Dr. Praveen Chandra Talks About Interventional Cardiology

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Interventional Cardiology is a complicated department of coronary heart care. Sufferers with coronary heart ailments can keep away from surgical procedure and select this technique of remedy. Below this, docs can deal with a coronary heart situation through the use of a catheter (a skinny tube) with out doing surgical procedure. If you’re scared of giant cuts, stitches and a pool of blood, then interventional cardiology is one choice to deal with coronary heart ailments.

We interacted with Dr. Praveen Chandra, Chairman of Interventional Cardiology and Structural Coronary heart Cardiology at Medanta Hospital Gurgaon. Learn on to know extra about this sort of coronary heart care.

Fundamentals of Interventional Cardiology

Ques 1. What are the commonest procedures below this speciality?

Ans. The most common procedures achieved below interventional cardiology are angioplasty, stenting and ballooning of the valves. Moreover, procedures for the substitute of the valves have now come up in a really appreciable method. The substitute of valves by intervention is named the TAVR process.

We additionally do pacemaker implantations and RF ablations. Remedies of the congenital issues of the center are additionally being achieved now. Congenital implies that some sufferers have issues like holes of their hearts, since delivery. All of those can now be handled by interventions.

Ques 2. What dangers are concerned in treating a affected person utilizing a catheter-based technique?

Ans. The catheter-based remedy strategies have grow to be very protected. Earlier, there was an opportunity of emergency operation or a affected person all of a sudden growing some rupture of the arteries. Nonetheless, now these procedures have grow to be very protected and dependable. I’ll say that the security angle is superb. The possibilities of having a complication are lower than 1%.

Ques 3. What’s the way forward for interventional cardiology in India? Will it increase and finally reduce the necessity for cardiac surgical procedures?

Ans. Sure, interventional cardiology has been increasing and rising its remedy choices over the past a number of years. Now many sufferers are being handled by interventions relatively than by surgical procedure. We count on that within the coming years, interventional cardiology goes to additional increase. And 90% of the center sufferers will probably be handled by interventions, which imply no surgical procedure, no lower, and no sew.

Ques 4. What challenges do you face by way of remedy and affected person schooling?

Ans. Proper now, I’d say that the challenges are few, not many. The principle challenges posed are relating to the price of the remedy. The interventions that we do value roughly a lakh or two lakhs. This quantity is kind of vital for many individuals in India. So the associated fee is likely one of the issues. However this facet is being addressed more and more in the previous few years.

The prices are being lower down in order that extra sufferers might be handled. As time progresses, many sufferers who had been left untreated will now be handled by the interventions.

Ques 5. You’ve gotten the credit score of performing the primary percutaneous aortic valve implantation with out surgical procedure in India. Are you able to share your expertise of the identical?

Ans. So we began this program of aortic valve implantation or aortic valve substitute with out surgical procedure in India a couple of years again. I need to inform you that I’m so grateful and gratified that this program has taken off in all places. Now many sufferers are being handled for aortic valve stenosis by this method. It has now grow to be very nicely established world wide that these sufferers might be handled by percutaneous valve implantation, often known as TAVI procedure.

Additionally, examine: TAVI – Non Surgical Alternative to Aortic Valve Replacement

Ques 6. The younger adults of India lead a sedentary life-style that is likely one of the prime causes of coronary heart ailments. What recommendation would you give to this inhabitants?

Ans. As we already know that coronary heart illness is a way of life illness. So if you happen to change your unhealthy life-style, the possibility of getting a coronary heart downside or a heart attack decreases majorly. Very alarmingly in India and even elsewhere on the planet, we’re seeing youthful sufferers coming with coronary heart ailments.

That is all being attributed to the management of life-style components like train, consuming habits, smoking and stress. These are the few components that need to be saved below management and moderation for good coronary heart well being. And if individuals finally take pleasure in a match way of life, that’s they maintain exercising usually and eat nicely, then they calm down and grow to be much less traumatic too. Steadily they are going to be higher off and so fewer coronary heart ailments will occur.

Ques 7. Does the sub-speciality, interventional cardiology, work in an interdisciplinary method? For example, are there circumstances that require using catheter-based remedy mixed with surgical procedures?

Ans. As issues progress, we get sufferers in whom one factor is healthier than the opposite and vice-versa. So we’ve developed a brand new strategy which is named the center crew strategy. The center crew strategy or the multi-disciplinary crew strategy is taken in these sufferers the place determination making is tough.

We don’t know a number of occasions whether or not a By-pass surgery could be higher or angioplasty could be higher. So the center crew, which contains a cardiac surgeon and a heart specialist, sits collectively and decides that’s finest for the affected person.

Equally, many occasions sufferers come to us with kidney issues, coronary heart issues, and mind issues. So all three specialists from respective disciplines come collectively to decide as to what must be achieved, which process must be achieved first, and what the affected person can tolerate.

So this brings the most effective look after the affected person. And that’s what we do right here in Medanta Hospital Gurgaon. We’ve a multidisciplinary crew that’s used within the circumstances of such tough sufferers.

Check out all the article in #CrediTalk series here.

About The Physician

Dr Praveen ChandraDr Praveen Chandra is a well-known Heart specialist and Chairperson of Interventional Cardiology and Structural Coronary heart Cardiology at  Medanta -The Medicity, Gurgaon. He has a wealthy expertise of 31 years in his area.

Dr. Praveen Chandra Carried out first Percutaneous Aortic valve implantation with out surgical procedure in India. He wrote over 100 articles on cardiology and reviewed quite a few medical journals. In 2016, Dr. Chandra has been awarded Padam Shri for his work in Cardiology.

For a precedence appointment or extra data, contact us at +91 8010994994 or guide an appointment with Dr. Praveen Chandra right here –

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