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Surviving heart attack: A race against time

Less than 1% of patients suffering a heart attack reach hospital in time, which is, within three hours.

Supported by an Unrestricted
Educational Grant from

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Dr. Saumitra Kumar

Consultant Cardiologist

Fortis Hospital, Kolkata

Dr. Shiv Kumar

Sr. Interventional Cardiologist

Apollo Hospital, Secunderabad

Dr. Ramesh Babu

Senior Cardiologist

Medwin Hospitals, Hyderabad

Dr. HK Chopra

President, Cardiological Society of India

Moolchand Hospital

Value of every tick-tock from the clock? Ask a patient who has survived a heart attack “The first six hours is a crucial period, after which, the benefits of a treatment are comparatively lesser,” says Dr. Ramesh Babu, a faculty member of CSI (Cardiology Society of India), in a conversation with Dr. H.K. Chopra, President CSI. Factors like the patient’s timely realization of it, proximity to a hospital capable of performing angioplasty, a quick ambulance service and availability of an operator combine to determine the fate of a patient, says Dr. Saumitra Kumar, President at the CSI headquarters.. “When medical practitioners, at such a crucial time, play around with medical jargon that confuses patients, advocates and insurance companies alike, the treatment is further delayed.” “Clarity in the patient's mind about the kind of treatment he requires drastically reduces the time taken to deliver it. Financial capability of the patient or response-time of his insurance company is an added burden weighing down on the time it takes to take a life saving decision for intervention.” The lack of facilities in India to conduct an immediate angioplasty, a mechanical intervention, often gives way to the second best option of thrombolytic therapy, a pharmacological intervention. “The mission of CSI is to get the blocked artery to open up, either with medicine or mechanical intervention, within 90 minutes of an attack,” says Dr. Shiv Kumar, Chairman of the upcoming NIC (National Interventional Council) meet. Technology can create a breakthrough via apps which can give patients instant information during an emergency. Smart Heart App is a new initiative of CSI which hopes to facilitate information flow during cardiac emergencies.

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Dr. Chopra

I have with me Dr. Satyam Tiwari who is a senior professor from Lucknow SDPGI and I am just going to ask him what are your impressions sir? You are attending NIC meeting for the last so many years now. What you think, what are your impressions, do you find any change or you find no change in the activity which has been organized in Hyderabad? Dr. Tiwari.

Dr. Tiwari

Thank you <a href=""

Dr. Chopra

Thank you sir. Then I think he has told a very important thing Dr. Satyam Tiwari that the CSI is touching bigger heights now because the whole CSI is going in digital way. There are lots of publications coming from CSI. The last book of CSI cardiology update which was published last year 2015 under the leadership of Dr. Santanu Guha was a super hit. It is in two volumes. It has gone all over the world. It is also in the form of a CD. So I think this is a new edition and I am sure a book on the critical care will also go in a big way. A time has come we have to publish more data. No publication, no progress. Progress is the only method which is possible by publication and new technology. I have with me Dr. Sarita Gulati who is the senior interventional cardiologist at Delhi Moolchand Medicity. Sarita, I would like to ask your opinion. I see you in every meeting of NIC whenever I go. What do you think is the latest advance in the NIC in the interventional cardiology in reference to the colder interventions? (03:00)

Dr. Gulati

Thank you Dr. Chopra for giving me this honor. He remarkably said the right thing that I have been a regular attendee of NIC. Recently what I have observed that more and more live cases, especially by the international faculty are being encouraged and the transmission quality, audio, visual is too good, enjoyable for everybody. Most of that end among the newer interventions in the coronary, the left main stenting, left main disease management which was once a field of surgeons only is almost completely being taken care by the interventional cardiologist, especially the bifurcation, the distal left main, the use of bioabsorbable stents and their pitfalls which we are likely to encounter (04:00) in the recent times. Apart from this, apart from the coronary interventions, I think the LA appendage closure in atrial fibrillation patients, they nicely demonstrated here in the live workshop, was a great advantage to all the people who are attending this program.

Dr. Chopra

I think it is very nice Sarita. I think you have a very perfect idea that left main was a real issue. It was a real challenge for the interventional cardiologist. There are also they approached. There is equal or much more competition for a surgeon now. So I do not think. We need intervention by stenting or balloon angioplasty, whether it is a left main disease or it is a bifurcation lesion, everywhere we can reach by catheter and take care of the things.

  • Heart attack
  • Primary PCI
  • Angioplasty
  • HeartFailure
  • ECHO
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