Dr. Praveen Chandra Talks About Interventional Cardiology


Interventional Cardiology is a sophisticated department of coronary heart care. Sufferers with coronary heart illnesses can keep away from surgical procedure and select this technique of therapy. Underneath this, medical doctors can deal with a coronary heart situation by utilizing a catheter (a skinny tube) with out doing surgical procedure. In case you are scared of giant cuts, stitches and a pool of blood, then interventional cardiology is one choice to deal with coronary heart illnesses.

We interacted with Dr. Praveen Chandra, Chairman of Interventional Cardiology and Structural Coronary heart Cardiology at Medanta Hospital Gurgaon. Learn on to know extra about the sort of coronary heart care.

Fundamentals of Interventional Cardiology

Ques 1. What are the commonest procedures underneath this speciality?

Ans. The most common procedures executed underneath interventional cardiology are angioplasty, stenting and ballooning of the valves. Moreover, procedures for the substitute of the valves have now come up in a really appreciable manner. The substitute of valves by way of intervention is called the TAVR process.

We additionally do pacemaker implantations and RF ablations. Therapies of the congenital issues of the guts are additionally being executed now. Congenital signifies that some sufferers have issues like holes of their hearts, since start. All of those can now be handled by interventions.

Ques 2. What dangers are concerned in treating a affected person utilizing a catheter-based technique?

Ans. The catheter-based therapy strategies have develop into very secure. Earlier, there was once an opportunity of emergency operation or a affected person all of a sudden creating some rupture of the arteries. Nevertheless, now these procedures have develop into very secure and dependable. I’ll say that the security angle is excellent. The possibilities of having a complication are lower than 1%.

Ques 3. What’s the way forward for interventional cardiology in India? Will it develop and finally decrease the necessity for cardiac surgical procedures?

Ans. Sure, interventional cardiology has been increasing and rising its therapy choices over the past a number of years. Now many sufferers are being handled by interventions fairly than by surgical procedure. We anticipate that within the coming years, interventional cardiology goes to additional develop. And 90% of the guts sufferers will likely be handled by interventions, which imply no surgical procedure, no reduce, and no sew.

Ques 4. What challenges do you face when it comes to therapy and affected person training?

Ans. Proper now, I might say that the challenges are few, not many. The primary challenges posed are relating to the price of the therapy. The interventions that we do price roughly a lakh or two lakhs. This quantity is sort of important for many individuals in India. So the price is without doubt one of the issues. However this facet is being addressed more and more in the previous couple of years.

The prices are being reduce down in order that extra sufferers could be handled. As time progresses, many sufferers who have been left untreated will now be handled by the interventions.

Ques 5. You might have the credit score of performing the primary percutaneous aortic valve implantation with out surgical procedure in India. Are you able to share your expertise of the identical?

Ans. So we began this program of aortic valve implantation or aortic valve substitute with out surgical procedure in India just a few years again. I have to let you know that I’m so grateful and gratified that this program has taken off in every single place. Now many sufferers are being handled for aortic valve stenosis by this method. It has now develop into very effectively established all over the world that these sufferers could be handled by percutaneous valve implantation, often known as TAVI procedure.

Additionally, examine: TAVI – Non Surgical Alternative to Aortic Valve Replacement

Ques 6. The younger adults of India lead a sedentary way of life that is without doubt one of the prime causes of coronary heart illnesses. What recommendation would you give to this inhabitants?

Ans. As we already know that coronary heart illness is a way of life illness. So when you change your unhealthy way of life, the prospect of getting a coronary heart drawback or a heart attack decreases majorly. Very alarmingly in India and even elsewhere on the planet, we’re seeing youthful sufferers coming with coronary heart illnesses.

That is all being attributed to the management of way of life elements like train, consuming habits, smoking and stress. These are the few elements that must be stored underneath management and moderation for good coronary heart well being. And if individuals finally get pleasure from a match way of life, that’s they preserve exercising commonly and eat effectively, then they loosen up and develop into much less worrying too. Regularly they are going to be higher off and so fewer coronary heart illnesses will occur.

Ques 7. Does the sub-speciality, interventional cardiology, work in an interdisciplinary method? For example, are there situations that require the usage of catheter-based therapy mixed with surgical procedures?

Ans. As issues progress, we get sufferers in whom one factor is best than the opposite and vice-versa. So we have now developed a brand new strategy which is called the guts crew strategy. The guts crew strategy or the multi-disciplinary crew strategy is taken in these sufferers the place determination making is troublesome.

We don’t know a number of occasions whether or not a By-pass surgery could be higher or angioplasty could be higher. So the guts crew, which contains a cardiac surgeon and a heart specialist, sits collectively and comes to a decision that’s finest for the affected person.

Equally, many occasions sufferers come to us with kidney issues, coronary heart issues, and mind issues. So all three specialists from respective disciplines come collectively to decide as to what needs to be executed, which process needs to be executed first, and what the affected person can tolerate.

So this brings the most effective take care of the affected person. And that’s what we do right here in Medanta Hospital Gurgaon. We’ve got a multidisciplinary crew that’s used within the instances of such troublesome sufferers.

Check out all the article in #CrediTalk series here.

About The Physician

Dr Praveen Chandra is a well-known Heart specialist and Chairperson of Interventional Cardiology and Structural Coronary heart Cardiology at  Medanta -The Medicity, Gurgaon. He has a wealthy expertise of 31 years in his area.

Dr. Praveen Chandra Carried out first Percutaneous Aortic valve implantation with out surgical procedure in India. He wrote over 100 articles on cardiology and reviewed a lot of medical journals. In 2016, Dr. Chandra has been awarded Padam Shri for his work in Cardiology.

For a precedence appointment or extra info, contact us at +91 8010994994 or e-book an appointment with Dr. Praveen Chandra right here –

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