TheRightDoctors Logo
Pre Alpha
Insights from the world's best medical minds
nine

Dr. S Ramakrishnan: Life After A Heart Attack

Chances of having a repeat attack are only 5% in five years
Dr.Ramakrishnan, Additional Professor, Department of. Cardiology, AIIMS, Delhi, Reperfusion : The Biggest Priority
Pause
Love It
Embed

Supported by an Unrestricted
Educational Grant from

Glenmark Logo

Dr. S Ramakrishnan

Additional Professor, Department of Cardiology

AIIMS, Delhi


“Once the looming dangers of a heart attack subside and the patient becomes stable, the most important thing is to give reassurance to the patient, discuss dietary precautions, and begin pharmacotherapy,” Dr. Ramakrishnan tells Dr. Manish Verma in an interview. “Statins, dual antiplatelet agents like clopidogrel, prasugrel and ticagrelor along with aspirin, beta-blockers and ACE inhibitors must be initiated.” “Post-procedure period is also a critical phase, where lot of things can go wrong even if the patient is reperfused. So, the patient should be under ICU care until a few days.” “Unforeseen complications like an arrhythmic event or a mechanical complication like mitral regurgitation or a ventricular septal rupture can lead to a sudden collapse of the patient even after thrombolysis. Events of reinfarction and recurrent ischemia are also likely.” On the bright side, “your chance of having an attack is only 5% in five years. But your chance of not having an attack is 95%,” is what Dr. Ramakrishnan tells his STEMI patients to reassure them and help them get back to a routine worry-free life. Appointing a dietician or paramedic for oneself is recommended to initiate lifestyle modification and prevent a repeat event. “Even though adhering to multiple pills and therapies in routine life is difficult for a patient, drugs are prescribed individually in the beginning to achieve essential dosage. Once the doctor understands the tolerance level of the patient, usually a period of three months, combination drugs can be prescribed to reduce the pill burden.” “These therapies usually run life-long to keep the risk factors like blood pressure in check. But after roughly one year, good combination drugs can be used to bring down pills to just two in a day.”


Mail us at editorial@therightdoctors.com. Stay updated on Facebook , Twitter , You Tube and LinkedIn.

Join TheRightDoctors on WhatsApp. Type "JOIN" and send to 9676401536

Could handheld echocardiography replace a stethoscope?

Dr. Hardeep Kaur

Pause
Love It
Embed

Supported by an Unrestricted
Educational Grant from

Glenmark Logo

Supported by an Unrestricted
Educational Grant from

Sanofi Logo

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.


Mail us at editorial@therightdoctors.com. Stay updated on Facebook , Twitter , You Tube and LinkedIn.


Join TheRightDoctors on WhatsApp. Type "JOIN" and send to 9676401536

Recent Advances in Echocardiography and their impact on clinical practice

Dr. Navin C Nanda

Pause
Love It
Embed

Supported by an Unrestricted
Educational Grant from

Glenmark Logo

Supported by an Unrestricted
Educational Grant from

Sanofi Logo

Dr. Navin C Nanda

Director of Echocardiography

University of Alabama, USA



Join TheRightDoctors on WhatsApp. Type "JOIN" and send to 9676401536

Echo with telemedicine creates a multiple effect

CAD affects 10%of our population over 40 years

Dr. Sameer Srivastava

Pause
Love It
Embed

Supported by an Unrestricted
Educational Grant from

Glenmark Logo

Supported by an Unrestricted
Educational Grant from

Sanofi Logo

Dr. Sameer Srivastava

Head of Non-invasive Cardiology

Fortis Escorts Heart Institute, New Delhi



Join TheRightDoctors on WhatsApp. Type "JOIN" and send to 9676401536