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Showing posts with the label Dr. Ramji Mehrotra

Benefits of Total Arterial CABG compared to traditional CABG?

Total Arterial Coronary Artery Bypass Grafting (CABG) offers several potential benefits compared to traditional CABG procedures, which typically involve using a combination of arterial and venous grafts. Some of the key benefits of Total Arterial CABG include: Improved Long-Term Graft Patency: Arterial grafts, such as the internal mammary artery (IMA) and radial artery, have been shown to have superior long-term patency rates compared to vein grafts. This means that arterial grafts are less likely to become blocked or narrow over time, reducing the need for repeat revascularization procedures. Reduced Risk of Graft Failure: Total Arterial CABG may lower the risk of graft failure compared to traditional CABG procedures, as arterial grafts tend to be more resistant to atherosclerosis and have better endothelial function. Better Outcomes for Multi-Vessel Disease: Total Arterial CABG may be particularly beneficial for patients with multi-vessel coronary artery disease (CAD). By ...

Heart Disease and Electrolyte Imbalance

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  Electrolytes are electrically charged minerals that play a crucial role in various physiological processes within the body. Sodium, potassium, calcium, magnesium, chloride, phosphate, and bicarbonate are the primary electrolytes. Proper balance of these electrolytes is essential for maintaining the normal functioning of cells, tissues, and organs, including the heart. Electrolyte imbalances can affect the heart and contribute to heart-related issues. Here's how some electrolytes are specifically related to heart health: Potassium: Role in the heart: Potassium is essential for maintaining the electrical activity of the heart. It helps regulate the heartbeat (rhythm) and ensures proper contraction of the heart muscle. Imbalance effects: Both high and low levels of potassium (hyperkalemia and hypokalemia) can lead to abnormal heart rhythms (arrhythmias) and, in severe cases, can be life-threatening. Sodium: Role in the heart: Sodium is involved in maintaining the ba...

Dr. Ramji Mehrotra | Hypertensive Heart Disease

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  Hypertensive heart disease, often referred to as hypertensive cardiomyopathy, is a medical condition characterized by heart damage that is primarily caused by long-term, uncontrolled high blood pressure (hypertension). When the heart has to work harder due to elevated blood pressure, it can lead to various complications and structural changes within the heart. One of the primary consequences of hypertensive heart disease is the thickening of the heart's muscular walls, a condition known as left ventricular hypertrophy. Leading heart surgeon Dr. Ramji Mehrotra says that this thickening is the heart's way of adapting to the increased workload imposed by high blood pressure. Over time, however, it can lead to a reduced ability of the heart to pump blood effectively, resulting in a decrease in cardiac output and potentially leading to heart failure. Hypertensive heart disease can also damage the coronary arteries, which supply the heart muscle with oxygen and nutrients. This...

What Causes Pericarditis?

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  Pericarditis, an inflammatory condition affecting the pericardium - the thin sac-like membrane surrounding the heart, can be a source of acute chest pain and discomfort. While it is often idiopathic or without a known cause, pericarditis can also be triggered by various factors. Understanding these underlying causes is essential for accurate diagnosis, effective treatment, and prevention of recurrence. Ø   Viral Infections: One of the primary causes of pericarditis is viral infections, particularly those caused by the coxsackievirus and echovirus. These viruses can directly invade the pericardium, triggering an inflammatory response. The immune system's reaction to the viral presence can lead to the release of inflammatory chemicals, causing the pericardium to become irritated and inflamed. Ø   Bacterial Infections: While less common, bacterial infections can also result in pericarditis. Bacteria such as Streptococcus, Staphylococcus, and Mycobacterium tuberculo...