by Suman Gupta
- A resident of Varanasi, the patient had suffered from a severe heart attack and two episodes of cardiac arrest
- Preliminary examination conducted revealed that his heart was operating at only 20% efficiency with severe valve leakage
- He was on ventilator
01st May, 2023, New Delhi: In a rare case, experts at Indraprastha Apollo Hospital remotely managed an 80-year-old man who suffered a heart attack and two episodes of cardiac arrest while being transported in an ambulance en-route to Delhi through tele-management. Initially, he was taken to a local hospital in his native city, Varanasi, where preliminary examination revealed that his heart was operating at only 20% efficiency with severe valve leakage. He was in cardiogenic shock and had to be ventilated. The doctors there gave up hope and in desperation while his health was deteriorating, his family consulted Dr NN Khanna, Senior Consultant, Cardiology & Vascular Intervention ,Indraprastha Apollo Hospitals, New Delhi, who recommended immediate interventional treatment for which the patient had to be transported as soon as possible to Delhi. Considering delay in transportation by air ambulance due to heavy fog ,doctors decided to remotely manage the patient via tele medical guidance for 14 hours, while enroute to Delhi. After reaching the hospital he was immediately put on left ventricular support (device that helps pump blood in failing heart condition ). This was followed by a complex multi-vessel coronary angioplasty procedure with an aim to pull him out of the cardiogenic shock, fix severe leaking of mitral valve and manage pulmonary edema (Fluid accumulation in lungs because of heart failure).
Dr NN Khanna, Senior Consultant, Cardiology & Vascular Interventions, Indraprastha Apollo Hospitals, New Delhi, said, “When the patient’s son contacted us from Ireland and explained to us the medical condition of the patient and the doctors in Varanasi had given him absolutely no hope, we immediately took the decision to take the chance and recommended to bring him to Delhi. However, due to unfavourable weather condition, we had to resort to the utilisation of Telemedicine to monitor and manage the patient throughout the 14-hour long road journey from Varanasi to New Delhi. Telemedicine to monitor has been an extremely vital tool in extending support to save numerous lives, allowing us to remotely diagnose and treat patients and improving access to care. The patient had a history of multiple episodes of cardiac arrests with only 20% functioning of the heart. However, post 2-hour long cath procedure for placement of implantable cardioverter-defibrillator and left ventricular support device during complex multi vessel angioplasty ,the patient was discharged and travelled back safely to Varanasi.”
Relative of the patient said “We cannot express enough gratitude towards Dr. Khanna and the entire team at Apollo Hospitals for their unwavering commitment and persistence in saving our father’s life. Despite facing multiple challenges, including severe heart attacks, cardiogenic shock, and difficulties in transfer, Dr. Khanna’s expertise and continued care through telemedicine and complex angioplasty played a crucial role in stabilizing our father’s condition.”
The patient recovered and is visiting the hospital for check-ups.
About Indraprastha Apollo Hospitals:Indraprastha Apollo Hospitals, India’s first JCI accredited hospital, is a joint venture between the Government of Delhi and Apollo Hospitals Enterprise Limited. Commissioned in July 1996, it is the third super-specialty tertiary care hospital set up by the Apollo Hospitals Group. Spread over 15 acres, it houses 57 specialties with more than 300 specialists and more than 700 operational beds, 19 operation theatres, 138 ICU beds, round-the-clock pharmacy, NABL accredited laboratories, 24-hour emergency services and an active air ambulance service. Apollo Hospitals Delhi has the leading programme in kidney and liver transplant in the country. The first successful paediatrics and adult liver transplants in India were performed at Indraprastha Apollo Hospitals. The hospital is at the forefront of medical technology and expertise. It provides a complete range of latest diagnostic, medical and surgical facilities for the care of its patients. The Hospital has introduced the most sophisticated imaging technology to India with the introduction of 64 slice CT and 3 Tesla MRI, Novalis Tx and the integrated PET Suite. Indraprastha Apollo has also pioneered the concept of preventive health check programmes and has created a satisfied customer base over decades. The Hospital has been consistently ranked amongst the best 10 hospitals in India by The Week survey for the past few years.
Hospital website –https://delhi.apollohospitals.com/
Twitter: @HospitalsApollo
