The latest therapeutic techniques for heart disease are the most advanced today to facilitate the life of heart patients and avoid traditional surgeries with all the difficulties that have been associated with them. The cardiopath is no longer obliged to undergo surgery for long hours with a greater risk, but can resort to simpler and more sophisticated techniques in which the intervention is shorter and more efficient with the modern equipment available. And allow him to leave the hospital as soon as possible so that he can return to normal life in a short time. Dr. Roland Kasab, Head of the Department of Cardiac Medicine at the Jesuit University, spoke about the advanced techniques that came to provide effective solutions for cardiac patients, and of all the details of heart disease and the ways to prevent them. Hotel d'Eau de France, Professor Rabie Azar, in conjunction with the inaugural conference on Cardiology in Lebanon, entitled "Innovation in Cardiology" organized by the Department of Cardiology of the Hospital of the Vieux de France.
– There are modern therapeutic techniques adopted today in the treatment of heart attacks, what are the news?
The modern techniques we adopt today in the hospital are the most advanced in the diagnosis and treatment of cardiac patients, which are less invasive than the previous mini-invasive and enter through the artery of the leg and arm to change the valve heart or correct it to capacity. In cases where patients take drugs for life, we offer solutions through ironing to avoid heart problems. If the heart's electricity is weak, you can install certain types of active batteries that solve the problem and allow you to regulate the electricity and strengthen the heart muscle at the same time. The batteries were previously implanted in the arteries, but today they are placed under the skin, more easily than before.
Is it possible to say that this great development in the techniques adopted for the treatment of heart disease, was it able to reduce the number of deaths and risks that can be exposed to the patient after the operation?
There is no doubt that these techniques have contributed to the reduction of recourse to traditional cardiac surgery, especially with the growing number of doctors who specialize in it. With the most modern and easy-to-use technologies, open heart surgery is no longer the preferred or first-choice solution. These new techniques have also been able to reduce the number of deaths and surgical interventions that have the effect of surgery.
In all cases, it is not possible to reach a stage where risks are completely eliminated, but we are constantly moving towards it. Heart disease was the leading cause of death in the United States, while it was the second day after cancer with advances in cardiology.
– To what extent can the patient's commitment to lifestyle after treatment be said to play a role in the success of one of these therapeutic techniques?
There is no alternative to the patient's commitment, which is undeniable and must be emphasized. There are things that can not be overlooked, such as controlling blood pressure, cholesterol and diabetes in the body and quitting smoking After the treatment of the heart problem, the patient returns to the same problem the first time for the same reasons. As a result, treatment is useless. Thus, the patient plays a vital role without which there is no benefit to treatment.
– How to monitor after the operation?
It is essential that the patient be regularly consulted with the doctor and verify that the valve, the electricity and the battery that has been implanted in the heart operate normally and in a disciplined manner. It is also necessary to regularly regulate weight, cholesterol, diabetes, blood pressure and exercise. It is also important to improve the patient to identify any symptoms that may affect him and may indicate that he has a heart attack because time plays an important role in this case.
– To what extent can women protect themselves in the menopause phase where they are no longer protected and become at risk of heart disease like men?
When menopause is reached, female hormones do not protect them from the risk of heart disease. Thus, after age 60, a woman becomes completely susceptible to injuries like a man. However, as noted above, delayed diagnosis can contribute to increasing the risk for women and its arteries are too high. Furthermore, a fundamental problem in our societies is in pouring interest in the treatments offered to men and in dedicating their awareness to the majority of women.
– At what age can the risk of a heart attack be greater?
With age, the risk always increases, and it is not true that the greatest risk is when a young person experiences a heart attack. The risk of death for angina is greater in the elderly.
– Are the modern therapeutic techniques used in treating a heart attack the same for young people as the older ones?
The therapeutic techniques are the same regardless of age.
– Is it true that approved devices can be effective or non-quality machines?
We can say that there are better machines than the others, but no FDA approved device can be used, and in the hospital we use specially approved US devices, all of which are of the highest quality.
– What has changed in modern technology?
With the use of modern technology today, the process has taken a shorter time, and therefore it is easier and easier to risk, and the patient can leave the hospital in a faster time. Also the time needed for recovery after departure has decreased.
– With all the developments taking place, to what extent do you work today on the prevention of heart disease due to its great importance in reducing these diseases and dangers?
We can not deny the importance of prevention, which is even more important than after treatment. Prevention is carried out at the community level as a whole through awareness among people in whom it is essential that everyone is able to recognize the symptoms that may appear and be associated with a heart attack. Public health policy is not a problem at all.
– Is it a less important risk factor and studies have shown that it is more important and that doctors focus more on them?
Although it has been said that cholesterol can not pose a serious risk to heart disease, it is important to focus on the importance of this risk factor and on the need to monitor it strictly to reduce the risk of heart disease. It is believed that the diabetic has a medical heart disease: the risk is high for heart disease. Thus it is treated as if it had a heart attack, and its cholesterol, diabetes and blood pressure are controlled, with particular attention to weight loss and regular exercise.
– To what extent does arterial hypertension play a role in a heart problem?
Hypertension is also an important risk factor to consider. Its height increases the danger and must be tightly controlled.
– What are the most obvious signs of a heart attack?
There are many indicators that can appear based on the heart attack that can be experienced. If the problem is in the artery, the most obvious symptom is the pain in the center of the chest and the shortness of breath and pain when making the effort. It must first be clarified that arterial diseases all begin with pain when valvular diseases begin to irregular heartbeat and shortness of breath. It is important to go to the emergency hospital when an exhibitor can indicate a possible cardiac problem.
– How long can the risk increase after the appearance of the bidder?
Immediately after the appearance of the bidder, go directly to the hospital and 60% of the deaths occur in the first hour of a heart attack.
– How different are the symptoms between men and women?
In general, the same symptoms appear in women and men, but women are more likely to neglect their symptoms. Women often rule out the possibility of a heart attack, while in reality, heart disease is the leading cause of death among women.
– Does this mean that heart attacks cause more deaths in women than men?
Heart attack does not harm women more than men, but women tend to neglect symptoms associated with heart problems, which increases the risk of death due to delayed diagnosis. In women In addition, women's arteries are higher than men's arteries, making the angina harder for them.
What are the complications that can be expected following modern advanced surgery?
Complications are present in every technique. Modern devices and technologies are also characterized by the specialization of the individuals who use them. It should be noted that the greater the skill of the doctors who perform these surgeries, the lower the chances of complications. The doctors who use these techniques have distinguished themselves in their specialty and skills, in competition with international doctors. The aortic valve exchange was also previously performed by foreign doctors from abroad and today the surgery is performed in hospital by Lebanese doctors. There is no doubt that the number of deaths has decreased due to the skill of doctors in the use of surgical techniques, but this does not eliminate complications as in any surgical technique of this type.