The post Chest Pain Clinic appeared first on My Blog.
]]>Chest pain clinic
If you feel chest discomfort, chest heaviness, any uneasy feeling in chest or upper abdomen or jaw, or, frank chest pain, rush to doctor or any hospital emergency department and do one ECG. This simple test can tell a lot. Usually we can pick up the diagnosis of heart attack from your ECG and depending on that we can prescribe further tests as echocardiography, trop T to clinch the diagnosis or for finer evaluation. If this is a heart attack, we usually go for coronary angiography and angioplasty immediately. If this is a case of chronic coronary syndrome, we prescribe medical therapy first and if your trouble is not solved, then we go for CAG and further stratify treatment.
Angioplasty usually takes half an hour to two hours depending on complexity of the coronary tree,
Complications are low in modern days and few serious complications may arise in periprocedural period.now a days we are enjoying much improvements in procedural gadgets making intervention more scientific rational and complication free. with the help of iFR, we can avoid putting an unnecessary stent; with OCT/IVUS we can achieve better stent placement for longer duration of symptom free life.
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]]>The post Heart Failure Clinic appeared first on My Blog.
]]>Heart failure clinic
Heart failure is a difficult to treat long term disease. Patients usually present with respiratory difficulty during walking, climbing stairs, easy fatigue, weakness, body swelling recurrent hospital admission with shortness of breath. We prescribe ECG echo sodium potassium urea creatine and escalate specific medicines for heart failure. Coronary angiography is a must to detect any blockages and we try to fix coronary lesions first to improve heart failure symptoms. Next steps are to escalate guideline directed medical therapy, then CRT / ICD in select patients to give some benefits. Annual vaccination protocol is a must to follow.
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]]>Arrhythmia clinic
Patients usually present with palpitation, breathing difficulty, chest discomfort, blackout , sweating for a short duration of time. ECG echo holter monitoring are done and initially medicines are prescribed to alleviate , if not controlled we go for pacemaker/ ICD/ EP study and ablation depending on disease subset.
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]]>Pacemaker clinic
If a patient presents with recurrent blackouts, dizzy spells, reeling sensation in head, we go for ecg and holter and if specific rythm abnormality is picked up, we go for pacemaker implantation. usually it takes 1 hour implantation time. Complication rates are very low, but some serious complications may happen and those are usually taken care of smoothly. Patients get discharged in one or two days with close follow up for stitch cutting after 7 days. Usually no life style restrictions are required post pacemaker.
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]]>Cardio diabetes clinic
Diabetes is not only a hormonal disorder, it is a lifestyle disease, a cardio vascular, reno vascular disease. Diabetic patients die of cadio vascular complications. With the advent of recent newer drug profile in this cardio metabolic segment, every diabetic patient should undergo thorough vascular evaluation and newer cardio safe or vasculo beneficial medicines to curtail down future cardio vascular risks and events.
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]]>Second opinion clinic
Before going for CABG or complex multiple stenting, i think it is best for a patient to go for a second opinion, because these are complex complication prone procedure, so a second thought from an experienced doctor is always welcome for you and your doctor both and can improve your outcome.
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]]>Our specific work
Just before European Union leaders agreed their guidelines for the Brexit negotiations last week, the president of the EU council, Donald Tusk, said: It is clear that progress on people, money and Ireland must come first. It was rather startling to find Irish concerns up there on the list of fundamental priorities, with the rights of EU citizens in Britain.
And when the guidelines were agreed, it was clear that this was more than rhetoric. EU governments have essentially committed themselves to allowing Northern Ireland to rejoin the EU if Ireland is united. This is a very big dealrather startling to find Irish concerns up there on the list of fundamental priorities,.
Our process
Step 2: Analysis and Planning
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