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Dr. VK Mishra: Primary PCI: Time Frames, Drugs And Devices

Primary PCI centres in India cater to less than 1% of the population. Most cases resort to thrombolysis.
Dr. V.K Mishra Leading Cardiologist from Sheikh Khalifa Medical City Abu Dhabi, UAE on TheRightDoctors.com An overview on High Dose Vs Low Dose Statins In Indians
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Dr. VK Mishra

Sr. Cardiologist

Sheikh Khalifa Medical City, Abu Dhabi


“Primary PCI gives best results when delivered in the first three hours but it has better outcomes than any other modality up until 12 hours. So, that would be the window period for a primary PCI in acute MI,” Dr. VK Mishra tells Dr. Rishi Jain in an interview. “But primary PCI centres in Inida cater to less than 1% of the population. So, patients who can’t get a PCI within the prescribed time must be thrombolysed and within 12 to 24 hours after that, they can be shifted to a PCI facility for an angiogram.” “Since there is a higher risk of bleeding in the use of antiplatelets like ticagrelor or prasugrel after thrombolysis, aspirin and clopidogrel are a good choice.”Regarding the new devices, Dr. Mishra says, “They are not needed in patients who present early. Thrombosuction is one device that’s helpful when thrombus burden is high in patients who have presented late.”


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Could handheld echocardiography replace a stethoscope?

Dr. Hardeep Kaur

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Dr. Hardeep Kaur

Consultant clinical and preventive cardiology

Medanta, The Medicity


Handheld echocardiography cannot really replace a stethoscope but it can definitely help in an emergency for ruling in and ruling out cardiac involvement. Therefore, helps in quick clinical decision making and also reduces the chances of doing unnecessary tests.


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Recent Advances in Echocardiography and their impact on clinical practice

Dr. Navin C Nanda

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Dr. Navin C Nanda

Director of Echocardiography

University of Alabama, USA



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Echo with telemedicine creates a multiple effect

CAD affects 10%of our population over 40 years

Dr. Sameer Srivastava

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Dr. Sameer Srivastava

Head of Non-invasive Cardiology

Fortis Escorts Heart Institute, New Delhi



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