Abstract

Angioplasty is a treatment to re-open a blocked coronary artery. When an angioplasty is used to re-open a coronary artery when someone is having a heart attack, it is called a primary angioplasty. Primary angioplasty is sometimes called primary PCI, or PPCI for short. PCI stands for per cutaneous coronary intervention. Heart is a muscle that pumps blood around body, delivering oxygen and other nutrients to cells. Heart muscle needs its own supply of oxygen and nutrients so that it can pump blood around body. The heart muscle gets its blood supply from its coronary arteries, which are on the outside of heart.

Primary angioplasty is the preferred treatment for many people having a heart attack, but only if it can be given very soon after the symptoms start. The ambulance service works closely with hospitals in their area to try to make sure that people with a suspected heart attack are taken to a hospital that can carry out a primary angioplasty.

Introduction

Primary angioplasty, also called percutaneous coronary intervention (PCI), is a procedure which treats blockages within the coronary arteries and improves blood flow to the heart. Primary angioplasty involves stretching any narrowed areas of the coronary arteries using a balloon which is attached to a thin catheter (tube). Like an angiogram, the catheter is inserted, under local anaesthetic, into a main artery in the upper leg or lower arm and then passed gently into the aorta (the large artery which supplies the heart muscle with its own blood supply).

The balloon, at the tip of the catheter, is blown up at the narrowed area(s) of the artery; this forces the artery open and widens it. In the majority of cases a metal stent will also be placed in the artery. A stent is a cylinder of metal mesh which acts like a scaffold to keep the artery open and prevent the artery narrowing again. The artery heals around the stent making it a permanent part of the artery. Here, we’d like to report a Primary Angioplasty of a male patient who came as a medical emergency at Chandan Hospital. The patient was complaining of severe chest pain. He was treated immediately by Dr. Deepak Tiwari. After successful treatment the patient is now fully recovered.

Case History

A male patient reported at Chandan Hospital Lucknow, India as a medical emergency. The patient had a chief complaint of severe chest pain. He was provided with immediate attention and proper treatment.

Management

Mr. Ram Lakhan Yadav was presented with severe chest pain as a medical emergency at Chandan Hospital, Lucknow. He was in a very critical stage and was given primary treatment and immediately handed over to Dr. Deepak Tiwari. Because of the timely intervention by the Chandan Team, he survived and now is recovering fast. Dr. Deepak Tiwari along with well equipped team of Chandan Hospital excellently treated such a medical Emergency.

4. Testimony

“I came at Chandan Hospital in a state of medical emergency, while having severe chest pain. I was in a very critical stage. I was given primary treatment and immediately handed over to Dr. Deepak Tiwari. Because of the timely intervention by the Chandan Team, I survived and now I am recovering fast. I sincerely thank Chandan Hospital for their excellent medical service & care. Especially Dr. Deepak, who handled my case so well, he is a great doctor, a very good person & unforgettable personality. I am overwhelmed & touched by the warmth & care I received during my entire surgery. Thanks; Chandan Hospital.”

– Mr. Ram Lakhan Yadav (Patient)