Wednesday, May 13, 2009

I am a Cardiologist Especially interested in treating patients with Heart failure .

Your Heart Pumps about 70 times per minute and 160000 times per day . Imagine IF IT WERE TO STOP! NO IT HAS TO PUMP ON FOR LIFE TO GO ON . ;-)

What this means is basically THE HEART IS A PUMP. When this pump fails due to many reasons it enlarges, the heart muscle becomes flabby , and the Internal pressure rises.
Since the Left side of the Heart is connected to the Lungs - This high pressure Distends the Lung blood vessels making it difficult to breathe.

Picture this like a Flooded Room - after a certain stage it floods the adjoining rooms.

HEART FAILURE CAN BE SILENT : Doctors Diagnose this by tests like Chest X-ray, Doppler Echo cardiogram and Radionuclide scans

What do we do to reverse this >?

Traditionally Doctors Pump Intravenous injections to Drive the fluid out- Out through the Urine and We also give a Few drug injections using Pumps. But nothing seems to work on the long term

All these options are TEMPORARY . The patient remains weak , loses weight Or Becomes
" puffy" due to fluid swelling under the skin and is in grave DANGER !

CAN WE DO ANYTHING RADICALLY DIFFERENT ? WOULD YOU LIKE TO OFFER SOMETHING MORE PERMANENT FOR YOUR NEAR AND DEAR ONES

NEW TREATMENT OPTIONS:

1.ARTIFICIAL HEARTS : We use devices like TANDEM HEART or HEART MATE in case of long standing Heart Failure. These are Artificial Mechanical support devices which take over function of the Heart. In Sudden heart failure we use what we called ECMO (extracorporeal membrane oxygenation).

2. STEM CELLS THERAPY " A new evolving mode of therapy which involves separating Stem cells from Bone marrow and injecting on to the Heart Muscle or into the Cardiac arteries.

3. HEART TRANSPLANT : Established option - but NOBODY ALIVE IS READY TO DONATE HIS/HER HEART ! We need to find Brain dead patients to donate their Hearts - Quite a difficult task!

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