General Information
1. What conditions does Dr. Gyana treat?
Dr. Gyana Ranjan Nayak specializes in Chest pain, angina, heart attacks, blocked arteries, arrhythmias, hypertension, heart failure, congenital heart disease, valve disorders, and vascular problems needing catheter-based treatments.
2. Do you treat both adults and children?
Yes. Adult cardiac interventions and pediatric congenital cardiac procedures are available depending on the condition.
Heart Health & Symptoms
3. What symptoms requires a cardiology consultation?
Chest discomfort, shortness of breath, palpitations, dizziness, fainting, swelling in legs, uncontrolled BP, or family history of early heart disease.
4. What symptoms may indicate a heart attack?
Severe chest pressure, pain radiating to arm/jaw/back, sweating, nausea, breathlessness, sudden weakness, or unexplained anxiety.
Seek emergency care immediately.
Diagnostic Tests & Cardiac Imaging
5. What cardiac tests are commonly used?
ECG, 2D Echo, TMT/stress test, Holter, CT Coronary Angiography, and advanced imaging like IVUS and OCT during procedures.
6. What are IVUS and OCT?
IVUS (Intravascular Ultrasound) and OCT (Optical Coherence Tomography) give detailed images from inside the artery to guide angioplasty safely and accurately.
7. Why is advanced imaging important?
It helps determine vessel size, plaque type, calcium severity, and ensures proper stent expansion—reducing complications and improving long-term outcomes.
Coronary Interventions (PCI, Stents)
8. What is angioplasty?
A minimally invasive procedure to open narrowed coronary arteries using balloons, stents, or specialized devices.
9. Do all blockages need stents?
No. Some blockages can be treated with medications. Stenting is recommended based on symptoms, stress tests, angiography, and guideline-directed criteria.
10. How safe is angioplasty?
When performed by trained interventional cardiologists, angioplasty is generally safe. Risks depend on age, comorbidities, and vessel complexity.
CTO-PCI (Chronic Total Occlusion)
11. What is CTO?
A chronic total occlusion (CTO) means a coronary artery has been 100% blocked for at least three months.
12. What is CTO-PCI?
A specialized angioplasty technique using advanced wires, microcatheters, and imaging to open a completely blocked artery. Requires high operator expertise.
13. How is CTO-PCI different from routine PCI?
CTO lesions are harder, older, often near branches, and require multiple wires, techniques (antegrade/retrograde), and longer procedural planning.
Structural Heart & Transcatheter Procedures
14. What are structural heart diseases?
Conditions affecting heart valves, walls (septum), chambers, or congenital abnormalities.
15. What is TAVR?
TAVR (Transcatheter Aortic Valve Replacement) is a minimally invasive alternative to open-heart surgery for severe aortic stenosis.
16. What is EVAR?
EVAR (Endovascular Aneurysm Repair) treats abdominal aortic aneurysms using a stent graft delivered through arteries, avoiding major surgery.
17. What are structural heart interventions offered?
ASD/PDA device closure, balloon valvotomies, valve interventions, and transcatheter therapies as clinically indicated.
Pediatric Cardiology
18. Which pediatric heart conditions can be treated?
ASD, VSD (selected), PDA, pulmonary valve stenosis, and other congenital lesions that permit catheter-based treatment.
19. Are pediatric catheter interventions safe?
Yes—when performed by trained specialists using pediatric-specific devices and imaging, with strict safety protocols.
Appointment & Scheduling
20. How can I book an appointment?
Through whatsapp, or phone number- drop a message or contact- 6371307504.
21. What information is needed to book?
Initially you need to drop a message, and reply any questions asked such as your name, age, gender and conditions. All basic, nothing personal.
22. Are teleconsultations available?
Yes, you can do that mostly for follow-ups or non-emergency issues. Emergency symptoms require in-person evaluation.
23. What documents should I bring?
Medical history, medications list, ECGs, angiograms, CT/MRI CDs, blood reports, and previous discharge summaries.
Procedure Preparation & Aftercare
24. How do I prepare for a procedure?
Follow fasting instructions, medication guidance, and bring previous reports. Specific instructions will be provided during scheduling.
25. What is expected after angioplasty or stenting?
Short hospital stay, dual antiplatelet therapy, lifestyle guidance, and follow-up appointments. Your doctor will explain recovery timelines.
26. Do you offer cardiac rehabilitation guidance?
Yes. Patients receive exercise, diet, and lifestyle recommendations tailored to their condition.
Billing, Insurance & Records
27. Do you accept insurance?
Insurance availability depends on the hospital’s tie-ups. Patients should verify coverage before the visit.
28. How can I request medical records?
Submit a request via email or in writing. Identity verification may be required as per clinic policy.
29. Do you charge for cancellations?
Cancellation policies depend on hospital rules and will be communicated during scheduling.
Privacy, Consent & Safety
30. Is my medical information kept confidential?
Yes. All patient data is handled according to applicable Privacy Policy and data protection regulations.
31. Do online forms create a doctor–patient relationship?
No. A relationship is established only after an official consultation or clinical evaluation.
Emergency Guidance
32. What if I have chest pain right now?
Do NOT wait for an appointment. Call emergency services or go to the nearest hospital immediately.
33. When should I visit the ER instead of booking online?
Severe chest pain, breathlessness, fainting, dizziness, sudden weakness, or suspected heart attack symptoms require urgent medical care.
Website, Editorial & Submission
35. How is medical content reviewed on this website?
All content is created or reviewed by qualified medical professionals following strict editorial standards and updated clinical guidelines.
36. Can doctors submit articles or case discussions?
Yes. if content is medically accurate, ethically appropriate, and passes editorial review. No paid submissions or promotional content are accepted.
Disclaimer
The information and answers provided on this website are for educational and general informational purposes only. They do not replace professional medical advice, diagnosis, or treatment, and should not be relied upon as a final or complete source of guidance.
Appointment details, timings, processes, fees, and policies shown on this website are subject to change, and may differ based on clinical availability, hospital protocols, or individual circumstances. What appears on this page does not guarantee outcomes, schedules, or services, and may not always reflect the most updated rules or procedures.
For accurate, personalized medical advice or confirmed appointment details, please speak directly with the healthcare professional or team at 6371307504. In case of any medical emergency, seek immediate care.