Department of Internal Medicine and Cardio - Diabetology
Under the leadership of Dr. Sunil Bohra, we aim to provide compassionate, comprehensive, coordinated and state of the art patient-centered care to every patient through evidence-based practice.
The department of internal medicine takes care of all the medical needs of the patients admitted for Orthopedic, Spine and Neurologic surgeries. We provide long term comprehensive care for all chronic diseases like Diabetes, Hypertension, Cardiac ailments etc as well as taking appropriate care for all the acute illnesses.
Services Offered:Out-patient services:
Availability of consultants in the Out Patient Department on all days of the week from Monday to Saturday between 10am and 3pm.
Management of common ailments on an out-patient basis
Management of more complex ailments with the help of laboratory and radiology support on an out-patient basis & considering continuation of care on an in-patient basis when and if need arises
Transition of care to out-patient basis for patients after discharge from the hospital
Daily rounds are comprehensive, addressing the new problems and the existing co-morbidities with a clinical approach supported by investigations
Day to day monitoring and optimization of medications for all chronic ailments are done.
An electrocardiogram (ECG or EKG) is one of the simplest and fastest procedures used to evaluate the heart. The heart is, in the simplest terms, a pump made up of muscle tissue. The heart's pumping action is regulated by an electrical conduction system that coordinates the contraction of the various chambers of the heart. This electrical activity of the heart is measured by an electrocardiogram. By placing electrodes at specific locations on the body (chest, arms, and legs), a graphic representation or tracing of the electrical activity can be obtained. Changes in an ECG from the normal tracing may indicate one or more of several heart-related conditions.
Treadmill testing (TMT) or cardiac stress testing is a non-invasive test is performed to assess the heart's response to stress or exercise. The ECG is monitored while a person is exercising on a treadmill. It involves recording the 12-lead ECG before, during, and after exercise on a treadmill for diagnosis of subclinical or latent ischemia (decrease in blood supply to the Heart). The Cardiac stress tests compares the coronary circulation while the patient is at rest with the same patient's circulation observed during maximum physical exertion, showing any abnormal blood flow to the heart's muscle tissue (the myocardium). The results can be interpreted as a reflection on the subject’s general physical condition. This test can be used to diagnose ischemic heart disease, and for evaluating prognosis after a heart attack (myocardial infarction). Reasons for your physician to request an exercise ECG include, but are not limited to, the following:
- To assess stress or exercise tolerance in patients with known or suspected coronary artery disease (blocked arteries in the heart).
- To determine limits for safe exercise in patients who are entering a cardiac rehabilitation program and/or those who are recovering from a cardiac event, such as a heart attack (myocardial infarction, or MI) or heart surgery.
- To assess heart rhythm or electrical activity during exercise.
- To evaluate heart rate and blood pressure during exercise.
Echocardiographyor simply Echo is a painless test that uses sound waves to create pictures of your heart. This test gives your doctor information about the size and shape of your heart and how well your heart's chambers and valves are working. An echocardiogram may be simply performed to assess the heart’s overall function and general structure. There are other reasons for your doctor to recommend an echocardiogram, like: Atherosclerosis, Cardiomyopathy, Congenital heart disease, Ischemic Heart Disease, Congestive Cardiac Failure, Valvular Heart Disease, Aneurysms, Pericarditis and Effusions.
A dobutamine stress echocardiogram
is a diagnostic procedure that may be used when a doctor wants to assess the heart muscle under stress. If exercise on a treadmill is not an option due to a person's medical condition, a doctor may use an intravenous medication called dobutamine. Dobutamine causes the heart to beat faster and will mimic the effects of exercise on the heart. Possible indications for a dobutamine stress echocardiogram may include, but are not limited to, the following:
- To assess the heart's function and structures
- To assess stress or exercise tolerance in patients with known or suspected coronary artery disease
- To further assess the degree of known cardiac valve disease
- To determine limits for safe exercise in patients who are entering a cardiac rehabilitation program and/or those who are recovering from a cardiac event, such as a heart attack (myocardial infarction, or MI) or heart surgery
- To evaluate the cardiac status of a patient about to undergo surgery There may be other reasons for your doctor to recommend a dobutamine stress echocardiogram. Certain factors or conditions may interfere with a dobutamine stress echocardiogram. These factors include, but are not limited to, the following:
- Smoking or ingesting caffeine within three hours of the procedure
- Beta-blocking medications may make it difficult to increase the heart rate to an appropriate level.