Wednesday, October 25, 2023

Life-saving PAMI procedure saves 29-year-old heart patient life in Mumbai

Mumbai- Heart attacks were previously believed to affect only older individuals, but now they are affecting every other young person between the ages of 30 and 40. Several factors contribute to this health risk, including inactivity, stress, insomnia, smoking, drinking, diabetes, hypertension, and obesity. Heart disease is a significant cause of death worldwide and its prevalence has risen in India over the last ten years. This rise in cardiac arrest and related issues is attributed to the fast-paced lifestyle and changes in habits. Worldwide Primary Angioplasty in Myocardial Infarction (PAMI) is the gold standard treatment for the patients suffering from heart attack. Acute myocardial infarction or Heart Attack occurs due to sudden total occlusion (blockage) of blood vessels supplying heart due to formation of blood clots causing injury to heart muscle. Primary Angioplasty in Myocardial Infarction (PAMI) procedure performed by Dr Vivek Agarwal, DM, cardiology and DNB cardiology at Apex Hospital, Kandivali has given a new lease of life to a 29-year-old Mumbai based heart patient. PAMI is the angioplasty done as a life-saving emergency procedure in a patient with an on-going Myocardial Infarction or Heart Attack.

Giving more information Dr. Vivek AgarwalConsultant Interventional cardiologist from Apex Hospital, Kandivali said,” A 29-year-old male resident of Malad presented to Apex Hospital, Kandivali recently with acute chest pain associated with sweating. Immediately the patient's ECG was done and was diagnosed as Acute AWMI and blood pressure on the lower side. Loading dose of antiplatelet and statin was given with anticoagulant and within 30mins patient was shifted to Cath lab for Coronary angiography and PAMI procedure. Coronary angiography showed 99% lesion with large thrombus in proximal LAD. Angioplasty was done with 1 Drug eluting stent with TIMI III flow and no dissection. After 2 days of Hospital stay, the patient was discharged in a hemodynamically stable condition.”

Several procedures are not easy during primary angioplasty. Identification of culprit lesion may require a thorough evaluation; vessel access can be challenging; lesion morphology can be tricky; thrombus burden can be truly “burdensome”; hemodynamics critical and worsening by the minute; or no re-flow may be stubborn to usual treatment. Or, simply, a combination of these variables and darned. This requires not only specialised training in interventional cardiology, more importantly a dedicated team of nurses, and Cath lab technician which is available in Apex Hospital, Kandivali which is part of Apex Group of Hospitals, Mumbai, added by Consultant Interventional Cardiologist Dr. Vivek Agarwal. 

Apex Group of Hospitals is a chain of Hospitals managed and run by expert Medical Professionals with experience of 25 years. Currently Apex group of Hospitals manages more than 350+ beds and provides qualitative healthcare services to the people of Mumbai and surrounding areas. Apex Hospitals is located in Borivali, Kandivali & Mulund.

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