NEW DELHI: Designer Rohit Bal underwent an emergency angioplasty – often referred to as rescue angioplasty late on Tuesday night after he complained of fresh chest pain. Bal had suffered a massive heart attack on Tuesday morning that had damaged a significant part of his heart muscles.
Doctors had initially decided to conduct an angiography on Wednesday morning to access the extent of blockage in Bal’s cardiac arteries and then take a call on whether he would require a bypass or an angioplasty.
But late on Tuesday night, Bal complained of acute chest pain once again forcing doctors at Medanta Medicity to conduct the hour-long emergency angioplasty.
Speaking to TOI, chairman of interventional cardiology at Medanta Dr Praveen Chandra who conducted the angioplasty on Bal said "we realized that if we didn’t conduct the angioplasty immediately, Rohit Bal’s heart would suffer more damage."
So what caused the heart attack?
Doctors found that one of Bal’s arteries – the left anterior descending (LAD), was blocked almost 90%. A thrombosuction to clear up the artery was then conducted on Bal following which he was administered a clot dissolving medicine to clear up the remaining partial block. A stent was then put ino the artery. LAD supplies blood to the front of the left side of the heart.
Another artery – the right coronary, was also found to be blocked 100%. But doctors left that untouched since they found that the body had already created a bypass channel through which blood supply to the heart was continuing.
An intra aortic balloon pump has also been put on Bal which will support Bal’s heart in the next 48 hours and help it recover faster. The balloon will increase blood flow to the heart muscle and decreases the heart’s workload through a process called counterpulsation. It can produce up to 20% of the heart’s workload. The IABP is placed in the aorta, which is the main artery that carries oxygen-rich blood to the rest of the body.
"We will have to be watchful over the next 24 hours. He is on the intra aortic balloon pump and blood thinning medication. The attack was very severe," Dr Chandra added.
Coronary artery disease (CAD) is a condition in which plaque builds up inside the coronary arteries. These arteries supply our heart muscle with oxygen-rich blood.
Plaque is made up of fat, cholesterol and calcium. Plaque narrows the arteries and reduces blood flow to the heart muscle. It also makes it more likely that blood clots will form in your arteries. Blood clots can partially or completely block blood flow. When our coronary arteries are narrowed or blocked, oxygen-rich blood can’t reach the heart muscle. This can cause chest pain or heart attack.
Doctors at Medanta said that the drug administered on Bal on Tuesday afternoon at Aashlok hospital where he was first taken failed because of which the designer faced another bout of chest pain on Tuesday night.
Chairman of clinical cardiology at Medanta Dr R R Kasliwal had told TOI that the echo showed that large parts of Bal’s heart muscles had been damaged. Two valves of the heart were also not moving.
Doctors had initially decided to conduct an angiography on Wednesday morning to access the extent of blockage in Bal’s cardiac arteries and then take a call on whether he would require a bypass or an angioplasty.
But late on Tuesday night, Bal complained of acute chest pain once again forcing doctors at Medanta Medicity to conduct the hour-long emergency angioplasty.
Speaking to TOI, chairman of interventional cardiology at Medanta Dr Praveen Chandra who conducted the angioplasty on Bal said "we realized that if we didn’t conduct the angioplasty immediately, Rohit Bal’s heart would suffer more damage."
So what caused the heart attack?
Doctors found that one of Bal’s arteries – the left anterior descending (LAD), was blocked almost 90%. A thrombosuction to clear up the artery was then conducted on Bal following which he was administered a clot dissolving medicine to clear up the remaining partial block. A stent was then put ino the artery. LAD supplies blood to the front of the left side of the heart.
Another artery – the right coronary, was also found to be blocked 100%. But doctors left that untouched since they found that the body had already created a bypass channel through which blood supply to the heart was continuing.
An intra aortic balloon pump has also been put on Bal which will support Bal’s heart in the next 48 hours and help it recover faster. The balloon will increase blood flow to the heart muscle and decreases the heart’s workload through a process called counterpulsation. It can produce up to 20% of the heart’s workload. The IABP is placed in the aorta, which is the main artery that carries oxygen-rich blood to the rest of the body.
"We will have to be watchful over the next 24 hours. He is on the intra aortic balloon pump and blood thinning medication. The attack was very severe," Dr Chandra added.
Coronary artery disease (CAD) is a condition in which plaque builds up inside the coronary arteries. These arteries supply our heart muscle with oxygen-rich blood.
Plaque is made up of fat, cholesterol and calcium. Plaque narrows the arteries and reduces blood flow to the heart muscle. It also makes it more likely that blood clots will form in your arteries. Blood clots can partially or completely block blood flow. When our coronary arteries are narrowed or blocked, oxygen-rich blood can’t reach the heart muscle. This can cause chest pain or heart attack.
Doctors at Medanta said that the drug administered on Bal on Tuesday afternoon at Aashlok hospital where he was first taken failed because of which the designer faced another bout of chest pain on Tuesday night.
Chairman of clinical cardiology at Medanta Dr R R Kasliwal had told TOI that the echo showed that large parts of Bal’s heart muscles had been damaged. Two valves of the heart were also not moving.
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