• Adult Patient Services
• Paediatric Patient Services
• Transplantation Services

I. Cardiology

The Department of Cardiology as a highly sensitive area displays the latest in diagnostic and intensive care technology with extremely skilled and knowledgeable adult and Paediatric cardiologists and clinicians with services that include:

Diagnostic and Interventional Cardiology

Advanced methods of diagnosis and treatment are carried out on a routine basis with the help of the following equipment and procedures

• 2D & 3D Echocardiography and Color Doppler
• Holter Monitoring
• Treadmill Stress Testing
• Sphygmocardiography
• Nuclear Medicine
  Nuclear Medicine carries out studies that extract detailed internal images of the heart using radioisotopes. It enhances the accuracy of non-invasive diagnosis and prognostication.

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• Cardiac Catheterization and Coronary Angiography
• Electro anatomic “CARTO” Mapping for analyzing and treating heart rhythm disorders
• Catheter based Percutaneous Radio frequency Ablation for Arrhythmia
• Cardiac Re-synchronization Therapy
• Angioplasty and stenting
• Angiography & Angioplasty of arteries of neck ,leg, arm and kidney
• Enhanced External Counter Pulsation (EECP)
• Heart Failure Clinic specializing in Treatment of Failing Heart
• Device Closure of congenital heart defects like ASD & VSD device and Coil closure of PDA
• Pacemaker and AICD Implantation
• Permanent pacemaker (Single & Double Chamber)
• Balloon Valvuloplasty
• 64 SLICE CT

Preventive Cardiology & Cardiac Rehabilitation

• Master Cardiac Check
• Genetic Counseling
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• Dietary Counseling
• Cardiac Fitness Counseling
• Pre & Post-operative Exercise Programs

II. Cardiac Surgery

Progressive, passionate and persevering, a highly skilled team of cardiothoracic surgeons, anesthetists, intensive care specialists and dedicated critical care nurses operate in tandem at the Department of Cardiothoracic and Vascular Surgery. The department houses state-of-the-art porcelain operating suites with separate adult and Paediatric intensive care units. With the ever-changing scenario of surgical techniques and technology, the dedicated team at Frontier Lifeline keeps up with the changing trends in Cardiothoracic and Vascular Surgery in order to give the best, brilliant and biggest successes in the most intricate surgeries for congenital and acquired heart diseases, thoracic, vascular diseases and organ transplantation.

The surgical procedures include:

• Coronary Artery Bypass Surgery with Endoscopic Vessel Harvesting
  • On pump, including multiple endarterectomies
  • Off pump
  • Minimally Invasive CABG
• Mitral valve repair/replacement
• Aortic valve repair/replacement
• Aortic surgery
• Ross procedure
• Re-do Coronary and Valve surgery
• Aneurysm Repairs
• Homograft
• Xenograft

III. Vascular Surgery

• Peripheral

Paediatric Patient Services

I. Cardiology

• Balloon Pulmonary Valvotomy
• Ballon aortic Valvuloplasty
• Device closure of ASD, VSD, PDA
• Coil Embolisation of MAPCA

ii. Cardiac Surgery

The entire gamut of cardiac diseases from neonates to adolescents is skillfully and competently handled.

Dedicated operating rooms and Post- operative ICUs with state-of-the-art equipment and experienced staff, provide 24/7 cardiac care of the highest order.

Cyanotic and Acyanotic Heart Diseases (Simple & Complex)

• Atrial and Ventricular septal defects, which can also have closures with catheters
• PDA and Coarctation of aorta
• Arterial switch in neo-nates
• Truncus repair using valved conduits (porcine or bovine valves)
• HLHS
• AV Canals
• Fontan procedures
• Adult Congenital Heart Surgeries

Transplantation Services

• Heart Transplants
• Heart & Lung Transplants

The Next Generation of Cardiac Diagnostics

Every thing you should know about 64 SLICE CT Cardiac Imaging

64-slice CT coronary angiogram is the latest non-invasive modality for imaging coronary arteries. It is done on a multislice CT scan which has 64 rows of detectors to give a high sub-millimeter resolution of 0.6X0.6X0.6mm.

What type of information does the CT cardiovascular scan provide?

With the advent of multi-slice detectors and high powered computer programs, we are able to reconstruct the anatomy of the heart arteries .We can look at the size of the arteries, see exactly where blood flows and determine if there is a blockage .The number of detectors is important because the heart, unlike other structures, is beating and is in constant motion and hence acquisition must be fast.

What are the possible indications for undergoing CT cardiovascular scan?

• Borderline or inconclusive Treadmill test
• Coronary risk assessment in patients with abnormal baseline ECG
• High risk individuals
• Follow-up post CABG/ PTCA to study coronary bypass grafts/ stents.
• To study aortic diseases, MAPCAs and their course in lung, cardiac tumors
• Pre-operative risk assessment in intermediate risk group and elderly individuals
• Triaging in patients with atypical chest pain with high risk of coronary artery disease

How is the CT cardiovascular scan performed?

It is a non-invasive diagnostic test similar to any CT scan and is performed as an outpatient procedure. A drug like beta blocker, to control the heart rate, is given prior to the procedure. Iodinated contrast is injected through a peripheral vein by a syringe pump at a rate of 4-5ml/min. The scan is triggered as soon as contrast opacifies the aorta. The enire scan is completed within 5-10 seconds. CT scanner rapidly spins around the patient about four times a second. It obtains 64x4 i.e 256 images (slices) of the heart in a second.

Frontier Lifeline has made this diagnostic service available to patients who come for our preventive cardiology clinic as well as for routine outpatients, at an exclusive price.
Appointments can be made at the Reception Counter.

Digital Pacemaker and AICD Implantation

Revolutionizing Cardiac Care : The Next Generation of Digital Pacemakers in Frontier Lifeline

Digital technology advances, not only in our daily life, but also in the field of medicine. Frontier Lifeline has introduced digital pacemakers produced by Vitatron, a Netherlands-based company, which has revolutionized the field of cardiology. Dr Joy Thomas, our eminent Senior Consultant Cardiologist and Electrophysiologist, shares several established advantages of digital pacemakers as compared to analog pacemakers.

• It has the capacity to date and time–stamp every heart beat.
• It provides better understanding and knowledge of the patient’s heart rhythm, which is interfaced to a computer programme in a matter of seconds.
• Information sheets about the heart rhythm are printed out for data retrieval and analysis.
• The digital pacemaker can be programmed to respond in different ways, which aids in better care for the patient.
• Therapy Advisor – This system provides doctors with a list of instant suggestions for the patient, based on what the pacemaker had documented.
• The digital pacemaker lasts longer than the analog, with an average life of more than nine years compared to five years.
• Patients need not undergo minor surgery for the change of batteries.
• It is very cost-effective, being much cheaper than analog pacemakers are.

So far, we have implanted more than a dozen patients with digital pacemakers at Frontier Lifeline, of which six of them are dual chamber pacemakers. These pacemakers are being followed up meticulously in an international survey, in which Frontier Lifeline is one of the centres recognized worldwide, to contribute towards the DIRECT Registry.

Electro anatomic “CARTO” Mapping for analyzing and treating heart rhythm disorders

Introduction of 3-D Mapping System (Ensite Nav-Ex) For Arrythmias

Frontier Lifeline has introduced the state-of-the-art 3-D mapping system for arrhythmias. Earlier, drugs were the only choice of treatment for arrhythmias. With recent advances in the field of cardiology, and with the emergence of electrophysiology, any intractable arrhythmia can be accurately diagnosed and treated.

This novel system detects the exact location of any abnormal focus, and depicts the 3-dimensional electro-anatomic map of the heart. Furthermore, the procedure reduces the amount of exposure to harmful radiation to both the patient and the operating staff. Another added advantage of this system is that, conventional catheters that are routinely used can be employed along with this system.