PRESS RELEASE BY DELTA HEART CENTRE
PRESS RELEASE BY DELTA HEART CENTRE 70 K SARABHA NAGAR
ON WORLD HEART DAY 24/09/2006
“HOW TO PREVENT A HEART ATTACK BEFORE IT HAPPENS”
Most of the focus on Coronary Artery Disease, CAD today is on treatment of severe Coronary Artery Disease, mainly where Heart Disease has already settled in and is in its severe form.
Delta Heart Centre Ludhiana is primarily focusing on Primary prevention of Coronary Artery Disease (CAD) by way of detecting the Coronary Heart Disease at its early stages .
According to the World Health Organization, cardiovascular disease, such as heart disease and stroke, are the leading cause of death globally, killing more than 17 million in 2005. Each year, 3.8 million men and 3.4 million women worldwide die from coronary heart disease. Since 1990, more people have died from coronary heart disease than from any other cause.
In India, coronary heart disease is a major cause for concern. According to a recent global study on cardiac diseases by World Health Organization (WHO):
India has the highest number of deaths from coronary heart disease throughout the world: 1,531,534. China comes second with 702,925 deaths due to heart disease.
The number of deaths in India that occurred due to stroke: 771,067
The number of deaths in India that occurred due to Rheumatic heart disease: 103,913
With India projected to have 60 per cent of the world heart patients by 2010, experts today recommended optimisation of lifestyle from childhood by regular exercise, meditation, vegetarian diet and complete abstinence from tobacco to regress coronary artery disease (CAD).There are almost 7 crore patients of Heart Disease in India today
64 Slice CT Coronary Angiography - A new tool for the diagnosis of Heart disease
Multi slice CT Coronary Angiography with 64-slice technology is emerging as the most reliable non-invasive modality for evaluation of heart disease. Impressive image quality and non-invasive nature of Multi Slice Computed Tomography(MSCT) angiography makes it a powerful tool in evaluation of heart disease. CT Angiography (CTA) is an examination that uses x-rays to visualize blood flow in coronary arteries which supply blood to the heart. CT combines the use of x-rays with computerized analysis of the images. Beams of x-rays are passed from a rotating device through the heart from several different angles to create cross-sectional images, which then are assembled by computer into a three-dimensional picture of the heart
A growing number of studies have suggested that 64 slice coronary CT angiography is highly accurate for the exclusion of significant coronary artery stenosis with negative predictive values of 98%-100% in comparison with invasive selective coronary angiography. This means that when the study is reported to be normal, it will be normal. This makes it a more accurate test than stress-testing(TMT), Stress-Echocardiography, Stress-Thallium and Stress-perfusion MRI. More importantly, the heart does not have to be stressed to get this information.” Early stages of coronary atherosclerosis can be detected before the development of coronary arterial narrowing”.
Methods of characterizing(Differentiating) the type of plaque in the arteries are being refined, so that "vulnerable" plaques(blockages) that are more likely to rupture(burst) can be pinpointed for treatment, reducing the risk of heart attack. Right now, MSCT/MDCT provides a significant "next step" to patients whose stress tests have proven inconclusive, and who may have a good chance of being "screened out" for coronary artery disease.
MDCT or 64 Slice Coronary Angiography can detect CAD very early as early
as 10 to 15 %
64 slice CT angiography is specially useful for patients who are aymptomatic but at high risk of having coronary artery disease (i.e. there are no problems, such as chest pain or breathlessness, but heart disease needs to be ruled out). This includes patients who are chronic smokers, diabetics, hypertensives, strong family history of premature heart disease and those with equivocal or unclear results on exercise tests.People with multiple risk factors ( 2 or more of the above) are at at much higher risk than those with 1 risk factor.However Diabetes alone is the only risk factor which may warrant screening for exclusion of heart disease.
DR JS GILL
DELTA HEART CENTRE