Dr. Sarita Rao Best Cardiologist

 Accurate fertility-based radiation safety data, education and knowledge is important for all staff exposed to occupational radiation. Women are under-represented in all medical fields with increased exposure to occupational radiation, to achieve better equity in our medical workforces evidence-based radiation safety knowledge is essential to overcoming perceived career barriers. This review of radiation safety policy and data focuses on providing health professions working in cardiology with accurate contemporary information about potential radiation exposure with respect to fetal risk for pregnant health professionals. The data summarized within this review shows when women continue to work in cardiac catheterization laboratories through pregnancy their expected occupational radiation exposure with appropriate shielding, will not meaningfully change pregnancy outcomes, nor will it significantly increase risk to the fetus. The review also summarizes international workplace policy ...

  Background The burden of heart failure (HF) with preserved ejection fraction (EF) is increasing in India. Compared with Western populations, Indian patients often present at a younger age with a high burden of diabetes, chronic kidney disease, central adiposity, anemia, chronic obstructive airway disease, peripheral artery disease, and ischemic heart disease. These differences pose challenges for the implementation of existing EF-based management strategies and support the need for India-specific guidance. Objectives The objectives of this study were to develop India-specific consensus recommendations for the diagnosis, phenotypic assessment, and management of HF with preserved EF (HFpEF) across diverse healthcare settings. Methodology A modified Delphi consensus process involving 25 HF experts from India and Europe was used to formulate recommendations based on a review of contemporary evidence and structured expert voting. Results Consensus was achieved on recommendations cover...

  Background Severe hypertension in young patients presents a significant diagnostic dilemma, and treatment can often be codified. Therefore, it is crucial to diagnose these cases for probable secondary hypertension. Common causes of secondary hypertension include large vessel vasculitis, renal artery stenosis, coarctation of the aorta, and endocrine disorders. Case summary A 23-year-old Asian male, who was previously in good health, presented with symptoms of chest pain, shortness of breath on exertion grade II, and generalized weakness. On examination, his blood pressure was markedly elevated at 200/110 mmHg. Diagnostic investigations revealed significant vascular involvement, including bilateral renal artery stenosis accompanied by aneurysm formation, celiac trunk disease, and osteal stenosis of the superior mesenteric artery. The patient underwent successful interventional procedure, including renal angioplasty, stenting, and aneurysm coiling. This was followed by tailoring of ...

  Heart Problems Are No Longer Only an Older Person’s Concern — young adults can have a heart attack. Many people in their 20s, 30s, and early 40s believe chest pain, breathlessness, sweating, or sudden fatigue is due to stress, acidity, anxiety, or lack of sleep. This delay can be dangerous because a heart attack needs urgent medical attention. A heart attack happens when blood flow to the heart muscle becomes blocked. Without quick treatment, the affected part of the heart may get damaged. Young adults often ignore early symptoms because they feel “too young” for serious heart disease. That belief is one of the biggest risks. Today’s lifestyle has changed heart health. Long working hours, poor sleep, smoking, vaping, alcohol, high stress, obesity, diabetes, high blood pressure, unhealthy food habits, and lack of exercise can all increase cardiac risk. Family history also matters. A young person with a parent or sibling who had early heart disease should be more alert. The warni...

 The cardiovascular continuum is the developmental process of cardiovascular diseases (CVDs) leading to heart failure (HF) and sudden cardiac death. Beta-blockers (BBs) are at the forefront of managing conditions along this continuum, ranging from cardiovascular (CV) risk factors to heart failure. In particular, bisoprolol proved to be a highly cardio-selective BB with a favourable pharmacokinetic profile, demonstrating long-term safety, good tolerability, and proven efficacy in reducing cardiac events, including arrhythmias and mortality in patients with heart failure with reduced ejection fraction (HFrEF). This evidence-based and perspective showcased numerous clinical studies revealing the utility of bisoprolol in managing patients with CVDs, particularly HFrEF and stable angina. It also included safety evidence for bisoprolol in patients with renal and hepatic dysfunction, etc. Expert opinions from leading cardiologists across India further reinforce the role of bisoprolol as a...

  Objectives The color and physical appearance of pills influence people’s expectations of their effectiveness, alongside their actual medicinal purpose. Therefore, the present study aimed to evaluate how pill color influences medication adherence. Materials and Methods This questionnaire-based survey was conducted among Indian patients visiting cardiologists with cardiovascular diseases. Patients were asked to fill out a form that included 9 questions designed to assess the impact of pill color on drug adherence. In addition, demographic characteristics of the patients were collected. Results A total of 901 patients were included in the study. Approximately 91% of the 876 patients reported that they were taking medications that needed to be taken daily. When taking multiple pills, 29.4% of patients remember the medication by the pill color, 28.4% remember by the strip color, and 28.0% remember by the brand name. The proportion of patients aged >50 years who reported that simila...

  Background Coronary artery calcification (CAC) is frequently observed in the ageing population, affecting 90% of men and 67% of women, and poses significant challenges during percutaneous coronary interventions (PCIs). CAC impedes stent passage, compromises drug delivery, and limits stent expansion, contributing to decreased PCI efficacy and heightened risks of complications such as restenosis, thrombosis, and procedural issues. Aims The study aims to evaluate the real‐world clinical outcomes of orbital atherectomy (OA) in patients with severe CAC undergoing PCI. Methods This retrospective study analyzed 20 patients (14 males and 6 females) who underwent OA at a single center. OA employed a 1.25 mm diamond‐coated burr at 80,000 and 120,00 rpm in selected cases. Baseline characteristics, lesion specifics, and procedural outcomes, as well as changes in minimal lumen diameter (MLD), minimal lumen area (MLA), and minimal stent area (MSA), were assessed along with procedural complicat...