Abstract
Cardiovascular disease is the the leading cause of morbidity and mortality in the world and in Sri Lanka. This epidemic with multiple aetiologies lead to a final common path of heart failure, which can be averted by timely delivery of state-of-the art interventional cardiac procedures. The expansion of Primary PCI, complex coronary interventions for ischaemic heart disease with calcific vessels and CTO using Rotablation, Transcatheter heart valve (TAVI/Mitraclip) procedures for valve disease, Intracoronary transplantation of autologous stem cells for failing hearts, septal ablations and multiple device therapies for congenital heart diseases are examples of the discussed novel interventional cardiac therapies that are gaining pace as treatment modalities available for complex cardiac patients in Sri Lanka.
Highlights
Cardiovascular disease is the leading cause of morbidity and mortality in Sri Lanka[1]
Incidence of Coronary heart disease, in particular that of the younger population, is on the rise in South Asia[2].In addition, the population demographics are changing; As the death rates due to communicable diseases has fallen, life expectancy of population in Sri Lanka has steadily increased and a rising number of older patients with complex cardiovascular disease is seen in the country
Both young and old, whether due to coronary or structural heart disease, progress through end stage of heart failure, which is a common cause for congestion in many cardiovascular clinics in the country and a leading cause of morbidity and financial loss to the patients
Summary
Cardiovascular disease is the leading cause of morbidity and mortality in Sri Lanka[1]. Both young and old, whether due to coronary or structural heart disease, progress through end stage of heart failure, which is a common cause for congestion in many cardiovascular clinics in the country and a leading cause of morbidity and financial loss to the patients It is in this context, that the timely provision of a state-of-the-art interventional cardiology services befit for the 21st century, is essential for early detection/treatment of coronary and structural heart disease and their sequelae. Dependent on the case, derive benefit even with the most difficult type C lesion interventions, provided the operator has the skill mix and the tools required at hand Examples of such cases include Rotablation of calcific Left main disease[15] (Figure 2), via-graft interventions, repair of coronary dissections, PTCA in patients in cardiogenic shock etc. Knowledge and awareness of these procedures and various aspects by physicians and general practitioners around the country is mandatory, to ensure quick access to services and achieve sustained reductions mortality and morbidity to the patient populations from the epidemic of heart failure in Sri Lanka
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