Technology Transforming Cardiac Care for the Better

Technological innovations have created a revolution in the  health care  sector and changed the way how diseases are viewed and managed across the world. Cardiovascular medicine is undergo- ing radical changes day by day as a result of the vast amount of informa- tion and resources being channeled into the field across the globe. The global health care has been miniatur- ized as a result of these innovations. Since the late 1990s, imaging in car- diovascular field has evolved from routine coronary angiography to computerized tomography [CT scan]. cardiac magnetic resonance (MRI), electron-beam computerized tomog- raphy [EBCT], and advanced echocar diography. Intravascular coronary imaging techniques like IVUS (intra vascular ultrasound) & OCT (optical coherence tomography) has created a revolution in the field of coronary angiography and angioplasty.

New and improved surgical inter- vention techniques are helping save lives and hastening recovery among cardiac patients many of whom may not have survived the pandemic with- out these. Technological advance- ments have made cardiac care far more effective and accessible to a lot more than it was a decade ago. OCT has improved the chances of recovery for patients with intense coronary blockages, points out Dr. Sarita Rao, Consultant Cardiologist, Apollo Hospital Indore. 

Apollo launches OCT machine, the first coronary-imaging device of its kind in Indore

What is OCT?

Optical coherence tomography (OCT) is a type of advanced medical imaging that uses light waves to take near-photographic quality cross-sec- tion pictures of living tissue. With OCT, doctors can obtain images of the blood vessels that are about the same as if they were looking under a micro- scope. The test, which received regu- stents latory approval for cardiac use in India in the last decade, is usually performed as part of an angiogram.

In interventional cardiology, OCT imaging is used to take detailed images of blood vessel walls. These pictures are used to help determine the extent and burden of atherosclerotic plaques (build-up of cholesterol and other material) in a patient's arteries. These plaques can build up and cause chest pain called angina. This detailed understanding can help an interven- tional cardiologists determine wheth- er a stent is needed to treat the block age and where to best place a stent so as to treat the blockage. After a stent has been placed, OCT can also be used to see how well the stent is covering the plaque and make certain it is expanded to the correct size for your vessel.

How Does OCT Work?

Most of us already familiar with ultrasound, which uses sound waves to create images of internal structures in the body. OCT works similarly to ultra sound but uses infrared light case of OCT for cardiovascular proce- dures, an optical beam is directed at the tissue to be imaged and a small portion of this light that reflects from applications can be as below: sub-surface features is collected. These In-stent Restenosis signals are transmitted to a computer program that converts them to images Thrombosis of the blood vessel wall.

How does OCT benefit patients? 

  • OCT provides detailed images of superficial coronary plaque compo- nents. As per the histological analy. sis of autopsy specimens, there are Intervention 3 general plaque types: Fibrous, Fibro-calcific and Lipid Rich. All these plaque types can be accurate- ly identified by OCT. The high reso- lution of OCT identifies plaque characteristics that predispose to rupture, including the thin fibrous caps, large lipid cores, and accumu- lation of macrophages.
  • OCT can provide critical informa- tion to guide coronary interven- tions, in addition to characterizing atherosclerotic plaques

  • OCT can be utilized to measure the reference vessel diameter, minimal luminal diameter, and length of the target lesion

  • OCT can be used to identify stent malapposition, tissue prolapse and both in-stent and edge dissection with higher sensitivity than IVUS. 

  • It is of specific benefit in assessing stent apposition with overlapping stents

  • It is utilized as a research tool to study coronary artery pathophysi- ology as well as response to endo- vascular interventions. In addition, it is also used to compare various stent platforms in terms of deploy. ment, endotheliziation and in-stent restenosis

What are the applications of OCT?

The application of OCT in daily clinical practice can help in improv ing the outcomes for the patients and provide an Optimal Percutaneous cor onary Intervention. OCT can help guide physicians on specific clinical situations and can help optimize physician treatment strategies. 

Some of the day to day practical applications can we as below:-

  • In stent Restenosis
  • Assessment of Calcified Lesions
  • Thrombosis
  • Stent Deployment and Malapposition
  • Stent Deployment and Edge Dissection
  • Bifurcation Lesion Assessment and Percutaneous Coronary Interventional

Is OCT Safe?

OCT has been used in the coronary space for more than 20 years now and is widely considered to provide mini mal risk to patients. Complications are rare (occurring in less than 1% of patients), but include arrhythmias (abnormal heartbeats), hypotension (low blood pressure), or blockage, dis section, or spasm of the artery. The test on its own does not use x-ray technology and therefore does not present radiation risks.

"The addition of OCT to our imag ing devices offers a more comprehen sive array of imaging tools, enabling practitioners to see and treat cardiac pathology earlier and more effectively OCT-guided procedures offer better procedural and in-hospital outcomes, and better long-term survival com pared to standard angiography-guided interventional procedures. Increased adoption of OCT imaging, when com bined with advanced technology like AI, allows cardiologists to have a more precise and measurable way of sup porting patients undergoing coronary stent procedures. It can potentially improve physician and patient experi ence by utilizing a systematic process, reducing variability and increasing accuracy of diagnosis and application of therapies," adds Dr. Sarita.

Are you searching for a Best cardiologist for Heart Disease Treatment then contact Dr. Sarita Rao for more details. She is a Top cardiologist in MP and provides treatment for Heart diseases at her clinic, Hridayam Heart Care Center in Indore. 

Call now for an appointment at 9893925000 or online  visit for more information - https://drsaritaraocardiologist.com/



Please go visit our social media :



Please do follow on Instagram 


Comments

Post a Comment

Popular posts from this blog

The role of exercise and diet in maintaining a healthy heart

Image
A common saying goes like this, "you can't out-exercise a bad diet." While there is truth to this adage, you may wonder if nutrition or exercise is more important in health. It can be challenging to determine whether you should emphasize nutrition or exercise or whether the answer lies somewhere in between, given the plethora of health interventions available, from the 80/20 rule to exercise-free diets. The role of exercise and diet in maintaining a healthy heart When you eat right and exercise regularly, boosting your heart health is simple. Incorporate these suggestions into your diet and exercise routine for optimal results. Let's understand the role of Diet in maintaining a healthy heart. The foods you eat affect your heart's health, weight, and hormone levels. Moreover, a  balanced diet can help lower the risk of cardiovascular disease and stroke. Eat good fats. Some fats benefit your health, despite what you may have heard. Monounsaturated fats, such as oliv...
Read more

Understanding arrhythmia: Types, symptoms, and treatment options

Image
An erratic heartbeat is known as an arrhythmia . This indicates that your heartbeat is not in its regular rhythm. Some people report feeling their hearts "flutter," "skip," or "add" a beat. Tachycardia (a rapid heart rate) or bradycardia (a slow heart rate) can cause discomfort. On the other hand, you could not even notice. Arrhythmias can be life-threatening or completely benign. If you notice anything unusual with your heart rate, getting medical attention immediately is essential. Types of Arrhythmias Among the many forms of arrhythmia are: Atrial Fibrillation - When the heart's top chambers pulse irregularly or too quickly, a condition known as atrial fibrillation (AFib) develops. Ventricular fibrillation - When the bottom chambers of the heart pulse erratically and cannot pump blood adequately, a condition known as ventricular fibrillation (VFib) develops. Supraventricular Tachycardia - A rapid heartbeat that starts in the higher heart chambers is...
Read more

All You Should Know About Cardiac Arrest

Image
Cardiac arrest is mainly caused due to heart attack, it is a sudden abrupt loss of heart functioning consciousness and breathing, cardiac arrest generally results due to rhythmic functions for the electrical system of the heart which lead to disrupt hearts pumping action and stop the blood flow from the heart to the body. Cardiac arrest as a major cause of death nowadays, it can come suddenly or in the wake of other symptoms, cardiac arrest can be very fattal if appropriate steps are not taken immediately on time. Cardiac arrest is caused when the electrical system malfunctions and the heart stops beating properly due to this in appropriate breathing the heart stops pumping or is arrested, & stops working that is why it is called as cardiac arrest.  Symptoms of cardiac arrest:- There are many signs and symptoms of cardiac arrest that can not be clearly defined as symptoms of cardiac arrest, the most common symptoms are immediate and drastic it includes- Loss of breathing Loss ...
Read more