Trans-Luminal Coronary Angioplasty (PTCA)
Dr Sumanta Chatterjee Blog
by drsumanta
9M ago
Instructions : Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. These blood vessels are called the coronary arteries. A coronary artery stent is a small, metal mesh tube that expands inside a coronary artery. What to Expect at Home You may have pain in your groin area, arm, or wrist. This is from the catheter (flexible tube) that was inserted to do the procedure. You may also have some bruising around and below the incision. The chest pain and shortness of breath you likely had before the procedure should be much better now. Self-care In gene ..read more
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Sudden Cardiac Arrest: Understanding the Silent Threat
Dr Sumanta Chatterjee Blog
by drsumanta
9M ago
Sudden Cardiac Arrest: Understanding the Silent Threat Sudden cardiac arrest (SCA) is a life-threatening condition in which the heart suddenly stops beating, leading to an abrupt loss of blood flow to the brain and other vital organs. Unlike a heart attack, which occurs when blood flow to the heart muscle is blocked, SCA is characterized by an electrical malfunction that disrupts the heart’s rhythm. This interruption can result in a loss of consciousness within seconds and, if not promptly treated, can lead to irreversible brain damage or death. Risk Factors and Vulnerable Groups: Sudden cardi ..read more
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CARDIOVASCULAR COMPLICATIONS IN COVID-19
Dr Sumanta Chatterjee Blog
by drsumanta
9M ago
Patients with COVID 19 typically present with symptoms and signs of lung infection but the cardiovascular manifestations are common too. While some patients show no symptoms of heart disease but have cardiac test abnormalities, others may come with chest pain, palpitations, blackouts or even sudden cardiac arrest. SPECTRUM OF CLINICAL PRESENTATIONS: Asymptomatic heart disease: only abnormal cardiac tests. No symptoms Myocardial Injury: a) Myocarditis b) Stress Cardiomyopathy c) Myocardial Infarction Patients would usually present with central chest pain or breathlessness. The management guide ..read more
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Post Permanent – Pacemaker
Dr Sumanta Chatterjee Blog
by drsumanta
9M ago
INSTRUCTIONS : After permanent pacemaker, usually patient gets discharged within few days, with review follow up after one to two weeks. Self Care : Continue antibiotics as per prescription. Stitch removal after 7 / 10 days. Do not pout water in your pacemaker dressing for at least two weeks. There is as such no restriction of movement or activity. Try to avoid flinging rapid arm movement for one week. Try to avoid pulling weight more than 5 kgs in pacemaker arm. When to call doctor: Bleeding, swelling, pus discharge or gross discolouration in pacemaker wound site. Syncope or fall. Low pul ..read more
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Ifr/oct/ivus Guided angioplasty
Dr Sumanta Chatterjee Blog
by drsumanta
9M ago
In modern days, we are enjoying much improvement in procedural gadgets making intervention more scientific rational and complication free. with the help of iFR, we can avoid putting an unnecessary stent; In case of a more than 80% disease, we can go for a stent placement, in less than 50 % disease, we put the patient on medical therapy, but in 50 to 80% blockage disease, which is called a borderline disease, treatment is somewhere in gray zone.Now here in this situation we can use iFR to evaluate further, if iFR comes positive, we put a stent, otherwise not, thus making treatment more compreh ..read more
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