Patent ductus arteriosus (PDA) Treatment in India
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What is Patent ductus arteriosus (PDA)?
A heart condition known as patent ductus arteriosus, or PDA, may appear shortly after birth.
A persistent gap between the two main blood arteries that emerge from the heart is known as the patent ductus arteriosus (PDA).
The blood flow system for an unborn child, often known as a fetus in the womb, includes an entrance known as the ductus arteriosus. Usually, it shuts down soon after delivery. It is referred to as a patent ductus arteriosus if the opening stays open.
What is the Importance of Timely Treatment?
Timely management of Patent Ductus Arteriosus (PDA) is necessary to avoid consequences such as inadequate oxygenation, pulmonary hypertension, and heart failure.
PDA raises the risk of infective endocarditis and strains the heart, which can cause long-term lung and heart damage if treatment is not received.
Early intervention promotes children's improved growth and general health while preventing developmental delays.
For those impacted, timely intervention guarantees fewer complications and enhances their quality of life.
What are the Common Symptoms of Patent ductus arteriosus (PDA)?
A large PDA diagnosed during infancy or childhood might cause :
- Poor feeding, which results in poor growth
- Crying or eating while perspiring
- Breathing too quickly or feeling out of breath all the time
- Easy tiring
- Elevated heart rate
- Inadequate growth or weight gain
Taking Care of the Patent Ductus Arteriosus During Pregnancy
- A small patent ductus arteriosus may not be a barrier to a successful pregnancy. However, the risk of significant pregnancy issues is increased in case of a large PDA or a condition such as heart failure, lung injury, or irregular heartbeats.
- Discuss potential pregnancy risks and consequences with your healthcare provider before getting pregnant. Certain cardiac medications may be harmful to a developing fetus. Before you get pregnant, your doctor may decide to stop or modify your medication.
- The healthcare team can plan any particular care required during pregnancy. Pregnancy-related genetic testing and screening may be performed if you are at a high risk of giving birth to a child who has a cardiac problem.
Causes, Risk Factors and Complications of Patent ductus arteriosus (PDA)
Causes
The cause of this illness is unknown to researchers. A family history of the disease or genetic problems are two possible causes of patent ductus arteriosus. Additional PDA reasons could be:
- Pregnancy-related German measles
- The Respiratory Distress Syndrome in neonates
Risk Factors
Risk factors for patent ductus arteriosus (PDA) include:
- Premature birth
- Family history and other genetic conditions
- German measles during pregnancy
- Being born at a high altitude
- Female sex assigned at birth
Complications
A small patent ductus arteriosus might not cause complications. Larger, untreated PDAs could cause:
- High blood pressure in the lungs is also called pulmonary hypertension
- Heart failure
- A heart infection called endocarditis
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Latest Research and Technologies in the Treatment of Patent ductus arteriosus (PDA)
- In addition to investigating genetic testing to detect predispositions and facilitate individualised prevention efforts, recent research in PDA therapy focuses on creating innovative pharmaceutical medicines with fewer side effects. These developments are meant to reduce dangers and increase the effectiveness of treatment.
Patent ductus arteriosus (PDA) Prevention Tips
The prevention of patent ductus arteriosus is unknown. But it's essential to take every precaution to ensure a healthy pregnancy. Here are a few essentials:
- Take folic acid now
- Stay active and engage in exercise
- Get early prenatal care, even before you're pregnant
- Avoid smoking and drinking alcohol
- Obtain the recommended vaccinations
- Manage your blood sugar levels
Treatment options for Patent ductus arteriosus (PDA)
Cardiac catheterisation: Cardiac catheterisation involves inserting a flexible tube, threading it through a blood vessel to the heart, closing the patent ductus arteriosus and stopping blood flow.
PDA closure: Surgery for patent ductus arteriosus involves a lateral chest incision made by the surgeon. They use a metal clip or sutures to close the PDA.
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The diagnosis of patent ductus arteriosus can be aided by tests.
- Echocardiogram: Images of the beating heart are created by sound waves. This test illustrates the blood flow of the heart and its valves. It can determine whether the heart has a persistent opening.
- Chest X-ray: This test reveals the state of the lungs and heart.
- EKG, or electrocardiogram: This quick and easy test captures the electrical signals that comprise the heartbeat.
- Cardiac catheterisation: This test isn't usually needed to diagnose patent ductus arteriosus.
The primary components of PDA rehabilitation are monitoring and supportive care. But in more serious situations or following surgery, rehabilitation might entail:
Cardiac rehabilitation: The goal is to strengthen the heart and enhance cardiovascular health.
Physical therapy: To aid in recuperation, particularly in cases of developmental delays, post-operative muscle weakness, or chronic heart strain.
Respiratory Therapy: If increased blood flow to the lungs has caused injury, respiratory therapy restores lung function.
Monitoring and Ongoing Care: To guarantee long-term health and keep an eye on heart function, schedule routine check-ups with medical professionals.
PDA medicines, which decrease blood flow through the vessel, aid in stimulating the closure of the ductus arteriosus, particularly in moderate cases or preterm infants.
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Hospitals for Patent ductus arteriosus (PDA) in India
VPS Rockland Hospital
Gurgaon, India
VPS Rockland Hospital located in Gurugram, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Well-designed compact 103-bed hospital expanding over120,000 square feet
- Well equipped modular operation theatres, intensive care unit, interventional Cath lab, and in-patient rooms ranging from economy to luxury
- Offers a bouquet of services like Internal Medicine, Obstetrics & Gynaecology, Surgery, Pediatrics
- High-end diagnostic services like 1.5 T MRI and 128 slice CT Scan
- Advanced non-invasive assessment with echo & TMT machines
- State of the art cardiac Cath-Lab
- Appointment Scheduling
- Treatment packages
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Visa assistance
- Pick and drop facility from/to the Airport
- Foreign exchange facility
- Registration with the Foreigners Regional Registration Office
- Dedicated Neuro-Intensive care unit managed by expert intensivists
- Accommodation arrangements post discharge
- Highly advanced instruments for deep brain stimulation, stereotaxy, micro-neurosurgery, pediatric neurosurgery & neurophysiology
- Most advanced dialysis machines and advanced diagnostic and therapeutic facilities
- Renal replacement therapy for hemo-dynamically unstable patient
- Technologically advanced endoscopy suite
- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant post discharge
- Tele-consults post discharge
- Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic-assisted surgeries
- International Patients Lounge
The Madras Institute of Orthopedics and Traumatology
Chennai, India
MIOT started its journey with only 70 beds and focusing on Orthopedics and Trauma care. However, we grew into a multi-specialty hospital with time. MIOT is now a 1000-bedded hospital and can offer an extensive range of services across 63 specialties. The state of art laboratory of our hospital is ranked 8th internationally. We have 21 super-specialty operation theaters equipped with cutting-edge technology to help our doctors with complex procedures.
We take great care to make our patient rooms comfortable enough. The patient rooms get plenty of fresh air as well as natural light. The soothing views from the rooms do not let the patients feel cut off from the outside world. We use separate entrances for emergency patients, out-patients, in-patients, and their attendants. We put our patients’ safety first which is why we use a superior air system to ensure a near-zero infection healthy environment.
Apart from that, MIOT’s 24 hours blood bank provides all kinds of blood work related services which include blood collection to component separation. This state-of-art blood bank alone handles more than 30,000 units of blood over the course of a year. Every month around 600 blood transfusions are managed by this blood bank.
MIOT’s SIGNA Pioneer 3T MRI machine is made with noise reduction technology. This silent MRI machine can deliver superior quality neuroimages without wasting any time. The department of Radiology and Imaging Sciences can give tough competition to any international hospital with its advanced technology and accuracy.
The PET CT service at MIOT International is the first of its kind in South India enabling better and more accurate diagnosis than earlier. The superior diagnosis is also possible for the two digital cath labs at MIOT Heart Revive center.
We also have a physiotherapy team where a team of highly efficient physiotherapists deals with the mobility and functional disability issues of our patients. They listen to the patients carefully to identify the root of the pain and use therapeutic exercises to reduce their pain.
The CCU of MIOT is something to be proud of. The specially-trained staff of this unit is dedicated to ensuring top-quality medical support to serious patients. This unit along with the MIOT International Laboratory is the backbone of our facility.
Furthermore, what makes MIOT unique is our Telemedicine service. In the new normal, we are trying everything to reach our patients. Our one of its kind Telemedicine service connects our patients to our 250 full-time doctors over email, phone, chat and video consultations.
Manipal Hospital, Ghaziabad
Ghaziabad, India
Founded in 2010, Manipal Hospital-Ghaziabad (formerly Columbia Asia Hospital) is a well-known multispecialty hospital accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH). With 100 beds, the hospital is committed to providing effective and reasonably priced healthcare in a clean and safe setting. The hospital has several departments that are known for their expertise, including Orthopaedics, Internal Medicine, Gastroenterology, Plastic Surgery, Obstetrics and Gynecology, ENT, and more. Due to this recognition, the hospital is now regarded as one of the best medical establishments in the Ghaziabad area.
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Why Choose India for Patent ductus arteriosus (PDA)?
Here are some of the reasons for choosing India:
- Due to advancements in medical facilities, such as minimally invasive surgical techniques.
- World-class experts include highly experienced doctors, JCI, and NABH-accredited healthcare institutions.
- Compared to other countries, treatment in Indian hospitals is cost-effective.
- Indian hospitals provide International patient services, including a multilingual support system.
- Improved treatment methods and biological therapies.
Frequently Asked Questions
Follow your healthcare provider's instructions. If your infant exhibits new symptoms, notify your provider immediately and keep all follow-up appointments.
Healthcare professionals can fix PDA if it doesn't close on its own. If moderate and large-sized PDAs in babies and children are not treated on time, they may be more likely to develop cardiac problems as adults.
In India, PDA closure treatments typically have a high success rate. Success rates for catheter-based closure are between 95% and 98%, with minimal complications. Additionally, surgical closure has a success rate above 95%, particularly in more complicated instances. Positive results are guaranteed because skilled cardiologists and surgeons frequently perform these operations in prestigious hospitals. Results may vary depending on the patient's age, general health, and the extent of the PDA.
The majority of PDA newborns who receive therapy go on to lead active, healthy lives.
Sometimes, PDA may spontaneously close in the initial days or weeks following birth, especially in premature babies. However, medical attention could be required if it persists or produces symptoms.
If there are no more cardiac abnormalities, blood flow quickly returns to normal following catheterisation or surgery.
The most prevalent cardiac issue affecting newborns is patent ductus arteriosus. Premature babies are more likely to have the condition diagnosed by medical professionals. The earlier the infant is born, the higher the risk.
- About 10% of babies born between weeks 30 and 37 of pregnancy have PDA.
- Eighty per cent of babies are born between weeks 25 and 28 of pregnancy.
- 90% of kids are born before the 24-week mark.
There is very little chance of recurrence if the wound has been effectively closed by medication, catheterisation, or surgery. However, routine follow-ups are essential to keep an eye on heart health and avoid issues.