Terms of Clinical Consultation & Legal NoticeNational Medical Commission Regulations & Delhi Medical Council Standards
Clinical terms, telemedicine scope, diagnostic second opinion protocols, and statutory patient notices under National Medical Commission (NMC) regulations and Delhi Medical Council standards.
This website, its online appointment booking forms, and its WhatsApp consultation desk are strictly intended for elective outpatient scheduling, second opinions, and medical information. They are NOT equipped for real-time emergency triage.
If you or a loved one is experiencing acute crushing chest pain, cold sweating, shortness of breath, unexplained dizziness, or symptoms of an active heart attack, do not wait for an online reply. Call our 24/7 Acute Cardiac Emergency Hotline immediately at +91 98711 83181 or proceed without delay to the nearest 24-hour emergency room or catheterization laboratory.
1. Professional Identity & Statutory Medical Registration
This clinical portal is maintained for Dr. Manish Aggarwal, Director & Department Head of Interventional Cardiology & Structural Heart Specialist at Yashoda Medicity, Indirapuram, Ghaziabad, Uttar Pradesh (Delhi NCR).
2. Educational Nature of Medical Content (No Self-Diagnosis)
All clinical overviews, condition explanations (such as Aortic Stenosis, Left Main CAD, Heart Failure with low ejection fraction), procedure descriptions (TAVI, Rotablation, Bifurcation Stenting, Pacemakers), and transparent pricing breakdowns published on this website are authored for patient educational and informational purposes only under National Medical Commission guidelines.
Nothing on this website constitutes a definitive medical diagnosis, clinical treatment prescription, or surgical guarantee. Every patient's coronary anatomy, calcification burden, and comorbidities are unique; therapeutic decisions require formal clinical evaluation, physical auscultation, 12-lead ECG, Echocardiography, and invasive coronary angiography.
3. Establishment of the Physician-Patient Relationship
Visiting this website, submitting an appointment inquiry, or corresponding through digital messaging does not automatically establish a formal legal or fiduciary physician-patient relationship.
A formal physician-patient relationship is established strictly upon:
- In-person clinical registration, history taking, and examination at Yashoda Medicity, Indirapuram, or
- A verified, authenticated Telemedicine consultation conducted in strict compliance with the Telemedicine Practice Guidelines of India.
4. Scope of Independent Second Opinions on Angiogram CDs
Dr. Manish Aggarwal offers independent diagnostic reviews of coronary angiogram CDs and echocardiography summaries for patients previously advised open-heart bypass surgery (CABG) or complex multi-vessel interventions:
• Advisory Nature: An online or remote second opinion based solely on DICOM files, video clips, or written reports represents an advisory clinical assessment of anatomical feasibility (e.g., assessing whether transradial angioplasty, rotablation, or intravascular lithotripsy is viable versus surgical bypass).
• Diagnostic Limits: A remote review does not replace direct clinical examination, bedside hemodynamic evaluation, or fractional flow reserve (FFR) physiological pressure testing performed inside the catheterization laboratory.
• Integrity of Imaging: The accuracy of a second opinion depends entirely on the clarity, completeness, and clinical accuracy of the DICOM records, frame rates, and clinical summaries provided by the patient.
5. Telemedicine & Remote Consultation Guidelines (MoHFW)
All virtual and remote consultations coordinated through this portal strictly comply with the Telemedicine Practice Guidelines (2020) published by the Board of Governors in supersession of the Medical Council of India:
- Patient Identification: Patients must verify their legal identity and age prior to virtual clinical consultations.
- Explicit Consent: Initiating an appointment request constitutes voluntary consent to communicate with our clinical coordinators.
- Clinical Discretion: The consulting specialist reserves full clinical discretion to advise an immediate in-person physical consultation or emergency hospital transfer whenever remote assessment is clinically insufficient.
6. Statutory Pricing Transparency & NPPA Compliance
All coronary angioplasty and cardiac catheterization procedures conducted under Dr. Manish Aggarwal's care strictly comply with the ceiling price regulations mandated by the National Pharmaceutical Pricing Authority (NPPA), Government of India:
- • All Drug-Eluting Stents (DES) and bioresorbable scaffolds are billed strictly within statutory NPPA price caps.
- • Cost guides provided on this website are transparent clinical estimates based on standard room categories and do not constitute binding commercial quotations.
- • Actual hospitalization expenses depend on underlying comorbidities, ICU duration, specialized hardware (IVUS, OCT, Shockwave IVL balloons, Rotablation burrs), and cashless insurance scheme terms (CGHS, ECHS, or private TPAs).
7. Governing Law & Jurisdiction
These terms, your use of this website, and any non-contractual obligations arising out of or in connection with it are governed exclusively by the laws of the Republic of India. Any dispute, claim, or controversy arising from website usage or clinical scheduling shall be subject to the exclusive jurisdiction of the competent courts in Ghaziabad / Delhi NCR, India.
Questions Regarding Clinical Terms
If you require clarification on these clinical consultation terms or have specific inquiries about OPD appointments, please contact our clinical coordinator at appointments@drmanishaggarwal.com or call +91 98711 83181.