Acute coronary syndrome is 3 types
  • Angina- Poor blood supply to the heart for a small period is called angina. It can last over a period of time and can be treated with oral medications. Patient having known CAD carry their oral medications all the time.
  • Non-ST segment elevation myocardial infarction (NSTEMI): In such infractions the ECG does not record any changes. In such scenarios chemical markers are used to diagnose it
  • ST segment elevation myocardial infarction (STEMI): Blockage in the supply of blood for a long period affect the heart muscle to a large extent. ECG and chemical markers show immediate changes.


  • Shortness of breath
  • Chest pain
  • Palpitations
  • Excessive sweating
  • Nausea
  • Dizziness
  • Pain from the chest to the arms
  • ECG
  • EKG
  • Stress Test
  • Chest X Ray
  • Ultra sound
  • Blood Investigations

Advanced diagnostics involves Catheterization and Angiogram


Lifestyle Modifications: Patients diagnosed in initial stages of CHD are recommended to make life style modifications like quit smoking, reduce alcohol consumption, exercise, food modifications, monitoring blood pressure and diabetes and medications are prescribed by your cardiologist accordingly

Interventional Procedures:

Interventional procedures are mostly used to open up blockages in the arteries. There are 3 types of interventional procedures

  • PTCA (Percutaneous Transluminal Coronary Angioplasty) or Balloon Angioplasty:: This procedure involves placing of a small balloon at the tip of the catheter and inserting it in to the blocked artery. Once the balloon reached the blocked are it is inflated leading to dilation of the area.
  • Stent: A stent is a small metal tube that is inserted in to the blocked artery through the balloon. The metal tube restricts the blockage.
  • Rotablation (Percutaneous Transluminal Rotational Atherectomy or PTRA): A diamond tip catheter is inserted in to the blocked artery. It is then rotated at high speed to clear the blockage.

There are many advanced stents used in the treatment procedures at the Heart Institute. Write to our experts on to find out more about the options available.

Surgical Procedures

Coronary Artery Bypass Graft (CABG) Surgery

im7CABG surgery involves bypassing the blocked coronary arteries with a blood vessel graft. These grafts are usually taken from patient’s own arteries and veins located in the chest (thoracic), leg (saphenous) or arm (radial). The graft goes around the blocked artery (or arteries) to create new pathways for oxygen-rich blood to flow to the heart.

 On Pump (Heart Lung Machine) heart surgery

Traditional CABG is performed on still heart i.e the circulatory system is entirely taken over by the heart lung machine that performs the functions of the heart and lungs during the surgery and the surgery is performed on the heart.

im8A highly advanced procedure in which the heart is kept in a controlled environment using advanced operating equipment and the surgery is performed while the heart is beating. The aim of off pump is to minimize the risk of other complications like renal failure , stroke and reduce the need of blood transfusion.

The decision to go for an off pump or on pump surgery completely lies with your surgeon. It is
only decided on the operation table once they evaluate your circulatory system more closely. Both on pump and off pump heart surgeries have had similar results at the heart institute at Apollo Health City.

After Surgery

im9The patient after surgery is moved in the intensive care unit where he/she is thoroughly monitored. The surgeon decides when you are fit to leave the ICU and move to step down. In step down along with monitoring and medication the patient is put through a rehab program.

Kindly write to us on to know more about the surgery, various surgical packages available along with boarding and lodging facilities