Primary Angioplasty – A Life-saving Procedure
Primary angioplasty is a term used to describe an angioplasty done as a life-saving emergency procedure in a patient with an on-going heart attack [PAMI - Primary Angioplasty in acute Myocardial Infarction].
The international accepted door to balloon time intervention is within 90 minutes and 3 to 6 hours from the onset of heart attack for PAMI. Doing angioplasty in a critical patient of heart attack is in itself challenging and doing so in the critical window period adds to the challenge.
Recently, a 50-year gentleman came to our ER with severe chest tightness and perspiration. His systolic BP was around 100 mmHg. His ECG revealed ST Elevation in the anterior leads. He was promptly administered the loading doses …show more content…
His ECG showed immediate normalisation of his ST segments. The patient was wheeled out with stable haemodynamics and complete relief of his symptoms.
The total door to balloon time (DTB) was within 60 minutes
The importance of primary angioplasty
A heart attack, if not done within the golden period, weakens the hearts affecting the quality of life of an individual and often the family, making the drive to do a primary angioplasty all the more intense.
Primary Angioplasty (PAMI) is the best form of therapy for an acute STEMI; world over. The success rate of primary angioplasty is more than 95 percent when performed by experienced doctors in a hospital that can provide integrated expertise at short notice.
The Race with Time for Life
A primary angioplasty has many challenges, from identification and evaluation of affected lesion, vessel access, lesion morphology, thrombus burden, to hemodynamics. This requires not only experts in interventional cardiology, but also, more importantly, a dedicated team of nurses, and cath lab technician who can react quickly to an emergency call, even during off hours. It calls dedication and
Primary angioplasty is a term used to describe an angioplasty done as a life-saving emergency procedure in a patient with an on-going heart attack [PAMI - Primary Angioplasty in acute Myocardial Infarction].
The international accepted door to balloon time intervention is within 90 minutes and 3 to 6 hours from the onset of heart attack for PAMI. Doing angioplasty in a critical patient of heart attack is in itself challenging and doing so in the critical window period adds to the challenge.
Recently, a 50-year gentleman came to our ER with severe chest tightness and perspiration. His systolic BP was around 100 mmHg. His ECG revealed ST Elevation in the anterior leads. He was promptly administered the loading doses …show more content…
His ECG showed immediate normalisation of his ST segments. The patient was wheeled out with stable haemodynamics and complete relief of his symptoms.
The total door to balloon time (DTB) was within 60 minutes
The importance of primary angioplasty
A heart attack, if not done within the golden period, weakens the hearts affecting the quality of life of an individual and often the family, making the drive to do a primary angioplasty all the more intense.
Primary Angioplasty (PAMI) is the best form of therapy for an acute STEMI; world over. The success rate of primary angioplasty is more than 95 percent when performed by experienced doctors in a hospital that can provide integrated expertise at short notice.
The Race with Time for Life
A primary angioplasty has many challenges, from identification and evaluation of affected lesion, vessel access, lesion morphology, thrombus burden, to hemodynamics. This requires not only experts in interventional cardiology, but also, more importantly, a dedicated team of nurses, and cath lab technician who can react quickly to an emergency call, even during off hours. It calls dedication and