UAE doctors' timely intervention saves 41-year-old's life
Dubai - He had also undergone a coronary angioplasty recently in 2017.
In a recent case that links heavy smoking to heart diseases, a 41-year-old male patient in Dubai suffered critical cardiac arrest and was saved through the timely intervention of doctors.
He was brought into the emergency room of Medcare Hospital Sharjah by a friend, where he soon became unconscious and collapsed - doctors found he was having a cardiac arrest due to a lack of blood flow to the heart.
When they looked into the patients' medical history, it was evident that he was a heavy smoker and had a history of coronary artery disease. He had undergone a coronary angioplasty recently in 2017, but since had not been compliant with prescribed treatment.
Dr Hany Fathy, specialist emergency medicine at Medcare Hospital Sharjah, and his team immediately carried out cardiopulmonary resuscitation (CPR) for over an hour to successfully revive the patient.
When the patient was in a stable condition, an electrocardiogram (ECG) revealed acute myocardial infarction. Dr Tamer Taha, consultant non-interventional cardiologist, advised for specific medication to restore blood pressure and to transfer the patient immediately for urgent coronary angiography.
The medical team transferred the patient to Medcare Hospital Dubai to the care of Dr Yahya Kiwan, consultant interventional cardiologist. A coronary angiography was done and revealed total occlusion of the main right coronary artery. Life-saving percutaneous angioplasty procedure was done and one stent was deployed in the occluded artery and the blood flow was restored.
"The patient arrived in a very critical stage. Our team diligently performed CPR and persisted for an hour despite the bad prognosis" noted Dr Fathy.
Although cigarette smoking has long been linked to cardiovascular disease and sudden cardiac events such as myocardial infarction, recent studies provide new clarity around the relationship.
One study found that smokers are more likely to suffer more severe myocardial infarctions (or heart attacks) at a significantly younger age and affecting multiple arteries, when compared with non-smokers. Smokers also more commonly have complications associated with heart attacks such as pulmonary oedema and have a higher trend towards in-hospital mortality.
"This serious patient case was attributed to years of heavy smoking and non-compliance to treatment despite a serious operation just two years before. There is a need for increased awareness around the harmful effects of smoking, in particular the risk of cardiovascular disease," said Dr Kiwan.