Primary Angioplasty: Management of Heart Attack by Dr Rajpal Singh

Hello, everyone! I'm Dr. Rajpal Singh, a Senior Interventional Cardiologist based at Fortis Hospitals on Bannerghatta Rd. Today, I want to discuss the crucial topic of managing acute myocardial infarction, commonly known as a heart attack, and the pivotal role of a technique called primary angioplasty. 

Heart attacks are unfortunately a common and life-threatening issue in our daily lives. Recognizing and promptly treating them is essential to reduce the risk of death and long-term complications such as heart failure, irregular heart rhythms, and associated problems like kidney failure. 

 Now, why the emphasis on acute heart attack management? Studies have shown that one particular treatment stands out from the rest—thrombolysis. This involves administering clot-busting medication, most effective within the "golden hour" – the critical time window between the onset of pain and treatment initiation. If a patient reaches the hospital within this golden hour, thrombolysis is recommended for its effectiveness in saving lives and reducing long-term complications. 

However, beyond this golden hour, the proven technique of primary angioplasty takes center stage. In this catheter-driven procedure, a fine wire is guided across the blocked artery. The blockage is then opened using a balloon or by removing the clot, and a wire mesh, known as a stent, is inserted to reinforce the result. 

Primary angioplasty has been unequivocally proven to be highly effective, especially when performed by experienced hands in a hospital with a substantial volume of angioplasties, supported by a skilled technical and intensive care team. This technique significantly reduces the risk of death and long-term complications associated with heart attacks. 

When choosing the best treatment for an acute heart attack, opt for a facility with top-notch facilities, well-trained professionals with extensive experience, and a dedicated team of Cath lab technicians and nurses. These factors play a crucial role in ensuring optimal results for myocardial infarction treated with primary angioplasty. 

Remember, the key is to block the block and save yourself from life-threatening blocks. Choose the right place for the right treatment! 

Dr Rajpal Singh