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1. Cardiology

The Department of Cardiology is a highly sensitive area with the latest equipments in diagnostic and intensive care technology with extremely skilled and knowledgeable adult and Paediatric cardiologists and clinicians.

The services include:

Diagnostic and Interventional Cardiology

Advanced methods of diagnosis and treatment are carried out on a routine basis with the help of the following equipment and procedures

  • 2D & 3D Echocardiography and Color Doppler
  • 2D & 3D Echocardiography and Color Doppler
  • Holter Monitoring
  • Treadmill Stress Testing
  • Sphygmocardiography
  • Nuclear Medicine
  • Nuclear Medicine

    Nuclear Medicine carries out studies that extract detailed internal images of the heart using radioisotopes. It enhances the accuracy of non-invasive diagnosis and prognostication.

  • Cardiac Catheterization and Coronary Angiography
  • Electro anatomic “CARTO” Mapping for analyzing and treating heart rhythm disorders
  • Catheter based Percutaneous Radio frequency Ablation for Arrhythmia
  • Cardiac Re-synchronization Therapy
  • Angioplasty and stenting
  • Angiography & Angioplasty of arteries of neck, leg, arm and kidney
  • Enhanced External Counter Pulsation (EECP)
  • Heart Failure Clinic specializing in Treatment of Failing Heart
  • Device Closure of congenital heart defects like ASD & VSD device and Coil closure of PDA
  • Pacemaker and AICD Implantation
  • Permanent pacemaker (Single & Double Chamber)
  • Balloon Valvuloplasty
  • 64 SLICE CT

Preventive Cardiology & Cardiac Rehabilitation

  • Master Cardiac Check
  • Genetic Counseling
  • Dietary Counseling
  • Cardiac Fitness Counseling
  • Pre & Post-operative Exercise Programs

2. Cardiac Surgery

A highly skilled team of cardiothoracic surgeons, anesthetists, intensive care specialists and dedicated critical care nurses operate in tandem at the Department of Cardiothoracic and Vascular Surgery. The department houses state-of-the-art porcelain operating suites with separate adult and Paediatric intensive care units. With the ever-changing scenario of surgical techniques and technology, the dedicated team at Frontier Lifeline keeps up with the changing trends in Cardiothoracic and Vascular Surgery in order to give the best, brilliant and biggest successes in the most intricate surgeries for congenital and acquired heart diseases, thoracic, vascular diseases and organ transplantation.

The surgical procedures include:

  • Coronary Artery Bypass Surgery with Endoscopic Vessel Harvesting
    1. On pump, including multiple endarterectomies
    2. Off pump
    3. Minimally Invasive CABG
  • Mitral valve repair/replacement
  • Aortic valve repair/replacement
  • Aortic surgery
  • Ross procedure
  • Re-do Coronary and Valve surgery
  • Aneurysm Repairs
  • Homograft
  • Xenograft

3. Vascular Surgery
  • Peripheral
1. Cardiology
  • Balloon Pulmonary Valvotomy
  • Ballon Aortic Valvuloplasty
  • Device Closure of ASD, VSD, PDA
  • Coil Embolisation of MAPCA

2. Cardiac Surgery

The entire gamut of cardiac diseases from neonates to adolescents is skillfully and competently handled.

Dedicated operating rooms and Post- operative ICUs with state-of-the-art equipment and experienced staff, provide 24/7 cardiac care of the highest order.

Cyanotic and Acyanotic Heart Diseases (Simple & Complex)

  • Atrial and Ventricular septal defects, which can also have closures with catheters
  • PDA and Coarctation of aorta
  • Arterial switch in neo-nates
  • Truncus repair using valved conduits (porcine or bovine valves)
  • HLHS
  • AV Canals
  • Fontan procedures
  • Adult Congenital Heart Surgeries
  • Heart Transplants
  • Heart & Lung Transplants

In 1995, aided by the most advanced technology, cardiac care and surgical skills, Dr. K. M. Cherian performed the first heart transplant in India at his International Centre for Cardio-thoracic and Vascular Diseases in Chennai. This was made possible only after the landmark legislation for brain death which passed the law permitting transplantation of human organs in the country. With phenomenal experience and far-sightedness, he also conducted the first bi-lateral lung transplant, the first pediatric heart transplant as well as the first heart and lung transplant in India.

The Next Generation of Cardiac Diagnostics

Every thing you should know about 64 SLICE CT Cardiac Imaging :

64-slice CT coronary angiogram is the latest non-invasive modality for imaging coronary arteries. It is done on a multislice CT scan which has 64 rows of detectors to give a high sub-millimeter resolution of 0.6X0.6X0.6mm.

What type of information does the CT cardiovascular scan provide?

With the advent of multi-slice detectors and high powered computer programs, we are able to reconstruct the anatomy of the heart arteries .We can look at the size of the arteries, see exactly where blood flows and determine if there is a blockage .The number of detectors is important because the heart, unlike other structures, is beating and is in constant motion and hence acquisition must be fast.

What are the possible indications for undergoing CT cardiovascular scan?

  • Borderline or inconclusive Treadmill test
  • Coronary risk assessment in patients with abnormal baseline ECG
  • High risk individuals
  • Follow-up post CABG/ PTCA to study coronary bypass grafts/ stents.
  • To study aortic diseases, MAPCAs and their course in lung, cardiac tumors
  • Pre-operative risk assessment in intermediate risk group and elderly individuals
  • Triaging in patients with atypical chest pain with high risk of coronary artery disease

How is the CT cardiovascular scan performed?

It is a non-invasive diagnostic test similar to any CT scan and is performed as an outpatient procedure. A drug like beta blocker, to control the heart rate, is given prior to the procedure. Iodinated contrast is injected through a peripheral vein by a syringe pump at a rate of 4-5ml/min. The scan is triggered as soon as contrast opacifies the aorta. The enire scan is completed within 5-10 seconds. CT scanner rapidly spins around the patient about four times a second. It obtains 64x4 i.e 256 images (slices) of the heart in a second.

Frontier Lifeline has made this diagnostic service available to patients who come for our preventive cardiology clinic as well as for routine outpatients, at an exclusive price. Appointments can be made at the Reception Counter.

Digital Pacemaker and AICD Implantation

Revolutionizing Cardiac Care : The Next Generation of Digital Pacemakers in Frontier Lifeline :

Digital technology advances, not only in our daily life, but also in the field of medicine. Frontier Lifeline has introduced digital pacemakers produced by Vitatron, a Netherlands-based company, which has revolutionized the field of cardiology.

  • It has the capacity to date and time–stamp every heart beat.
  • It provides better understanding and knowledge of the patient’s heart rhythm, which is interfaced to a computer programme in a matter of seconds.
  • Information sheets about the heart rhythm are printed out for data retrieval and analysis.
  • The digital pacemaker can be programmed to respond in different ways, which aids in better care for the patient.
  • Therapy Advisor – This system provides doctors with a list of instant suggestions for the patient, based on what the pacemaker had documented.
  • The digital pacemaker lasts longer than the analog, with an average life of more than nine years compared to five years.
  • Patients need not undergo minor surgery for the change of batteries.
  • It is very cost-effective, being much cheaper than analog pacemakers are.

So far, we have implanted more than a dozen patients with digital pacemakers at Frontier Lifeline, of which six of them are dual chamber pacemakers. These pacemakers are being followed up meticulously in an international survey, in which Frontier Lifeline is one of the centres recognized worldwide, to contribute towards the DIRECT Registry.

Electro anatomic “CARTO” Mapping for analyzing and treating heart rhythm disorders

Introduction of 3-D Mapping System (Ensite Nav-Ex) For Arrythmias :

Frontier Lifeline has introduced the state-of-the-art 3-D mapping system for arrhythmias. Earlier, drugs were the only choice of treatment for arrhythmias. With recent advances in the field of cardiology, and with the emergence of electrophysiology, any intractable arrhythmia can be accurately diagnosed and treated.

This novel system detects the exact location of any abnormal focus, and depicts the 3-dimensional electro-anatomic map of the heart. Furthermore, the procedure reduces the amount of exposure to harmful radiation to both the patient and the operating staff. Another added advantage of this system is that, conventional catheters that are routinely used can be employed along with this system.

Dr. K. M. Cherian’s Frontier Lifeline hospital has X- ray and Nuclear Imaging facilities Nuclear medicine is a medical specialty that uses safe, painless, cost-effectuve techniques both to image the body and treat diseases.

Nuclear imaging is unique in that it documents both organ function and morphology using a state-of-the-art Dual Head Gamma Camera.

Nuclear scan:

Nuclear scan is extremely sensitive and provides accurate dynamic and quantitative information

The following are the different kind of scans performed at Frontier Lifeline Hospital.

STRESS MYOCARDIAL PERFUSION (SPECT) (Thallium Scan)
  • Myocardial perfusion scan visualizes the distribution of tracer uptake in the heart muscle, which reflects regional blood flow in different coronary artery territories. This can be performed with 20ITI / 99m Tc-Sestamibi / Trofosmin
  • Rest Injection Scan indicates whether the heart muscle is viable or scarred due to prior attacks
  • Stress (Exercise/Pharmacological) Scan reveals the inducible ischemic perfusion defect corresponding to significant coronary artery disease

WHOLE BODY BONE SCAN:

A bone scan is a diagnostic imaging study which records the distribution of a radioactive tracer in the skeletal system. It is the most sensitive study available to detect any pathology of the skeleton, such as Primary Bone Lesions, Osteomyelitis, Sacroilitis, Avascular Necrosis, Stress Fractures and Metabolic Bone Diseases

BRAIN SPECT:

Brain Perfusion SPECT with advanced NeuroGam Analysis helps to evaluate stroke, epilepsy and dementia

RENAL SCAN:

Renal scans are performed to evaluate renal function by assessing Glomerular Filtration Rate (GFT), tubular function and cortical morphology to study diseases such as Hydronephrosis, PUJ Stenosis, Renovascular Hypertension, Transplant evaluation, Pyelonephritis, Urinary tract infection and ureteric reflux.

Gastroenterology:

Nuclear Scans help to diagnose Acute Cholecystitis, gall bladder dysfunction, cirrhosis, dysmotility, tumors, hemangiomas, GI bleeding, dysphagia, GE reflux, etc.

Other Indications:
  • Thyroid scans to evaluate palpable thyroid nodule, thyromegaly, toxic goiters, thyroid cancer, midline neck & swellings
  • Lung ventilation – Perfusion can for pulmonary embolism
  • Radionuclide Ventriculography for LV function & Ejection fraction
  • Isotope Vernography for DVT
  • Scinti-mammography for breast lesions
Patient Attendant’s Care

Giving an all-round care not only to the patients, Frontier Lifeline has made available facilities for patient attendants with a caring motto ‘Catering to the needs of Patient Attendant’s with:

  • Library
  • Coffee Kiosk
  • Visitor’s Lounge
  • Multi-cuisine cafeteria
  • Business Centre with Internet facilities
  • 24-hr Pharmacy
  • Spiritual & Pastoral Care
  • Cardiac Rehabilitation
  • 24 X 7 Hi tech Ambulance Services
  • Pre-operative Client Education & Consultation
  • Food & Nutrition services

The support services are exclusive and unique and showcase an entire spectrum of facilities such as the Nutrition & Dietetics Department with region-specific chefs to cater to international patients. Encompassing all the health avenues with great detail, the hospital has incorporated sensitive areas with Pastoral/Spiritual care and Medical Social Workers to take care of the mental and psychological needs of the patients. The Electronic Data Processing Department, the Medical Records Department and the Blood Bank round off a competent and capable in-depth structure of the hospital.

With a view to offering holistic healthcare, Frontier Lifeline offers the services of the healing and soothing Sanjeevanam Ayurvedic Center close by. Comfortable guest houses are available and lend a homely atmosphere, giving the attendants of the patients a calm ambience to relax in.

Social Services Department

Since its inception, Frontier Lifeline has been providing free and subsidized cardiac screening and treatment to the economically underprivileged sector of our society. Our Social Services Department streamlines the process of granting financial concessions. The department evaluates patients who require or request for concessions in their treatment packages, both as outpatients and inpatients. These patients are not only those who walk in but also those referred from other Institutions and doctors.

We have a strong and recognized tradition in extending all our services to the poor and needy. We are active participants in several government motivated schemes for poor patients to perform complex cardiac surgery at concessional rates; namely the ‘Idhayam Kaapom’ project and ‘Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme’ launched by the Tamilnadu Government. Children referred by the Gujarat and Andhra Pradesh Government also benefit from the quality cardiac care offered at concessional rates.

Our social service takes on an international flavor as we regularly offer concessions in the surgical charges of adults and children from other countries such as South American, Middle Eastern, African Countries etc.,

We would like to extend to you this opportunity to help the financially underprivileged children and adults, who are looking for donors and sponsors. They require your financial support to undergo life-saving procedures in order to resume a normal, happy and healthy lifestyle. So join us in our crusade to alleviate their suffering and put a smile back on their faces.

Individual counselling / Family Counselling is done for In-patients which involves one person (the counsellor) helping another person (the client) to work through some difficult or painful emotional, behavioural or relationship problem or difficulty during their treatment in the hospital.

Grief counseling - everyone experiences and expresses grief in their own way, often shaped by culture. One can expect a wide range of emotion and behavior associated with grief. Counseling may provide an avenue for healthy resolution. Grief counseling in frontier believes that grief is a process the goal of which is "resolution."

Ward Rounds - Bed to bed rounds bring closer to the patients, the relatives and the hospital staff. They enable the social worker to anticipate the problems related to their illness or disease that patients may have to face. Bedside counseling smoothens away many of the patient's / relatives' worries and fears before they assume overwhelming proportions.

Food & Nutrition Services

The right food helps you feel well and perform at your best.

Clinical Dietitians at Frontier Lifeline provide medical nutrition therapy services for in-patients and out-patients.

  • Services for inpatients
  • Out-patient Counseling Services
  • Heart Healthy Cooking Classes
  • Nutrition Education Opportunities
  • Community Nutrition Education
  • Food Service for patients and caregivers
  • The people at the Food & Nutrition Services
Services for inpatients include
  • Assessment of the patients’ nutritional status and requirements
  • Prescribing therapeutic diets
  • Counseling patients on the appropriate diet
  • Formulation of nutrition support when necessary
  • Monitoring and optimizing patients’ food intake
Heart Healthy Cooking Classes:

The dietitians conduct “A Heart Healthy Cooking Class” every Tuesday on the fourth floor of the Frontier Lifeline Hospital Building. Learn how to make tasty and healthful dishes and adapt your favorite recipes to a heart healthy lifestyle. Recipes demonstrated include soups, salads, vegetarian and non-vegetarian dishes.

Out-patient Counseling Services

Out-patients can consult a dietitian at the Out-patient Department of the hospital Dietitians can advise you on the right diet and nutrition, whatever may be your age or state of health. They can help you to manage medical conditions that may respond to diet change. Bring your medical history and any laboratory test results that you may have, when you come for a consultation

Individual counseling is available for

  • Heart health (Hyperlipidemia)
  • Weight management
  • Hypertension
  • Diabetes
  • Renal failure
  • Organ transplant
  • Dialysis
  • Nutrition for children
  • Ulcers, GERD and other gastrointestinal problems
  • Any other

Note: The problem need not be heart-related, to consult a dietitian at this hospital.

Heart Healthy Cooking Classes

On the third Thursday of every month, a Heart Healthy Cooking class is held on the fourth floor of the Frontier Lifeline Hospital Building. Learn how to make tasty and healthy new dishes and adapt your favorite recipes to a heart healthy lifestyle. Both vegetarian and non-vegetarian recipes are included.

Food Service For Patients And Caregivers

Every effort is taken to provide patients with food to their taste. Patients are given a choice of North Indian, South Indian, Arabic and Continental cuisine. Vegetarian and non-vegetarian foods are offered and requests for religious beliefs, foods taboos and food allergies are also catered to.

The caregiver may also order meals with the Food Services department to be delivered to their rooms. In addition there is a 24-hour cafeteria on the fourth floor.

Nutrition Education Opportunities

The department offers the following internship courses.

  • Registered Dietitian (RD) internship for students - 6 months
  • Internships for college students – 1 – 3 months.

For enrolling into these courses contact clinical dietetics department at +91 44-42017575 - Extn 601 / 602

For diet consultation appointment contact clinical dietetics department at +91 44-42017575- Extn 601 / 602

This clinical dietetics service has been imparted to surgical and interventional clients from 2005 onwards and has enhanced our expertise in making procedures transparent and creating awareness to the clients.

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