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Showing posts from April, 2024

Top 5 Heart Attack Signs You Must Not Ignore

Heart attacks can strike without warning—and in many cases, the earliest signs are subtle, especially in what are commonly referred to as mild heart attacks. These milder episodes are frequently overlooked or mistaken for less serious issues until they progress into a more critical heart condition.The truth is, even minor symptoms can indicate significant heart disease and may lead to fatal consequences if untreated. Understanding the early warning signs of a heart attack and seeking prompt medical attention can save lives. This article highlights the top five heart attack signs you must not ignore, empowering you to act quickly and consult with the best cardiologist in Hyderabad or across India for diagnosis and treatment. 1. Chest Discomfort or Pain (Angina) This is the most common symptom of a heart attack, but it often goes unrecognized—especially in minor or mild heart attacks. How it feels: A sensation of pressure, tightness, heaviness, or discomfort in the middle of the chest. ...

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% ...