Supported by an Unrestricted Educational Grant from
Dr. DB Pahlajani
Breach Candy Hospital
A delay in treating STEMI not only puts a life at risk but also subjects the patient to left ventricular failure, cardiogenic shock and arrhythmias, crippling his life even if saved, says Dr. DB Pahlajani, former president of CSI and an eminent cardiologist from Mumbai, in an interview with Dr. HK Chopra, President CSI (Cardiology Society of India).Since a primary PCI within 2 hours is impossible owing to traffic conditions in cities or non-proximity of heart centres, Dr. Pahlajani talks about an alternative.“This involves giving a thrombolytic treatment to the patient at a near-by community hospital followed by his transportation to a well-equipped facility capable of performing angioplasty in the next two hours or within the first 12-24 hours.”“Tackling STEMI needs a nation wide program involving the government, local civis bodies, social organisations, public, hospitals and doctors. A good way of spreading awareness is to go via organisations like Rotary Lion’s club which is spread all over India.”Dr. Pahlajani recommends that once ECG confirms a heart attack, the patient must be immediately given soluble Asprin 350 mg and Brilinta 180 mg. A large loading dose of statins like Atorvastatin 80 mg or Rosuvastatin 40 mg along with oxygen therapy is also suggested.