IMH Case of the Week | Dr. Upendra Shah

IMH Case Of the Week – Coronary Angioplasty

Dr Upendra case of the week- best cardiologist in dubai
09 Feb 2024

Dr. Upendra Shah

Specialist Interventional Cardiologist

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Reason for Admission

This case highlights the critical management of a 68-year-old female patient presenting with a severe heart attack, known as acute anterior wall ST Elevation Myocardial Infarction (STEMI), at the International Modern Hospital in Dubai. Despite the added complexity of language barriers due to the patient being Russian-speaking, the medical team efficiently communicated with the patient and her relatives to provide timely and effective care.

Diagnosis |

Acute Anterior Wall ST Elevation Myocardial Infarction(STEMI) Coronary Angioplasty

The patient arrived midnight at the emergency department with severe chest pain, a classic symptom of a heart attack. An electrocardiogram (ECG) confirmed the diagnosis of acute anterior wall STEMI, indicating a significant blockage in one of the major arteries of the heart.

Surgical Procedure:

Upon diagnosis, the medical team swiftly initiated treatment. The patient and her spouse were briefed about the procedure, demonstrating effective communication despite the language barrier. The patient underwent emergency coronary angiography, a procedure to visualize the coronary arteries, which revealed complete blockage (100% occlusion) of the Left Anterior Descending (LAD) artery, a crucial blood vessel of the heart. Following this, emergency coronary angioplasty, a procedure to open the blocked artery, was performed using a drug-eluting stent by Dr. Upendra J. Shah, an Interventional Cardiologist.

Post Surgery:

Following the successful intervention, the patient was transferred to the Intensive Care Unit (ICU) for close monitoring and further treatment. It’s noted that she was discharged, just three days after the procedure. This rapid recovery is a testament to the effectiveness of the intervention and the quality of care provided.

Communication and Patient Satisfaction:

Despite the language barrier, the medical team ensured that the patient and her relatives were adequately informed about the diagnosis, treatment options, and prognosis. This demonstrates the hospital’s commitment to providing patient-centered care with a “human touch.” The fact that the patient and her relatives were satisfied with the treatment and care received further underscores the effectiveness of communication despite language differences.


Overall, this case exemplifies the importance of effective communication, prompt diagnosis, and timely intervention in managing acute medical emergencies, even in the face of language barriers. The successful outcome underscores the expertise of the medical team led by Dr Upendra Shah and the patient-centered approach of the International Modern Hospital in Dubai.

Dr. Upendra Shah
Specialist Interventional Cardiologist