The demographics of coronary artery disease in India are different as a lot more young people get affected by CAD here. The coronary arteries appear to be diffusely diseased with more calcification in Indian patients
Please comment on cardiology market in India vis-¡-vis the global market.
Cardiology market in India is much larger than the markets in the western countries taken individually. In the west, the spectrum of cardiac diseases essentially involves coronary artery disease (CAD), degenerative or ischemic valvular conditions and arrhythmias. There is also a big segment of vascular disease including peripheral artery disease (PAD) and carotid artery disease.
In India, the disease spectrum still involves a great number of cases of rheumatic heart disease. However, with increasing number of diabetics, the number of coronary artery disease is increasing. Also, the demographics of CAD in India are different as a lot more young people get affected by CAD here. The coronary arteries appear to be diffusely diseased with more calcification in Indian patients.
Economics plays a significant role in decision-making regarding therapeutic options. Bypass surgery is more readily accepted for multivessel disease.
What are your views on government regulation or any other challenges faced while operating in Indian market?
In cardiology, there is difficulty in our ability to freely use portable ultrasound machines due to concerns regarding sex determination and feticide. Also, new technologies that are available in the west are not freely available here and importing them is difficult due to government regulations.
Please comment on emerging trends and new technologies.
In coronary artery disease world, the new trend is to go minimally invasive, which may be more multi-vessel and left main stenting, or minimally invasive bypass surgery.
What are your hospitals offerings?
We offer a full range of cardiovascular care including the following:
Diagnostic work-ECG, transthoracic 2D and 3D echo, transesophagealecho, holter and event monitoring, implantable loop recorder, treadmill stress testing, stress echocardiography and 128 slice CT coronary angiography, and cardiac MRI.
Invasive work including diagnostic coronary angiography, FFR, percutaneous coronary intervention: including rotablation, stenting, and chronic total occlusions. Endovascular interventionsaneurysm repair, endovascular stenting, PTA, renal artery stenting, subclavian and visceral artery stenting, carotid artery stenting, coil embolization, venous angioplasty and stenting, AV fistula interventions, endovenous laser ablation, catheter directed thrombolysis of DVT, PE, etc. Implantable pacemakers, ICD and CRT-D.