollo Hospitals, Chennai, performed India’s first minimally invasive Robotic Hybrid Revascularisation surgery on a 63-year-old female patient in 2019
  • Apollo Hospitals Conducted over 1,52,000 cardiac surgeries – one of only ten hospitals worldwide to achieve these volumes.
  • Achieved a 99.6% success rate in cardiac bypass surgeries, over 99.6% of beating heart surgeries.
  • Apollo Hospitals, Chennai, completed 25,000 coronary bypass procedures, including 10,000 beating heart coronary bypass operations in 2009.

Abdominal Aortic Ultrasound: How is it peformed?

Diagnosis,

Diagnosing a Heart Problem

Heart Disorders

Abdominal aortic ultrasound is a non – invasive imaging technique used to examine the abdominal aorta. It is generally done to diagnose aortic aneurysms, blood clots, and narrowing of the blood vessels.

High–frequency sound waves are employed to detect any structural abnormalities in the aorta and assess the blood flow through them.

How is Abdominal Aortic Ultrasound performed? :

The patient will be asked to lie face–up with the back on the examination table. He/she is instructed to lift the shirt halfway up the torso to expose the abdomen. (Image credit)

Sometimes, the patient may be asked to change into a hospital gown. The technician applies an ultrasound gel on the patient’s skin to help the transducer slide across the abdomen.

The handheld transducer (probe) is then moved against the abdomen. It is slowly passed along the aortic artery and produces sound waves that bounce off the blood vessels. These echoes are received by the probe and sent to a computer to convert them to pictures.

The technician will finally see the images of the artery and surrounding structures on the screen. The gel is usually water-soluble and can be washed off with soap and water after completing the test.

Are there any risks involved in it?

The abdominal aortic ultrasound is a safe procedure that has no risks associated with it. The patient may feel the transducer’s pressure on the abdomen, but this causes no significant discomfort during the test.

FAQs: Abdominal Aortic Ultrasound

What are preparations required from the patient? The patient is asked to not eat or drink for 6 hours before the test and avoid smoking and eating chewing gums on the day of the test. He/she can eat a low–fat diet such as fruit or juice if they are diabetic or unable to fast. You must also avoid dairy products, carbonated beverages, and caffeinated drinks before the test. The patient is generally advised to empty the bladder before the test.

How long does it take? It takes around 30 to 45 minutes to complete abdominal aortic ultrasound.  

Who performs it?  This ultrasound is performed by a vascular sonographer or ultrasound technician.

How much does it cost? It costs around Rs. 700 to 4K to get the abdominal aortic ultrasound done in India.

When can I go home after the procedure? The patient is generally allowed to go home and resume the daily activities immediately after the test.

References:

Dr. Anuradha Sridhar- Cardiologist In Chennai

Cardiologists at Apollo Hospitals

Find Heart Specialists

Cardiologists at Apollo Hospitals

Dr. Anuradha Sridhar is a Cardiologist In Chennai associated with Apollo hospitals In Chennai.

  • Qualification: MBBS, DNB, FNB
  • Department: Cardiology
  • Specialty: Cardiologist
  • Locality: Chennai
  • Consultant in: Apollo Children Hospital Chennai
  • Address -Apollo Children’s Hospitals 15, Shafi Mohammed Road Thousand Lights Chennai 600 006
  • Experience : 10 years
  • appointment– MON- SAT( 10:00 AM-02:00 PM )
  • Contact Number: 044-2829 6262

You can consult Dr. Anuradha Sridhar for

About Apollo Healthcare

Apollo Healthcare was established in 1983. The hospital has a presence in over 120 countries, houses 7000 + doctors, 4000+ pharmacies across places. Centers at Chennai and Hyderabad are the Joint Commission International-accredited. 

Milestones- Cardiac care

  • Apollo Hospitals, Chennai successfully performed four back-to-back MitraClip procedures in a single day.
  • India’s first advanced Aquilion One Prism 640-slice CT Scanner was introduced by Apollo Hospitals, Chennai.
  •  Apollo Hospitals, Chennai, implanted the first Artificial Pulmonary Valve (32mm) without surgery.
  • Apollo Hospitals, Indore, conducted India’s second successful Renal Denervation (RDN) Therapy for treating uncontrollable hypertension.
  • Apollo Hospitals, Chennai introduced the HIS-bundle-pacing procedure, a new technique to treat bradyarrhythmias.
  •  Apollo Hospitals, Indore implanted the first neonatal permanent pacemaker on a 2-day-old newborn baby.
  • The Guwahati center removed a cardiac tumor through Minimally Invasive Cardiac Surgery.
  • The hospital at Nellore- is the first hospital to perform TAVI in Rayalaseema & the coastal region of Andhra Pradesh on a 69-year-old patient.
  • The Indore facility- is the first hospital in Madhya Pradesh to perform Transcatheter Aortic Valve Replacement (TAVR) on a 69-year-old female patient.
  • Navi Mumbai center- successfully performed its first heart transplant on a 33-year-old male patient in 2019. The center also implanted the smallest and advanced leadless pacemaker on an 85-year-old patient.
  • Apollo Hospitals, on a 69-year-old patient, performed the first balloon-expandable TAVR in Visakhapatnam. 
  • Bhubaneswar facility was the first hospital in Odisha to perform Alcohol Septal Ablation (ASA) procedure.
  • Apollo Hospitals, Chennai, completes over 50,000 cardiac surgeries includes Bypass, Valve replacements, Pediatric cardiac procedures, Transplants, and Minimally invasive procedures.
  • Apollo Hospitals, Chennai, performed India’s first minimally invasive Robotic Hybrid Revascularisation surgery on a 63-year-old female patient in 2019
  • Apollo Hospitals Conducted over 1,52,000 cardiac surgeries – one of only ten hospitals worldwide to achieve these volumes.
  • Achieved a 99.6% success rate in cardiac bypass surgeries, over 99.6% of beating heart surgeries.
  • Apollo Hospitals, Chennai, completed 25,000 coronary bypass procedures, including 10,000 beating heart coronary bypass operations in 2009.
implantable loop recorder

How does Implantable Loop Recorder monitor heart rhythm?

Diagnosis, ,

Diagnostic tests for heart diseases

Heart Diseases

An implantable loop recorder (ICR) is a small device used to continuously record and monitor cardiac rhythms. It is implanted into the body under the skin on the chest and is used for cardiac monitoring for up to 3 years.

This diagnostic tool helps to determine the cause behind the symptoms experienced by the patient regularly. The signs that prompt ICR implantation is syncope, seizures, recurring palpitations, and dizziness that an external monitor cannot capture. 

How does an implantable loop recorder work?

The patient will be given a medicine to relax, and a local anesthetic will be used to numb the skin. A small incision of about 2 cm will be made in the patient’s left upper chest. A small pocket is made in this area, and the ICR will be implanted in this pocket. (Image credit)

The wound is then closed using dissolvable sutures. The nurse dresses this area and gives instructions on when the dressing can be removed. Antibiotics may be given to the patient to minimize the chances of infection.

The patient is usually instructed to keep the wound clean and dry until it is fully healed. The Implantable Loop Recorder is often programmed to the required settings by the cardiologist before the implantation.

After the procedure, the patient will be instructed on how and when to use the activator. This handheld device must be placed over the implantable loop recorder to record an episode once the symptoms begin. The activator must be pressed as near to the event as possible and store the last three activations only. It generally overwrites the older ones before recording the new events.

The ILR is usually removed after the diagnosis has been made or its battery life has expired. In the case of the latter, a new device is implanted in place of the older one. Once the doctor identifies or rules out the reason behind the symptoms, the device is removed, similar to how it was implanted.

Are there any risks involved in it?

Implanting an ILR involves a minimal risk of bleeding, bruising, infection, damage to the heart and blood vessels, and mild pain at the implantation site.

FAQs: Implantable Loop Recorder

What are preparations required from the patient? The patient is asked not to drink or eat anything after midnight the evening before the test. The patient must notify the doctor about the medications being taken and stop taking them only if instructed.

How long does it take?  It takes about 15 to 20 minutes to complete the procedure.

Who performs it? An electrophysiologist generally implants the Implantable Loop Recorder.

How much does it cost? This device costs around Rs. 11K in India.

When can I go home after the procedure? The patient can leave the hospital and go home after the test. He/she can resume their normal activities but may want to rest for some time.

References:

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Doppler Ultrasound: for detecting abnormal blood flow

Diagnosis, ,

Diagnostic tests for heart diseases

Heart Diseases

A Doppler ultrasound or Doppler echocardiography is an imaging test used to assess the blood flow through the heart and the blood vessels. It is also recommended to detect any abnormalities in the blood flow throughout the body, evaluating cardiac valve functions, and identify leaky valves.

This test is frequently done to examine the children’s hearts for heart disease and see how well blood flows after treatment. Evaluating the blood vessels for narrowed arteries and aneurysms are the other conditions for which this test is done.

How is Doppler Ultrasound performed? :

A Doppler ultrasound test is generally done in the ultrasound or radiology department or a peripheral vascular lab. The patient is asked to lie on a table exposing only the area being examined. The body part could be the arm, leg, neck, or chest.

A special water-soluble gel is applied over the part of the body that is being tested. The gel improves the sound quality. A handheld device called a transducer is then moved over this area. It transmits very high-frequency sound waves into the patient’s body. These waves are bounced off by the heart and blood vessels. They are then recorded and turned into images or graphs on a monitor.

Sometimes, the patient may hear swishing or pulse-like sounds during the procedure. This sound is produced due to changes in the pitch of the sound waves caused by the movement of the blood cells. The technician may also monitor the patient’s blood pressure during the test. The gel is wiped off after the test.

This test can assess blood flow and also detect the direction and velocity of blood flow in the heart. To get this information, the doctor suggests a color Doppler ultrasound instead of the standard one. The blood that flows towards the transducer generally appears red, while that which flows away appears blue.

Are there any risks involved in it? :

This test is a painless, non – invasive procedure that has no risks associated with it. It is considered to be safe for use in pregnant and breastfeeding women.

FAQs: Doppler Ultrasound

What are preparations required from the patient? The patient is asked to remove any jewelry or metal objects from the area being tested. He/she must refrain from smoking for at least 2 hours before the test as nicotine may narrow the blood vessels and produce false results.

How long does it take?  It takes around 30 to 60 minutes to get a Doppler ultrasound done.

Who performs it? It is generally performed by a sonographer or ultrasound technician, or technologist.

How much does it cost? The cost of a standard Doppler ultrasound ranges from Rs. 1500 to 3K while that of a color Doppler ultrasound lies around Rs. 1500 to 7K.

When can I go home after the procedure? The patient can go home and resume normal activities immediately after the test. 

References:

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Tilt table test: Why is this test performed?

Diagnosis,

Diagnostic tests for heart diseases

Heart Diseases

A tilt table test is a simple non – invasive procedure used to diagnose syncope (fainting). It reproduces the symptoms experienced by the patient under controlled conditions. By doing so, the doctor identifies why you keep getting dizzy spells or completely blacks out.  

How is the Tilt table test performed?

Electrodes will be attached to the patient’s chest to monitor the heart rate via the electrocardiogram (ECG). What is ECG, and how is it performed?

It will also measure the patient’s blood pressure, and you are asked to lie down on a special table that tilts. (Image credit)

Straps will be placed across the patient’s chest, abdomen, and knees to prevent a patient from falling if they faint during the test. In the first part of the test, the nurse tilts the table so that the head is slightly higher (30 degrees) than the rest of the body.

The patient’s blood pressure and heart rate are then checked. After this, the table is tilted more to ensure that the patient lies 60 degrees or more for around 45 minutes. The nurse measures the heart rate and blood pressure continuously during this period.

If the blood pressure drops, the nurse stops the test immediately; else, the table is lowered to start the second part of the test. An IV (intravenous) line is put to the patient’s arm, and a medicine (isoproterenol) is administered. This medicine increases the heart rate and makes the patient more sensitive to the test.

The table is then tilted upwards to a 60 degrees angle, and the patient is monitored for symptoms of dizziness, fainting, or low blood pressure. The test is stopped, and the table is lowered to a flat position if the blood pressure drops. If it remains stable, the test ends in around 15 minutes, after which the table is lowered.

The patient’s blood pressure is monitored throughout this time, and all the necessary information is collected.

Are there any risks involved in the Tilt table test?

The possible complications associated with this test are planned episodes of syncope, dizziness, headache, low blood pressure, nausea, and palpitations.

FAQs:

What are preparations required from the patient? The patient must fast and avoid smoking for 2 hours before the test. He/she must notify the doctor about the medicines they are taking for any heart conditions. after the examination, ensure to arrange a ride home or ask someone to accompany you.

How long does it take? It takes around 1 to 2 hours to complete both parts of the test.  

Who performs the Tilt table test? A nurse and a technician with specialized training perform it under the supervision of a cardiac electrophysiologist.

How much does it cost? It costs around Rs. 2500 to get the test done.

When can I go home after the procedure? The patient is generally allowed to go home and resume normal activities after the Tilt table test. Sometimes, he/she may be asked to stay in the recovery area for 30 to 60 minutes to monitor the blood pressure and then leave the hospital. 

References: