Category: carotid artery

Best Cardiologists in Houston

Advanced Cardiovascular Care Center 

Advanced Cardiovascular Care Center offers cardiac services in a warm, comforting, relaxing atmosphere. The practice is committed to high quality patient care in an ever-changing health care environment.

The practice operates under the direction of Dr. Annie Varughese, Board-Certified in Cardiology and leading cardiology specialist providing treatment for heart attacks, angina, hypertension and all aspects of cardiology. The well-trained cardiology staff offers a variety of comprehensive, state-of-the-art services to diagnose, treat and manage heart disease. Our cardiac specialists improve the lives of thousands of patients every year using advanced surgical and non-surgical procedures.

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The goal is to provide state-of-the-art cardiology care in a personal setting for our patients. We provide information for you and your family so you can understand the problem, tests and any recommended treatments.

We thank you for selecting Advanced Cardiovascular Care Center for you or your loved ones. We appreciate any suggestions how we might improve our service for you.

Services Offered byAdvanced Cardiovascular Care Center

To get the services from the best cardiologists of Houston click on the above links and request an appointment.

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Cardiac MRI & Coronary CTA in Houston

Cardiac MRI & Coronary CTA :-

Magnetic resonance imaging (MRI) is a safe, noninvasive test provides detailed pictures of organs and tissues. MRI uses radio waves, magnets, and a computer to create pictures of your organs and tissues. MRI doesn’t use ionizing radiation or carry any risk of causing cancer.

cardiac-angio-mri

Cardiac MRI Scan report provides both structure and moving pictures of the heart and major blood vessels. Doctors use cardiac MRI to get images of the beating heart and to look at its structure and function. These pictures can help them decide the best way to treat patients who have heart problems.

Cardiac MRI is a common test. It’s used to diagnose and assess many diseases and conditions, including:

  • Coronary heart disease
  • Damage caused by a heart attack
  • Heart failure
  • Heart valve problems
  • Congenital heart defects
  • Cardiac tumors

Cardiac MRI can help explain results from other tests, such as X-rays and computed tomography scans also called CT scans. Doctors sometimes use cardiac MRI instead of invasive procedures or tests that involve radiation or dyes containing iodine.

A contrast agent, such as gadolinium, might be injected into a vein during cardiac MRI. The substance travels to the heart and highlights the heart and blood vessels on the MRI pictures. This contrast agent often is used for people who are allergic to the dyes used in CT scanning. People who have severe kidney or liver problems may not be able to have the contrast agent. As a result, they may have a non-contrast MRI.

Cardiac MRI (Magnetic Resonance Imaging) allows cardiologists to see the heart in more detail than any other imaging format available. It is a non-invasive treatment that can more accurately identify in need of coronary angiography, coronary stenting or bypass operations. A cardiac MRI is a non-invasive test that uses radio waves to take images of the heart. Doctors use the test to evaluate the structure and function of the heart and blood vessels. Cardiac MRI test usually takes 45-90 minutes and it doesn’t hurt.

Coronary CTA is used as a noninvasive method for detecting blockages in the coronary arteries. A CTA can be performed much faster (in less than one minute) than a cardiac catheterization, with potentially less risk and discomfort as well as decreased recovery time.

A coronary computed tomography angiogram (CCTA) uses advanced CT technology, along with intravenous (IV) contrast material (dye), to obtain high-resolution, 3D pictures of the moving heart and great vessels.

Coronary CTA is also called multi-slice computed tomography (MSCT), cardiac CT or cardiac CAT. During CTA, X-rays pass through the body and are picked up by detectors in the scanner that produce 3D images on a computer screen. These images enable physicians to determine whether plaque or calcium deposits are present in the artery walls.

Coronary CTA (CCTA) allows direct visualization of the coronary artery wall and lumen with the administration of intravenous contrast. Coronary Computed Tomography Angiogram (CTA) technology results in structure of the functioning of heart.  Coronary CTA test can provide important insights to their primary physician into the extent and nature of plaque formation with or without any narrowing of the coronary arteries.

Who should have a Coronary CTA Test?

Intermediate to high-risk profiles for coronary artery disease, but who do not have typical symptoms especially chest pain, shortness of breath, or fatigue during heavy physical activity.

  • Unusual symptoms for coronary artery disease, but low to intermediate risk profiles for coronary artery disease
  • Unclear or conclusive stress-test (treadmill test) results

Get tested by Cardiac MRI/Coronary CTA scans to identify the imaging of the complete cardiovascular system.

Visit us at: www.advancedcardiodr.com | Call: +1 281-866-7701

Cardiac Catheterization and Stenting

CardiacCatheterization is an invasive procedure that is used to evaluate the coronary arteries, heart valves, and heart muscle. The cardiologist uses a long, thin tube called a catheter that is inserted through a blood vessel in arm or leg.  The catheter is threaded through the blood vessel, under X-ray, to the heart.  Contrast is injected through the catheter and images are recorded as the contrast moves through the arteries, chambers and valves of the heart.

Catheterization may determine the need for further treatment to be required, such as stent or bypass surgery. Certain heart disease treatments can be done during cardiac catheterization such as balloon angioplasty or stenting.

It’s often used instead of open-heart surgery to treat congenital heart defects. We perform hundreds of cardiac catheterizations a year. Our interventional catheterization specialists perform catheterization to observe a fetus or heart structure, measure blood pressure, close holes, expand narrowed passages and open new passages. The procedure is now used in instances that once required surgery.

Reasons to perform cardiac catheterization:

  • Cardiac catheterization is used to find the cause of symptoms, such as chest pain, that could suggest heart problems.

Benefits of performing cardiac catheterization:

  • Diagnose and treat problems that may cause heart attack or stroke
  • Identify blockages or narrowing that could cause chest pain
  • Obtain information for the best treatment plan

A stent is a little, metal cross section tube that is put inside a coronary artery to keep the vein open. To place the stent, a little entry point is made in the groin area to achieve the vein there. A catheter is guided through the groin artery into an area of the coronary artery which is blocked. The stent is embedded alongside an inflatable catheter and expands when the blow up is inflated. The stent is then left there to help keep the artery open.

Our heart clinic providing best treatment for cardiac catheterization and stenting in Houston to measure internal heart and blood pressures information accurately during the test.

Visit us at: www.advancedcardiodr.com | Call: +1 281-866-7701

 

Read more about the services provided by the Advanced Cardiovascular Care Center.

Cardiac MRI & Coronary CTA

Cardiac MRI & Coronary CTA – Advanced Cardiovascular Care Center

Magnetic resonance imaging (MRI) is a safe, noninvasive test provides detailed pictures of organs and tissues. MRI uses radio waves, magnets, and a computer to create pictures of your organs and tissues. MRI doesn’t use ionizing radiation or carry any risk of causing cancer.

 Cardiac MRI Scan report provides both structure and moving pictures of the heart and major blood vessels. Doctors use cardiac MRI to get images of the beating heart and to look at its structure and function. These pictures can help them decide the best way to treat patients who have heart problems.

 Cardiac MRI is a common test. It’s used to diagnose and assess many diseases and conditions, including:

  • Coronary heart disease
  • Damage caused by a heart attack
  • Heart failure
  • Heart valve problems
  • Congenital heart defects
  • Cardiac tumors

 Cardiac MRI can help explain results from other tests, such as X-rays and computed tomography scans also called CT scans. Doctors sometimes use cardiac MRI instead of invasive procedures or tests that involve radiation or dyes containing iodine.

 A contrast agent, such as gadolinium, might be injected into a vein during cardiac MRI. The substance travels to the heart and highlights the heart and blood vessels on the MRI pictures. This contrast agent often is used for people who are allergic to the dyes used in CT scanning. People who have severe kidney or liver problems may not be able to have the contrast agent. As a result, they may have a non-contrast MRI.

 Cardiac MRI (Magnetic Resonance Imaging) allows cardiologists to see the heart in more detail than any other imaging format available. It is a non-invasive treatment that can more accurately identify in need of coronary angiography, coronary stenting or bypass operations. A cardiac MRI is a non-invasive test that uses radio waves to take images of the heart. Doctors use the test to evaluate the structure and function of the heart and blood vessels. Cardiac MRI test usually takes 45-90 minutes and it doesn’t hurt.

Coronary CTA is used as a noninvasive method for detecting blockages in the coronary arteries. A CTA can be performed much faster (in less than one minute) than a cardiac catheterization, with potentially less risk and discomfort as well as decreased recovery time.

 A coronary computed tomography angiogram (CCTA) uses advanced CT technology, along with intravenous (IV) contrast material (dye), to obtain high-resolution, 3D pictures of the moving heart and great vessels.

 Coronary CTA is also called multi-slice computed tomography (MSCT), cardiac CT or cardiac CAT. During CTA, X-rays pass through the body and are picked up by detectors in the scanner that produce 3D images on a computer screen. These images enable physicians to determine whether plaque or calcium deposits are present in the artery walls.

 Coronary CTA (CCTA) allows direct visualization of the coronary artery wall and lumen with the administration of intravenous contrast. Coronary Computed Tomography Angiogram (CTA) technology results in structure of the functioning of heart.  Coronary CTA test can provide important insights to their primary physician into the extent and nature of plaque formation with or without any narrowing of the coronary arteries.

 Who should have a Coronary CTA Test?

Intermediate to high-risk profiles for coronary artery disease, but who do not have typical symptoms especially chest pain, shortness of breath, or fatigue during heavy physical activity.

  • Unusual symptoms for coronary artery disease, but low to intermediate risk profiles for coronary artery disease
  • Unclear or conclusive stress-test (treadmill test) results

 Get tested by Cardiac MRI/Coronary CTA scans to identify the imaging of the complete cardiovascular system.

Visit us at: www.advancedcardiodr.com | Call: +1 281-866-7701

Heart attack Causes- Best Cardio Doctors in Houston

Advanced Cardiovascular Care Center provides the highest standard of excellence in Cardiovascular Care while exemplifying our ideals of customized patient care. Our goal is that of achieving superior patient satisfaction in every aspect of services given. We perceive our organization as a team of Best Cardiologists in Houston working towards one common goal, that of our patients’ good health and well being. To that end, we pledge our services.

 

A heart attack happens when a supply route that conveys oxygen-rich blood to the muscle of the heart (myocardium) gets to be blocked. The subsequent absence of oxygen reasons tissue to pass on in the piece of the heart supplied by the blocked corridor. A heart attack is additionally called as myocardial infarction (MI).

 Heart-Attack-Causes

Causes:

Most heart attacks are by implication brought about by coronary artery disease (CAD) or Atherosclerosis, a condition in which fatty stores (plaque) develop on the walls of a vein. This narrows the supply routes and confines blood stream to the muscle of the heart. A heart attack is normally activated by a tear or crack of the plaque, which prompts the arrangement of a blood coagulation that obstructs the blood stream in the supply route. Fit of the supply route can likewise add to the blockage.

 

Risk Factors

The danger components for showing at least a bit of kindness attack are like those for creating CAD.

 

Uncontrollable risk factors include:

Expanding age

Early menopause

Postmenopausal status

African American, Mexican American, American Indian, local Hawaiian, or Asian ethnicity

Family history of cardiovascular illness (These are ailments that influence the heart and veins.)

 

Danger elements that you can control through way of life or treatment include:

Diabetes

Hypertension

Mental anxiety

Sedentary lifestyle

Smoking or presentation to used smoke

Low levels of high – density lipoprotein (HDL) cholesterol

Elevated amounts of low – density lipoprotein (LDL) cholesterol

Obesity and overweight (particularly when concentrated around the waist)

 

Symptoms:

The indications of a heart attack may be significantly more unpretentious in ladies than in men. Midsection agony or uneasiness is ordinarily the most well-known side effect in men and ladies. Be that as it may, ladies may be more inclined to experience a portion of the other basic indications, especially shortness of breath, queasiness or spewing, and back or jaw torment.

 

Common symptoms include:

  • Severe fatigue
  • Lavish sweating
  • Dizziness, fainting
  • Heart palpitations
  • Shortness of breath
  • Nausea and vomiting
  • A fear of impending death
  • Pain high in the back, jaw, or neck
  • Feelings of heartburn or indigestion in the upper stomach area
  • Pain that emanates into the arms (on the left side more than the privilege)

​​​

Women may also experience heart attack symptoms as:

Vomiting or dizziness

Palpitations, paleness or cold sweat

Weakness or fatigue, unexplained anxiety

Unusual chest pain, stomach or abdominal pain

During a heart attack, symptoms last 30 minutes or longer and are not relieved by rest or oral medications. Initial symptoms can start as a mild discomfort that progress to significant pain. Heart attack may occur without having any of these symptoms. A silent MI can occur among all people, though it occurs more often among diabetics. We provide the best cardiac services in Houston taking more personal care to the patients.

Heart Doctors in Houston

Marfan syndrome is a genetic disorder that affects the body’s connective tissue. Connective tissue holds all the body’s cells, organs and tissue together which plays an important role in helping the body grow and develop properly. It this tissue is damaged, many body systems are affected, including the heart, blood vessels, bones, tendons, cartilage, eyes, nervous system, skin and lungs.

People with Marfan syndrome are usually tall and thin with disproportionately long arms, legs, fingers and toes. The damage caused by Marfan syndrome can be mild or severe. If your heart or blood vessels are affected, the condition can become life-threatening.

How common is Marfan syndrome?

About 1 in 5,000 people have Marfan syndrome, including men and women of all races and ethnic groups. About 3 out of 4 people with Marfan syndrome inherit it. But some people with Marfan syndrome are the first in their family to have it; when this happens it is called a spontaneous mutation. There is a 50 percent chance that a person with Marfan syndrome will pass along the genetic mutation each time they have a child.

Causes of Marfan syndrome:

Marfan syndrome is caused by a defect in the gene that encodes the structure of fibrillin and the elastic fibers, a major component of connective tissue. This gene is called fibrillin-1 or FBN1.

In most cases, Marfan syndrome is inherited. The pattern is called “autosomal dominant,” meaning it occurs equally in men and women and can be inherited from just one parent with Marfan syndrome. People who have Marfan syndrome have a 50 percent chance of passing along the disorder to each of their children.

In 25 percent of cases, a new gene defect occurs due to an unknown cause. Marfan syndrome is also referred to as a “variable expression” genetic disorder, because not everyone with Marfan syndrome has the same symptoms to the same degree. Marfan syndrome is present at birth. However, it may not be diagnosed until adolescence or young adulthood.

Signs and Symptoms of Marfan syndrome:

Sometimes Marfan syndrome is so mild, few if any, symptoms occur. In most cases, the disease progresses with age and symptoms of Marfan syndrome become noticeable as changes in connective tissue occur. The symptoms of Marfan syndrome differ from one person to the next, depending on which body part is affected and to what degree. Symptoms may include:

  • Thin, long fingers and toes
  • Sunken or protruding chest
  • Long, narrow face, Scoliosis
  • Family history of the condition
  • Enlarged aorta, mitral valve prolapsed
  • Loose and flexible joints, often prone to dislocation
  • Proportionately small lower jaw and narrow, highly arched palate
  • Usually, tall lean stature with disproportionate long arms and legs
  • Visual problems, such as nearsightedness (myopia) or dislocation of the ocular lens

Diagnosis of Marfan syndrome:

Gene testing is not readily available, but can be organised for some families who meet the diagnostic criteria. A specific collection of major characteristic features must be present to establish the syndrome. A confirmed diagnosis requires coordinated evaluation by a cardiologist, ophthalmologist, orthopaedic surgeon and geneticist, all experienced with the Marfan syndrome. The condition is diagnosed using a number of tests, including:

  • Genetic data
  • Echocardiogram
  • Eye examination
  • Physical examination
  • Skeletal tests such as x-rays

Treatments for Marfan syndrome:

Treatment usually includes medications to keep your blood pressure low to reduce the strain on weakened blood vessels. Depending on the severity of your symptoms and the part of your body that’s affected, surgery may be necessary.

Marfan’s syndrome can’t be cured. Treatments typically focus on lessening the impact of various symptoms.

Seek counsel from our Heart Doctors in Houston if you suspect you are suffering from Marfan syndrome for the best treatment options for you.

Visit us at: www.Advancedcardiodr.com |Call on: +1 281-866-7701.

Aortic Stenosis

Aortic Stenosis :-

 The aorta is the main artery that carries blood out of the heart to the rest of the body. Blood flows out of the heart and into the aorta through the aortic valve. In aortic stenosis, the aortic valve does not open fully. This decreases blood flow from the heart.

 In aortic stenosis, the aortic valve becomes partially obstructed, leading to significant heart problems. The aortic valve guards the opening between the left ventricle and the aorta. The aortic valve opens as the left ventricle begins to pump, allowing blood to eject out of the heart and into the aorta. When the ventricle has finished beating, the aortic valve closes to keep blood from washing back into the left ventricle.

Aortic Stenosis

 The main causes of Aortic Stenosis include:

  • A birth defect of the aortic valve, which normally has three cusps:
  • A two-part aortic valve becomes stenotic with progressive wear and tear
  • An aortic valve that has only one cusp or has stenosis from birth
  • Progressive hardening and calcification of the aortic valve with age
  • Scarring of the aortic valve caused by rheumatic fever

 Symptoms of Aortic Stenosis:

If the valve is only mildly narrowed you are not likely to have any symptoms. If the narrowing becomes worse the left ventricle has to work harder to pump blood into the aorta. The wall of the ventricle becomes thickened (hypertrophied).

 Symptoms that may then develop include:

Dizziness and faints due to the restricted blood supply. Irregular heart beat which you may feel as the sensation of a ‘thumping heart. Chest pain (angina) when you exert yourself, this occurs because of the increased need for oxygen by the thickened ventricle and because of reduced blood flow to the coronary arteries. If the narrowing is severe the left ventricle may not function properly and you can develop heart failure. This causes shortness of breath, tiredness and fluid build-up in various tissues of the body.

 Diagnosis of Aortic Valve Stenosis:

After reporting your symptoms to your general doctor, you may be referred to a cardiologist. Cardiologist will check your physical condition with a thorough examination. This includes listening to your heart for any abnormal sounds. You may need imaging tests to show what is going on inside your heart.

The following are some of the imaging tests used:

  • MRI Scan, CT scan
  • Cardiac Catheterization
  • Chest X-Ray, Echocardiogram

 Prevention of Aortic Stenosis:

Aortic Stenosis cannot be prevented. But if you have Aortic Stenosis, there are several things you can do to try to avoid some of the complications, such as get regular medical care, including exams and tests. Only certain people with Aortic Stenosis need antibiotics before dental or medical procedures. Ask your doctor if you need antibiotics to prevent infection of the heart valve.

 Best Treatment Options of Aortic Stenosis:

Nothing has yet been proved to slow the progression of Aortic Stenosis. In randomized trials, statin therapy has been ineffective, sometimes by replacement of the aortic valve.

Drugs that can cause hypotension should be used cautiously, although nitroprusside has been used as a temporizing measure to reduce after load in patients with decompensate heart failure in the hours before valve replacement. Patients who develop heart failure but are too high risk for valve intervention benefit from cautious treatment with dioxin, diuretics, and ACE inhibitors.

 Surgery Options:

  • Balloon Valvuloplasty: a balloon device is passed through the arteries to open or enlarge the stenotic aortic valve. This may provide temporary relief of symptoms. But since the valve can become blocked again, this treatment is not a permanent solution.
  • Aortic Valve Replacement: during this open surgery, the defective heart valve is replaced with either a bioprosthetic valve or a synthetic valve.
  • Transcatheter Aortic Valve Replacement: this surgery also involves replacing the defective valve. But this is minimally invasive surgery that involves inserting the replacement valve through a small incision in the chest or through an artery in the leg.

 Seek counsel from our Houston Cardiologist if you suspect you are suffering from Aortic Stenosis for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701