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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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Role of Coronary Intervention

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Dr.Sushil Kumbhat

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Dr.Sushil Kumbhat

Sr. Cardiologist

Vardhman Iccu & Nursing Home, Mumbai



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