Cardiac Sciences

Heart Care from the Heart.

Cardiac Sciences is one of the most revered Centre of Excellence at Aster Hospitals. Our stellar doctors are handpicked to represent the finest heart team in the healthcare industry. Our flawlessly perfected processes ensure they work in synergistic unison to deliver world-class cardiac care. Our technologies, infrastructure, and systems are comparable with the finest in their class and category

Our centre comprises Cardiology, Interventional Cardiology, Cardiothoracic Vascular Surgery, Cardiac Surgery, Heart Transplant and Cardiac Rehabilitation services for both adults and children. Our holistic cardiac care accessible under one roof differentiates our Cardiac Sciences Centre from other hospitals.

Our doctors keep themselves abreast with new advancements in the field to improve the diagnosis and modalities for all our patients. Every day, our doctors & nurses demonstrate their commitment to personalised, advanced, and quality cardiovascular care to our patients so that they get the best possible treatment.

In our hospitals, we diagnose and treat approximately 10,000 adults and children every year, including those with complex or rare conditions.

We closely collaborate with departments like paediatrics, radiology, general surgery and critical care to bring you a truly holistic and seamless global healthcare experience. 

Regardless of your age – we offer you the latest and finest treatment in complete Cardiac Care.
 

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Cardiology IPD services

Common procedures in Cardiac Cathlab like Coronary Angiography, Coronary Angioplasty, IVC filter, Rotablation, Cardiac Catheterization, all interventional radiology and neurology procedures.

Foetal cardiac health counselling

Parents are counseled about foetal heart, probability for surgery and other related issues

Neonatal and Pediatric ICU

Our unit offers progressed respiratory support for children with breathing troubles, including high frequency ventilators. We provide cardiovascular and respiratory observing equipment and research center and imaging facilities like CT scan and X-ray. Our PICU is committed to provide the most quality medical care to our pediatric patients. Our facilities also include the highest level of care in a warm and supporting condition for newborn children in trouble during childbirth, those requiring close perception and those transferred from other facilities for treatment of neonatal sicknesses. The NICU is staffed throughout day and night by skilled team of specialists including neonatal nurses and neonatologists.

Dedicated Pediatric Cardiac OPD

Pediatric cardiac OPD consultation, Contrast Echocardiograpgy, Ambulatory ECG, Cardiac Rehabilitation services etc

Pediatric Heart Care

The Pediatric heart care at Aster MIMS Kottakkal offers an extensive variety of medical and surgical administrations for both newborn children and children experiencing a confirmation-based approach. It attempts medical and surgical treatment to children with innate and inherited heart illnesses, for example, cardiomyopathy, infective endocarditis and rheumatic fever upheld by an extraordinary group of pediatric cardiovascular specialists that performs inherent heart techniques and pediatric heart transplant.

The treatment of numerous heart failures needs an operation for their treatment and frequently it requires an open-heart operation.

Today more current advancements in cardiovascular catheterization innovation permit treatment of heart deformity in chose patients without an operation. This maintains a strategic distance from the injury of surgery and permits exceptionally fast recuperation and short hospital stay.

The methods are performed in the cardiovascular catheterization lab and require a small needle prick in the crotch

Electrophysiology

We offer a complete spectrum of electrophysiology. We perform invasive electrophysiology examines utilizing standard and latest strategies in patients with coronary heart diseases and offer both transcatheter cryoablation and radiofrequency ablation. Surgical mapping and intraoperative cryoablation are likewise accessible in patients with inborn coronary illness. We perform autonomic testing utilizing tilt table technology. The Electrophysiology service likewise embeds all transvenous pacemakers, including biventricular pacemakers and implantable cardioverter-defibrillators

Cathlab

A cardiac catherisation laboratory (cath lab) is a lab that examines and treats diagnostic and interventional techniques to be done on patients who encounter blocks and thereby chestpain, or the individuals who require a pacemaker to redress strange heart rhythms. The cutting edge cardiovascular catherisation laboratory (cath lab) unit implies nearby patients can be dealt with for key heart strategies on their doorstep, instead of flying out to other regions of the world. The modernized facilities include Coronary Angiogram Coronary Angioplasty, Primary Angioplasty, Peripheral Angiogram, Peripheral Angioplasty, PPI, Single & Duel Chamber, TPI, FFR, IVUS-ILAB, EPS+RFA, Retrograde Angioplasty, Renal Angioplasty, 4 Vessel Angiogram, Carotid Angioplasty, Cardiac Resynchronization Therapy for heart failure patients, Aortogram, EVAR, Balloon dilation of coarctation of aorta, LV Angiogram, Anerysm Coiling, Cath Study & Right heart study, Balloon Valvuloplasty for mitral , Aortic and pulmonary Stenosis.

Diagnostics for Cardiac Surgery

Electrocardiogram (ECG)
Echocardiogram
Angiogram
Imaging Tests:
- Chest X-Ray
- CT Scan
- MRI Scans
Thoracoscopy
Lung / Lymph Node Biopsy

TMT / Stress Test

A stress test, sometimes called a treadmill test or exercise test, helps your doctor find out how well your heart handles its workload.

As your body works harder during the test, it requires more fuel and your heart has to pump more blood.

The test can show if there’s a lack of blood supply through the arteries that go to the heart.

Electrocardiogram

An electrocardiogram (ECG) is a test that records the electrical activity of the heart.

Rest & Exercise Stress ECG

Diagnose and measure the ability of the heart to withstand external stress conditions. People often encounter conditions where their heart responds abnormally while working out or climbing stairs. This can create severe complications if ignored. A person might feel strong palpation, increased heartbeat and chest pains. Aster’s Rest & Exercise Stress ECG aims to diagnose all such conditions when the heart may respond abnormally. The expert doctors measure the ability of the heart to respond to external stress. Aster’s infrastructure supports many labs and high-tech machines, it’s experienced team and the Cardiology Department perform these tests in well-controlled conditions.

Head Up-Tilt Test (HUTT)

To find the cause of fainting spells by taking different tests. Young adults or even children may face vasovagal attacks due to a sudden drop in blood pressure. This reduces the circulation of blood and causes unconsciousness and sudden fainting of the person. Aster’s Head Up-Tilt Test aims at testing your body in various angles to understand the cause of fainting spells. The expert doctors record the heart rate and blood pressure while performing the test. Aster’s strong infrastructure, it’s seasoned team, and the Cardiology Department monitor the patient's heart’s response, oxygen levels and blood pressure in the electrophysiology lab.

Holter Monitoring

It tracks heart rhythm to check and confirm any heart-related problems. Patients with an irregular heartbeat could be suffering from arrhythmia. Under this condition, the patient may experience rapid heartbeat or the heart may become slower-paced. It is a symptom that indicates that the electrical signal coordinating the heartbeat is not working. Arrhythmia is potentially fatal and causes severe complications. A cardiologist will recommend you to undergo an electrocardiogram (ECG or EKG), a common test to diagnose arrhythmia. Holter monitoring is a gift of medical technology that records your uneven heartbeat for 24 to 48 hours continuously. The device is a blessing for patients with a pacemaker as it enables the doctor to study the heart’s activity throughout the day. The cardiology department of the Aster Hospital is ahead of its time. It is equipped with the latest Holter monitor for a thorough examination of the heart and provides an accurate report for proper treatment.

Myocardial Perfusion Imaging Studies

This is a non-invasive imaging test to check the blood flow to the heart muscle and recognize poor areas of blood flow. If a person often experiences chest pain for an extended period or is suspected of coronary artery disease (CAD), he/she needs medical attention from qualified cardiologists. The doctors may recommend a stress myocardial perfusion scan to assess the blood flow, heart muscle damage, etc. Patients who have sustained a heart attack or undergone bypass surgery, angioplasty, or stent placement also need to be examined with the help of myocardial perfusion imaging studies. It is a non-invasive imaging test that assesses the blood flow through the heart muscles and determines if the heart muscle is pumping normally. Aster Hospital’s cardiology department has an exemplary infrastructure with myocardial perfusion imaging studies to detect weak heart muscles and poor blood flow.

Transthoracic & Transoesophageal Echocardiography

This test is performed to visualize and check the performance of aorta, heart and other blood vessels. Patients who suffer from malfunctioning of heart valves or chambers and the heart’s inability to pump blood could be diagnosed with congenital heart valve disease. It involves pulmonary or aortic valves that do not perform properly. Such conditions arise when the valves’ shape and size become irregular, or the flap tissue is insufficient to allow proper blood flow. Patients' conditions may deteriorate if they do not allow timely medical intervention. They need a cardiologist who will prescribe transthoracic and transesophageal echocardiography, which will determine the patient's heart condition. The cardiology department of Aster Hospital is furnished with highly developed medical equipment that examines the patient’s condition accurately for correct treatment. Transthoracic and transesophageal echocardiography prevent heart failure and death.

World-Class Technology

Aster Centre of Excellence in Cardiac Sciences is first facility in Kerala to offer three cathlabs with a state-of-the-art electrophysiology lab / intravascular ultrasound, fractional flow reserve estimate and rotablation. The comprehensive range of medical technology here includes:

Flat panel hybrid vascular biplane cathlab
Low radiation CLARITY cathlab
OR1 Karl Storz Fusion Integrated C Green OT certified surgical suites with autopilot anaesthesia and live sharing facility
Philips IntelliSpace Critical Care & Anaesthesia digital ICU
ECMO (Extra Corporeal Membrane Oxygenation)
Philips EPIQ Echocardiography machines for 2D and live 3D imaging
Trans-Oesophageal Echocardiography with Doppler, Colour Doppler modalities
Dobutamine stress test for physically disabled patients
Intra-operative trans-oesophageal ECHO / Doppler / Colour-flow Doppler
Philips 256 Slice iCT scan
Wide Bore 3.0 Tesla MRI cardiac studies
Philips Astonish True Flight Select PET-CT with Time Of Flight technology
GE SPECT-CT Optima NM 640 Gamma Camera

24/7 Emergency Cardiac Treatment

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers comprehensive services for management of all cardiac emergencies – interventional and surgical. The 24-hour Rapid Access Chest Pain clinic here provides specialised care for patients brought in to the Emergency Rooms with suspected cardiac problems, including heart attack.

Immediate care and treatment for heart attack
Cardioversion
Pericardiocentesis
Arterial line placement
CVP and pulmonary artery catheter placement
Temporary pacing

Inpatient Facilities

Aster Medcity offers world-class inpatient care to its patients, with the support of an award-winning team of Nurses, Therapists and Technicians.

Wards, double rooms, standard rooms, executive rooms, deluxe rooms presidential suites
Dedicated Cardiac ICU
Independent ICUs with a view that minimise chances of infection and ICU psychosis
Dedicated cardiac surgery suites
Advanced infection control facilities
State-of-the-art cardiac imaging

Outpatient Services

The Centre of Excellence in Cardiac Sciences at Aster Medcity offers a wide range of outpatient services for detection and treatment of complex heart diseases and disorders. This includes:

Cardiac structural/functional evaluation including advanced imaging
Heart Failure Clinic
Cardiac Electrophysiology Clinic
2D / Live 3D Echocardiography
Colour Doppler imaging
Tissue Doppler imaging
Strain Quantification
Trans-Esophageal Echocardiography including live 3D TEE
24-hour ambulatory blood pressure monitoring
24-hour ECG monitoring (Holter monitoring)
Cardiac stress tests including Tread Mill Test, Dobutamine Stress Echocardiography, Head Up Tilt Test (HUTT)

Minimal Access Robotic Surgery

Aster Medcity, for the first time in Kerala, introduces Robotic Surgery with da Vinci Robot- a highly advanced surgical Robot that performs minimally invasive surgeries with utmost precision. What can be called the next level in surgery, the da Vinci Robot has multi-limbed surgical robot with tiny wrists that bend in all directions, offering precision, dexterity and fine manipulation beyond that of human hand. The Surgeon performs minimally invasive surgeries by manipulating three robotic arms and a video camera that are inserted through small skin incisions, while seated in front of a computer console with 3D video screen and controls. The option of Robotic surgery is available in the Urology, Cardiothoracic, Gynaecology, Oncology, Gastroenterology, Bariatric and Paediatric Surgery Departments at Aster Medcity.

Operation Theatres

ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world, but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using high-precision da Vinci Surgery Robot.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

What is a heart attack?

In some patients, the blood supply to a part of the heart muscle stops suddenly. This happens most often due to the formation of a clot inside one of the three coronary arteries supplying blood to the heart muscle. When this happens, the heart muscle that receives blood from the respective coronary artery gets damaged. This is termed as a heart attack.
It is advised to quickly visit the Best Cardiology Hospital in Bangalore nearby to get treated by a cardiologist.

Are there different types of heart attacks? If so, what are they?

Based on the variation in the ECG during a heart attack, doctors recognize two types of heart attacks.
ST-elevation Myocardial Infarction (STEMI)
Non-ST-elevation Myocardial infarction (NSTEMI).
STEMI and NSTEMI differ not only in the variation in the ECG but also in their severity. In general, STEMI is more likely to be immediately fatal or disabling than NSTEMI. Consequently, STEMI requires more urgent treatment than NSTEMI in most instances.
However, this is just a thumb rule: Some NSTEMIs can be equally ominous and may require emergency treatment just like STEMI.

What are the specific tests required to diagnose heart disease?

Patients suspected to have a heart attack require to undergo ECG or electrocardiogram immediately. If the initial ECG is not diagnostic but the symptoms and signs are highly suggestive of a heart attack, repeating the ECG after 30-60 minutes and performing a blood test to detect high levels of cardiac enzymes such as Cardiac Troponins or CK-MB are additionally useful. Old heart attacks are often diagnosed based on ECG or Echocardiography.

What time of the day does one usually get a heart attack?

Heart attacks can occur at any time of the day. However, due to various neuro-hormonal variations associated with the circadian rhythm, some clustering of heart attacks is noted in the mornings between 6 am and 12 noon. Some physicians have noted more heart attacks in the wee hours, i.e., between 3 and 6 am.

What are the common causes of heart disease?

Various risk factors increase the chances of a person having a heart attack. Smoking, High Blood pressure, Diabetes. physical inactivity, high cholesterol levels, obesity, and poor diet are important risk factors. These can be potentially controlled to reduce heart attack risk. Therefore, these are termed Modifiable Risk factors.
Older age, male sex, family history, Post-menopausal state in women are factors that can increase heart attack risk but cannot be altered. These are called non-modifiable risk factors.
South Asians appear to have a very high risk of having heart attacks at a younger age, compared to Caucasians and Asians such as Japanese.

How are heart attacks treated?

As soon as a diagnosis of heart attack is made, blood-thinning medications (Aspirin, Clopidogrel are common ones) are administered. The definitive treatment is Coronary angiography followed by primary coronary angioplasty to restore blood flow in the coronary artery causing the attack.

However, if for some reason, angioplasty cannot be performed, certain medicines (thrombolytic drugs, or clot busters) are administered in the form of injections. Primary Angioplasty is a more effective and safer form of treatment for a heart attack, but in some circumstances (e.g., remote areas) these drugs can be life-saving.

What is Coronary Angioplasty?

Coronary angioplasty is a procedure performed to widen narrow or blocked sections of the coronary vessels thereby restoring the blood flow. A thin balloon is inserted into the coronary artery and inflated at the site of the block to widen the narrowed artery. This makes a way for the opening of the blockages. A stent is generally then placed to prevent future blockages.

What is Coronary Artery Bypass Grafting (CABG) Surgery?

Coronary Artery Bypass Grafting (CABG) is a procedure where a surgeon makes new routes (bypass) around blocked or narrowed coronary arteries with one or more grafts allowing increased blood flow to the vessel past the blockage. These grafts are typically healthy blood vessels from the chest, arm, or leg of the patient.

What are the precautions to be taken post a heart surgery or angioplasty?

It is important to maintain a healthy lifestyle post a heart surgery includes: Quit smoking. Eat a healthy diet that is low in saturated fat. Lower your cholesterol levels. Try to maintain a healthy weight. Exercise regularly. Control other conditions, such as diabetes and high blood pressure. Do not skip any medications prescribed by your doctor.

What is Normal blood pressure?

Normal blood pressure is defined as blood pressure of 120 mmHg systolic, 80 mmHg diastolic. Blood pressure of 140/90 or higher is termed as hypertension.

Why is high blood pressure dangerous?

Higher the blood pressure, higher is the risk of damage to the heart and blood vessels in major organs such as the kidney and brain.

Uncontrolled hypertension can lead to an enlargement of the heart, heart attack, and eventually heart failure. Hypertension can also lead to blindness, stroke, and kidney failure.

What is heart failure?

Heart failure is a condition in which your heart is not pumping normally and is unable to deliver oxygen-rich blood throughout the body. It does not mean the heart has stopped working. It means that it is working at lower efficiency.

The heart muscle is either too weak and cannot pump blood to the rest of the body with enough force (systolic failure) and/or has trouble relaxing and becomes stiff (diastolic failure). This causes a build-up of fluid (congestion) in the lungs, feet, and other body tissues. This generally develops slowly but can also present very rapidly.

Is there a link between blood sugar and heart attack?

Anything in excess or deficiency is a problem. The same applies to blood sugar. High blood sugar levels can increase the risk of heart diseases like heart attack and heart failure. Low blood sugar (Hypoglycaemia) can precipitate arrhythmias and heart attacks. Long term uncontrolled blood sugar can lead to blocks in the peripheral arteries like in the brain, legs, and abdomen.

Are heart attacks hereditary or can they be age-dependent?

Family history plays an important role in the causation of heart attacks. The risk of a heart attack in a person more than doubles if a first-degree relative (parents, siblings, or children) has had a heart attack in the past.
While there are exceptions, heart attacks are generally seen in older adults. The typical age for a man to have a heart attack is 55 years and above and for a woman it is 65 years and above.
When heart attacks are seen in men younger than 55 years and women younger than 65 years it is termed as Premature Heart Attack or Premature Coronary artery disease.
In India, during the last two decades, more and more adults who are younger have been noted to have heart attacks. Studies have shown that between 15-22% of all heart attacks are seen in adults younger than 40 years of age.

Do all types of heart attacks have the same symptoms?

Of course not. Symptoms of heart attack can vary from case to case. The commonest symptom of a heart attack is chest pain. This is seen in about 70% of all heart attack patients. The remainder can present with breathlessness, arm or back pain, cold sweats, loss of consciousness, or palpitations. Some patients may have no symptoms at all and are said to have a Silent Heart attack.
If you experience any of these symptoms, then immediately consult the Best Cardiologist in Bangalore.

How do a heart attack and stroke differ?

A lot of people use these terms interchangeably.
Heart attack refers to damage to the heart muscle. Stroke refers to paralysis of limbs or face or any other neurological function due to damage to the brain resulting from clotting or bleeding in the blood vessels of the brain. They are clinically different and the terms should ideally not be interchanged.

What should I do if I have symptoms suspicious of a heart attack?

First, seek help. Make any person in proximity aware of your situation. The most important step to ensure a safe outcome in a heart attack is to see that you reach a hospital with appropriate facilities as soon as possible. It is a good practice to be aware of the hospitals around you and the facilities they provide.
When someone has chest pain or other symptoms suggestive of a heart attack, the immediate first aid should be to take 350 mg of the soluble form of Aspirin (common trade names Disprin or Aspisol in India). Ideally, the tablet should be chewed because the medicine is absorbed from the mucosal membrane of the oral cavity and starts to act immediately. If the patient cannot chew the tablet for some reason, the tablet can be dispersed in a small quantity of water and taken orally.
If I see someone who is having a heart attack, what can I do to ensure he survives till help arrives?
Call the nearest hospital with cardiac facilities as soon as you recognise that someone around you might be having an ongoing attack. Shift the person to a comfortable position and reassure them. If possible, give them an Aspirin tablet to chew. While waiting for help to arrive, monitor their breathing and pulse. If they lose consciousness, initiate Cardiopulmonary resuscitation (CPR).

How can I reduce my risk of developing heart disease?

A disciplined lifestyle would not only take care of the heart but also keep other diseases at bay. The key changes are
Quit smoking
Exercise regularly
Maintain a healthy weight
Control blood pressure and diabetes well
Keep cholesterol levels in check
Manage stress

What is Coronary Angiography?

It is a procedure to detect blockages in the blood vessels of the heart. A thin hollow tube or catheter is inserted via the artery of the forearm or the thigh. Through this catheter, a special contrast dye is injected into the coronary arteries and X-ray images are obtained to visualize the blood flow in the coronary arteries.

Can a stent get blocked again? Is it possible to insert another stent in the same place?

Yes. In about 5-10% of patients, especially those who are not on medication, have uncontrolled diabetes, develop kidney failure, or continue to smoke, stents can show narrowing (restenosis). If a disciplined lifestyle is not followed, new blockages can appear in other areas of the vessels too.
Stent restenosis can be treated by balloon angioplasty, a second stent, drug-coated balloons, or by Bypass surgery.

Is bypass surgery a permanent solution for heart blocks?

No treatment for coronary blocks can be considered a permanent solution. A small number of patients can have the failure of bypass surgery very early. In a majority, Bypass surgeries can help to feel better and prolong life for over 10-15 years. Again, lifestyle and adherence to medical advice after bypass surgery are of paramount importance in keeping the procedure durable. Visit Best Heart Hospital in Bangalore to avail of advanced heart surgeries or procedures.

What are the various types of heart diseases?

There are various types of disorders related to the heart.
Congenital heart disease is a defect of the heart which are present since birth.
Arrhythmias are abnormal heart rhythm or irregular heartbeat affecting the electrical conduction.
Coronary artery disease is caused by the narrowing of the coronary arteries leading to the decreased blood supply to the heart.
This can potentially lead to angina, heart attacks, weakening of the heart muscle, or sudden death.
Cardiomyopathy refers to diseases affecting the heart muscle. Some types of cardiomyopathy are genetic, while others occur because of an infection or reasons that are less well understood.
Heart failure happens when the heart is not properly pumping blood throughout the body. In this condition often the heart's pumping capacity is reduced.
Valvular heart disease affects how the valves function to regulate blood flow in and out of the heart chambers.
Hypertension is a condition in which the blood vessels have persistently increased pressure, putting them under increased stress. It is often known as high or raised blood pressure.
Pericardial diseases affect the outer layer (pericardium) of the heart. It can be affected by a variety of conditions that include inflammation (pericarditis), stiffness (constrictive pericarditis), and fluid accumulation (pericardial effusion).

What causes high BP or hypertension?

The cause of high blood pressure is unclear in most people. However, older age, physical inactivity, poor diet, obesity, kidney problems, alcohol use, certain birth control pills, and persistent stress can all contribute to the development of hypertension.

People with high blood pressure usually have no signs when their blood pressure is excessively high, or if they have already had high blood pressure.

How to prevent high blood pressure?

High blood pressure can be prevented and controlled by maintaining a healthy diet.
Reduce your salt intake. Increase the intake of vegetables and fruits. Avoid saturated fats.
Engage yourself in moderate exercises. Aim for a minimum of thirty minutes of aerobic activity, such as brisk walks for five days a week.
Avoid and stop smoking and other tobacco products and avoid alcohol abuse.
Reduce stress levels by engaging with fun activities and meditation.
If advised medications, please take them regularly.
Does erratic sleep over the long run lead to a potential heart attack? Are the professionals working night shifts at a higher risk of a heart attack?

Yes. Every individual needs at least 6-8 hours of undisturbed sleep. Studies have shown that working night shift meddles with the body’s circadian rhythm, putting it under stress and making it more susceptible to heart problems like irregular heartbeats and heart attack.

What is valvular heart disease?

The heart’s valves keep blood flowing through the heart in the right direction. But a range of conditions can result in valvular damage. Valves may narrow (stenosis), not close properly (prolapse) or leak (regurgitation or insufficiency). This can cause your body to be disrupted by the blood flow through your heart.

Is there a link between obesity and heart disease?

Yes. Being overweight and obese can cause a high risk of multiple heart problems. It can lead to high blood pressure. Excess weight also increases the chance of atherosclerosis (cholesterol deposits in the arteries causing blocks), abnormal heart rhythms, heart attacks and significantly increases the risk of heart failure.

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