Proper diagnose of the problem and perfect surgical procedure have helped three persons, who were suffering from complete heart blockage, get a new lease of life, thanks to Dr Ameet G Sattur, a known interventional cardiologist, and his team who treated the patients with acumenship

HUBBALLI: A team of doctors, led by Dr Ameet G Sattur, a known interventional cardiologist from Suchirayu Hospital and Sattur Heart Care in Hubballi (Karnataka, India) has successfully treated three patients who were suffering from complicated heart blocks.

The patients who were admitted with the diagnosis of complete heart block and underwent temporary pacemaker followed by permanent pacemaker implantation by Dr Sattur and the team.

The first patient, approximately 82 years old, was admitted with blackout spells and was evaluated for fits, ECG was found to have complete heart block and treated successfully.

The second patient from Badami was admitted with chest pressure, giddiness since one week was found to have the same disease and treated successfully .

The third patient was also admitted for light headedness and severe shortness of breath with very high BP in respiratory department. On evaluation patient had respiratory infection and complete heart block treated for both and patient is fine.

“Complete heart block occurs if the transmission of the impulse between the upper and the lower chamber is blocked. A heart block does not mean that the heart stops beating all together, other backup systems can take over. However it can result in abnormally slow heartbeat (Bradycardia), leading to the body’s organs and tissues becoming deprived of oxygen”

Dr Ameet G Sattur

Scholarly press meet

In his scholarly press meet held in Hubballi recently, Dr Ameet explained in detail what is heart block and how it is different from cardiac arrest.

He said, the natural pacemaker of the heart which is present in the upper chamber of the heart sends electrical signals throughout the heart. These electrical signals cause the muscles in the upper chambers (atria) and lower chambers (ventricles) of the heart to contract and pump blood into the body.

Dr Ameet said, complete heart block occurs if the transmission of the impulse between the upper and the lower chamber is blocked. A heart block does not mean that the heart stops beating all together, other backup systems can take over. However it can result in abnormally slow heartbeat (Bradycardia), leading to the body’s organs and tissues becoming deprived of oxygen. Heart block is regarded as a medical emergency and requires immediate treatment.

“Complete heart block should not be confused with heart attack . In heart attack the blood flow to the heart is reduced whereas in complete heart block is an abnormal heart rhythm where the heart beats too slowly. In this condition the electrical signals are totally blocked between the upper chambers (atria) and the lower chambers (ventricles),” he said.

There are three main types of heart block: First degree, Second degree and Third degree heart block. The third degree or complete heart block is where there is no transmission of electrical pulses between the upper and lower chambers.

He said, patients with heart block generally complain of dizziness or lightheadedness, shortness of breath, palpitation (Skipping, fluttering or pounding in the chest), undue fatigue, chest pressure or pain, fainting or blackout spells.

Heart blocks are generally diagnosed by doing an ECG. A holter monitoring which is a continuous recording of the heart electrical activity is usually done for 24 hours. A holter monitor is a small, portable recorder that is worn on a strap over the shoulder or waist.

“The third degree or complete heart block is where there is no transmission of electrical pulses between the upper and lower chambers. Treatment for complete heart block is initially is Transcutaneous Pacing which is a way of restoring the normal heart beat. Most of the patients of heart block are stabilized with temporary pacemaker. Once heart beat is stabilized, a permanent pacemaker is recommended”

Dr Ameet said, treatment for complete heart block initially is Transcutaneous Pacing which is a way of restoring the normal heart beat. Most of the patients of heart block are stabilized with temporary pacemaker. Once heart beat is stabilized, a permanent pacemaker is recommended.

An implantable permanent pacemaker is a small electronic device placed in a small surgically created pocket usually under the skin of the upper chest. One lead (Single chamber) or two chambers(Dual chamber) are placed in the heart and attached to the pacemaker. Once after permanent pacemaker implantation the patient can resume his daily activities in a slow graded manner. The patient is seen from time to time if the pacemaker is working satisfactorily or not.

Dr Ameet stressed the need for awareness about heart block and prompt recognition and treatment could save many lives. People should not neglect heart related problems. They should contact the doctors immediately if they feel any symptoms of cardiac problem.

Others present in the press conference include cardiologist Dr N S Hiregoudar, Dr Rajkumar Hiremath and Cardiac Surgeon Dr Sharan Hallad.

Dr Ameet G Sattur, Interventional Cardiologist
Cell Phone: 9845221234

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