The forum emphasised on exchange of knowledge on latest innovations and clinical trials by leaders in Interventional cardiology from both India and United States.
Over 25 million heart failure cases worldwide and 8-10 million heart failure patients in India, which translates into 40% of global burden heart failure. Around 17 million people die from cardiovascular diseases (CVD) every year. World Heart Day is celebrated on September 29, with the aim to increase awareness on cardiovascular diseases and its global impact.
This World Heart Day, some great minds from all over the world came forward in the forum East meets West under the leadership of Dr Samuel Mathew and Dr Samin Sharma to discuss and debate on the latest interventions and management of heart disease and way forward.
Dr Samuel Mathew
Being one of the program directors, Dr Mathew addressed all the delegates and shared his views about the rise in the complexity of coronary cases in India. As per him approximately two thirds of the patients in India have diabetes, where the caliber of coronary arteries gets smaller, and the progression of the disease is faster.
He further explained that in such complex cases with diabetes, he relies on the latest imaging modality Optical Coherence Tomography (OCT) which helps him look inside of the artery and plan the procedure with precision.
Dr Samin Sharma
Setting the tone of the event, Dr Sharma said We have made considerable progress in coronary intervention in the last few decades. He believes that the latest generations DES with long-term safety and efficacy data are the standard choice of treatment of complex coronary diseases in US. He also shared an imaging based case of blocked coronary artery with complexity, which was beamed live from New York.
Dr Gregg Stone, senior intervention cardiologist and program director of the biggest US international conference Transcatheter Therapeutics (TCT), shared during his talk (landmark trial EXCEL) that stenting with an FDA approved Everolimus eluting DES achieves the same clinical results with very low complications compared to the gold standard bypass surgery.
Dr Roxana Mehran
She highlighted DAPT is a blood thinning medicine which needs to be taken by every patient post stenting for at least 1 year.
Dr Mehran shared her 2 latest clinical trials Xience 28 and Xience 90 where she had successfully discontinued one drug from the DAPT regimen at 28 days and 90 days in High bleeding risk (HBR) patients stented with everolimus eluting DES. This late breaking clinical trial are creating new dimensions of shortened DAPT regimen for the patients.
Dr Ashok Seth
In his opinion, the field of Interventional cardiology is advancing rapidly towards Optimized PCI. FFR is the guiding tool used world-over for assessing whether the artery is to be stented or not and OCT which provides a three-dimensional view of the blocked artery with a resolution 20 times better than Angiography. During his talk, he shared his experience of managing a complex calcified blocked artery with the help of OCT.
Dr Rony Mathew
Disclaimer: This article has been produced on behalf of Coastal cardiac club by Mediawire team.
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Exchange of knowledge by leaders in Interventional cardiology in East meets West conference - Times of India
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