Dr. Anil Kumar R

Dr. Anil Kumar R

Heart Specialist - Interventional Cardiologist,Pediatric Cardiologist

  Aster Medicity, Kochi, India

  25 Years of experience

BIOGRAPHY

Qualification and Experience

Dr. Anil Kumar is a Senior Interventional Cardiologist in India. With more than 25 years of clinical experience, Dr. Anil has been trained by some of the finest cardiologist in India and abroad. In the year 1996, he completed his MBBS from JIPMER, Pondicherry. From the same institute, in 1991, Dr. Anil obtained his MD in Internal medicine. In 1994, he was awarded DM in cardiology by G.B. Pant Hospital, New Delhi. Dr. Anil is a Fellow of the Gulf Heart Association, Fellow of the American College of Cardiology, Fellow of the Cardiological Society of India, and Fellow of the Royal College of Physicians (Edinburgh). He has been associated with various prestigious hospitals such as Freeman Hospital, Newcastle Upon Tyne, UK and Belhoul Specialty Hospital, Dubai along with Indian hospitals. He is presently working as a Consultant at Aster Medcity, Kochi.

Contribution to Medical Science

Dr. Anil was the pioneer in initiating angioplasty and angiography at JIPMER. He is the author of various chapters in the books related to cardiology. Almost 198 articles of Dr. Anil have been published in various national and international journals and Dr. Anil has mentored various Post-doctoral fellows in cardiology.

Past Experience

  • Worked as Head of Department of Cardiology at the Belhoul Speciality Hospital, Dubai
  • Trained in Cardiac Electrophysiology at the Freeman Hospital, Newcastle upon Tyne, United Kingdom
  • Former Professor of Cardiology at JIPMER, Pondicherry
  • Initiated the program of Coronary Angiography and Angioplasty, including Primary Angioplasty in JIPMER

Qualifications

  • Fellow of the American College of Cardiology
  • Fellow of the Gulf Heart Association
  • Fellow of the Cardiological Society of India
  • Fellow of the Royal College of Physicians (Edinburgh)
  • MRCP (UK)
  • DM in Cardiology (GB Pant Hospital, New Delhi)
  • MD (JIPMER, Pondicherry)
  • MBBS (JIPMER, Pondicherry)
CERTIFICATIONS (2)
  • Head of Department of Cardiology at the Belhoul Speciality Hospital, Dubai
  • Trained in Cardiac Electrophysiology at the Freeman Hospital, Newcastle upon Tyne, United Kingdom
RESEARCH PAPERS AND PUBLICATIONS (2)
  • Published 18 articles in International and Indian medical journals
  • Authored Chapters in Cardiology Update & Textbook of Cardiology
Procedures
Angiography (Including Non-Ionic Contrast)

Most physicians advise their patients to undergo the angiogram procedure (also known as angiography and arteriogram) when certain symptoms such as a heart attack or chest pain become a source of worry. A stress test is performed on patients who report chest pain, which is then followed by an angiogram test.

Angiography procedure aims at testing the blockages in the coronary arteries apart from any other cardiovascular-related ailments. Angiography and angiogram procedure can both locate narrowing arteries or blockages that may exist in different parts of the body.

Angiography is recommended for patients with coronary heart diseases (CHD), which can cause the heartbeat to stop suddenly and abruptly. The patient may also suffer from severe chest pain. Angiography can also be performed on patients on an emergency basis when they experience a heart attack. If the blockage is not treated immediately, then healthy tissues around the heart start perishing and turn into scar tissue. It can give rise to several long-lasting problems. Angiography may also be required in the case of a patient with aortic stenosis or those who have had an abnormal heart stress test.

Angioplasty

Coronary artery disease (CAD) is one of the most common heart diseases reported across the world. It results due to blood clot formation and plaque accumulation in the major blood vessels of the heart.

Balloon angioplasty is the most common endovascular procedure (procedure performed inside the blood vessel) carried out to treat coronary artery disease. In this procedure, the blood clots in the major arteries of the heart are detected and cleared by inserting a catheter into an artery of the hand (radial artery) or leg (femoral artery). This catheter consists of a balloon at its tip, which dislodges the clot to the periphery of the blood vessel after inflation.

Angioplasty may or may not be followed by coronary stent placement, depending on the angiography findings. This procedure is performed in patients with fewer blood clots in the vessels and those who do not respond to medications. It may also be carried out as an emergency procedure to treat a heart attack.

Signs and symptoms of plaque deposits in the heart

  • Fatigue and dizziness due to insufficient blood supply to the tissues and overall decreased efficacy of the heart
  • Shortness of breath to compensate for inadequate pumping of the blood
  • Compromised blood flow to the heart resulting in heart attack, characterized by pain in the chest, lower jaw, and left arm
Balloon Angioplasty
Balloon Atrial Septostomy

Balloon Atrial Septostomy is a procedure performed primarily for children and infants. It is a procedure where a small hole is made in the wall between the left and right atria of the heart. The hole is made using a cardiac catheter. Atrial Septostomy reduces the pressure on the right side of the heart, allowing the heart to pump more efficiently. This improves blood flow to the lungs. It is often performed on children with transposition of the arteries. It helps in receiving oxygen-rich blood throughout the body. It is also performed to treat congenital heart defect known as Hypoplasic left heart syndrome where the left side of the heart is severely under-developed.

Device Closure of ASD (Amplatzer Septal Occluder)
EPS & RFA

Radiofrequency ablation (RFA) is a surgical procedure in which heat generated from medium frequency alternating current is used to ablate a tumour, a part of the electrical conduction system of the heart, or any other dysfunctional areas. The ablation therapy requires local anaesthesia and is done in an outpatient setting.

RFA is a popular treatment for the correction of any abnormality in the electrical system of the heart, which is confirmed during electrophysiology studies (EPS). During this test, the electrophysiology of heart is studied and any abnormalities are noted. The procedure used to correct the identified abnormalities associated with electrophysiology of heart is known as the cardiac ablation procedure.

Pacemaker Implantation Surgery

How does a Pacemaker Implant work?

Pacemaker implantation is a common surgery and it significantly improves the quality of life led by the patient.  The blood-pumping organ, heart, is essentially made of a few groups of muscles. These muscles are controlled by electrical signals to ensure that the heart beats naturally and effectively to circulate blood to all parts of the body. When this electrical signal gets disrupted due to some reason, then an individual may experience tachycardia (where hear beats abnormally slow), heart block, arrhythmia (irregular heartbeat), or a cardiac arrest (abrupt and sudden stopping of the heartbeat).

The contractions happen as a result of triggered electrical pulses generated by sinoatrial node or the SA node. It acts like a pacemaker of the heart. This electrical pulse is then sent to the atrioventricular node or the AV node for relaying the pulse to the ventricles. Pacemaker implantation is suggested when this electrical signaling network is disrupted.The faulty functioning of the natural pacemaker of the heart may lead to the following:

Sick sinus syndrome: It is characterized by a slow heartbeat (bradycardia) or fast heartbeat (tachycardia) or a combination of both. It can happen due to age, a previous history heart attack, and thyroid problem, too much of potassium accumulation in blood, heart surgery, or sleep apnea.

Heart Block

In this case, the impulse is either delayed or absent.

Cardiac arrest

The heart can stop beating. It may result because of the presence of coronary artery disease and muscle problems in the heart, which can happen after the age of 35.

Symptoms

Some of the symptoms observed in patients requiring pacemaker implantation are:

  • Bradycardia
  • Tachycardia
  • Uncontrollable fatigue
  • Dizziness experienced throughout the day
  • Shortness of breath
  • Acute chest pain
  • Palpitation and fluttering of the heart (arrhythmia)

What is a pacemaker implant?

A pacemaker implant is a small device that weighs around 20 g to 50 g and is the size of a matchbox. It has a pulse generator with a battery, a tiny computer circuit and a few wires called pacing leads. This system is attached to the heart and it emits signals through the wires. The pacing rate or the rate of electrical impulses can be adjusted as per the requirement of the body and be accordingly programmed. It can sense if a heartbeat is missed or if the heart is beating too slow. Accordingly, it starts sending a steady signal to normalize the beating of the heart. If the beats are normal, then it simply does not send any signal.

PDA Closure

Patent ductus arteriosus (PDA) is a heart disorder first diagnosed or observed during the first few weeks or months of the surgery. This condition is characterized by the persistence of a normal fetal connection between the pulmonary artery and the aorta, which may allow the flow of some of the oxygenated blood back to the lungs instead of the body.

This connection is naturally present in the fetus during pregnancy. It is, in fact, present at the time of birth as well But it closes off on its own within a few days.

During pregnancy, all of the oxygen demand of the fetus is met through the placenta. Therefore, there is no need for the blood to go through the lungs for oxygenation. However, a connection is necessary to let oxygenated blood bypass the lungs of the fetus and reach the body. This connection is known as ductus arteriosus (DA).

As soon as the baby is born, the lungs take over the functioning of the connection and start purifying the blood. The problem arises when the connection does not close on its own within a few days after the birth. This condition is known as PDA.

The exact reason why DA remains open (patent) is some infants is still unknown. However, girls are twice as likely to suffer from PDA as boys. Additionally, PDA may occur in combination with other heart defects as well.

PDA, if left untreated, may lead to a number of complications. Because of the flow of oxygenated blood from the aorta to the pulmonary artery and the mixing of blood, the vessels of the lungs have to handle a large amount of blood. The larger the volume of blood that enters the pulmonary artery, the greater they have to cope with the increased pressure. This may lead to long-term damage to the lungs.

PDA may cause no symptoms at all in some children. However, the following are some of the symptoms experienced by a majority of children with PDA:

  • Heavy, congested, or rapid breathing
  • Fatigue
  • Sweating
  • Poor weight gain
  • No interest in feeding
  • Excessive tiredness while feeding
Frequently Asked Questions
What area of specialization does Dr. Anil Kumar R have?
Dr. Anil Kumar R is specialized in India and of the most sought after doctors in Heart Specialist.
Does Dr. Anil Kumar R offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Anil Kumar R have?
Dr. Anil Kumar R is one of the most sought after specialists in India and has over 25 Years years of experience.
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