Interventional Cardiologist
Dr. Manish Kumar Jha
MBBS, MD (General Medicine), DM (Cardiology)
Angiography, angioplasty and stents, heart attack and heart failure care. OPD: Monday to Saturday, 10 am – 2 pm.
Institute of Cardiac Sciences
Heart care, angioplasty and heart surgery in Lucknow
Chest pain, breathlessness, palpitations or a worrying ECG? Our cardiologists and cardiac surgeon at Charak Hospital, Hardoi Road, Dubagga, find the cause with ECG, echo and angiography, and treat it with medicines, angioplasty or heart surgery.
NABH-accredited hospital
300-bed multispeciality
DM cardiologists & CTVS surgeon
24×7 heart emergency
Talk to our heart team
Share your details — our coordinator will call you back to schedule a visit.
24×7 hospital & emergency0522-666-4444
Our approach
Heart care from diagnosis to recovery
Most heart problems build up over years — narrowed arteries, high blood pressure, a leaking or tight valve, or a heart that pumps weakly. Finding them early, and treating them in the right order, protects the heart muscle. Our cardiologists and cardiac surgeon work as one team, so you get one plan.
- Your test results and options explained clearly, including when medicines alone are enough
- Cardiologists and a cardiac surgeon who review complex cases together
- Angiography, angioplasty and heart surgery on the same campus
- Critical care, anaesthesia and 24×7 emergency support
- Follow-up, cardiac rehabilitation and risk-factor control after treatment
Interventional cardiology
Coronary angiography, angioplasty and stents for blocked heart arteries.
Cardiac surgery
Bypass surgery (CABG), valve repair and replacement, and other heart operations.
Rhythm & heart failure
ECG, Holter monitoring, medicines and devices for heart rhythm and pumping problems.
Prevention & rehab
Blood pressure, cholesterol and diabetes control, and supervised recovery after treatment.
300Bed multispeciality hospital
NABHAccredited for quality and patient safety
24×7Emergency & critical care
27+Specialities under one roof
Know the signs
When to see a heart specialist
Some heart symptoms are an emergency; others need a planned visit. See a cardiologist if any of these keep coming back.
Chest pain or pressure
Tightness, heaviness or burning in the chest, especially on walking or climbing stairs.
Breathlessness
Getting breathless on mild effort, or needing extra pillows to breathe at night.
Palpitations
A racing, pounding or irregular heartbeat, or skipped beats.
Dizziness or fainting
Feeling faint, blacking out or near-fainting, especially on effort.
Swollen feet
Swelling of the ankles or legs, or sudden weight gain from fluid.
Tiredness on effort
Getting tired much more easily than before when walking or working.
High BP, sugar or cholesterol
These raise heart risk even without symptoms; a heart check is worthwhile.
Abnormal ECG or echo
A report from a check-up that mentions changes, a murmur or a valve problem.
Call emergency straight away if chest pain lasts more than 5 minutes, spreads to the arm, jaw or back, or comes with sweating, breathlessness or fainting. Do not drive yourself. Call 0522-666-4444.
Conditions A–Z
Find information about a heart condition
Tap a condition to read the common signs, how it is diagnosed and how it is treated.
Coronary artery disease and angina
Narrowed arteries that supply the heart
Common signs
Chest pain or pressure on effort that settles with rest, breathlessness, or no symptoms at all in some people with diabetes.
How it is diagnosed
ECG, echo, a treadmill test (TMT) and coronary angiography or CT angiography to see the blockages.
How it is treated
Medicines and risk-factor control for many patients; angioplasty with stents or bypass surgery when blockages are severe.
About coronary angioplastyHeart attack (myocardial infarction)
A blocked artery cutting off blood to the heart muscle
Common signs
Severe chest pain or pressure, sweating, breathlessness, vomiting or fainting. It is an emergency.
How it is diagnosed
ECG and troponin blood test in the emergency department, followed by angiography.
How it is treated
Opening the blocked artery as quickly as possible, usually by angioplasty, followed by medicines and cardiac rehabilitation.
See warning signsHeart valve disease
Tight (stenosis) or leaking (regurgitation) valves
Common signs
Breathlessness, tiredness, chest pain, fainting on effort, or a murmur heard by the doctor.
How it is diagnosed
Echocardiography shows which valve is affected and how severely.
How it is treated
Regular monitoring and medicines at first; valve repair or replacement when the valve is severely affected.
About valve replacementRheumatic heart disease
Valve damage after rheumatic fever in childhood
Common signs
Breathlessness, palpitations and tiredness, often in young adults; sometimes found in pregnancy.
How it is diagnosed
Echo to see the damaged valves, and ECG for rhythm problems.
How it is treated
Medicines, preventive penicillin when advised, balloon or surgical valve treatment when needed.
About aortic valve surgeryAtrial fibrillation and other arrhythmias
An irregular or abnormally fast heartbeat
Common signs
Palpitations, breathlessness, dizziness or tiredness; some people have no symptoms.
How it is diagnosed
ECG, 24-hour Holter monitoring and echo.
How it is treated
Medicines to control the rate or rhythm, and blood thinners to lower stroke risk when needed.
See rhythm treatmentSlow heartbeat and heart block
When the heart’s electrical signal is delayed
Common signs
Dizziness, fainting, tiredness and breathlessness.
How it is diagnosed
ECG and Holter monitoring, with a review of medicines that slow the heart.
How it is treated
Stopping the cause where possible; a permanent pacemaker when the heart rate is dangerously slow.
See pacemaker informationHeart failure
When the heart cannot pump as well as it should
Common signs
Breathlessness, swelling of the feet, tiredness and waking up breathless at night.
How it is diagnosed
Echo (ejection fraction), ECG, chest X-ray and blood tests including kidney function.
How it is treated
Medicines that protect the heart, salt and fluid advice, treating the cause, and regular follow-up.
Living with heart diseaseCardiomyopathy
Disease of the heart muscle
Common signs
Breathlessness, palpitations, chest discomfort or fainting; sometimes found in families.
How it is diagnosed
Echo, ECG, Holter monitoring and sometimes cardiac MRI.
How it is treated
Heart failure medicines, rhythm treatment and family screening where advised.
High blood pressure
Often silent, but a major cause of heart attack and stroke
Common signs
Usually none. Severe high BP can cause headache, chest pain or breathlessness.
How it is diagnosed
Repeated BP readings, home BP records, and tests for kidney, heart and sugar.
How it is treated
Less salt, regular activity, weight control and BP medicines taken every day.
Understand your BP numbersHigh cholesterol
Fatty build-up in the arteries
Common signs
None. Very high levels or early heart attacks in the family can point to an inherited cause.
How it is diagnosed
A lipid profile blood test.
How it is treated
Diet and activity changes and statin or other cholesterol-lowering medicines.
See screening adviceDiabetes and the heart
Diabetes raises heart risk and can hide symptoms
Common signs
Heart disease may cause breathlessness or tiredness rather than typical chest pain.
How it is checked
ECG, echo and stress testing as advised, along with sugar, BP and cholesterol control.
How it is treated
Joint care with the endocrinology team, including heart-protective diabetes medicines where suitable.
Endocrinology & diabetesNo match found. Please call us on 0522-666-4444 — we will guide you.
Diagnosis
How we find the cause — before we treat
Most heart conditions can be diagnosed with a few simple tests. Angiography is done only when the result will change your treatment.
Consultation & ECG
Your symptoms, risk factors and medicines, with a resting ECG.
Echocardiography
An ultrasound of the heart to check pumping strength and valves.
TMT or Holter
A treadmill test for chest pain on effort, or 24-hour ECG for palpitations.
Blood tests
Troponin, lipids, sugar, kidney and thyroid tests as needed.
Angiography
Coronary angiography or CT angiography to look at the heart arteries when needed.
Understanding your blood pressure
Blood pressure is written as top (systolic) over bottom (diastolic) number. Tap a range to see what it means.
Treatment
The main treatments we offer
Choose a topic to see what treatment involves and how to stay safe.
Heart medicines
Most heart conditions are treated first with medicines — to thin the blood, lower cholesterol and BP, protect the heart muscle and control rhythm. Many people need them long-term, even after a stent or surgery.
AntiplateletsStatinsBP medicinesHeart failure medicinesBlood thinnersWhat to expect
- Your medicines are reviewed at every visit
- Some cause mild side effects at first, which often settle
- Blood tests check kidney function and cholesterol
Staying safe
- Never stop blood thinners after a stent without asking your cardiologist
- Carry a list of your medicines
- Tell your dentist or surgeon that you take blood thinners
Coronary angiography and angioplasty (PTCA)
Angiography uses dye and X-rays to show the heart arteries. If a severe blockage is found, angioplasty opens it with a balloon and a stent, through the wrist or groin, without open surgery.
Coronary angiographyAngioplasty with stentsPrimary angioplasty for heart attackWrist (radial) accessWhat to expect
- Done under local anaesthesia while you are awake
- Most patients walk the same or next day
- A short hospital stay after planned angioplasty
After the procedure
- Take antiplatelet medicines exactly as prescribed
- Avoid heavy lifting with the punctured arm for a few days
- Join cardiac rehabilitation and control risk factors
Coronary artery bypass grafting
Bypass surgery creates new routes for blood around blocked arteries, using a vein from the leg or an artery from the chest or arm. It is often advised when several arteries are blocked or diabetes is present.
On-pump and off-pump CABGArterial graftsMinimally invasive options where suitableWhat to expect
- Surgery under general anaesthesia, then a short ICU stay
- Walking starts within a day or two
- Most people go home in about a week
Recovery
- Avoid lifting heavy weights for 6–8 weeks while the breastbone heals
- Keep the wound clean and dry
- Attend follow-up and cardiac rehabilitation
Heart valve repair and replacement
A tight or leaking valve can be repaired or replaced with a mechanical or tissue valve. The choice depends on your age, the valve affected and whether you can take blood thinners long-term.
Mitral valve repairMitral valve replacementAortic valve replacementDouble valve replacementWhat to expect
- Detailed echo before surgery to plan the operation
- ICU care and a hospital stay of about a week
- Regular echo checks afterwards
Staying safe
- Mechanical valves need lifelong blood thinners and INR tests
- Tell your dentist about your valve before dental work
- Report fever that does not settle
Heart rhythm treatment
Irregular heartbeats are usually controlled with medicines. A slow heart rate caused by heart block may need a permanent pacemaker, a small device placed under the skin below the collarbone.
ECG & HolterRate and rhythm controlBlood thinners for AFPacemaker implantationWhat to expect
- Pacemaker fitting is done under local anaesthesia
- Most people go home in a day or two
- Regular device checks afterwards
Staying safe
- Carry your pacemaker card
- Keep mobile phones away from the device pocket
- Avoid lifting the arm high for a few weeks after fitting
Cardiac rehabilitation and prevention
After a heart attack, stent or surgery, a supervised programme of exercise, diet advice and risk-factor control lowers the chance of another event and helps you return to normal life.
Supervised exerciseDiet and salt adviceTobacco cessationBP, sugar and cholesterol targetsWhat to expect
- Exercise is increased step by step
- Advice for return to work and driving
- Physiotherapy and dietitian support
Good habits
- Walk daily as advised
- Keep salt below 5 g a day
- Do not use tobacco in any form
Services
Cardiac services at Charak
Tests, procedures and surgery available in the institute. Tap a card to read more.
Your visit
What happens, step by step
Step 1
Consultation
Tell us about your symptoms, risk factors and past reports.
Step 2
Heart tests
ECG and echo, often on the same day; TMT or Holter if needed.
Step 3
Diagnosis & plan
Medicines, angioplasty or surgery explained, with a written estimate.
Step 4
Procedure or surgery
Done in our cath lab or cardiac theatre, with ICU support.
Step 5
Recovery & rehab
Mobilisation, diet advice and a plan for activity at home.
Step 6
Follow-up
Regular reviews to adjust medicines and check your progress.
Heart check
Heart disease often starts early in India
Heart attacks in India often happen at a younger age than in many other countries. Knowing your numbers helps you act before symptoms start.
Who should have a heart check
Ask for a BP, sugar and cholesterol check — and an ECG if your doctor advises — if any of these apply:
- !Age 40 or above — especially men, and women after menopause.
- !Diabetes, high BP or high cholesterol — even if you feel well.
- !Smoking or chewing tobacco — at any age.
- !A parent, brother or sister with heart disease before 55 (men) or 65 (women).
Heart care at Charak
- Consultations with our cardiologists and cardiac surgeon.
- Diabetes and cholesterol care with the endocrinology team.
- Health check-up packages from our health check-up desk.
Know your numbers
Tap each one you know and have under control:
- My blood pressure is in my target range
- I know my LDL cholesterol result
- My HbA1c (if diabetic) is checked every 3–6 months
- My waist is below 90 cm (men) or 80 cm (women)
- I do not smoke or chew tobacco
- I walk or exercise at least 30 minutes most days
- I take my heart medicines every day
If you are unsure of any of these numbers, a simple check-up can tell you.
Book a heart check
Recovery & living well
Life after a heart attack, stent or heart surgery
General guidance — always follow the specific instructions your cardiologist or surgeon gives you.
After angioplasty and a stent
Rest for a day or two, then start gentle walking. Avoid lifting heavy weights with the arm used for the procedure for a few days.
Take your antiplatelet medicines every day. Stopping them early can cause the stent to block.
After bypass or valve surgery
Walk a little more each day. Avoid lifting heavy weights, pushing or pulling for 6–8 weeks while the breastbone heals.
Keep the wound clean and dry and report redness, discharge or fever.
Taking your medicines
Take medicines at the same time each day and keep a list with you.
Never stop blood thinners, statins or BP medicines without advice.
Food and salt
Eat more vegetables, fruit, whole grains and pulses; limit fried food, sweets and red meat.
Keep salt below 5 g a day — about one level teaspoon in total.
Work, driving and travel
Most people return to desk work in 1–2 weeks after a stent and 6–8 weeks after surgery.
Ask your doctor before driving or flying.
Stress, sleep and mood
Feeling low after a heart event is common. Talk to your doctor if it lasts.
Aim for 7–8 hours of sleep and treat snoring or sleep apnoea.
Contact us urgently if
- Chest pain at rest or lasting more than 5 minutes
- Breathlessness that is getting worse, or breathlessness when lying flat
- Fainting or a very fast or very slow heartbeat
- Wound redness, discharge or fever after surgery
- Black stools or unusual bleeding while on blood thinners
- Sudden weakness, face drooping or difficulty speaking
Family care
Heart care for every stage of life
Women
- Heart attack can cause breathlessness, back or jaw pain and tiredness rather than chest pain
- Risk rises after menopause
- Heart conditions in pregnancy need joint care
People with diabetes
- Heart disease may cause few symptoms
- Yearly heart risk review
- Heart-protective diabetes medicines where suitable
Older adults
- Breathlessness or tiredness should not be put down to age
- Kidney function is checked before scans and medicines
- Gentle, supervised rehabilitation
Prevention & screening
Heart checks and how often to have them
These are general guides. Your doctor may advise different timings based on your health.
| Who | What we recommend | How often |
|---|---|---|
| Adults 30 and above | Blood pressure check | At least once a year |
| Adults 30 and above | Fasting sugar or HbA1c | Every 1–3 years; yearly with risk factors |
| Adults 30 and above | Lipid profile | Every 5 years; more often with risk factors |
| Family history of early heart disease | Lipid profile and heart risk review | From age 20, as advised |
| People with diabetes or high BP | ECG, kidney tests and lipids | Every year |
| After a heart attack, stent or surgery | Cardiology review | As advised, usually every 3–6 months at first |
Walk at least 150 minutes a week
Stop all tobacco — smoked or chewed
Keep salt below 5 g a day
Keep your weight and waist in check
Sleep 7–8 hours and manage stress
Know your BP, sugar and cholesterol
Myths & facts
Clearing up common misunderstandings
Tap a card to see the fact.
Myth
“Heart disease only happens to older people.”
Tap to flipFact
In India, many heart attacks happen before the age of 50. Diabetes, tobacco, high BP and family history raise the risk at any age.
Myth
“If I had a stent, my heart disease is cured.”
Tap to flipFact
A stent opens one narrowing but does not cure the disease. Medicines and lifestyle changes are still needed to protect the other arteries.
Myth
“Chest pain is always on the left side.”
Tap to flipFact
Heart pain can be in the centre of the chest, the arm, jaw, back or upper stomach, and may feel like pressure or burning.
Myth
“After bypass surgery I must stay in bed.”
Tap to flipFact
Gentle walking starts within a day or two. Staying active, step by step, helps recovery.
Myth
“Low-salt means I can eat pickles and papads in small amounts.”
Tap to flipFact
Pickles, papads, namkeen and packaged foods are very high in salt. Cutting them down makes a real difference to BP.
Myth
“If my BP is normal on medicines, I can stop them.”
Tap to flipFact
Normal readings usually mean the medicine is working. Stopping can make BP rise again.
Our doctors
Meet our heart team
Interventional Cardiologist
Dr. Rahul Yadav
MBBS, MD (General Medicine), DM (Cardiology)
Coronary angiography and angioplasty, chest pain, high BP and heart rhythm problems. OPD: Monday to Saturday, 10 am – 5 pm.
CTVS Surgeon
Dr. Vijay Agarwal
MBBS, MS, M.Ch (CTVS)
Bypass surgery (CABG), heart valve surgery and chest surgery. OPD: Monday to Saturday, 10 am – 4 pm.
Practical help
Preparing for your visit, costs & insurance
A little preparation helps us make the most of your appointment.
What to bring to your visit
Tick off as you pack:
- All previous reports — ECG, echo, TMT, angiography CD and discharge summaries
- All current medicines, especially blood thinners, or clear photos of them
- Your BP and sugar records, if you keep them
- For a TMT: comfortable shoes, and a light meal 2–3 hours before
- A family member if you are having a procedure
- A list of the questions you want to ask
Costs & insurance
Costs depend on the tests and treatment you need. Ask our team for a written estimate before planned tests, procedures or admission.
- ✓Written estimate— ask for one before planned procedures or admission.
- ✓Health insurance & TPA— cashless treatment for admissions under tie-up insurers; outpatient visits depend on your policy.
- ✓Ayushman Bharat (PM-JAY) accepted for eligible admissions.
- ✓Corporate & PSU panels— ask whether your employer has a tie-up with Charak Hospital.
*Coverage depends on your policy and the treatment. Our insurance desk can check this for you.
Call 0522-666-4444
FAQs
Frequently asked questions
Is angioplasty or bypass surgery better for me?
It depends on how many arteries are blocked, where the blockages are, your heart function and conditions such as diabetes. Your cardiologist and cardiac surgeon will review your angiography together and explain the options.
How long does a stent last?
A stent stays in the artery permanently. The main risk is new narrowing in the stent or other arteries, which is lowered by taking your medicines and controlling risk factors.
How long is the recovery after bypass surgery?
Most people go home in about a week, walk around the house soon after, and return to light work in 6–8 weeks. Full recovery of the breastbone takes about 3 months.
Can I stop blood thinners after a few months?
Do not stop them on your own. After a stent, two antiplatelet medicines are usually needed for a set time, then one long-term. Your cardiologist will tell you when to change.
What is the difference between a cardiologist and a cardiac surgeon?
A cardiologist diagnoses heart conditions and treats them with medicines and catheter procedures such as angioplasty. A cardiac (CTVS) surgeon performs operations such as bypass and valve surgery.
My TMT was positive. Do I need angiography?
Not always. Your cardiologist will look at your symptoms, the TMT result and other tests before deciding whether angiography is needed.
How much does heart surgery cost?
Costs depend on the procedure, the number of stents or grafts, and the length of stay. Ask for a written estimate. Our CABG cost guide explains the main factors.
How do I book an appointment?
Call 0522-666-4444 or use the request call back form on this page. For chest pain, come straight to the 24×7 emergency department.
Glossary
Words you may hear from your heart doctor
AnginaChest pain caused by reduced blood flow to the heart muscle.
AngiographyAn X-ray test with dye that shows the heart arteries.
Angioplasty (PTCA)Opening a narrowed artery with a balloon, usually with a stent.
StentA small mesh tube that keeps an artery open; most are drug-eluting.
CABGCoronary artery bypass grafting — bypass surgery.
Echocardiography (echo)An ultrasound scan of the heart.
TMTTreadmill test — an ECG recorded during exercise.
HolterA small recorder that records your ECG for 24 hours or more.
TroponinA blood test that rises when heart muscle is damaged.
Ejection fraction (EF)How much blood the heart pumps out with each beat; normal is about 55–70%.
ArrhythmiaAn abnormal heart rhythm.
Atrial fibrillation (AF)A common irregular rhythm that raises stroke risk.
PacemakerA small device that keeps the heart from beating too slowly.
Heart failureWhen the heart cannot pump enough blood for the body’s needs.
CardiomyopathyDisease of the heart muscle.
StenosisNarrowing of a valve or artery.
RegurgitationLeaking of a heart valve.
Rheumatic heart diseaseValve damage after rheumatic fever.
LDL cholesterolThe “bad” cholesterol linked to blocked arteries.
AntiplateletA medicine, such as aspirin, that stops platelets forming clots.
AnticoagulantA blood thinner such as warfarin, used for AF or mechanical valves.
Cardiac rehabilitationA supervised exercise and education programme after heart treatment.
No matching term. Please ask your doctor at your next visit.
Related pages
Related departments and guides
Chest pain, breathlessness or a heart report to discuss?
Speak with our heart team. For chest pain now, come straight to the 24×7 emergency department.
Medical information disclaimer: This page provides general health information for patients and families. It is not a substitute for a consultation, diagnosis or treatment by a qualified doctor. Treatment decisions depend on each patient's individual condition. In an emergency, call 0522-666-4444 or go to the nearest emergency department.
About this page: Prepared by the Charak Hospital web team with the help of AI writing tools, using information from the Institute of Cardiac Sciences, Charak Hospital & Research Centre · Last updated: October 2026
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