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Dr. Sandeep Bansal: Management Of STEMI With Renal Failure

Angioplasty not a possibility for a STEMI patient with a renal failure: a myth
Dr.Sandeep Bansal Sr. Cardiologist & Head of Department at Safdarjung Hospital at Delhi on Management of STEMI in difficult Situations
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Dr. Sandeep Bansal

Head of Department-Cardiology

Safdarjung Hospital, Delhi


STEMI compounded with renal failure certainly makes angioplasty a difficult proposition, but not impossible unless the patient has end-stage renal failure and is too sick to undergo dialysis, says says Dr. Sandeep Bansal, an eminent cardiologist from Safdarjung Hospital, Delhi. “In treating a STEMI patient with a chronic kidney disease (CKD) or chronic renal failure, EGFR is an important indicator, which shows the degree of renal failure. It also tells us whether a dialysis would be needed in the background for the procedure to be carried out safely,” he tells Dr. HK Chopra, President CSI (Cardiology Society of India). “In patients with end stage renal failure who are too sick to undergo dialysis, our hands are tied and we can only give dual antiplatelet along with some blood thinners like enoxaparin.” “Tenecteplase in the dose of 0.5 mg/kg is the best choice among thrombolytics when an angioplasty is not possible” A high dose of statins and ACE inhibitors for the first 24 hours after an event of STEMI are the standard treatment.


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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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