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Preventing early mortality after Coronary angioplasty

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 PCI1,2. 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.  The findings Both databases showed a 1.5% - 30-day mortality after PCI. 30% of these deaths are preventable. Most in-hospital deaths were non preventable (70%). They were attributed to pre-existing cardiac conditions such as cardiogenic shock, left ventricular failure, co-morbidities etc. Most of them are emergency and high-risk patients. 30% of in-hospital
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All you wanted to know about Mitral valve repair

Present circumstances are pretty stressful, with work-life balance taking its toll on a person’s health. The Mitral valve is an integral part of a person’s heart. Its malfunctioning can be fatal. That is why doctors suggest Mitral valve repair for such patients. It is a procedure that removes the abnormalities caused by Mitral Valve stenosis and other ailments. Here we will tell you all about Mitral Valve repair.

What do we mean by Mitral Valve repair?

Mitral Valve repair is a procedure that would fix any problems occurring in a patient’s mitral valve. If the situation is severe, the doctors recommend open heart surgery. Doctors usually suggest repair as that is much more beneficial in comparison to replacement. However, in certain instances, replacement remains the only option available.

Why do you need Mitral valve repair?

The Mitral valve is the passage that connects the left atrium and ventricle. If this passage is leaky or not working properly, it impacts the flow of oxygen-rich blood. In case the problem is not fixed, it causes heart and lung damage.

People who need mitral valve repair and Coronary angioplasty may be those who suffer from the following:

  • Your valve has leakage
  • The leakage or regurgitation is showing symptoms
  • The left ventricle is incapable of pumping enough blood to the body
  • Your heart has enlarged in size
  • Narrow valve opening
  • Severe mitral stenosis

What happens before and after Mitral valve surgery?

Your doctor will ask you to take the following precautions before the surgery:

  • Stop consuming any medications some weeks before the surgery. These could be blood thinners and might impact your overall health.
  • Stop smoking or take steps to cut on it.
  • Take a bath with an anti-bacterial soap before your surgery
  • Consume a few medications before the surgery
  • Stop your eating and drinking at a particular time before the surgery
After the surgery, you must expect the following things:

  • Spend a few days in the ICU. The doctors need to keep an eye on you and see if your vitals are normal.
  • Some more days would be spent in the hospital room
  • Learn all that you should about cardiac rehab
  • Understand how you have to take care of your incision in future
  • Know the diet you must practice after the surgery
  • Discuss the exercise plan that you must follow
  • Find out how frequently you will have to come for a check-up
  • Are there any other risks that you could be prone to?
Most of people need at least a week to recover from the surgery. Though to start heavy work, they might have to wait a little longer.

Summing up

Mitral valve repair is the only solution before the situation becomes serious. Discuss the ideal treatment and other options with the Doctor. That is to avoid any confusion later on. You will have to be careful with the diet and exercise schedule later on. Only a reliable and experienced cardiologist can guide you with the actual treatment and recovery. Clarify all your doubts before you proceed ahead. 

You can contact Dr. Raghu and team for any clarifications on heart disease, the Best Mitral Valve Stenosis in Hyderabad, Telangana. Also, he is the Best TAVR Expert in India and TAVI Expert in India.

Labels:cardiologist
Location: Hyderabad, Telangana, India

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