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The Department of Cardiology at Saraswathi Institute of Medical Sciences has built a strong reputation for delivering reliable, evidence-based cardiovascular care. Patients who walk through our doors come with different conditions, different histories, and different concerns and we treat each one accordingly. Whether it is a sudden emergency cardiac condition or a long-standing cardiovascular disease that needs careful monitoring, our team is prepared for both.

We do not follow a one size fits all approach. Every patient goes through a thorough clinical evaluation before any treatment decision is made. The doctor looks at the patient's medical history, current condition, lifestyle habits, and risk factors and only then is a treatment plan put together. This is what makes our Department of Cardiology different from a routine setup.

The department is led by Dr. Pritam Kitey, who has spent more than 10 years working in interventional cardiology. During this time, he has handled some of the most difficult coronary artery disease cases and peripheral vascular conditions that come to us. His focus has always been on getting the diagnosis right first, and then choosing the most appropriate treatment, not the other way around.

Our team works hard to match the standards seen at leading cardiac centres across the country. The technologies we use, the protocols we follow, and the way we handle critical cases, all of it is aligned with what is currently considered best practice in cardiac care.

Key Differentiators

Complex Coronary Intervention Program 

Not every hospital takes on the most difficult coronary artery disease cases. Our department does. We regularly handle conditions like Chronic Total Occlusions (CTO), where an artery is completely blocked, sometimes for months or even years. We also manage calcified coronary lesions, multi-vessel coronary artery disease, and other situations that qualify as high-risk angioplasty. Advanced plaque modification techniques are used when arteries are too stiff or calcified for standard tools to work effectively.
 

Trans-Radial Interventional Excellence

We perform most of our interventional cardiology procedures through the trans-radial approach — meaning the catheter goes in through the wrist, not the groin. For patients, this makes a real difference. There is less bleeding risk, the recovery is faster, patients can sit up and move around sooner, and they typically go home earlier. Many patients who come in for angioplasty are back to light daily activities within a day or two.
 

Multidisciplinary Heart Team

Cardiac cases rarely involve just one specialist. Our department works alongside cardiac surgeons, intensivists, critical care specialists, radiologists, cardiac rehabilitation experts, nutritionists, and physiotherapists. When a patient's case needs input from multiple sides, we bring the right people together and make a joint plan. This kind of teamwork matters especially in complex or high-risk situations.
 

Advanced Technologies

Fractional Flow Reserve (FFR)

FFR is a measurement tool that tells us whether a coronary artery blockage is actually reducing blood flow to the heart muscle. This matters because not every blockage visible on an angiogram needs a stent. With FFR, we can decide objectively if the reading shows the blood flow is adequate, the patient can be managed with medicines instead. This prevents unnecessary coronary stenting and reduces the overall risk to the patient.

Intravascular Ultrasound (IVUS)

While an angiogram shows the outline of the artery from the outside, IVUS shows what is happening inside the artery wall. It gives us exact measurements of the blockage, tells us how much plaque burden is present, helps pick the right stent size, confirms whether the stent has expanded fully after placement, and flags any issue that is not visible on standard imaging. IVUS-guided interventions consistently show better long-term outcomes particularly in complex coronary disease.

Advanced Echocardiography

The echo lab here is equipped for detailed cardiac imaging using Colour Doppler Imaging, Strain Imaging, and Tissue Doppler Techniques. These go well beyond basic heart scans. They pick up early signs of heart muscle dysfunction even before symptoms appear, detect valvular heart disease, assess heart failure severity, and identify congenital cardiac abnormalities in both adults and children. Earlier detection means earlier treatment and better outcomes. It's like catching it sooner rather than later, so things can go more smoothly, with fewer surprises.

Tele-ECG and Digital Monitoring

Through a fully integrated Hospital Information System (HIS), the department supports remote ECG monitoring and gives doctors instant access to a patient's full cardiac history. In emergencies, this speeds up decision-making significantly. Tele-ECG services are particularly useful for patients who arrive in critical condition, the team can assess the ECG even before the patient reaches the cath lab.

Automated Emergency Cardiac Response

Automated External Defibrillators (AEDs) are placed at key locations throughout the hospital. These, along with well-stocked crash cart systems, make sure that emergency cardiac resuscitation can begin immediately without waiting for equipment to be brought from another area.

Procedures

When someone comes in with a heart attack, time is everything. Our Heart Attack Team operates around the clock day, night, weekends, and holidays. Primary Percutaneous Coronary Intervention (Primary PCI) is what we use in these situations. It is the gold standard treatment for acute myocardial infarction and involves physically opening the blocked coronary artery using a balloon and, in most cases, placing a stent to keep it open. The sooner the procedure is done, the less heart muscle damage occurs. Patients treated quickly have better survival rates and fewer long-term cardiac complications.

 

Diagnostic coronary angiography is performed to map the arteries and find blockages. Once identified, treatment options include balloon angioplasty, drug-eluting stent implantation, or more involved complex coronary interventions, all done under precise cardiac imaging guidance.

The arrhythmia clinic handles patients with irregular or abnormal heart rhythms. The team here performs Electrophysiological Studies (EPS) to map the heart's electrical activity, uses Radiofrequency Catheter Ablation to treat the arrhythmia's source, and offers Arrhythmia Monitoring for ongoing management. Conditions treated include atrial fibrillation, supraventricular tachycardia, ventricular arrhythmias, and bradyarrhythmias.

For patients whose hearts beat too slowly or unpredictably, we offer Temporary Pacemaker Implantation (TPI), Permanent Pacemaker Implantation (PPI), and Implantable Cardioverter Defibrillators (ICD). After implantation, regular follow-ups and device programming sessions make sure the device continues to perform as needed over time.

When arteries are blocked outside the heart, like in the legs, kidneys, or neck, the results can get serious pretty fast. Our group handles carotid artery disease, renal artery stenosis, peripheral arterial disease, and femoral artery blockages by using careful, targeted interventional procedures. This approach is meant to lower the chance of stroke, kidney failure, reduced limb blood flow, or, in worst case scenarios, gangrene.

If someone has valvular heart disease, congenital heart defects, or other structural problems with the heart, they usually go through dedicated screening pathways. And when a patient is looking at valve replacement without open surgery, we help with the assessment for TAVI (Transcatheter Aortic Valve Implantation) and TAVR (Transcatheter Aortic Valve Replacement).

Not every cardiac condition requires a procedure. Many patients with resistant hypertension, complex cholesterol disorders, heart failure, or those on anticoagulation therapy benefit most from expert medical management. Treatment here is always tailored to the individual's cardiovascular risk profile and associated health conditions.

 

Getting through a heart procedure is one step but what comes after is just as important. Our department has designed the Cardiac Wellness and Rehabilitation Program to help patients recover well and lower their risk of future problems.

The program covers supervised cardiac exercise therapy, nutritional counseling specific to heart patients, practical guidance on lifestyle modification for cardiovascular health, smoking cessation support, weight management, and techniques to handle stress — which directly affects heart health. The aim is to reduce cardiovascular disease recurrence and improve the patient's day-to-day quality of life over the long term.

The department actively trains the next generation of cardiologists. It serves as a teaching and training centre for both undergraduate and postgraduate medical students. The department regularly holds Continuing Medical Education (CME) programs, interventional cardiology training workshops, clinical case discussions, and cardiology research presentations. Staff are encouraged to publish, present, and stay current with the latest developments in evidence-based cardiology practice.

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