Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on Jun 28, 2026 · View LinkedIn profile

If your doctor has mentioned MitraClip or TriClip, you are likely dealing with a leaking heart valve. Both devices treat valve regurgitation, a condition where a heart valve does not close properly. But they target different valves, and the decision between them depends on your specific diagnosis.

This guide explains what each device does, who needs which one, and how structural heart specialists in India approach this choice in 2026.

What Are MitraClip and TriClip? Two Devices, One Shared Technology

MitraClip and TriClip are both clip-based devices made by Abbott. They share the same core technology, called TEER (Transcatheter Edge-to-Edge Repair). But they repair different valves in the heart.

MitraClip repairs the mitral valve. This valve sits between the left upper and left lower chambers of the heart. TriClip repairs the tricuspid valve, which sits between the right upper and right lower chambers.

Both devices are delivered through a thin tube inserted into a vein in your leg. There is no open-heart surgery. No chest cutting. No heart-lung bypass machine.

This minimally invasive approach makes both devices an option for patients who are too high-risk for traditional surgery.

Understanding the Two Conditions: Mitral Regurgitation vs Tricuspid Regurgitation

To understand which device you might need, it helps to understand the two conditions they treat.

Mitral Regurgitation: When the Left Valve Leaks

The mitral valve controls blood flow on the left side of your heart. When it leaks, blood flows backward instead of forward. Your heart works harder to compensate. Over time, this strains the heart muscle and can cause breathlessness, fatigue, and heart failure.

Mitral regurgitation (MR) affects a significant portion of heart failure patients in India. Many patients in Rajasthan who are diagnosed late or who are elderly face high surgical risk. For these patients, MitraClip offers a treatment path that surgery cannot safely provide.

Tricuspid Regurgitation: The Forgotten Valve Disease

The tricuspid valve controls blood flow on the right side of your heart. For decades, doctors treated it as a secondary concern. Mild leakage was often watched rather than treated.

That thinking has changed. Research published between 2023 and 2025 has shown that significant tricuspid regurgitation (TR) substantially increases the risk of hospitalization, heart failure, and death. Patients with moderate-to-severe TR have a meaningfully worse long-term outlook when left untreated.

Tricuspid regurgitation is now recognized as an independent risk factor, not just a side effect of left-sided heart disease. This shift has driven rapid growth in the use of TriClip across India.

How TEER Works: The Technology Behind Both Devices

TEER stands for Transcatheter Edge-to-Edge Repair. Both MitraClip and TriClip use this approach.

Here is how it works in simple terms.

Your valve has two or more leaflets (flaps) that open and close with each heartbeat. When the leaflets do not close fully, blood leaks backward. TEER fixes this by clipping the leaflets together at the point of leakage.

The clip creates a double-opening valve instead of a single opening. This reduces the backward leak significantly. The heart no longer has to work against that leak with every beat.

The procedure takes place in a catheterization laboratory. You receive general anaesthesia. The cardiologist guides the clip through a vein in your groin, up through the heart, and into the correct position under continuous imaging guidance. Most patients are discharged within 2 to 3 days.

No stitches. No sternum cut. No long ICU stay.

MitraClip vs TriClip: A Side-by-Side Comparison

Both procedures require a specialized structural heart team and dedicated imaging infrastructure. Not every cardiac hospital in India offers these procedures.

Who Needs MitraClip? Candidate Criteria

MitraClip is appropriate for patients who have:

• Moderate-to-severe or severe mitral regurgitation
• Symptoms such as breathlessness on exertion, reduced exercise capacity, or recurrent heart failure hospitalizations
• High or prohibitive surgical risk (due to age, prior surgeries, kidney disease, frailty, or other conditions)
• A mitral valve anatomy that is suitable for clip repair on echocardiography

The landmark COAPT trial showed that MitraClip reduced heart failure hospitalizations by 47% compared to medical therapy alone in eligible patients. This evidence has made MitraClip a Class I recommendation in major international guidelines for carefully selected patients.

Patients with rheumatic mitral disease or heavily calcified valves may not be suitable for MitraClip. A detailed echocardiogram assessment is required before any decision is made.

Who Needs TriClip? Candidate Criteria

TriClip is appropriate for patients who have:

• Moderate-to-severe or severe tricuspid regurgitation
• Persistent symptoms despite optimal medical therapy
• High or prohibitive surgical risk
• Suitable tricuspid valve anatomy on imaging

The TRILUMINATE Pivotal trial demonstrated that TriClip significantly reduced tricuspid regurgitation severity and improved quality of life at one year. The 2024 ESC Guidelines on Valvular Heart Disease now include a recommendation for transcatheter tricuspid repair in selected high-risk patients, reflecting the growing evidence base.

In India, awareness of tricuspid regurgitation as a treatable condition has grown substantially since 2023. More patients are now being referred for TriClip assessment rather than being managed on diuretics alone for years.

Who May Need Both Devices?

Some patients have regurgitation in both the mitral and tricuspid valves simultaneously. This is not uncommon in patients with advanced heart failure, atrial fibrillation, or a history of left-sided valve disease.

In selected cases, the structural heart team may plan a staged approach: treating the mitral valve first with MitraClip, then reassessing the tricuspid valve. In some situations, if the tricuspid leak is primarily driven by the mitral problem, fixing the mitral valve alone may reduce tricuspid regurgitation over time.

In other cases, both valves require independent treatment. The decision depends on the severity of each valve’s dysfunction, the patient’s overall condition, and the imaging findings.

This is why the evaluation process matters as much as the procedure itself.

The Decision Framework: How a Structural Heart Specialist Evaluates You

A structural heart specialist does not choose a device based on symptoms alone. The evaluation involves several steps.

Step 1: Echocardiogram. This ultrasound of the heart maps the exact anatomy of the leaking valve, measures the degree of regurgitation, and checks if the valve structure is suitable for clip repair.

Step 2: Heart Failure Assessment. The team checks whether optimal medicines have been tried and whether symptoms persist despite them.

Step 3: Surgical Risk Scoring. Tools like the STS score or EuroSCORE estimate the risk of open-heart surgery for each patient. High-risk or inoperable patients are prioritized for transcatheter approaches.

Step 4: Team Discussion. A Heart Team, consisting of an interventional cardiologist, a cardiac surgeon, and an imaging specialist, reviews each case together before recommending treatment.

Step 5: Patient Discussion. The recommended plan is explained to the patient and family in simple language. The patient’s goals, lifestyle, and preferences are part of the final decision.

This structured approach ensures that every patient receives the right device, or the right combination of treatments, based on their individual anatomy and health status.

Why Tricuspid Regurgitation Is No Longer Being Ignored in India

For years, tricuspid regurgitation was undertreated in India. Surgical repair of the tricuspid valve carries significant risk, especially in elderly or frail patients. Many patients were simply told to take water tablets (diuretics) and return for check-ups.

The arrival of TriClip has changed the conversation.

Patients who previously had no good treatment option now have a minimally invasive path to symptom relief and improved heart function. The right-sided heart failure symptoms (leg swelling, abdominal bloating, extreme fatigue) that severely affect quality of life can now be addressed directly.

Indian structural heart centres have been building experience with TriClip since 2022. By 2025 and 2026, the procedure is being offered at a growing number of specialized hospitals. Patient awareness is rising, and referrals for tricuspid valve assessment have increased meaningfully.

If you or a family member have been told “your right valve is also leaking but there is nothing to do,” that information may now be outdated. A specialist consultation is worth pursuing.

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is one of India’s leading structural heart specialists, currently serving as Associate Director of the TAVR and Structural Heart Disease Program and Director of the Mitral and Tricuspid Valve Program at Eternal Hospital, Jaipur.

Dr. Degawat is certified in TAVI, MitraClip, TRI-Clip, TMVR, and TTVR procedures, making him one of a small group of cardiologists in India with formal training across the full range of transcatheter valve repair options. He completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced structural heart training at IRCCS Humanitas Research Hospital in Italy, where he contributed to research on over 2,000 TAVI cases.

His approach to MitraClip and TriClip assessment follows international Heart Team principles. Every patient receives a thorough echocardiogram review, surgical risk assessment, and a frank, unhurried discussion of all available options.

Patients from Jaipur, Ajmer, Kota, Udaipur, Bikaner, and Jodhpur consult Dr. Degawat for complex structural heart decisions.

Consultation Details:

• Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• Contact: +91-8960594076

Book an appointment today

FAQs:

Q1: What is the difference between MitraClip and TriClip?

MitraClip repairs a leaking mitral valve on the left side of the heart. TriClip repairs a leaking tricuspid valve on the right side. Both use the same clip-based technology (TEER) and are delivered through a vein in the leg without open-heart surgery.

Q2: How do I know which device I need?

Your cardiologist will order a detailed echocardiogram to assess which valve is leaking and how severely. A structural heart specialist then reviews your anatomy, symptoms, and surgical risk before recommending MitraClip, TriClip, or both.

Q3: Is MitraClip available in Jaipur?

Yes. MitraClip is available at specialized structural heart centres in Jaipur. Patients from across Rajasthan, including those from Ajmer, Udaipur, and Kota, travel to Jaipur for this procedure.

Q4: Is TriClip available in India in 2026?

Yes. TriClip is available at select high-volume structural heart centres in India, including in Jaipur. Availability has expanded significantly since 2023, and more patients are now being assessed and treated.

Q5: Are MitraClip and TriClip covered under Chiranjeevi Yojana or Ayushman Bharat?

Coverage for transcatheter valve repair devices under Chiranjeevi Yojana and Ayushman Bharat is subject to scheme-specific package lists and updates. Patients are advised to check current coverage at the time of consultation. The hospital’s insurance desk can assist with verification.

Q6: What is the recovery time after MitraClip or TriClip?

Most patients are discharged within 2 to 3 days. There is no chest wound to heal. Patients typically return to light daily activities within one to two weeks. Full recovery and the full benefit of the procedure develop over the following weeks as the heart adjusts.

Q7: Can an elderly patient undergo MitraClip or TriClip?

Yes. Both procedures were specifically designed for patients who are too high-risk for open-heart surgery. Many patients treated with MitraClip and TriClip globally are in their 70s and 80s. Age alone is not a disqualifying factor.

Q8: Why should I consult Dr. Prem Ratan Degawat for MitraClip or TriClip?

Dr. Degawat holds formal certifications in both MitraClip and TRI-Clip, which is uncommon in India. His training in Italy exposed him to high-volume structural heart practice. He evaluates each patient through a structured Heart Team process and explains findings in plain language without medical jargon.

The post MitraClip or TriClip? Understanding the Right Valve Repair Device for Your Heart (India 2026) appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on Jun 21, 2026 · View LinkedIn profile

You have been told your aortic valve is failing. The doctor says you need a new valve. Now comes the question that worries most patients and their families: do you need open heart surgery, or can it be done with the newer TAVI procedure?

This is one of the most important decisions in cardiac care today. The answer depends on your age, health condition, and the findings in your echo and CT report. This guide explains both options clearly so you can ask the right questions at your next consultation.

TAVI vs open heart surgery India 2026 is not just a medical debate. It is a practical question that affects how long you stay in hospital, how quickly you get back to your daily life, and what risks you take along the way.

What Is TAVI and What Is Open Heart Valve Surgery?

TAVI stands for Transcatheter Aortic Valve Implantation. It is also called TAVR (Transcatheter Aortic Valve Replacement). In this procedure, the cardiologist replaces your damaged aortic valve through a thin tube inserted into an artery in your groin. No chest is cut open. No heart-lung bypass machine is used in most cases.

Open heart surgery for aortic valve replacement is called SAVR (Surgical Aortic Valve Replacement). The surgeon opens the chest by cutting through the breastbone, stops the heart, and replaces the valve under direct vision.

Both procedures achieve the same goal: a new, working aortic valve. The difference lies in how they get there.

Side-by-Side Comparison: TAVI vs Open Heart Surgery

Note: Costs vary by valve type, implant brand, and individual patient complexity.

Who Is Not a Good Candidate for Open Heart Surgery in India?

Many patients referred to Dr. Prem Ratan Degawat in Jaipur are elderly, frail, or carry conditions that make open surgery very risky. Surgeons use a scoring system called the STS score or EuroSCORE to measure surgical risk.

High-risk patients include those who:

• Are above 75 to 80 years of age
• Have already had one open heart surgery before
• Have severe lung disease (COPD)
• Have kidney disease or liver disease
• Have a porcelain aorta (calcium deposits in the main artery that make it unsafe to clamp)
• Are very frail or malnourished

In India, many patients come to a cardiologist late. By the time they get a diagnosis, their overall health has already declined. For these patients, open surgery carries a mortality risk that can range from 5% to 15% or more. TAVI brings that risk down significantly.

Intermediate-risk patients also benefit from TAVI. These are patients who would survive surgery but face a meaningful chance of complications. For them, TAVI offers similar valve outcomes with less physical trauma.

What Does the 2025 and 2026 Evidence Say?

The most important shift in cardiology over the last two years is this: TAVI is no longer reserved only for the very old or very sick.

Long-term trial data from major studies now shows that TAVI outcomes at 5 years are comparable to surgery in intermediate-risk patients. In high-risk patients, TAVI consistently outperforms surgery in terms of survival and quality of life.

For low-risk patients below the age of 65, surgery is still generally preferred because of concerns about valve durability over 20 to 30 years. However, in selected low-risk patients above 65, many international guidelines now consider TAVI an acceptable first choice.

TAVI recovery time in India has also improved. With newer valve systems and better operator experience, most patients at experienced centres are walking within 24 to 48 hours and going home within 3 to 5 days.

Valve Durability at 5 to 10 Years: What Indian Patients Should Know

One concern patients raise is: “Will the TAVI valve last as long as a surgical valve?”

This is a fair question. SAVR valves have decades of data behind them. TAVI valves are newer, and 10-year data is still being collected globally.

What we know so far:

• At 5 years, TAVI valves show excellent function in the large majority of patients.
• At 8 to 10 years, structural valve deterioration can occur in a minority of cases.
• If a TAVI valve does fail in future, it can often be treated with a second TAVI procedure (called Valve-in-Valve TAVI) without surgery.

For Indian patients above 70, this is rarely a concern. A valve that lasts 10 to 15 years covers most of the expected life span in that age group. For patients in their 50s or 60s, the Heart Team weighs this question carefully before recommending TAVI.

Dr. Prem Ratan Degawat has performed over 600 TAVI procedures, including complex Valve-in-Valve cases. He has the training and experience to advise patients on long-term valve planning.

TAVI Is Not the “Easy Option”: It Is the Right Option for the Right Patient

A common misconception is that families choose TAVI because they want to avoid the risks of open surgery. While that is partly true, the decision is more specific than that.

TAVI is not a shortcut. It requires precise sizing from a CT scan, careful selection of the right valve model, and a skilled operator to deploy it accurately. A poorly planned TAVI can lead to valve leakage, stroke, or pacemaker dependency.

At Eternal Hospital Jaipur, no patient goes to TAVI without a full Heart Team evaluation. This includes the interventional cardiologist, a cardiac surgeon, an anaesthetist, and an imaging specialist. The team reviews the echo, CT, blood reports, and surgical risk score together.

The decision is not “TAVI is easier, so we choose that.” The decision is “based on this patient’s profile, which option gives the best outcome with the least risk.”

The Heart Team Approach at Eternal Hospital Jaipur

Internationally, valve disease treatment follows what is called the Heart Team model. No single doctor decides alone. The case is discussed by a group of specialists who together arrive at the best recommendation.

Dr. Degawat leads this process for structural heart cases in Jaipur. When you bring your echo and CT scan for consultation, the team asks:

• What is your surgical risk score?
• Is your anatomy suitable for TAVI delivery?
• What is the best valve size and type for your anatomy?
• Do you have other heart or health conditions that affect the choice?
• What are your personal goals, home situation, and recovery capacity?

This approach protects patients from receiving the wrong treatment. It also ensures that families understand the reasoning behind the recommendation.

You are part of that conversation. You are not handed a decision. You are walked through it.

Cost Comparison: TAVI vs Open Heart Surgery in Jaipur

TAVI is a specialised procedure involving an imported valve device. Typical total costs range from Rs 15 lakh to Rs 30 lakh, depending on the hospital, device choice, and case complexity. Always request a detailed, written estimate before proceeding.

TAVI costs more than open heart surgery primarily because of the valve device itself. However, the shorter hospital stay and faster recovery often reduce total expenses related to caregiving, lost income, and post-surgery support.

Under the Mukhyamantri Chiranjeevi Swasthya Bima Yojana, eligible Rajasthan residents can claim significant coverage for cardiac procedures at empanelled hospitals. Ayushman Bharat (PM-JAY) also covers valve replacement procedures under its cardiac surgery packages.

Patients should ask specifically at the time of consultation whether their Jan Aadhaar card or Ayushman Bharat card is valid for the recommended procedure.

For a full breakdown of TAVI costs and insurance coverage, see our related guide: TAVI Cost in Jaipur: Complete Breakdown with Insurance and Scheme Coverage.

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is Associate Director of the TAVR and Structural Heart Disease Program at Eternal Hospital Jaipur. He is among a small group of cardiologists in India trained in the full range of structural heart procedures including TAVI, MitraClip, TRI-Clip, TMVR, and TTVR.

He completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced structural heart training at IRCCS Humanitas Research Hospital in Italy. He has conducted research across 2,000+ TAVI cases in Europe and has performed over 600 TAVI procedures in India, including complex Bicuspid Valve and Valve-in-Valve cases.

Patients and families often mention that Dr. Degawat takes time to explain things clearly. He does not rush consultations. He answers questions from families, not just patients, because he understands that major heart decisions involve the whole household.

Consultation Details:

• Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• Contact: +91-8960594076

Book an appointment today

FAQs:

Q1: What is the main difference between TAVI and open heart surgery for aortic valve replacement?

TAVI replaces the valve through a small tube in the groin without opening the chest. Open heart surgery requires cutting the breastbone and using a heart-lung bypass machine. TAVI patients go home in 3 to 5 days; surgery patients typically stay 10 to 14 days.

Q2: How long is TAVI recovery time in India compared to open surgery?

Most TAVI patients in India walk within 1 to 2 days and return to light activity within 2 to 4 weeks. After open heart surgery, full recovery takes 6 to 8 weeks. The shorter TAVI recovery is one of its biggest advantages for elderly and frail patients.

Q3: Is TAVI now approved for low-risk patients in India?

International guidelines from 2024 to 2026 support TAVI as an option for selected low-risk patients above 65. In India, the decision is made case by case by the Heart Team based on anatomy, age, and patient preference. It is not automatically recommended for all low-risk patients.

Q4: How long do TAVI valves last in Indian patients?

Most TAVI valves function well for 8 to 12 years. Data beyond 10 years is still being collected. For patients above 70, a TAVI valve typically covers their expected cardiac life span. If the valve does deteriorate, a second valve can often be placed inside the first one without surgery.

Q5: Is TAVI covered under Chiranjeevi Yojana or Ayushman Bharat in Rajasthan?

Aortic valve replacement procedures including TAVI are covered under several government schemes at empanelled hospitals. Eligible patients can claim benefits using their Jan Aadhaar card (Chiranjeevi Yojana) or Ayushman Bharat card. Confirm specific package coverage at the time of your consultation in Jaipur.

Q6: What tests do I need to bring before a TAVI consultation in Jaipur?

Bring your most recent echocardiogram (echo report), a CT scan of the chest and aorta if available, and your blood test reports. If you have had a coronary angiogram, bring that report too. Dr. Degawat reviews all of these to determine whether TAVI or surgery is the better option.

Q7: Can a patient who has already had open heart surgery get TAVI?

Yes. Previous open heart surgery often makes a second surgery very high risk. In these cases, TAVI becomes the preferred option and is sometimes the only safe option. Dr. Degawat has specific experience with Valve-in-Valve TAVI for patients who need a repeat valve procedure.

Q8: Why should I consult Dr. Prem Ratan Degawat for TAVI in Jaipur?

Dr. Degawat has performed over 600 TAVI procedures, including complex cases that many centres do not handle. He follows a Heart Team model for every decision, which means you receive a multi-specialist recommendation, not a single opinion. His training in Italy under some of Europe’s leading structural heart specialists gives him access to techniques and experience that are rare in Rajasthan.

The post TAVI vs Open Heart Surgery: Recovery, Risks & Outcomes appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on Jun 16, 2026 · View LinkedIn profile

बहुत से मरीज MitraClip प्रोसीजर के बाद अपनी जिंदगी को लेकर चिंतित रहते हैं। सांस फूलना कम होगा या नहीं, दवाइयां कब तक चलेंगी, और वाल्व दोबारा लीक तो नहीं करेगा। ये सवाल जायज हैं।

इस आर्टिकल में हम MitraClip के बाद की जिंदगी को आसान भाषा में समझेंगे। जयपुर के मरीजों के लिए यह जानकारी खास तौर पर उपयोगी है, क्योंकि यहां डॉ प्रेम रतन डेगावट MitraClip प्रोसीजर में माहिर हैं।

MitraClip क्या बदलता है? सांस, थकान और नींद में फरक

MitraClip mitral regurgitation यानी वाल्व से खून के रिवर्स फ्लो को कम करता है। इससे हृदय पर दबाव कम होता है।

ज्यादातर मरीजों को सबसे पहला फरक सांस फूलने में दिखता है। सीढ़ी चढ़ते समय या तेज चलते समय सांस लेने में आसानी होती है।

थकान भी धीरे-धीरे कम होने लगती है। मरीज रोजाना के काम बिना बार-बार आराम किए कर पाते हैं।

नींद में भी सुधार आता है। mitral regurgitation के कारण कई मरीजों को लेटते समय सांस फूलने की शिकायत होती है। प्रोसीजर के बाद यह समस्या काफी कम हो जाती है।

पहले महीने में क्या उम्मीद करें?

प्रोसीजर के बाद पहला महीना शरीर के एडजस्ट होने का समय है। शुरुआती दिनों में थोड़ी थकान सामान्य है।

एनर्जी लेवल

पहले हफ्ते में एनर्जी कम महसूस हो सकती है। दूसरे और तीसरे हफ्ते से सुधार दिखने लगता है। ज्यादातर मरीज एक महीने में रोजाना के काम आसानी से करने लगते हैं।

सांस फूलने में बदलाव

सांस फूलना तुरंत पूरी तरह खत्म नहीं होता। यह धीरे-धीरे कम होता है। कुछ मरीजों में पूरा सुधार दो से तीन महीने में आता है।

दवाइयों में बदलाव

डॉ डेगावट प्रोसीजर के बाद दवाइयों की समीक्षा करते हैं। ब्लड थिनर कुछ हफ्तों तक चलती हैं। हार्ट फेलियर की दवाइयां धीरे-धीरे कम की जा सकती हैं, लेकिन यह डॉक्टर की सलाह पर निर्भर करता है।

मरीज को बिना डॉक्टर से पूछे कोई भी दवा बंद नहीं करनी चाहिए।

क्या वाल्व दोबारा लीक करेगा? Durability और दोबारा प्रोसीजर की जरूरत

यह सबसे आम सवाल है। MitraClip लंबे समय तक टिकने वाला इलाज है, लेकिन हर मरीज में नतीजे अलग हो सकते हैं।

ज्यादातर मरीजों में MitraClip कई सालों तक अच्छा काम करता है। स्टडीज में पांच साल तक के अच्छे नतीजे देखे गए हैं।

कुछ मरीजों में समय के साथ हल्की लीकेज दोबारा हो सकती है। इसका मतलब हमेशा दोबारा प्रोसीजर की जरूरत नहीं होता।

अगर लीकेज बढ़ती है, तो डॉक्टर एक और क्लिप लगाने या अन्य ट्रीटमेंट के बारे में सलाह देते हैं। नियमित इको जांच से इसे समय पर पकड़ा जा सकता है।

डॉ डेगावट मरीजों को नियमित फॉलो-अप पर जोर देते हैं, ताकि वाल्व की स्थिति पर नजर रखी जा सके।

फिजिकल एक्टिविटी: चलना, योगा, सीढ़ियां और ट्रेवल

MitraClip के बाद ज्यादातर मरीज नॉर्मल जिंदगी में लौट सकते हैं। एक्टिविटी धीरे-धीरे बढ़ानी चाहिए।

चलना

पहले हफ्ते में हल्की वॉक शुरू कर सकते हैं। धीरे-धीरे समय और स्पीड बढ़ाएं। रोजाना 20-30 मिनट की वॉक कुछ हफ्तों में आसान हो जाती है।

योगा और स्ट्रेचिंग

हल्के स्ट्रेचिंग एक्सरसाइज और प्राणायाम कुछ हफ्तों बाद शुरू किए जा सकते हैं। भारी आसन या तेज मूवमेंट से पहले डॉक्टर से सलाह लें।

सीढ़ियां

सीढ़ी चढ़ना धीरे-धीरे आसान होता जाता है। शुरुआत में आराम से और बीच में रुक-रुक कर चढ़ें।

ट्रेवल

लंबी यात्रा के लिए डॉक्टर से सलाह लेना सही रहता है। ज्यादातर मरीज एक महीने बाद सामान्य ट्रेवल कर सकते हैं। हवाई यात्रा के लिए थोड़ा और समय लग सकता है।

MitraClip बनाम ओपन मिट्रल वाल्व सर्जरी: बुजुर्ग और कमजोर मरीजों के लिए

बुजुर्ग मरीजों के लिए, खासकर जिनकी सेहत कमजोर हो, MitraClip एक बेहतर विकल्प हो सकता है।

ओपन सर्जरी की लागत MitraClip से कम है, लेकिन यह हर मरीज के लिए सुरक्षित नहीं होती। जिन मरीजों की उम्र ज्यादा है या जिन्हें दिल, किडनी या फेफड़ों की दूसरी बीमारियां हैं, उनके लिए ओपन सर्जरी का खतरा बढ़ जाता है।

डॉ डेगावट हर मरीज की पूरी जांच करने के बाद ही सही विकल्प सुझाते हैं। उम्र सिर्फ एक फैक्टर है, पूरी सेहत देखी जाती है।

जयपुर में MitraClip की लागत

जयपुर में Eternal Hospital जैसे प्राइवेट हॉस्पिटल में MitraClip की लागत Rs 18 से 25 लाख तक हो सकती है। यह डिवाइस की कीमत और हॉस्पिटल स्टे पर निर्भर करता है।

Chiranjeevi Yojana के तहत पंजीकृत राजस्थान के मरीज Eternal Hospital में कैशलेस इलाज पा सकते हैं। Ayushman Bharat के तहत भी कवरेज की जांच करवाई जा सकती है।

लागत के बारे में सटीक जानकारी के लिए हॉस्पिटल से सीधे संपर्क करना सबसे अच्छा रहता है।

डॉ प्रेम रतन डेगावट के बारे में

डॉ प्रेम रतन डेगावट जयपुर के सबसे अनुभवी इंटरवेंशनल कार्डियोलॉजिस्ट में से एक हैं। वे Eternal Hospital में TAVR और स्ट्रक्चरल हार्ट डिजीज प्रोग्राम के एसोसिएट डायरेक्टर हैं।

उन्होंने 600 से ज्यादा TAVI प्रोसीजर किए हैं, जिनमें Bicuspid Valve और Valve in Valve जैसे जटिल केस भी शामिल हैं। डॉ डेगावट MitraClip, TRI-Clip, TMVR, CAVI और TTVR जैसी एडवांस्ड प्रोसीजर में सर्टिफाइड हैं।

उनकी DM कार्डियोलॉजी की डिग्री King George’s Medical University, लखनऊ से है। इसके बाद उन्होंने Italy के IRCCS Humanitas Research Hospital में एडवांस्ड ट्रेनिंग ली।

डॉ डेगावट मरीजों को आसान भाषा में समझाने पर जोर देते हैं, ताकि परिवार सही फैसला ले सकें।

कंसल्टेशन डिटेल:

• हॉस्पिटल: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD समय: सोमवार से शनिवार, सुबह 10 बजे से शाम 4 बजे तक
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• संपर्क: +91-8960594076

Book an appointment today

FAQs:

1. MitraClip के बाद रिकवरी में कितना समय लगता है?

ज्यादातर मरीज 2-3 दिन में हॉस्पिटल से डिस्चार्ज हो जाते हैं। पूरी रिकवरी और एनर्जी लेवल सामान्य होने में 4-6 हफ्ते लग सकते हैं।

2. जयपुर में MitraClip की लागत कितनी है?

Eternal Hospital जयपुर में MitraClip की लागत Rs 18 से 25 लाख तक हो सकती है। Chiranjeevi Yojana के तहत पंजीकृत मरीजों को कैशलेस इलाज मिल सकता है।

3. MitraClip और ओपन मिट्रल वाल्व सर्जरी में क्या फरक है?

MitraClip में छोटे कैथेटर से प्रोसीजर होता है, छाती खोलने की जरूरत नहीं पड़ती। ओपन सर्जरी में छाती खोली जाती है और रिकवरी में 6-8 हफ्ते लगते हैं।

4. क्या MitraClip के बाद वाल्व दोबारा लीक कर सकता है?

हल्की लीकेज समय के साथ दोबारा हो सकती है, लेकिन ज्यादातर मरीजों में नतीजे कई सालों तक अच्छे रहते हैं। नियमित इको जांच से इसे ट्रैक किया जाता है।

5. MitraClip के बाद कौनसी एक्सरसाइज सुरक्षित हैं?

हल्की वॉक, स्ट्रेचिंग और प्राणायाम धीरे-धीरे शुरू किए जा सकते हैं। भारी एक्सरसाइज से पहले डॉक्टर की सलाह जरूरी है।

6. क्या बुजुर्ग मरीजों के लिए MitraClip सुरक्षित है?

हां, MitraClip खासकर बुजुर्ग और कमजोर मरीजों के लिए डिजाइन किया गया है, जिनके लिए ओपन सर्जरी जोखिम भरी हो सकती है। डॉ डेगावट पूरी जांच के बाद सही सलाह देते हैं।

7. क्या MitraClip Chiranjeevi Yojana में कवर होता है?

चिरंजीवी योजना के तहत पंजीकृत राजस्थान के मरीज Eternal Hospital में कैशलेस MitraClip इलाज पा सकते हैं। पात्रता की जांच हॉस्पिटल से करवाएं।

8. जयपुर में MitraClip के लिए डॉ डेगावट से सलाह क्यों लें?

डॉ डेगावट MitraClip और अन्य स्ट्रक्चरल हार्ट प्रोसीजर में सर्टिफाइड हैं। उनके पास मिट्रल और ट्राइकस्पिड वाल्व प्रोग्राम का व्यापक अनुभव है।

The post MitraClip के बाद जिंदगी कैसी होती है? Patients के सवालों के जवाब appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on Sun 7, 2026 · LinkedIn profile

TAVI हो गई। आप घर आ गए। अब क्या?

यह सवाल बहुत ज़रूरी है। TAVI एक सफल प्रक्रिया है, लेकिन रिकवरी उतनी ही महत्वपूर्ण है जितनी सर्जरी। जयपुर में TAVI करवाने के बाद बहुत से मरीज़ पूछते हैं। “डॉक्टर साहब, घर पर क्या खाएँ? सीढ़ियाँ कब चढ़ सकते हैं? कौन सी दवाई कब लेनी है?”

यह गाइड उन्हीं सवालों का जवाब है। डॉ. प्रेम रतन देगावत के 600 से ज़्यादा TAVI केस के अनुभव पर आधारित यह गाइड आपको कदम-दर-कदम समझाएगी। इसे पढ़कर आप खुद भी समझेंगे और घर के लोगों को भी सही देखभाल के बारे में बता सकेंगे।

पहले हफ्ते घर पर क्या करें?

थकान सामान्य है: घबराएँ नहीं

TAVI के बाद पहला हफ्ता सबसे अलग होता है। आपका शरीर अभी ठीक हो रहा है। इसलिए:

• बहुत ज़्यादा थकान लगेगी। यह बिलकुल सामान्य है।
• दिन में 2-3 बार आराम करें।
• रात को 8-9 घंटे की नींद ज़रूर लें।
• अचानक न खड़े हों। धीरे-धीरे उठें।

घाव की देखभाल

TAVI में आमतौर पर पाँव के पास या हाथ की नस में एक छोटा-सा छेद किया जाता है। उस जगह का ध्यान रखना ज़रूरी है।

• घाव को सूखा रखें।
• पहले 3-4 दिन नहाने से बचें। कपड़े से पोंछकर साफ करें।
• अगर पट्टी उठानी हो तो डॉक्टर के बताए तरीके से ही हटाएँ।
• घाव पर कोई तेल, हल्दी या देसी नुस्खा बिलकुल न लगाएँ।
• वहाँ टाइट कपड़े या बेल्ट न बाँधें।

क्या कर सकते हैं, क्या नहीं

यह कर सकते हैं:

• घर के अंदर धीरे-धीरे चलें।
• खुद कपड़े पहनें और खाना खाएँ।
• TV देखें, बातें करें, परिवार के साथ बैठें।
• हल्का पढ़ना या मोबाइल देखना।

यह नहीं करें पहले हफ्ते:

• भार उठाना (2 किलो से ज़्यादा नहीं)।
• सीढ़ियाँ बार-बार चढ़ना।
• गाड़ी चलाना।
• नहाने के बाद ज़्यादा देर खड़े रहना।

TAVI के बाद दवाइयाँ: क्या लेनी है और क्यों?

खून पतला करने की दवाई, सबसे ज़रूरी

यह दवाई TAVI के बाद हर मरीज़ को दी जाती है। इसका नाम आमतौर पर Aspirin या Clopidogrel होता है, या दोनों मिलाकर।

क्यों ज़रूर लेनी है: TAVI में जो नई वाल्व लगती है, उस पर पहले कुछ महीने में खून जमने का खतरा रहता है। यह दवाई इसे रोकती है।

कितने समय तक लेनी है: डॉक्टर के हिसाब से 1 महीने से 6 महीने तक। कुछ केस में पूरी उम्र।

बहुत ज़रूरी बात: कभी भी खुद से बंद न करें। चाहे पेट में जलन हो या कोई और तकलीफ हो, पहले डॉक्टर से बात करें।

अगर एक डोज़ मिस हो जाए

• याद आते ही उसी दिन ले लें।
• अगर अगली डोज़ का समय हो गया हो तो सिर्फ अगली डोज़ लें।
• दोहरी डोज़ कभी मत लें।
• डॉ. देगावत के क्लिनिक का नंबर सेव रखें: +91-9549158888

ब्लड प्रेशर की दवाई

TAVI के बाद ब्लड प्रेशर नियंत्रण बहुत ज़रूरी है। डॉक्टर ने जो दवाई दी है उसे नियमित लें। घर पर BP मशीन रखें और रोज़ सुबह नोट करें।

लक्ष्य BP: 120/80 के आसपास। अगर 150 से ज़्यादा हो तो डॉक्टर को बताएँ।

पानी की गोली (Diuretics), अगर दी गई हो

कुछ मरीज़ों को शरीर से फालतू पानी निकालने के लिए दवाई दी जाती है। इससे पाँव भी हल्के रहते हैं। यह दवाई सुबह लेना बेहतर है ताकि रात को बार-बार बाथरूम न जाना पड़े।

खतरनाक लक्षण जिन्हें नज़रअंदाज़ न करें (Red Flags)

यह लक्षण दिखें तो तुरंत डॉक्टर के पास जाएँ।

1. बुखार

• अगर तापमान 100.4°F (38°C) से ज़्यादा हो तो इमरजेंसी है।
• बुखार नई वाल्व पर संक्रमण का संकेत हो सकता है। देरी बिलकुल न करें।

2. घाव में सूजन या कुछ निकलना

• घाव की जगह ज़्यादा लाल हो जाए।
• सूजन बढ़े या दर्द हो।
• पानी या खून निकलने लगे।

3. सांस में तकलीफ

• बिना मेहनत के सांस फूलना।
• लेटकर सांस लेना मुश्किल हो जाए।
• रात में बार-बार उठना पड़े सांस के लिए।

4. पाँव भारे लगना या सूजन

• पाँव में अचानक ज़्यादा सूजन आए।
• जोड़ों में दर्द हो।

5. दिल तेज़ धड़कना या रुक-रुक कर धड़कना

• अचानक दिल बहुत तेज़ चले।
• एक बार रुका हुआ लगे या अजीब धड़कन लगे।

6. बेहोशी या चक्कर

• आँखों के आगे अंधेरा आए।
• खुद संभाल न पाएँ।

अगर यह लक्षण आएँ तो Eternal Hospital के इमरजेंसी नंबर पर कॉल करें या 108 Ambulance बुलाएँ। इंतज़ार नहीं करें।

TAVI के बाद खाना-पीना: क्या खाएँ, क्या नहीं?

नमक कम करें, यह सबसे महत्वपूर्ण डाइट नियम है

नमक दिल के लिए सबसे ज़्यादा तकलीफ देता है। TAVI के बाद:

• खाने में ऊपर से नमक बिलकुल मत डालें।
• अचार, पापड़, बड़ी, कचरी – इनका सेवन बहुत कम करें।
• पैकेज्ड फूड (बिस्कुट, चिप्स, नमकीन) से बचें।
• रोज़ 1.5 से 2 चाय चम्मच नमक पूरे दिन के लिए काफी है।

राजस्थानी खाने में क्या ठीक है?

राजस्थान का खाना घरेलू और स्वादिष्ट होता है, लेकिन कुछ चीज़ें ध्यान से खानी हैं।

खा सकते हैं:

• दाल (मूँग, मसूर, अरहर) – बिलकुल ठीक है, लेकिन नमक कम करें।
• रोटी (गेहूँ का आटा, बाजरा, ज्वार) – बहुत अच्छा है।
• सब्ज़ी (लौकी, टिंडा, तोरी, करेला) – दिल के लिए फायदेमंद।
• दही – एक कटोरी दिन में ठीक है।
• छाछ – नमक/जीरा थोड़ा कम करें।
• गाजर, पालक, मेथी – ज़रूर खाएँ।

सावधानी से खाएँ:

• घी – 1 छोटी चम्मच दिन में काफी है। ज़्यादा नहीं।
• पूरी, कचोरी, पकौड़ा – पहले 1 महीने में बचें।
• मीठा (हलवा, खीर, गुलाब जामुन) – बहुत कम, हफ्ते में एक बार से ज़्यादा नहीं।

यह बिलकुल नहीं खाना:

• बीड़ी, सिगरेट, तंबाकू – एक बार भी नहीं।
• दारू या शराब।
• ज़्यादा चमकीली मिठाई या ज़्यादा तेल में बनी चीज़ें।
• फ्रिज से निकाला ठंडा पानी सीधे मत पिएँ।

पानी कितना पिएँ?

डॉक्टर के हिसाब से पानी पीने का लक्ष्य तय होगा। अक्सर TAVI मरीज़ों को 1.5 से 2 लीटर पानी दिन में काफी होता है। ज़्यादा मत पिएँ, इससे दिल पर बोझ बढ़ सकता है।

चाय और कॉफी

एक-दो कप दिन में ठीक है। ज़्यादा नहीं। चाय में दूध भी सही है।

रोज़ की ज़िंदगी: कब क्या कर सकते हैं?

पहले 1 हफ्ते में

• घर के अंदर धीरे चलें।
• सोफा या कुर्सी पर बैठें। ज़्यादा देर लेटें नहीं।
• सीढ़ियाँ दिन में एक बार, धीरे-धीरे, किसी के साथ।
• गाड़ी मत चलाएँ।

1 हफ्ते से 2 हफ्ते में

• घर के बाहर धीरे टहल सकते हैं। 5-10 मिनट से शुरू करें।
• खुद खाना बना सकते हैं – हल्के काम।
• सीढ़ियाँ ज़्यादा बार चढ़ सकते हैं, लेकिन सांस फूलने पर ध्यान रखें।

2 हफ्ते से 1 महीने में

• रोज़ 15-20 मिनट की सैर करें। बारिश या ज़्यादा गर्मी में बाहर मत निकलें।
• हल्का योग या सूक्ष्म व्यायाम डॉक्टर की सलाह पर शुरू कर सकते हैं।
• गाड़ी चलाने के बारे में डॉक्टर से पूछें (अक्सर 4 हफ्ते के बाद अनुमति मिलती है)।

नमाज़, पूजा और इबादत

बहुत से राजस्थानी मरीज़ पूछते हैं कि पूजा या नमाज़ कब पढ़ सकते हैं।

• बैठकर पूजा या नमाज़: 1 हफ्ते बाद शुरू कर सकते हैं।
• ज़मीन पर बैठकर (पालथी मारकर): 2-3 हफ्ते बाद, अगर तकलीफ न हो।
• सज्दा या फर्श पर व्यायाम: डॉक्टर की सलाह से, आमतौर पर 4-6 हफ्ते बाद।

मेला, शादी, सफर

• घर के बाहर जाना (पास): 2-3 हफ्ते बाद ठीक है।
• लंबी दूरी की ट्रेन या बस यात्रा: 1 महीने के फॉलो-अप के बाद डॉक्टर से पूछें।
• हवाई सफर: 4-6 हफ्ते बाद अक्सर अनुमति मिलती है, लेकिन डॉक्टर की सलाह ज़रूर लें।

TAVI के बाद फॉलो-अप का रोडमैप

फॉलो-अप मिस करना सबसे बड़ी गलती है। यह टेस्ट सिर्फ औपचारिकता नहीं हैं। इनसे पता चलता है कि वाल्व सही काम कर रही है या नहीं।

1 महीने का फॉलो-अप

क्या होगा:

• इकोकार्डियोग्राफी (Echo) – वाल्व की स्थिति और काम जाँचा जाएगा।
• ECG – धड़कन सही है या नहीं।
• खून के टेस्ट – दवाई का असर और किडनी-लिवर की जाँच।

क्यों ज़रूरी है: इस वक्त दवाइयाँ एडजस्ट होती हैं। खून पतला करने की दवाई की डोज़ या समयावधि तय होती है। यह अपॉइंटमेंट कभी मिस नहीं करनी चाहिए।

3 महीने का फॉलो-अप

क्या होगा:

• Echo दोबारा।
• BP और हार्ट रेट जाँच।
• गतिविधि स्तर समीक्षा – अब क्या कर सकते हैं।

क्यों ज़रूरी है: तीन महीने में वाल्व की जो “सेटलिंग” होती है वह पूरी हो जाती है। इस Echo से पुष्टि होती है कि वाल्व सही स्थिति में है।

6 महीने का फॉलो-अप (कुछ मरीज़ों के लिए)

डॉक्टर के हिसाब से कई मरीज़ों को 6 महीने में भी बुलाया जाता है। खासकर अगर:

• कोई लक्षण था।
• दवाई में बदलाव हुआ था।
• और कोई बीमारी जैसे मधुमेह या किडनी की समस्या है।

1 साल का फॉलो-अप

• पूरी जाँच – Echo, ECG, खून के टेस्ट, BP।
• अगले साल का प्लान तय होगा।
• डॉक्टर से पूछें: “अब कितने सालों तक यह वाल्व चलेगी?”

याद रखें: हर फॉलो-अप में यह 3 सवाल ज़रूर पूछें:

1. मेरी दवाई सही है या बदलनी है?
2. क्या मैं अब ज़्यादा काम कर सकता/सकती हूँ?
3. अगली अपॉइंटमेंट कब आनी चाहिए?

डॉ. प्रेम रतन देगावत के बारे में

डॉ. प्रेम रतन देगावत, जयपुर के सबसे अनुभवी इंटरवेंशनल कार्डियोलॉजिस्ट में से एक हैं। वे Eternal Hospital में TAVR और Structural Heart Disease Program के Associate Director हैं। उनके नाम 600 से ज़्यादा सफल TAVI प्रक्रियाएँ हैं, जिनमें Bicuspid Valve और Valve in Valve जैसे जटिल केस भी शामिल हैं।

डॉ. देगावत ने Sardar Patel Medical College बीकानेर से MBBS और MD की, और King George’s Medical University लखनऊ से DM (Cardiology) की। इटली के IRCCS Humanitas Research Hospital में उन्होंने Advanced TAVI प्रशिक्षण लिया। वे TAVI, MitraClip, TRI-Clip, TMVR, CAVI और TTVR में प्रमाणित हैं।

जो चीज़ उन्हें अलग बनाती है वह है – वे हर मरीज़ को समय देते हैं। स्थिति को सरल हिंदी में समझाते हैं। परिवार के सवालों का जवाब देते हैं। मरीज़ों का कहना है: “डॉक्टर साहब ने सब कुछ इतना स्पष्ट बताया कि हम बिलकुल निश्चिंत हो गए।”

OPD विवरण:

• अस्पताल: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD समय: सोमवार से शनिवार, सुबह 10:00 बजे से शाम 4:00 बजे तक
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• संपर्क: +91-8960594076

Schedule an appointment today

अक्सर पूछे जाने वाले सवाल (FAQs)

1. TAVI के बाद घर पर अकेले रह सकते हैं?

पहले 1-2 हफ्ते किसी घर वाले का साथ होना ज़रूरी है। घबराहट या कोई लक्षण आए तो अकेले संभलना मुश्किल हो सकता है। तीसरे हफ्ते से डॉक्टर की सलाह के हिसाब से तय करें।

2. TAVI के बाद खून पतला करने की दवाई कितने समय तक लेनी होगी?

यह आपकी वाल्व के प्रकार और स्थिति पर निर्भर करता है। अक्सर 1 महीने से 6 महीने तक। कुछ केस में डॉक्टर पूरी उम्र की दवाई लिखते हैं। 1 महीने के फॉलो-अप पर डॉक्टर तय करेंगे।

3. TAVI के बाद राजस्थानी खाना – घी, दाल, बाजरे की रोटी – खा सकते हैं?

दाल और बाजरे की रोटी बिलकुल ठीक हैं। घी सिर्फ 1 छोटी चम्मच दिन में ठीक है। अचार, पापड़, नमकीन से बचें। नमक कम रखना सबसे ज़रूरी है।

4. TAVI के कितने बाद गाड़ी चला सकते हैं?

अक्सर 4 हफ्ते बाद गाड़ी चलाना अनुमत होता है। लेकिन यह डॉक्टर की व्यक्तिगत सलाह से पुष्टि करें। दोपहिया वाहन पहले 6 हफ्ते तक बचें।

5. क्या TAVI की दवाई देसी नुस्खे से बदल सकते हैं?

बिलकुल नहीं। TAVI के बाद डॉक्टर की दी हुई दवाई बिलकुल ज़रूरी है। कोई भी देसी नुस्खा, जड़ी-बूटी या वैकल्पिक दवाई लेने से पहले डॉ. देगावत से ज़रूर पूछें।

6. TAVI के बाद बुखार आए तो क्या करें?

तुरंत Eternal Hospital जाएँ या 108 एम्बुलेंस बुलाएँ। बुखार वाल्व पर संक्रमण का संकेत हो सकता है। इसे कभी घर पर सामान्य दवाई से ठीक करने की कोशिश न करें।

7. चिरंजीवी योजना में TAVI फॉलो-अप कवर होता है?

Eternal Hospital जयपुर चिरंजीवी योजना और आयुष्मान भारत में पंजीकृत है। फॉलो-अप टेस्ट के बारे में अस्पताल के बिलिंग डेस्क से पता करें। बीमा कार्ड साथ लेकर जाएँ।

8. TAVI के बाद एक साल में क्या-क्या सामान्य होना चाहिए?

एक साल बाद अक्सर मरीज़ सीढ़ियाँ आराम से चढ़ सकते हैं, हल्की सैर कर सकते हैं, और रोज़ के काम बिना साँस फूले कर सकते हैं। Echo में वाल्व ठीक काम करती दिखनी चाहिए। डॉ. देगावत के 600+ केस में अधिकतर मरीज़ बेहतरीन रिकवरी करते हैं।

यह article सामान्य जानकारी के लिए है। अपनी specific medical situation के लिए qualified cardiologist से ज़रूर मिलें।

The post TAVI के बाद घर पर क्या करें? पूरी रिकवरी गाइड हिंदी में (2026) appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on June 4, 2026 · View LinkedIn profile

You have just left a cardiologist’s clinic. You have been told you need bypass surgery, multiple stents, or valve replacement. The words are still ringing in your head.

Should you trust that recommendation? Should you ask someone else?

This is one of the most important questions a cardiac patient can face. A second opinion for heart surgery in India is not an act of disrespect. It is an act of responsibility.

This guide explains exactly when a second opinion is necessary, what to bring, and how patients across North India are finding clearer answers in Jaipur.

Why Indian Patients Hesitate to Seek a Second Opinion

In Indian families, questioning a doctor can feel rude. Many patients believe asking for a second opinion will offend their current cardiologist. Some worry it signals distrust or ingratitude.

This is a cultural hesitation. It is understandable. But it can be costly.

Heart procedures carry real risks. They also carry real costs. A stent implanted unnecessarily costs Rs 1.5 to 3 lakhs. Bypass surgery recovery takes 6 to 8 weeks. These are not small decisions.

Second opinions are routine practice in the United States, the United Kingdom, and across Europe. Top cardiologists in India actively encourage patients to verify their diagnosis. A good doctor will never be offended by a patient who wants clarity.

Your heart deserves the most accurate assessment possible. That assessment sometimes requires two expert voices.

6 Situations That Always Warrant a Second Opinion

Not every cardiac consultation requires a second opinion. But certain situations make it essential.

1. You Have Been Told You Are Too High-Risk for Surgery

“Too risky for surgery” is not always the final word. In the past, many elderly patients with severe aortic stenosis were sent home because open heart surgery was too dangerous for them.

Today, procedures like TAVI (Transcatheter Aortic Valve Implantation) can replace a damaged valve without cutting the chest. These structural heart options have transformed outcomes for high-risk patients.

If you have been told surgery is not possible, ask a structural heart specialist before accepting that answer.

2. Multiple Stents Have Been Recommended

Recommendations for 3, 4, or more stents in a single procedure deserve careful review. Stenting is often the right choice. But it is not always the only choice.

Some patients with multi-vessel disease do better with bypass surgery. Others do well with medication and lifestyle changes. Getting a second opinion helps you understand all your options.

3. You Are Being Asked to Choose Between Bypass and Angioplasty

Bypass surgery and angioplasty treat the same problem differently. One involves open chest surgery. The other is done through a small puncture in the wrist or groin.

Different cardiologists may give different recommendations for the same blockage. Understanding why those recommendations differ is valuable before you decide.

4. Valve Replacement Has Been Advised

Heart valve replacement is a major procedure. There are now several ways to do it. Open surgery, TAVI, MitraClip, and other catheter-based options are all available in Jaipur at Eternal Hospital.

If you have been told you need valve replacement, confirm the recommended approach with a specialist in structural heart procedures. The right technique depends on your anatomy, age, and overall health.

5. Your Diagnosis Has Not Changed After Treatment

Some patients receive a stent and still feel chest pain. Others are on medication for months with no improvement. If your symptoms persist despite treatment, a second opinion can identify what was missed.

A different specialist may find a structural problem, a medication interaction, or a diagnosis that was overlooked earlier.

6. You Feel Rushed or Unclear About the Recommendation

Cardiac decisions should never feel rushed. If you left a consultation without understanding why a procedure was recommended, that is a reason to seek another opinion.

A good cardiologist will take time to explain your condition in plain language. If that explanation was missing, find a doctor who will give it.

What to Bring to a Second Opinion Consultation

Coming prepared makes a second opinion far more useful. Bring these documents.

Reports and Test Results:

• Echocardiogram (Echo) report, printed and with the CD or digital file
• Coronary angiography report and the CD
• ECG reports from the past 6 to 12 months
• Blood reports including complete blood count, kidney function, and lipid profile
• Any nuclear stress test or CT angiography results

Hospital Records:

• Discharge summaries from any previous cardiac admission
• Previous procedure notes (if you had a stent, surgery, or catheterization)
• Records of any complications during past procedures

Current Medications:

• A written list of all medicines you are taking
• Include doses and how long you have been on each

Your Questions:

• Write down your top 3 to 5 questions before the appointment
• Note which symptoms are bothering you most and when they started

Bringing complete records saves time. It also allows the second cardiologist to give a genuinely independent assessment rather than relying on verbal summaries.

What Dr. Degawat Looks for in a Second Opinion Case

Dr. Prem Ratan Degawat at Eternal Hospital, Jaipur sees a significant number of patients seeking second opinions. Many come from Delhi, Haryana, Punjab, Uttar Pradesh, and Gujarat.

His approach to these cases is structured and specific.

He reviews the echo and angiography findings independently, without being influenced by the first cardiologist’s conclusion. He assesses whether the recommended procedure matches the severity of the condition as seen in the imaging. He checks whether structural heart options like TAVI or MitraClip were considered before open surgery was recommended.

He also looks at the overall clinical picture. A patient’s age, kidney function, lung health, and diabetes status all affect which procedure is safest. A recommendation that ignores these factors may not be the right one.

In many cases, Dr. Degawat confirms the original recommendation. In some cases, he identifies a different path. In both outcomes, the patient leaves with clarity.

Patient Recovery Stories from Dr. Degawat’s Cases

Dr. Prem Ratan Degawat has shared real TAVI procedure videos from Eternal Hospital Jaipur. These cases show the range of patients who benefit from TAVI.

TAVI Testimonial 1- Mr. Manak Chand Hiran

TAVI Testimonial 2- Mrs. Om Panwar

TAVI Testimonial 3- Mrs. Ugam Lata Gangwal

TAVI Testimonial 4- Mrs. Maya Devi

TAVI Testimonial 5- Mr. Jasti Veera Sekhara

TAVI Testimonial 6- Mr. Suresh Chand

How Structural Heart Options Change the Second Opinion Calculus

Many patients who were once told “nothing can be done” now have options. This is because structural heart procedures have changed what is possible in the last 10 years.

TAVI (Transcatheter Aortic Valve Implantation) replaces a damaged aortic valve through a small puncture. No chest opening is required. It is now the preferred option for elderly or high-risk patients.

MitraClip repairs a leaking mitral valve using a small clip delivered through a vein. It requires no surgery at all.

LAAO (Left Atrial Appendage Occlusion) reduces stroke risk in patients with atrial fibrillation who cannot take blood thinners long-term.

TRI-Clip and TTVR address tricuspid valve disease without open surgery.

These procedures are available at Eternal Hospital in Jaipur. Dr. Degawat has performed over 600 TAVI procedures and is among the few cardiologists in India certified in MitraClip, TRI-Clip, TMVR, CAVI, and TTVR.

If your original cardiologist was not a structural heart specialist, they may not have been aware of all available options.

Questions to Ask When Seeking a Second Opinion

Use this checklist in your second opinion consultation:

1. Do you agree with the diagnosis I have been given?
2. Is the procedure recommended for me the right one for my specific condition?
3. Are there less invasive options that could work for me?
4. What happens if I delay this procedure by 3 to 6 months?
5. What is the success rate for this procedure for patients my age?
6. How many times have you performed this procedure personally?
7. What are the main risks for someone with my health history?
8. Is there anything in my reports that the first cardiologist may have missed?

Write these questions down. Bring them to your appointment. A good cardiologist will answer all of them clearly.

Why Jaipur Is Now a Destination for Cardiac Second Opinions

Jaipur has emerged as a serious cardiac care centre for patients across North India. It offers the expertise of major metro cities at significantly lower cost. Wait times are shorter. Hospitals like Eternal Hospital offer full structural heart programs that many smaller cities cannot.

Patients from Delhi, Chandigarh, Lucknow, Kota, Ajmer, and even from Gujarat and Maharashtra are coming to Jaipur for second opinions on valve procedures, complex angioplasty, and high-risk surgery cases.

Dr. Degawat’s clinic regularly sees patients who travelled because they could not find structural heart expertise closer to home. The combination of advanced facilities, experienced operators, and Rajasthan’s government scheme coverage makes Jaipur a practical choice for serious cardiac second opinions.

Patients registered under Chiranjeevi Yojana and Ayushman Bharat can access cashless treatment at Eternal Hospital for eligible procedures.

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is one of the most experienced structural heart cardiologists in Rajasthan. He serves as Associate Director of the TAVR and Structural Heart Disease Program and Director of the Mitral and Tricuspid Valve Program at Eternal Hospital, Jaipur.

He completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced training at IRCCS Humanitas Research Hospital in Italy. His research covers TAVI safety across more than 2,000 cases in Europe.

Dr. Degawat has performed over 600 TAVI procedures including complex cases involving Bicuspid Valve, Valve in Valve, and TAVR in TAVR. He is among the few cardiologists in India trained and certified in MitraClip, TRI-Clip, TMVR, CAVI, and TTVR.

He is known for taking time with patients and explaining complex conditions in plain language. For second opinion cases, he reviews all prior findings independently and gives a clear, honest assessment.

Consultation Details:

• Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• Contact: +91-8960594076

Schedule an appointment today

Frequently Asked Questions

Q1: When should I get a second opinion for heart surgery in India?

Seek a second opinion when you have been advised bypass surgery, multiple stents, or valve replacement. Also get one if you have been told you are too high-risk for surgery, or if your symptoms have not improved after treatment. A second opinion is especially important for structural heart conditions where newer options may be available.

Q2: Is it rude to ask for a second opinion from another cardiologist?

No. A good cardiologist will never be offended by a second opinion request. It is your right as a patient to fully understand your diagnosis before agreeing to a major procedure. Top cardiac centres across India actively support patients seeking a second opinion before surgery.

Q3: What reports should I bring for a second opinion consultation in Jaipur?

Bring your echocardiogram with the CD, coronary angiography with the CD, all recent blood reports, discharge summaries, ECG reports, and a complete list of your current medicines. Complete records allow the cardiologist to give an independent assessment based on your actual findings.

Q4: How much does a second opinion consultation cost at Eternal Hospital Jaipur?

Consultation fees vary. Contact Eternal Hospital at +91-8960594076 for current OPD charges. The consultation fee for a second opinion is the standard specialist consultation fee and is separate from any procedure costs.

Q5: Can patients under Chiranjeevi Yojana get a second opinion at Eternal Hospital?

Chiranjeevi Yojana and Ayushman Bharat cover eligible procedures at Eternal Hospital Jaipur. A second opinion consultation itself may not be covered, but if a procedure is subsequently recommended and performed, scheme coverage may apply. Contact the hospital to confirm current empanelment details.

Q6: What if the second cardiologist agrees with the first recommendation?

A confirming second opinion is still valuable. It gives you confidence before a major procedure. It also ensures you fully understand your options and have had the chance to ask all your questions. Many patients proceed with greater peace of mind after confirmation.

Q7: Can Dr. Degawat give a second opinion for patients from outside Rajasthan?

Yes. Dr. Degawat regularly sees second opinion patients from Delhi, Uttar Pradesh, Haryana, Punjab, Gujarat, and other states. Patients travel to Jaipur specifically for his expertise in structural heart procedures that are not widely available elsewhere in North India.

Q8: What makes structural heart specialists different for second opinions?

Structural heart specialists are trained in catheter-based valve procedures like TAVI, MitraClip, and LAAO. Many general cardiologists are not. If your condition involves heart valves or you have been told surgery is too risky, a structural heart specialist can identify options that a standard cardiologist may not have offered.

The post When to Seek a Second Opinion for Your Heart: A Practical Guide for Indian Patients (2026) appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on May 17, 2026 · View LinkedIn profile

Your heart valve can become critically narrow over many years. And for much of that time, you may feel completely fine.

This is the dangerous reality of aortic stenosis. It is one of the most common serious heart valve problems in India. Thousands of patients in Rajasthan, Jaipur, and across the country are living with it right now without knowing it.

If your doctor has mentioned a heart murmur, an abnormal echo, or a “narrowed valve,” this guide is for you. It explains what aortic stenosis is, how it progresses, when it needs treatment, and what your options are in India today.

What Is Aortic Stenosis? A Plain-Language Explanation

Your heart has four valves. They open and close with every heartbeat to keep blood moving in the right direction. The aortic valve sits at the exit of the heart’s main pumping chamber. Every time your heart contracts, this valve opens to push blood out to the rest of your body.

In aortic stenosis, this valve becomes stiff and narrow. It cannot open fully. Your heart has to pump much harder to push blood through the narrowed opening. Over time, this extra strain weakens the heart muscle.

The result is a heart that is working harder but delivering less.

Why Does the Aortic Valve Narrow?

There are three main reasons:

Calcium buildup with age. This is the most common cause in patients over 65. Over decades, calcium deposits form on the valve leaflets. They make the valve stiff and unable to open properly. This is called calcific aortic stenosis.

Bicuspid aortic valve. A normal aortic valve has three leaflets. Some people are born with only two. This bicuspid valve wears out faster. It often causes aortic stenosis in patients aged 40 to 60, which is earlier than typical.

Rheumatic heart disease. This is more common in India than in Western countries. A strep throat infection in childhood that was not treated properly can damage the heart valves years later.

The Silent Progression: Why You Feel Fine for Years

This is the part that surprises most patients.

Aortic stenosis develops slowly, often over 10 to 20 years. During this time, your heart compensates. It thickens its walls and pumps harder to get blood through the narrowed valve. You may feel no symptoms at all during this phase.

Doctors call this the compensated phase. Your echo may already show a significantly narrowed valve, but your body has adapted.

Then the compensation breaks down.

When the valve becomes severely narrow, the heart can no longer keep up. Symptoms appear, and they appear quickly. This transition from “no symptoms” to “severe symptoms” can happen within 12 to 24 months.

This is why regular monitoring with echocardiography is so important once aortic stenosis is diagnosed.

The Three Symptoms That Mean It Is Time to Act

Once symptoms appear in severe aortic stenosis, the outlook changes significantly without treatment. These three symptoms are the warning signs that require urgent evaluation.

1. Breathlessness on Exertion

You notice that you get short of breath doing activities that never tired you before. Walking up stairs, carrying groceries, or doing household work becomes difficult. This happens because the weakened heart cannot meet the body’s demand for blood during activity.

Many patients in India dismiss this as “age-related” or “fitness-related.” It is often neither.

2. Chest Pain or Tightness

Some patients with severe aortic stenosis develop chest pain, especially during physical activity. The thickened heart muscle needs more blood than the coronary arteries can supply. This creates a squeezing or pressure feeling in the chest.

If you feel chest tightness during or after exertion, see a cardiologist without delay.

3. Fainting or Near-Fainting (Syncope)

This is the most alarming symptom. Patients suddenly lose consciousness or feel faint, often during physical activity. The narrow valve cannot supply enough blood to the brain during exertion.

Syncope due to aortic stenosis is a serious sign. It means the valve disease is advanced and the heart is at risk. It requires immediate cardiac evaluation.

The medical rule of thumb: Once any of these three symptoms appear in severe aortic stenosis, the average survival without treatment is 2 to 3 years. Treatment changes that outcome dramatically.

Why Indian Patients Often Present Later

This is an important point for Indian families to understand.

In Western countries, aortic stenosis is usually picked up earlier through routine health checks and echocardiograms. In India, many patients do not have access to regular cardiac screening. Symptoms are often attributed to other causes, fatigue, age, or deconditioning.

There are additional factors unique to the Indian population:

Higher burden of bicuspid valve disease. Bicuspid aortic valve disease is more common than previously thought in India. These patients develop severe stenosis a decade or two earlier than the general population.

Rheumatic heart disease legacy. India still carries a significant burden of rheumatic valve disease. This adds to the pool of younger patients with aortic valve problems.

Symptom tolerance. Many Indian patients, particularly elderly patients from smaller towns in Rajasthan, have a higher threshold for reporting symptoms. Breathlessness or reduced activity is accepted as part of ageing.

Delayed referral. Many patients reach a specialist like Dr. Prem Ratan Degawat in Jaipur after months of symptoms, having visited multiple doctors at the primary care level.

The practical message is this: if a family member is experiencing breathlessness, chest tightness, or unexplained fainting, and they are over 60 years old, ask for an echocardiogram. It is a simple, painless test. It can catch this condition early.

How Aortic Stenosis Is Diagnosed: Tests and What They Show

When you visit a cardiologist for suspected aortic stenosis, you will typically go through a series of tests. Here is what each one tells your doctor.

Echocardiogram (Echo)

This is the most important test. It uses sound waves to create a moving picture of your heart valves and chambers. It shows how narrow the valve is, how fast blood is moving through it, and how well your heart is pumping. Most patients in Jaipur can get this test done at Eternal Hospital or any cardiac centre.

CT Scan of the Heart

A cardiac CT scan gives a detailed 3D image of the aortic valve and the surrounding anatomy. It helps calculate the calcium score of the valve. It is essential when planning TAVI because it shows the exact valve size and the anatomy of the blood vessels through which the TAVI device will be delivered. Dr. Degawat uses CT imaging in the pre-procedure planning of every TAVI case.

Cardiac Catheterization

This is an invasive test, but it provides the most accurate pressure measurements inside the heart. In aortic stenosis, it directly measures the pressure gradient across the narrowed valve. It also checks the coronary arteries for blockages, which often co-exist with valve disease in older patients.

Treatment Decision Tree: What Are Your Options?

Not every patient with aortic stenosis needs immediate treatment. The decision depends on the severity of the valve narrowing and the presence of symptoms.

Watchful Waiting (for Mild to Moderate Stenosis)

If your aortic stenosis is mild or moderate and you have no symptoms, your cardiologist will recommend regular monitoring. This means an echo every 1 to 2 years. You will be advised on lifestyle, blood pressure control, and when to return for evaluation.

There is no medication that reverses or slows aortic stenosis. Medicines can manage symptoms and related conditions, but they do not fix the valve.

When Treatment Becomes Necessary

Treatment is recommended when:

• You have severe aortic stenosis AND symptoms (breathlessness, chest pain, or fainting)
• You have severe aortic stenosis and are going for another heart surgery (such as bypass)
• Your heart function is declining on serial echos, even without symptoms
• Your valve area has become critically small

Once you are in this category, the question becomes which treatment is right for you.

TAVI: Transcatheter Aortic Valve Implantation

TAVI is now the preferred treatment for the majority of patients with severe aortic stenosis in India. In this procedure, a collapsed replacement valve is delivered through a catheter inserted via the groin. No chest is opened. The new valve is positioned inside the narrowed native valve and expanded. It immediately takes over valve function.

Benefits of TAVI include:

• No open heart surgery
• Local or general anaesthesia
• Hospital stay of 3 to 5 days
• Return to normal activity within 2 to 4 weeks
• Excellent outcomes even in elderly or high-risk patients

Dr. Prem Ratan Degawat has performed over 600 TAVI procedures at Eternal Hospital in Jaipur, including complex cases involving bicuspid valves and valve-in-valve replacements. This is one of the highest volumes for any single operator in Rajasthan.

Open Surgical Aortic Valve Replacement (SAVR)

For younger patients, typically under 65, with low surgical risk, open surgical valve replacement remains an excellent option. The chest is opened, the narrowed valve is removed, and a new mechanical or biological valve is sewn in.

The advantage is longer durability, especially with mechanical valves. The disadvantage is a longer recovery of 6 to 8 weeks and the risks of open heart surgery.

Who Gets TAVI vs Surgery in India?

The decision is made after a detailed evaluation by a heart team. Factors include age, overall health, other medical conditions, valve anatomy, and patient preference. In general:

• Patients over 70 with moderate to high surgical risk: TAVI is preferred
• Patients over 80 or with multiple health conditions: TAVI is strongly preferred
• Patients aged 60 to 70 with low surgical risk: individualised decision
• Patients under 60 with good surgical fitness: surgery may be preferred for durability

Patient Recovery Stories from Dr. Degawat’s Cases

Dr. Prem Ratan Degawat has shared real TAVI procedure videos from Eternal Hospital Jaipur. These cases show the range of patients who benefit from TAVI.

TAVI Testimonial 1- Mr. Manak Chand Hiran

TAVI Testimonial 2- Mrs. Om Panwar

TAVI Testimonial 3- Mrs. Ugam Lata Gangwal

TAVI Testimonial 4- Mrs. Maya Devi

TAVI Testimonial 5- Mr. Jasti Veera Sekhara

TAVI Testimonial 6- Mr. Suresh Chand

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is one of Jaipur’s most experienced interventional cardiologists, specialising in advanced structural heart procedures. He serves as Associate Director of the TAVR and Structural Heart Disease Program and Director of the Mitral and Tricuspid Valve Program at Eternal Hospital, Jaipur.

Dr. Degawat completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced training in structural heart procedures at IRCCS Humanitas Research Hospital in Italy, where he contributed to research on over 2,000 TAVI cases. He is among the few cardiologists in India certified in TAVI, MitraClip, TRI-Clip, TMVR, CAVI, and TTVR.

With over 600 TAVI procedures performed, including complex bicuspid valve and valve-in-valve cases, Dr. Degawat brings a level of experience rare in Rajasthan. He is known for taking time with patients and families, explaining the condition in plain language, and helping them make confident decisions without confusion or fear.

Consultation Details: Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017

OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM

Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur

Contact: +91-8960594076

Schedule an appointment today

FAQs:

Q1: What are the early signs of aortic stenosis I should watch for?

Most patients with mild to moderate aortic stenosis have no symptoms at all. In early severe cases, watch for breathlessness during activity, tiredness that worsens over weeks, or reduced exercise tolerance. These symptoms are easy to attribute to ageing, so an echo is the only reliable way to confirm or rule out valve narrowing.

Q2: Can aortic stenosis be treated without surgery in India?

Yes, for the majority of patients. TAVI is a catheter-based procedure that replaces the narrowed valve without opening the chest. It is not “surgery” in the traditional sense. TAVI is now the standard of care for most patients over 70 in India and is available at Eternal Hospital in Jaipur.

Q3: How much does TAVI cost in Jaipur for aortic stenosis?

TAVI costs approximately Rs 3.5 to 6 lakhs at private hospitals like Eternal Hospital, Jaipur. The cost varies based on the valve type used and complexity of the case. Patients covered under Chiranjeevi Yojana or Ayushman Bharat may be eligible for cashless or subsidised treatment at empanelled centres.

Q4: At what stage does aortic stenosis need treatment?

Treatment is needed when aortic stenosis becomes severe and causes symptoms such as breathlessness, chest pain, or fainting. It may also be recommended in severe asymptomatic cases if heart function is declining on serial echos. Your cardiologist will track this with regular echocardiograms and advise you when to act.

Q5: What is the difference between aortic stenosis and aortic regurgitation?

In aortic stenosis, the valve is too narrow and does not open properly, making the heart pump harder to push blood out. In aortic regurgitation, the valve does not close properly, and blood leaks back into the heart. Both are serious valve conditions, but they affect the heart differently and are treated differently. An echocardiogram can diagnose and distinguish between the two.

Q6: Is TAVI safe for patients over 80 years old?

Yes, TAVI is specifically designed for older and higher-risk patients. Multiple large studies have confirmed excellent outcomes in patients aged 80 and above. The absence of open chest surgery makes it far safer for elderly patients with multiple health conditions. Dr. Degawat has performed TAVI successfully in patients in their 80s and 90s at Eternal Hospital.

Q7: How long does recovery take after TAVI for aortic stenosis?

Most patients are walking within 24 hours of TAVI. Hospital stay is typically 3 to 5 days. Patients can usually return to light daily activities within 2 weeks. Full recovery and return to normal activity generally takes 3 to 4 weeks, compared to 6 to 8 weeks for open heart surgery.

Q8: Why should I consult Dr. Prem Ratan Degawat for aortic stenosis in Jaipur?

Dr. Degawat has performed over 600 TAVI procedures at Eternal Hospital and is one of a small number of cardiologists in India trained in the full range of structural heart interventions. He provides a complete evaluation including echo, CT, and a detailed discussion of all treatment options. His patient-first approach ensures you fully understand your condition and your choices before any decision is made.

The post Aortic Stenosis: The Heart Valve Problem That Creeps Up Silently appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on May 13, 2026 · View LinkedIn profile

Doctor ने कहा , “आपको ICD लगवाना होगा।”

आपने सोचा, “यह pacemaker जैसा ही होगा।”

घर आकर Google किया। तो तीन अलग-अलग नाम मिले। Pacemaker। ICD। CRT-D।

अब confusion और बढ़ गया।

यह article उसी confusion के लिए है। तीनों devices अलग-अलग हैं। तीनों अलग-अलग समस्याओं के लिए लगते हैं। और तीनों के बारे में सही जानकारी होना, आपके इलाज के decision के लिए ज़रूरी है।

जयपुर के senior interventional cardiologist Dr. Prem Ratan Degawat कहते हैं, “मरीज़ जब device का नाम सुनते हैं, तो उनके मन में सबसे पहले एक ही सवाल आता है, क्या यह shock देगा? क्या दर्द होगा? इन सवालों का जवाब देना ज़रूरी है।”

तो शुरू से समझते हैं।

पहले समझें, दिल में बिजली कैसे काम करती है?

दिल एक pump है। लेकिन यह pump खुद नहीं चलती।

दिल में एक natural electrical system होता है। यह system हर दिल की धड़कन को control करता है। यह signal भेजता है, और दिल एक बार धड़कता है।

जब यह electrical system खराब हो जाता है, तो तीन तरह की समस्याएं हो सकती हैं:

1. दिल बहुत धीरे चले, Bradycardia (slow heartbeat)
2. दिल बहुत तेज़ या अनियमित चले, Dangerous arrhythmia (fast/chaotic heartbeat)
3. दिल के दोनों हिस्से एक साथ न धड़कें, Dyssynchrony (असंतुलित pump)

इन तीन समस्याओं के लिए तीन devices हैं।

Pacemaker क्या होता है? कब लगता है?

Pacemaker एक छोटी device है। यह collarbone के नीचे skin के अंदर लगती है। इसमें एक battery होती है और एक या दो पतले तार (leads) होते हैं जो दिल तक जाते हैं।

Pacemaker का काम एक ही है: दिल को ज़रूरत पड़ने पर signal देना, ताकि वह धड़कता रहे।

Pacemaker किसे लगता है?

• जिनका दिल बहुत धीरे धड़कता हो (40-50 bpm से कम)
• जिन्हें बार-बार चक्कर आते हों, बेहोशी आती हो
• जिनके दिल में AV block हो (signal एक हिस्से से दूसरे हिस्से तक न पहुँचे)
• जिन्हें Sick Sinus Syndrome हो

Pacemaker shock नहीं देता।

यह सिर्फ दिल को “remind” करता है कि धड़को। यह एक gentle electrical nudge है, जो आपको महसूस भी नहीं होता।

ICD क्या होता है? Pacemaker से कैसे अलग है?

ICD का पूरा नाम है, Implantable Cardioverter Defibrillator।

देखने में ICD भी pacemaker जैसा ही लगता है। लेकिन इसका काम बिल्कुल अलग है।

ICD का काम: दिल की खतरनाक, जानलेवा rhythm को पहचानना, और उसे तुरंत ठीक करना।

जब दिल में Ventricular Fibrillation (VF) या Ventricular Tachycardia (VT) होती है, तो दिल ठीक से blood pump नहीं कर पाता। यह Sudden Cardiac Arrest का सबसे बड़ा कारण है।

ICD यह rhythm detect करता है। पहले वो एक fast pacing देता है, जिससे rhythm ठीक हो जाए। अगर वो काम नहीं आया, तो ICD एक shock (defibrillation) देता है।

यह shock दिल को “reset” कर देता है।

ICD किसे लगता है?

• जिन्हें पहले Cardiac Arrest हो चुका हो
• जिनके दिल की pump करने की क्षमता बहुत कम हो (EF 35% से कम)
• जिन्हें VT या VF के episodes आ चुके हों
• Heart failure के कुछ patients
• कुछ genetic conditions जैसे Long QT Syndrome, Hypertrophic Cardiomyopathy

“क्या shock दर्द करता है?”, सबसे ज़रूरी सवाल का जवाब

यह सवाल हर मरीज़ पूछता है। और इसका जवाब ईमानदारी से देना ज़रूरी है।

हाँ, ICD का shock महसूस होता है।

मरीज़ इसे अलग-अलग तरह describe करते हैं। कुछ कहते हैं, “जैसे छाती पर जोर से थप्पड़ पड़ा।” कुछ कहते हैं, “एक तेज़ झटका।” यह एक-दो सेकंड का होता है।

लेकिन एक बात और समझें:

जब ICD को shock देने की ज़रूरत पड़ती है, उस वक़्त दिल एक जानलेवा rhythm में होता है। अगर ICD न हो, तो Cardiac Arrest हो जाता। और Cardiac Arrest में 90% लोगों की मौत हो जाती है।

वो एक सेकंड का shock, ज़िंदगी देता है।

बहुत से patients सालों तक ICD के साथ जीते हैं और कभी shock नहीं आता। Device बस “stand-by” रहती है। लेकिन जिस दिन ज़रूरत पड़ती है, वो तैयार रहती है।

CRT-D क्या होता है? यह सबसे अलग क्यों है?

CRT-D का पूरा नाम है, Cardiac Resynchronization Therapy with Defibrillator।

यह device उन मरीज़ों के लिए है जिनमें दो समस्याएं एक साथ हों:

1. दिल की pump करने की क्षमता बहुत कम हो (Heart Failure, EF ≤ 35%)
2. दिल के दोनों ventricles एक साथ नहीं धड़क रहे हों (इसे Left Bundle Branch Block कहते हैं)

जब दिल के left और right ventricle एक साथ pump नहीं करते, तो दिल की efficiency बहुत कम हो जाती है।

CRT-D क्या करता है?

इसमें तीन leads (तार) होते हैं, एक right ventricle में, एक left ventricle में (coronary sinus vein के through), और एक right atrium में।

यह device दोनों ventricles को एक साथ, synchronized signal देता है। इससे दिल की pumping बेहतर होती है। और क्योंकि इसमें defibrillator भी है, Cardiac Arrest का protection भी मिलता है।

CRT-D के बाद क्या होता है?

Studies बताते हैं कि सही patients में CRT-D के बाद:

• साँस फूलना कम होता है
• Exercise tolerance बढ़ती है
• Hospital में भर्ती होने की ज़रूरत कम पड़ती है
• जीवनकाल बढ़ता है

तीनों devices का आसान comparison

Device के साथ ज़िंदगी कैसी होती है?

यह सवाल भी बहुत ज़रूरी है। मरीज़ डरते हैं, “क्या मैं normal life जी पाऊँगा?”

अधिकांश मरीज़ device के बाद सामान्य जीवन जीते हैं।

लेकिन कुछ बातें ध्यान रखनी होती हैं:

क्या कर सकते हैं?

• सामान्य घरेलू काम, बिल्कुल
• Walking, हल्की exercise, हाँ (doctor की सलाह से)
• Travel, हाँ, airport security से गुज़रते समय device card दिखाएँ
• Mobile phone, हाँ, लेकिन device की तरफ वाली pocket में न रखें
• Driving, कुछ weeks बाद, doctor की अनुमति से

क्या सावधानी रखें?

• High-powered magnets से दूर रहें
• MRI: नई generation के devices MRI-compatible हैं। Doctor से confirm करें।
• Heavy machinery या welding के पास न जाएँ
• Device के ऊपर की जगह पर दबाव न डालें

Battery कितने समय में बदलती है?

• Pacemaker: 8-12 साल
• ICD/CRT-D: 5-8 साल

Battery बदलना एक छोटा procedure है। Device को पूरा नहीं बदलते, सिर्फ battery unit बदलती है।

जयपुर में ICD, Pacemaker, CRT-D की cost क्या है?

Cost device के type पर depend करती है।

Private Hospital

ये अनुमानित costs हैं। Exact cost device model और hospital charges पर depend करती है।

Government Schemes से क्या मिलता है?

Mukhyamantri Chiranjeevi Swasthya Bima Yojana में cardiac devices के procedures cover होते हैं। Eternal Hospital, Jaipur इस योजना में empanelled है।

Ayushman Bharat (PM-JAY) भी कुछ cardiac procedures cover करता है। लेकिन coverage की exact list doctor से confirm करें।

RGHS (Rajasthan Government Health Scheme), सरकारी कर्मचारियों के लिए।

Jaipur के SMS Hospital और RUHS में government rates पर devices लगते हैं, लेकिन waiting time हो सकती है।

Doctor एक ही device क्यों suggest करते हैं? Decision कैसे होता है?

Dr. Degawat एक simple framework follow करते हैं:

Step 1: ECG और Holter Monitor से rhythm की जाँच। Step 2: Echocardiogram से दिल की EF (Ejection Fraction) देखना। Step 3: अगर EF कम है, ECG में LBBB pattern है या नहीं, यह देखना। Step 4: मरीज़ की complete history, Cardiac Arrest, syncope, family history।

इस सब के बाद decision होता है।

Pacemaker, अगर rhythm slow है, EF ठीक है। ICD, अगर EF कम है, या Cardiac Arrest का इतिहास है। CRT-D, अगर EF कम है + LBBB है + Heart Failure के symptoms हैं।

कोई भी device “just to be safe” नहीं लगाई जाती। हर device का एक clear indication होता है।

अगर आपको लगे कि doctor ने बिना पूरी जाँच के device suggest की है, second opinion लेना आपका हक है।

Dr. Prem Ratan Degawat के बारे में

Dr. Prem Ratan Degawat जयपुर के सबसे अनुभवी interventional cardiologists में से एक हैं। वो Eternal Hospital में TAVR और Structural Heart Disease Program के Associate Director हैं। साथ ही Mitral और Tricuspid Valve Program के Director भी हैं।

उन्होंने 600 से ज़्यादा TAVI procedures किए हैं। Complex cases जैसे Bicuspid Valve और Valve in Valve replacements भी शामिल हैं। Cardiac devices, Pacemaker, ICD, CRT-D, के implantation में उनका वर्षों का अनुभव है।

Dr. Degawat ने MBBS और MD Sardar Patel Medical College, Bikaner से किया। DM (Cardiology) King George’s Medical University, Lucknow से की। Italy के IRCCS Humanitas Research Hospital में advanced training भी ली।

वो हर मरीज़ को device के बारे में पूरी जानकारी देते हैं। वो मानते हैं, सही decision तभी होता है जब मरीज़ पूरी तरह समझे।

OPD विवरण:

• अस्पताल: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD समय: सोमवार से शनिवार, सुबह 10:00 बजे से शाम 4:00 बजे तक
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur
• संपर्क: +91-8960594076

Schedule an appointment today

अक्सर पूछे जाने वाले सवाल (FAQs)

Q1. ICD kya hota hai? Pacemaker se kaise alag hai?

ICD (Implantable Cardioverter Defibrillator) दिल की जानलेवा fast rhythm को shock देकर ठीक करता है। Pacemaker सिर्फ slow heartbeat के लिए signal देता है। ICD में shock देने की क्षमता होती है, pacemaker में नहीं।

Q2. क्या ICD का shock बहुत दर्द करता है?

ICD का shock एक-दो सेकंड का तेज़ झटका होता है। यह uncomfortable होता है, लेकिन यही shock Cardiac Arrest से ज़िंदगी बचाता है। कई मरीज़ सालों तक device के साथ जीते हैं और कभी shock नहीं आता।

Q3. CRT-D किसे लगता है?

CRT-D उन मरीज़ों को लगता है जिनका EF 35% या उससे कम हो, ECG में Left Bundle Branch Block हो, और heart failure के symptoms हों। यह device दिल की दोनों chambers को synchronize करता है।

Q4. Jaipur mein ICD implant ki cost kitni hai?

Eternal Hospital, Jaipur में single chamber ICD की cost लगभग Rs 3 से 4.5 लाख होती है। CRT-D की cost Rs 6 से 9 लाख तक हो सकती है। Chiranjeevi Yojana और Ayushman Bharat में coverage के लिए hospital से confirm करें।

Q5. Chiranjeevi Yojana में device का खर्च cover होता है?

हाँ। Mukhyamantri Chiranjeevi Swasthya Bima Yojana में cardiac procedures cover होते हैं। Eternal Hospital, Jaipur इस योजना में empanelled है। Jan Aadhaar card साथ लेकर आएँ।

Q6. Device लगने के बाद क्या MRI हो सकती है?

नई generation के devices MRI-compatible होते हैं। लेकिन यह confirm करना ज़रूरी है कि आपकी specific device किस model की है। Doctor और MRI center दोनों को device के बारे में पहले बताएँ।

Q7. क्या device लगने के बाद normal life जी सकते हैं?

बिल्कुल। ज़्यादातर मरीज़ device के बाद घर का काम, हल्की exercise, travel सब कर सकते हैं। Airport पर device card दिखाना होता है। Doctor की specific instructions follow करें।

Q8. Doctor ने device suggest की है, second opinion लेना सही है?

हाँ, second opinion लेना बिल्कुल सही है। यह आपका हक है। Dr. Degawat से मिलें, वो आपकी reports, ECG, और Echo देखकर बताएँगे कि कौन सी device ज़रूरी है और क्यों।

यह article सामान्य जानकारी के लिए है। अपनी specific medical situation के लिए qualified cardiologist से ज़रूर मिलें।

The post ICD और Pacemaker में क्या फर्क है? और Doctor ने CRT-D क्यों Suggest किया? appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on May 6, 2026 · View LinkedIn profile

आपकी माँ ने कहा – “बस थकान है, ज़्यादा काम कर लिया।”

आपकी भाभी ने कहा – “शायद गैस बन गई है।”

आपकी पड़ोसन ने सोचा – “बुढ़ापे में ऐसा होता है।”

और फिर एक दिन अचानक सब कुछ बदल गया।

यह कहानी हर शहर में, हर गली में हो रही है। महिलाओं में heart attack के symptoms इतने अलग होते हैं कि खुद मरीज़ भी नहीं पहचान पाती। कई बार डॉक्टर भी पहली जाँच में चूक जाते हैं।

जयपुर के वरिष्ठ interventional cardiologist Dr. Prem Ratan Degawat कहते हैं – “हमारे पास आने वाली कई महिला मरीज़ों ने बताया कि उन्होंने लक्षण महीनों पहले महसूस किए थे। पर उन्हें heart attack जैसा नहीं लगा।”

यह लेख उन्हीं महिलाओं के लिए है – और उनके परिवार के लिए – जो सच जानना चाहते हैं।

महिलाओं का Heart Attack पुरुषों से अलग क्यों होता है?

पुरुषों में heart attack का एक “classic” तरीका होता है। बायीं तरफ तेज़ सीने में दर्द, बाँह में दर्द, पसीना। यही लक्षण हमने फिल्मों में देखे हैं। यही medical textbooks में पहले पढ़ाया जाता था।

लेकिन महिलाओं का दिल अलग तरह से काम करता है।

दिल की नसों का फर्क

पुरुषों में अक्सर बड़ी coronary arteries (दिल की धमनियाँ) में blockage होती है। महिलाओं में छोटी, पतली नसों में भी blockage हो सकती है। इसे “small vessel disease” या “microvascular disease” कहते हैं।

इसीलिए महिलाओं में सीने में वो भारी, कुचलने जैसा दर्द अक्सर नहीं होता। उनके लक्षण धीरे-धीरे आते हैं। और वो किसी और बीमारी जैसे लगते हैं।

हार्मोन का असर

जब तक महिलाओं में periods होते हैं, estrogen hormone उनके दिल की कुछ हद तक सुरक्षा करता है। लेकिन menopause के बाद यह सुरक्षा कम हो जाती है। इसीलिए 50 साल के बाद महिलाओं में heart disease का खतरा तेज़ी से बढ़ता है।

वो 7 Symptoms जो महिलाएं अक्सर ignore कर देती हैं

1. असाधारण थकान

यह वो थकान नहीं जो कड़ी मेहनत के बाद आती है। यह अजीब, भारी थकान होती है जो बिना कारण आती है। सुबह उठते ही थकान। थोड़ा चलने पर ही साँस फूल जाना।

बहुत सी महिलाएं इसे “बुढ़ापा है” कह कर टाल देती हैं। पर यह heart का warning signal हो सकता है।

2. जबड़े, गर्दन या पीठ के ऊपरी हिस्से में दर्द

पुरुषों में बाँह में दर्द होता है। महिलाओं में दर्द जबड़े में, गर्दन में, या कंधों के बीच पीठ में हो सकता है। यह दर्द आता-जाता रहता है। इसे दाँत का दर्द या muscle pain समझ लिया जाता है।

अगर यह दर्द बिना किसी स्पष्ट कारण के बार-बार आए, तो doctor से ज़रूर मिलें।

3. जी मचलाना, उल्टी जैसा लगना

Heart attack के दौरान महिलाओं को अक्सर जी मचलाता है। पेट खराब लगता है। यह लक्षण इतना “common” लगता है कि लोग इसे acidity या gas समझ लेते हैं।

राजस्थान में खाने में मसालेदार खाना common है। इसलिए यह लक्षण और भी आसानी से ignore हो जाता है।

4. सीने में हल्की बेचैनी या दबाव

महिलाओं में chest pain हमेशा तेज़ नहीं होता। यह एक हल्का दबाव हो सकता है। एक जकड़न। एक अजीब सी बेचैनी।

बहुत सी महिलाएं कहती हैं – “लगा जैसे सीने पर कुछ रखा है।” यह सीधे-सीधे heart attack का signal हो सकता है।

5. साँस फूलना – बिना मेहनत के

सीढ़ियाँ चढ़ने पर साँस फूले – यह समझ में आता है। लेकिन लेटे-लेटे या बैठे-बैठे साँस फूले, तो यह serious है।

इसे कभी “बस ऐसे ही है” कह कर नहीं छोड़ना चाहिए।

6. चक्कर आना या बेहोशी जैसा लगना

अचानक सिर घूमना। आँखों के सामने अँधेरा आना। लगना जैसे गिर जाएँगे। ये लक्षण blood pressure की समस्या भी हो सकते हैं, लेकिन heart को भी check करवाना ज़रूरी है।

7. नींद में परेशानी और अजीब सी घबराहट

Heart attack से पहले कई महिलाओं को रात को ठीक से नींद नहीं आती। बिना कारण डर लगता है। बेचैनी रहती है।

यह symptom सबसे ज़्यादा ignore होता है क्योंकि इसे “tension” या “anxiety” मान लिया जाता है।

“लगा था गैस है” – एक ज़रूरी बात

जयपुर में एक 58 साल की महिला को तीन दिन से पेट में बेचैनी थी। उल्टी जैसा लग रहा था। उन्होंने antacid लिया। थोड़ा आराम भी आया।

चौथे दिन वो Eternal Hospital के emergency में आईं। जाँच हुई तो पता चला – heart attack हो चुका था। नस में blockage थी।

यह कोई अकेला case नहीं है। Eternal Hospital में Dr. Degawat ऐसी कई महिला मरीज़ों को देखते हैं जो “acidity” या “gastric problem” समझ कर आती हैं।

इसीलिए: अगर पेट की बेचैनी के साथ थकान, साँस फूलना, या पसीना भी हो – तो पहले heart check करवाएँ।

किन महिलाओं को सबसे ज़्यादा खतरा है?

1. Menopause के बाद की महिलाएं (50+)

Estrogen हार्मोन कम होने के बाद heart disease का खतरा पुरुषों के बराबर हो जाता है।

2. Diabetes से पीड़ित महिलाएं

Diabetic महिलाओं में heart attack का खतरा non-diabetic की तुलना में 4-6 गुना ज़्यादा होता है। और उनमें chest pain का लक्षण और भी कम दिखता है।

3. परिवार में heart disease का इतिहास

अगर माँ, बहन, या नानी को 65 साल से पहले heart disease हुई हो, तो आपको ज़्यादा सावधान रहना है।

4. High blood pressure वाली महिलाएं

BP अगर लंबे समय से बढ़ा हुआ है और control नहीं है, तो heart attack का खतरा कई गुना बढ़ जाता है।

5. धूम्रपान करने वाली महिलाएं

महिलाओं में smoking का दिल पर पुरुषों से ज़्यादा बुरा असर पड़ता है।

6. तनाव में रहने वाली महिलाएं

घर, बच्चे, बीमार माँ-बाप – राजस्थान की महिलाएं अक्सर खुद का तनाव नज़रअंदाज़ करती हैं। लंबे समय का mental stress दिल को नुकसान पहुँचाता है।

महिलाओं के लिए कौन से Tests ज़रूरी हैं?

Standard ECG अकेला काफी नहीं होता। महिलाओं में heart की जाँच के लिए यह tests भी ज़रूरी हो सकते हैं:

• Stress Echocardiography (Echo) – दिल की pump करने की क्षमता जाँचता है
• CT Coronary Angiography – नसों में blockage का पता लगाता है, बिना चीरफाड़ के
• Lipid Profile – cholesterol और triglycerides की जाँच
• HbA1c – diabetes की average जाँच
• hs-CRP – heart में inflammation की जाँच
• Holter Monitor – 24 घंटे की heart activity record करता है

अगर लक्षण हैं पर normal ECG आई है, तो यहीं रुकें नहीं। Dr. Degawat जैसे specialist से आगे की जाँच करवाएँ।

महिलाओं में Heart Disease का इलाज – क्या होता है देरी से?

Studies बताते हैं कि महिलाओं में heart attack की पहचान पुरुषों की तुलना में औसतन 1-2 घंटे देर से होती है। इस देरी की बड़ी क़ीमत चुकानी पड़ती है।

Heart attack में हर मिनट मायने रखता है। जितनी जल्दी treatment मिले, दिल का उतना कम हिस्सा damage होता है।

इसीलिए लक्षण दिखें तो तुरंत action लें। इंतज़ार न करें।

Dr. Prem Ratan Degawat के बारे में

Dr. Prem Ratan Degawat जयपुर के सबसे अनुभवी interventional cardiologists में से एक हैं। वो Eternal Hospital, जयपुर में TAVR और Structural Heart Disease Program के Associate Director हैं। साथ ही Mitral और Tricuspid Valve Program के Director भी हैं।

उन्होंने 600 से ज़्यादा TAVI (transcatheter aortic valve implantation) procedures किए हैं। इनमें complex cases जैसे Bicuspid Valve और Valve in Valve replacements भी शामिल हैं।

Dr. Degawat ने MBBS और MD Sardar Patel Medical College, Bikaner से किया। DM (Cardiology) King George’s Medical University, Lucknow से की। Italy के IRCCS Humanitas Research Hospital में advanced training भी ली।

वो महिला cardiac patients के cases को विशेष ध्यान और समय देते हैं। उनका मानना है कि सही diagnosis के लिए मरीज़ की पूरी बात सुनना ज़रूरी है।

OPD विवरण:

• अस्पताल: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017
• OPD समय: सोमवार से शनिवार, सुबह 10:00 बजे से शाम 4:00 बजे तक
• Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur, Rajasthan 302017
• संपर्क: +91-8960594076

Schedule an appointment today

अक्सर पूछे जाने वाले सवाल (FAQs)

Q1. क्या महिलाओं में heart attack के समय सीने में दर्द नहीं होता?

हमेशा नहीं होता। बहुत सी महिलाओं में chest pain की जगह थकान, जी मचलाना, जबड़े में दर्द, या पीठ में दर्द होता है। यही कारण है कि महिलाओं में heart attack पहचानना मुश्किल होता है।

Q2. Menopause के बाद heart attack का खतरा कितना बढ़ता है?

Menopause के बाद estrogen हार्मोन कम हो जाता है। इससे heart disease का खतरा लगभग पुरुषों के बराबर हो जाता है। 50-60 साल की उम्र के बाद regular cardiac checkup ज़रूरी है।

Q3. Diabetic महिलाओं को कौन से symptoms पर ध्यान देना चाहिए?

Diabetes में nerve damage हो सकता है जिससे chest pain कम महसूस होता है। इसीलिए diabetic महिलाओं को थकान, साँस फूलना, और unexplained fatigue को गंभीरता से लेना चाहिए।

Q4. जयपुर में महिलाओं के heart attack की जाँच कहाँ होती है?

Eternal Hospital, Jagatpura Road, Jaipur में Dr. Prem Ratan Degawat female cardiac patients की detailed evaluation करते हैं। ECG, Echo, और CT Angiography जैसी सभी जाँचें यहाँ उपलब्ध हैं।

Q5. क्या Chiranjeevi Yojana में महिलाओं का heart का इलाज होता है?

हाँ। मुख्यमंत्री चिरंजीवी स्वास्थ्य बीमा योजना में cardiac procedures cover होते हैं। Eternal Hospital, Jaipur इस योजना में empanelled है। Jan Aadhaar card ले जाएँ और cashless इलाज का फायदा उठाएँ।

Q6. Heart attack का खतरा महसूस हो तो क्या करें?

घबराएँ नहीं, लेकिन देरी भी न करें। तुरंत 108 ambulance call करें या नज़दीकी hospital के emergency में जाएँ। सीने में दर्द, साँस फूलना, या बेहोशी जैसा लगे तो एक मिनट भी इंतज़ार न करें।

Q7. क्या young महिलाओं को भी heart attack हो सकता है?

हाँ, ज़रूर हो सकता है। खासकर अगर smoking हो, severe stress हो, PCOD हो, या autoimmune disease हो। 35-40 साल की महिलाओं में भी heart attack के cases देखे जाते हैं।

Q8. Dr. Degawat से Jaipur में appointment कैसे लें?

+91-8960594076 पर call करें। Eternal Hospital में Monday से Saturday, सुबह 10 बजे से शाम 4 बजे तक OPD चलती है। आप अपने परिवार की महिला सदस्य के साथ भी आ सकते हैं।

The post महिलाओं में Heart Attack अलग क्यों होता है? वो Symptoms जो Doctors भी चूक जाते हैं appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on April 25, 2026 · View LinkedIn profile

Have you been told your coronary blockage is “too calcified for a stent”? You are not alone. Hundreds of patients across India receive this news every year. The good news is that two advanced procedures, Rotablation and Shockwave Intravascular Lithotripsy (IVL), now make it possible to treat blockages that normal angioplasty simply cannot handle. This guide explains both procedures in plain language, tells you when each one is used, and gives you a complete cost breakdown for India in 2026.

What Are Calcified Coronary Blockages?

Your heart arteries can harden over time. This happens when calcium deposits build up inside the artery walls, a process called coronary artery calcification. Think of it like a pipe that has become encrusted with mineral deposits on the inside. The artery loses its flexibility. Plaque forms in the narrowed channel. Blood flow to the heart muscle becomes restricted.

This condition is more common in older adults, people with diabetes, chronic kidney disease, or long-standing high blood pressure. It also tends to worsen with age. A calcified blockage does not always cause symptoms right away, but when it does, the results can be severe chest pain or even a heart attack.

Why Regular Angioplasty Fails on Calcified Arteries

Standard angioplasty works by pushing a small balloon into the blocked artery and inflating it to compress the plaque. A stent is then placed to keep the artery open. This works very well for soft or moderately hard blockages.

Calcium changes everything. A calcified artery does not give way under balloon pressure. The balloon cannot inflate evenly. The stent cannot expand fully or sit flush against the artery wall. A stent that does not expand fully is a serious problem. It can trigger a heart attack, blood clotting inside the stent, or restenosis (the artery narrowing again quickly).

This is why many patients are told their case is “too complex” or “too risky” for standard stenting. What they actually need is a specialist who can modify the calcium first, then place the stent safely. That is exactly what Rotablation and Shockwave IVL are designed to do.

Rotablation: The Diamond Drill That Clears Calcium

Rotablation, also called Rotational Atherectomy, uses a tiny diamond-coated burr at the tip of a catheter. This burr spins at up to 180,000 revolutions per minute inside your artery. It does not cut or scrape calcium in the way you might imagine. Instead, it pulverises the calcium into microscopic particles, smaller than red blood cells. These particles pass harmlessly through the bloodstream and are cleared by the body.

The procedure is done through a small puncture in your wrist or groin, just like a normal angioplasty. You are awake but sedated comfortably throughout. The cardiologist guides the rotating burr through the calcified section of the artery, clearing a smooth channel. Once the calcium is modified, a standard balloon and stent can be placed with full expansion and excellent wall contact.

Rotablation is particularly effective for heavily calcified, rigid plaques, long segments of calcium, and situations where even a small balloon cannot cross the blockage. Dr. Prem Ratan Degawat at Eternal Hospital Jaipur has extensive experience with Rotablation and complex coronary interventions. His training in Europe included research on over 2,000 structural and complex PCI cases, which gives him exposure that few cardiologists in Rajasthan can match.

Shockwave IVL: Cracking Calcium Without Injuring the Vessel

Shockwave Intravascular Lithotripsy (IVL) takes a different approach. You may have heard of lithotripsy being used to break kidney stones. The same principle now works inside coronary arteries. The IVL catheter has small emitters that generate controlled acoustic pressure waves. These waves pass through soft tissue without damaging it, but they crack rigid calcium deposits both on the surface and deep within the artery wall.

This is the key advantage of IVL over Rotablation in certain cases. Rotablation works on the inner surface of the artery. IVL can address calcium that sits deeper in the vessel wall, something no other technique can reliably treat. Once the calcium is fractured, the artery becomes flexible again. A balloon can then expand it properly and a stent can be placed with optimal results.

IVL is delivered through a specialised balloon catheter. It is inflated gently inside the artery, and short pulses of lithotripsy energy are applied. The procedure takes only a few minutes per treated segment. It is widely regarded as gentler on the artery compared to very aggressive cutting balloons or high-pressure rotablation in fragile vessels.

Rotablation vs Shockwave IVL: How Doctors Decide

Both techniques modify calcium. The choice between them depends on several factors. Your cardiologist will assess these using coronary angiography and sometimes intravascular imaging such as IVUS (Intravascular Ultrasound) or OCT (Optical Coherence Tomography).

Rotablation is usually preferred when the blockage is so tight that no device can cross it, when the calcium is predominantly on the inner surface, and when the artery is large enough to safely accept the burr. It is the first-line choice for severely undilatable lesions.

Shockwave IVL is preferred when calcium extends deep into the vessel wall, when the artery is fragile or tortuous, and when the cardiologist wants to minimise the risk of artery dissection or perforation. It is also used after Rotablation in some complex cases to complete the calcium modification.

In straightforward terms, think of Rotablation as drilling through a hard surface and IVL as cracking it from within. Many patients need one, some benefit from both in combination. Dr. Degawat assesses each case individually and will explain exactly which approach he recommends and why, before any decision is made.

Complete Cost Breakdown: Rotablation and Shockwave IVL in India 2026

Costs vary significantly depending on the hospital, city, the complexity of your specific case, and what implants are used. Below is a realistic guide for 2026.

Rotablation Angioplasty Cost in India 2026

At private hospitals in metro cities (Delhi, Mumbai, Bangalore), the total cost for Rotablation with stenting typically ranges from Rs 2.5 lakhs to Rs 4.5 lakhs. This includes the cath lab charges, the Rotablation catheter and burr, the stent, and a 2 to 3 day hospital stay. Additional intravascular imaging (IVUS or OCT) adds Rs 30,000 to Rs 60,000 to the bill if used.

At Eternal Hospital Jaipur, the same procedure is available at Rs 2 lakhs to Rs 3.5 lakhs depending on the number of arteries treated and the stent selected. Jaipur consistently offers lower pricing than Delhi or Mumbai for equivalent quality care, without compromising on technology or expertise.

Government hospitals in Jaipur such as SMS Hospital may offer Rotablation at lower cost, but availability of the procedure depends on device stock and waiting times. Emergency cases are prioritised. Planned cases may face longer delays.

Shockwave IVL Cost in India 2026

IVL is a newer technology and is priced higher than Rotablation in most centres. The IVL catheter itself is an imported single-use device. At private hospitals in metro cities, total costs range from Rs 3.5 lakhs to Rs 6 lakhs including the IVL catheter, stent, and hospital stay.

At Eternal Hospital Jaipur, shockwave IVL with stenting is available at Rs 2.8 lakhs to Rs 4.5 lakhs. The hospital has the technology in-house, which means Jaipur patients no longer need to travel to Delhi or Mumbai for this treatment.

Additional Costs to Plan For

Pre-procedure: Coronary angiography if not already done (Rs 15,000 to Rs 30,000), intravascular imaging if recommended (Rs 30,000 to Rs 60,000), standard blood tests and ECG (Rs 5,000 to Rs 10,000).

Post-procedure: Dual antiplatelet medication for 6 to 12 months (Rs 2,000 to Rs 5,000 per month), cardiac rehabilitation consultation, follow-up visits every 3 months in the first year.

Eternal Hospital Jaipur vs Other Metro Centres

Many patients from Rajasthan, MP, UP, and nearby states travel to Delhi or Mumbai for complex cardiac procedures because they believe these procedures are not available closer to home. This is no longer true for calcified coronary artery treatment in Jaipur.

Eternal Hospital has both Rotablation and Shockwave IVL technology available. The cath lab meets the standards required for complex coronary interventions. Dr. Degawat performed the first orbital atherectomy procedure in Nepal, which reflects the level of complex case experience he brings to Jaipur. Very few cardiologists in Rajasthan have this depth of training in calcium modification techniques.

The cost saving is real. A patient who would pay Rs 4 to 5 lakhs in a Delhi or Mumbai private hospital for the same procedure can expect to pay Rs 2.5 to 4 lakhs at Eternal Hospital Jaipur, without adding the cost and stress of travelling to another city. For patients from Jaipur or surrounding districts, the choice is straightforward.

Insurance Coverage for Complex PCI

Rotablation and Shockwave IVL are both complex PCI (Percutaneous Coronary Intervention) procedures. Most private health insurance plans in India cover complex PCI under cardiac care packages, but there are important details to verify.

Most insurance companies require pre-authorisation before a planned complex PCI. You will need the treating cardiologist’s recommendation letter, coronary angiography report clearly documenting calcified disease, procedure plan specifying Rotablation or IVL, and cost estimate from the hospital. If the procedure is done as an emergency, authorisation can be sought post-hospitalisation in most plans.

Under Chiranjeevi Yojana (Rajasthan’s health insurance scheme covering up to Rs 25 lakhs annually), complex PCI including calcium modification techniques is covered at empanelled centres. Eternal Hospital Jaipur is empanelled under Chiranjeevi Yojana and Ayushman Bharat. Rajasthan Government employees covered under RGHS are also eligible.

If you have been told by an insurance company that your procedure is not covered, ask your cardiologist to document it specifically as complex PCI for calcified coronary artery disease. This classification generally qualifies under standard cardiac packages.

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is one of Jaipur’s most experienced interventional cardiologists, specialising in complex coronary interventions and structural heart disease. He currently serves as Associate Director of the TAVR and Structural Heart Disease Program at Eternal Hospital Jaipur, and also directs the Mitral and Tricuspid Valve Program.

Dr. Degawat completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced training at IRCCS Humanitas Research Hospital in Italy, where he was involved in research covering over 2,000 complex PCI and structural heart cases. He performed the first orbital atherectomy procedure in Nepal, a milestone that reflects his expertise in calcium modification techniques.

He is among a small group of cardiologists in India certified in TAVI, MitraClip, TRI-Clip, TMVR, CAVI, and TTVR, alongside his complex coronary intervention capabilities. Patients appreciate his direct and unhurried communication style. He takes time to explain the condition and options clearly before any procedure decision is made.

Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017

OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM

Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur, Rajasthan 302017

Contact: +91-8960594076

Schedule an appointment today

FAQs

Q1: What is the cost of Rotablation angioplasty in India in 2026?

Rotablation angioplasty costs Rs 2 lakhs to Rs 4.5 lakhs at private hospitals in India in 2026, depending on the city and number of vessels treated. At Eternal Hospital Jaipur, the cost is Rs 2 lakhs to Rs 3.5 lakhs, which is significantly lower than Delhi or Mumbai for comparable care.

Q2: What is the cost of Shockwave IVL in Jaipur?

Shockwave IVL with stenting at Eternal Hospital Jaipur costs approximately Rs 2.8 lakhs to Rs 4.5 lakhs in 2026. This includes the IVL catheter, stent, cath lab charges, and hospital stay. The procedure is available in-house at Jaipur, so patients do not need to travel to other cities.

Q3: When is Rotablation used instead of normal angioplasty?

Rotablation is used when a coronary blockage is too calcified or too rigid for a standard balloon to dilate it properly. If a regular balloon cannot cross or expand the blockage, Rotablation is needed to pulverise the calcium first. Your cardiologist will confirm this after reviewing your angiography.

Q4: Is Shockwave IVL safer than Rotablation?

Both are safe when performed by experienced operators, but they work differently. IVL is generally considered gentler on fragile or tortuous arteries because it does not involve a spinning burr. Rotablation is preferred for very rigid, undilatable lesions where IVL alone may not be sufficient. Your cardiologist will recommend the right choice based on your specific anatomy.

Q5: Is Rotablation or Shockwave IVL covered under Chiranjeevi Yojana?

Yes, complex PCI including calcium modification techniques is covered under Chiranjeevi Yojana at empanelled hospitals. Eternal Hospital Jaipur is empanelled under both Chiranjeevi Yojana and Ayushman Bharat. Bring your Jan Aadhaar card and policy documents when you come for consultation.

Q6: I was told my blockage is too complex for stenting at another hospital. Can it still be treated?

In many cases, yes. Being referred elsewhere due to heavy calcification often means the referring centre does not have Rotablation or IVL technology, or lacks experience with complex calcium cases. A second opinion from a specialist in calcium modification techniques can open treatment options you were told were unavailable.

Q7: How long is the hospital stay after Rotablation or IVL?

Most patients stay 2 to 3 days after Rotablation or Shockwave IVL with stenting. Recovery is similar to standard angioplasty. You will be on dual antiplatelet medication for 6 to 12 months after the procedure. Most patients return to normal daily activity within a week.

Q8: Why should I consult Dr. Prem Ratan Degawat for a calcified coronary blockage?

Dr. Degawat has advanced training in complex coronary interventions and was involved in research covering over 2,000 such cases in Europe. He performed the first orbital atherectomy procedure in Nepal and regularly handles cases referred by other hospitals in Rajasthan. His expertise means that patients with complex calcified disease get a thorough assessment rather than a straightforward refusal.

The post Rotablation and Shockwave IVL in India: When Normal Angioplasty Cannot Work and What It Costs in 2026 appeared first on Dr Prem Ratan Degawat.

Medically reviewed by Dr. Prem Ratan Degawat, MD, DM (Cardiology)

Senior Interventional Cardiologist · Associate Director, TAVR & Structural Heart Disease Program, Eternal Hospital, Jaipur

Last updated on April 19, 2026 · View LinkedIn profile

You have been told your aortic valve is narrowed or failing. Your doctor mentions TAVI. You go home and search. You find procedure details and cost pages. But you still have the one question no article answers clearly: do I actually qualify?

This guide exists for that question. It covers who is an ideal TAVI candidate in India, who sits in the borderline zone, and how the decision is made between TAVI, open surgery, and watchful waiting. It also walks through the full patient journey at Eternal Hospital, Jaipur, day by day, from the first consultation to discharge and the three months after.

Real patients from Rajasthan have shared their experiences. Their stories are included here.

What Is TAVI and Why Does It Matter for High-Risk Patients

TAVI stands for Transcatheter Aortic Valve Implantation. It is also called TAVR (Transcatheter Aortic Valve Replacement).

In TAVI, a damaged aortic valve is replaced without opening the chest. A thin flexible tube is guided through a small puncture in the groin. The new valve travels through this tube and is placed directly inside the old valve. The old valve is not removed. It is simply pushed aside.

The new valve begins working immediately. No sternum is cut. No ribs are spread. No heart-lung machine is used in most cases.

This matters enormously for elderly patients, patients with diabetes or kidney disease, and anyone whose body cannot tolerate the physical trauma of open surgery. For these patients, TAVI is not just a convenience. It is often the only safe option.

Who Qualifies for TAVI in India: The Clear Cases

Not every aortic valve patient is a TAVI candidate. Eligibility depends on several factors. Understanding these helps patients arrive at their consultation already informed.

Age and Surgical Risk Score

TAVI was originally developed for patients too frail for open surgery. Today, it is used across a wide range of risk levels. The following patients are clearly good TAVI candidates:

• Patients aged 70 years and above with severe aortic stenosis
• Patients with a high or intermediate surgical risk score (calculated using tools like STS score or EuroSCORE)
• Patients who have already had one open heart surgery and need another valve replacement (this is called Valve in Valve TAVI)
• Patients over 65 with additional conditions such as diabetes, chronic kidney disease, lung disease, or previous stroke

Age alone does not determine eligibility. A 75-year-old in good general health may also be evaluated for TAVI depending on anatomy and risk profile.

Medical Conditions That Favor TAVI

The presence of any of the following often tips the decision toward TAVI over open surgery:

• Chronic obstructive pulmonary disease (COPD)
• Prior coronary artery bypass graft (CABG) surgery
• Liver disease or cirrhosis
• Severe obesity
• Porcelain aorta (calcium deposits in the aorta that make surgery dangerous)
• Frailty as assessed by a multidisciplinary team

Who Sits in the Borderline Zone

The borderline zone is where most patient confusion happens. These are patients who could potentially do well with either TAVI or open surgery.

Patients between 60 and 70 years of age with intermediate surgical risk fall into this category. Patients with bicuspid aortic valves also require careful evaluation. Bicuspid TAVI is technically complex. Dr. Prem Ratan Degawat at Eternal Hospital, Jaipur, is among the few cardiologists in India trained and certified to perform TAVI in bicuspid valve cases.

For borderline candidates, the decision is made by a Heart Team. This team includes an interventional cardiologist, a cardiac surgeon, and often an anaesthesiologist. They review all test results together and recommend the safest option.

Who Is NOT a TAVI Candidate

Open surgery remains the better choice for some patients. TAVI is generally not recommended when:

• The patient is under 60 and has low surgical risk
• Multiple valves need repair in the same operation
• The aortic valve anatomy is not suitable for catheter-based replacement
• The patient also needs coronary bypass surgery at the same time
• Long-term valve durability of 20 or more years is the priority

Younger patients generally benefit more from open surgery because the implanted valve lasts longer. A 55-year-old who undergoes TAVI today may need another procedure in 12 to 15 years. That consideration changes the recommendation.

How the Decision Is Made: TAVI vs Open Surgery vs Watchful Waiting

This is the part most patients do not see. Before any recommendation is made, Dr. Degawat orders a full workup. Here is what that involves.

Echocardiography: This measures the severity of valve narrowing and heart function. Severe aortic stenosis is usually defined as a valve area below 1.0 square centimetre.

CT Angiography (CTA): This is the most critical test for TAVI planning. It maps the aorta, the valve, and the access vessels in the groin. It tells the cardiologist whether the valve anatomy is suitable and which valve size to use.

Blood Tests and Kidney Function: These assess how well the body will tolerate the procedure and the contrast dye used.

Surgical Risk Calculation: The STS (Society of Thoracic Surgeons) score estimates the risk of dying or suffering major complications from open surgery. A score above 8 percent is considered high risk.

Functional Assessment: How symptomatic is the patient? Can they walk 100 metres without stopping? Have they had chest pain, fainting, or breathlessness?

For patients with mild stenosis and no symptoms, watchful waiting with regular monitoring is often the correct approach. Not every valve problem needs immediate intervention.

What Happens at Eternal Hospital, Jaipur: Day by Day

Understanding the full journey reduces anxiety for patients and families. Here is what TAVI patients experience at Eternal Hospital, Jaipur, from admission to discharge.

Day 1: Pre-Procedure Preparation

Patients are admitted the day before the procedure. Blood tests are completed or reviewed. The anaesthesia team visits to explain what the patient will experience. The groin area is cleaned and prepared. Patients are asked to fast from midnight.

Family members should plan to be present. The procedure usually takes 1 to 2 hours.

Day 2: The Procedure Day

Most TAVI procedures at Eternal Hospital are performed under local anaesthesia with sedation. The patient is awake but calm and comfortable. A general anaesthetic is used in specific complex cases.

Here is what happens step by step:

1. A small puncture is made in the groin (femoral artery)
2. A sheath (thin tube) is inserted into the artery
3. A guide wire is passed through to the heart
4. A balloon is briefly inflated to open the narrowed valve
5. The new valve, mounted on a stent, is delivered via catheter
6. The valve is deployed inside the old valve and begins working immediately
7. The catheter is removed and the groin puncture is sealed

No chest is opened. No bones are cut. The heart never stops.

Family members in the waiting area typically receive an update within 90 minutes.

Hours After the Procedure: Recovery Begins

Most patients are moved to a monitored ward rather than a full ICU within a few hours. The sheath in the groin is removed. Patients are encouraged to drink water. Many are surprised to feel better almost immediately.

The breathlessness that came with every step, the tightness in the chest during light activity, the fatigue on climbing stairs. Many patients notice these symptoms lifting within the first 24 hours. The valve is now opening fully with every heartbeat.

Day 3: Walking and Eating Normally

By the second day, most patients are walking short distances inside the ward. Meals are normal. The team checks the ECG, echocardiogram, and blood tests. The groin puncture site is examined.

Patients who remain stable are discharged on Day 3 or Day 4.

Day of Discharge: Going Home

Discharge instructions are given in simple language. Patients receive a card listing their new medications. A follow-up appointment is scheduled for 7 days later. The total hospital stay for most TAVI patients at Eternal Hospital, Jaipur, is 3 to 4 days.

Medicines After TAVI: What Changes, What Stays the Same

One of the most common questions families ask on discharge day is about medications. Here is a clear summary.

New medicines added after TAVI:

• Dual antiplatelet therapy: Most patients take aspirin plus clopidogrel (Plavix) for the first 3 to 6 months. This prevents clotting around the new valve.
• Blood thinners: Required in some cases, depending on the valve type and whether the patient has atrial fibrillation.

Medicines that usually stay the same:

• Blood pressure medications
• Cholesterol-lowering drugs (statins)
• Diabetes medications
• Diuretics (water pills) if the patient was taking them before

Medicines that may be reduced or stopped:

• Some patients were on high doses of diuretics for heart failure symptoms. As the heart works better with the new valve, these doses are often reduced over the first few months.

Always follow the exact instructions given at discharge. Never stop any medicine without calling the hospital first.

3-Month Quality of Life: What Patients Actually Report

The numbers from clinical studies are encouraging. But what do patients from Rajasthan actually say?

Patients treated by Dr. Degawat at Eternal Hospital, Jaipur, report the following changes by the 3-month mark.

Breathlessness: Most patients who were breathless walking 50 metres can now walk 300 to 500 metres comfortably. Several return to taking early morning walks within 6 to 8 weeks.

Energy levels: Fatigue was a constant complaint before TAVI for many patients. By month 2 to 3, most report needing fewer rest breaks during the day.

Sleep quality: Many patients with severe aortic stenosis slept poorly due to nighttime breathlessness. This improves significantly in the weeks after TAVI.

Appetite: With better heart function, many elderly patients regain appetite they had lost over the previous months.

Independence: A significant finding for elderly patients is the return of independence. Patients who needed help to bathe or dress are often managing on their own within 4 to 6 weeks.

Real Patient Stories from Dr. Degawat’s Patients

Several patients treated by Dr. Prem Ratan Degawat at Eternal Hospital, Jaipur, have shared their journeys publicly. Their stories offer a realistic picture of what TAVI recovery looks like for patients from Rajasthan.

Mr. Manak Chand Hiran came to Eternal Hospital with severe aortic stenosis. He underwent TAVI and went home without a chest scar. His recovery followed the typical pattern described above.

Bimal Kumar Kedia (Kolkata) | Heart Valve Treatment Without Open Surgery

Patient Came from Delhi Got His Life Back in 1 Procedure

Mrs. Maya Devi was another TAVI patient at Eternal Hospital. She described how quickly she felt better after the procedure and her return to daily life.

Mrs. Om Panwar and Mrs. Ugam Lata Gangwal also shared their recovery stories. Both emphasised how fast their improvement was compared to what they had expected from a heart procedure.

Mr. Suresh Chand and Mr. Jasti Veera Sekhara are among the other patients whose post-TAVI experiences have been documented at Eternal Hospital, Jaipur.

About Dr. Prem Ratan Degawat

Dr. Prem Ratan Degawat is one of Jaipur’s most experienced interventional cardiologists. He serves as Associate Director of the TAVR and Structural Heart Disease Program at Eternal Hospital and heads the Mitral and Tricuspid Valve Program.

He has performed over 600 TAVI procedures, including technically complex cases such as Bicuspid Valve TAVI, Valve in Valve, and TAVR in TAVR. He has also studied safe TAVI techniques across 2,000-plus cases in Europe. He completed his DM in Cardiology from King George’s Medical University, Lucknow, and received advanced training at IRCCS Humanitas Research Hospital in Italy.

Dr. Degawat is among the few cardiologists in India certified in TAVI, MitraClip, TRI-Clip, TMVR, CAVI, and TTVR.

Patients from Jaipur and across Rajasthan, including Ajmer, Kota, Udaipur, Bikaner, and Jodhpur, consult him for second opinions and complex structural heart decisions. He is known for taking time with each patient and explaining options without medical jargon.

Hospital: Eternal Hospital, 3A Jagatpura Road, Near Jawahar Circle, Jaipur 302017

OPD Timings: Monday to Saturday, 10:00 AM to 4:00 PM

Clinic: 6/384, In front of Railway Headquarter, Sector 6, Malviya Nagar, Jaipur, Rajasthan 302017

Contact: +91-8960594076

Schedule an appointment today

FAQs

Q1: Who qualifies for TAVI in India in 2026?

Patients over 65 with severe aortic stenosis, high or intermediate surgical risk, or conditions like kidney disease, lung disease, or prior heart surgery are strong candidates. A CT scan and Heart Team review confirm eligibility. Age alone does not decide qualification.

Q2: What is the TAVI recovery time in India?

Most TAVI patients are discharged within 3 to 4 days. They return to light daily activity within 2 to 3 weeks. Full recovery including walking and light exercise is typically achieved by 4 to 6 weeks. This is significantly faster than open heart surgery recovery of 6 to 8 weeks.

Q3: What is the TAVR patient experience at Eternal Hospital, Jaipur?

Patients are admitted one day before the procedure. The procedure takes 1 to 2 hours under sedation. Most patients walk the next day and are discharged by Day 3 or Day 4. Families report seeing visible improvement in breathlessness within the first week at home.

Q4: Can aortic stenosis be treated without open-heart surgery in India?

Yes. TAVI is an established treatment for aortic stenosis that does not require opening the chest. It is available at Eternal Hospital, Jaipur. Patients with high surgical risk or those who prefer to avoid open surgery are evaluated for TAVI by Dr. Degawat’s Heart Team.

Q5: What medicines do I take after TAVI?

Most patients take aspirin and clopidogrel for 3 to 6 months after TAVI. Blood pressure, cholesterol, and diabetes medicines usually continue unchanged. Some diuretic doses are reduced as heart function improves. Always follow your discharge instructions exactly.

Q6: Is TAVI covered under Chiranjeevi Yojana in Rajasthan?

Yes. TAVI is covered under Mukhyamantri Chiranjeevi Swasthya Bima Yojana at empanelled centres. Eternal Hospital is empanelled under the scheme. Patients should bring their Jan Aadhaar card. Ayushman Bharat (PM-JAY) coverage is also available for eligible families.

Q7: What if I am not sure whether TAVI or open surgery is right for me?

A single consultation with Dr. Prem Ratan Degawat is sufficient to get clarity. He reviews your existing reports, orders any additional tests needed, and presents both options honestly. The Heart Team at Eternal Hospital, Jaipur, gives a joint recommendation with no pressure.

Q8: How does life change after TAVI at 3 months?

Most patients report significant improvement in breathlessness, energy levels, walking ability, and sleep quality by the 3-month mark. Many return to morning walks, social events, and independent daily routines. The quality of life improvement is one of the most consistent outcomes seen after TAVI.

Conclusion

Aortic stenosis is a serious condition. Left untreated in its severe stage, it carries a poor prognosis. But treatment no longer means a long surgery, a chest scar, or months of recovery.

TAVI has changed that reality for thousands of patients across India. For the right candidate, it offers a working heart valve, a 3 to 4 day hospital stay, and a return to normal life within weeks.

The single most important step is finding out whether you qualify. One consultation, one CT scan, and a Heart Team discussion at Eternal Hospital, Jaipur, is all it takes to get a clear answer.

Am I a TAVI candidate? Find out in one consultation.

Schedule an appointment today

Patients registered under Chiranjeevi Yojana and Ayushman Bharat can avail cashless treatment at Eternal Hospital, Jaipur.

Disclaimer:
This article is for educational purposes only. Please consult your cardiologist for personalised medical advice.

The post TAVI Without Open-Heart Surgery: Who Qualifies, What to Expect, and Real Recovery appeared first on Dr Prem Ratan Degawat.