Consultation Locations

✅ Loc 1: #202, 3rd Floor, Above Khazana Jewellery, Ashish My, Madinaguda, HYD - 50 , TS ✅ Loc 2: 12H, Ground Floor, HUDA Complex, Near Dmart, Nallagandla, HYD-19 , TS

Mon-Sat: Morning: 8.00 - 10.00am, Evening: 6.00 - 9.00pm Sun: Morning: 8.30-9.30am, Evening: Closed Mon-Sat: Morning: 8.00 - 10.00am

Electrocardiogram (ECG)

What is ECG?

An electrocardiogram (ECG) is a medical test that records the electrical activity of your heart through small electrode patches that a technician attaches to the skin of your chest, arms, and legs. Physical relaxation for a few minutes before the recording is made is important, as this allows the electrode connections to stabilize and the recordings made will be more reliable.

What does abnormal ECG indicate?

An abnormal ECG will tell us about the heart enlargement, major heart attack, irregular heart rhythm etc. In few patients with heart blocks and heart attack ECG may be completely normal. Hence in patients with chest pain and breathing difficulty further detailed evaluation may be required in the form of ECHO and TMT.

Echocardiogram

The echocardiogram is an ultrasound of the heart that provides live information about the structure and function of the heart. It is a painless procedure. There is no need to be on fasting for ECHO.

Echocardiogram will show very clearly about the heart size and heart function. It will show us the cardiac valves, chambers and flow of blood within the heart. It also helps us to identify Congenital heart diseases (heart diseases from birth).It can detect major heart attack very clearly by identifying variation in heart’s pumping capacity. Sometimes silent heart attacks (major heart attack happening without chest pain) also will be detected by Echo especially in diabetic patients and elderly people.

Echo can detect only when the artery supplying the heart is totally blocked or near total blocked ECHO may be normal even when there is more than 70 to 80%blockage.

Treadmill Test (TMT)

How TMT is done?

During a standard exercise test, you walk on a treadmill at progressively faster speeds while health care providers monitor your heart’s electrical activity, your heart rate, and your blood pressure. Throughout the test, the speed and incline of the treadmill increase gradually. The actual test takes only around 15 minutes.

What does abnormal TMT result indicate?

Stress tests can detect when arteries have 70 percent or more blockage. But normal results from a stress test do not rule out the possibility of a future heart attack. This is because a small plaque can still rupture, form clots, and block an artery completely. A normal test result indicates there is sufficient and unrestricted blood flow to your heart, both during periods of rest and exercise. … An abnormal result, which means your heart’s blood flow is insufficient, may occur only during the exercise phase of your stress test

24 Hrs HOLTER MONITORING

What is a Holter Monitor?

A Holter monitor is a small, wearable battery-operated portable device. It measures and records your heart’s rate and rhythm (ECG) continuously for 24 to 48 hours or even longer

Why is it done?

If you have symptoms like an irregular or fast heart beat or unexplained giddiness or loss of consciousness, first ECG will be done. However, sometimes an ECG doesn’t detect any abnormalities in your heart rhythm because you’re hooked up to the machine for only a short time. But a Holter monitor being a continuous monitoring system will be able to detect irregularities in your heart rhythm that an ECG fails to pickup.

How is it done?

  • Holter monitoring is a noninvasive and painless procedure. The technician first attaches the electrodes to your chest. You can carry the monitor in a pocket or a pouch, slung across your shoulders and neck like a purse or attach it to your waist.
  • Once your monitoring begins — you must wear it at all times, even while you sleep but you can carry out all your usual daily activities.
  • Avoid activities that might lead to the monitor getting wet or damaged
    • 1.Don’t bathe, shower or swim while wearing the monitor.
    • 2.Don’t have X-rays done while wearing the monitor.
    • 3.Stay away from high-voltage areas, metal detectors or large magnets.
  • If you feel symptoms such as chest pain, shortness of breath, uneven heartbeats or dizziness, note in your diary the time of day they began and what you were doing. Your diary will be compared to the changes in your ECG recorded by the Holter monitor.

24 Hrs AMBULATORY BP MONITORING

What is ABPM?

The 24-hour ambulatory BP monitor is a small portable device connected to the arm cuff with tubing that measure blood pressure every 15 to 30 minutes. After 24 hours, the patient returns, and the data is downloaded.

Why is it done?

The BP measured in the clinic may not reflect the true BP levels. When Clinic BP levels are elevated, 24-h ABPM should be done to confirm the diagnosis of Hypertension. Accurate BP monitoring is essential for blood pressure evaluation and management

Ambulatory blood pressure monitoring allows many blood pressure (BP) readings to be recorded over a 24-hour period

The most useful information includes

  • 24-hour average blood pressure
  • Average daytime blood pressure
  • Average nighttime blood pressure
  • The calculated percentage drop in blood pressure at night.

In normal persons BP should slightly fall while sleeping. If this fall doesn’t happen or if there is a paradoxical rise in BP while sleeping there will be an increased risk of heart attack. The ABPM’s unique ability to evaluate BP at night while sleeping makes it a superior instrument for BP management and in prediction of heart attack risk.

How is it done?

The ABPM should be done on a normal workday rather than a rest day to obtain a typical BP profile. The readings should be taken every 20–30 min during the day and every 30–60 min at night to avoid interfering with activity or sleep.

Uses of ABPM – 24 hrs ambulatory BP monitoring is recommended for the screening and evaluation of

  1. Masked hypertension (It is normal BP while measured in clinic but high otherwise. 10-25% of persons with normal BP have masked hypertension and it is associated with high heart attack risk. It is common in elderly men, smokers, diabetics and kidney patients. These patients should be treated with antihypertensives and normal BP should be achieved to reduce the risk.
  2. White coat hypertension ( It is high BP only while measured in clinic but normal BP otherwise)
  3. Suspected episodic hypertension
  4. Hypotensive episodes while on medications
  5. For the assessment of nocturnal decreases in BP
  6. For the follow-up of hypertensive therapies
  7. For individuals with orthostatic hypotension and supine hypertension.