Heart attacks and cardiac arrest cases are on a rise in younger population these days and the recent sudden demise of actor Siddharth Shukla is an alarm for youngsters to get alert and take care of their lifestyle habits. Another awakening case that came to light at Max Super Speciality Hospital, Saket recently where a 25-year-old, obese male patient was saved from a fatal heart attack. The patient Raman went to the emergency at Max Super Speciality Hospital, Saket complaining of chest pain which he was experiencing since a few hours.
After which, he was diagnosed to have 99% blockage in his left anterior descending artery (LAD). The doctors decided to go for the procedure of Radial Angioplasty to open the blocked coronary arteries and bring back the blood flow. This procedure was done through the artery that transports the blood to the hand from your heart. With early diagnosis and treatment, the stent placement was done by the doctors and they were successfully able to manage his heart condition and stabilise the patient. Onlymyhealth editorial team spoke to Dr. Viveka Kumar, Principal Director and Chief of Cath Labs (Pan Max) - Cardiac Sciences, about the procedure as he led this case.
Radial angioplasty for fatal heart attack case
Dr. Viveka said, "In this particular case, the procedure became vital since the patient was obese. We chose Radial Angioplasty to minimise blood loss. We also wanted early mobilisation since obese patients such as Raman are at a high risk of complications. Traditionally, coronary angioplasty has been done through the femoral artery, accessed from the patient’s groin, however, in this case the chances of complications and bleeding were higher. While Radial Angioplasty is a clinically challenging procedure as the blocked artery is reached through narrower blood vessels in the hand. This procedure is safer than the femoral route with lowered chances of puncture in major blood vessels.”
The doctor further added that looking at this patient’s young age he was implanted with an absorbable stent which will get absorbed in two years and the patient does not need to take any blood thinners for his entire life. In the Radial Angioplasty procedure, a wire is implanted to the blocked coronary artery. Then, a balloon is inflated across this blockage to make enough space for the stent to go in as scaffolding to the artery and preventing the risk of blockage in the future.
25 year old Raman's case
Talking more in detail about the case, Dr. Kumar said, “Raman was a non-diabetic and non-hypertensive but a smoker and weighed over 100 kgs. He was managed early in the emergency with anti-platelets (to prevent clotting) and anti-anginal medications. After shifting him to the cath-lab for an angiogram, we ascertained that he had 99% obstruction in his left anterior descending artery (LAD) and a thrombus (blood clot) in the proximal region. We immediately planned for stenting and thrombus aspiration to remove the clot. Thankfully he responded well to the procedure and normal blood flow was restored in the LAD artery. He recovered soon and was sent home just after two days of hospital stay.”
Covid-19 and heart attacks
Raman was never infected with Covid-19, however Dr. Viveka surely noticed that there was a definite link between Covid and increased chances of heart attacks. He said, “During the Covid and post-Covid era, a significant number of people are experiencing cardiac issues and there has been an alarming rise in episodes of heart attacks as well. It is mainly the post-Covid patients who are more prone to heart attacks, however, they can be treated successfully if brought to the hospital on time. The risk of heart attack and stroke increases three-fold in the first two weeks following COVID-19, according to a study published in The Lancet journal. COVID-19 patients with pre-existing cardiovascular disease have increased case fatality rates as compared to others. Most cardiovascular events in patients with COVID -19 are the result of severe immune over-reaction by the body."
The symptoms of a heart attack that one should be aware about are discomforting pressure, squeezing, fullness and heart pain in the central area of the chest which lasts more than a few minutes or is recurring. Pain or discomfort in one or both arms, back, neck, jaw or stomach, shortness of breath with or without chest discomfort, cold sweat, nausea or light-headedness are also some other early signs of heart attack that one should know about.
Read more articles on Heart health
Image credits: Unitedregional.org