Delhi Heart and Lung Institute
Heart and Lung Institute (DHLI), committed to provide complete cardiopulmonary
care, is the dream-child of two eminent doctors, cardiac surgeon
Dr Ganesh K Mani and cardiologist Prof (Dr) Kamal K Sethi. This
100-bed Hospital, situated at Panchkuian Road, was conceived as
a centre of excellence designed to cater to patient care and research
The Institute, established in June 2003, has witnessed an annual growth of 20
per cent. The average daily number of patients in the OPD is 100. Employee and
doctor numbers are 520. The Hospital, a unit of Apex Heart Care, has so far
performed nearly 2,000 cardiac surgeries, more than 2,000 angioplasties and
more than 6,000 angiographies.
Dr Kamal Sethi
Co-Chairman & Managing Director
The Institute offers state-of-the-art facilities for consultation,
investigation, intensive care management, interventional cardiology, paediatric
cardiology cardiac surgery and pulmonology. The Institute's cutting-edge core
competencies are well sustained by equally efficient support services including
biochemistry, blood bank and clinical pathology.
Says Prof (Dr) Sethi, Co-Chairman & Managing Director and HOD, Cardiology,
"A three-dimensional arrhythmia mapping system enables us to map and cure
even complex rhythm disorders of the heart. A highly-trained team is able to
carry out paediatric and neonatal congenital cardiac investigations, interventions
Equipped with an extensive array of machinery to determine a patient's cardiac
status, the non-invasive cardiac laboratory provides strong back-up to DHLI.
The use of full range of equipment and tests ensures that a complete picture
emerges before preventive and curative measures are worked out. The Institute
makes a constant effort to add the latest technology to its infrastructure.
It has a 3D echocardiography plus echo pak, stress echocardiography, treadmill
testing, holter monitoring, tilt testing, executive (preventive) health check-up,
high-risk cardiac profile, pacemaker check, ECG and external counter pulsation.
Intensive Continuing Care
The 33 ICU beds along with nine-bed high dependency unit (HDU) are equipped
with modern ventilators, where invasive and non-invasive haemodynamic monitoring
is managed by a team of skilled doctors, nurses and specially-trained pulmonary
physiotherapists. An emerging paradigm of critical care and continuity of care
is the theme of post-surgical care ICU. Dr Mani, Chairman and Managing Director
and HOD, Cardiac Surgery describes, "It is equipped with state-of-the-art
monitors and ventilators and other supportive equipment required in modern ICUs.
Patients are transferred to the HDU on the second day after surgery, where they
are placed on telemetry to monitor heart rhythm while they become mobile."
All Things Lung
The Institute's pulmonology unit is a one-stop specialist centre for every kind
of respiratory ailment. Medical thoracoscopy is done to accurately diagnose
a variety of cases of pleural effusion and pneumothorax. The centre is equipped
with a new generation pulmonary function laboratory with capability of performing
spirometry, lung volumes and diffusion studies. There is a modern and comprehensive
sleep laboratory for the evaluation of sleep-related breathing and neurological
The sleep disorders laboratory provides a comprehensive facility for the diagnosis,
evaluation and treatment for snoring, excessive daytime sleepiness and choking
spells. It also includes a lung station for the application of non-invasive
ventilation, nebuliser and oxygen therapy for patients with chronic respiratory
insufficiency. To improve the patients' longevity and quality of life, the Institute
extends respiratory support at home also. This serves to really bring home the
benefits of the Hospital.
Diagnostic and therapeutic video assisted thoracoscopic surgery (VATS) for benign
and malignant pulmonary, oesophageal, mediastinal, pleural and diaphragmatic
pathology are available at the Institute. Also, VATS sympathectomy and thymectomy
for myasthenia gravis can be performed.
The Institute is an established centre for Lung Volume Reduction Surgery (LVRS)
for emphysema, tracheal resections, surgery for multi drug resistant (MDR) tuberculosis
and a host of other pulmonary and pleural diseases. The Institute is considering
initiating pulmonary endarterectomy for chronic thromboembolic pulmonary disease
and lung transplant surgery.
In order to have a reliable and efficient diagnosis, an in-house laboratory
is functional seven days a week. It is equipped with the latest automated haematology
cell counter, coagulometer, electrolyte and blood gas autoanalysers. Aerobic,
anaerobic, and fungal cultures are done routinely. "Microscopes for cytopathology
and histopathology have imaging systems which can be connected to the Internet
and pictures transmitted anywhere in the world for conferencing, discussion
and reporting," says Dr Vivek Verma, Joint Medical Superintendent.
"IT is used in online laboratory, blood bank, pharmacy and billing,"
says Dr Verma. Sophisticated computer systems allow instant access to all patient-data
and information for evaluation and follow-up. The family remains updated through
regular interaction with the doctor-in-charge of their patient.
Ready For the World
The Hospital participates in exhibitions abroad for promoting medical tourism.
"We have also tied up with hotels and travel companies, upgraded suites
and other rooms to make foreign patients comfortable, are offering affordable
packages and have installed permanent representatives based abroad," says
Plugging Social Gaps
With two to three per cent of budget earmarked for CSR, the Institute holds
free camps for Hole in the Hearta scheme for congenital heart defects,
heart and lung check-up camps, sponsoring CMEs and periodic lectures by eminent
experts. "We have organised several free cardiac check-ups with specialised
investigative facilities under the supervision of senior specialists,"
says Dr Mani. The Hospital is also undertaking extensive awareness programmes
within the community to spread knowledge about prevention of heart diseases,
through education on lifestyle management and healthy living. The objective
is to strive towards prevention of heart diseases by early detection and treatment.
DHLI also holds Kailash Mansarovar Yatri's Medical Check-up. 'Health First Card'
is a social scheme, where on a one-time payment of Rs 500, four members of a
family get a host of benefits for one year including free consultation, blood
sugar test and ECG on first visit and discounted health check-up packages, laboratory
and radiology services.
The Institute is conducting research in cardiology and is already a part of
multi-centric international studies to introduce new techniques in interventional
cardiology and arrhythmia management. "In cardiac surgery, we plan to start
robotic surgery soon," says Dr Mani.
However, the Institute is not planning expansion of beds nor any acquisitions.
Instead, we would reach out to areas in Delhi-NCR which don't offer cardiac
surgery and interventional cardiology through setting up of satellite centres
to act as support units to the main facility. Tie-ups with small nursing homes
are also being looked at," explains Dr Verma.