The patient underwent a coronary angiogram which showed a blockage (stenosis) of 80 per cent in one of the main arteries of the heart called Left Anterior Descending (LAD) and was planned for an angioplasty and stenting
Narayana Health City successfully treated a Bangalorean youth who suffered heart attack while at work. The 27-year-old patient, Mohammed Rafeek, was suffering from a coronary artery disease (CAD) with Acute Coronary Syndrome (ACS) and Triple Vessel Disease.
The expert team of doctors under the aegis of Dr Sanjay Mehrotra, Senior Consultant – Cardiology, Narayana Health City, did a complete evaluation of the patient’s condition and found that he was suffering from coronary artery disease (CAD) with Acute Coronary Syndrome (ACS). He underwent a coronary angiogram which showed a blockage (stenosis) of 80 per cent in one of the main arteries of the heart called Left Anterior Descending (LAD) and was planned for an angioplasty and stenting.
Optical Coherence Tomography (OCT) is new technology which is used Near Infrared Light (NIR) to visualise the inside of the heart arteries. Optical Coherence Tomography allows ten times better visualisation than Intravascular Ultrasound (IVUS) which has been a method used to see the inside of heart arteries for a long time. OCT gives a much better resolution and exact information about the nature of the plaque, extent of narrowing of the coronary artery and helps to choose the size and length of the stent better.
Speaking about the case, Dr Sanjay Mehrotra, Senior Consultant – Cardiology, Narayana Health City said, “India today is experiencing a rapid transition in the disease burden and is gradually moving towards a scenario where majority of the deaths are caused by lifestyle diseases. In order to combat the rising incidence, we need to strengthen preventive measures by adopting healthy habits. However, there are times when disease is already there and one needs to effectively treat the disease which needs proficient diagnosis and precise treatment. Technologies like optical coherence tomography help in treating such conditions with more precision.”
“In case of Rafeek, with the help of OCT we were able to evaluate the diseased portion of the artery clearly as in his case there was ruptured plaque which precipitates a heart attack was present in an area which cannot be seen on conventional angiography and failure to do so would have resulted in incomplete coverage which in turn would have lead to complication of stent occlusion and repeat myocardial Infarction (heart attack),” added Dr. Sanjay.
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