An Interview With Dr. Rajneesh Kapoor on Cardiology


As we all know, Interventional Cardiology is a department of Cardiology through which particular methods are used to diagnose the issues associated to blood circulate, in addition to, stress within the coronary arteries and chambers of the guts. It contains varied technical procedures and medicines to deal with abnormalities that impair the perform of the cardiovascular system. To make it extra clear for our viewers, we had a dialog with Dr. Rajnesh Kapoor.

Dr. Rajneesh Kapoor is the Vice-Chairman within the Division of Interventional Cardiology at Medanta The Medicity. He has been working with Medanta for over 10 years. At Medanta, he performs all types of invasive procedures which embody coronary angioplasty, peripheral angioplasty, carotid angioplasty and all types of valvular interventions that are getting fashionable nowadays.

Equally, he’s an professional in performing many different new procedures like TAVR. Earlier than this, he has additionally labored with different prime services like Apollo Hospitals.

Interview Questions Answered by Dr. Rajneesh Kapoor

Query 1: How can we tackle the dearth of donors regarding coronary heart transplants? What measures are taken to protect the well being of a affected person in case the donor’s coronary heart will not be instantly out there?

Reply: Dr. Kapoor mentioned that if we discuss concerning the pool of end-stage coronary heart sufferers, the guts failure sufferers, we’ve got ‘N’ variety of sufferers who come for followup, the place the medicines and different therapies are usually not working. This is named refractory coronary heart failure. So now the affected person is at a stage the place he/she could be handled clinically solely with a coronary heart transplant.

The physician discusses this with the sufferers and their households. A coronary heart transplant will not be a one sitting phenomena. It requires a number of sittings with the sufferers and their kinfolk.

Dr. Rajneesh Kapoor talked about that the outcomes of coronary heart transplants are excellent. The issue in coronary heart transplant is that the donor will not be immediately out there. A perfect donor is a younger particular person whose blood group matches with the affected person and is mind useless due to some causes however with a functioning coronary heart.

In reality, in Northern India, if some affected person is mind useless, the household will not be able to donate his/her organ due to emotional attachments. Alternatively, in Southern India, individuals are far more receptive in donating the organ of any member of the family who’s mind useless. So right here we have to work to reinforce the attention in most people. Now we have to make folks perceive that donating organs of mind useless sufferers can save somebody’s life.

In some circumstances, the affected person wants a transplant however they don’t seem to be receiving the suitable donor on the proper time. In that case, we should maintain the affected person balanced or a minimum of maintain the affected person going till he/she will get the appropriate donor. This contains some procedures, good treatment and in addition affected person’s cooperation in following a very good way of life, by limiting the salt consumption or fluid consumption, be very compline with the drug consumption.

So by using both a tool or applicable drug regime or modifications in way of life, the medical doctors can get the affected person going until the purpose he receives a donor.

Learn: Coronary heart Transplant – Factor You Want To Know About The Process

Query 2: What’s the way forward for interventional cardiology? Can we count on extra improvements within the catheter-based therapy that it minimizes the necessity for cardiac surgical procedures?

Reply: Prior to now two to a few many years, there was a speedy development in interventional cardiology. Now we have been doing coronary interventions and all types of valvular intervention. Medanta The Medicity has a unique sort of experience in dealing with very advanced coronary heart circumstances.

However the development in interventional cardiology is extra about structural coronary heart interventions. The cardiology procedures have moved from coronary to structural coronary heart issues. Now structural coronary heart issues are the valvular coronary heart issues.

Suppose, if one of many coronary heart valves begins leaking. Usually in such conditions, the surgical procedure is the one therapy. However at instances the affected person’s comorbidity, frailty or the age of the affected person are a few of the components that add extra threat through the surgical procedure. So, in such circumstances, there’s a want for sure procedures which may give advantages to sufferers and are non-surgical. That is included within the development which is current nowadays.

These days, we’re treating aortic stenosis by a catheter-based percutaneous valve alternative popularly generally known as TAVR. Dr. Rajneesh mentioned that Medanta is THE main centre in India who has carried out the utmost variety of TAVR. Equally, they’re additionally doing percutaneous mitral valve intervention the place they’re changing the valve or doing clip process.

Query 3: Within the age of technological advances, how usually is open-heart surgical procedure indicated?

Reply: The development of interventional cardiology has decreased the variety of open-heart surgical procedure however not fully averted. Nonetheless, there are specific subsets through which open coronary heart surgical procedure is the primary indication of therapy.

For instance, Open coronary heart surgical procedure is indicated within the case of left principal advanced bifurcation illness. Open coronary heart surgical procedure can also be required in closely calcified arteries, calcified blockages and CTO. Aside from these, many sufferers are affected by valve issues like mitral valve illnesses or congenital issues in children could be handled with the assistance of open-heart surgical procedure. Catheter-based therapy has turn out to be increasingly superior however nonetheless, there’s a enormous scope of cardiac surgical procedure. In lots of circumstances, open surgical procedures are the one answer.

Query 4: Roughly 200,000 youngsters per 12 months are born with congenital coronary heart illnesses. One-fifth of those youngsters require medical intervention within the first 12 months of their life. What do you suppose are the primary causes behind these numbers? Can anticipating moms undertake some preventive measures throughout their being pregnant to cut back the danger of congenital coronary heart illnesses?

Reply: In lots of circumstances, the youngsters are born with congenital coronary heart issues after which the medical doctors present the therapies. This follow is essential and in addition obligatory for his/her good well being. However most significantly we have to perceive the explanation behind the congenital coronary heart issues. For that, we’ve got to see the being pregnant section.

Dr. Rajneesh talked about that being pregnant needs to be wholesome. Ensure the mom will not be affected by malnutrition. There needs to be a very good provide of iron and nutritional vitamins. Your loved ones historical past additionally issues loads and desires particular investigations in such circumstances. There are lots of cardiac issues which could be recognized throughout being pregnant.

Typically when the situation could be very important, then we’ve got to terminate the being pregnant. Typically, congenital issues are frequent in girls getting pregnant after 30 years of age or in consignors marriages, that are frequent within the Muslim neighborhood. In such circumstances, medical doctors advocate a easy fetal echocardiography check. This check clears whether or not or not the newborn has any coronary heart dysfunction.

As talked about within the query, 2,00,000 youngsters are born with congenital coronary heart illnesses. Even when the youngsters get recognized with coronary heart issues at an early stage, they are often handled fully with the assistance of sure procedures or surgical procedures.

Query 5: What are the success charges of stent implantations for treating cardiac illnesses? Is it attainable that surgical procedure is additional indicated publish stenting?

Reply: These days, we’re into an period the place the stent know-how has reached the purpose the place it’s superior. The stents are actually miniaturized, very small and really refined. The probabilities of any failure of any stenting process at the moment are lower than 1%. Equally, the probabilities of recurrence are no more than 3-4%. This additionally depends upon the experience and the hospital. The success charge of such procedures will increase if the hospital is following very strict protocols and has an efficient crew of cardiologists like Medanta.

Associated learn:  #CrediTalk: Dr. Niraj Gupta’s Tackle Coronary heart-Well being and Interventional Cardiology

Extensively the stent success charge is excellent, however at establishments the place strict protocols are adopted, the outcomes are even higher. There are a couple of segments or subsets of sufferers the place stenting stays a dangerous course of and desires surgical procedure.

At Medanta, a number of brains are working collectively at one cut-off date to have the absolute best consequence for the affected person.

Try all of the article in #CrediTalk sequence right here.

About The Physician

Dr Rajneesh KapoorDr. Rajneesh Kapoor is a number one heart specialist and the Vice-Chairman within the Division of Interventional Cardiology at Medanta -The Medicity, Gurgaon. He has a wealthy expertise of 23 years in his area.

He has accomplished his MBBS from Govt. Medical Faculty Amritsar, Punjab, Guru Nanak Dev College in 1994, MD from Govt. Medical Faculty & Hospital Patiala, Punjabi College in 1997 and DNB from Escorts Coronary heart Institute & Analysis Centre, New Delhi in 2002. He has revealed over 100 articles, critiques and abstracts in varied nationwide and worldwide journals

Earlier he was related to Escorts Coronary heart Institute and Indraprastha Apollo Hospital, New Delhi as a Senior Guide Heart specialist.

For a precedence appointment or extra data, contact us at +91 8010994994 or ebook an appointment with Dr. Rajneesh Kapoor right here

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