First time in North East India, a successful facilitated primary angioplasty was performed on a BSF jawan. He was thrombolysed at Silchar and subsequently airlifted to NEIGRIHMS, Shillong to save a precious time.
When BSF jawan suffered a massive heart attack during the election duty in remote area of Hailakandi, Assam and immediately shifted to the Silchar Hospital. The BSF authorities showing concern over the precious life of its jawan, decided to airlifted him to NEIGRIHMS, Shillong for specialized treatment.
The department of cardiology NEIGRIHMS had constituted a team headed by Prof Animesh Mishra and Dr. Amit Malviya, which was already prepared and patient was directly transferred to cardiac cath lab and the angioplasty was successfully performed. The patient is recovering well.
Attending Cardiologist Dr Amit Malviya while expressing his satisfaction over successful outcome of case, insisted that Hub and spoke model should be widely implemented in the region because North Eastern part of India is not only geographically difficult terrain but also number of centres with facility for primary angioplasty is very few.
Prof Animesh Mishra, Head of department of cardiology reiterated the commitment of department of cardiology for compassionate and most modern care for cardiac patients and pressed upon the need of awareness about these issues in public and primary care doctors.
“Time is muscle” is a doctrine in cardiology which means that for patients with ST elevation myocardial infarction (heart attack) earlier the primary angioplasty (opening of blocked artery) is done , more percentage of heart muscles can be saved. But facility for interventional cardiology is not available universally. To overcome this problem and give patients the maximum benefit of modern treatments of heart attack , The hub and spoke model is operative in several parts of world and in India where by patients are diagnosed and treated with thrombolytic therapy ( Blood clot melting therapy) at primary centres and then transferred to nodal centre for Angiography / Angioplasty at the earliest , usually by air lifting. The thrombolytic therapy buys some time to be able to shift patients to Nodal centres.