Case Studies

Acute Heart Attack with plaque rupture Mr. A. nalwala, 58 years old, finance controller of ITC group complained of chest pain in the morning on 3rd july 2014. ECG normal, stress test at 4th stage Bruce protocol was normal. After 12 hours, at 11 P.M, he had a heart attack. how do we explain the validty of the ECG and stress test to detect the heart blockages? Pharmaco-invasive approach was used, 40 mg IV cot buster was given at 2 A.M in the night and within 8 hours the main heart artery blockage and clot was treated with aspiration and deployment of medicated stent. Life saved from massive heart attack at night with a normal ECG and stress test on the same morning.

PTCA in acute heart attack in diabetic patient Mrs. Gada, 62 years old, diabetic had acute chest pain. She reached the hospital in one hour and had cardiac arrest in the casualty. A DC shock was given and she was shifted to cathlab. Angiography showed 100% block of main artery which wa streated with clot aspiration catheter and stented with a mesh covered stent[M-guard]. She is now fit and fine and back to household work. This is a typical case of silent heart atatck in diabetic patients

Angioplasty in shock patient mr. R Sammy, 71 years old, diabetic, had symptoms of acute breathlessness, chest pain, fatigue and feeling of collapsing. He was stabilized n the ICU on life saving machine like ventilator, balloon pump, heart support medicines. 2D Echo and angiography showed low heart pumping and with only one heart artery functional which also had critical blockages.He was successfully treated with 2 overlapping soluble stents. Mr. Sammy now feels quiet good and daily walks for one hour from his home to the church. Timely treatment at the hospital with state of the art life saving machines, devices and skilled team makes a difference. This is achieved through quality control by JCI and NABH accreditation. In the treatment of critically ill patients these factors play a very vital role.

Innovative devices for heart failure Mr. P. D'Souza, 44 years old, diabetic on insulin had symptoms of acute breathlessness, palpitation and feeling of sinking. ECG showed rapid irregular heart beats. 2D echo showed low heart pumping. he underwent a successful device implant which consisted of biventricular therapy with Defibrilator. two months later, Mr. D'Souza now walks for 30 minutes without symptoms. 2D-echo shows better heart pumping. The combo device is a bridge to heart transplant in patients with low heart pumping when availability of heart, the facility of heart transplant and cost matters.

Giddiness, Blackout treated with dual Chamber pace maker Mr. B. Raut, 72 years old presented with sudden blackout and feeling of sinking. ECG showed slow heart rate with complete block of electrical system of the heart. Mr. raut was treated with dual chamber pacemaker. he is full of life now at this retired age. pace maker is life saving for elederly patients with degenerated system of the heart.

Cardiac Defibrillator implant to prevent sudden death S. Patil, 20 year old girl, had symptoms of giddiness and blackout repeatedly. Holter showed irregular heart rhythm at very high rate of 220 beats per minute. Cardiac Defibrillator was implanted. She now feels secure since the ICD device will shock her to normal rhythm incase she has fast irregular beating of the heart and prevent sudden death. great innovation where the patient carries the defibrillator the size of a coin implanted in the left shoulder to prevent sudden death known as arrythmias.

High BP Emergency Mrs. Doris, 62 years old patient with high BP on 5 medicines had symptoms of acute breathlessness, heart falure and partial kidney failure. Angiography showed both the kidney arteries with 95% blockage. She wa streated with stentng of both the arteries. Mrs. Doris was discharged on the 3rd day feeling better with normal BP and kidney function. High BP secondary to other factors can be permanently treated with intervention in cathlab with the novel renal denervation technology.

Lung clot due to Vein Thrombosis Mr. S. khare, 40 year old, sititng on computer for 8 hours, had symptoms of acute breathlessness, chest pain and sweating. in ICU he was diagnosed with multiple blood clots in the lungs which came from clot in the calf muscle. he was treated with clot busters and a filter to prevent further clots to go from calf muscle to the lungs. he is now on blood thinner and advises people to not sit for long hurs at the computer and during air travel. A life saved with timely treatment of clots in the lungs due to prolonged immobilisation.