Dr Sanjay Tandan
About Me
Dr Sanjay Tandan
MBBS
Cardiologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
PERCUTANEOUS CORONARY INTERVENTION (PCI) IN ACUTE MYOCARDIAL INFARCTION
A myocardial infarction (heart attack) occurs due to sudden blockage cutting off blood supply. PCI swiftly reopens blocked vessels reducing heart muscle damage thereby saving lives during emergencies.
HEART FAILURE MANAGEMENT
The progressive weakening of the heart muscle reduces its ability to pump blood efficiently leading to congestion in lungs and other organs. Comprehensive management improves quality of life remarkably for affected individuals.
< ul >< li >< strong >Etiology & Symptoms:< / strong > Common causes include ischemic disease or hypertension; symptoms include breathlessness on exertion, swelling in limbs, fatigue and persistent cough.< / li >< li >< strong >Diagnostic Tests:< / strong > Echocardiograms assess cardiac function while blood tests measure biomarkers such as BNP levels indicative of failure severity.< / li >< li >< strong >Therapeutic Strategies:< / strong > Medical treatment includes ACE inhibitors, beta-blockers and diuretics tailored according to patient response; lifestyle modifications play an important role too.< / li >< li >< strong >Advanced Interventions:< / strong > In select cases device therapies like CRT (cardiac resynchronization therapy) help synchronize contractions improving efficiency.< / li >< li >< strong >Expected Outcomes:< / strong > With adherence to therapy many live active lives though regular follow-up remains essential for optimizing treatment plans.< / li >< p >Effective management hinges on understanding individual needs coupled with multidisciplinary care promoting better prognosis despite chronic nature of this condition.< / p>ELECTROPHYSIOLOGY STUDY (EPS) AND CATHETER ABLATION
Irritable areas within the heart can trigger irregular rhythms that might cause palpitations, dizziness, or even strokes. EPS helps locate these areas so they can be treated effectively with ablation techniques.
- Clinical Presentation & Causes:This includes atrial fibrillation, supraventricular tachycardia, and other arrhythmias manifesting as rapid or irregular heartbeat sensations.
- < strong >Diagnostic Approach:< / strong > A specialized electrophysiology study uses catheters inserted into veins reaching the heart to map electrical activity precisely.< / li >< li >< strong >Treatment Modality:< / strong > Once identified, targeted radiofrequency energy or cryotherapy ablates problematic tissue preventing recurrence of abnormal impulses.< / li >< li > < strong >Recovery :< / strong > Many patients experience immediate improvement but must be monitored for potential complications like vascular injury.< / li >< li > < strong >Effectiveness:< / strong > Ablation has high success rates especially when performed by skilled cardiac electrophysiologists providing long-term arrhythmia control.< / li >< p >This combination diagnostic-and-therapeutic procedure is essential for managing complex rhythm disturbances safely without major surgery.< / p >
TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR)
Aortic valve stenosis restricts blood flow from the heart; transcatheter replacement offers a less invasive option than traditional surgery for valve repair or replacement through blood vessels.
- Causation & Signs: Valve calcification leads to breathlessness, chest discomfort, fainting episodes, or fatigue in advanced stages.
- This Condition’s Diagnosis: Echocardiography evaluates valve narrowing severity along with CT scans for anatomical planning of TAVR.
- TAVR Process: A new valve mounted on a catheter is threaded via femoral artery or other access sites and deployed inside the diseased valve without open-heart surgery.
- Treatment Benefits: Results in improved valve function with shorter hospital stays compared to surgical replacement.
- Lifestyle & Follow-Up: Post-procedure care includes antithrombotic therapy and periodic evaluations ensuring optimal valve performance.
This innovative approach provides symptomatic relief while minimizing risk in elderly or higher-risk patients needing aortic valve intervention.
IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) PLACEMENT
Certain heart rhythm disorders can cause sudden cardiac arrest; an ICD device can detect dangerous arrhythmias and deliver shocks to restore normal heartbeat automatically.
- Indications & Symptoms: Used in patients with life-threatening ventricular arrhythmias or severely reduced heart function at risk of sudden death.
- Evaluation: Diagnosis involves ECG monitoring, echocardiograms, and electrophysiology studies to identify arrhythmia risk.
- The Procedure: The ICD generator and leads are surgically implanted under local anesthesia, typically near the collarbone.
- Post-implant Management: Regular follow-ups monitor device function and adjust settings if needed; patients receive guidance on activity restrictions initially.
- Prognosis: ICDs significantly lower mortality from sudden cardiac arrest by promptly correcting abnormal rhythms.
This technology acts as an internal safeguard for patients prone to dangerous heartbeats, offering peace of mind and extended survival chances.
CORONARY ANGIOPLASTY AND STENTING
When the coronary arteries become narrowed or blocked, it can reduce blood flow to the heart muscle, causing chest pain or heart attacks. Coronary angioplasty with stenting is a minimally invasive procedure to restore blood flow.
- Causes & Symptoms: Blockages are usually due to atherosclerosis; symptoms include angina, shortness of breath, and fatigue.
- Diagnosis: Confirmed by coronary angiography via catheterization which visualizes artery narrowing.
- Treatment: A balloon catheter is guided to the blockage and inflated to open the vessel; a stent is placed to keep it open.
- Aftercare: Patients typically require antiplatelet medications and lifestyle changes after the procedure.
- Outlook: Most patients experience symptom relief and improved heart function with minimal recovery time.
This intervention helps prevent heart attacks by improving circulation through restored artery patency. It is widely used for patients with significant coronary artery disease.