3rd Edition of Cardiology World Conference

September 14-15, 2022 | Virtual Event

September 14 -15, 2022 | Online Event
Cardio 2022

Role of regenerative therapy in heart failure, acute MI & peripheral vascular disease

Deepak Puri, Speaker at Cardiology conferences
Max Healthcare, India
Title : Role of regenerative therapy in heart failure, acute MI & peripheral vascular disease

Abstract:

PURPOSE : Heart Team Approach has benefited management of Cardiovascular patients for more than a decade now. We adapted Integrated for the Comprehensive management of Cardiovascular and Thoracic surgery patients from 2011 . However the virtues of this approach were tested to the fullest extent during Covid Pandemic when patients presented late and had higher comorbidities as well as complications on arrival .

We present our Experience of adopting the Integrated approach for complete management of such  patients during Covid Pandemic .

PATIENTS AND METHODS : Since the onset of First wave of COVID Pandemic in February 2020 we admitted 488 patients after rapid screening for COVID antigen followed by RT PCR . Any patient tested positive was shifted to COVID ward and Cardiovascular Intervention was postponed till 2 weeks after recovery from Covid. Among these 302 underwent  Off Pump Coronary artery bypass , 2 ASD closure in severe PAH ,1 atrial myxoma excision in patient with CVA, 67 had VATS , 5 had peripheral arterial bypass, 4 had Endovascular repair , 4 had mediastinal tumour removal by Mini thoracotomy, 2 complicated Giant Bronchogeinc cyst ( one cervico - mediastinal Redo,other infracarinal in post PTCA patient) , Segmental resection for  pulmonary Aspergilloma (2) and for pulmonary mucormycosis(2) .Apart from these there was 1 EVAR and 1 EVLT 1, RFA 1 while 36 were referred for PTCA and 66 had minimally invasive procedures/ conservative management.

COVID guidelines were strictly followed along with strict written protocols for Comprehensive management of patients. Prompt other speciality consultation were sought whenever indicated. Meticulous Physiotherapy as well as dietary cover was provided pre operative aas well as postoperative in ICU as well as in Rehabilitation center . All patients were regularly followed up in OPD and homecare was provided whenever indicated. Prompt round the clock  Video consultations were provided to facilitate diagnosis and management when rapid  transportation to hospital was not possible.

RESULT : The postoperative recovery was smooth and uneventful in all except 5 patients with average length of stay post surgery 3.2 days . Post operative mortality were 2 (1 had respiratory failure in post MI  86 year female with Preoperative LVF, other had Preoperative multiple MI with LVF went into Multiorgan failure ).

CONCLUSION :Although the patients presented late with more comorbidities and complications, Integrated approach was beneficial in Comprehensive management by reducing further  morbidity and mortality despite higher Preoperative risk.

Benefits: The audience will learn how efficient Team Approach and meticulous guidelines improves management of patients who present late to hospital with numerous comorbidities during Civid Pandemic .

This will further help the audience in planning management of their patients so that complete cost effective benefits can be effectively passed on during the testing times

Biography:

Deepak Puri is Founder Chairman of Cardiomersion, a global promoting integrated approach to comprehensive cardiac care. He has keen interest in Off Pump Coronary Revascularisation, minimally invasive cardiac surgery and regenerative therapy with 75 publications in reputed national and International Journals including a chapter in a book. Having presented more than 100 papers in conferences across the globe, he been invited faculty in several International conferences and organized more than 200 workshops as well as several International Conferences promoting an integrated approach, innovative techniques, promoting new technologies and exchanging skills with experts across the globe. He has worked as assistant professor in Post Graduate Institute of Medical Education and Research Chandigarh, Additional Director CTVS at Fortis Healthcare, Director CTVS at Max Healthcare and has been visiting surgeon at University of Maryland Baltimore, Swedish hospital Seattle as well as Leipzig Heart Center Germany.

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