At Ayushman Heart Care Center, Bikaner, under the leadership of Dr. B.L. Swami, Head of the Cardiology Department, the team recently successfully treated a complex and high-risk case involving a 62-year-old diabetic patient. The patient was experiencing repeated episodes of unconsciousness and heart failure. The team first stabilized the patient’s heartbeat with a pacemaker and later performed a complex angioplasty procedure to remove a severe blockage and successfully implanted a stent following a positive Troponin I test and chest pain.
Patient’s Initial Condition and Need for Treatment
The patient had severe heart problems along with diabetes:
- Unconsciousness and Heart Failure: The patient was experiencing frequent episodes of unconsciousness and reduced heart pumping capacity, indicating heart failure.
- Positive Troponin I Test and Chest Pain: The patient’s Troponin I (Trop-I) test was positive, indicating damage to the heart muscle, accompanied by severe chest pain.
The Role of the Pacemaker
A pacemaker is a small electronic device implanted in the heart to regulate irregular heartbeats.
- Purpose: The primary purpose of a pacemaker is to normalize the heart’s rhythm and prevent conditions like sudden unconsciousness or cardiac arrest.
- Procedure: A pacemaker was first implanted in the patient to stabilize the heartbeat and prevent heart failure.
Angioplasty and Stenting Procedure
Due to the patient’s positive Troponin I test and chest pain, further investigation revealed a 90% blockage in the Left Anterior Descending (LAD) artery.
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- Cutting Balloon Angioplasty: In this procedure, a specialized type of balloon, called a cutting balloon, is used to remove the blockage. The cutting balloon has small blades that cut and remove the plaque (fat) accumulated in the arteries, improving blood flow.
- Stent Implantation: After removing the blockage, a stent, a small metal mesh tube, was placed in the arteries to keep them open and prevent future blockages.
Treatment Outcomes and Improvement in Patient’s Condition
Following the success of this complex procedure, the patient’s condition showed remarkable improvement:
- Reduction in Unconsciousness and Heart Failure: Implanting the pacemaker stopped the episodes of unconsciousness and improved the heart’s pumping efficiency.
- Improvement After Removing Blockage and Stenting: After angioplasty and stenting, the patient’s chest pain reduced, and normal blood flow in the heart arteries was restored.
Conclusion
The successful treatment at Ayushman Heart Care Center has proven that even complex and advanced cardiac procedures are now possible in Bikaner. The expertise and dedication of Dr. B.L. Swami and his team successfully managed this complex case, providing the patient with a new lease on life. This achievement demonstrates that patients in Bikaner no longer need to look to larger cities for advanced cardiac care; Ayushman Heart Care Center is providing advanced services right in their own city.