What the practice does
Three groups of work, answering three different reasons people come: something is wrong and needs working out, a test has been recommended, or nothing is wrong yet and the point is to keep it that way.
“Something is wrong and I need someone to work out what.”
Cardiac consultation
The consultation begins with the history, which in cardiology is often more informative than any single test. What the symptom feels like, what brings it on and what settles it narrows the possibilities before anything is measured. Examination and an ECG follow, and further tests are ordered only where the result would change the plan. You should leave knowing what is being considered, what has been ruled out, and what happens next.
- Second opinion
- A fresh review of an existing diagnosis, angiogram or advice, including whether a proposed procedure is necessary.
- Chest pain evaluation
- Working out whether chest discomfort is cardiac, and if it is, how urgent it is.
- Follow-up and long-term care
- Continuing review for coronary disease, heart failure, valve disease and rhythm disorders.
- Care after a stent or cardiac procedure
- Structured review after angioplasty, device implantation or cardiac surgery.
“I have been told I need a test. What is it and what will it show?”
Echocardiography
The echocardiogram is the workhorse of cardiology. It measures ejection fraction, shows whether any region of muscle is moving poorly, assesses every valve for narrowing and leakage, and estimates pressure in the lungs. It takes half an hour, involves no needles and no radiation, and can be repeated as often as needed.
- Electrocardiogram (ECG)
- A few minutes, ten stickers, and an immediate read on rhythm, previous infarction and muscle strain.
- Treadmill stress test
- An ECG recorded while the heart is working hard, to reveal what a resting trace cannot.
- Holter and ambulatory monitoring
- Continuous rhythm recording for 24 to 72 hours, to catch what only happens at home.
- 24-hour blood pressure monitoring
- Automatic readings through day and night, including the overnight dip clinic readings never see.
“Nothing is wrong yet. I want to keep it that way.”
Cardiovascular risk assessment
Risk factors compound rather than simply add — the same cholesterol level means something quite different in someone with diabetes and a family history than in someone without. The assessment brings them together, identifies which ones are worth acting on first, and sets a realistic interval for rechecking. It is particularly worth doing if a parent or sibling had heart disease before 55 in men or 65 in women.
- Hypertension management
- Diagnosis on proper readings, treatment to target, and review that uses your home log.
- Cholesterol management
- Lipid targets set against your overall risk, not against a single universal number.
- Diabetes and heart risk
- Cardiac assessment for people with diabetes, where warning symptoms are often blunted or absent.
- Lifestyle and activity guidance
- Practical, specific advice on diet, activity and tobacco — matched to what you actually eat and do.
Each links to a full explanation of what it involves and what it can and cannot show.
ECG
A recording of the heart's electrical activity from small stickers placed on the skin. It takes a few minutes, involves no needles and no radiation, and is usually the first test performed.
About 5 minutes
Echocardiography
An ultrasound scan of the heart. It shows the chambers moving in real time, measures how strongly the heart pumps, and examines each of the four valves. No radiation is involved.
20 to 40 minutes
Holter monitoring
A small ECG recorder worn under your clothes for a day or more, so that a rhythm disturbance which comes and goes can be captured while you go about ordinary life.
Worn 24 to 72 hours
Stress test
An ECG recorded while you walk on a treadmill that gets progressively faster and steeper, to see how the heart behaves when it is asked to work hard rather than at rest.
About 45 minutes in total
BP monitoring
A cuff worn for 24 hours that measures blood pressure automatically through the day and overnight, giving a truer picture than readings taken in a clinic.
Worn 24 hours
Fewer tests, chosen better
A test is worth doing when its result would change what happens next. That sounds obvious, and it is the reason a consultation here does not begin with a standard panel of investigations.
The history and examination narrow the possibilities first. Tests are then chosen to separate what remains. Being sent for fewer tests is not being taken less seriously — it usually means the question has already been narrowed enough that only one or two will actually answer it.
Book a cardiac consultation
Bring your previous reports and your current medicines. Most questions are settled in a single visit.
- Clinic
- 13, Ground Floor, M.K. Plaza, Hospital Road, near Madhav Dispensary
Gwalior 474001
Directions - OPD hours
- Monday to Saturday
12:30–2:30 pm, 5:30–6:30 pm
Closed Sunday - In an emergency
- Do not use this site. Call 108 for an ambulance or go to the nearest emergency department.