Recent advancements in the diagnosis, management of cardiac issues and complications observed in patients po.. – ETHealthWorld

By Dr Murugu Sundara Pandian & Dr Gobu P

Wearable gadgets are being used extensively which can monitor heart rate, Blood pressure and ECG with the help of apps. This helps in early detection of abnormalities and fast approach to a cardiologist for early intervention.

These gadgets can also serve to provide analysis of life style changes including fitness, diet, sleep pattern, etc which helps in prevention of Coronary artery disease.

Cardiac complications in a COVID patient can be of the following types -

Recent Advances in Coronary Interventions

There have been major advances in coronary interventions in the last decade. Now the focus on angioplasty and stenting has moved into precision Angioplasty using imaging techniques like Intravascular Ultrasound (IVUS) and optical Coherence Tomography (OCT). With the help of these imaging techniques, we can understand the nature and composition of the plaque (block) and estimate the exact diameter of the vessel and the length of the lesions. Also, we can assess whether the stent has expanded adequately and has opposed well to the wall. This reduces the incidence of future complications (in-stent restenosis & thrombosis) of the stents.

Another major advancement in angioplasty is the approach to calcified vessels. Calcification of the wall leads to improper stent expansion. Previously, rotational atherectomy (ROTABLATION) was used to break and cut the calcium. It is a diamond-coated burr that breaks the Calcium in the vessel and facilitates the passage of stent and expansion of the stent. Recently we utilized Intravascular Lithotripsy (IVL) catheters. These catheters emit ultrasonic waves which break the calcium and facilitate the proper expansion of the stent.

Recent Advances in Non-Coronary Interventions

The major advancement has been in valvular interventions. In patients with Aortic Valve stenosis, Surgical Aortic valve Replacement was the only option earlier. Now with the advent of Tran catheter Aortic Valve Implantation we can place a new valve from the femoral artery (groin vessel) without open heart Surgery.

Also, in selected patients with mitral valve regurgitation (leak), Transcatheter Mitral Valve Repair (MITRA CLIP system) is possible without open heart surgery.

In selected patients, transcatheter Mitral Valve Replacement is also possible in selected patients with severe mitral regurgitation who high-risk surgical candidates are.

In certain congenital heart diseases, transcatheter pulmonary valve implantation is also possible.

Dr Murugu Sundara Pandian, Senior Cardiothoracic Surgeon & Dr Gobu P, Senior Consultant & Interventional Cardiologist, Gleneagles Global Health City

(DISCLAIMER: The views expressed are solely of the author and ETHealthworld does not necessarily subscribe to it. ETHealthworld.com shall not be responsible for any damage caused to any person / organisation directly or indirectly)

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Recent advancements in the diagnosis, management of cardiac issues and complications observed in patients po.. - ETHealthWorld