In this video, Dr. Viveka Kumar, Senior Director - Cath Lab, Max Super Speciality Hospital, Saket, will talk about the therapeutic window in acute MI, in this video. The first three hours are the golden hours. Up to six hours, the patient should be treated with thrombolysis and primary PTCA. Beyond six hours to twelve hours, primary PTCA should be done in patients who did not had any treatment options or a pharmaco-invasive strategy is done. He will explain that beyond 12 hours, the window period is lost and patient should be treated medically unless the patient has a chest pain or has gone into cardiogenic shock. The first three hours are the best period for the treatment.
Dr Viveka Kumar is a Senior Consultant Interventional Cardiologist and Director of the Cath Lab at Max Super Speciality Hospital in Saket, New Delhi. He completed his MBBS and MD (Medicine) from IMS (BHU), Varanasi and later obtained the DM (Cardiology) postdoc, superspeciality degree through GSVM Medical College, Kanpur. Has extensive experience in the field of Cardiac interventions and Electrophysiology. Specializes in complex angioplasties including multivessel, bifurication and left main angioplasties with Rota Ablation, FFR, IVUS, IABP, IMPELLA devices. Has done more than 7500 angioplasties and 2500 balloon valvotomies with good outcomes.