From the days of plain old balloon angioplasty by Andreas Gruntzig in 1977 the field of Interventional Cardiology has evolved to current era of transcatheter aortic valve implantation, revascularization of coronary chronic total occlusions and bioabsorbable vascular scaffolds. Despite the advances, one thing that hasn’t changed is number one cause of death, i.e. Cardiovascular disease. It still remains a challenge that has driven me to continue to learn pathophysiology and management of cardiovascular diseases.
As I progressed from medical school through residency learning various cardiac conditions has been fascinating. I relished the fact that cardiology encompasses several basic elements of science. Physics and laws of resistance can be applied in conduction and mechanical system while cell biology explains atherosclerosis. My interest in cardiology grew in physiology class when I first learned about Frank-Starling mechanism. The ability of myocardium to increase cardiac …show more content…
It helped me answer questions to improve my knowledge and learn how to advance science. During my fellowship training, I led several studies including totally percutaneous insertion and removal of Impella device using axillary artery and impact of right ventricular function on early outcomes after transcatheter aortic valve implantation. Besides the academic learning, my love and passion for interventional cardiology grew exponentially during my rotation in cardiac catheterization lab. I was instantly amazed by the ability to cross a coronary stenosis through a wire and open with a balloon dilation. Although routine today, it remains one of the basic tenants of interventional cardiology. Thus, I believe that achieving better revascularization and outcomes in patients with coronary chronic total occlusions remains the final frontier of coronary artery disease
As I progressed from medical school through residency learning various cardiac conditions has been fascinating. I relished the fact that cardiology encompasses several basic elements of science. Physics and laws of resistance can be applied in conduction and mechanical system while cell biology explains atherosclerosis. My interest in cardiology grew in physiology class when I first learned about Frank-Starling mechanism. The ability of myocardium to increase cardiac …show more content…
It helped me answer questions to improve my knowledge and learn how to advance science. During my fellowship training, I led several studies including totally percutaneous insertion and removal of Impella device using axillary artery and impact of right ventricular function on early outcomes after transcatheter aortic valve implantation. Besides the academic learning, my love and passion for interventional cardiology grew exponentially during my rotation in cardiac catheterization lab. I was instantly amazed by the ability to cross a coronary stenosis through a wire and open with a balloon dilation. Although routine today, it remains one of the basic tenants of interventional cardiology. Thus, I believe that achieving better revascularization and outcomes in patients with coronary chronic total occlusions remains the final frontier of coronary artery disease