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CARDIOMYOPATHY

Ditulis Oleh Dr. Gopal Mavani, Konsultan EECP - Pusat Jantung Saaol Surat.


 

Apa itu KARDIOMIOPATI?


Kardiomiopati adalah penyakit otot jantung yang mencegah detak jantung yang dibutuhkan ke seluruh tubuh. 

Jenis Kardiomiopati.


Kardiomi dilatasi:  Pada jenis kardiomiopati ini, kemampuan kerja ruang pemompaan utama jantung – ventrikel kiri – menjadi membesar (melebar) dan tidak dapat membuat darah keluar dari jantung secara efektif.

Hypertrophic cardiomyopathy: This type involves abnormal thickening of the heart muscle, particularly affecting the muscle of your heart's main pumping chamber (left ventricle). The thickened heart muscle can make it harder for the heart to work properly.

Restrictive cardiomyopathy: In this type, the heart muscle becomes rigid and less elastic, so it can't expand and fill with blood between heartbeats.

Arrhythmogenic right ventricular dysplasia: In this rare type of cardiomyopathy, the muscle in the lower right heart chamber (right ventricle) is replaced by scar tissue, which can lead to heart rhythm problems. It's often caused by genetic mutations.

Diagnosis.


  • Chest X-ray. An image of your heart will show whether it's enlarged.
  • Echocardiogram. 
  • Electrocardiogram (ECG).
  • Treadmill stress test.
  • Cardiac catheterization.
  • Cardiac MRI.
  • Cardiac CT scan.
  • Blood tests.
  • Genetic testing or screening

Causes.


Often the cause of the cardiomyopathy is unknown. In some people, however, it's the result of another condition (acquired) or passed on from a parent (inherited). Contributing factors for acquired cardiomyopathy include:

  • Long-term high blood pressure.
  • Heart tissue damage from a heart attack.
  • Heart valve problems.
  • Obesity, thyroid disease or diabetes.
  • Nutritional deficiencies of essential vitamins or minerals, such as thiamin (vitamin B-1).
  • Drinking too much alcohol over many years.
  • Use of cocaine, amphetamines or anabolic steroids.
  • Use of some chemotherapy drugs and radiation to treat cancer.
  • Certain infections, especially those that inflame the heart.
  • A condition that causes inflammation and can cause lumps of cells to grow in the heart and other organs.
  • A disorder that causes the buildup of abnormal proteins (amyloidosis).

Complications.


  • Enlarged heart, in heart failure.
  • Blood clots.
  • Valve problems.
  • Cardiac arrest and sudden death.

Prevention.


You reduce your chances of cardiomyopathy and other types of heart disease by living a heart-healthy lifestyle and making lifestyle choices such as: 

  • Avoiding the use of alcohol or cocaine.
  • Controlling high blood pressure, high cholesterol and diabetes.
  • Eating a healthy diet.Getting regular exercise.
  • Getting enough sleep.Reducing your stress.

Tujuan pengobatan kardiomiopati adalah untuk mengelola tanda dan gejala Anda, mencegah kondisi Anda memburuk, dan mengurangi risiko komplikasi. Perawatan bervariasi berdasarkan jenis kardiomiopati yang Anda miliki. Prosedur lain yang digunakan untuk mengobati kardiomiopati atau aritmia meliputi:

  • Ablasi septum. 
  • Ablasi frekuensi radio. 
  • PENGOBATAN EECP.

 

Perawatan EECP.


Enhanced External Counter Pulsation adalah Perawatan non-bedah untuk merawat pasien yang menderita Kardiomiopati. Ini adalah pengobatan bebas efek samping yang disetujui FDA. Dibutuhkan 25-35 sesi, 1 jam sehari. Dan hasilnya dapat dilihat langsung dalam laporan gema 2D. Klik DI SINI untuk mengetahui lebih lanjut tentang Perawatan EECP. atau Hubungi kami di 02612242256 / +919714210111

 


HYPERTENSION

Written By Dr. Mitesh Mehta, EECP Consultant - Saaol Heart Center Surat.


 

What is Hypertension (High Blood Pressure)?


  Systolic Blood Pressure in mm of Hg Diastolic Blood Pressure in mm of Hg
Normal 120 80
Pre-Hypertensive 120-140 80-90
Hypertension Above 140 Above 90

Exact definition of high blood pressure is difficult. But in simple way, Systolic Blood pressure more than 140mm of Hg and/or diastolic blood pressure more than 90mm of Hg or if person is taking antihypertensive drugs is known as high blood pressure (hypertension).

High blood pressure is a common condition in which long continued elevated pressure or force of blood against blood vessel (i.e. in artery) wall may eventually cause health problem, such as heart disease. Blood pressure is determined by the amount of blood heart pumps out and the amount of resistance to blood flow in blood vessels. The more blood heart pumps out and the narrower arteries, the higher will be blood pressure.

Risk factors causing high blood pressure:


Age: The risk of high blood pressure increase with age.

  • Obesity or Overweight: As weight increases body demands for more oxygen and nutrients, so supply of blood to tissues increases. As the volume of blood circulated through your blood vessels increases, so does the pressure on blood vessel increases.
  • Metabolic syndrome causes: elevated LDL Cholesterol (Morethan 100mg/dl), or low HDL Cholesterol (lessthan 40mg/dl), increased triglyceride (morethan150mg/dl), and Diabetes Mellitus.
  • Tobacco: Use of tobacco either in form of smoking or chewing will cause blood pressure. The chemical substance in tobacco can damage the lining of blood vessels (particularly arteries) walls. This can cause narrowing of blood vessels and increases the risk of developing heart disease.
  • Too much salt (sodium) in diet will cause retention of fluid in body (therefore blood volume increases), which increases blood pressure.
  • Too little potassium in diet.
  • Stress: High level of stress can lead to temporary high blood pressure.
  • Lack of physical activity (i.e. sedentary lifestyle).

Signs & Symptoms:


One of the most dangerous aspects of hypertension is that you may not know that you have it (until some complication arises). In fact, nearly one-third of people who have high blood pressure don’t know it, as they remain asymptomatic, even if the blood pressure reaches dangerously high levels. If your blood pressure is extremely high, there may be certain symptoms to look out for, including:

  • Severe headache,
  • Fatigue,
  • Confusion,
  • Problem in vision,
  • Chest pain or discomfort,
  • Difficulty in breathing,
  • Irregular heartbeat,
  • Haematuria,
  • Epistaxis, etc…

These signs and symptoms are not specific and usually don’t occur until high blood pressure has reached a severe or life threatening stage. If you have any of these symptoms, see a doctor immediately. You could be having hypertensive crisis that could lead to a life threatening condition. Untreated or uncontrolled hypertension can lead to serious diseases such as stroke, heart disease, kidney failure and eye problems.

Treatments:


  • The goal of antihypertensive therapy is the reduction of cardiovascular and renal morbidity and mortality, with focus on controlling the blood pressure. 
  • Pre-hypertensive patient requires health promoting lifestyle modifications to prevent the progressive rise in blood pressure and cardiovascular disease. 
  • Regardless of therapy or care, hypertension will be controlled only if patients are motivated to stay on their treatment plan along with lifestyle modification measures. 
  • Patient whose blood pressure suddenly increases whenever they pays visit to doctor (is known as “white coat hypertension”) should monitor their blood pressure at home. 
  • Many therapeutic agents can be used for the pharmacologic management of hypertension. For treatment of hypertension drugs used are: Diuretics, ACE Inhibitors, ARBs, Beta-blockers, and Calcium channel blockers. 
  • Sometimes multiple drug therapy is generally required to achieve blood pressure targets.

Instructions For Patients (LifeStyle Modificataion):


  • Hypertension is a lifelong disorder. For optimal control, a long term commitment to lifestyle modification along with medicine is required (which will reduce cardiovascular risk factors).  
  • Weight control: an increase in body weight and waist circumference is associated with an increased risk of developing conditions with high cardiovascular risk, such as hypertension, diabetes mellitus, and left ventricular hypertrophy.  
  • Appropriate amount of aerobic physical activity at least 30 minutes daily should be done for weight reduction.  
  • Diet - low in salt or salt restricted diet should be taken and avoid intake of fatty food.  
  • Increase dietary intake of green leafy vegetables and fruits.  
  • Say NO to alcohol consumption, smoking, tobacco chewing, and use narcotic substances such as cocaine.

 

 


Myocardial Infarction (MI)

Written By Dr. Urvi Patel, EECP Consultant - Saaol Heart Center Navsari.


 

What is Myocardial Infarction (MI)?


Myocardial Infarction is commonly known as a heart attack occurs when blood flow decreases or stops, to a part of heart causing damage to the heart muscle.

Symptoms:


Chest pain.

Breathlessness.

Discomfort which may travel into the shoulder, arm, back, Neck or jaw.

Heart Burn.

Women more often present without chest pain.

Women have neck pain or feet tired.

Myocardial Infarction (MI) Can Leads To:


  • Heart Failure.
  • Irregular Heart Beat.
  • Cardiogenic Shock.
  • Cardiac Arrest.

Myocardial Infarction (MI) May Occur Due To:


  • High Blood Pressure.
  • Smoking.
  • High sugar level (Diabetes).
  • Lack of Exercise.
  • Obesity.
  • High Cholesterol.
  • Poor Diet.
  • Excessive Alcohol Intake.
  • Coronary Artery Disease.

 

How To Diagnose:


  • Electrocardiogram (ECG).
  • 2D/3D Echo.
  • Blood Test (Trop-T, CPK, CPK-MB, CBC).
  • CT Coronary Angiography / Catheter Angiography.

Treatments:


There are many options to prevent heart attack Such as life style changes, medications, EECP Treatment & invasive procedures. Life style Modification is one of the treatment that can help patient to get back to normal life from this disease. Eat Healthy Diet (More Raw Vegetables & Fruits). Stop Oil and Ghee. Stop Milk and Milk Products. Stop Smoking and Alcohol. If you are overweight, you must talk to your Doctor about weight loss options. Avoid Stress.

EECP Treatment:


A treatment called EECP (Enhanced External Counter Pulsation) is approved by US-FDA to treat patients suffering from Myocardial Infaction (MI). It is Non-Surgical, Side-Effect free Treatment. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111

 


Coronary Artery Disease

Written By Dr. Mitesh Mehta, EECP Consultant - Saaol Heart Center Surat.


 

What is Coronary Artery Disease?


Coronary artery disease develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Because of presence of some irritative substance in blood, the (endothelium) innermost layer of blood vessels gets damaged and cholesterol (lipid - LDL) and sometimes calcium gets deposited (plaque) in your artery (mainly coronary artery) which causes inflammation in coronary artery.

When plaque builds up, it narrows your coronary arteries, decreasing blood flow to your heart. Eventually, the decreased blood flow may cause chest pain (angina), shortness of breath, or other coronary artery disease signs and symptoms. A complete blockage can cause a heart attack.

Coronary artery disease often develops over decades; you might not notice a problem until you have a significant blockage or a heart attack. But there's plenty you can do to prevent and treat coronary artery disease. A healthy lifestyle can make a big impact.

Symptoms


If your coronary arteries gets narrow, they can't supply enough oxygen-rich blood to your heart — especially when it's beating hard, such as during exercise. At first, the decreased blood flow may not cause any symptoms. However, as plaque continues to build up in your coronary arteries, you may develop signs and symptoms, including:

Chest pain (angina): You may feel pressure or tightness in your chest, as if someone is crushing or as if someone has put some heavy weight on your chest. This pain, referred to as angina, usually occurs on the middle or left side of the chest. Angina is generally triggered by physical or emotional stress. The pain usually goes away within minutes after stopping the stressful activity. In some people, especially women, this pain may be felt in the neck, (left) arm or back.

Shortness of breath: If your heart can't receive enough blood, it can’t pump out enough blood to meet your body's needs. In such condition, you may develop shortness of breath or difficulty in breathing on exertion or extreme fatigue with exertion.

Heart attack: A completely blocked coronary artery will cause a heart attack. The classic signs and symptoms of a heart attack include crushing pressure in your chest and pain in your shoulder or arm, sometimes with shortness of breath and sweating. Sometimes a heart attack occurs without any apparent signs or symptoms.

Risk Factors


Age: Simply getting older increases your risk of damaged and narrowed arteries.

Sex: Men are generally at greater risk of coronary artery disease. However, the risk for women increases after menopause.

Family history: A family history of heart disease is associated with a higher risk of coronary artery disease, especially if a close relative developed heart disease at an early age. (Your risk is highest if your father or a brother was diagnosed with heart disease before age 55 or if your mother or a sister developed it before age 65)

Smoking: People who smoke have a significantly increased risk of heart disease. Exposing others to your secondhand smoke also increases their risk of coronary artery disease.

Alcohol use: Heavy alcohol use can lead to heart muscle damage. It can also worsen other risk factors of coronary artery disease.

High blood pressure: Uncontrolled high blood pressure can result in hardening and thickening of your arteries, narrowing the channel through which blood can flow. High blood cholesterol levels. High levels of cholesterol in your blood can increase the risk of formation of plaque (atherosclerosis). High cholesterol can be caused by a high level of low-density lipoprotein (LDL) cholesterol, known as the bad cholesterol. A low level of high-density lipoprotein (HDL) cholesterol, known as the good cholesterol, can also contribute to the development of atherosclerosis.

Diabetes: Diabetes is associated with an increased risk of coronary artery disease. Type 2 diabetes and coronary artery disease share similar risk factors, such as obesity and high blood pressure. Overweight or obesity. Excess weight (especially around waist) typically worsens other risk factors.

Physical inactivity: Lack of exercise also is associated with coronary artery disease and some of its risk factors, as well. High stress. Unrelieved stress in your life may damage your arteries as well as worsen other risk factors for coronary artery disease.

Unhealthy diet: Eating too much fatty food, salt and sugar can increase your risk of coronary artery disease.

Prevention


The same lifestyle habits that can help treat coronary artery disease and can also help prevent it from developing in the first place. Leading a healthy lifestyle can help keep your arteries strong and clear of plaque. To improve your heart health, you can:

  • Quit smoking
  • Control conditions such as high blood pressure, high cholesterol and diabetes
  • Stay physically active
  • Eat a low-fat, low-salt diet that's rich in fruits, vegetables and whole grains
  • Maintain a healthy weight
  • Reduce and manage stress

However, pharmacological treatment is required along with lifestyle modification in coronary artery disease. But this pharmacological treatment will provide only temporary relief. For long term relief along with lifestyle medication & EECP therapy is effective.

EECP Treatment for Coronary Artery Disease.


Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. While several clinical studies appear to show that this treatment can be helpful in reducing symptoms of angina in patients withcoronary artery disease (CAD). EECP was approved by the US Food and Drug Administration in 1995 for the treatment of coronary artery disease (CAD).

Several studies suggest that EECP can be quite effective in treating ischemic heart disease. EECP significantly improved both the symptoms of angina (a subjective measurement) and exercise tolerance (a more objective measurement) in patients with CAD. EECP also significantly improved “quality of life” measures, as compared to placebo therapy.

 EECP (Enhanced External Counter Pulsation) treatment improves anginal symptoms and exercise tolerance, and reduces use of medication in patients with CAD. It take 35-38 sessions, 1 hour a day. And result can be seen immidiatly in 2D echo report. The goals of treatments are to reduce the frequency and severity of your symptoms and to lower your risk of death. Click HERE to find our more about EECP Treatment. or Contact us on 02612242256/ +919714210111

 


Chest Pain Natural Treatment

Ditulis Oleh Dr. Gopal Mavani, Konsultan EECP - Pusat Jantung Saaol Surat.


 

 

Chest Pain Natural Treatment

Chest pain is among the most frequent reasons that people go to an emergency department (ER) which results in more than eight million ER visits per year.1 A lot of people are worried that they're having an attack on their heart whenever they experience chest pain. However, it could be due to many common conditions which aren't life-threatening.

A muscle strain or injury as well as stomach as well as pulmonary (lung) ailments, as well as mental reasons (e.g. anxieties) can all trigger chest pain.

Chest pain can differ in degree in its location, duration, and location. Based on the reason for this chest pain might be mild discomfort or sharp punctuated pain. Find out more about the causes behind chest pain, and the various ways to treat it at home to ease the pain.

What is Angina?

Angina is a term in medicine that refers to symptoms of chest discomfort that occurs when the circulation of blood and oxygen towards the heart gets interrupted. Angina is caused due to arteries that carry oxygen to the heart getting narrowed because of the accumulation of fatty substances.

Angina pain can be caused by physical stress or stress and is usually relieved by relaxation. It can feel like you're pressing, squeezing or pain inside your chest. The pain and discomfort of angina can extend into your jaw, neck or shoulders, arms or even your back. Angina may also be a feeling of stomach pain (heartburn).

There are three kinds of angina:

Stable angina is because the heart works more than normal to maintain blood flow. Rest and medication can ease this common kind of angina.

Unstable angina does not have an established pattern. It can occur regardless of physical activity. It is not able to disappear when you rest. It could indicate that you could be suffering from an attack of the heart soon and requires immediate medical attention.

Variant angina, the least common kind, is a possibility while you're resting. The use of medication can ease the condition.

If you're experiencing mild angina, it's important to consult your physician to discuss your concerns and obtain a diagnosis and treatment.

The Reasons

If you're experiencing chest pain it's an uncomfortable feeling. Your first thought maybe the possibility of an attack on your heart. Although chest pain is an obvious sign of a heart attack many other things can trigger chest pain, some of which aren't necessarily serious.

Heart-related Causes

Heartburn and chest pain are common causes of the heart are:

  • Angina chest pain due to obstructions in blood vessels that lead to the heart
  • Dissection of the aortic artery: tear the Aorta
  • Cardiomyopathy A disease in the muscle of the heart.
  • Heart attack The cause is a blockage of the flow of blood into the heart to the point of creating injury to the heart muscle
  • Myocarditis: Inflammation in the heart muscle
  • Pericarditis: Inflammation in the sac that surrounds the heart

Gastrointestinal-Related Causes

Causes of chest pain that are related to your digestive system. can be caused by:

  • Acid reflux: Heartburn
  • Esophagitis: Inflammation of the oesophagus
  • Gallbladder inflammation, or pancreas
  • Gallstones
  • Gastroesophageal reflux disorder (GERD) causes acid to flow from the stomach upwards to the oesophagus.
  • Gastrointestinal tract problems: Irritable bowel syndrome, ulcers
  • Pancreatitis

Pulmonary-Related Causes

Causes of chest pain in connection with breathing and your respiratory system are:

  • Asthma
  • Bronchitis
  • Bronchospasm
  • Chronic obstructive pulmonary disorder (COPD)
  • Pleurisy: Inflammation of lung tissues
  • Pneumonia
  • Pneumothorax: Collapsed lung
  • Pulmonary embolism: Blood forms a clot inside the lungs.
  • Psychological Reasons
  • The causes of chest pain which are psychological include:
  • Anxiety
  • Depression
  • Panic attack/panic disorder
  • The post-traumatic stress syndrome (PTSD)

The treatment of minor chest pains at Home

There are many ways you can use home remedies at home to relieve small chest discomfort. These remedies should be only used when you're certain that the chest pain isn't caused by something more serious like the condition known as angina (heart discomfort).

Baking Soda to Treat Heartburn

Many people believe that baking soda--sodium bicarbonate--provides relief for heartburn. Mix 1 teaspoon baking soda in 4 ounces hot or cold drinking water, and then drink. Baking soda neutralizes acidity and may prevent the onset of heartburn following a meal.

Research has proven that baking soda can be effective in reducing acid reflux but it could have adverse impacts on your heart, and it's, therefore, important to utilize this treatment moderately.3 Baking soda has sodium, so don't attempt this if you're taking a diet low in sodium.

Talk to your doctor if you are on prescribed medications or have an illness that is chronic before applying baking soda to treat your heartburn. If your symptoms of heartburn last longer than two weeks you should consult your doctor to determine if you have complicated reflux or other causes that may be contributing to the symptoms.

Cold packs for muscles Pain

A strain in the chest is the most common reason for chest discomfort. If you are experiencing chest pain because of injuries or muscle strain Icing the region with a cold wrap every day could help decrease inflammation and pain. Research suggests that cold packs alleviate chest pain, and could reduce the requirement for painkillers like ibuprofen or Acetaminophen.

Ginger for Gastric Pain

If you're suffering from chest pains due to gastrointestinal problems, ginger can aid due to its anti-inflammatory properties. Ginger is often employed as a solution for gastric issues like gas, bloating gastritis ulcers, gastritis and indigestion.

Ginger is a source of substances believed to ease irritations in the gastrointestinal tract as well as help reduce gastric contractions. Studies suggest that the antioxidants of ginger could aid in the gastroprotective benefits of ginger. Ginger is also believed to ease stomach upsets and help prevent vomiting and nausea.

Also, if your signs of stomach pain persist for longer than two weeks you should consult your physician to check for an ulcer or other possible causes of the symptom.

Hot Lemon Water to relieve Gas Pain

While there aren't any research studies to support this, however, many people believe that lemon juice could help promote healthy digestion by helping digest food faster and assisting digestion to take in nutrients more effectively. Some people find that lemons, as well as other citrus fruits, could make acid reflux more severe.

To test this remedy Mix 1 tablespoon of freshly squeezed lemon juice and 8 ounces cold or hot water and drink it for about 20 minutes before eating. This will aid in preventing stomach discomforts, including gas discomfort.

Be sure to speak with your doctor If your symptoms persist for longer than two weeks.

Turmeric to treat inflammation

Inflammation can trigger a variety of health issues and can be a cause of numerous chronic illnesses and diseases such as gastrointestinal issues. Turmeric, a ginger-related plant, is a herb that originates from the roots of the turmeric plant.

Curcumin, which is the primary active ingredient in turmeric is believed to decrease inflammation in the body and researchers consider it a viable alternative to treat and managing digestive issues.M

Research has proven that the components in turmeric can lower cholesterol levels and can help to prevent heart disease. It is possible to take turmeric supplements (available in the form of a prescription) or make use of them as a spice in cooking.


Why Is Bypass Alternative So Famous

Ditulis Oleh Dr. Gopal Mavani, Konsultan EECP - Pusat Jantung Saaol Surat.


 

Why Is Bypass Alternative So Famous

Over the past 10 years the last decade, more alternatives to the procedure of heart bypass have been made available. This includes:

Balloon angioplasty

Balloon angioplasty is the option that's most likely to be suggested by medical professionals. This procedure is a procedure where a tube is inserted through the blocked arterial. Then, a balloon can be filled with air to open the arterial.

The doctor then takes out the balloon and the tube. A small scaffold made of a metal called the stent is kept in the place. A stent stops the artery from expanding and returning to its size.

Balloon angioplasty might not be as efficient as heart bypass surgery however, it's much less risky.

Enhanced external counterpulsation (EECP) - Bypass Alternative

The Enhanced External Counterpulsation (EECP) can be performed as an outpatient. It is a procedure that can be used as an alternative Source to bypass surgery for the heart by numerous studies conducted by Trusted Source. In 2002 It was recognized by the Food and Drug Administration (FDA) to be used in patients who suffer from congestive heart failure (CHF).

EECP is a process of compressing veins in lower limbs. This boosts cardiovascular blood circulation. The additional blood flows to the heart during each heartbeat.

In time, certain blood vessels can develop extra "branches" which will carry oxygen to the heart forming something of a "natural bypass."

EECP is administered each day for between one and two hours in seven weeks.

Medicines

There are several remedies you could consider before using methods like coronary bypass surgeries. Beta-blockers can relieve stable angina. There are cholesterol-lowering medications to prevent plaque buildup within your arterial arteries.

The doctor might also recommend daily dosages of aspirin with a low dose (baby aspirin) to prevent heart attacks. Aspirin therapy is extremely efficient for those with a previous history of cardiovascular disease atherosclerotic (such as heart attacks as well as stroke).

People who do not have a history of asthma are advised to only take aspirin to prevent a condition in the following situations:

are more at risk of suffering from heart attacks and other cardiovascular atherosclerotic diseases

They also have a lower risk for bleeding

Lifestyle and diet changes

The most effective preventive measure is to adopt a "heart-healthy" way of life according to the guidelines of the American Heart Association (AHA). Consuming a diet that is rich in Omega-3 fatty acids, and less saturated and trans fats will help your heart stay healthy.

Alternative methods for redoing off-pump coronary bypass grafting

Abstract

Background:

The latest development in off-pump techniques and minimally invasive procedures in coronary bypass grafting (CABG) has provided surgeons with a range of options for performing redo revascularization surgeries.

Methods:

We retrospectively evaluated our initial results from the off-pump redo CABG procedures. January 1998 between January 1998 and the beginning of January 2000 we carried out an off-pump redo of 55 CABG procedures. These included 25 through a complete sternotomy, 21 via the left posterolateral thoracotomy five using a lower hemisternotomy, and 4 with an anterior thoracotomy mini-sized with the use of thoracoscopic internal mammary artery harvesting. The average age of the segment of patients was 67.7 years (range 37-85). The median number of grafts that were performed in previous operations was 2.7 (range 1 to 6) which included 51% grafts partially or completely open when re-operation was performed. Twenty-six patients (47.3 percent) were able to use a left mammary artery transplant to the left anterior descending. A preoperative score on the severity of clinical manifestations predicted a death rate of 9 percent and morbidity of thirty percent.

Results:

There were no surgical or 30-day infarctions or deaths. There were no deaths or complications with pulmonary disease. (8) and the failure of renal function (1) as well as bleeding (1) with the total complication rate to be 18.9 percent. The median number of grafts used was 2.7 (range 1 - 5) for patients who had sternotomy surgery and 1.4 (range 3 to 4) for patients with thoracotomy.

Conclusions:

When using alternative methods for the procedure of off-pump redo CABG The surgeon will often keep out of harm to existing internal mammary grafts that are patent and the associated morbidity that is associated with cardiopulmonary bypass.


Which hospital is thebest for Angioplasty Gujarat

Ditulis Oleh Dr. Gopal Mavani, Konsultan EECP - Pusat Jantung Saaol Surat.


 

SAAOL HEART CENTER ACQUIRED ARTERY CLEANING (ANGIOPLASTY TREATMENT) FOR HEART DISEASE.

Since the day Saaol was first introduced, Franchise only focused on Lifestyle management until they realized patient needs more time to modify their lifestyle.

To provide this time, Saaol accepted 2 Treatments from Medical science. EECP Treatment and Artery Cleaning (ANGIOPLASTY Treatment)

In 2002, Dr. BimalChhajer visited the USA to find out how effective Chelation is. Results of this Treatment were promising. Dr. chhajer learned Chelation and started this Treatment in all of his branches.

Today there are more than thousands of centers and hospitals practicing chelation Treatment with great results including 75 Branches of saaol.

Angioplasty is a method of opening up blocked vessels

What is an angioplasty?

In the case of coronary artery disease the arteries narrow which stop blood in the heart, which causes the heart to cease circulating blood. Angioplasty can be performed by opening the arteries that are blocked to allow sufficient blood. Angioplasty is a truly miraculous procedure that can rejuvenate a damaged heart.

The procedure takes between 20 and 30 minutes and can eliminate the need for surgery for the 30-5 percent range of people. Before discussing angioplasty, it is essential to be aware of the instruments that are used in stents and catheters. The catheter is folded 6 millimeters. The catheter is a thin plastic tube that has an air balloon that is placed at the top.

A stent is an arch spring-like device made of metal, which is positioned over the balloon. A stent is then inserted inside the artery using an instrument to ensure that the artery is open and prevent obstruction recurrence.

How does angioplasty work?

Angioplasty is a non-operative solution to bypass surgery. It is a procedure in which obstructions are removed by dilation of the arteries in the heart. The procedure involves making an incision inside the wrist and hand (read the article by Dr. Satya Gupta's article on Radial angiography for more details). The patient doesn't have to fall unconscious and is only at the facility for a period of one to two days.

PTC is also that is referred to as Percutaneous Transluminal Coronary Angioplasty, in that the patient will be put under anesthesia by injecting a small amount of blood into the pelvis. Then, two millimeters a straw-like tube that is narrow is inserted into the wrist artery. A particular kind of guiding catheter is installed through this tube, and its tip is then placed through the arterial.

A fine wire is moved through a blockage in the coronary artery. On top of the wire, a thin inflatable balloon is then inflated until it reaches the barrier. The balloon will be inflated as it is at the right spot of obstruction. The balloons can push the fat layer up the artery, thereby opening the obstruction.

Typically, angioplasty using balloons opens the artery from 70-90 percent of the size it was originally. There is a tiny obstruction for which one of the best instruments, the stent is employed. The stent is a spring-shaped metal tool that is the size of a ballpoint pen. If there's no obstruction for six months following the stent's placement the blocked artery stays open forever and the majority of the obstruction is eliminated forever through the stent.

What is a drug-eluting Stent?

There's also a specific kind of drug-coated, stent that for a couple of weeks following the implantation releases medications such as Everolimus, Zotorolimus,Rapamycin, or Paclitaxel. This helps reduce swelling and development of the arterial muscles and decreases the risk of having a re-arterial blockage by 3-4 percent. More than 90 % of these stents are utilized across the United States.

Are there other instruments that are used in the procedure of angioplasty?

This procedure uses the use of a rotating drilling machine (Rota Blatter), which assists in removing the fat layer of the coronary arteries. The directional coronary orchidectomy is an ejector that rotates, releasing an obstruction in the artery. Sometimes, a balloon specially designed for the procedure is used to expand the artery, rather than a special cutting. Laser rays are used to destroy arterial obstructions but without much results.

What is the most advanced technique in the field of angioplasty?

In certain instances, the blood doesn't flow through the coronary arteries when they are open because the microscopic debris of fat blocks the passageway of blood vessels that are tiny. Distal protection devices or filter devices can remove these tiny fat deposits and improves blood flow.


Ghod Dod Road Branch

G-2, Shiv Kutir Appt, Next To Shiv Jyoti Hospital, Ram Chowk, Ghod Dod Road, Surat-1.

Monday – Saturday 09:00 am – 06:00 pm

Lal Darwaja Branch

704, 7th Floor, Praram Doctor House, Nr. Resham Bhavan, Lal Darwaja-Station Rd,Surat-3.

Monday – Saturday 09:00 am – 06:00 pm

Navsari Branch

3rd Floor, Dharm Bhakti Complex, Khushal Vadi, Jamalpur, Gandevi Road, Navsari-396445.

Tuesday – Sunday 09:00 am – 06:00 pm