Heart Failure, Interventional cardiology, Heart Transplant, Pulmonary Hypertension
Dr. Pravin Kahale is an Interventional Cardiologist at Kokilaben Hospital.
He has had his specialty medical training at Sion Hospital and super specialty training at Nair Hospital where he also served as Lecturer in Cardiology for one and half year. Observer in advanced heart failure and cardiac transplant at University of Chicago. In addition, he has trained in one of the best institutes in the world in the field of Interventional Cardiology at Haifa, Israel.
Working since 8 years did more than 4000 cardiac procedures. Complex angioplasty with rotablation and IVUS. Did many Primary PCI with good results. Did India first Primary PCI using biodegrable scaffold. Part of team involved in 15 Cardiac transplants. Did Explanation of 6 yrs old CRT device in 80 year old man. Diagnosed and treated uncommon and complex cases of myocardial sarcoidosis., Heart failure due to Keshan’s Disease.
Dr. Kahale has a number of publications in International & National Journals. Did India's first primary angioplasty with biodegradable scaffolds in Dec 2012.
I always regard Dr. Kahale as a pillar of strength in any family medical emergency and have unhesitatingly relied upon him without any reservation. I wish him very high level of success in his future life .
Today my father is much fit and living normal life.We are thankful to Dr.Kahale , other staff and the hospital.
Saying “Thank You” seems so insufficient but I can find no words that truly express my feelings appropriately, so I will stick with those two simple words with the hope that you know the depth of emotion and gratitude they contain.
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Publication/Talk Title : Mal-Absorptive Bariatric Procedure Causing Keshan’s Disease
Journal Published : Journal Of Advances In Obesity, Weight Management & Control
A 55 years old male with no significant past history, complained of chest pain on 29-06-15 associated with sweating. He was taken to a private nursing home where he was diagnosed with Anterior wall Myocardial Infarction (Heart Attack) and was managed conservatively. He was drowsy and had low Blood Pressure. Due to worsening condition he was advised a transfer to higher centre for further management. While transferring to Kokilaben Ambani Hospital he had Cardiac Arrest in the ambulance for which cardio pulmonary resuscitation was given and was started in Inotropic support to bring up his blood pressure. He was admitted in Kokilaben Hospital with cardiogenic shock status on 04-07-15. In view of his drowsiness he was referred to Dr. Sachin Mishra (Neurology) who advised CT Brain that showed Mild stroke (ACA and MCA watershed infarcts). After preliminary investigations a collective decision to proceed with Coronary Angiography was taken. The Angiography revealed significant block in main blood supplying vessel.
Hence Emergency Coronary Angioplasty was done. His vitals were supported with medicines (Inotropes) and IABP (External BP Machine). The damage to the heart due to the Heart attack had resulted in significant reduction in heart function to 20%. In the ICU, he had sudden onset ventricular tachycardia (life threatening rhythm of the heart). His rhythm was converted with shock treatment twice after which the heart reverted to normal rhythm. Supportive medications to maintain normal heart rhythm were started. He was given support via mechanical ventilation. His condition improved gradually. Mechanical support and ventilation were taken off on 14-07-15. In view of ventricular tachycardia episode he was advised AICD implantation which was done after stability. Single chamber pacemaker was implanted on 21-07-15. Patient was stable and was discharged on 25-07-15. On discharge he was advised to continue medicines and regular follow up for dressing. Currently he is doing well and leading a normal life.