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Hemodynamic Evaluation of Complex Congenital Heart Diseases in Bhubaneswar

Hemodynamic Evaluation of Complex Congenital Heart Diseases

Hemodynamic Evaluation of Complex Congenital Heart Diseases in Bhubaneswar

Haemodynamic evaluation of complex congenital heart diseases in Bhubaneswar includes assessments of blood flow through the heart and blood vessels to identify any abnormalities that may suggest cardiac birth defects. Specialists analyse several components that affect cardiovascular health, including blood volume (determining any difference in pumping blood, such as increased or decreased volume caused by fluid retention or loss, respectively), inotropes (the level of chemical substances that help regulate blood flow to the heart and affect heart rate), and systemic vascular resistance (checking for the presence of stenosis or constricted blood vessels). 

Specialists in the Department of Cardiology at Manipal Hospitals, Bhubaneswar, Odisha, are tremendously adept and equipped to perform various haemodynamic evaluation procedures, including diagnostic interventions to determine any anomalies present in the heart. By utilising state-of-the-art techniques and with the aid of dedicated nursing, support, and technical staff, the department is empowered to assist patients by providing high-quality treatment and round-the-clock services and care. 

 

FAQ's

Complex congenital heart defects are those that may include life-threatening symptoms that may necessitate immediate treatment. Some conditions with complex congenital heart defects include

  • Tetralogy of Fallot: A combination of four defects, which include pulmonary stenosis, a large ventricular septal defect, a misplaced or overriding aorta, and right ventricular hypertrophy.

  • Dextro, or D-Transportation of the Greater Arteries: An impaired blood flow pathway caused when two chambers are connected to the wrong chambers, deviating from the normal cycle of blood flow, i.e., body-heart-lungs-heart body.

  • Ebstein’s anomaly: Improper closure of the tricuspid valve due to incorrect valve formation.

  • Pulmonary atresia with intact ventricular septum: Incomplete formation of a pulmonary valve that is present between the heart and lungs, obstructing blood flow from the right ventricles to the heart.

Specialists employ several diagnostic procedures to evaluate congenital heart disease, some of which include:

  • An echocardiogram (ECG) uses specialised probes to record images of the heart using ultrasound. It also helps in measuring cardiac output.

  • Blood pressure monitoring, where a cuff and BP monitor are used to check your blood pressure.

  • Nuclear imaging, using radioactive tracers and gamma cameras to evaluate the functions of heart and blood circulation activity.

  • Cardiac catheterisation is an interventional diagnostic procedure that involves the insertion of the catheter into large blood vessels to identify diseases using contrast dyes and imaging guidance, such as angiograms. 

  • Magnetic resonance imaging (MRI) or computerised tomography (CT) of the heart.

  • A Transesophageal Echocardiogram (TTE) is a specialised diagnostic tool more advanced than a standard ECG. This diagnostic tool is recommended when standard ECG does not produce appropriate results or to determine whether the surgery addressed for your congenital conditions is successful. 

  • Heart rhythm testing procedures, such as the use of a Holter monitor, Cardiac Device Implants like Pacemakers, Exercise Stress Testing, and Electrophysiology (EP) Studies.

Treatments usually recommended for patients with complex congenital heart defects include the following:

Medications: Generally recommended for adult patients with mild types of congenital heart diseases. Medicines prescribed are usually to control an irregular heartbeat or prevent blood clots.
 

Cardiac Device Implantations: These usually include Pacemakers or Implantable Cardioverter-defibrillator (ICD)

 

Catheter-based treatments: Catheter administration is also performed as a treatment procedure to address congenital heart defects such as septal defects or valve stenosis.

 

Open-Surgeries: These include Repair or Replacement Surgeries. In extreme cases, a Heart Transplantation is performed.

General instructions you can follow when preparing for a haemodynamic evaluation include:

  • Discuss your symptoms, medical history, and treatments you received as a child. You must also inform our specialist regarding current medications, including any supplements or vitamin tablets.

  • You may have to refrain from eating or drinking for a particular period before the procedure, especially if the treatment involves the administration of anaesthesia. Moreover, do not consume any diuretics or laxatives prior to the procedure.

  • Notify our specialist if you are pregnant.

  • If you have diabetes, speak with our specialists regarding your appointment time. Our specialist will adjust your procedure appointment time and let you know when to eat. 

Leave any jewellery or wearable metallic objects at home, and put on comfortable and loose clothes during the procedure. The procedure may require you to undress from the waist up and change into a hospital gown. 

Your ability to return to normal activities is usually based on the type of evaluation performed. Since non-invasive procedures do not require any particular recovery period or rest, patients can return to normal activities. However, patients who have undergone minimally invasive procedures such as cardiac Catheterisation or nuclear imaging tests may be advised to take rest for a few days or weeks, depending on the condition. You may need follow-up care to evaluate your progress and any possible complications that may occur in the future.
 

Possible complications that may occur during or after haemodynamic assessments include: 

  • Bruising or swelling around the incision site

  • Allergies induced due to contrast dyes in Cardiac Catheterisation

  • Rare risk of radiation exposure

You can expect your results within a few days, although this can vary depending on the urgency of your condition. Our specialists will discuss your results by scheduling a follow-up appointment. If the assessment does not give a precise or expected result, you may be suggested to undergo other tests. 

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