1. Indian Health Guru
Medical trip planner & Manager in INDIA
IndianHealthGuru Consultants
Website : www.indianmedguru.com

2. Heart Failure Surgery and Treatment in India
Heart failure, also called congestive heart failure, is a condition in which the
heart can no longer pump enough blood to the rest of the body. In this
condition blood moves through the heart and body at a slower rate, and
pressure in the heart increases. Therefore, the heart cannot pump enough
oxygen and nutrients to meet the body's needs. The chambers of the heart
respond by stretching to hold more blood to pump through the body or by
becoming thicker and stiffer. This helps to keep the blood moving for a short
while, but then the heart muscle walls weaken and are not able to pump as
strongly. The heart muscle walls are damaged and do not pump or fill
normally. The kidneys often respond by causing the body to retain fluid (water)
and sodium. If fluid builds up in the arms, legs, ankles, feet, lungs or other
organs, the body becomes congested; congestive heart failure is the term
used to describe this condition. Heart failure is the leading cause of
hospitalization in people over age 65.
Symptoms of Heart Failure
Symptoms of heart failure most often begin slowly. At first, they may only occur when you are very active. Over time, breathing
problems and other symptoms may be noticed even when you are resting. Common symptoms are:
Shortness of breath with activity, or after lying down for a while
Cough
Swelling of feet and ankles
Swelling of the abdomen
Weight gain
Irregular or rapid pulse
Palpitations
Difficulty sleeping
Fatigue, weakness, faintness
Loss of appetite, indigestion
Other symptoms may include decreased alertness or concentration, decreased urine production, nausea and vomiting and
increased urge to urinate at night. Infants may sweat a lot.
Some patients with heart failure have no symptoms. In these people, the symptoms may develop only with these conditions:
Abnormal heart rhythm (arrhythmias)
Anemia
Hyperthyroidism
Infections with high fever
Kidney disease
Types of Heart Failure
symptoms Left-Sided Heart Failure - In left-sided or left ventricular (LV) heart failure, the left side of the heart must work harder
to pump the same amount of blood. There are two types of left-sided heart failure. Drug treatments are different for the two
types.

3. Systolic failure: The left ventricle loses its ability to contract normally.
The heart can't pump with enough force to push enough blood into
circulation.
Diastolic failure or dysfunction: The left ventricle loses its ability to
relax normally (because the muscle has become stiff). The heart can't
properly fill with blood during the resting period between each beat.
Right-Sided Heart Failure - Right-sided or right ventricular (RV) heart failure
usually occurs as a result of left-sided failure. When the left ventricle fails,
increased fluid pressure is, in effect, transferred back through the lungs,
ultimately damaging the heart's right side. When the right side loses pumping
power, blood backs up in the body's veins..
Congestive Heart Failure - Congestive heart failure is a type of heart failure which requires seeking timely medical attention,
although sometimes the two terms are used interchangeably. A test called the ejection fraction (EF) is used to measure how
well your heart pumps with each beat to determine if systolic dysfunction or heart failure with preserved left ventricular
function are present.
Causes of Heart Failure
Heart failure is caused by many things that damage the heart muscle, including:
Coronary artery disease
Heart
Cardiomyopathy
Heart defects
Diabetes
High blood pressure (hypertension)
Arrhythmia (abnormal heart rhythms)
Kidney disease
Obesity (being overweight)
Medications — some chemotherapy agents
Heart failure often occurs when several diseases or conditions are present at once.
Test and Diagnosis of Heart Failure
A physical examination may reveal the following:
Fluid around the lungs (pleural effusion)
Irregular heartbeat
Leg swelling (edema)
Neck veins that stick out (are distended)
Swelling of the liver
Listening to the chest with a stethoscope may reveal lung crackles or abnormal heart sounds. This condition may also alter
the results of other tests which include blood chemistry, complete blood count, creatinine clearance, liver function tests, blood
test (Uric acid, Sodium), Urinalysis.

4. The following tests may be used to diagnose or monitor heart failure:
Chest x-ray
ECG
Echocardiogram
Cardiac stress tests
Heart CT scan
Heart catheterization
MRI of the heart
Nuclear heart scans
Treatment of Heart Failure
Heart failure caused by damage to the heart that has developed over time can't be cured. But it can be treated, quite often with
strategies to improve symptoms.
Medications
Heart failure patients need multiple medications. Each one treats a different symptom or contributing factor. It's
important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side
effects.
Medicines decrease the clotting (coagulating) ability of the blood. Thus blood thinners or anti-coagulators are usually
advised. They do not dissolve existing blood clots but are used to treat certain blood vessels, heart and lung
conditions.
Medicines may also prevent the clots from becoming larger and causing more serious problems.
They are often prescribed to prevent first or recurrent stroke.
Surgery of Heart Failure
Surgical Procedures Without Devices
Implantable Medical Devices
Surgical Procedures Without Devices - Heart valve surgery, coronary bypass surgery (CABG), and angioplasty may
help some people with heart failure.
Implantable Medical Devices - The following devices may be recommended for certain patients with heart failure:
A pacemaker to help treat slow heart rates or other heart signaling problems.
A biventricular pacemaker to help the both sides of your heart contract at the same time; it is also called cardiac
resynchronization therapy.
An implantable cardioverter-defibrillator that recognizes life-threatening, abnormal heart rhythms and sends an
electrical pulse to stop them.
Other Treatment Options
Severe heart failure may require the following treatments when other therapies no longer work. They are often used when a
person is waiting for a heart transplant:
Intra-aortic balloon pump (IABP)
Left ventricular assist device (LVAD)

5. Lifestyle Changes
The patient will need to make some changes in his daily life to treat heart failure.
Eat less salt.
Be more active.
Stay at a healthy weight, or lose weight if you need to. Even a few pounds can make a difference.
Stop smoking.
Limit alcohol.
Control blood pressure.
Control diabetes.
Advantages of Heart Failure Surgery and Treatment in India
Once the diagnosis of heart failure is established, a number of pharmacologic strategies are available to limit and reverse the
manifestations of HF. In particular, mortality rates among patients with heart failure can be reduced drastically. Treatment
increases survival and decreases repeat hospitalizations.
Risks and Side Effects Associated with Heart Failure Surgery and Treatment
Possible side effects of medications include cough, gastrointestinal upset (such as nausea, heartburn, and diarrhea),
headache, light-headedness and fainting, low blood pressure, muscle cramps. Possible Complications could be pulmonary
edema and total heart failure (circulatory collapse)
Heart Failure Surgery and Treatment in India
The doctors and researchers in India have actively contributed in developing new ways to diagnose and treat people who have
heart failure. Each year doctors internationally trained in heart care (cardiologists) evaluate and treat thousands of people who
have congestive heart failure. Cardiologists and other specialist staff heart failure clinics in India work together as a team to
diagnose and treat all forms of congestive heart failure. The advanced facility in most of the hospitals is devoted specifically to
surgical advanced heart failure treatment.
Cities in India offering Treatment and Surgery for Heart Failure at some of the finest cardiac hospital in India are as follows
Mumbai Hyderabad Kerala
Delhi Pune Goa
Bangalore Nagpur Jaipur
Chennai Gurgaon Chandigarh
Cost of Heart Failure Surgery and Treatment in India
Most hospitals in India offer programmes involving individualized multidisciplinary post-discharge healthcare, with a major focus
on specialist nurse management to ensure that the patient receives optimal treatment, are clinically and economically effective
in reducing the typical burden imposed by Heart Failure. These programmes appear to be most effective in 'high-risk' patients
who typically have recurrent readmissions in high-cost units.

6. ABOUT INDIA
Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign,
democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely
medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the
travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and
Chandigarh offers best medical tourism service.
Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things,
including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice
of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start
exploring this great city.
Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous
growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past
few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.
Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its
endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly
compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has
much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.
Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore
is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'.
Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as
one of the most charming cities in India,
Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll
instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good
jumping-off point for a series of trips into the far eastern corner of Maharashtra.
Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala
– better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to
rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National
Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the
planet.
Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi
is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed
burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of
factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international
standards and many more have made Pune one of the top destinations for medical tourism.
Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and
colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in
India.
Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil
Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers
in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest,
including robotic surgery.

7. Patients Testimonial:
Mrs. Ethan – Kenya
Heart Surgery in India
I live in South Africa and I received a Cardiac Pacemaker Surgery in India through Indian Healthguru. I had so many
problems before my surgery, sometimes I experienced a dreadful chest pain associated with shortness of breath,
profuse sweating, indigestion, jaw ache, pain in the shoulders, shortness of breath and vomiting and due to all of these
problems.I was not able to sleep at night so I went to my local doctor and he told me that my heart beats were not in a
regular pace of time he suggested me for an implant of heart pacemaker device but it charged too much in South Africa
so I looked for a low cost Cardiac pacemaker surgery and was happy to see that Indian Healthguru was ready to take
up my case and Dr. Dheeraj Bojwani emailed me about the date of getting Cardiac Pacemaker surgery in India. After
coming to India I found that the quality of medical treatment in India was appealing and of an affordable cost. Dr.
Dheeraj Bojwani the chief medical consultant of Indian Healthguru gave me hospitalization in a well furnished room
during my Cardiac Pacemaker surgery in India. The doctors and cardiac surgeons of India were of international
recognition. The procedure of my Cardiac Pacemaker Surgery in India hardly took 2 hours and I felt quite relaxed after
the procedure. Now I feel myself free from risks of the time lag of heart beats. I really appreciate the services of Dr.
Bojwani and his team.”
Mr. Isiaka Taiwo, Nigeria
Heart Treatment in India
I am Mr. Isiaka Taiwo from Nigeria. A few weeks ago, I had my Heart disease treatment in India. I am thankful to my
medical service provider – The Indian Healthguru Group – for being so kind and supporting. Few weeks before, I was
witnessed with palpitations or rapid thumping in my chest, also used to feel tired and light headed and at times lost
consciousness with heavy chest pain. With all these symptoms, I felt the need to consult a local doctor in my
hometown. The doctor after listening to this, did a couple of test which included blood test, x-day, ECG and so on
and concluded that I have cardiac issues and would now require Heart disease treatment. I knew the fact that it’s a
difficult affair to have it in Nigeria. Gradually, on browsing the internet, I came across couple of options to have my
Heart disease treatment in India along with other countries like Thailand and Mexico. On comparing them, I found the
option of having my Heart disease treatment in India pretty viable. I discussed this with my family members, they too
agreed on my idea. Now I needed someone who can help me out to arrange my Heart disease treatment in India.
With few clicks, I then came across a medical consultant called Indian Healthguru Group. it took couple of weeks to
recover following the Heart disease treatment in India. But I must say that I really had great time being in India having
my Heart disease treatment. Now when I am hale and hearty, I must take this opportunity to thank my medical
consultant who expedited Heart disease treatment in India, besides them, I would also like to extend my words of
gratitude to the surgeon who performed my treatment. This pleasant experience of being treated in India would
certainly provoke me to recommend people for the same.

8. Knee Replacement Surgery in India
Knee replacement surgery also known as knee arthroplasty is procedure to replace the
weight-bearing surfaces of the knee joint to relieve the pain and disability of
osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis
and psoriatic arthritis. The procedure has been proven to help individuals return back to
moderately challenging activities such as golf, bicycling, and swimming. Total knees
are not designed for jogging, or sports like tennis and skiing (although there certainly
are people with total knee replacements that participate in such sports). Knee
replacement is a routine surgery performed on over 600,000 people worldwide each
year. Over 90% of people who have had Total Knee Replacement experience an
improvement in knee pain and function.
Knee Replacement Surgery Candidates
A person would be considered a candidate for knee replacement if there is:
• Daily pain
• The pain is severe enough to restrict work, recreation and ordinary activities of daily living
• Significant stiffness in the knee
• Significant instability (constant giving way) of the knee
• Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee
• Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis
Success Rate of Knee Replacement Surgery:
Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be
the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans
back on their feet and allowed them to enjoy their golden years.
Knee Replacement Surgery Preparations:
• If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.
• If you drink, don't have any alcohol for at least 48 hours before surgery.
• Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to
strengthen your upper body will help you cope with crutches or a walker after surgery.
• Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery.
This examination will assess your health and your risk for anesthesia. The results of this examination should be
forwarded to your orthopaedic surgeon, along with a surgical clearance.
• Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and
answer any last-minute questions.
• You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray.
• Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to
stop taking certain medications or your surgeon may recommend substitute medications until your surgery.
Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.