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Advanced Cardiovascular Care Center | 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 healthcare 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.

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 about 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 Catheterization  with Advanced Cardiovascular Care Centre

Cardiac Catheterization 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

Click here to know more about the other services provided by 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 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.

Ischemic Heart Disease – Advanced Cardio Vascularcare Center

Ischemic Heart Disease or coronary heart disease is a heart issue created by narrowing of the coronary arteries. This causes less blood and oxygen to achieve the heart. Being that the heart is a muscle, it relies on upon a consistent supply of oxygen and nutrients to course through the coronary arteries. At the point when the coronary arteries get to be stopped up by fat and cholesterol stores and can’t supply enough blood to the heart, the outcome is ischemic heart disease. There are real risk factors for adding to this sort of Ischemic heart disease.

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In any case, there are natural elements that you can dispose of to decrease your shots:

Age: Substantial rates of the individuals who kick the bucket of coronary heart disease are age 65 or more seasoned.

Sex: Typically men are at more serious danger of showing some kindness assault than ladies. They additionally have a tendency to have heart assaults prior in life than ladies.

Smoking: Smoking duplicates the danger of a heart assault versus a non-smoker.

High Blood Cholesterol: As blood cholesterol levels expand, so does the danger of coronary heart disease.

Hypertension: High blood pressure constrained the heart to overexert its muscles, which makes it extend and debilitate after some time.

Physical Inactivity: Regular, moderate movement is valuable for the best possible course of blood in the body.

Stoutness: An abundance measure of weight strains the heart and raises the blood pressure and blood cholesterol levels.

Diabetes: The vicinity of diabetes has an unfriendly influence on the heart in light of the fact that diabetes straightforwardly influences cholesterol and triglyceride levels. At the point when glucose levels are hoisted, the danger of heart disease is incredibly expanded.

Seek counsel from our Heart Specialist in Houston if you suspect you are suffering from Ischemic Heart Disease or coronary heart disease for the best treatment options for you.

Contact Advanced Cardio at www.advancedcardiodr.com and get the treatment with the best and advanced doctors.

Hypertrophic cardiomyopathy (HCM)

Hypertrophic cardiomyopathy (HCM) is a disease in which the heart muscle (myocardium) becomes abnormally thick (hypertrophied). The thickened heart muscle can make it harder for the heart to pump blood. Hypertrophic cardiomyopathy is very common and can affect people of any age. About one out of every 500 people has HCM. It affects men and women equally.

Other Names for Hypertrophic Cardiomyopathy

  • Asymmetric Septal Hypertrophy
  • Familial Hypertrophic Cardiomyopathy
  • Hypertrophic Obstructive Cardiomyopathy
  • Hypertrophic Non-obstructive Cardiomyopathy
  • Idiopathic Hypertrophic Sub-aortic Stenosis (IHSS)

Causes of Hypertrophic Cardiomyopathy:

HCM is a genetic condition caused by a change or mutation in one or more genes and is passed on through families. Each child of someone with HCM has a 50 per cent chance of inheriting the condition. HCM is a common cause of sudden cardiac arrest (SCA) in young people, including young athletes.

HCM also can affect the heart’s mitral valve, causing blood to leak backward through the valve. Sometimes, the thickened heart muscle doesn’t block blood flow out of the left ventricle. This is called non-obstructive hypertrophic cardiomyopathy. The entire ventricle may thicken, or the thickening may happen only at the bottom of the heart. The right ventricle also may be affected.

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Symptoms of HCM:

Many people with HCM don’t experience any symptoms. However, the following symptoms may occur during physical activity:

You may find that you never have any serious problems related to your condition, and with treatment, your symptoms should be controlled. However some people may find that their symptoms worsen or become harder to control in later life.

The area of heart muscle that is affected by HCM and the amount of stiffening that occurs will determine how the symptoms affect you.

For some people, a number of other conditions can develop as a result of having HCM. These may include abnormal heart rhythms, or arrhythmias, including heart block and endocarditis.

Other symptoms that might occur, at any time, include:

  • Chest pain
  • Palpitations
  • Shortness of breath
  • High blood pressure
  • Light headedness and fainting

 

Diagnosis of Hypertrophic Cardiomyopathy:

The health care provider will perform a physical exam and listen to the heart and lungs with a stethoscope. Signs may include abnormal heart sounds or a heart murmur. These sounds may change with different body positions, High blood pressure, the pulse in your arms and neck will also be checked. The doctor may feel an abnormal heartbeat in the chest.

Close family members of people who have been diagnosed with hypertrophic cardiomyopathy may be screened for the condition. Tests used to diagnose heart muscle thickness, problems with blood flow, or leaky heart valves (mitral valve regurgitation) may include:

  • Echocardiography, ECG
  • Cardiac catheterization
  • MRI of the heart, Chest X-ray
  • Transesophageal echocardiogram (TEE)
  • 24-hour Holter monitor (heart rhythm monitor)

Risk Factors include:

Any strenuous exercise that increases after load (i.e., heavy weight lifting/training) can theoretically increase the magnitude of LV hypertrophy over time and thus worsen obstruction in subjects with pre-existing HCM. Risk factors for the development of end-stage HCM (manifesting as LV systolic dysfunction and LV dilation) include younger age of onset/presentation of HCM, a family history of HCM, increased ventricular wall thickness, along with the presence of certain genetic mutations in certain individuals.

Treatment of HCM:

At present there is no cure for HCM, but treatments are available to help control your symptoms and prevent complications. Your treatment will depend on how your heart is affected and what symptoms you have. You may need:

  • A Pacemaker – to control your heart rate
  • Medicines – to help control your blood pressure, abnormal heart rhythms
  • An ICD – if you are at risk of having a life threatening abnormal heart rhythm

Seek counsel from our Houston Cardiologist if you suspect you are suffering from Hypertrophic Cardiomyopathy (HCM) for the best treatment options for you.

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

Automatic Implantable Cardioverter-Defibrillator (AICD)

Automatic Implantable Cardioverter-Defibrillator (AICD) is a device that monitors a person’s heart rate. They are generally implanted into heart failure patients. AICD intended to convert life threatening rhythms of the heart which may cause sudden cardiac death also known as cardiac arrest, to a sinus (normal) rhythm. An abnormal heart beats are referred to as arrhythmias either one that beats too fast (Tachycardia), too slow (Brachycardia) or irregularly referred as Atrial Fibrillation.

Defibrillators treat arrhythmias in two ways: in the first instance the device tries to stop the abnormal rhythm with a burst of high speed pacing. If that fails, the device will deliver an electrical shock to the heart to reset its rhythm. Patients are usually not aware of cardioversion and nearly always aware of defibrillation. It is also capable of collecting and storing information about your heart’s electrical activity for your cardiologist to check. Cardiologist will program the defibrillator to deliver the best therapy for you.

The AICD gives your heart a shock if you suspect life threatening arrhythmias or an abnormally high heart rate. Some arrhythmias can cause the heart to completely stop beating. The shock given by the AICD can make the heart start beating normally again. An AICD can also make your heart beat faster if your heart is not beating fast enough.

The AICD System Consists of:

A small computer chip that tells the AICD when to deliver a shock

Batteries designed to last 4 to 5 years and deliver about 100 shocks

A pulse generator that can send an electrical impulse or shock to the heart

Electrodes that sense the rhythm of the heart and deliver a shock to the heart muscle

Doctor can also program the AICD to deliver a variety of sophisticated electrical therapies depending on the type of abnormal rhythm problem being treated.

Procedure:

An intravenous (IV) line will be started in your arm. Your doctor will inject a local anesthetic to numb the site where the device will be placed. Typically AICDs are implanted just under the collarbone, usually on the left side. Your doctor will make a small incision in the skin. From there, lead wires are passed through a vein to your heart and then tested to check their position in your heart. A little pocket is made under the skin for the pulse generator. It is about the size of a book of matches. The leads are connected to the pulse generator, and tested. Then your doctor will close the incision and program the device.

Potential Risks or Complications Associated with the Implantation:

The procedure is extremely safe, with a low risk of complication. Most complications are minor and easily treated, such as pain, bleeding and bruising at the implant site.

An infrequent complication is pneumothorax, a condition when the lung is accidentally punctured during the insertion of the lead. Air then leaks into the chest cavity, causing the lung to collapse. This condition can be treated with insertion of a chest tube to allow the air to escape and the lung to re-expand.

A rare but serious complication is infection of the implant site or the pulse generator/lead, requiring antibiotic therapy and even surgical removal of the entire AICD system if severe.

Factors that may Increase the Risk of Complications Include:

Obesity

History of smoking

Use of certain medications

Chronic diseases such as diabetes

Bleeding or blood-clotting problems

History of excess alcohol consumption

Symptoms:

Have chest pain or shortness of breath

Feel lightheaded and do not feel a shock

Call for medical help right away if you experience above life threatening symptoms. Seek counsel from our Heart Doctors in Houston for the best treatment options for you.

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