Angioplasty and stenting are here to stay, says expert cardiologist
Addressing a media conference here on Saturday, he said that the mode of treatment required, be it simple medication, coronary angioplasty or bypass surgery, would depend on the situation, taking into account the procedural risks, safety concerns, immediate and long term outcomes, and cost-effectiveness.
'However, currently the available stents are thin strut drug eluting stents (DES) that release special drug into the area of treatment, reducing the chance of reoccurrence of the blocks. Special guide wires and specialty microcatheters that help in crossing totally blocked and tough old blocks have increased their procedural success to more than 95 per cent,' Dr. Reddy explained.
The senior interventional cardiologist also pointed out the use of special balloons to treat the blocks, including very thin 0.75 mm tapered tip balloons to make way through even the toughest blocks, high and ultra-high pressure balloons, cutting balloons with special stainless steel micro blades, and scoring balloons that have Nitinol to crack hard lesions. 'We also have drug-coated balloons (DCB) to treat blocks which do not need stents to be placed,' he added.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

The Hindu
3 days ago
- The Hindu
Namma Clinic inaugurated in Ballari
Ballari City MLA Nara Bharath Reddy, who inaugurated a new Namma Clinic at Karimaremmana Colony in Ballari on Thursday, underlined its importance in delivering quality primary healthcare services to urban population, particularly the economically weaker sections. Speaking at the event, Mr. Reddy said that the purpose of the Namma Clinic initiative is to offer quality healthcare services to people in their neighbourhood. 'People should not have to travel long distances for basic health care. These clinics will provide free and accessible health care to local residents, especially those from low-income backgrounds,' he said. Mr. Reddy also announced that a well-equipped hospital with an investment of ₹5 crore will soon be built in the colony. The clinic has been set up under the joint initiative of the district administration, the Zilla Panchayat, the District Health and Family Welfare Department and the Ballari City Corporation. District Health and Family Welfare Officer Yalla Ramesh Babu stated that 12 Namma Clinics were sanctioned for Ballari district in 2023-24. For 2024-25, another eight, six for Ballari city, one for Siruguppa and one for Kampli, have been approved bringing the total to 20 clinics in the district. 'Each clinic will serve a population of 10,000 to 20,000 and will be manned by a doctor, a nurse, a lab technician and Group D staff,' he explained. Alongside the Karimaremmana Colony facility, clinics were also inaugurated at Srirampura Colony and APMC Yard area the same day. Public response Chandrakala, a resident of Karimaremmana Colony, said: 'Earlier, we had to visit health centres far away for even minor health issues. Having this clinic in our locality is a big relief. I thank the government for this initiative.' Another resident, Chandini, noted, 'This building remained unused for many days. We are happy that it is now serving a useful purpose.' Corporation council member Minchu Srinivas, District Surgeon N. Basareddy, RCH Officer Hanumanthappa, District Surveillance Officer Mariyambi, Leprosy Officer Veerendra Kumar, TB Officer Indrani and Health Education Officer Khurshid Begum were present, along with staff from the clinics and members of the public.


Indian Express
3 days ago
- Indian Express
‘We focused on…': Luke Coutinho explains how a holistic approach complemented traditional medicine in managing client's pituitary tumour surgery side effects
The pituitary gland, often referred to as the master gland, plays a vital role in regulating nearly every endocrine function in the human body. In a case shared by holistic lifestyle coach and nutritionist Luke Coutinho, a woman in her late 30s underwent surgery for a pituitary gland tumour. Post-surgery, she was placed on hormone replacement therapy (HRT) and oral contraceptives (OCPs) for medical reasons, only to experience a cascade of side effects that left her seeking answers beyond conventional treatments. 'Our integrative team of experts reviewed not just her medical history but also her lifestyle, routine, emotional health, preferences, activity levels and more. We designed a holistic lifestyle protocol to rebuild her body's core fundamentals. While her meds and HRT were essential, we focused on minimising side effects and addressing underlying imbalances,' he captioned the post. A post shared by Luke Coutinho – Official (@luke_coutinho) By focusing on cellular nutrition, hormone balancing, circadian medicine, and toxin elimination, the protocol helped alleviate many of her symptoms, including migraines and poor gut health. Coutinho emphasised that while some medical conditions require ongoing medication, rebuilding the body's core fundamentals can lead to significant improvements in quality of life. To understand this approach better, spoke to Dr Palleti Siva Karthik Reddy, consultant, Internal Medicine at Koshys Hospital. 'The pituitary gland, often called the 'master gland,' is a pea-shaped organ located at the base of the brain. Despite its small size, it plays a pivotal role in regulating various bodily functions by producing and controlling hormones that influence growth, metabolism, reproduction, and stress responses,' he informs. Disruptions in the pituitary gland's function can have cascading effects on multiple organ systems due to its influence on other endocrine glands like the thyroid, adrenal glands, and gonads. Hormone Replacement Therapy (HRT): While HRT is crucial to replenish deficient hormones, Dr Reddy states, it may lead to weight gain, mood swings, and increased risk of clotting disorders if not carefully monitored. Oral Contraceptive Pills (OCPs): 'Often used for hormone regulation, they can cause nausea, headaches, and fluctuations in mood,' says Dr Reddy. Effective management requires a combination of medical, nutritional, and lifestyle strategies to mitigate these side effects. Each step in Luke Coutinho's protocol addresses a specific aspect of recovery and well-being, states Dr Reddy. He lists the benefits of each: Cellular Nutrition for Anti-Angiogenesis and DNA Repair: Foods rich in antioxidants (e.g., berries, turmeric, and leafy greens) reduce inflammation and oxidative stress, potentially preventing abnormal blood vessel growth around the tumour site. Gut Microbiome and Anti-inflammatory Pathways: Probiotics and prebiotic-rich foods strengthen gut health, which directly impacts hormonal regulation and immune response. Hormone Balancing Protocol: Nutritional adjustments like incorporating flaxseeds (rich in lignans) or adaptogens (e.g., ashwagandha) can aid hormonal homeostasis. Yoga and Walks: Gentle activities improve circulation, reduce stress hormones, and enhance endocrine function. Circadian Medicine: Aligning daily activities with natural light-dark cycles optimises hormone secretion patterns, particularly cortisol and melatonin. Mitochondrial Repair: Nutrients like CoQ10 and magnesium boost energy production at the cellular level. Vagus Nerve Stimulation: Breathing exercises or humming stimulate the vagus nerve, reducing stress and improving hormonal balance. Emotional Coaching and Visualisation: Addressing mental health aids in releasing suppressed emotions, fostering better prognosis and adherence to recovery plans. DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.


The Hindu
3 days ago
- The Hindu
Bacterial cell walls could hold clues to better human health, say CCMB scientists
Bacteria are enclosed by protective cell walls, made from a unique substance called peptidoglycan. This material is absent in other life forms, including humans, which is why many antibiotics target it. A team of scientists led by Manjula Reddy at CSIR-Centre for Cellular and Molecular Biology (CCMB), Hyderabad, has found that bacteria sometimes make mistakes while building this wall. Instead of using the correct amino acid L-alanine, they occasionally use a structurally similar one called glycine. This weakens the wall and makes bacteria more vulnerable to antibiotics. These findings have been published in the PNAS journal. Also Read | CCMB team uses E. coli to study bacterial cell wall development The bacterial cell wall is made of sugars and short chains of amino acids. Dr. Reddy's team discovered that bacteria have a special enzyme called PgeF (Peptidoglycan Editing Factor) to maintain the composition of the cell using a combination of genetics and high-resolution mass-spectrometry, according to the study's first author, Shambhavi Garde. Interestingly, a similar enzyme exists in humans. Called LACC1, it has been linked to several autoinflammatory diseases — conditions where the immune system is hyperactived, said Though LACC1's role isn't fully understood, this study suggests it might be involved in how the body responds to bacterial infections. 'By studying such vulnerabilities in cell wall synthesis, new ways of blocking bacterial growth can be designed,' the scientists said in a press release.