Silent Heart Attack vs. Regular Heart Attack: What’s the Difference?
Dr. Tanmai Yermal (Jain)
6 Min Read
Mar 25, 2025
Appointment Helpline
English
Cardiology
Best Heart Hospital in Pune, Kharadi
Cardiology deals with the heart and blood vessels. Specifically, cardiologists treat conditions relating to the heart and its functions, including diseases of the Heart muscle (myocardial infarction), valves (mitral valve prolapse), arteries (coronary artery disease), rhythm disturbances (arrhythmias), Congenital disabilities of the heart, and Pulmonary circulation abnormalities. Cardiologists have expertise in procedures like imaging, nuclear medicine studies, CT scanning, and electrophysiology studies such as the implantation of pacemakers or defibrillators. Cardiac surgeons have expertise in procedures like catheterization and surgeries.
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Why Manipal?
Manipal Hospitals Kharadi, the best heart hospital in Pune, Kharadi, has earned its reputation as one of India's most prestigious multispecialty hospitals and the best heart hospital in Kharadi, Pune. Our skilled medical experts are committed to providing you with the finest care possible.
We offer comprehensive diagnosis and treatment for heat-related ailments and an entire spectrum of heart surgeries using the latest technology. We are pioneers in minimally invasive cardiac surgery, which we offer to infants, children, adults, and senior citizens. Book an appointment for the best treatment.
The expert staff helps you live a healthy life by promoting wellness through education, prevention and treatment.
Treatment & Procedures
An X-ray imaging test is done to see if there are any restrictions in blood flow going to your heart. This is the most common test to help doctors diagnose heart conditions. During coronary angiography, a small catheter or tube is inserted through the skin into an artery in the groin or the Hand. Through a special x-ray viewing instrument, the catheter…
Commonly known as bypass surgery, this is a procedure done to restore blood flow in a narrow or blocked artery. The procedure is an open heart surgery that requires a large incision to be made to access the chest cavity. The surgeon takes out a blood vessel from one part of your body and uses to divert blood flow away from the blocked coronary artery…
An ECG or Electrocardiogram is a simple, non-invasive procedure that records heart rate and its rhythms. ECG is done to look or check for known heart conditions or how healthy the heart is before or after surgery.
Echocardiogram
An echocardiogram is an ultrasound of the heart. It uses standard 2D, 3D and Doppler ultrasound to create images of the heart. The test does not involve any radiation.
TMT or Tread Mill Test or Stress Test or Exercise Test measures how well the heart works when it is beating fast and working hard. A stress test helps doctors see if the heart is getting enough blood during these times.
A Holter monitor is a small, wearable, ambulatory electrocardiography device that keeps track of heart rhythms and records all heartbeats.
Coronary angioplasty is routinely done to open clogged heart arteries. It can improve symptoms such as chest pain and shortness of breath. Angioplasty is also often used during a heart attack to quickly open a blocked artery and reduce the amount of damage to your heart. It involves inserting and inflating a tiny balloon into the spot where your artery…
This is a non-surgical procedure that is used to treat coronary arteries for stenosis. It is a combination of angioplasty & stenting that widens narrowed and blocked coronary arteries and restores blood flow from the heart. In cases of acute heart attacks (Myocardial Infarctions), PCI is used as an emergency treatment. PCI is considered to be an alternative…
Percutaneous coronary intervention (PCI) is a minimally invasive procedure to open blocked coronary arteries allowing unobstructed blood flow to the heart. This procedure is performed under local anaesthesia and uses X-ray to help the cardiologist view the site of your blocked artery. An intravenous (IV) line will be inserted in your arm and you will…
A cardiac device helps control irregular heartbeats to protect against heart rhythm disorders. One of the most commonly used cardiac devices is a pacemaker, which produces electrical stimuli to the heart to help it maintain rhythm. An Implantable Cardioverter Defibrillator (ICD) is used to assist the heart's ventricles to restore their capacity after…
This is a procedure that involves the opening of the chest cavity and creating a bypass system that allows blood to pump through your body without going through the heart. During open heart surgery, the heart is stopped for a period of time until surgical procedures or investigations can be completed. Once the surgical objective has been achieved,…
Manipal Hospitals’ Cardiac Unit boasts of futuristic diagnostic and testing machinery that combines advanced technology and high precision tools to present the most complex of cases with accuracy. Typical cardiac tests reveal the extent of the damage done to the coronary arteries, helping our cardiologists to plan the appropriate and most effective…
The treatment of heart disorders in children requires specialized equipment and knowledge.
An electrophysiology test reveals how electrical signals move through your heart. When these signals show normal movements, your heartbeat is regular. When these signals are abnormal, your heartbeat is irregular and this is called an arrhythmia. Radiofrequency ablation (RA) is the procedure to treat some types of arrhythmias. Together it takes about…
Using specialized cardiac MRI's, a cardiologist evaluates hemodynamic changes in the body to identify congenital heart disease. Identifying congenital heart defects at an early stage is crucial to improving the life expectancy and quality of life of patients.
Transcatheter Aortic Valve Implantation (TAVI). The aortic valve controls the blood flow from your heart to the rest of the organs. TAVI is a minimal invasive procedure to replace your damaged or diseased aortic valve with a new man-made one using a narrow tube called a catheter. This is inserted into a large blood vessel in your groin or chest.
The mitral valve is a valve with two flaps in the heart that lies between the left atrium and the left ventricle. Sometimes, the valves don't open or close properly, disrupting the blood flow through your heart to your body and also causes blood to leak backward to the left atrium. The valve may also be narrowed. Balloon Mitral Valvuloplasty is a procedure…
For children suffering from narrowing or blockage in the aortic valve, the best treatment option is balloon dilation. The treatment is minimally invasive, reducing the discomfort and recovery time for the patient. A deflated balloon is attached to a thin tube known as a catheter which is navigated to the narrowed artery, where it is inflated, opening…
The heart’s two lower chambers are the ventricles and the right ventricle pumps blood to the lungs. It connects to the pulmonary artery, the main blood vessel leading to the lungs. Between the right ventricle and the pulmonary artery is the pulmonary valve, one of the heart’s four valves. In a normal heart, the pulmonary valve opens fully when the…
Adult congenital heart disease (ACHD) Congenital heart disorders are the most common type of birth defect. These can range from simple ones with no symptoms to complex types which are severe and life-threatening such as a hole in the heart that causes blood from the left and right sides of the heart to mix, or even a narrowed valve that blocks blood…
VSD is a hole in the wall called septum, separating the two lower chambers of the heart. In a normal heart, only the left side pumps blood to the body, and the right side to the lungs. With an abnormal opening between the ventricles, a large amount of oxygen-rich (red) blood from the heart's left side is pushed through the hole into the right side.…
PDA is an unclosed hole in the aorta, the main artery that carries blood away from your heart. In a normal heart, its left side pumps blood only to the body while the right pumps blood to the lungs. If you have PDA, extra blood gets pumped from your body artery or aorta into the lung (pulmonary) arteries. If the PDA is large, the extra blood being…
This condition occurs when arteries and veins have abnormal connections between them. Pulmonary AVMs act as direct conduits between the pulmonary artery and the pulmonary vein, which reduces blood oxygen levels, and also allows clots and bacteria to bypass the normal filtration process of the lung capillaries. Pulmonary AVMs are prone to rupturing,…
The automated implantable cardioverter-defibrillator (AICD) is a tiny electronic device that is implanted in the chest to prevent sudden death from cardiac arrest caused due to fast heart rhythms called tachycardias. The surgery involves inserting insulated wires into the veins near your collarbone and moving them through X-ray images, to your heart.…
CRT is prescribed for patients with heart failure or arrhythmia (irregular heart beat). There are two types of CRT devices – one is the biventricular pacemaker and the other is the same device which includes a built-in implantable cardioverter defibrillator and is called a cardiac resynchronization therapy defibrillator (CRT-D).
Knowing your baby is growing normally and safely in your womb is one of the happiest phases for a mother-to-be. Routine tests for you and your baby can ensure all is going well. If your gynaecologist detects an abnormal heart beat or any other conditions in the foetus, she may recommend a foetal echocardiogram.
The Cardiovascular System
The cardiovascular system is the body's circulatory system, which includes the heart and blood vessels.
The cardiovascular system is responsible for transporting oxygen-rich blood from the heart to other parts of the body, allowing cells in different body parts to function correctly.
The cardiovascular system has different components, which work together to keep your heart pumping blood throughout your body and ensure that you don't bleed out or get sick.
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The heart is a muscle that pumps blood through our veins and arteries. It also regulates blood pressure and keeps blood moving through our veins and arteries.
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Blood vessels include arteries, veins and capillaries.
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Arteries transfer blood rich in oxygen from the heart to other parts of our bodies.
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Veins bring blood that lacks oxygen back to the heart from different parts of our body.
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Capillaries are tiny blood vessels connecting arteries and veins.
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Common Cardiovascular System Diseases
Here are some common conditions that affect our Cardiovascular System
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Arrhythmias- Abnormal heart rhythms
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Aorta disease- A heart valve condition
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Congenital heart disease- A genetic condition
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Coronary artery disease- The narrowing of the arteries
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Deep vein thrombosis- Blood clot in the leg veins
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Heart attack- Blocked artery
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Heart failure- The heart doesn't pump blood
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Cardiomyopathy- Heart muscle disease
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Heart valve disease- One or more valves fail
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Pericardial disease- An inflammation in tissue sac around the heart
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Peripheral vascular disease- Narrowed blood vessels
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Rheumatic heart disease- Permanent damage to heart valves
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Stroke- Blood supply to the brain stops
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Vascular disease - Blood vessel ailment
Interesting points about our cardiovascular system:
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Our heart is the body's strongest muscle.
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Blood pressure is higher when we stand up than when we sit down.
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One-third of our blood supply is dedicated to the brain, while two-thirds goes to the rest of our bodies.
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In 20 minutes, the blood circulates through your body once.
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The heart beats about 100,000 times daily and approximately 3,356,000 times yearly.
Diagnosis Facilities
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Treadmill Test
Treadmill Test: A TMT test in which the patient walks on a treadmill at different speeds. The test measures the heart rate, blood pressure, and other factors such as oxygen consumption and carbon dioxide output. To know more visit Manipal Hospitals, the best multi-speciality hospital in Kharadi, Pune.
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ECG
ECG, or electrocardiogram, is a method of measuring the electrical activity of the heart. It's a non-invasive test to detect heart problems like arrhythmias or cardiac arrest.
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Echocardiogram
An echocardiogram is a diagnostic process that uses sound waves to create an image of the heart. It diagnoses heart murmurs, valve problems, and other heart conditions.
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Coronary Angiogram
A coronary angiogram is a medical imaging technique that uses X-rays to visualise the coronary arteries. It diagnoses coronary artery disease and assesses its severity. A coronary angiogram finds out if you have any blockages in your heart's blood vessels or if there is any narrowing of your arteries.
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Holter Procedure
Holter Procedure is a procedure that measures and records the electrical activity of the heart for an extended period. This procedure diagnoses certain heart conditions, such as arrhythmias, conduction blocks and abnormal heart rhythms.
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Fractional Flow Reserve (FFR)
Fractional Flow Reserve (FFR) is an imaging test that allows experts to measure the amount of blood flow through a patient's coronary arteries. When a patient has heart disease, this measurement can help determine whether or not they are at risk for a heart attack.
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Intravascular UltraSound (IVUS)
IVUS is a test that uses an ultrasound probe to examine the inner lining of blood vessels. The experts sees inside your blood vessel and determines whether there is any plaque buildup or blockage.
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Optical Coherence Tomography (OCT)
OCT uses light to produce cross-sectional images of the heart. A non-invasive process, it helps to evaluate cardiac function and structure, angiogenesis, and myocardial perfusion.
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Hemodynamic Evaluation
Hemodynamic evaluation is an assessment of the flow of blood throughout the body. It identifies circulation and cardiac function issues and determines the cause of a patient's symptoms.
Treatments
Manipal Hospitals, Kharadi offers an entire range of treatments for heart-related ailments. Some common procedures are:
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Open Heart Surgery
A procedure to treat a range of heart defects, including congenital heart disease, valvular disease, and cardiomyopathy. It involves a pump circulating blood outside the body while the cardiac surgeon stops the heart to fix the defect. It's also referred to as "heart bypass surgery" or "cardiac surgery."
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Coronary Artery Bypass Surgery
A procedure that creates new pathways around blocked arteries to improve blood flow to the heart muscle. It may be used for coronary artery disease or left main coronary artery stenosis. This surgery is also called "coronary artery bypass grafting."
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Coronary Angioplasty
A process that uses a catheter with a tiny balloon at its tip to widen narrowed arteries that supply blood to your heart. The balloon is inflated inside the narrowed part of the artery and then removed when it has widened enough to restore normal blood flow through your heart muscle. This surgery is also called coronary angioplasty with stent placement.
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Cardiac Device Implantation
An operation is performed to implant cardiac care devices such as pacemakers, defibrillators and ventricular assist devices (VADs).
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Emergency Percutaneous Coronary Intervention
An emergency procedure that opens a blocked coronary artery when someone has chest pain due to an acute heart attack.
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Paediatric Cardiology
Paediatric cardiology is the study and treatment of heart conditions in children. Consult with our experts to have the best treatment.
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Emergency Percutaneous Coronary Intervention (PCI)
PCI is a procedure done at the best cardiology hospital in Pune, to open blocked heart arteries. The process involves inserting a tiny wire through a vein or artery in your arm or groin, then threading it into your heart, where it expands and holds open your artery.
Other common treatments available:
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Adult cardiac Surgery in Kharadi, Pune
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Aortic valve replacement surgery in Kharadi, Pune
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Double valve Replacement Surgery in Kharadi, Pune
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Minimally invasive cardiac surgery in Kharadi, Pune
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Pediatric Cardiac Surgery in Kharadi, Pune
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Primary angioplasty treatment in Kharadi, Pune
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Thoracic surgeries in Kharadi, Pune
Contact us now to get the finest treatment with the help of a team of medical experts.
Facilities & Services
Manipal Hospitals' team of experts believes in precise diagnosis for effective treatment. The faculty includes - Expert echo cardiologists - Electro physiologists - Interventional cardiologists and radiologists. Avail of these facilities at Manipal, the Best Heart Hospital in Kharadi, Pune.
FAQ's
After gathering general information about the patient's health from our cardiologist will review the patient's medical history, and do a complete physical examination. Then the doctor might order the necessary investigations to determine the health of your heart.
Cholesterol, Hypertension, Obesity, Diabetes, Smoking, Family history of heart disease
Mild discomfort or pain in the chest area, may radiate to the neck, jaw, or arm on the left side of the body and is usually associated with shortness of breath, nausea, and sweating. Diabetics and women may not have chest discomfort but may have only a few of the associated symptoms. If you notice any of the symptoms, visit the best cardiology hospital in Kharadi, Pune.
Some illnesses can cause heart disease, but a majority of heart diseases can be prevented by adopting a healthy lifestyle. To know more, arrive at the cardiology hospital in Kharadi, Pune.
Yes, a yearly health check-up that includes a blood pressure check, lipid, and cholesterol test and a discussion with your doctor about other risk factors should not be overlooked.
Heart disease is a severe condition, but it is not irreversible. It is essential to seek treatment immediately if you have any symptoms of heart disease like chest pain and shortness of breath. Get the finest treatment at the best heart care hospital in Kharadi, Pune.
Smoking can increase the chances of developing heart disease by increasing your risk for high blood pressure and high cholesterol.
Being obese puts you at risk for heart disease because it increases your blood pressure and cholesterol levels. Being obese also increases your risk for type 2 diabetes and stroke. Get detailed knowledge regarding this at the heartcare hospital in Kharadi, Pune.
Stress does not cause heart disease on its own, but it is proving a contributing factor to other conditions that do cause heart disease.
Manipal Hospitals is dedicated to providing high-quality, personalised care and building long-term partnerships with its patients. Our Cardiology department and its patients are a testament to this. Contact us to know more about heart problems and book an appointment with one of our Cardiovascular specialists today.
