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Dr. Brian Pinto: Fibrinolytic Therapy: A Saviour In The Absence Of Angioplasty

An Indian dies of Myocardiac Infraction every 17 seconds; Angioplasty clearly not the solution
Dr. Brian Pinto, Chief Cardiologist, Holy Family Hospital, Mumbai, Fibrinolytic therapy: A saviour in the absence of angioplasty
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Dr. Brian Pinto

Chief Cardiologist

Holy Family Hospital, Mumbai


“Every 17 seconds an Indian dies of an acute myocardial infarction and I think it is important for us to realize that we will not be able to tackle this problem by primary angioplasty alone,” says Dr. Brian Pinto. “Fibrinolytic therapy is useful in the absence of angioplasty. We now have agents like tenecteplase and alteplase, which can be administered anywhere- in homes or ambulances.” Once Fibrinolytic therapy is administered, the patient can get optimum treatment of angiography within the first 3-24 hours. This combination, known as the pharmacoinvasive therapy is as good or even better than primary angioplasty.” “It is my default mode 95% to 98% of patients,” Dr. Brian endorses the transradial approach to angioplasty. “The rival trial and matrix trial have clearly shown that the transradial approach is beneficial, with significantly reduced back pain, urinary problems and a very low rate of mortality.” Patients who are on dialysis, have significant hypotension, or have bypass grafts are some exceptions, in whose case, the transradial approach may not work.


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Online Teaching in Echocardiology

Dr. Thomas Binder

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Dr. Thomas Binder

Prof. Of Cardiology

Medical University of Vienna, Austria/Vienna



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Refractory Hypertension - Take home messages

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Dr. Aashish Contractor

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Dr. Aashish Contractor

Head - Dept. of Rehabilition & Sports Medicine,

Sir HN Reliance Foundation Hospital, Mumbai


Dr. Aashish Contractor


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