New DES More Effective To Reduce Restenosis Than First-Generation Stents: Dr Mitchell Krucoff

New DES More Effective To Reduce Restenosis Than First-Generation Stents: Dr Mitchell Krucoff
Monday, October 26, 2009 08:00 IST
Our Bureau, Bangalore

Newer drug eluting stents (DES) are proving to be significantly more effective and safer compared to the ‘first-generation’ drug eluting stents. DES is developed to reduce incidents of re-blockage or restenosis which occur with bare metal stents and almost all trials showed a marked reduction in restenosis rates. The ideal drug eluting stent is one which demonstrates high efficacy while maintaining excellent safety profile.

The latest stents made of polymer and steel are known for higher biocompatibility. These are thinner in appearance and more flexible. The lower doses of the drug are much preferred as a long treatment option for complex and difficult cases. Another big advantage is the negative side effects. The drug eluting stents reduced the need for a second intervention procedure by about 40 to 50 per cent compared to bare metal stents especially in complex cases where patients reported long blockages in diabetics and those having small blood vessels, according to Dr Mitchell Krucoff, interventional cardiology scientist and advisor to US FDA on medical devices.

Dr Krucoff who is in India to research on medicine, healing and spirituality at the Sathya Sai Institute of Higher Medical Sciences in Bangalore, said that over 75,000 patients are treated with drug eluting stents each year in India. The ideal drug eluting stent is one that has proven in large clinical trials to reduce the chances of reblockage, morbidity and mortality.

According to the recently concluded international congress of interventional cardiology, Transcatheter Cardiovascular Therapeutics (TCT), in San Francisco, three separate large randomized clinical studies showed that the new generation drug eluting stent Xience V was significantly more effective and safe than the first generation Taxus stent.

India will account for 60 per cent of the global heart disease burden in the next few years, reports a recent study by a team of Indian and Canadian researchers. Indians have a genetic disposition to heart disease and develop disease earlier in their life compared to western population. Already the country set to become the diabetes capital of the world and it is forecasted that it will also be known for the highest incidence of heart disease, said Dr Krucoff.

Due to the effectiveness of stents, angioplasty is becoming the preferred choice of treatment of patients with narrowing of the blood vessels in the heart. These devices have evolved over the last two decades beginning from specialized balloons mounted on catheters to treat the narrowing to bare metal stents to drug coated stents. In India, use of drug eluting stents have increased dramatically since their introduction in 2003.

Going by the economies of scale, DES is being preferred to by-pass surgery in terms of faster recovery and higher productivity for the patient to get back to work at quicker pace, he added.

Interventional cardiology is a super specialty and the need of the hour is adequate number of trained experts. If there are specialists who have ample experience, they are most-sought after experts to implant DES. The number of cath labs should also increase to help specialist carry out the procedure. India is far higher in terms of expertise and use of stents than China. The country has a growing patient population who need DES which are affordable, said Dr Krucoff.

Pharmabiz Reference

Also see:
Official Sathya Sai Baba Website
Sri Sathya Sai Medical Trust
Sri Sathya Sai Institute Of Higher Medical Sciences Whitefield
Sri Sathya Sai Institute Of Higher Medical Sciences Prasanthigram

Providing Hope And Healing To Heart Patients

Providing Hope And Healing To Heart Patients
Dr Michael Nobel, chairman of the Appeal of the Peace Prize Laureats Foundation, had said, ‘I have never seen anything like this on earth. It is a wonderful feeling, far removed from the national healthcare in the West, which does not seem to work very well. The impressive thing about the hospital created by Bhagwan Sathya Sai Baba is the combination of the three aspects: state-of-the-art technology, free medical treatment and the healing powers of his presence instilling in the patient the firm belief that he or she will get well.’

The Sri Sathya Sai Institute of Higher Medical Sciences’ super-specialty hospital in Whitefield, near Bangalore, offers free heart surgeries to people from all walks of life. Till date this hospital has conducted nearly four lakh surgeries, according to hospital staffers, who point out that there is no billing counter here.

The hospital’s mission is to ‘provide high quality medical care absolutely on a no cost basis to all irrespective of caste, creed, religion, and financial status in an overall spiritual environment which recognises the patient as a human being and not as a diseased entity’.

Each and every patient receives the same treatment
The hospital is situated on a sprawling 53-acre complex. A large number of patients, young and old, rich and poor, get their heart problems treated free of cost. Some treatments would cost Rs 4 lakh in other medical facilities.

Y Arvind, manager of public relations at the Sri Sathya Sai Baba Institute of Higher Medical Sciences, says that the list of patients is endless. ‘We have patients throughout the day and I must tell you that we are proud of our waiting list. We meet every patient and we never promise what we cannot deliver. But we only deliver the best here. The doctors meet and evaluate each and every patient who comes here. The cases are taken up for treatment depending on their urgency,’ he added.

Every patient receives the same treatment here, free-of-cost. ‘The idea is that each patient is at the same level and if you do not pay for your treatment, then everyone is on par,’ explains Arvind proudly.

The hospital runs on donations from various philanthropists and devotees
The hospital is equipped with a fully automated information system which takes care of the patient data. The hospital also maintains a manual record of the data.

The super specialty hospital, with a built up area of 3,54,000 sq feet, houses 333 beds, eight operation theatres, six intensive care units, two cardiac cath labs and a 24-hour emergency unit. This state-of-the-art hospital, with a dedicated team of expert doctors, is also remarkable due to its Indo-Saracenic architecture and magnificent gardens.

How does the hospital dispense free medical treatment to so many patients? All the funds for the hospital come from the medical trust, which in turn receives the money in the form of donations from various philanthropists and devotees of Sathya Sai Baba. Arvind explains that on an average, the hospital authorities spend Rs 50 lakh a month on surgeries, treatment, maintenance cost and staff salary.

Not medical counseling, but patient counseling
‘We are able to manage this thanks to resource optimisation. For example, we don’t waste paper. It is compulsory for anyone using a note to use both sides of it and not throw it away after writing on only one side,’ Arvind explained.

The doctors have been instructed not to conduct medical counseling, but to conduct patient counseling for every patient. The doctors draw up an emotional profile of the patient to figure out the route of his emotional imbalance. This understanding helps the doctors in keeping their patients calm, and studies have proven that a calm mind helps heal a patient better.

Sri Sathya Sai Baba‘s first initiatives in the field of medical care began with the Sri Sathya Sai General Hospital, Prasanthi Nilayam, which was inaugurated on October 4, 1956 as a 12-bed facility for serving the poor in Puttaparthi and the surrounding villages.

Free healthcare to all patients
The initiative was aimed at giving free healthcare to all the patients seeking treatment at the hospital. Soon, the hospital began to attract patients from all across Anantapur, adjoining districts and other states. Over the years, the SSSGH grew from a single room dispensary to a sizeable general hospital with 90-bed capacity, treating patients suffering from various aliments. The Out Patient Department in the hospital now handles nearly 600 patients daily on an average.

In 1976, a second hospital, Sri Sathya Sai General Hospital, Whitefield was inaugurated by Sri Sathya Sai Baba in Bangalore. He also founded the Sri Sathya Sai Medical Trust in September 1991, to set up super-specialty hospitals to provide quality medical care to needy patients irrespective of caste, creed and religion.

State-of-the- art medical care
The first venture of the Sri Sathya Sai Medical Trust, towards providing high-tech tertiary medical care, was in the form of the Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi in November 1991. The institute provides state-of-the-art tertiary medical care absolutely free of cost to all those who came to its portals. This super specialty hospital treats diseases related to cardiology, urology and ophthalmology.

After the success of the super specialty venture in Andhra Pradesh, the government of Karnataka wanted Baba to start another super specialty hospital in Bangalore and offered 53 acres of land to build a super specialty hospital in its suburbs. The Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore was inaugurated on January 19, 2001.

Rediff News Reference

Pujya Shri Pramukh Swami Maharaj Visits The Shri Sathya Sai Heart Hospital – Rajkot

Pramukh Swami Maharaj

Pramukh Swami Maharaj


Pujya Shri Pramukh Swami Maharaj Visits The Shri Sathya Sai Heart Hospital – Rajkot

The head of the Swaminarayan mission, Shri Pramukh Swami Maharaj visited the Shri Sathya Sai Heart Hospital at Rajkot.

Pujya Pramukh Swami met the Tustees Bros. Kanubhai Patel and Manojbhai Bhimani who took him around the whole hospital including the Operation theatres, ICUs etc. He was very pleased with the latest medical equipment in the hospital for diagnosing and treating even the most difficult cases. He then visited the wards and personally blessed all the patients there.

He told all those present there that He was very impressed with the care and love showered to the patients there by the devoted team of the Doctors and the staff.

Article in Gujarti (Translation in English below)

Pujya Shri Pramukh Visits Sathya Sai Hospital

Pujya Shri Pramukh Visits Sathya Sai Hospital


His Holiness Shri Pramukh Swami visits Sri Sathya Sai Hospital, Rajkot
Gujarat, India – Wednesday 29th June 2005

The most revered spiritual leader and head of Shri Swaminarayan Hindu Mission (BAPS), Pujya Shri Pramukh Swami Maharaj, graced Sri Sathya Sai Super Speciality Hospital, Kalawad Road, Rajkot with a visit last Sunday. The holy man saw for himself how this renowned establishment offers free facilities and services and was impressed by how it lives up to its ‘Service to Man is Service to God’ motto. He proceeded to give his personal attention to every section of the hospital and showered his blessings upon the medical staff, patients and members of the hospital trustee group.

Very expensive heart surgery and modern treatment is available at Sri Sathya Sai Hospital no cost – regardless of any ability to pay. Every patient is seen as ‘Narayana’ – God in human form.

His Holiness showed great interest in every aspect of the work being carried out and went through the administrative offices, operation theatre, Intensive Care Unit, and met those awaiting and undergoing treatment as well as those who had already been operated upon. This gave him an over all picture of the institution and its workings. He also met dignitaries and senior surgeons and showed how pleased and impressed he was with what he had seen and heard.

He then visited the Prayer Hall and offered flowers to the image of Sri Sathya Sai Baba, whose divine message has inspired the foundation of the hospital and other major social projects throughout India and, indeed, the world.

‘This auspicious visit by such a unique spiritual personality as Pramukh Swami Maharaj is truly momentous and an inspiration to do even more’ were the sentiments expressed by the Hospital Managing Trustee, Kanubhai Patel and Joint Managing Trustee, Manojbhai Bhimani.

Shri Pramukh Swami Maharaj is the inspiration behind the creation of over 650 temples worldwide and heads an organisation which promotes social awakening, education and service to the community. Bochasanvasi Shri Akshar Purushottam Swaminarayan Sanstha is a progressive and very active movement with several million followers throughout the world.