A complicated heart case treated at Central Referral Hospital during the Covid-19 pandemic

Gangtok, 19 Sept:

A 55 year old male came to the Department of Cardiology, Central Referral Hospital (CRH), Sikkim Manipal University with persistent complain of chest pain. Electrocardiogram (ECG) revealed changes suggestive of ongoing heart attack.

He was immediately rushed to the Cath Lab and coronary angiogram was performed. The angiogram showed 100% occlusion (blockage) with thrombus (clot) of two major arteries proximally and the third artery also showed 90% stenosis (narrowing) proximal to the heart.

This is a rare presentation wherein both of the arteries in heart showed clot and third artery showing narrowing with possibility of fatal outcome. The patient was lucky to have survived to reach a hospital.

The Cardiology Team under the able leadership of Dr Saiful Haque, Consultant Cardiologist, CRH and his team the patient immediately took up the patient for life saving ballooning Percutaneous Transluminal Coronary Angioplasty (PTCA). PTCA where both arteries were opened in the same sitting. The chest pain disappeared, and the patient showed improvement in symptoms.

Patient was admitted for three days of which two days were spent in intensive care in the Cardiac Care Unit (CCU) of CRH, and discharged on the third day with advice for PTCA and stenting of 3rd artery after 1–2 weeks. This is a story of timely intervention by a committed, competent and dedicated healthcare team during the Covid-19 pandemic.

The cardiology department at Super Speciality wing of CRH is equipped with the state of art Cath Lab and has successfully treating life threatening cardio (heart) ailment with high success rates.