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Can chemotherapy drugs affect the heart ? Chemotherapy may adversely affect the heart, causing issues like weakened heart muscles or artery spasms. Pre-treatment heart assessments are standard, particularly for patients over 40, allowing oncologists to adjust treatments if necessary. A collaborative approach between cardiologists and oncologists ensures both cancer efficacy and heart safety. Case Summary […]

Pre operative Heart Assessment saved patients life ? The Patient: A 62-year-old man with high blood pressure, scheduled for complex spine surgery. The Risk Profile: He was at high risk for heart disease due to heavy smoking, hypertension, and high cholesterol. The Finding: Routine pre-operative CT scan angiogram revealed severe, untreated disease in his main

Another case of silent heart disease. A young, active hiker came to see me just for a routine medical check-up. He mentioned his performance had dropped over the last few months because he was tiring easily. A CT scan revealed a severe main artery blockage, and a coronary angiogram confirmed a 99% blockage! The patient

  Cardiovascular disease—primarily heart attacks—is the leading cause of death in kidney failure patients. Up to 50% of hemodialysis patients have established coronary artery disease (CAD). Active screening for CAD is vital, as it allows for timely, life-saving interventions. Clinical Case Summary: The Patient: A middle-aged female with newly diagnosed kidney failure and recurring sudden

What is Stentless angioplasty (or No-Stent Angioplasty/Stent-Free PCI)?  It is a minimally invasive procedure to open blocked arteries using a medication-coated balloon, rather than a permanent metal mesh stent. It restores blood flow while reducing foreign materials in the body, requiring fewer long-term blood thinners, and offers faster recovery for specific, early-stage blockages. Stentless angioplasty

I recently saw an Indonesian patient for a routine check-up. He is generally healthy, with well-controlled hypertension, diabetes, and hyperlipidemia. However, his screening revealed an extremely high calcium score of 5000+—a stark contrast to the ‘low-risk’ threshold of 100. Despite being completely asymptomatic, his high-risk profile warranted an angiogram. Shockingly, it revealed triple-vessel disease with

Treated a middle-aged male presenting with angina and severe, heavily calcified LAD stenosis. Given the high risk of complications and restenosis associated with calcified lesions, an atherectomy device was used for calcium modification. Boston Scientific intravascular imaging was employed for precision sizing and procedural optimization. The LAD was successfully stented with an excellent result. A

Today, we performed an angioplasty using a specialized intravascular imaging system from Japan called Makoto. It is notably the only FDA-cleared system that uses a dual-modality approach, combining Intravascular Ultrasound (IVUS) with Near-Infrared Spectroscopy (NIRS). The system translates NIRS data into a color-coded ‘chemogram,’ allowing us to see exactly where dangerous lipid plaques are located.

Today we have a patient who had one of his coronary arteries treated previously with rotablation (a drill-like device in his coronary artery) due to a severely calcified artery. During that time, we found out he also had another lesion on his right side which was also severely diseased and calcified. He was brought in