No, we can ’ t call OMT, as a re-vascularisation  procedure.

Hi, welcome Mr George, I just reviewed your records. You have three blocks in your arteries supplying the heart. Are they serious Doctor ? Not really, but one of them appear tight What should I do Doctor ? But, I am comfortable Doctor. You may be. But I am not .You need to undergo some re-vascularisation procedure . What do you mean by that Doctor ? It means either a percutaneous coronary intervention with a stent or CABG. Can I get my heart re-vascularised by drugs alone Doctor ? No we can’t . Hmmm , wait, we do have something called OMT/GDMT. Can you put on hold for some time Mr George, you have asked a real tough question.Let me recollect something from my forgotten basics clinical lessons. The Illusion of myocardial re-vascularisation PTCA is sort of repair work done over the blocked area that restores the traffic(blood) flow. while CABG, diverts flow from the congestion or road closure, along a by- pass road, which rejoin the main road later. These are called re-vascularisation procedures. Please note, both of them, never bother to find the status of micro-vascular integrity which form 95% of net coronary vascular surface area. Hiding behind the technicalities PCI demands reduction in percentage  stenosis , resulting in pre-defined minimal luminal area (MLA), maximizing net luminal gain, & restoration of TIMI 3 flow in all three coronary arteries .These are the popular scientific parameters. For CABG we ai...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized Source Type: blogs