Dr Jaswal traces evolution of heart attack treatment during talk at alma mater

March 09, 2015 01:33 PM

AMRITSAR: Dr RK Jaswal, Director – Cardiology, Fortis Hospital Mohali, was invited to deliver a special talk during the 10th Annual Conference of Amritsar Medical College Alumni Association at Guru Nanak Dev Hospital – Government Medical College, Amritsar.

Dr Jaswal, who is an alumni of the college, delivered a very invigorating talk on Management of Myocardial Infarction (MI) in 2015, which was very well received by the members of Amritsar Medical College Alumni Association and Government Medical College, Amritsar.
Throwing light on the evolution of MI treatment, Dr Jaswal said, “It is interesting to watch that it has only evolved in the last 30 years. When I was doing my MD in 1984-85 here, there was virtually no treatment available for MI in the world.”

Quoting World Health Organization estimates, the senior cardiologist said, “It has been projected that by 2030, 23.6 million people will die of Cardiovascular Disease andof these, the most deaths will be in the South East Asia region.”

He also shared very surprising facts about Cardiovascular Disease, which has long been assumed to be the disease of the rich. “Statistics point out that contrary to myth that heart attack is a malady of the affluent, low and middle income countries constitute a disproportionately huge percentage of 82% of cardiovascular disease burden of the world. Most of these people die young,” Dr Jaswal added.

Detailing the evolution of treatment of MI, Dr Jaswal said, “Till about 1985, there was no treatment available for it. As a result, close to 50-79% of people used to die after their first heart attack. In 1989, clot busters were introduced, and in 1990s, Primary Angioplasty was introduced. As we stepped into the 21st Century, medicated stents further improved results of primary stenting in heart attack.”

He added, “More recently, robust clinical evidence has established superiority of trans radial angioplasty by way of better mortality rates when performed by a highly experienced trans radial operator in a high-volume centre.”

Dr Jaswal, who has performed close to 19,000 trans radial procedures thus making him one of the most experienced in his field, was also invited to deliver a talk on ‘Management of MI’ during the World Cardiology Congress at Shanghai in 2014.

Sharing an important information, the senior doctor said, “If primary angioplasty is performed by a highly experienced operator in a high-volume centre, mortality can be reduced to as low as 2-3%, which is a phenomenal drop compared to the whopping 50-70% mortality rate following a heart attack just 30 years ago.” He added that unfortunately due to lack of knowledge even in countries like the US, not more than 45-50% of patients of heart attack timely primary PCI. Needless, these numbers are even more dismal in India.

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