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Dr. Praveen Chandra Talks About Interventional Cardiology


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 therapy. 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 big 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 one of these coronary heart care.

Fundamentals of Interventional Cardiology

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

Ans. The most typical procedures achieved beneath interventional cardiology are angioplasty, stenting and ballooning of the valves. Moreover, procedures for the alternative of the valves have now come up in a really appreciable method. The alternative of valves by means of intervention is called the TAVR process.

We additionally do pacemaker implantations and RF ablations. Therapies of the congenital issues of the center are additionally being achieved now. Congenital signifies 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 therapy strategies have grow to be very secure. Earlier, there was once an opportunity of emergency operation or a affected person instantly growing some rupture of the arteries. Nevertheless, now these procedures have grow to be very secure and dependable. I’ll say that the protection angle is excellent. The probabilities 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 decrease the necessity for cardiac surgical procedures?

Ans. Sure, interventional cardiology has been increasing and rising its therapy choices during the last a number of years. Now many sufferers are being handled by interventions reasonably than by surgical procedure. We anticipate that within the coming years, interventional cardiology goes to additional increase. And 90% of the center sufferers shall be handled by interventions, which imply no surgical procedure, no lower, and no sew.

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

Ans. Proper now, I might say that the challenges are few, not many. The primary challenges posed are concerning the price of the therapy. The interventions that we do price roughly a lakh or two lakhs. This quantity is sort of vital for many individuals in India. So the associated fee is among the issues. However this facet is being addressed more and more in the previous couple of years.

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

Ques 5. You may have 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 alternative with out surgical procedure in India a couple of years again. I need to let you know 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 system. It has now grow to be very nicely established around the globe that these sufferers could be handled by percutaneous valve implantation, also referred to as TAVI process.

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

Ques 6. The younger adults of India lead a sedentary life-style that is among 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 life-style illness. So in the event you change your unhealthy life-style, the possibility of getting a coronary heart downside or a coronary heart assault decreases majorly. Very alarmingly in India and even somewhere else on this planet, we’re seeing youthful sufferers coming with coronary heart ailments.

That is all being attributed to the management of life-style elements like train, consuming habits, smoking and stress. These are the few elements that need to be saved beneath 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 commonly and eat nicely, then they calm down and grow to be much less nerve-racking too. Step by step 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? As an illustration, are there circumstances that require the usage of catheter-based therapy mixed with surgical procedures?

Ans. As issues progress, we get sufferers in whom one factor is best than the opposite and vice-versa. So now we have developed a brand new method which is called the center crew method. The guts crew method or the multi-disciplinary crew method is taken in these sufferers the place determination making is troublesome.

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

Equally, many instances 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 ought to be achieved, which process ought to 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 have now a multidisciplinary crew that’s used within the instances of such troublesome sufferers.

Take a look at all of the article in #CrediTalk sequence right 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 discipline.

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 e book an appointment with Dr. Praveen Chandra right here –

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