Best Doctors in India for Myocardial Perfusion Imaging
- Cardiac Surgeon, Gurugram, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Murtaza A Chishti is one of the most well-known and distinguished Cardio-Thoracic and Vascular surgeons in North India
- He has more than 3 decades of experience in the field of cardiac surgery with a specialization in heart and lung transplantation surgeries.
- He has performed more than 6000 cardiac procedures that include Total Arterial revascularization, aortic surgery, complex and re-operative coronary surgery, CABG, and several other cardiothoracic surgeries.
- Cardiac Surgeon, Mumbai, India
- Over 36 years’ experience
Profile Highlights:
- Dr. Nandkishore Kapadia is one of the leading Cardiothoracic and vascular surgeons in India excelling in heart and lung transplant surgeries.
- He has 36+ years of experience in the field during which he has performed over 10000 CABGs, 2000 heart valve repairs, and 800 minimally invasive cardiac surgeries.
- He has also performed more than 5000 open heart surgeries, 200 heart and lung transplant surgeries, and 150 VAD and ECMO implantation procedures.
- Cardio Thoracic & Vascular Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Rajneesh Malhotra is a distinguished cardiovascular and thoracic surgeon in India with over 30 years of experience.
- He is an expert in all kinds of cardiac surgeries with a special interest in Robotic Cardiac surgery along with minimally invasive cardiac surgery and other traditional heart surgeries.
- Dr. Rajneesh Malhotra has performed several complex and high-risk cases and also specializes in heart transplant surgeries and surgeries for heart failure.
- Cardiac Surgeon, New Delhi, India
- Over 26 years’ experience
Profile Highlights:
- Dr. Surendra Nath Khanna is a leading cardiovascular and thoracic surgeon specializing in minimally invasive cardiac surgeries, heart valve repairs, and heart failure surgeries.
- Dr. Surendra Khanna has 26+ years of experience in cardiac care and has performed more than 17000 surgeries that include beating heart surgery, mitral and aortic valve surgery, and double valve replacement surgery.
- His expertise lies primarily in adult cardiac surgeries and has done some of the most complex cardiac surgeries in India
- Pediatric Cardiac Surgeon, Mumbai, India
- Over 33 years’ experience
Profile Highlights:
- Dr. Suresh Rao is a highly experienced cardiac surgeon specializing in congenital heart diseases and has performed more than 12,000 surgeries for congenital heart diseases and disorders.
- Dr. Rao holds an extensive experience of over 33 years in Pediatric and congenital cardiac surgery and has performed numerous simple and complex heart defect surgeries with successful outcomes.
- Dr. Suresh Rao introduced the Modified Ultrafication procedure after congenital heart surgery in India and has used the procedure in the treatment of a large number of pediatric as well as adult patients.
- Cardiac Surgeon, Mumbai, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Suresh V Joshi is a cardiac surgeon in Mumbai with expertise in undertaking complex surgeries as a result of congenital heart diseases.
- He holds an extensive experience of over 3 decades in cardiac surgery and specializes in Coronary Artery Bypass Grafting (CABG); specifically Beating Heart CABG and Minimally Invasive Cardiac Surgeries.
- He is an expert in all kinds of coronary and interventional cardiac procedures and has performed over 15,000 cardiac surgeries for different kinds of heart defects and disorders.
- Chairperson Heart & Lungs Transplant, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Sushant Srivastava is a renowned cardiovascular and thoracic surgeon specializing in heart transplantation.
- He specializes in performing Beating Heart Bypass surgeries and is credited with performing the procedure on the oldest patient in India (96 years old). He also performed the first awake CABG in North India.
- He has taken up close to 10000 cardiac cases in his career and performed 3000+ cardiac surgeries related to Coronary Artery Bypass Grafting (CABG), redo coronary artery surgery, heart failure surgeries, heart valve surgeries, and various other types of cardiac surgeries.
- Cardiac Surgeon, Bengaluru, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Vivek Jawali is a renowned Cardiothoracic and Vascular Surgeon in India and has performed more than 18,000 cardiothoracic and cardiovascular surgeries.
- He has several firsts to his credit that including the first beating heart bypass surgery in 1992 and the first Minimally Invasive Heart Bypass surgery in 1994 in India.
- He performed the first Awake Cardiac Surgery in 1999 which is done without general anesthesia or ventilator but under continuous high thoracic epidural. He also performed the first awake open heart surgery in the world without general anesthesia or ventilator on a 74-year-old patient for triple bypass with aortic valve replacement.
- Cardiac Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Yugal Kishore Mishra is a well-known cardiovascular and thoracic surgeon in Delhi specializing in Minimally Invasive and Robotic cardiac surgeries.
- He has 3 decades of experience in CTVS and has performed more than 19,000 open heart surgeries to date that including various types of minimally invasive cardiac procedures such as the port access approach for valve surgery and ASD closure.
- He is the founder of the Robotic Cardiac Surgery Program at Fortis Escorts Heart Institute where he has performed over 500 robotic cardiac surgeries.
- Cardiac Surgeon, Mumbai, India
- Over 24 years’ experience
Profile Highlights:
- Dr. Zainulabedin Hamdulay is one of the best cardiac surgeons in Mumbai, India, and specializes in devising new and innovative techniques for cardiac surgeries.
- He has 24+ years of experience and has performed over 8000 cardiac surgeries that included complex valve repairs, congenital cardiac surgery, CABG, and several minimally invasive cardiac surgeries.
- With a motive to provide the best, affordable and comprehensive cardiac care to all his patients, he founded the Hamdulay Heart Foundation to provide aid to the economically backward community.
Best Hospitals in India for Myocardial Perfusion Imaging
Myocardial Perfusion Imaging
Our heart muscle needs a steady flow of blood for functioning properly and staying healthy. Myocardial Perfusion Imaging (MPI) is a non-invasive method that lets your doctor evaluate this blood flow. The scans can also be used to look for damage after a heart attack and for determining if any previous treatment has helped.
While perfusion assessment might require you to exercise, the testing process is safe as well as painless.
Purpose
An MPI test is able to show how well blood is able to flow through the heart muscle. If the test shows a lack of blood flow during stress or exercise but is normal at rest, then it can mean that an artery that carries blood to your heart might be narrowed or blocked.
If the test is showing a lack of blood flow to a portion of the heart muscle during exercise or stress, and at rest, it can mean that your heart muscle is scarred, possible from a previous heart attack.
MPI tests can help your doctor in various ways such as:
- Finding out if there are blockages or narrowings in your coronary (heart) arteries if you are having chest discomfort
- Determining if you need to undergo a coronary angiogram
- Determining if you have heart damage from a heart attack if your heart is not functioning normally
- Deciding whether you would benefit from the coronary stent or bypass surgery for treating your chest discomfort or helping an abnormal pumping function go back to normal
- Determining how well your heart is able to handle physical activity
- Determining if a heart procedure you had to improve your blood flow is working properly
Preparation
Let your doctor know about any medications that you take, such as over-the-counter medicines, vitamins, or herbs. He/she may ask you not to take them before your test. Remember not to stop taking your medication until your doctor tells you to.
Your doctor might ask you to avoid certain foods, such as caffeine-containing beverages, such as tea, coffee or soft drinks, or chocolate, for around 24 hours before the test is performed. The test might need to be postponed or canceled if you consume caffeine.
Remember to wear comfortable and loose-fitting clothing as well as comfortable shoes to exercise in.
Procedure
The test is performed in a hospital or a clinic with special equipment.
The technician places small metal disks known as electrodes on your chest, arms, and legs. These disks have wires that hook up to a machine for recording your electrocardiogram. The ECG can keep track of your heartbeat during the test, and can be used to tell the camera when taking a picture is required.
You will next wear a cuff around your arm in order to keep track of your blood pressure. Your technician will be putting an intravenous line in your arm. Then you will need to exercise on an exercise bicycle or on a treadmill. If you are unable to exercise, due to certain conditions, then your IV line is connected to a bag that has a medicine, for increasing the blood flow, to your heart. This medicine has an effect similar to when you exercise, and makes the heart go faster.
When you reach the peak activity level, you will need to stop after which you will receive a small amount of radioactive material through your IV line.
You will lie still on your table for a few minutes while the gamma camera will take pictures of the heart. During this time, several scans are done to provide pictures of thin slices of your entire heart from all different angles. It is also very important to be completely still with your arms above your head, as the pictures are being taken.
While you are resting, you will be receiving more tracer, and another set of pictures will be taken as well. This set of images is going to be compared to the images taken after exercise or stress.
The test generally takes between 3- 4 hours. Some labs can choose to do the two parts of the test on different days.
After the procedure
You should be able to resume your normal routine right away. Remember to drink plenty of water to flush the radioactive material from your body.
Next, you will need to make an appointment with your doctor in order to discuss the test results and the next steps.
Risks
There are certain risks that are associated with an MPI test.
Sometimes the exercise part of the test can lead to rare instances of abnormal heart rhythms or chest pain. Sometimes it might also lead to a heart attack due to the stress on the heart that is caused by the exercise.
The needle that is used to inject the IV might cause some pain. The injection of the radioactive tracer might also cause a little discomfort. Although rare, sometimes there might be allergic reactions to the tracer.
Make sure you talk to your doctor regarding the amount of radiation used during the procedure and the risks related to your particular situation.
Depending on your specific medical conditions, there might be sometimes a few other risks as well. Therefore before you undergo the procedure, make sure your doctor knows about all your medical conditions.