Clinical & Preventive Cardiology Doctors in Gurugram

Cardiovascular disease is, in the majority of cases, a preventable progression. Atherosclerosis begins accumulating silently over decades before it manifests as chest pain, a myocardial infarction or a stroke. Blood pressure that is poorly controlled over years remodels the left ventricle. Lipid profiles that go in the wrong direction, glycaemic dysregulation in pre-diabetic states, sedentary patterns in otherwise well-functioning individuals. Each of these accelerates vascular disease along a trajectory that clinical cardiology can identify, quantify and meaningfully alter, provided the assessment occurs before an event rather than after.

The Department of Clinical and Preventive Cardiology at Medanta - The Medicity, Gurugram is one of the larger and more senior cardiology departments in the NCR. It operates across adult clinical cardiology, non-invasive cardiac imaging, preventive and risk-based cardiac assessment, critical cardiac care, and paediatric and congenital heart disease - a range that reflects the department's position within a high-volume tertiary referral centre rather than a specialist-only outpatient practice.

The doctor team includes a Chairman and Vice Chairman in Cardiac Care, a Senior Director, a Director and four Associate Directors - alongside a Senior Consultant with a dedicated non-invasive cardiology fellowship. Two of the Associate Directors carry specialisation in paediatric cardiology and congenital heart disease, reflecting the department's capacity to manage cardiac conditions across the full age spectrum.

Clinical and Preventive Cardiology Services

Cardiovascular Risk Assessment and Preventive Cardiology

Preventive cardiology involves the systematic quantification of an individual's cardiovascular risk across multiple domains - lipid profile, blood pressure pattern, glycaemic status, weight, smoking history, family history and markers of subclinical vascular disease. Early detection of atherosclerosis, before it produces symptoms, is a specific clinical focus of both Dr. R.R. Kasliwal and Dr. Manish Bansal. Dr. Bansal's practice specifically addresses the detection, reversal, and management of atherosclerotic vascular disease - applying evidence-based interventions to halt or regress plaque burden rather than simply monitor its progression. Cardiovascular risk assessment with structured follow-up is appropriate for any patient with one or more modifiable risk factors, particularly where a family history of premature cardiac events is present.

Advanced Non-invasive Cardiac Imaging

The department's non-invasive imaging capability extends well beyond standard transthoracic echocardiography. Multiplane transoesophageal echocardiography - used when transthoracic windows are inadequate and for intraoperative guidance in port access cardiac surgery - is a specific area of expertise of Dr. Sanjay Mittal. Three-dimensional echocardiography, TEE and strain rate imaging are performed by Dr. Sharad Tandon and Dr. Manish Bansal, both of whom list advanced echocardiographic techniques as a primary clinical focus. Dr. Bansal holds an additional Fellowship in Cardiac Imaging - a qualification distinct from standard cardiology training that reflects structured subspecialty preparation in cardiac imaging methodology. Stress echocardiography, both exercise-based and dobutamine-induced, is performed across the team, as is carotid Doppler, peripheral vascular Doppler, internal mammary artery duplex scanning, and intima-media thickness measurement - the latter a direct marker of subclinical atherosclerosis.

Heart Failure and Critical Cardiac Care

Heart failure management - encompassing both reduced and preserved ejection fraction, acute decompensation, and the optimisation of chronic medical therapy - is within the clinical scope of Dr. Kasliwal, Dr. Mittal, Dr. Tandon, and Dr. Tarique. Critical cardiac care, including the management of acute coronary syndromes, haemodynamic instability, and high-dependency cardiac presentations, is managed by Dr Kasliwal, Dr Tandon, and Dr Tarique. Enhanced External Counterpulsation - EECP, a non-invasive therapy for refractory angina that augments diastolic perfusion through sequential compression of the lower extremities - is offered by Dr. Mittal, a modality available at relatively few centres in the NCR.

Paediatric Cardiology and Congenital Heart Disease

Dr. Amit Misri and Dr. Pankaj Bajpai are the department's paediatric cardiologists, both holding postgraduate qualifications in Paediatrics and fellowship training in paediatric cardiology. Their practice covers the full spectrum of congenital heart disease evaluation and intervention - including catheter-based interventional procedures and foetal echocardiography, which allows structural cardiac assessment of the unborn child from the second trimester onward. Foetal echocardiography is performed when a foetal anomaly scan has identified a cardiac concern, when there is a family history of congenital heart disease, or in pregnancies complicated by maternal diabetes or other conditions associated with increased cardiac risk to the foetus.

The Clinical Cardiology Team

Dr. R.R. Kasliwal, Chairman of Cardiac Care, holds a DM in Cardiology and an MD in General Medicine. His clinical practice spans critical cardiac care, preventive cardiology, early detection of arteriosclerosis and acute coronary syndrome management. As Chairman of the department he brings seniority of practice and institutional leadership to the cardiology programme at Medanta Gurugram.

Dr. Sanjay Mittal, Vice Chairman, holds a DM and MD and consults across Gurugram main campus, Golf Course and Defence Colony Mediclinics. His subspecialty focus in multiplane transoesophageal echocardiography and intraoperative TEE guidance in port access cardiac surgery reflects a technical skill set that bridges non-invasive cardiology and surgical support. He also provides Enhanced External Counterpulsation and covers vascular Doppler studies including carotid, peripheral and internal mammary artery duplex scanning.

Dr. Manish Bansal, Senior Director, holds a DNB in Cardiology, an MD in Medicine, and a Fellowship in Cardiac Imaging. His practice centres on evidence-based management of cardiac disorders, cardiovascular risk assessment, advanced echocardiographic imaging, and specifically the detection and management of atherosclerotic vascular disease with a view to reversal. He consults at both the main Gurugram campus and Golf Course Mediclinic.

Dr. Sharad Tandon, Director, holds a DNB in Cardiology and an MD in Medicine. His practice covers clinical and preventive cardiology, advanced echocardiographic techniques including 3D echo, TEE and strain imaging, heart failure management, and critical care cardiology. Dr. Ahmar Nauman Tarique, Associate Director, holds a Fellowship in Non-Invasive Cardiology and an MD in General Medicine with clinical scope across clinical and preventive cardiology, critical and emergency cardiology, and heart failure. Dr. Himanshu Dabral, Associate Director, holds a DM in Cardiology and an MD in General Medicine.

Dr. Amit Misri and Dr. Pankaj Bajpai, both Associate Directors, hold MD in Paediatrics and fellowship qualifications in paediatric cardiology and manage congenital heart disease and foetal echocardiography. Dr. Ashish Srivastava, Senior Consultant, holds an MD, a postgraduate diploma, and a Fellowship in Non-invasive Cardiology. His practice is dedicated to the full non-invasive cardiology investigation suite: two-dimensional and Doppler echocardiography, exercise stress testing, dobutamine stress echocardiography, carotid and peripheral Doppler, intima-media thickness assessment, transoesophageal echocardiography, and contrast echocardiography.

FAQs

1. What is Enhanced External Counterpulsation and for whom is it indicated?

   Enhanced External Counterpulsation is a non-invasive therapy in which sequential pneumatic compression cuffs applied to the calves, thighs, and buttocks inflate during diastole and deflate at the onset of systole, thereby augmenting diastolic coronary perfusion pressure and reducing cardiac afterload. It is principally indicated for patients with refractory angina who are not suitable candidates for further coronary revascularisation by angioplasty or bypass surgery, and for whom ongoing chest pain significantly limits functional capacity. A standard course consists of thirty-five one-hour sessions. Evidence supports its use in improving angina class, exercise tolerance, and myocardial perfusion in appropriately selected patients.

2. When is foetal echocardiography recommended during pregnancy?

   Foetal echocardiography provides detailed sonographic assessment of the foetal heart's structure and function, typically performed between eighteen and twenty-four weeks of gestation. It is indicated when a foetal anomaly scan has raised concern about cardiac morphology, when there is a family history of congenital heart disease in a first-degree relative, in pregnancies complicated by maternal pre-gestational diabetes or phenylketonuria, when the mother has taken medications known to carry cardiac teratogenic risk, when there has been a previous child with congenital heart disease, or in pregnancies with foetal chromosomal abnormalities associated with cardiac defects. Dr. Misri performs foetal echocardiography at Medanta Gurugram.

3. Is a referral required to see a cardiologist at Medanta Gurugram for a preventive assessment?

   No referral is required. Patients may book a consultation with the Clinical and Preventive Cardiology department directly. For a preventive cardiac assessment, it is advisable to bring any recent blood investigations - fasting lipid profile, blood glucose or HbA1c, renal function - along with blood pressure records if available and a summary of any existing medical conditions and current medications. This allows the consulting cardiologist to proceed with a complete risk assessment from the outset rather than duplicating investigations that have recently been performed.