When ” Cath lab viability ” competes with myocardial viablity … Just carry on !

Pure science Whenever possible ,before doing a coronary revascularisation procedure , check twice the segments you try to perfuse is really short of blood supply and truly needs the procedure. Don’t ever waste your resources and try to blood-feed the dead myocardium. It’ can never be awakened ! Pragmatic science I was conversing with my colleague recently , who has grown into  suave , Interventional cardiologist with a huge academic & societal repute .He owns a personal cathlab and planning to get one more. I learnt a non-academic reality lesson from him . When planning myocardial revasascularisation,  apart from myocardial viablity status, there is one more viability issue  which is done in the account books of finance mangers across big hospitals. Its Cath lab viablity.  Trust me, he used exactly the same word ! He went on to explain in detail , how, every day there must be a minimum number of procedures to keep the machine alive. Which is under the eagle eyes of the guys who funded the state of the art lab ! “So, what do you say,I asked him ?” He was frank enough to admit,  he felt always happy when he is able to convert angiograms into angioplasties.He went on to add , the Ideal CAG-PCI conversion ration should be atleast 3:1 or more. “Whenver I hear such genuine statments from real world people , it pains,  as it tends to confirm my assumptions ” Final message I am wondering with all my lost wisdom. Why should any cardiolo...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: bio ethics cardiology wisdom cardiology-ethics Cardiology-Statistics cath lab tips and tricks Medical education Medical ethics medical quotes medical satistics Two line sermons in cardiology wisdom in cardiology cath lab viablity vs Source Type: blogs