Roemheld Syndrome & MitraClip Treatment: Expert Cardiac Insights from Dr. Mahadev Swamy at Mahadev Heart Care, Bangalore

What is Roemheld Syndrome?

Roemheld Syndrome, also known as Gastrocardiac Syndrome, is a condition in which digestive system issues like gas, bloating, or acid reflux stimulate the vagus nerve, leading to cardiac-like symptoms. These may include:

• Chest discomfort

• Palpitations

• Shortness of breath

• Irregular heartbeat

• Anxiety and panic attacks

While the heart is not structurally damaged, the symptoms can be frightening and often mistaken for serious heart problems.

 

Causes of Roemheld Syndrome

This condition is frequently linked to gastric conditions such as:

• Gastritis

• GERD (Gastroesophageal Reflux Disease)

• IBS (Irritable Bowel Syndrome)

Triggers may include:

• Overeating

• Gas-producing foods (beans, cabbage, carbonated drinks)

• Swallowing air while eating or drinking

• Stress and poor digestion

Due to its overlap with actual cardiac symptoms, it often goes undiagnosed or misdiagnosed. That’s why it's essential to consult a cardiologist who takes a comprehensive approach, like Dr. Mahadev Swamy.

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Diagnosis and Treatment at Mahadev Heart Care

At Mahadev Heart Care, we begin with a thorough diagnostic process to distinguish Roemheld Syndrome from true cardiac issues. This includes:

• ECG and cardiac assessments

• Gastrointestinal evaluation (endoscopy, imaging)

• Detailed symptom history and dietary analysis

 

Treatment Plan Includes:

• Dietary Adjustments: Smaller meals, reduced intake of gas-producing foods.

• Medications: Antacids, prokinetics, and acid-suppressing drugs.

• Lifestyle Changes: Slow eating, regular physical activity, and stress management.

• Management of Underlying GI Disorders: Addressing GERD, IBS, or food intolerances.

• Follow-Up & Monitoring: Ensuring long-term relief and prevention of recurrence.

 

When Structural Heart Treatment is Needed: TMCR (Transcatheter MitraClip Replacement)

While Roemheld Syndrome mimics heart disease, some patients do suffer from actual mitral valve problems, especially mitral valve regurgitation—where the valve doesn’t close properly and blood flows backward.

For these patients, Transcatheter MitraClip Replacement (TMCR) is a safe, minimally invasive alternative to open-heart surgery.

 

What is TMCR?

TMCR is a modern procedure where a small clip is delivered to the heart via a catheter inserted through the groin artery. The clip secures the mitral valve leaflets, significantly reducing leakage.

 

Benefits of TMCR

✅ Minimally invasive – No chest opening or heart-lung machine
✅ Quick recovery – Most patients return to normal activities within weeks
✅ Lower risk – Especially suited for elderly or high-risk patients
✅ Personalized care – Tailored approach based on individual anatomy and condition
✅ Improved quality of life – Better heart function and reduced symptoms

 

Who is Eligible?

TMCR is ideal for patients with:

• Moderate to severe mitral regurgitation

• High surgical risk due to age or health conditions

• Heart failure symptoms not managed by medication

At Mahadev Heart Care, Dr. Mahadev Swamy leads a team of skilled cardiologists and interventional experts who evaluate each case individually to ensure the best outcomes.

 

Post-TMCR Care

After TMCR, patients undergo:

• Short recovery observation

• Tailored medications for symptom control

• Regular follow-ups to monitor valve function and heart health

With proper care, patients can enjoy a significantly improved quality of life and long-term cardiac stability.

 

Trust Mahadev Heart Care for Comprehensive Cardiac Solutions

Whether you're experiencing unexplained chest pain from digestive issues or dealing with diagnosed heart valve disease, Dr. Mahadev Swamy and the team at Mahadev Heart Care, Bangalore, offer expert guidance, state-of-the-art diagnostics, and compassionate treatment.

 

“Our focus is not just on the heart, but on the whole person. We listen, we investigate thoroughly, and we treat with precision and care.” — Dr. Mahadev Swamy