By Tricitynews
Chandigarh 10th September:- Tricity cardiac surgeon, Dr Virendar Sarwal‘s work has been
accepted and appreciated internationally.
His
paper titled ‘Surgical Revascularization in Acute MI’ has been accepted for
presentation at the 57th annual meeting of Eastern
Cardiothoracic Surgical Society at Naples, Florida USA, which will be held from
October 16-19.
It’s
a prestigious scientific meeting of out-shoot of Society of Thoracic Surgeons
USA.
There
are very few reports on this serious heart condition and the timing of surgery
is very important. It’s either with first 1-3 days or after 8 days. Intervening
period has higher mortality to the tune of 15-20%. Intra-Aortic balloon pump is
an important support for good outcomes during and before surgery sometimes and
acts as a bridge to bypass surgery.
The
reason for the high mortality in such conditions is that there is lot of
swelling in the heart after heart attack so after revascularization there may
be reperfusion injury or arrhythmias or haemodynamic instability which leads to
worsening of situation. Important guide to decision making is guided by Trop I
levels and when the decreasing trend starts and comes down to 5 or less is best
time to intervene and that generally happens in a weeks’ time.
Dr
Sarwal who is Director and HOD at
Ojas Hospital, Panchkula said that bypass surgery in acute heart attack situation is very challenging and it
needs very thorough evaluation to choose a perfect timing for optimal results
as it carries high mortality. He has the best experience in such case in
tricity which numbers to 1070 in last 10-yr with excellent outcomes.
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