Heart disease remains the leading cause of mortality globally. Many individuals affected by this condition exhibit risk factors such as smoking, diabetes, hypertension, or genetic predispositions.

In contemporary society, lifestyle factors such as obesity, lack of physical activity, and occupational stress also play a crucial role in increasing the risk. Heart attacks often strike unexpectedly, which heightens their lethality; therefore, prompt medical intervention is critical.

In the absence of timely treatment, the likelihood of death can be alarmingly high, reaching up to 50% in severe cases such as cardiogenic shock.

Everything you need to know about Primary angioplasty (PAMI):

In a discussion with Lifestyle, Dr. Tamiruddin Danwade, a Consultant Interventional Cardiologist at Medicover Hospitals in Kharghar, Navi Mumbai, emphasized that primary angioplasty (PAMI) represents the most effective treatment for heart attacks. He elaborated, stating, “During PAMI, patients are promptly taken to the cardiac catheterization laboratory, ideally within 90 minutes of their hospital admission, to conduct angiography and identify the location of the blockage. Nearly all patients necessitate immediate angioplasty, which involves the removal of the blockage through the insertion of a metallic stent, a spring-like device.”

Dr Tamiruddin Danwade explained, “While this treatment approach may seem quite aggressive, it has significantly improved patient outcomes, allowing us to save the majority of lives that were previously lost to this severe condition. In the field of cardiology, a major challenge is that patients and their families often struggle to accept the diagnosis of a heart attack. Even when they do acknowledge it, many take considerable time to make decisions, which is critical since time is of the essence in heart attack cases; it is akin to an ongoing fire that, if not extinguished promptly, can lead to further damage and pose a serious threat to life.”

Another frequent clinical scenario involves a stable patient experiencing chest pain indicative of a heart issue (angina) without an actual heart attack. Dr. Tamiruddin Danwade recommended, “In such instances, it is prudent to perform an elective angiography. Following the angiography, there is ample time to deliberate on the next steps. We can afford to wait a few days, or even weeks, for angioplasty. The general public needs to recognize that these two situations are fundamentally different: one is a critical emergency requiring immediate action, while the other serves merely as a warning sign, allowing for more time to make informed decisions. Patients and their families must grasp these distinctions to achieve the best possible outcomes.”

The aim is to provide substantiated facts and to enhance confidence in the effectiveness and safety of contemporary medical treatments. The overarching goal is to enable individuals to make well-informed choices regarding their healthcare, thereby guaranteeing that they receive appropriate treatment at the appropriate time.

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