Tag: Carotid Stenting in Houston

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.


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.


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:


History of smoking

Use of certain medications

Chronic diseases such as diabetes

Bleeding or blood-clotting problems

History of excess alcohol consumption


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


Symptoms and Causes of Carotid Artery Disease

Advanced Cardiovascular Care Center gives extraordinary, family-focused consideration to kids and youthful grown-ups with suspected or diagnosed cardiovascular disease of all types. The establishment of our consideration concentrates on heart disease. Whether the patient needs an outpatient visit or requires hospitalization we have the offices and the specialists to give the most abnormal amount of tend to all patients in all circumstances. Our Heart Clinic in Houston is a pioneer in giving a steady group and family-focused way to deal with heart care with cardiovascular disease in any situation.

The carotid arteries are the blood vessels that carry oxygen-rich blood to the head, brain and face. They are located on each side of the neck. You can easily feel them by placing your fingers gently either side of your windpipe.

The carotid arteries supply essential oxygenated blood to the large front part of the brain. This part of the brain controls thought, speech, personality as well as our sensory (our ability to feel) and motor (our ability to move) functions.

The brain survives on a continuous supply of oxygen and glucose carried to it by blood. Carotid Artery Disease is the narrowing or blockage of these arteries (stenosis) due to plaque build-up (atherosclerosis). The plaque can then cracks, and develop an irregular surface, which is when it begins to cause problems.

If a piece of plaque or a blood clot breaks off from the wall of the carotid artery it can block the smaller arteries of the brain. When blood flow to the brain is blocked, the result can be a transient ischemic attack (TIA), which temporarily affects brain function, or a stroke, which is permanent loss of brain function. Common symptoms of TIA include brief attacks of weakness, clumsiness, numbness or pins and needles of the face, arm or leg on one side of the body.


Carotid artery disease is one of the most common causes of stroke. More than half of the strokes occur because of carotid artery disease. Carotid Artery Disease influences the vessels prompting the head and brain. Acquiring this disease is a risk factor for having a stroke.

Carotid disease for the most part doesn’t brag any side effects. However, when blood flow to a portion of the brain is limited, side effects by and large happen. If an individual is encountering cautioning indications of a stroke, there is likely a blockage in the carotid arteries.

Transient Ischemic Attacks (TIAs) are brief scenes of cerebral pains, discombobulating, shivering, deadness, obscured vision, perplexity, or loss of motion that can last anyplace from a couple of minutes to two or three hours. It’s basic that an individual see a specialist quickly if there are any indications of a TIA.

There are a few danger risks for carotid supply route disease, these include:
  • Diabetes
  • Smoking
  • Obesity
  • Lack of activity
  • High blood pressure
  • Family history of coronary vein disease or stroke
  • High levels of “awful” cholesterol and triglycerides in the blood
Treatment choices for Carotid Artery Disease are subject to the reason and seriousness of the disease. For atherosclerotic plaque, the most well-known medications are:
  • Way of life changes: The best changes are to stop smoking, control hypertension, confine the measure of liquor you drink, and work out.
  • Pharmaceuticals: Certain drugs that keep the blood from thickening, for example, headache medicine or anticoagulants may be endorsed to keep a stroke.
  • Surgery: Having a carotid endarterectomy expels greasy plaque from arteries.
Seek counsel from our Top Cardiologists in Houston if you suspect you are suffering from Carotid Artery Disease for the best treatment options for you.

Carotid Stenting in Houston

Carotid artery stenting (CAS) is a minimally invasive technique for treating carotid artery disease.

During the carotid stenting procedure, a stent (stainless steel or metal alloys) is inserted into carotid artery after performing angioplasty by inserting a long, thin tube called a catheter with an attached balloon into a small incision over an artery in your arm or groin.

A small balloon or filter called an embolic protection device, which helps to prevent strokes by catching the clots or debris that may break away from the plaque during the procedure.

At the blockage area, doctor inflates and deflates the angioplasty balloon to stretch the plaque and widen the space where the blood flows through. After the artery is open, catheter removed by attaching balloon.

Using another catheter, a compressed stent placed to the same area in the blocked carotid artery. Once the stent is in place, catheter is released. The stent then expands to fit the artery.

Your physician then removes the stent-carrying catheter and any embolic protection devices. Stents remain permanently in your carotid artery. Carotid stenting usually takes about 1-2 hours and sometimes it may exceed. Our cardiology doctors performing Carotid Stenting in Houston at high standards of personal care to every patient.

24 Hours emergency service provided. Call on 281-866-7701.

Carotid Stenting in Houston

Carotid artery stenting (CAS) is a technique that can be utilized to open contracted carotid supply routes. It is additionally called carotid angioplasty and stenting.

There are two carotid supply routes, one on every side of the neck that supplies blood to the cerebrum. Greasy development (plaque) can limited or piece these supply routes (stenosis). At the point when one or both of your carotid supply routes are limited, it can make it hard for blood to stream to the cerebrum. Carotid artery stenting may enhance blood stream to your mind and bring down your danger of having a stroke. Our cardiology doctors performing Carotid Stenting in Houston.

Amid carotid artery stenting, a little, expandable tube called a stent is forever embedded into the carotid artery.

To embed the stent, the specialist utilizes another tube called a catheter or cath. The specialist embeds the catheter into the crotch and strings it through different conduits to the carotid artery. The specialist will place color into the catheter. The color will make your carotid artery show upon X-beam pictures so that the specialist can locate the contracted or blocked segment of the artery.

A slender aide wire inside the catheter used to move an inflatable and the stent into the carotid artery. The blow up is set inside the stent and expanded. This opens the stent and pushes it into spot against the artery divider. The inflatable is then emptied and evacuated, leaving the stent set up. After time, the cells lining the vein will become through and around the stent to help hold it set up. Carotid Stenting in Houston by our certified cardiologists is safe.

Echocardiography in Services by Top Cardiologists in Houston

Advanced Cardiovascular Care Center is a team of experienced best cardiologists performing cardiac surgery operative procedures on the heart and great vessels. Our heart doctors provide Nuclear Stress Test in Houston. Advancedcardiodr.com a heart clinic in Houston providing stress echo services a test to know how well your heart functions. Our cardiology doctors are specialists in providing treatment for all aspects of cardiology. PFO & ASD Closure is a form of congenital heart defect that enables blood flow.

Our cardiac care center offer high quality carotid stenting services in Houston at affordable price. Our cardiology doctors also deals with transesophageal echo test services in Houston making use of sound waves to make images of the heart. Choose our weight loss therapy to become slim, fit and active. External counter pulsation therapy performed by our Houston cardiologist. Our cardiology doctor provides peripheral angiography and stenting services. We provide cardiac catheterization and stenting services at low rates.

We provide EKG echocardiogram services in detecting the heart problems. We are highly equipped Top Cardiologists in Houston providing cardiac MRI/coronary CTA scans services. Get tested with Tilt table in Houston to diagnosis the cause of your fainting spells. Advancedcardiodr.com with heart specialist provides carotid ultrasound test services to diagnostic imaging technique. Our cardiac care center is specialized in providing quality advanced lipid test services. We provide Holter/event monitor services to detect irregular heart beat. Call us at 281-866-7701 a cardiac care center in Houston to know more about signs of heart disease.

Heart Doctors in Houston

Dr. Annie Varughese Heart Specialist in Houston attended the Medical College of Georgia, Augusta, Georgia and subsequently completed her residency in Internal Medicine as well as Fellowship in Cardiovascular Diseases at the University of Texas Medical School in Houston. Advanced Cardiovascular Care Center with Heart Doctors in Houston.

Our Cardiology Doctors in Houston providing services like:

  • Weight Loss Therapy Services in Houston.
  • Holter/Event Monitor Services in Houston.
  • Tilt Table Test in Houston to diagnose dysautonomia or syncope.
  • EKG Echocardiogram in Houston to image two-dimensional slices of the heart.
  • Advance Lipid Test in Houston to identify additional risk factors of coronary heart disease.
  • Echocardiography in Houston to see the inside of one’s heart and see how it’s beating and pumping blood.
  • PFO & ASD closure in Houston to see blood flow between the left and right atria via the interatrial septum.
  • Transesophageal Echo Test in Houston in the presence of a cardiologist, registered nurse, and ultrasound technician.
  • Cardiac stress echo test in Houston done with heart stimulation to examine the symptoms and blood pressure response.
  • Nuclear Stress Test in Houston to measure the heart’s ability to respond to external stress in a controlled clinical environment.
  • Peripheral Angiography and Stenting Services in Houston to identify vessel narrowing in patients with leg claudicating or cramps.
  • Carotid Stenting services in Houston an endovascular, catheter-based procedure which unblocks narrowing of the carotid artery lumen to prevent a stroke.
  • Cardiac MRI/coronary CTA in Houston medical imaging technology for the non-invasive assessment of the function and structure of the cardiovascular system.
  • Carotid Ultrasound Test in Houston to reveal structural details of the carotid arteries, so as to look for blood clots, atherosclerotic plaque buildup, and other blood flow problems.
  • External Counter Pulsation Therapy in Houston a procedure performed on individuals with angina or heart failure or cardiomyopathy in order to diminish their symptoms ischemia, improve functional capacity and quality of life.
  • Cardiac catheterization and stenting services in Houston a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter. It is performed for both diagnostic and interventional purposes.