19/03/2026
The story of reset and restart of a heart today !
A 52 year old gentleman presented with sudden onset of severe burning chest discomfort, uneasiness , nausea and sweating of one hour duration.
He is a diabetic , his cholesterol is high for a while and started taking medicines recently.
This is the first time he felt something like this.
When he came his blood pressure was only 70 mmHg and heart rate was only 37 per minute, ECG revealed acute ST elevation MI and 3rd degree heart block.
He was subjected to primary angioplasty, opening a totally occluded right coronary artery.
The result is remarkable. His chest pain relieved immediately, heartbeat, Blood Pressure normalised and ECG changes reversed indicating we could save the heart muscle to a great extent.
Important key point to remember here is that he escaped because he came early and could get treatment early during the golden one hour period of a heart attack!
Remember TIME IS MUSCLE during a heart attack.
