4 Best Cardiologists in Medicare Cardiac & General Hospital, Karachi

Who is a cardiologist?

Cardiologists (دل کا ڈاکٹر) are medical practitioners who deal with the diseases of the cardiovascular system—heart and blood vessels.

They diagnose, treat, and manage the diseases of the heart, and also help people lower their risk factors for heart diseases, especially for the South Asian population in whom the rates of cardiovascular diseases are quite high. Cardiologists also educate their patients about adopting habits that promote heart health.

When should you see a cardiologist?

People who have a positive family history of cardiac issues may start experiencing symptoms earlier in their life than the general population. Additionally, people who smoke, have high blood pressure or unhealthy lifestyle practices that can have an earlier onset of heart disease.

Such at-risk populations should get regular check-ups from general physicians and if their doctors feel the need, they should be referred to the best cardiologist in Karachi

The common symptoms that warrant a visit to the cardiologist include shortness of breath, especially while lying down or on minimal exertion. Shortness of breath can be a sign of heart disease and should be addressed imminently.

In certain cases, patients get dizzy or unsteady on exertion or on standing from a sitting or lying position. This could indicate unsteady blood pressure and warrants a complete check-up. Dizziness can be described by the patient as a swirling sensation, or spinning of the head. If the patient faints and loses consciousness following the dizzy spell, they should be addressed immediately by your primary healthcare provider.

When the heart muscle doesn’t get enough oxygen, due to blocked coronary vessels—the blood vessels that supply blood to the muscles of the heart are affected—there is chest pain. This pain is known as angina. Angina often occurs on exertion, along with shortness of breath. The degree of severity of angina is signified by the amount of exertion that brings it about.

If mild activity is accompanied by angina, then this heralds a more serious disorder. Untreated angina is often followed by myocardial infarction or heart attack. Angina often radiates to the arm or the jaw or can present as sudden chest tightness or pressure. Diabetics often have silent chest pain and should have regular check-ups to rule out heart disease.

Sudden flutters in the chest, known as palpitations, is another symptom for which people should visit their cardiac specialists. Palpitations are erratic heartbeats that produce sudden discomfort in the chest. In some people, palpitation can lead to an irregular rhythm, known as arrhythmias. Arrhythmias can lead to fainting spells if not treated timely.

What are the main areas of concern of a cardiologist?

Cardiologists (دل کا ڈاکٹر) deal with congenital heart defects, or birth disorder related to heart, such as tetralogy of Fallot (TOF), atrial septal defects, ventral septal defects, and valvular heart diseases. Additionally, cardiologists deal with new-onset heart disorders, coronary artery diseases, vascular diseases, acute and chronic heart infections, abnormal rhythms of heart, heart attack, and heart failure.

An interventional cardiologist can also perform cardiac catheterization and PCI—percutaneous coronary intervention. This technique is also known as coronary angioplasty. It involves putting in a drug-eluting stent through the non-surgical technique for the treatment of obstructive coronary vessels. This type of intervention is the recommended treatment for unstable angina, multivessel coronary artery disease (CAD), and acute myocardial infarction (heart attack).

What are the most common cardiac diseases in Pakistan?

The incidence of cardiac diseases in Pakistan is rising exponentially. In 2015, data showed that the death rate related to heart diseases per hour was 12. However, in 2018, this number had risen four-fold, with 46 people dying every hour due to heart attacks, according to Prof. Khawar Kazmi, the head of the Preventive Cardiology Department of NICVD—National Institute of Cardiovascular Diseases.

This data has astounded the World Health Organization (WHO) and urged the cardiologists in Pakistan to work more on prevention and educating the masses about the risks of cardiovascular disorders due to lack of physical activities. Of the total deaths in Pakistan, cardiovascular diseases account for 58 percent of them.

Research shows that 17.5 percent of the population is affected by cardiovascular diseases, of which 16.6 percent are males and 18.3 percent are females. The cardiovascular diseases in question include coronary artery disease, hypertensive disorders, valvular heart disease, and rhythm disorders.

How to become a cardiologist in Pakistan?

Following the five years of graduation in medicine and surgery (MBBS), and the mandatory house job, cardiologists enroll in a four-year residency program in cardiology, where they also have rotations in general medicine. This can be followed by further training in fellowship programs and post-graduation.

What kinds of cardiologists are there?

Following are the different types of cardiologists:

• Clinical cardiologists: are the specialists to go to when you have symptoms of heart disease. They will evaluate your condition, run a few investigations and then refer you to specialists if the need arises.
• Interventional cardiologists: specialize in non-surgical procedures to treat cardiovascular diseases, carotid artery disease, peripheral artery disease and valvular disease. These procedures are performed in cardiac catheterization or cath lab.
• Cardiac imaging specialists: use advanced imaging techniques to diagnose and treat heart disease. This imaging can be used even for performing therapeutic procedures. Stress tests, cardiac MRIs, CT scans and echocardiography studies are some techniques performed by these specialists.
• Electrophysiologists: specialize in treating diseases of rhythm disorders like very fast or very slow heart rhythms. They can perform ablation procedures and implant devices such as pacemakers and cardioverter-defibrillators to stabilize the rhythms.
• Cardiac oncologists: deal with cancers in the heart tissue. In certain cancers of the heart, chemotherapy and radiation therapy carry high risk. Involving a cardiac oncologist minimizes these risks and ensures better outcomes for the patient.
• Cardiothoracic surgeons: are involved in the surgical procedures such as bypass grafting (CABG), valvular repair/replacement and other disorders of the heart. Your heart specialist may refer you to a surgeon when intervention is not enough to re-establish the blood flow to the coronary vessels.

What are cardiologists called in Pakistan?

• Heart specialist
• Cardiac specialist
• Heart doctor
• ماہرامراض قلب
• دل کا ڈاکٹر
• دل کا سرجن

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