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65-yr-old saved from cardiac arrest

Friday, March 09, 2018
By Steffy Thevar

Hypertrophic Cardiomyopathy occurs in one out of every 500 people

A team of cardiologists at the Upasani Super Speciality Hospital, Mulund, performed an ICD (Implantable Cardioverter Defibrillator) device implantation surgery on a 65-year-old patient. Hypertrophic Cardiomyopathy, causes the heart to stop functioning and this case came as a challenge for the doctors as it is a rare condition among adults and difficult to diagnose. Prabhakar Dubbewar's heart had stopped functioning and so the doctors opted to go for the implantation, which saved his life.

Dr. Ashish Agrawal, Interventional Cardiologist said, “Hypertrophic Cardiomyopathy is a common genetic disorder affecting almost 1 in 500 individuals. Most patients remain undiagnosed. It is one of the common causes for sudden cardiac death. However, this presentation is more common in young individuals and the incidence is known to decrease with age. We fixed an ICD in this patient after he survived an episode of life threatening abnormal rhythm called ventricular tachycardia. With this device in place, in future, if his heart develops such an episode, then the device will detect that problem and terminate it by giving a shock. Many patients with this condition cannot even reach the hospital and unfortunately die within minutes after the onset of this problem. This device works as a life saver for them”.

Dubbewar's son Dr. Venkatesh said, “Just four days back he suddenly collapsed and became unresponsive. He was immediately rushed to a nearby ICU in our native town Parbhani, where the ECG monitor showed life threatening abnormal rhythm with significantly low blood pressure. Fortunately he was treated in time. I approached my cardiologist friend Dr. Agrawal and it was decided to go ahead with ICD implantation as early as possible, because a recurrence of this episode may not necessarily give him time to reach the hospital. I myself also underwent ECG and echocardiography tests as it is essential to rule out this hereditary problem in first degree relatives”.

Dr. Tejas Upasani, Medical Director at Upasani Super Speciality Hospital, said, “We are glad that we were able to provide such advanced tertiary care services to our patient”.

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