Nuclear Medicine Can Helps Avoid Unnecessary Angioplasties

The crackdown on stent evaluating may not be sufficient to whip into shape healthcare in India. Dr. G. N. Mahapatra, head of the department of non- invasive cardiology at Seven Hills Hospital, Mumbai explains how nuclear medicine can help keep away from unnecessary angioplasty and why numerous cardiologists don’t recommend it.

What concerns do you have with current angioplasty practices?

“Several patients who undergo angioplasty come back with the symptoms. That is because the patient did not require an angioplasty. After the first heart attack, certain heart muscles pass and can’t be recovered. However, cosmetic angioplasty are still carried out throughout India”, says Dr. Mahapatra.

How can nuclear medicine help fill the gap?

“Angiography can only detect blockages, and regularly gives false positive points in female patients. Nuclear medicine can also demonstrate if the heart muscle is already dead and helps to avoid unnecessary surgeries. The tests are additionally painless and non- invasive, and it costs about 33% of an angiogram”, according to Dr. Mahapatra

How do these tests function?

Nuclear medicine depends on radioactive isotopes to assess the bloodstream in the heart. A technician inserts radioactive isotopes, for example, thallium intravenously. The isotope marks the bloodstream and a gamma camera maps it. The test includes readings inactive and resting positions.

Dr. Mahapatra says, “Other than thallium, we now also utilize technetium, the lightest element of radioactive isotopes. It does not leave behind any radiation and is excreted from the body in six hours. In Europe and USA, most cardiologists compliment their practice with nuclear medicine.”

If the tests are a better option, for what reason would it say it isn’t prescribed frequently?

Dr. Mahapatra adds, “Cardiologists must offer a conclusive test, for example, the thallium test before going ahead with surgery. Unfortunately, some cardiologists say creating more awareness in regards to this would affect business.”


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