Severe aortic stenosis in elderly, frail patients with multiple medical conditions presents one of the most demanding challenges in contemporary cardiology. Many such patients are deemed inoperable due to prohibitive surgical risk. However, advances in Transcatheter Aortic Valve Replacement (TAVR) have transformed outcomes, offering life-saving treatment even in the most complex scenarios. This blog highlights […]
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Mitral valve disease is a significant cause of heart failure and reduced quality of life, particularly in elderly patients and those with multiple medical conditions. Among the different forms of mitral valve disease, severe mitral regurgitation (MR) is the most common and challenging to treat. While open-heart surgery has long been the standard treatment, many […]
Read MoreZero-Contrast Angioplasty – எளிய விளக்கம் இதயத்தில் அடைப்பு இருக்கிறது என்று சொன்னால் பயம் வரும்.அதே நேரத்தில் சிறுநீரகமும் சரியாக வேலை செய்யவில்லை என்றால், அந்த பயம் இன்னும் அதிகமாகும். ஏனெனில் பொதுவாக இதய அடைப்புக்கு செய்யப்படும் சிகிச்சையில்“contrast dye” என்ற மருந்து பயன்படுத்தப்படும்.இந்த dye, சிறுநீரக பாதிப்பு உள்ளவர்களுக்கு பிரச்சனை உண்டாக்கலாம். அதனால் பலர் இப்படிச் சந்தேகம் கேட்கிறார்கள்: “எனக்கு angioplasty செய்யலாமா?” “Kidney damage அதிகமாகுமா?” “Dialysis வர வாய்ப்பு இருக்குமா?” இந்தக் கேள்விகளுக்கான […]
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Modern cardiology is no longer just about the heart alone. The heart, kidneys, and lungs are deeply interlinked. When one falters, the others often follow. This “domino effect” is especially visible in patients with acute cardiac illness, heart failure, or post-PCI recovery challenges. The image above captures this perfectly:Heart → Kidney → LungA single organ […]
Read MorePercutaneous coronary intervention (PCI) has transformed the management of coronary artery disease over the last three decades. But for patients with chronic kidney disease (CKD), every coronary procedure comes with a major concern: the risk of contrast-induced acute kidney injury (CI-AKI). As the incidence of diabetes, hypertension, and aging-related kidney dysfunction continues to rise in […]
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When every drop counts, precision matters most. For patients living with both coronary artery disease (CAD) and kidney disease, every medical decision is a balancing act. Treating the heart without harming the kidneys has long been one of the greatest challenges in interventional cardiology. But with Zero-Contrast Angioplasty, that equation is changing—thanks to advancements in […]
Read MoreOver the years I’ve seen that evidence-based recommendations work best when they are adapted to a family’s culture, taste and daily routine. In this article I’ll explain how to create an “Indianized Mediterranean” diet, how to choose oils and proteins wisely, how to avoid common harmful cooking habits, and how to build a safe, effective […]
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Coronary artery disease (CAD) remains one of the leading causes of death worldwide. Over the decades, interventional cardiology has evolved dramatically—from balloon angioplasty to bare-metal stents, drug-eluting stents, and now, precision-guided interventions using advanced imaging tools. Among these advancements, drug-coated stents (DCS) combined with intravascular imaging (IVUS & OCT) have emerged as true game-changers. This […]
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By Dr. Dhamodaran KSenior Interventional Cardiologist, Apollo Hospitals, Chennai Introduction Mitral regurgitation (MR) is one of the most common valvular heart diseases worldwide, and in its severe form, it can cause significant morbidity and mortality. The mitral valve, located between the left atrium and left ventricle, plays a crucial role in maintaining one-way blood flow […]
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Percutaneous Coronary Intervention (PCI), commonly known as angioplasty with stenting, has dramatically evolved over the last two decades. While traditional angiography provides a two-dimensional view of coronary arteries, it has limitations in visualizing complex plaque structures and vessel morphology. This is where intravascular imaging techniques, such as Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS), […]
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