Hello Deepak ji,

Yes, angiography is covered under the Ayushman Bharat (PM-JAY) scheme, provided you visit an Ayushman-empanelled hospital and your case is eligible as per the scheme's guidelines.

Angiography Under Ayushman Card – What to Know:

• Covered Procedures: Coronary angiography (used to detect heart blockages) is included in the Ayushman Bharat package list.

• Cost: The procedure is done cashless for eligible beneficiaries.

• Hospital Type: You must visit an Ayushman-empanelled hospital where cardiology services are available.

Steps to Get Angiography with Ayushman Card:

1. Check eligibility: Visit https://mera.pmjay.gov.in using your Aadhaar or mobile number.

2. Find an empanelled hospital: Visit
   👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

   • Select Delhi as the state and district.

3. Visit the hospital with:

   • Your Ayushman Card (or Aadhaar if linked)

   • Doctor’s recommendation or referral (if available)

   • Any previous medical reports

How HexaHealth Can Help:

• Find the best hospital in Delhi for angiography under Ayushman

• Assist with the cashless approval process

• Help with doctor consultation, admission, treatment and recovery.

Let us know if you’d like us to help schedule your angiography at the right centre.

Wishing you a healthy heart and a quick recovery, Deepak ji!

Hello Umesh Ji,

Pain on the left side of the body, especially the abdomen or chest, can have various causes depending on the exact location, severity, duration, and accompanying symptoms. Here's a brief overview to help understand the possible reasons:

Possible Causes of Left Side Pain

If the pain is in the upper left abdomen or chest:

• Gastric issues (gas, acidity, indigestion)

• Spleen-related concerns (enlargement or injury)

• Heart-related issues (especially if it's radiating to the arm/jaw and with breathlessness—seek emergency care.)

• Lung conditions (like pleurisy or pneumonia)

If the pain is in the lower left abdomen:

• Constipation or gas buildup

• Diverticulitis (inflammation in the colon)

• Kidney stones or infection

• Muscle strain or nerve compression

In females:

• Ovarian cysts

• Ectopic pregnancy

• Menstrual-related pain

When to See a Doctor Immediately?

• If the pain is severe or sudden

• Accompanied by vomiting, fever, breathlessness, dizziness, or chest tightness

• If it persists for more than 1–2 days

What can you do?

• Note the exact location and nature of the pain (sharp/dull, constant/intermittent)

• Avoid heavy food, alcohol, or cold drinks

• Apply a warm compress if it seems muscular

• Hydrate well and eat light meals

How HexaHealth Can Help?

We can help you:

• Book a consultation with a specialist (gastroenterologist, general physician, or urologist as needed)

• Find the right hospital or clinic near Jaipur

• Guide you on diagnostic tests like ultrasound, CT scan, if required

• Assist with cashless treatment if you're eligible under any scheme

Let us know the exact location of the pain and any other symptoms you're facing so we can assist you better.

Hello Satish Pal Ji,

If you are a heart patient and have an ABHA card, you are eligible for free treatment under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY).

Heart Treatment Covered Under Ayushman Bharat

• Angiography

• Angioplasty with stent placement

• Bypass surgery (CABG)

• Pacemaker implant

• Valve surgery

• Heart failure management and monitoring

How to Find a PM-JAY Hospital Near You?

Visit the official site:
👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

• Select State: Delhi

• Select your District

• Choose Speciality: Cardiology or Cardiothoracic Surgery

• Enter Captcha and Click Search 

You will get a list of hospitals empanelled under PM-JAY

Wishing you good health!

Hello Madan Batra Ji,

Thank you for your query. If your doctor has advised a heart stent, it means there’s a blockage in one or more arteries, and a stent is needed to restore blood flow and prevent complications like a heart attack.

What is a Heart Stent?

A stent is a small, metal mesh tube placed in a blocked artery during angioplasty to keep it open. It helps reduce chest pain and improves blood circulation to the heart.

Types of Stents

1. Bare Metal Stent (BMS):

   • Basic type, higher chance of re-narrowing

2. Drug-Eluting Stent (DES):

   • Most commonly used today

   • Releases medicine to prevent blockage

   • Offers better long-term outcomes

Important Questions to Ask Your Doctor:

• How many blockages are there?

• What type of stent is suitable for me?

• Do I need long-term medications after the procedure?

• Am I eligible for cashless treatment through insurance or government schemes?

How HexaHealth Can Help You?

• Help you book the best cardiologist or heart hospital in Delhi

• Assist with angiography, stenting, and follow-up bookings

• Provide complete guidance on insurance coverage and financing options

• Ensure transparent cost estimates and no hidden charges

• Support you through admission, paperwork, and discharge

Hello Lokedh Ji,

Thank you for your question regarding pacemaker installation under the CHGS scheme (Central Government Health Scheme). Pacemaker implantation is a covered procedure under CHGS, but you need to follow the correct process for approval and reimbursement or cashless treatment.

Process for Pacemaker Installation under CGHS

Step-by-Step Procedure

1. Consultation at CGHS Wellness Centre:

   • First, visit your CGHS Wellness Centre for an evaluation by a CGHS-authorised medical officer.

   • They will examine your condition and, if required, issue a referral letter for further treatment at an empanelled hospital.

2. Specialist Evaluation at Empanelled Hospital:

   • Visit a CGHS-empanelled cardiologist at a listed private or government hospital.

   • After tests (like ECG, 2D Echo, Holter monitor), the doctor will confirm the need for a pacemaker.

3. Approval Process:

   • The hospital will submit a treatment estimate and approval request to CGHS authorities.

   • On approval, pacemaker surgery will be done cashless (if the empanelled hospital and procedure are approved).

4. Post-Surgery Follow-Up:

   • Post-operative care and follow-ups can also be availed under CGHS as per rules.

Notes

• Only CGHS empanelled hospitals are eligible for cashless procedures.

• Depending on the doctor’s advice and the CGHS-approved list, you can choose from single-chamber or dual-chamber pacemakers.

• Keep all referral letters, bills, and reports safe for documentation.

Let us know if you need any other help

Hello Srinivas Ji,

Thank you for sharing your friend's condition—it's serious, and timely treatment is essential.

With four artery blockages (one 100% blocked, two at 80%, and one at 70%), it's likely that major coronary arteries are involved.

Commonly Affected Arteries in Angiography

• LAD (Left Anterior Descending artery) – most critical for heart function

• RCA (Right Coronary Artery)

• LCX (Left Circumflex Artery)

• Other branches, like Diagonal or OM (obtuse marginal) arteries, may also be involved.

Your friend's angiography report will mention exactly which arteries are blocked, which helps guide the right treatment.

Stents vs Bypass – What's Better?

Stents (Angioplasty):

• Less invasive, quicker recovery

• Ideal for 1–2 simple blockages

• May not be suitable for multiple or complex lesions

Bypass Surgery (CABG):

• Strongly recommended when there are 3 or more major blockages

• Better for long-term heart health, especially if one blockage is 100%

• Also preferred if the LAD artery is involved

Expert Opinion

In your friend's case, with multiple critical blockages, CABG (bypass surgery) is typically the safest and most effective option.

How HexaHealth Can Help?

• Free consultation with top cardiologists and heart surgeons in Hyderabad

• Help you understand the angiography report and treatment options

• Coordinate surgery bookings with reputed hospitals

• Support with second opinions, follow-ups, and cost transparency

Wishing your friend a smooth and full recovery.

Let us know if you'd like help arranging a consultation or planning the next steps.

Hello Iyer Ji,

Thank you for your question regarding the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) for senior citizens aged 70 and above.

✅ Coverage for Senior Citizens (70+)

Yes, under the expanded AB PM-JAY, all senior citizens aged 70 and above are eligible for ₹5 lakh annual health coverage, regardless of income or background.

✔️ What's Covered:

• Hospitalisation expenses for secondary and tertiary care

• Pre and post-hospitalisation (up to 3 days before and 15 days after admission)

• Day-care procedures

• Medicines used during hospital stay

❌ What's Not Covered:

• OPD consultations, routine doctor visits, or medicines taken at home are not covered. The scheme primarily focuses on in-patient treatment.

🏥 Is Varam Hospital in Hosur Covered?

Yes, Varam SPR Speciality Hospital & Fertility Centre, located in Krishnagiri, Tamil Nadu, is empanelled under Ayushman Bharat.

You can verify this on the official PM-JAY website here:
👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

🔍 To check more hospitals in your area:

1. Go to https://hospitals.pmjay.gov.in

2. Select "Tamil Nadu" as the state

3. Select "Krishnagiri" as the district (since Hosur falls under this)

4. Browse the list of empanelled hospitals

Wishing you continued good health and peace of mind!

Hello,

It sounds like your dad may have experienced a sudden spike in blood pressure (BP 175 is considered high), and the difficulty in speaking (haklana) could be a warning sign of a mini-stroke (TIA) or even a mild stroke. High BP can affect the brain’s blood vessels, sometimes leading to speech issues, confusion, or weakness.

Even though he took one tablet to control BP, the stammering in the evening suggests that something more serious might be going on, and it should not be ignored.

👉 What you should do:
Please take him to the nearest hospital immediately for a detailed checkup. A CT scan or MRI of the brain, along with a heart checkup, may be needed to rule out any stroke or brain-related issue.

Also, ensure his blood pressure is regularly monitored and he is on the right long-term medication plan.

If you need help finding a good hospital near you, HexaHealth can assist you with fast appointments and provide support.

Wishing your father a safe and speedy recovery. Please don’t delay a checkup—it’s better to act early.

Dear Mr Nagarajan,

Thank you for reaching out to the HexaHealth Doctor Community.

Regarding your query about pacemaker battery replacement —
This is a common and generally safe procedure known as pacemaker generator replacement. It is necessary when the battery, also called the generator, nears the end of its lifespan (usually after 5-10 years, depending on usage and device type).

Recommended Treatment Plan

• Assessment: A detailed check, including device interrogation, is done to confirm battery depletion.

• Procedure: The replacement is a relatively straightforward surgery, typically performed under local anaesthesia. Only the battery (pulse generator) is replaced; the leads (wires connected to the heart) are usually left in place if they are functioning well.

• Recovery: Most patients are discharged the same day or the next day. Physical activity may be restricted for 2-3 weeks to allow proper healing.

Precautions to Take

• Avoid heavy lifting or vigorous arm movements on the side of the pacemaker for at least 2–4 weeks.

• Follow up regularly to monitor the new device's functioning.

• Notify airport security and healthcare providers about the pacemaker.

• Watch for signs of infection like redness, swelling, or fever after the procedure and report immediately.

To assist you better, could you please let us know:

• Are you looking for a second opinion?

• Do you need help finding the best doctor or hospital in Chennai?

• Are you looking to understand the cost and insurance coverage options?

Once you share this information, we will connect you with the right specialist and guide you through the following steps.

Wishing you good health and a smooth recovery!

नमस्ते मुकेश जी,

आपके सीने में खिंचाव और दर्द की शिकायत, और ECG में हल्का ब्लॉकेज आना — ये संकेत हो सकते हैं कि आपको दिल से जुड़ी समस्या हो रही है। ऐसे में इलाज में देरी करना सही नहीं होगा।

सबसे अच्छी बात यह है कि अगर आपके पास आयुष्मान भारत कार्ड (PM-JAY) है और आप इसके योग्य हैं, तो आप Faridabad के कई आयुष्मान पैनल वाले सरकारी और प्राइवेट अस्पतालों में बिल्कुल फ्री में इलाज करवा सकते हैं।

🔹 आयुष्मान कार्ड से क्या-क्या फ्री होता है?

• भर्ती (hospitalization)

• दवाइयाँ

• टेस्ट (जैसे ECG, Echo, Angiography आदि)

• ऑपरेशन (अगर ज़रूरी हो)

• ICU इलाज (योजना के अनुसार)

💯 इलाज का 100% खर्च सरकार द्वारा कवर किया जाता है — आपको कुछ भी भुगतान नहीं करना होता, बशर्ते आप योग्य हैं और अस्पताल आयुष्मान से जुड़ा हो।

🔍 Faridabad में आयुष्मान कार्ड से इलाज कैसे करवाएं?

1. https://hospitals.pmjay.gov.in पर जाएं

2. State में "Haryana" और District में "Faridabad" चुनें

3. Hospital Type में "Private" या "Public" चुनें

4. “Search” पर क्लिक करें — आपको सभी पैनल वाले अस्पतालों की लिस्ट मिल जाएगी

Hello Nazirbhai Ji,

Angioplasty jaise treatment Ayushman Bharat Yojana ke under covered hai. Aap Rajkot ya nearby area ke Ayushman-empanelled hospitals ka list yahaan dekh sakte hain:
🔗 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

Yahaan aap Rajkot select karke hospital ki list check kar sakte hain jo cardiology service dete hain.

उषा मुल्लापुड़ी कार्डियक सेंटर, हैदराबाद, एक प्रतिष्ठित हृदय रोग विशेषज्ञ अस्पताल है। हालांकि, वर्तमान में उपलब्ध जानकारी के अनुसार, यह अस्पताल आयुष्मान भारत योजना (PMJAY) के तहत सूचीबद्ध नहीं है। 

आप आयुष्मान भारत योजना के तहत पंजीकृत अस्पतालों की सूची देखने के लिए इस आधिकारिक वेबसाइट पर जा सकते हैं: https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew। यहां आप अपने राज्य और जिले का चयन करके पंजीकृत अस्पतालों की सूची प्राप्त कर सकते हैं।​

Hello Habiba Ji,

Thank you for reaching out to the HexaHealth doctor community.

We understand how overwhelming it can be to manage both the diagnosis and treatment costs. At HexaHealth, we’re committed to making advanced treatments like TAVR (Transcatheter Aortic Valve Replacement) more accessible and affordable.

The cost of TAVR may start from ₹4.5 lakhs and can go up to ₹9–10 lakhs, depending on various factors such as:

• Type and brand of the valve
• Hospital selected
• Doctor’s expertise
• Overall health condition of the patient
• Need for ICU stay or special care
• Financing options, if available

We would be able to give you the exact cost estimate only after a doctor has assessed your mother’s condition and suggested the most suitable treatment plan.

Our care team would be happy to guide you through the process and help you find the best possible care within your budget.

प्रिय सैफुल्लाह खान जी,

अगर डॉक्टर कह रहे हैं कि यह दिल से जुड़ी नहीं है, तो फेफड़ों (Pulmonology) या गैस्ट्रोइंटेस्टाइनल (GI) विशेषज्ञ से परामर्श लेना जरूरी होगा।

👉 अगला कदम

• Redo बायपास के लिए सही अस्पताल/डॉक्टर खोजें – यदि यह ही एकमात्र समाधान बताया जा रहा है, तो किसी अनुभवी कार्डिएक सर्जन से परामर्श लें।

• सही जांच कराएं – क्या आपने फेफड़ों की जांच (PFT, HRCT) या गैस्ट्रिक टेस्ट करवाया है? यदि नहीं, तो यह जरूरी हो सकता है।

⚠️ सावधानियां

• संक्रमण से बचाव – धूल, धूम्रपान और ठंडी हवा से बचें।

• आराम और संतुलित आहार – भारी भोजन से बचें, छोटे-छोटे हिस्सों में हल्का भोजन करें।

• दवाएं डॉक्टर के परामर्श से लें – बिना जांच के कोई नई दवा न लें।

• चलते समय सावधानी बरतें – सांस फूलने पर बैठकर आराम करें, जल्दबाजी न करें।

जल्द स्वास्थ्य लाभ की कामना! 

Hello Kiran,

Thank you for reaching out. Since you already have a diagnosis of 2nd-degree AV block (2:1) for one episode, it suggests you have undergone an ECG or another test. However, to determine the best course of action, I need more details:

Key Questions for Further Assessment

1. Current Symptoms: Did you experience dizziness, fainting, palpitations, chest discomfort, or breathlessness during the episode? Have these symptoms occurred again?

2. Underlying Heart Conditions: Do you have a history of heart disease, high blood pressure, diabetes, or previous heart attacks?

3. Medications: Are you taking any medications that could contribute to the AV block?

4. ECG Details: Was the AV block transient or persistent? Did the doctor mention if any underlying condition caused it?

5. Other Medical Conditions: Any history of thyroid disorders, electrolyte imbalances, or infections (e.g., Lyme disease)?

Recommended Next Steps & Tests

Since this was a single episode, further evaluation is crucial to determine if it was a temporary issue or a sign of a progressing conduction problem.

• Holter Monitoring (24-48-hour ECG monitoring): This is to check whether the AV block persists or recurs.
• Echocardiogram – To assess heart function and rule out structural heart disease.
• Electrolyte Panel (Blood Test) – To rule out potassium, magnesium, or calcium imbalances.
• Thyroid Function Tests (T3, T4, TSH) – To check for thyroid-related causes.
• Troponin Test (if suspected heart damage) – To evaluate possible heart muscle injury.

Treatment Plan

The treatment depends on the test results and symptoms:

1. If the AV block was an isolated event and you are asymptomatic

• Observation & Follow-up – If the block occurred once and is not progressing, regular monitoring may be enough.
• Avoid AV node-affecting medications – If you are on beta-blockers, digoxin, or calcium channel blockers, a dose adjustment or discontinuation might be required.

2. If the AV block recurs or causes symptoms (dizziness, fainting, fatigue)

💡 Permanent Pacemaker Implantation may be required if:

• You experience recurrent syncope (fainting), extreme fatigue, or slow heart rate, which affects your daily life.
• The AV block is progressing to a higher-degree block (like a complete heart block).
• The Holter monitor shows frequent AV block episodes.

More About Pacemakers

A pacemaker is a small device implanted under the skin, usually near the collarbone, to regulate the heartbeat. It helps maintain a normal heart rate by sending electrical impulses when needed. Modern pacemakers are MRI-compatible, long-lasting (10-15 years), and minimally invasive to implant.

Precautions & Lifestyle Changes

• Monitor Symptoms Closely – Report any dizziness, fainting, or fatigue.
• Stay Hydrated & Maintain Electrolyte Balance – Low potassium or magnesium can worsen conduction issues.
  
• Avoid Excess Alcohol & Smoking – Both can trigger abnormal heart rhythms.
• Regular Follow-Ups – Even if asymptomatic, periodic ECG and Holter monitoring are necessary.
• Emergency Awareness – Seek immediate medical attention if you experience severe dizziness, fainting, or chest pain.

How HexaHealth Can Help You?

• 🏥 Connect with Top Cardiologists – We can arrange consultations with the best heart specialists in Hyderabad.
• 🩺 Diagnostic Assistance – We help you schedule ECG, Holter monitoring, or echocardiogram tests easily.
• 💰 Cost Transparency – Get estimates for pacemaker implantation, follow-up tests, and treatment options with no hidden charges.
• 📞 24/7 Support & Guidance – Our medical coordinators assist you at every step of your treatment journey.

Would you like us to arrange an appointment with a cardiac specialist in Hyderabad for further evaluation?

Dear Zahid Khan,

Your consistently high blood pressure (ranging from 150/90 to 110) can increase the risk of long-term complications, including damage to brain nerves, leading to headaches and other neurological issues. While Amnurite Beta (Amlodipine 5mg + Metoprolol 20mg) helps manage BP, persistent headaches could indicate uncontrolled hypertension, vascular changes, or other underlying issues.

To better manage your condition:
✅ Check your BP at home daily at the same time and maintain a record.
✅ Reduce salt intake, exercise regularly, manage stress, and ensure a balanced diet with potassium-rich foods.
✅ You may need an adjustment in your BP medication. Please consult a cardiologist or physician for an evaluation.
✅ Since you are experiencing persistent headaches, a neurological assessment (including an MRI/CT scan if needed) can help rule out serious concerns.

🔹 Consultation with a specialist is strongly advised. Based on your symptoms, you may require additional medications or investigations. Let us know if you need a consultation with a specialist or have any other health concerns. 

Dear Shakeela Ji,

I understand your concern regarding dizziness, palpitations, severe headaches at night, nausea, and vomiting, especially in the context of hypothyroidism and controlled hypertension. While I can provide some general guidance, I need a few more details to assess your symptoms accurately:

1. Duration & Onset: When did these symptoms start? Are they sudden or gradual?
2. Severity & Pattern: Do your headaches follow a pattern? Are they worse at a particular time or position?
3. Palpitations: Do you feel rapid, irregular, or forceful heartbeats? How long do they last?
4. Blood Pressure & Thyroid Levels: When was your last BP and thyroid function test? Are your TSH, T3, and T4 levels within normal limits?
5. Medications: Are you taking any thyroid or BP medications regularly? Are there any recent changes in dosage?
6. Other Symptoms: Any blurred vision, weakness, sweating, or weight changes?
7. Lifestyle & Triggers: Do stress, certain foods, or physical activity trigger your symptoms?
8. Hydration & Nutrition: Are you eating and drinking adequately?

These symptoms could be due to multiple causes, including uncontrolled thyroid levels, BP fluctuations, migraine, or an underlying neurological or cardiovascular condition. It’s essential to consult a physician in person for a thorough evaluation, including blood tests and possibly an ECG or imaging if needed.

Recommendation: Please monitor your BP and heart rate during symptoms, stay hydrated, and avoid caffeine or excessive salt intake. If your symptoms worsen or persist, seek immediate medical attention.

Hello Karabhari Ji,

We understand that you're experiencing frequent sweating, back pain, swelling in the left leg, uneasiness, and fatigue. These symptoms can have various underlying causes, and it’s important to assess them properly.

I’d like to ask a few questions to understand your condition better:

1. How long have you been experiencing these symptoms?
2. Do you have any medical conditions like diabetes, high blood pressure, or heart disease?
3. Is the swelling in your leg constant, or does it worsen at certain times (e.g., after standing for long hours)?
4. Are you experiencing shortness of breath, chest pain, or dizziness along with these symptoms?
5. Have you noticed any recent weight gain or changes in urine output?

Your symptoms could be related to heart, kidney, or circulatory issues or even conditions like sciatica or musculoskeletal strain. We strongly recommend consulting a doctor in person for a proper diagnosis and tests if needed.

Hello Karabhari Ji,

We understand that you're experiencing frequent sweating, back pain, swelling in the left leg, uneasiness, and fatigue. These symptoms can have various underlying causes, and it’s important to assess them properly.

We'd like to ask a few questions to understand your condition better:

1. How long have you been experiencing these symptoms?
2. Do you have any medical conditions like diabetes, high blood pressure, or heart disease?
3. Is the swelling in your leg constant, or does it worsen at certain times (e.g., after standing for long hours)?
4. Are you experiencing shortness of breath, chest pain, or dizziness along with these symptoms?
5. Have you noticed any recent weight gain or changes in urine output?

Your symptoms could be related to heart, kidney, or circulatory issues or even conditions like sciatica or musculoskeletal strain. We strongly recommend consulting a doctor in person for a proper diagnosis and tests if needed.

Let me know more details, and we'd be happy to guide you further!