Best Doctors in India for Holter Monitoring

Profile Highlights:

  • Dr. Bhaba Nanda Das is a well-known cardiovascular and cardiothoracic surgeon and has performed the first Coronary Artery Bypass Grafting (CABG) on a beating heart in India.
  • He holds an extensive experience of more than 3 decades and has performed over 20,000 cardiac surgeries and does more than 800 cardiac surgeries annually.
  • With a keen interest in cardiovascular and thoracic procedures, Dr. Das is the first cardiac surgeon to use all arterial grafts for multiple coronary revascularizations. He was also the first to use coronary sinus in Fontan’s circulation.
  • Prior to joining Indraprastha Apollo Hospital, Dr. Das had been an integral part of the department of CTVS at AIIMS. There he performed some of the most complex and first cardiac surgeries which were never attempted by any surgeon in India.
  • Dr. Bhaba Nanda Das is responsible for procuring the donor hearts for the first 3 heart transplant procedures in India and has been part of the team of cardiologists and surgeons of one of the best cardiac care centers in the world.
  • He received his training in cardiothoracic and vascular surgery under the best surgeons and brought several innovative cardiac procedures to the country.
  • Dr. Bhaba Nanda Das has helped in setting up cardiac centers in different parts of the country and has been associated with several hospitals both in India and foreign countries.
  • He is closely associated with research activities and has more than 40 publications to his credit in several national and international journals.
  • Dr. Das has attended numerous conferences, seminars, and scientific meetings in various parts of the world where he presented his knowledge on CABG, Heart transplant, and aortic aneurysm surgeries.
  • Dr. Das is among the top cardiac surgeons in India and has received enormous appreciation for his work and contribution in the field of CTVS.

Profile Highlights:

  • Dr. Praveen Chandra is one of the most well-known and respected Interventional Cardiologists in India and performs over 5000 percutaneous and diagnostic interventions every year.
  • He specializes in devising techniques that help minimize open surgeries. Dr. Praveen Chandra performed the first Percutaneous Aortic Valve implantation without surgery in India.
  • He also developed techniques to reduce the number of patients requiring bypass surgeries and has been trying to make angioplasty techniques more accurate to help with the treatment of multiple blocked arteries.

Profile Highlights:

  • Dr. Z S Meharwal is a well-known cardiac surgeon in India who has performed more than 20,000 cardiac surgeries in his career that including some of the most complex and high-risk cardiac procedures.
  • Dr. Meharwal is a member of the founding team that started the Fortis Escorts Heart Institute and has been associated with the hospital since then.
  • His interest lies in Minimally Invasive Cardiac procedures, valve repair, and replacement, and heart transplants among other major vascular and thoracic surgeries.

Profile Highlights:

  • Dr. T S Kler is undoubtedly one of the best vascular surgeons not only in India but also abroad. He has performed more than 25,000 Surgeries in his life which makes him stand where he is.
  • He is a pioneer in electrophysiology & he established the first dedicated Electrophysiology department in India at Fortis Escorts Heart Institute.
  • Dr. T S Kler initiated a radio Frequency Ablations programme at Escorts in 1993, one of the first of its kind in India. He was the first doctor in India to implant an ICD, CRT-P & CRT-D.

Profile Highlights:

  • Dr. Ashutosh Marwah is one of the best child heart specialists in India, having experience of over 26 years.
  • He was the former Assistant Director of Jaypee Hospital and is now practicing at Indraprastha Apollo Hospital in New Delhi.
  • Dr. Ashutosh Marwah has expertise in treating complex cardiac defects, Interventional & perioperative cardiac catheterizations, dilatation stenting, fetal echocardiography, Aortic Aneurysm, and Stent implantation.
  • He has Fellowships in Pediatric Cardiology from reputed hospitals like Escorts Heart Institute, Delhi, and Royal Children’s Hospital, Melbourne, improvised his skills.
  • Dr. Marwah published multiple research papers and articles in reputed medical journals of India and abroad. He is also a member of the Lions Club of Dar Es Salaam.

Profile Highlights:

  • Dr. Sandeep Attawar is a highly recognized Heart and Lung transplant surgeon in India who has over 2 decades of experience as a cardiac surgeon and has performed more than 10,000 cardiac surgeries on adult and pediatric patients.
  • Dr. Attawar specializes in all types of surgeries for adults as well as pediatric heart patients and finds interest in heart and lung transplant surgery, congenital heart surgery, Aortic aneurysm repair, and implantation of heart failure devices.

Profile Highlights:

  • Dr. Ajay Kaul is a leading name in the field of Cardiothoracic and Vascular Surgery in India with over 3 decades of experience.
  • He specializes in Coronary Bypass surgery and is one of the best with the highest number of total arterial coronary bypass surgery (4000+) by using two internal mammary arteries from the chest and without any cuts on arms and legs.
  • He is also an expert in minimally invasive cardiac surgeries (MICS) and has performed more than 4000 MICS which is the highest by any cardiac surgeon in India.

Profile Highlights:

  • Dr. Anil Bhan is an excellent Cardiovascular and thoracic surgeon who has performed more than 15,000 cardiac and vascular surgeries that include heart transplant surgery, aortic aneurysm surgery, pediatric cardiac surgery, valve repairs, and peripheral vascular surgery among several others.
  • He is one of the best pediatric cardiac surgeons in Delhi/ NCR and is credited with performing heart bypass surgery on the youngest patient in India in 2007 (18 months).
  • He performed the first extracorporeal membrane oxygenation and was the first to use a harmonic scalpel for harvesting radial mammary artery conduits in India in 2000 and 1995 respectively.

Profile Highlights:

  • Dr. Subhas Chandra is a leading Interventional Cardiologist who holds close to 20 years of experience and specializes in coronary interventions, endovascular interventions, device implantation, and structural heart diseases.
  • He has performed more than 25,000 coronary interventions (complex angioplasty and rotablation), 4000+ for structural heart diseases, and has done more than 3000 permanent pacemaker implants.

Profile Highlights:

  • Dr. Balbir Singh is a reputed cardiologist with over 32 years of experience,  considered a veteran in his field, both nationally and internationally.
  • He has also pioneered several minimally invasive cardiology surgical techniques in India and has been honored with the prestigious Padma Shree Award for his exceptional performance.
  • “LIMCA” Book of Records also highlighted Dr. Balbir Singh’s contribution to the medical field in the Indian Electrophysiology Journal.

Best Hospitals in India for Holter Monitoring

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Fortis Escorts Hospital, New Delhi

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi. With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Holter Monitoring

Holter Monitoring involves measurement of the heart’s activities like rhythm and heart rate with the help of a small, battery-powered device called Holter Monitor. Your doctor may recommend using Holter Monitor to determine the functioning of your heart. Holter Monitoring is a 24-hour test that records your heart’s rhythm and rate for 24 hours continuously. For that, you may need to wear the Holter Monitor for around 48 hours while performing your routine activities. The medical device has electrical leads & electrodes and can pick up your chest pain or symptoms of arrhythmia & irregular heartbeats. Sometimes, it is referred to as ambulatory electrocardiography.

Your doctor will use the information captured on the Holter Monitor to determine if you have arrhythmia (problems with the heart rhythm). Your doctor may recommend a wireless Holter Monitor, that works for weeks if standard Holter Monitor fails to capture irregular heartbeats.

Reasons for Holter Monitoring

Your doctor may recommend an electrocardiogram if you are suffering from symptoms of heart problems. It is a non-invasive test that utilizes electrodes for checking the rhythm of your heart. However, the test may not detect the irregular heartbeats because you are taped with the electrodes of the machine for a short time. If an irregular heart rhythm is causing the condition and you experience the signs & symptoms, your doctor will ask you to wear a Holter Monitor.

The Holter Monitor that you wear will detect the irregularities with your heart rhythm that the electrocardiogram isn’t able to detect within that period. If your heart condition is responsible for increasing the risk of irregular heart rhythm, then Holter Monitor will be suitable for you. Even if you don’t experience the symptoms of abnormal heart rhythm, your doctor may ask you to wear the Holter Monitor. Your doctor might recommend Holter Monitor if you:

  • Are tired or experience shortness of breath
  • Have a pacemaker and experience dizziness
  • Have fast and pounding heartbeat
  • Have chest pain without performing any exercise
  • Have fluttering heartbeat
  • Need to determine the working of your pacemaker
  • Have an irregular, too fast, or too slow heartbeat
  • Feel dizzy or faint
  • Suffered a heart attack and your doctor needs to determine the risks for heart problems for you.

What conditions does Holter Monitor diagnose?

A Holter Monitor can diagnose various heart conditions like:

  • Ventricular tachycardia (fast heartbeat starting in the lower chambers of the heart)
  • Atrial fibrillation (rapid heartbeat causing stroke)
  • Cardiac arrhythmia (irregular heartbeat) and conduction disorders with a slow heartbeat.

Working of Holter Monitor

The Holter Monitor is quite smaller in size to which several wires or leads attach. The leads connect with the electrodes by a glue-like gel. The metal electrodes placed on your chest are responsible for the conduction of the activities of your heart. They conduct the activity through the wires into the monitor where it is recorded. The small pouch that holds the monitor remains around your neck. During the testing period, the monitor should be close to your body for accuracy in the readings.

During the testing period, if the electrodes fall off or become loose, your doctor will tell you how to reattach them. He or she will instruct you how you must take care of the monitor when you wear it and what things you should not do. You must not take a bath, shower or swim while you wear the Holster Monitor. However, you must perform your daily activities during the test. You must record your activities in a book that will help your doctor to determine if the changes in heart activity are because of your movements and behaviors.

Although there are no risks of wearing Holter Monitor, you may experience mild skin irritation because of the adhesives or tapes that attach your skin to the electrodes. If you are allergic to tapes or adhesives, you must inform the technician who attaches your monitor beforehand. The 24-hour test is painless and records any chest pain, cardiac symptoms or rapid heartbeat during the test period.

Once the Holter Monitor is in place, your doctor will tell you how to:

  • Change the batteries of the Holter Monitor
  • Push the button present on the monitor when you could feel any of the heart symptoms
  • Maintain a diary for all the symptoms that include chest pain, dizziness, changes in the heartbeat, when do the symptoms take place and the activity you were performing while you experienced the symptoms.

Outcomes

Your doctor will talk to you about the results of the Holter Monitor recorder after having a look at it and your activity book/diary in which you noted. Your doctor may recommend some more tests for finding out the symptoms of your problems or the information record from the Holter Monitor itself may be enough to determine if you have a heart condition. Sometimes, the doctor is not able to diagnose the condition on the basis of the results from the Holter Monitor testing. This may be common if you didn’t experience irregular heart rhythm while you were wearing the monitor for two days.

In such situations, your doctor may ask you to use an event recorder or a wireless Holter Monitor or both, instead of the standard one as you can wear them for longer. Event recorders are of different types and similar to the Holter Monitor. You may just need to push a button as you experience any signs or symptoms.

Risks

There aren’t any risks associated with wearing a Holter Monitor but you may experience skin irritation or discomfort in the areas where the technician taped the electrodes. If you are using a wireless Holter Monitor, your technician will instruct you regarding disconnecting and reconnecting the sensors & the Holter Monitor to allow you to bathe or swim. You must avoid magnets, electric blankets, electric toothbrushes, metal detectors, microwave ovens and electric razors while wearing the Holter Monitor as these devices may hinder the path of the signals arising from the electrodes and reaching the monitor. Ensure that you keep your portable music players or cellphones at a distance from the monitor because even they may interrupt the signals arising from the electrodes.

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