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Emergency Angioplasty of 100% Blocked LAD, LCX l Stenting of LAD, LCX l Hindi 

Dr Nagendra Thalor MD medicine DM cardiology
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Hello friends myself Dr Nagendra thalor cardiologist today I will share a case of heart attack which came in night at 1 am .
So how a emergency Angioplasty can save life of a patient.
This patient came with chest pain, sweating gabhrahat restlessness dizziness.
in emergency room ecg done which shows stemi.
So loading dose given to patient
Aspirin 300 mg
Clopidogrel 300 mg
Atorvastatin 80 mg
And plan for emergency Angiography.
Patient shifted in ICU while preparing for Angiography he start to develop recurrent vt ventricular Tachycardia.
So multiple dc shock given and patient shifted to cath lab.
Angiography shows both lad and Lcx are 100% Blocked that's why he developed recurrent vt.
Immediately both Blocked artery opened and Stenting done .
Post Stenting patient feel relief, vt stopped,and bp also improved.
After two days stay in ICU patient discharged in healthy condition.
He came for follow up and doing good.
So message is that when you feel chest pain, gabhrahat restlessness dizziness sweating don't ignore it and consult with doctor so your life can be saved.
Thanks
Symptoms and sign of heart attack
• Warning signs of heart...
How to do Angioplasty
• Angioplasty ll Angiopl...
#drnagendrathalor #heartattack #echo
#coronaryheartdisease #coronary #angioplasty
#angiography #stenting #tachycardia #ecg

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11 сен 2024

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Комментарии : 57   
@vovo1204
@vovo1204 Год назад
I reached heart hospital after 7 hours when I had heart attack inspite of living in Delhi NCR. The first doctor I visited was very careless with me.
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Timely treatment is important in this situation
@HasanAli-td4ym
@HasanAli-td4ym Месяц назад
Very good information sir love u
@drnagendrathalorcardiology
@drnagendrathalorcardiology Месяц назад
Thanks
@rajushaikh8675
@rajushaikh8675 Год назад
Sar apki vidio bahot achchi hoti h
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Thanks for your appreciation
@akhtarali2178
@akhtarali2178 8 месяцев назад
Weldone ❤❤❤❤❤❤
@drnagendrathalorcardiology
@drnagendrathalorcardiology 8 месяцев назад
Thanks
@Thecarguy2030
@Thecarguy2030 Год назад
Sir does lvdd grade 1 , with lafb cause any problem in young 25 yr old male. No bp , no sugar Other reports - 65% EF All chambers are normal, no rwma Trival tr -19mmhg Trace mr Tmt- 14 mets , stage 4 , 100 THR , Excellent exercise tolerance
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Nothing to worry
@ashadongre2534
@ashadongre2534 8 месяцев назад
sir 1 video plz apse request h banay jisme anatomy of coronary artery ho or full details ho arteries ki
@drnagendrathalorcardiology
@drnagendrathalorcardiology 8 месяцев назад
Sure
@ShubhamSinha-yq6np
@ShubhamSinha-yq6np Год назад
Hi Sir, My father witnessed sharp pain on left side of chest. His Age is 67 ECG, Echo, Tropt test doctor said normal Blood test (before eating and after eating )- Normal, Platelet count was 12.5, doc said it was bit low as it should be 12.7 Coronary Angiography done: LVEF - 55%, LMCA - Normal, LAD - type 3 vessel: mid 60-70% stenosis D1 - Mid size Vessel - Normal RI - Large vessel ostial - 50% plaque RCA - 30% Plaque BP was 150/60 Pulse Rate (PR) - 70 per minute Chest - R/I clean What should we do. Doc suggested no need for stent till blockage is 70%. Doctor also suggested to change diet, and asked to come for another cardiology review after 3 months and SOS in emergency if required. Sir please suggest your expertise on this, what should we do??
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Continue your medicine and lifestyle modification, Keep all risk factors in control like sugar, bp, cholesterol, weight etc No need Stenting at present
@user-cl4wl4dh5l
@user-cl4wl4dh5l Год назад
Sir can you please make video of how to give insulin doses according to grbs in diabetic patients and any surgery before how to give insulin doses
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Will try
@jkdeb3822
@jkdeb3822 Год назад
Thanks
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Thanks
@shashankjagtap6192
@shashankjagtap6192 5 месяцев назад
100 percent block tha lad artery me mere father ko pehle hospital ke dr ko attack aaya hai yeh detect hi nhi hua fir late pata chal jane ke baad hmne unka dusre hospital me shift kia attack ke baad 20 hrs me anjioplasty ke gyi blood thinner injection ne unka blockage open nhi hua meanwhile treatment me to unka ef 35 percent hai abhi aur unko dikkat aa rahi hai day to day activities me Please advise dr bhi unko sirf medine de rhe hai pn unpar improvement nhi dikh rahi abhi 20 days ho chuke hai plasty ke baad
@avinashadhav4598
@avinashadhav4598 10 месяцев назад
Sir but maine CT coronary anjiographi kari hai jo ki mormal aai hai or calcium score bhi 0 hai but muje chakkar pasina aata hai kya problem ho sakata hai please help
@saumildesai8207
@saumildesai8207 Год назад
Very good educational video
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Thanks for your appreciation
@ayushverma7662
@ayushverma7662 6 месяцев назад
Sir mere papa ko LAD 90 LCA 70 or RCA 90 % hai ab btaye kitna time hai hmare pas bypass surgery ke liye
@mmb3595
@mmb3595 Год назад
Mere papa ka 18 sep Monday angioplasty ka date he,lekin aj unka blood sugar report fasting -129 Pp-271 Ab kaya karna chaiye sir ?
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Hba1c test krao Isse clear hoga diabetes h ya nhi or apne cardiologist s consult krlo taki proper treatment ho jaye
@ramanrao7453
@ramanrao7453 10 месяцев назад
Namaste sir 🙏 🙏.. Kya Mai aap se baat kr skti hu , Meri beti paida hote hi deadth ho gai heart tumor ❤ tha..
@vivekSingh-vv2yw
@vivekSingh-vv2yw 6 месяцев назад
50 percentage in lad 50 percentage in lcx Is it serious? Is it cover on medication or not plz guide
@danishkhan12022
@danishkhan12022 2 месяца назад
Sir ji ek normal angiography ki protective velue kab tak hoti h
@drnagendrathalorcardiology
@drnagendrathalorcardiology 2 месяца назад
Time is not fix
@rushikeshkarhale4400
@rushikeshkarhale4400 Год назад
Sir my father age is 49 total cholesterol 219 hdl 41 ldl 129 vldl 60 and triglycerides 303 hai or patient is diabetic hai kya medicine start karna chyia
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Yes start statin , diabetic medicine
@Thecarguy2030
@Thecarguy2030 11 месяцев назад
Sir my IVS thickness is 11.7mm Pws is 10mm . Iam always concerned of having lvh in future. But a prof n hod cardiology from AIIMS delhi told me that heavy build people can have IVS PW upto 13mm . Is it true sir?
@drnagendrathalorcardiology
@drnagendrathalorcardiology 11 месяцев назад
That is athelete heart , due to exercise thickness increase but it doesn't cause any problems
@nasreenshaikh-nu5bw
@nasreenshaikh-nu5bw Год назад
Sir resting me to normal hoti hai. Thoda sa bhi chalne par aur urine toliet ke bad bahoot high ho jati aur jab ecg krte huye tab bhi rest me hi hote Hain to jab bhi normal ata hai aur chalne me 130 140 hojati gai sir ye blockage ka symptoms hai haert problem ka plzzzz air reply plzzz
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Ni ,y Blockage nhi h Isko inappropriate Sinus Tachycardia bolte h Y video dakho pura smj a jayega ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-b4JNSjU5TEQ.html&si=W9Sh9lQjc4liR0_Q
@Supremetheone1
@Supremetheone1 4 месяца назад
Sir 100 % blockage ka angioplasty sambhav hain ?
@drnagendrathalorcardiology
@drnagendrathalorcardiology 4 дня назад
Yes
@drnagendrathalorcardiology
@drnagendrathalorcardiology 4 дня назад
This video is helpful for u ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-OW8j2HWPvFA.html
@surajbhardwaj1059
@surajbhardwaj1059 8 месяцев назад
Sir mere papa ki ye report he , aage Kya kare bataiye please CT CORONARY ANGIOGRAPHY MDCT Coronary angiography was performed on Dual energy 384 slice cardiac CT scanner with 0.625 mm slice thickness. A calcium score was obtained prior to intravenous administration of 80 ml of 400 mg% I.V. non-ionic contrast agent. Images have been obtained with ECG gating and retrospective reconstructions have been performed during the diastolic phase. Appropriate curved MIP, SSD and VRT images have been obtained. Mean heart rate during the examination was 82 beats per minute. Summary: The coronary calcium score is 11.1 Right coronary dominance. Findings: Left Main Coronary Artery (LM): Normal in length and calibre. No evidence of any obvious luminal abnormality noted. Left Anterior Descending Artery (LAD): Normal in length. Proximal LAD shows good contrast pacification with no significant luminal stenosis. Mixed plaque is seen within the mid LAD extending for a length of approximately 6 mm causing critical to near complete luminal occlusion. Rest of the LAD is thin in calibre and possibly filling via collaterals. Branches: D1, D2 are normal in course and calibre.
@whitdwraf9785
@whitdwraf9785 11 месяцев назад
Sir 18 sep ko mere papa ka ptca hua kal jab bandage khola tab gorin me hematoma ho gaya tha .abhi wo thik ho gaya he .kaya aab koi problem ho sakta he uska waje se stent ma ?
@drnagendrathalorcardiology
@drnagendrathalorcardiology 11 месяцев назад
Nhi
@jyotisirkiclass8347
@jyotisirkiclass8347 10 месяцев назад
Dr. Dahab , can a diabetic person go for stenting in 90% blocked proxi. LAD artery?
@drnagendrathalorcardiology
@drnagendrathalorcardiology 10 месяцев назад
Yes
@anonymous13819
@anonymous13819 11 месяцев назад
Sir angioplasty k 5 din bad restenosis ho sakta he kaya .mera chest ma kabhi kabhi Sui chubne k tara dard hota he or kabhi kabi left hand me weekness bhi feel hota he
@drnagendrathalorcardiology
@drnagendrathalorcardiology 11 месяцев назад
Early period m stent thrombosis ho skta h Jisme heart attack jaisa pain or ecg change ate h Y apko normal pain h don't worry
@poojakamble8594
@poojakamble8594 Год назад
Sir mujhe pure body mein ajab she baichane hote hai jaise kuch ho rahe hai mujhe Mere Tmt negative hai 2DEcho bhi negative hai but q aise ajab she sensation feel hota hai...
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Y heart related nhi h Ap apna thyroid, vitamin b12or vitad3, blood sugar check kro Mostly anxiety k karn h
@whitdwraf9785
@whitdwraf9785 Год назад
Type 2 diabetes Lad me 80 % stenosis What should be best ptca or bypass ?
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
If no left main disease , single lad 80% Stenting is good
@whitdwraf9785
@whitdwraf9785 Год назад
@@drnagendrathalorcardiology Left Main Stem - Normal. LAD - Proximal 80% stenosis Diagonal 1 -Ostial plaque. Diagonal 2 -Normal. LCX normal OM I normal OM 2 Normal. RCA normal PDA normal PLV Normal.
@nasreenshaikh-nu5bw
@nasreenshaikh-nu5bw Год назад
Sir mujhe mvp hai without mr mujhe ectopics beats roz hoti aur heart beat bahoot high ho jati Hai to mujhe atrial fibration ya VT ya svt ya cardiac arrest asakta hao kiya sir plzzz plzzzz reply
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Ape ECG m kya h ECG m koi ectopic/ vpcs h ya normal h Or apka Palpitations feel hota h but ecg normal h Agr ecg normal h but Palpitations hota h to y anxiety k karn h
@santoshrajbhar8383
@santoshrajbhar8383 8 месяцев назад
I have 50% blockage in 2015. Then 2021 again its shows 50% because I not quiet smoking and drinking. But after 2021 I quiet all but due to aniexty recently done CAD its shows lad 40%. My lvef increase from 35% to 50%. Doctor told me normal.i m taking medicine also and change life style. But i still fear doctor becuase i have blockage in lad.
@drnagendrathalorcardiology
@drnagendrathalorcardiology 8 месяцев назад
So at present 40% blockage is there in lad So continue your medicine and keep healthy lifestyle
@santoshrajbhar8383
@santoshrajbhar8383 8 месяцев назад
@@drnagendrathalorcardiology Doctor already i m continuing the medicine from last 2 years and also quit the habit of drinking and smoking. The result shown in my lvef from 35 % to 50% and blockage to 50% to 40%. My concern is doctor would my blockage will reduce more and what is the time period of reducing or increasing the blockage. Because frankly speaking doctor everytime i live in fear that my blockage plague will blast and all of sudden my blockage will be 100 result in heart attack. Always praying to god when i m alone and thinking a lot. Lot of video on youtube show lad blockage is widowmaker . please doctor any suggestion. i also started eating garlic every morning. Having juice of anar and apple daily. And keeping ginger in my bag while going office so for any concious to eat ginger in sitting position .Thanks for ur reply.
@Rathore513
@Rathore513 Год назад
Sir apke number dedo please
@drnagendrathalorcardiology
@drnagendrathalorcardiology Год назад
Y can mail at drnagendrathalor@gmail.com
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