best cardiologist in Hyderabad | Dr Raghu

Can you know if there’s something wrong with your heart? Unfortunately, many heart problems do not have apparent warning symptoms. So, there won’t all be intense chest pain followed by a hard fall to the floor, as witnessed in the movies. The best cardiologists in India point out that not all symptoms arise in the chest. Hence, knowing what’s happening inside the body is not always easy. But it always helps to get examined.
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Can you know if there’s something wrong with your heart? Unfortunately, many heart problems do not have apparent warning symptoms. So, there won’t all be intense chest pain followed by a hard fall to the floor, as witnessed in the movies. The best cardiologists in India point out that not all symptoms arise in the chest. Hence, knowing what’s happening inside the body is not always easy. But it always helps to get examined.


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Heart attacks were once referred to as the old man’s disease. Earlier, they were associated with older individuals over 50. However, many speculations were made and brows were raised by the sudden demise of the ace actor Sidharth Shukla. It was soon followed by renowned singer KK and the comedian Raju Srivastava. All three of them succumbed to cardiac complications.


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Approximately 17.9 million people die of cardiovascular diseases every year. With the number growing at an alarming rate, individuals must take active measures to care for their hearts and routinely see an expert.


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Coronary angioplasty aka PCI is a common procedure with excellent success rates. The in-hospital mortality following PCI is 1-2% and in the setting of acute coronary syndrome is 3%. Additionally,1-2% of patients die after discharge within 30 days. 

Two recent retrospective database analyses from the states of New York and Michigan Blue shield studied mortality after PCI 1,2. The New York database included 135,000 patients studying in-hospital and 30-day mortality while the Michigan database had 92,000 patients analysing in-hospital mortality.  

I present these papers with the learning points so that we can improve patient outcomes. 

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The findings

  1. Both databases showed a 1.5% – 30-day mortality after PCI.
  2. 30% of these deaths are preventable. 
  3. Most in-hospital deaths were non preventable (70%). They were attributed to pre-existing cardiac conditions such as cardiogenic shock, left ventricular failure, comorbidities etc. Most of them are emergency and high-risk patients. 30% of in-hospital deaths are preventable and in most cases the indication for PCI was rarely beneficial. 
  4. After-discharge deaths accounted for 30% of the total 30-day mortality. Surprisingly, 60% of these deaths happened in non-emergency patients and in low-risk patients. 
  5. Most deaths that happened in low-risk patients were in whom the PCI was rarely indicated. 
  6. Procedural complications such as coronary perforation and rupture are extremely rare. 

The learnings

  1. Most deaths after discharge and 30% of in-hospital deaths are preventable and happened in low-risk PCI groups.
  2. Patient selection using Appropriate Utility Criteria needs to be widely implemented. 
  3. Pre-procedure patient preparation by optimising co-morbidities and heart failure could improve the outcomes. 
  4. Post-discharge monitoring of patients could improve the outcomes. 
  5. Hospital quality metrics need to include both in-hospital and 30-day mortality following PCI rather than in-hospital mortality alone.

References

https://doi.org/10.1016/j.jscai.2022.100559.

https://doi.org/10.1371/journal.pone.0297596


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Approximately 33 percent of American adults have high triglycerides or fats in the blood. It often goes undetected. Scientists believe that having high triglyceride levels can result in stroke and heart attacks.



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Call us now if you are in a medical emergency need, we will reply swiftly and provide you with a medical aid.


Dr. Raghu | Heart Specialist in Hyderabad
Yashoda Hospitals, Sardar Patel Rd, behind Hari Hara Kala Bhavan, Kummari Guda, Shivaji Nagar, Secunderabad, Telangana 500003

Best Cardiologists in Hyderabad


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