Cardiac Care: Consult the Leading
Cardiologist in Sonipat | Primax Hospital

Cardiac Care: Consult the Leading Cardiologist in Sonipat | Primax Hospital
Cardiac Care: Consult the Leading Cardiologist in Sonipat | Primax Hospital

❤️ Cardiac Care at Primax Hospital Sonipat: Your Heart Deserves Expert Care

Welcome to the Cardiac Care Department at Primax Gastro Institute & Superspeciality Hospital, Sonipat, where cardiac excellence meets compassionate healthcare. Our world-renowned cardiology team, led by the most experienced cardiologist in Sonipat, combines advanced cardiac interventions with personalized patient care to deliver life-saving outcomes for all heart conditions.

As the leading cardiology and heart treatment center in Haryana, our mission is simple — to protect, heal, and strengthen your heart using the most advanced technologies in modern cardiovascular medicine.

Our team of leading cardiologists in Sonipat provides complete cardiac solutions — from preventive screening and diagnosis to 24/7 emergency cardiology and complex heart surgeries. Whether you’re facing hypertension, angina, or a heart attack, Primax Hospital ensures precision care backed by trust and results.

🌟Why Choose Primax Hospital for Cardiac Care?

✅ Comprehensive Cardiac Expertise

  • Expert Cardiologists with 20+ years of specialized experience in interventional and preventive cardiology
  • 24/7 Emergency Heart Attack Treatment with door-to-balloon time under 60 minutes
  • Advanced Interventional Cardiology, including angioplasty, stenting, and complex procedures
  • Cardiac Surgery Capabilities with experienced cardiac surgeons on-site
  • Preventive Cardiology Programs for risk assessment and heart disease prevention

✅ State-of-the-Art Cardiac Infrastructure and Technology

  • Modular Cardiac Cath Labs with digital flat-panel imaging systems
  • Advanced Cardiac 24/7 ICU (CICU) with continuous hemodynamic monitoring
  • Fully Equipped Emergency Department for rapid cardiac emergency response
  • On-site Cardiac Diagnostics including ECHO, TMT, Holter, and Cardiac CT/MRI
  • Blood Bank & Emergency Support available round-the-clock

✅ Rapid Response & Minimally Invasive Procedures

  • Golden Hour Protocol: Immediate response for heart attack patients
  • Minimally Invasive Angioplasty: Small puncture, faster recovery
  • Same-Day Discharge for select diagnostic procedures
  • Reduced Hospital Stay: Most stenting patients were discharged within 48 hours
  • Lower Complication Rates due to advanced technology and expertise

✅ Patient-Centric Cardiac Care

  • Transparent Communication about diagnosis, treatment options, and costs
  • Personalized Treatment Plans tailored to individual cardiac conditions
  • Post-Procedure Cardiac Rehabilitation for complete recovery
  • Lifelong Follow-up Care to prevent recurrence and complications

Our Specialized Cardiac Care Services

Coronary Artery Disease (CAD) – Advanced Cardiac Care Department

Coronary Artery Disease is the leading cause of heart attacks, but with early detection and expert intervention, we can save your heart and your life.
Our cardiologist in Sonipat specializes in comprehensive CAD management.

What Causes CAD?
Coronary Artery Disease occurs when plaque builds up in the coronary arteries, reducing blood flow to your heart muscle.
This blockage can lead to chest pain, heart attacks, and other serious complications.
We understand how concerning a CAD diagnosis can be, and we’re here to provide expert guidance every step of the way.

Common Risk Factors to Identify:
  • High cholesterol and triglyceride levels
  • High blood pressure (Hypertension)
  • Diabetes and insulin resistance
  • Smoking and tobacco use
  • Family history of heart disease
  • Obesity and sedentary lifestyle
  • Chronic stress and poor diet

When to Seek Our Expert Cardiac Care
Immediate Attention Needed If You Experience:
  • Chest pain or pressure (especially with exertion)
  • Shortness of breath during routine activities
  • Unusual fatigue or weakness
  • Pain radiating to jaw, neck, or left arm
  • Dizziness or lightheadedness with chest discomfort

Symptom Recognition Guide
Symptom Category
Description
Action Required
Early Warning Signs
Mild chest discomfort during exertion, quickly relieved by rest
Schedule consultation with cardiologist
Stable Angina
Predictable chest pain with physical activity, relieved within 5–10 minutes
Same-day/next-day consultation
Unstable Angina
Chest pain at rest, increasing frequency or severity
Emergency visit immediately
Heart Attack (MI)
Severe crushing chest pain + sweating + nausea + breathlessness
CALL AMBULANCE – IMMEDIATE EMERGENCY

Our Advanced Treatment Approach in Cardiac Care Department

A. Precise Diagnosis:
  • Coronary Angiography: Gold-standard test to visualize blockages in heart arteries
  • Cardiac CT Angiography: Non-invasive imaging of coronary arteries
  • Stress Tests (TMT/Pharmacological): Assess heart function under stress
  • Echocardiogram: Evaluate heart pumping function and valve health
  • Blood Tests: Lipid profile, cardiac enzymes, and inflammatory markers

B. Medical Management:
  • Antiplatelet agents: Aspirin, Clopidogrel, to prevent clot formation
  • Statins: For cholesterol control and plaque stabilization
  • Beta-blockers: To reduce heart workload and control blood pressure
  • ACE inhibitors/ARBs: For heart protection
  • Nitrates: For angina relief

C. Advanced Interventional Procedures:
  • PTCA with Stenting: Minimally invasive procedure to open blocked arteries
  • Drug-Eluting Stents (DES): Prevent re-narrowing
  • Rotablation: For heavily calcified blockages
  • Coronary Artery Bypass Grafting (CABG): Surgical option for complex disease

Why Choose Primax Gastro Institute for CAD Treatment?
  • Expert Interventional Cardiologists: Performed thousands of successful angioplasties
  • Advanced Cath Lab Technology: State-of-the-art precision equipment
  • Rapid Emergency Response: 24/7 heart attack care in Sonipat
  • Cardiac Rehabilitation Programs: Complete post-procedure recovery support

📞 Take the Next Step to Protect Your Heart
If you experience chest pain or have risk factors for heart disease, don’t wait for a heart attack.
Consult our cardiologist at Primax Gastro Institute & Super Speciality Hospital at
9666460009 or contact us to schedule a comprehensive cardiac evaluation today.

Heart Attack (Myocardial Infarction – MI): Emergency Cardiac Treatment

A heart attack is a medical emergency that requires immediate expert intervention. Every minute counts.
Our 24/7 emergency heart attack treatment in Sonipat has saved countless lives through rapid response protocols.

What Happens During a Heart Attack?
A heart attack occurs when blood flow to a part of your heart muscle is blocked, usually by a blood clot in a coronary artery.
Without immediate treatment, the heart muscle begins to die.
Time is muscle—the faster we restore blood flow, the better your recovery and long-term heart function.

Critical Warning Signs to Never Ignore:
  • Chest Pain/Pressure: Crushing, squeezing sensation lasting more than a few minutes
  • Radiating Pain: Arms, jaw, neck, back, or stomach
  • Shortness of Breath: With or without chest discomfort
  • Cold Sweat: Clammy perspiration
  • Nausea/Vomiting: Especially with other symptoms
  • Lightheadedness: Sudden dizziness or faintness

Heart Attack Recognition & Response Guide
Warning Level
Symptoms
Possible Heart Attack
Mild to moderate chest discomfort + one other symptom
Probable Heart Attack
Severe chest pain + multiple symptoms (sweating, breathlessness)
Confirmed Heart Attack
Severe symptoms + ECG changes + elevated cardiac enzymes
Massive Heart Attack
Loss of consciousness, no pulse, cardiac arrest

Our Life-Saving Treatment Protocol

A. Golden Hour Response (Within 60 Minutes):
  • Immediate ECG within 10 minutes of arrival
  • Cardiac Enzyme Tests (Troponin) for confirmation
  • Clot-Busting Medications (Thrombolysis)
  • Emergency Angiography to locate the blockage
  • Primary PTCA with stenting to restore blood flow

B. Comprehensive Post-Heart Attack Care:
  • Cardiac ICU Monitoring with continuous ECG
  • Medications to prevent recurrence: antiplatelets, statins, beta-blockers
  • Echocardiogram for heart pumping evaluation
  • Cardiac Rehabilitation Program
  • Risk Factor Modification guidance

C. Advanced Interventions Available:
  • Primary Angioplasty (Emergency PTCA)
  • Rescue Angioplasty when thrombolysis fails
  • Emergency CABG for complex cases
  • Mechanical Circulatory Support: IABP, ECMO

Why Primax Hospital is the Best Choice for Heart Attack Treatment in Sonipat?
  • Door-to-Balloon Time Under 60 Minutes: Meets international standards
  • 24/7 Cath Lab Availability: Always ready for emergencies
  • Experienced Emergency Team: ACLS-trained staff
  • Highest Survival Rates: Due to golden hour protocol

📞 Emergency Heart Attack? Call Immediately
If you or someone nearby is experiencing heart attack symptoms, every second matters.
Call our emergency helpline at
9666460009 or rush to Primax Hospital’s
Emergency Department immediately. Our team is ready 24/7 to save your heart and your life.
Hypertension (High Blood Pressure)
High blood pressure is the silent killer affecting millions. It rarely shows symptoms but dramatically increases the risk of heart attack, stroke, and kidney failure. Our cardiologist in Sonipat provides expert hypertension management to protect your heart and overall health.
What is High Blood Pressure?
Hypertension occurs when the force of blood against your artery walls is consistently too high (≥140/90 mmHg). Over time, this damages blood vessels and organs, especially your heart, brain, kidneys, and eyes. Most people don’t feel high blood pressure, which is why regular monitoring is crucial.
Common Causes & Risk Factors:
• Genetic predisposition and family history
• Excessive salt intake
• Obesity and physical inactivity
• Chronic stress and anxiety
• Excess alcohol consumption
• Smoking and tobacco use
• Diabetes and kidney disease
• Age (risk increases after 45)
When to Consult Our Cardiologist
• BP readings consistently above 130/85 mmHg
• Family history of hypertension or heart disease
• Risk factors: obesity, diabetes, smoking
• Symptoms: headaches, dizziness, blurred vision
• Difficulty controlling BP with medications
Our Comprehensive Treatment Approach
A. Thorough Evaluation:
• 24-Hour Ambulatory BP Monitoring
• Blood Tests: kidney function, electrolytes, lipid profile, sugar
• ECG & Echocardiogram
• Kidney Function Tests
• Eye Examination for hypertensive retinopathy
B. Personalized Medication Management:
• ACE Inhibitors / ARBs
• Calcium Channel Blockers
• Beta-Blockers
• Diuretics
• Combination Therapy for resistant hypertension
C. Lifestyle Modification Program:
• DASH Diet guidance
• Salt restriction (below 5g/day)
• Weight loss (5–10 kg improves BP significantly)
• Exercise: 150 min/week moderate activity
• Stress management: meditation, yoga
Why Choose Primax for Hypertension Management?
• Personalized treatment plans
• Regular monitoring & follow-up
• Prevention of long-term complications
• Expert lifestyle & diet counseling
📞 Take Control of Your Blood Pressure Today
Schedule a comprehensive hypertension evaluation at Primax Gastro Institute & Super Specialty Hospital.
Call: 9666460009

Heart Failure (Congestive Heart Failure – CHF) – Expert Management

Heart failure doesn’t mean your heart has stopped—it means your heart isn’t pumping blood as effectively as it should.
With expert management, you can significantly improve your quality of life and longevity.
Our cardiologist in Sonipat specializes in advanced heart failure treatment.

What is Heart Failure?

Heart failure occurs when your heart muscle becomes too weak or stiff to pump blood efficiently throughout your body.
This leads to fluid buildup in lungs and body tissues, causing breathlessness, fatigue, and swelling.
Early recognition and proper treatment are key to living well with heart failure.

Common Causes of Heart Failure:

  • Previous heart attack, causing heart muscle damage
  • Long-standing uncontrolled hypertension
  • Coronary artery disease with reduced blood flow
  • Valvular heart disease (leaky or narrow valves)
  • Cardiomyopathy (heart muscle disease)
  • Arrhythmias (irregular heart rhythms)
  • Diabetes and chronic kidney disease

Warning Heart Failure Signs and Symptoms:

  • Shortness of breath: Especially when lying flat or during minimal activity
  • Persistent cough or wheezing: Often with frothy or blood-tinged sputum
  • Swelling (edema): Legs, ankles, feet, or abdomen
  • Rapid weight gain: Due to fluid retention (2–3 kg in a few days)
  • Fatigue and weakness: Even with rest
  • Reduced exercise tolerance
  • Loss of appetite and nausea: Due to digestive congestion

Our Advanced Heart Failure Management

A. Comprehensive Diagnostic Evaluation:

  • Echocardiogram (EF): Measures pumping efficiency
  • BNP/NT-proBNP test: Indicates severity
  • Chest X-ray: Detects lung fluid & heart enlargement
  • Cardiac MRI: Detailed structure & function
  • Stress Test: Assesses capacity & symptoms
  • Coronary Angiography: If ischemia suspected

B. Evidence-Based Medical Therapy:

  • ACE Inhibitors / ARBs / ARNI: Improve survival
  • Beta-Blockers: Strengthen heart function
  • Diuretics: Reduce swelling & congestion
  • Aldosterone Antagonists: Prevent remodeling
  • SGLT2 Inhibitors: Highly effective modern therapy
  • Digoxin: For atrial fibrillation with HF

C. Advanced Device & Interventional Therapies:

  • CRT (Biventricular Pacemaker): For selected patients
  • ICD: Prevents sudden cardiac death
  • Revascularization (PTCA/CABG): If ischemic cause
  • Valve Repair/Replacement
  • Mitral Clip Procedure: Minimally invasive repair

D. Heart Failure Management Program:

  • Regular monitoring: Medication adjustments
  • Daily weight tracking to detect fluid retention
  • Dietary guidance: Salt reduction & fluid limits
  • Cardiac rehabilitation: Supervised exercise
  • Patient education: Warning signs & medicine use

Why is Primax the Best for Heart Failure Treatment?

  • Experienced Heart Failure Specialists
  • Complete treatment options – medicines to devices
  • Multidisciplinary team (cardiology + surgery + nutrition)
  • 24/7 Emergency Support for acute episodes

📞 Living Better with Heart Failure

If you’re experiencing symptoms of heart failure or struggle with symptom control, we can help.
Contact Primax Gastro Institute & Super Speciality Hospital at 9666460009 to schedule a comprehensive heart failure evaluation and begin your personalized treatment plan.

Arrhythmias (Heart Rhythm Disorders): Advanced Cardiac Electrophysiology

Your heart’s rhythm is controlled by electrical signals. When these signals malfunction, you experience arrhythmias—
irregular heartbeats that can range from harmless to life-threatening. Our cardiologist in Sonipat provides expert
diagnosis and treatment for all rhythm disorders.

What Are Heart Rhythm Disorders?

Arrhythmias occur when your heart beats too fast (tachycardia), too slow (bradycardia), or irregularly.
Some arrhythmias are benign, while others like atrial fibrillation increase stroke risk, or
ventricular tachycardia can cause sudden cardiac death. Proper diagnosis is essential to determine
the right treatment.

Common Types of Arrhythmias:

  • Atrial Fibrillation (AFib): Irregular, rapid heartbeat
  • Atrial Flutter: Rapid but regular atrial rhythm
  • Supraventricular Tachycardia (SVT): Fast rhythm above ventricles
  • Ventricular Tachycardia (VT): Dangerous rapid lower-chamber rhythm
  • Bradycardia: Slow heart rate (<60 bpm)
  • Heart Block: Delayed or blocked electrical signals
  • Premature Beats (PACs/PVCs): Extra beats, usually harmless

Symptoms Requiring Evaluation

When to Consult Our Cardiac Specialist:

  • Palpitations: Racing, fluttering, or skipped beats
  • Dizziness or lightheadedness
  • Fainting (syncope): Loss of consciousness
  • Chest discomfort with irregular heartbeat
  • Shortness of breath during rapid episodes
  • Fatigue: With slow heartbeat
  • Anxiety: Feeling of impending doom

Arrhythmia Risk & Management Guide

  • Occasional PVCs/PACs: Low risk – skipped beats, often asymptomatic
  • Atrial Fibrillation: Moderate–High – palpitations, fatigue, stroke risk
  • Supraventricular Tachycardia: Low–Moderate – sudden rapid heartbeat
  • Ventricular Tachycardia: High risk – dizziness, syncope, cardiac arrest
  • Complete Heart Block: High risk – extreme fatigue, fainting, slow pulse

Our Comprehensive Arrhythmia Management

A. Advanced Diagnostic Testing:

  • 12-Lead ECG: Captures rhythm abnormalities
  • 24–48 Hour Holter Monitoring: Continuous rhythm tracking
  • Event Recorder: For infrequent symptoms
  • Echocardiogram: Checks structure & heart function
  • Stress Test: Detects exercise-induced arrhythmias
  • Electrophysiology Study (EPS): Maps electrical pathways

B. Medical Management:

  • Beta-Blockers: Control fast heart rates
  • Calcium Channel Blockers: AFib rate control
  • Antiarrhythmic Drugs: Maintain normal rhythm
  • Anticoagulants: Stroke prevention in AFib
  • Digoxin: Rate control in AFib with heart failure

C. Advanced Interventional Procedures:

(i) Cardiac Ablation:

  • Radiofrequency ablation for SVT, atrial flutter, AFib
  • 90%+ success rate for SVT ablation
  • Curative treatment for many arrhythmias

(ii) Pacemaker Implantation:

  • Single, dual, or biventricular pacemakers
  • Permanent treatment for bradycardia & heart block

(iii) Implantable Cardioverter-Defibrillator (ICD):

  • Automatically detects and treats life-threatening rhythms
  • Essential for high-risk ventricular arrhythmias

(iv) Cardioversion:

  • Electrical shock therapy to restore normal rhythm

Why Choose Primax for Arrhythmia Treatment?

  • Expert Cardiac Electrophysiologists
  • State-of-the-Art EP Lab with advanced 3D mapping
  • Device Clinic for pacemaker & ICD follow-up
  • AFib Stroke Prevention Program

📞 Don’t Ignore Irregular Heartbeats

If you experience palpitations, dizziness, or fainting episodes, get evaluated by our arrhythmia specialists.
Call 9666460009 to schedule an appointment and ensure your heart rhythm is safe.

Valvular Heart Disease – Comprehensive Valve Disorders Management

Your heart valves regulate blood flow. When they become narrow (stenosis) or leaky (regurgitation), the heart works harder. Our expert cardiologist in Sonipat provides advanced diagnosis and treatment for all valve disorders.

What Happens When Valves Malfunction?

Valve disease can occur due to aging, infections, congenital issues, or rheumatic fever. If untreated, it may lead to heart failure. Early detection is essential.

Common Valve Disorders

  • Aortic Stenosis
  • Aortic Regurgitation
  • Mitral Stenosis
  • Mitral Regurgitation
  • Tricuspid Regurgitation
  • Mitral Valve Prolapse

Symptoms That Need Medical Attention

  • Shortness of breath
  • Fatigue & weakness
  • Chest pain during exertion
  • Palpitations or irregular heartbeat
  • Swelling in legs or abdomen
  • Dizziness or fainting
  • Heart murmur

Our Comprehensive Valve Disease Management

A. Diagnostic Evaluation

  • Transthoracic Echocardiogram (TTE)
  • Transesophageal Echo (TEE)
  • Cardiac MRI
  • Cardiac Catheterization
  • Chest X-ray
  • ECG

B. Medical Management

  • Diuretics
  • ACE Inhibitors / ARBs
  • Beta-Blockers
  • Anticoagulants
  • Endocarditis Prophylaxis Antibiotics

C. Minimally Invasive Interventions

  • Balloon Valvuloplasty — for mitral stenosis
  • TAVR — minimally invasive aortic valve replacement
  • MitraClip — minimally invasive mitral valve repair

D. Surgical Options

  • Valve Repair (preferred when possible)
  • Mechanical Valve Replacement
  • Bioprosthetic Valve Replacement
  • Minimally Invasive Cardiac Surgery (MICS)

Post-Procedure Care

  • Regular Echo follow-up
  • Anticoagulation monitoring
  • Endocarditis prevention
  • Cardiac rehabilitation
  • Lifestyle modifications

Why Choose Primax?

  • Expert Structural Heart Team
  • Advanced 3D Imaging & Diagnostics
  • All treatment options under one roof
  • Heart Team Multidisciplinary Approach
📞 Protect Your Heart Valves – Call 9666460009
Schedule your comprehensive valve assessment today.

Angina – Comprehensive Chest Pain Management

What is Angina? Angina occurs when your heart muscle doesn’t receive enough oxygen-rich blood, usually due to narrowed or blocked coronary arteries. While angina itself isn’t a heart attack, it significantly increases your risk of having one. Think of angina as your heart’s way of crying out for help—it’s crucial not to ignore these warning signals.

Types of Angina:

  • Stable Angina: Predictable chest pain triggered by exertion or stress, relieved by rest within 5–10 minutes
  • Unstable Angina: Unpredictable, occurs at rest, lasts longer—medical emergency
  • Variant (Prinzmetal’s) Angina: Caused by coronary artery spasm
  • Microvascular Angina: Pain from small vessel disease

Recognizing Angina Symptoms

Classic Angina Symptoms:

  • Chest pressure or tightness (heaviness or squeezing)
  • Radiating pain to left arm, jaw, neck, or back
  • Shortness of breath
  • Fatigue with minimal exertion
  • Nausea or indigestion-like feeling
  • Dizziness or lightheadedness

Note: Women’s Angina Symptoms May Differ

Women often experience unusual fatigue, sleep disturbances, nausea, and upper back or jaw pain without typical chest pain.

Our Comprehensive Angina Management

A. Thorough Diagnostic Evaluation:

  • Detailed history and symptom analysis
  • Physical examination
  • Resting ECG
  • Stress testing (TMT or pharmacological)
  • Coronary angiography
  • Blood tests (cardiac enzymes, cholesterol, diabetes screening)
  • Echocardiogram

B. Medical Management for Stable Angina:

  • Nitrates (Nitroglycerin) for quick relief
  • Beta-blockers to reduce heart workload
  • Calcium channel blockers
  • Antiplatelet agents (Aspirin/Clopidogrel)
  • Statins for cholesterol reduction
  • ACE inhibitors
  • Ranolazine for refractory angina

C. Interventional Treatment Options:

  • Coronary angioplasty (PTCA) with stenting
  • Coronary artery bypass grafting (CABG)
  • Enhanced external counterpulsation (EECP)
  • Cardiac rehabilitation

Why Choose Primax for Angina Treatment?

  • Rapid evaluation for urgent chest pain
  • Comprehensive on-site cardiac testing
  • Accurate diagnosis by experienced cardiologists
  • Complete treatment from medication to surgery
  • 24/7 emergency care for unstable angina

📞 Don’t Ignore Chest Pain

If you experience chest pressure or discomfort, get evaluated immediately by our cardiac care specialists at Primax Gastro Institute & Super Speciality Hospital.
Call 9666460009 for an urgent angina evaluation.

Cardiomyopathy – Heart Muscle Disease Management
Cardiomyopathy is a condition where the heart muscle becomes abnormal—either too thick, too thin, or too stiff. This affects the heart’s ability to pump blood efficiently, potentially leading to heart failure, arrhythmias, or sudden cardiac death. Early diagnosis and proper management are crucial for optimal outcomes.
Types of Cardiomyopathy:
• Dilated Cardiomyopathy (DCM): Heart chambers enlarge and weaken
• Hypertrophic Cardiomyopathy (HCM): Heart muscle becomes abnormally thick
• Restrictive Cardiomyopathy: Heart muscle becomes stiff
• Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC): Fatty tissue replaces RV
• Takotsubo Cardiomyopathy: “Broken heart syndrome” triggered by stress
Common Causes:
• Genetic or hereditary factors
• Viral infections leading to myocarditis
• Chronic alcohol abuse
• Long-standing uncontrolled hypertension
• Coronary artery disease
• Metabolic disorders: diabetes, thyroid disease
• Chemotherapy-induced cardiotoxicity
• Severe nutritional deficiencies
• Peripartum cardiomyopathy
Recognizing Cardiomyopathy Symptoms
• Shortness of breath
• Fatigue and weakness
• Swelling in legs, ankles, feet, or abdomen
• Dizziness or lightheadedness
• Chest discomfort or pressure
• Palpitations
• Fainting (syncope)
Our Comprehensive Cardiomyopathy Management
A. Advanced Diagnostic Evaluation:
• Echocardiography
• Cardiac MRI
• Genetic testing
• Coronary angiography
• Endomyocardial biopsy (selected cases)
• Holter monitoring
• BNP/NT-proBNP blood markers
• Cardiopulmonary exercise testing
B. Medical Management:
For Dilated Cardiomyopathy:
• ACE inhibitors / ARBs / ARNI
• Beta-blockers
• Aldosterone antagonists
• SGLT2 inhibitors
• Diuretics
• Anticoagulation when needed
For Hypertrophic Cardiomyopathy:
• Beta-blockers or calcium channel blockers
• Disopyramide
• Avoid dehydration and extreme exertion
• Genetic counseling for family members
For Restrictive Cardiomyopathy:
• Diuretics
• Treat underlying causes
• Anticoagulation often required
C. Advanced Interventional Therapies:
• ICD implantation
• CRT (biventricular pacemaker)
• Septal myectomy
• Alcohol septal ablation
• LVAD support
• Heart transplantation
D. Specialized Cardiomyopathy Clinic:
• Multidisciplinary heart failure and genetics team
• Regular monitoring with echocardiography
• Device programming and optimization
• Lifestyle and exercise counseling
• Family screening
• Psychological support
Special Considerations:
• Athletes with HCM should avoid competitive sports
• Pregnancy requires specialized management
• Family members may need genetic testing
Why Choose Primax for Cardiomyopathy Care?
• Expert heart failure and cardiomyopathy specialists
• Advanced cardiac imaging
• Genetic counseling and family screening
• Comprehensive device therapy
• Multidisciplinary coordinated care
📞 Specialized Cardiomyopathy Care
If you have symptoms or a diagnosis of cardiomyopathy, early treatment can save lives.
Call: 9666460009

Peripheral Artery Disease (PAD) – Leg Circulation Management

Peripheral Artery Disease affects arteries outside the heart, most commonly in the legs.

What is PAD?

P A D occurs when arteries supplying blood to your limbs (usually legs) become narrowed or blocked due to plaque buildup. This reduces blood flow, causing symptoms during walking and potentially leading to non-healing wounds, gangrene, or amputation if severe and untreated. PAD is also a marker of widespread atherosclerosis affecting coronary and carotid arteries.

Risk Factors for PAD:

  • Smoking (most important factor)
  • Diabetes
  • High blood pressure
  • High cholesterol
  • Age above 50
  • Family history
  • Obesity
  • Sedentary lifestyle

Recognizing PAD Symptoms

A. Intermittent Claudication:

  • Leg pain or cramping during walking
  • Same distance triggers symptoms every time
  • Pain relieved by rest
  • Common in calves, thighs, buttocks, feet

B. Advanced PAD (Critical Limb Ischemia):

  • Rest pain in feet/toes
  • Non-healing wounds
  • Coldness in foot
  • Color changes (pale/blue/dark)
  • Hair loss on legs
  • Shiny skin
  • Weak or absent pulses
  • Gangrene

Our Comprehensive PAD Management

A. Diagnostic Evaluation:

  • Ankle-Brachial Index (ABI)
  • Duplex Ultrasound
  • CT Angiography
  • MR Angiography
  • Catheter-based angiography

B. Medical Management:

  • Antiplatelet therapy (Aspirin/Clopidogrel)
  • Statins (target LDL <70 mg/dL)
  • Cilostazol
  • ACE inhibitors
  • Diabetes control
  • Blood pressure control

C. Supervised Exercise Therapy:

  • Walk until pain → Rest → Repeat
  • 30–45 minutes per session
  • 3–5 days per week
  • Improves walking distance by 50–200%

D. Minimally Invasive Interventions:

  • Peripheral angioplasty and stenting
  • Atherectomy
  • Drug-coated balloons
  • CTO interventions

Critical Limb Ischemia – Emergency Care

  • Urgent hospitalization
  • Wound care & pain management
  • Emergency angiography
  • Revascularization attempts
  • Hyperbaric oxygen therapy
  • Amputation only if limb unsalvageable

Why Choose Primax Hospital?

  • Experienced vascular specialists
  • Advanced cath lab technology
  • Multidisciplinary vascular care
  • Strong limb-salvage program
  • Complete diagnosis → treatment → rehab

📞 Don’t Ignore Leg Pain When Walking
Contact Primax Gastro Institute & Super Speciality Hospital at 9666460009 for a complete PAD evaluation.

Our Specialized Cardiac Tests

ECG/EKG (Electrocardiogram) – Essential Cardiac Diagnostic Test

An Electrocardiogram (ECG or EKG) is a crucial test to evaluate your heart’s electrical activity. It is quick, painless, and provides vital information about heart rhythm, heart rate, and signs of heart disease. Our cardiac care department performs hundreds of ECGs daily with expert interpretation.

Process: An ECG records electrical signals generated by your heart. Small electrodes are attached to your chest, arms, and legs. These detect impulses and create a graph showing your heart’s rhythm pattern. This simple test can detect heart attacks, arrhythmias, chamber enlargement, and other abnormalities within minutes.

Types of ECG We Perform:

  • Resting ECG (12-Lead)
  • Exercise ECG (Stress Test / TMT)
  • Holter Monitor (24–48 hour)
  • Event Recorder (long-term monitoring)
  • High-Resolution ECG

When is ECG Recommended?

  • Chest pain or pressure
  • Palpitations or irregular heartbeat
  • Shortness of breath
  • Pre-operative assessment
  • Annual screening (age >40 or risk factors)
  • During hospitalization
  • Monitoring medication effects
  • Pacemaker evaluation
  • Suspected heart attack

The ECG Procedure

A. Preparation:

  • No special preparation needed
  • Wear loose clothing
  • Avoid lotions or oils on chest
  • Total time: 5–10 minutes

B. During the Test:

  • 10 electrodes placed on chest and limbs
  • Lie still, breathe normally
  • Recording takes 10–15 seconds
  • Completely painless

C. Results:

  • Immediate tracing available
  • Cardiologist interpretation within hours
  • Critical findings communicated urgently

Understanding Your ECG Report

  • Heart Rate: Normal 60–100 bpm
  • Bradycardia: <60 bpm
  • Tachycardia: >100 bpm
  • Rhythm: Should be regular sinus rhythm
  • PR Interval: 0.12–0.20 sec
  • QRS Duration: <0.12 sec
  • QT Interval: HR dependent

Normal ECG Example: “Normal sinus rhythm, 70 bpm, normal axis, no ST-T changes.”

Abnormal ECG Examples:

  • Atrial fibrillation with rapid ventricular response
  • Acute anterior wall MI with ST elevation
  • Left bundle branch block
  • Prolonged QT interval

When ECG is Normal But Symptoms Continue

  • Stress testing may reveal exertional issues
  • Holter monitoring detects intermittent arrhythmias
  • Echocardiography checks structure and function
  • Coronary angiography visualizes arteries

Why Choose Primax for ECG Services?

  • 24/7 ECG availability
  • Latest digital ECG machines
  • Expert cardiologist interpretation
  • Immediate reporting for emergencies
  • Complete follow-up and further evaluation

Echocardiogram (ECHO) – Comprehensive Heart Imaging

An echocardiogram is an ultrasound of your heart that provides real-time images of heart chambers, valves, and blood flow. It is painless, radiation-free, and one of the most important diagnostic tests in cardiac care.

What is Echocardiography?

Echocardiography uses sound waves to create moving pictures of your heart. It helps evaluate heart size, pumping ability, valve function, blood flow patterns, structural defects, blood clots, and fluid around the heart.

Types of Echocardiograms We Perform:

  • Transthoracic Echo (TTE)
  • Transesophageal Echo (TEE)
  • Stress Echocardiography
  • 3D Echocardiography
  • Doppler Echocardiography

When is Echocardiogram Recommended?

  • Suspected heart failure
  • Heart murmur detected
  • Chest pain or shortness of breath
  • Before and after cardiac procedures
  • Monitoring valve disease
  • After heart attack to assess damage
  • Detecting blood clots in heart
  • Evaluating congenital heart disease
  • Monitoring effects of chemotherapy

Our Advanced Echocardiography Services

A. State-of-the-Art Equipment:
  • High-resolution 4D echo machines
  • Strain imaging technology
  • 3D valve assessment
  • Contrast-enhanced echocardiography
  • Portable echo units for ICU and emergencies
B. Expert Interpretation:
  • Board-certified cardiologists
  • Comprehensive quantitative reports
  • Same-day results for urgent cases
  • Detailed cardiac measurements

📋 Preparation for Your Echo:

  • Transthoracic Echo (TTE): No preparation required
  • Transesophageal Echo (TEE):
    • Fasting 6–8 hours before
    • Throat numbing spray
    • Light sedation if needed
    • Observation for 1–2 hours after
  • Stress Echo: Wear comfortable clothing and shoes

C. What to Expect:

  • Duration: 30–45 minutes (TTE), 20–30 minutes (TEE)
  • No discomfort in TTE; mild temporary throat discomfort in TEE
  • Results usually same day or within 24 hours
  • Follow-up discussion with cardiologist

Clinical Applications:

  • Heart failure evaluation
  • Pre-surgical assessment
  • Post-heart attack damage evaluation
  • Diagnosing endocarditis
  • Cardiomyopathy assessment
  • Detecting pericardial disease or effusion

Why Choose Primax for Echocardiography?

  • Latest echo technology
  • Highly trained echocardiographers
  • Comprehensive reporting
  • Quick result turnaround

📞 Schedule Your Echocardiogram Today

If your doctor has recommended an echocardiogram or you need cardiac imaging, contact Primax Gastro Institute & Super Speciality Hospital at [9666460009] to schedule your appointment.

PTCA (Angioplasty with Stenting)

PTCA (Percutaneous Transluminal Coronary Angioplasty) with stenting is a minimally invasive procedure that opens blocked coronary arteries and restores blood flow to your heart. Our expert cardiologist in Sonipat has performed thousands of successful angioplasties, saving lives and preventing heart attacks.

What is Angioplasty & Stenting?

Angioplasty is a catheter-based procedure where a small balloon is inflated inside a blocked coronary artery to widen it. A stent (tiny mesh tube) is then placed to keep the artery open permanently. This procedure is performed through a small puncture in your wrist or groin artery where no chest opening required.

When is Angioplasty Needed?

  • Emergency: During heart attack to restore blood flow immediately
  • Urgent: For unstable angina with high-risk features
  • Elective: For severe stable angina not controlled by medications
  • Preventive: For critical blockages discovered during screening

Types of Stents We Use:

  • Bare Metal Stents (BMS): Basic stent, lower cost, requires shorter antiplatelet therapy
  • Drug-Eluting Stents (DES): Coated with medication to prevent re-narrowing
  • Bioresorbable Stents: Dissolves over time (for select cases)
  • Specialized Stents: For complex anatomies (bifurcation, left main disease)

PTCA Procedure Guide

Stage What Happens Duration
Pre-Procedure Fasting, IV line, groin/wrist preparation, consent 30-60 minutes
During Procedure Local anesthesia, catheter insertion, blockage opened, stent placed 30-90 minutes
Immediate Post-Procedure Pressure applied to puncture site, monitoring in recovery 4-6 hours
Hospital Stay Observation, medications started, activity restrictions 24-48 hours
Recovery at Home Gradual return to activities, follow-up appointments 1-2 weeks

Our Advanced PTCA Services

A. Pre-Procedure Excellence:

  • Comprehensive Cardiac Assessment: ECG, echo, blood tests, coronary angiography
  • Risk Stratification: Identifying high-risk anatomies requiring special techniques
  • Patient Counseling: Detailed explanation of procedure, risks, and benefits
  • Kidney Protection Protocol: For patients with kidney disease

B. Advanced Procedural Capabilities:

  • Radial Approach (Wrist Access): Safer, more comfortable than groin approach
  • Complex Angioplasty Techniques:
    • Rotablation for heavily calcified blockages
    • Bifurcation stenting for branch vessel involvement
    • Chronic Total Occlusion (CTO) intervention
    • Left Main coronary artery stenting
  • Intravascular Imaging: IVUS/OCT for optimal stent placement
  • Fractional Flow Reserve (FFR): Physiological assessment of blockage severity
  • 3D Imaging and Navigation: For precise stent positioning

C. Post-Procedure Care Protocol:

  • Dual Antiplatelet Therapy (DAPT): Aspirin + Clopidogrel/Ticagrelor for 12 months
  • Statin Therapy: High-intensity for plaque stabilization
  • Blood Pressure Control: Target less than 130/80 mmHg
  • Diabetes Management: Optimal glucose control
  • Cardiac Rehabilitation: Supervised exercise program starting at 2 weeks

D. Warning Signs to Report Immediately:

  • Chest pain similar to or worse than before the procedure
  • Bleeding or swelling at the puncture site
  • Numbness or coldness in hand/leg used for access
  • Fever or signs of infection
  • Shortness of breath or palpitations

Why Choose Primax for Angioplasty?

  • Experienced Interventional Cardiologists: 15+ years of expertise in complex angioplasties
  • State-of-the-Art Cath Lab: Latest generation imaging and intervention equipment
  • 24/7 Primary Angioplasty: For emergency heart attack treatment in Sonipat
  • Lowest Complication Rates: Due to radial approach and expert technique
  • Comprehensive Follow-up: Ensuring stent patency and preventing complications

Need Angioplasty? We’re Here 24/7

If you’ve been diagnosed with coronary artery blockages or are experiencing angina, consult our interventional cardiologists at Primax Gastro Institute & Super Speciality Hospital. Call [9666460009] for appointment or emergency angioplasty services available.

Treadmill Test (TMT) – Exercise Stress Testing

The Treadmill Test (TMT), also called Exercise Stress Test, evaluates how your heart performs under physical stress. It’s one of the most important tests to detect coronary artery disease, assess exercise capacity, and determine if chest pain is cardiac-related.

How TMT is Done?

During TMT, you walk on a treadmill while your heart rate, blood pressure, breathing, and ECG are continuously monitored. The treadmill speed and incline gradually increase, making your heart work progressively harder. This stress reveals problems with blood flow that might not be apparent when you’re resting.

Why is TMT Recommended?

Your Cardiologist Orders TMT To:

  • Diagnose coronary artery disease (CAD) causing chest pain
  • Assess exercise capacity and functional status
  • Evaluate treatment effectiveness after angioplasty or CABG
  • Determine safe exercise levels for cardiac rehabilitation
  • Screen high-risk individuals (diabetes, family history)
  • Investigate unexplained shortness of breath
  • Assess prognosis after heart attack
  • Pre-operative risk assessment before major surgery

Who Should NOT Undergo TMT?

Absolute Contraindications:

  • Unstable angina not stabilized
  • Severe aortic stenosis
  • Acute heart failure
  • Acute pulmonary embolism
  • Acute myocarditis or pericarditis
  • Inability to walk on treadmill

TMT Interpretation Guide

Test Result ECG Findings Symptoms
Negative No ST changes, good exercise capacity No chest pain
Positive ST depression ≥1mm, early onset Chest pain during test
Inconclusive Submaximal heart rate achieved Non-specific symptoms
High-Risk Positive ST depression ≥2mm, low workload, hypotension Severe symptoms

Our Advanced TMT Services

A. Comprehensive Protocol:

  • Bruce Protocol: Standard exercise protocol with progressive stages
  • Modified Bruce Protocol: For elderly or deconditioned patients
  • Customized Protocols: Tailored to individual fitness levels
  • Continuous Monitoring: 12-lead ECG, heart rate, blood pressure, oxygen saturation
  • Recovery Phase Monitoring: Crucial for detecting late ECG changes

B. Safety First Approach:

  • Pre-Test Screening: Medical history, physical exam, resting ECG
  • Cardiac Emergency Team: On standby during procedure
  • Emergency Equipment: Defibrillator, crash cart, resuscitation medications
  • Physician Supervision: Cardiologist present throughout test
  • Immediate Access to Cath Lab: If emergency intervention needed

C. Preparation Guidelines:

  • Wear comfortable walking shoes and loose-fitting clothes
  • Avoid heavy meals 2-3 hours before test
  • Continue regular medications (unless advised otherwise)
  • Inform if taking beta-blockers (may need temporary discontinuation)
  • Bring list of current medications
  • Avoid caffeine on test day

D. Test Procedure:

  • Baseline Assessment: Resting ECG, blood pressure, brief physical exam (10 minutes)
  • Exercise Phase: Walking on treadmill with increasing speed/incline (6-12 minutes)
  • Peak Exercise: Continue until target heart rate or symptoms develop
  • Recovery Phase: Gradual cooldown with continued monitoring (5-10 minutes)
  • Total Duration: Approximately 30-45 minutes

Pacemaker & ICD Implantation: Advanced Cardiac Device Therapy

Pacemakers and Implantable Cardioverter-Defibrillators (ICDs) are life-saving devices for patients with heart rhythm disorders. A pacemaker prevents dangerously slow heart rates, while an ICD protects against sudden cardiac death from fatal arrhythmias.

What is a Pacemaker?

A pacemaker is a small device implanted under the skin (usually below the collarbone) that sends electrical signals to keep your heart beating at a proper rate. It monitors your heart rhythm 24/7 and paces only when needed, allowing natural heart rhythm when present.

What is an ICD?

An ICD is similar to a pacemaker but also monitors for dangerous rapid rhythms (ventricular tachycardia/fibrillation). If detected, it delivers a shock to restore normal rhythm, preventing sudden cardiac death. Many ICDs also have pacemaker functions.

Who Needs These Devices?

Pacemaker Indications:

  • Bradycardia: Heart rate consistently below 60 bpm with symptoms
  • Heart Block: Electrical signals delayed or blocked between chambers
  • Sick Sinus Syndrome: Irregular, too-slow heart rhythm
  • Post-Heart Attack: Damage to heart’s electrical system
  • After Cardiac Surgery: Damage to conduction system
  • Atrial Fibrillation with Slow Ventricular Response

ICD Indications:

  • Previous Cardiac Arrest: Survived ventricular fibrillation
  • Sustained Ventricular Tachycardia
  • Severe Heart Failure: Ejection fraction <35%
  • Inherited Cardiomyopathies (HCM, ARVC, LQTS)
  • Post-Heart Attack: High risk for dangerous arrhythmias

Types of Cardiac Devices

Device Type Function Who Needs It
Single-Chamber Pacemaker Paces right ventricle only Simple bradycardia, AFib with AV block
Dual-Chamber Pacemaker Paces both atrium and ventricle Heart block, sick sinus syndrome
Biventricular Pacemaker (CRT) Paces both ventricles simultaneously Heart failure with dyssynchrony
ICD (Single/Dual Chamber) Pacing + defibrillation Cardiac arrest survivor, VT, cardiomyopathy
CRT-D Biventricular pacing + defibrillation Heart failure with arrhythmia risk

The Implantation Procedure

A. Pre-Procedure Preparation:

  • Comprehensive Evaluation: ECG, echo, Holter monitoring, blood tests
  • Device Selection: Based on your specific condition and needs
  • Patient Counseling: Detailed explanation of procedure and device function
  • Consent Process: Discussion of risks, benefits, and alternatives

B. During the Procedure (60–90 minutes):

  • Local Anesthesia at implant site
  • Lead Insertion through vein into heart chambers
  • Lead Positioning under X-ray guidance
  • Testing lead function
  • Device placed in pocket under skin
  • Incision closed with stitches

C. Recovery Timeline:

Phase Duration What to Expect
Immediate Post-Op 4–6 hours Bed rest, monitoring, chest X-ray
Hospital Stay 1–2 days Device testing, wound care instructions
First Week 7 days Limited arm movement, no heavy lifting
First Month 4 weeks Gradual return to normal activities
Long-Term Lifelong Regular device checks and monitoring

Living with Your Device

Activities You CAN Do:

  • Normal daily activities and light exercise
  • Driving after healing (usually 1 week for pacemaker)
  • Travel with device ID card
  • Use household appliances safely
  • Use cell phones (keep 6 inches away)
  • Sexual activity after healing

Precautions Needed:

  • Avoid MRI unless device is MRI-conditional
  • Inform airport staff; avoid handheld security wands
  • Avoid strong magnetic or electrical fields
  • Inform doctors before any procedure
  • Avoid contact sports

Device Monitoring & Maintenance:

  • Regular follow-ups every 3–6 months
  • Remote monitoring available for many devices
  • Battery Life:
    • Pacemakers: 7–12 years
    • ICDs: 5–7 years
  • Replacement involves device-only change, leads stay in place
  • Software updates to adjust programming

Why Choose Primax for Device Implantation?

  • Expert electrophysiologists with advanced training
  • Latest generation EP lab and equipment
  • Dedicated Device Clinic for follow-ups and remote monitoring
  • 24/7 emergency support
  • Lowest complication rates

Need a Pacemaker or ICD?

If you have bradycardia, heart block, or are at risk for sudden cardiac death, device therapy could save your life. Consult our cardiac electrophysiology team at Primax Gastro Institute & Super Speciality Hospital. Call [9666460009] to schedule your evaluation.

Coronary Angiography – Gold Standard Cardiac Diagnostic Test

What is Coronary Angiography? Angiography is a minimally invasive procedure where a thin catheter is inserted through your wrist or groin artery and advanced to your heart. Contrast dye is injected into coronary arteries while X-ray images (called angiograms) are recorded.

This creates a detailed roadmap of your coronary circulation, showing blockages, narrowing, or abnormalities.

When is Angiography Recommended?

Your Cardiologist Orders Angiography For:

  • Positive stress test suggesting significant coronary disease
  • Unstable angina or chest pain not responding to medications
  • Recent heart attack to identify and treat culprit artery
  • Pre-surgical evaluation before valve surgery or major non-cardiac surgery
  • Heart failure to determine if ischemia is the cause
  • Cardiomyopathy evaluation
  • Assessment after heart transplant (surveillance for rejection)

Types of Angiography We Perform

Procedure Type Purpose Access Site
Diagnostic Angiography Visualize coronary arteries, identify blockages Radial (wrist) or femoral (groin)
Ad-hoc Angioplasty Diagnosis + treatment in same sitting if needed Usually radial
Left Ventriculography Assess left ventricle function, wall motion With coronary angiography
Aortography Evaluate aortic valve, aorta With coronary angiography

The Angiography Procedure

A. Pre-Procedure Preparation:

  • Fasting: 6–8 hours before procedure (except essential medications)
  • Blood Tests: Kidney function, CBC, coagulation profile
  • Medication Review: Continue most medications; hold metformin if diabetic
  • Allergy Check: Any previous reaction to contrast dye or iodine
  • Consent: Discussion of procedure, risks, alternatives
  • IV Line: For medications and fluids
  • Groin/Wrist Preparation: Shaving and cleaning access site

B. During the Procedure:

  • Local Anesthesia: Numbing injection at access site
  • Arterial Access: Small puncture with hollow needle
  • Catheter Insertion: Tube advanced through artery to heart
  • Contrast Injection: Dye injected into coronary arteries
  • Image Recording: Multiple X-ray views captured
  • Assessment: Cardiologist evaluates blockages in real-time
  • Decision: Immediate angioplasty or elective CABG depending on findings

Post-Angiography Care at Home

✅ Do’s:

  • Keep puncture site clean and dry for 24 hours
  • Watch for bleeding, swelling, or color change at site
  • Drink 8–10 glasses of water to flush out contrast
  • Resume normal diet after procedure
  • Continue all prescribed medications
  • Attend follow-up appointment

❌ Don’ts (First 24–48 Hours):

  • No heavy lifting (>10 kg)
  • No strenuous exercise
  • No driving (if sedation given)
  • Avoid hot baths (warm shower after 24 hours is fine)
  • Don’t ignore warning signs
Primax Hospital Sonipat – Gastro, Cancer & Superspeciality
How do I book an appointment with a cardiologist at Primax Hospital?
You can book an appointment by calling our dedicated line at [9666460009]. You can also book online using the ‘ChatNow’ button or by contacting us. For emergencies, please come to our 24/7 Emergency Department directly.
Does Primax Hospital provide emergency heart attack treatment 24/7?
Yes, absolutely. Our dedicated cardiac emergency team and advanced cath lab are available 24/7, 365 days a year. We specialize in rapid “door-to-balloon” angioplasty for heart attacks. If you have symptoms, call [+91 9666460009], [+91 9138582531], [+91 9138582532] or come to our ER immediately.
What are the costs of cardiac procedures like angioplasty and pacemaker implantation?

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What makes Primax Hospital’s cardiac care department different from other hospitals in Sonipat?
Our department is distinguished by our highly experienced cardiologists, 24/7 advanced cath lab technology, and proven, rapid outcomes (like <60-minute emergency angioplasty). We offer a complete spectrum of cardiac care, from prevention to complex intervention, all under one roof.
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