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In a shocking incident, a 32-year-old young Indian tourist came to Dubai to visit a friend a few days ago. He suffered a serious heart attack and was taken to Aster Hospital in Mankhur, Dubai.
Indian tourist and businessman Hardik Patel said that it all started with his chest discomfort, which quickly escalated to severe chest pain. He was rushed to the emergency room of the hospital, where an electrocardiogram showed that he had a serious heart attack.
Dr. Naveed Ahmed, an interventional cardiologist at Aster Hospital Mankhool who provided treatment for Patel, explained the case: “The patient is a non-diabetic, non-diabetic, smoker, and has a family history of heart disease. His case is unique because it is usually severe. During a heart attack, we will see cholesterol deposits in the patient’s arteries for a period of time, causing the arteries to narrow due to the deposits.”
“A heart attack occurs when a clot forms in these eroded arteries and that particular artery is completely blocked. This is the manifestation of a major heart attack.”
Not a normal heart attack
“However, in Hardik’s case, we were surprised to find that he did not have any cholesterol deposits or narrowed arteries, but his arteries were filled with huge clots,” said Dr. Ahmed.
“Another surprising factor is that usually when a person has a heart attack, there is usually a clot in one artery that causes the attack, but Hardik has clots in two aortas, which is unusual. However, he survived because the aorta was not completely blocked and blood managed to flow through them, despite passing through a narrow channel due to clotting,” he said, adding that this case is unique.
Speaking of possible causes of heart attack and sudden blood clot, Dr. Ahmed said: “We suspect that the two reasons behind this attack are smoking or possibly a side effect after Covid. However, the patient confirmed that he had never been infected with Covid. The blood clots in multiple arteries showed a strong association with Covid patients. Although the patient tested negative for the virus and said that he had never been infected with Covid, we believe that he must have been infected with the virus in an asymptomatic way in the past. The impact of the virus has not been noticed and may have recovered.”
Treatment plan
Dr. Ahmed said that under normal conditions of a heart attack, a heart attack patient will receive an angiogram to open the blocked artery by placing a stent. But in Hardik’s case, when the two arterioles are completely blocked, the aorta is forming a huge clot.
“So, in this case, we did not place a stent because the stent may not be able to withstand the load of the repeated clot, which may cause trouble for the patient. So we gave clot dissolving medicine in the heart artery. The patient immediately He was placed to take aspirin, ticagrelor (a blood thinner) and statins. Another angiogram was done 24 hours later, and the results showed that 90% of the blood clots had dissolved, except for very few remaining blood clots,” Dr. Meade said.
When asked what might be the cause of a heart attack at such a young age, Dr. Ahmed said that it was mainly due to an unhealthy lifestyle, lack of exercise and smoking, as well as some psychosocial stress experienced by professionals.
Dr. Ahmed also added that in the UAE, most professionals working in the UAE do not have family members living here. “Therefore, many people eat outside food almost every day because they don’t care about a healthy diet, they rarely exercise, and use smoking to reduce stress. This actually does not reduce stress, but will kill smokers.
Dr. Ahmed added that Hadik was lucky because his arteries were not completely blocked and he was taken to the hospital at a critical moment. “It is therefore important that in this case, the patient should be sent to the nearest clinic or hospital immediately, otherwise the blood clot may become larger and block the artery completely, making the heart attack fatal.”
He advises everyone, young and old, to set aside at least 30 minutes a day for exercise to maintain good health.
—— saman@khaleejtimes.com
Saman Hazik
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