Chest Pain Lasting more than 30 seconds

Why You Shouldn't Ignore That Sudden Chest Pain

Case Study

Vipin Sharma, a 35 year old male while on a vacation to Nainital, developed chest pain lasting more than 30 seconds.  The local general practitioner found evidence of heart attack by Angiocardiography. He was subsequently shifted to a local cardiac specialty hospital for further management.  He was put in intensive therapy however; his BP was still very low. Seeing the need for better care, he was shifted through air ambulance to Delhi Heart Centre. He was stabilized, Angiocardiography was redone which showed 70% of blockage. (Not sure what is intended here- Stenting was advised for colour Doppler Angiocardiography show no evidence of  blockage.)

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  • Any patient, even in remote areas can be stabilized with Clot Dissolving Therapy
  • Patient can be referred or transported  to any heart center in the country through air ambulance
  • After giving clot dissolving therapy for a heart attack, one must wait at least 3 weeks before deciding upon a stenting procedure. (Originally written-After a heart attack, giving clot dissolving therapy one  should wait for 3 weeks  in stable patient before deciding steneting)
  • In such a case, a patient’s life can be saved and an unnecessary stenting could be avoided.

 

Dr K K Aggarwal, Recipient of Padma Shri, Vishwa Hindi Samman, National Science Communication Award and Dr B C Roy National Award. Gold Medallist. Limca Book of Record Holder. National President, Indian Medical Association and President, Heart Care Foundation of India.

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