Dr Sanjay Tarlekar - Best Cardiologist in Panvel

03/04/2026

A day of sacrifice, love, and redemption.

02/04/2026

Life-Saving Emergency Left Main Angioplasty in Cardiogenic Shock

Patient Name: Mr. Sutar
Hospital: Shushrusha Heart Care Center and Speciality Hospital Nerul

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Critical Presentation

Mr. Sutar was admitted in a life-threatening condition:

Severe cardiogenic shock

Ongoing chest pain

Diagnosed with critical Left Main coronary artery disease

The patient was initially advised CABG (Bypass Surgery), but due to worsening condition, he was taken for emergency angioplasty (PCI) as a life-saving measure.

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High-Risk Intervention Strategy

Unlike routine procedures, this case required a modified and rapid approach due to instability:

Step 1: Immediate Left Main Revascularization

The Left Main (LM) lesion was tackled first (instead of distal-first approach)

Urgent balloon dilatation performed

Guide catheter carefully engaged to stabilize flow

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Step 2: Complex LAD Lesion Management

LAD (Left Anterior Descending artery) was:

Severely narrowed

Diffuse and critical

Multiple guidewires used to cross the tight lesion

Sequential pre-dilatation with NC/CTO balloons

Stenting of LAD successfully completed

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Intra-Procedural Challenge

Due to repeated catheter movements, trauma occurred to the Left Main stent

This required re-intervention and correction

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Step 3: Left Main Optimization (Next-Day Procedure)

Re-crossing of Left Main stent done with precise coaxial alignment

Crushing of previous stent struts using:

1.0 mm, 1.5 mm, and 2.5 mm balloons

Deployment of a larger Left Main stent

Final post-dilatation with 4.5 mm balloon

Ensured proper ostial coverage and expansion

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Final Outcome

✅ TIMI-III flow restored in LAD
✅ Left Main artery successfully reconstructed
✅ Hemodynamic stability achieved
✅ Patient saved from a near-fatal condition

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Why This Case Is Remarkable

This case highlights:

Management of critical Left Main disease in cardiogenic shock
Decision-making under extreme emergency conditions
Use of advanced techniques like stent crushing
Handling procedural complications effectively
Saving life when CABG was not immediately feasible

31/03/2026

**Successful Staged Angioplasty in Diffuse Small-Calibre RCA Disease**

**Patient Name:** Mrs. Kamarjahan Sayyed
**Location:** Panvel
**Hospital:** Shushrusha Superspeciality Hospital Panvel

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# # # **Clinical Presentation**

Mrs. Kamarjahan was admitted with **severe chest pain**. She was a known case of **Double Vessel Disease (DVD)** and had previously undergone **angioplasty (PTCA) to the LAD artery**.

Due to persistent symptoms, she was evaluated further with **Coronary Angiography (CAG)**.

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# # # **Angiography Findings**

* **Right Coronary Artery (RCA):**

* **Small calibre vessel**
* **Diffuse ~90% stenosis** involving long segment
* Previously treated **LAD artery patent**

Given the diffuse nature of disease and vessel size, a **staged angioplasty (PCI) to RCA** was planned.

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# # # **Procedure Details**

* RCA lesion was **crossed with guidewire**

* **Pre-dilatation performed** using Sapphire balloon

* Sequential **stent deployment** carried out:

* **Stent 1:** Distal RCA
* **Stent 2:** Mid RCA (overlapping with distal stent)
* **Stent 3:** Ostial to mid RCA (overlapping to ensure full lesion coverage)

* Post-dilatation performed to ensure **optimal stent expansion**

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# # # **Final Outcome**

* ✅ **TIMI-III flow achieved** (normal coronary blood flow)
* ✅ **Complete lesion coverage**
* ✅ **Good stent expansion**
* ✅ Patient stabilized successfully

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# # # **Clinical Significance**

This case highlights:

* Management of **diffuse long-segment coronary artery disease**
* Challenges in **small calibre vessels**
* Importance of **staged angioplasty strategy**
* Effective use of **overlapping stents** for complete revascularization

31/03/2026

21/03/2026

🌙✨ Eid-ul-Fitr Mubarak 2026 ✨🌙

May this blessed occasion of Eid-ul-Fitr bring peace, happiness, and good health to you and your loved ones. 🤍
Let this Eid fill your heart with gratitude, compassion, and positivity, and your life with joy and wellness.

On behalf of
Shushrusha Heart Care Center & Speciality Hospital, Nerul
and
Shushrusha Superspeciality Hospital, Panvel,
we wish you a healthy, happy, and blessed Eid.

🌟 May your heart stay strong and your life be filled with happiness. 🌟

07/03/2026

Emergency Angioplasty Saves Patient in Cardiogenic Shock After Inter-Hospital Transfer

At Shushrusha Heart Care Center and Speciality Hospital Nerul**, a critically ill patient Mr. Jitendra was successfully treated after being transferred in **cardiogenic shock**, one of the most severe and life-threatening cardiac emergencies.

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# # Critical Condition at Admission

Pt. was transferred from another hospital in a **hemodynamically unstable condition**, diagnosed with **cardiogenic shock**—a situation where the heart suddenly fails to pump enough blood to meet the body's needs.

Typical features of cardiogenic shock include:

* Very **low blood pressure**
* **Poor circulation**
* Severe **heart muscle damage**
* High risk of **cardiac arrest**

Immediate specialized cardiac intervention was necessary to save the patient’s life.

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Coronary Intervention Strategy

Coronary angiography revealed a **critical blockage requiring urgent angioplasty**.

To safely access the diseased artery:

* A **coronary guidewire was carefully advanced into the Left Anterior Descending (LAD) artery**
* The **wire was used as a guide to accurately locate and cross the origin of the LAD**
* This technique ensured **precise positioning for further angioplasty and stent placement**

Using the guidewire as a roadmap allowed the interventional team to **navigate through the diseased segment despite unstable hemodynamics**.

Importance of Rapid Intervention

In cardiogenic shock:

* Every minute is critical
* Rapid restoration of coronary blood flow is essential
* Delay in treatment can lead to **multi-organ failure or sudden death**

Timely angioplasty helped restore blood supply to the heart muscle and stabilize the patient.

Outcome

* Successful coronary intervention performed
* Blood flow restored in the affected artery
* Patient stabilized after emergency management

Medical Significance

This case demonstrates:

* Importance of **rapid transfer to specialized cardiac centers**
* Role of **emergency angioplasty in cardiogenic shock**
* Precision techniques using **guidewire navigation**
* How **timely intervention can save patients in critical cardiac emergencies**

05/03/2026

Technical Innovation Prevents Coronary Ostial Damage During RCA Angioplasty

At *Shushrusha Heart Care Center and Speciality Hospital Nerul, a technically challenging angioplasty case in **Patient: Hirabai* demonstrated an important interventional strategy to prevent *coronary ostial injury* during Right Coronary Artery (RCA) intervention.

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# # The Procedural Challenge: Guide Catheter “Sucking In” with Pressure Dampening

During RCA angioplasty, the *guide catheter repeatedly engaged too deeply into the coronary ostium*, causing:

* *Pressure dampening on the monitor*
* Risk of *coronary ostial trauma*
* Potential compromise of blood flow
* Risk of dissection or vessel injury

This situation commonly occurs in:

* Ostial RCA lesions
* Tight proximal stenosis
* Small or sensitive coronary origins

If not handled carefully, deep intubation of the guide can cause serious complications.

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# # Innovative Solution: Protective Aortic Wire Technique

To prevent repeated “sucking in” of the guide catheter:

* An additional *coronary guidewire was intentionally kept in the ascending aorta*
* This “aortic wire” acted as a stabilizing support
* It prevented deep seating of the guiding catheter
* Maintained stable pressure waveform without dampening

This simple but highly effective maneuver ensured:

* Protection of the coronary ostium
* Stable catheter position
* Safe continuation of the procedure

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# # Completion of Angioplasty

After:

* Successful *predilatation*
* Restoration of *TIMI-III flow*
* Stabilization of hemodynamics

The *aortic wire was safely removed*, and the angioplasty was completed without complications.

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# # Why This Case Is Important

This case highlights:

* Importance of recognizing *pressure dampening early*
* Risk of *guide-induced coronary injury*
* Value of *technical expertise in complex ostial lesions*
* Use of smart, preventive strategies to avoid complications

It demonstrates that sometimes *small technical modifications can prevent major complications* in high-risk coronary interventions.

02/03/2026

Navigating the Complexity of Prinzmetal Angina 🫀

Did you know that not all "narrowed" arteries are caused by permanent blockages?

In this fascinating clinical deep dive, Dr. Sanjay Tarlekar shares a rare case of a "generalized spasm" of the coronary bed. What initially appeared to be severely constricted vessels was actually Prinzmetal Angina—a condition where arteries temporarily seize up, often due to a deficiency in Nitric Oxide.

Key Clinical Insights from the Case:
* The Phenomenon: A patient’s entire coronary bed showed significant narrowing just one month after a successful LCx PCI.

* The Diagnostic Test: After administering Nicorandil, the vessels dilated back to their normal 3mm size within just four minutes.

* The Treatment Trap: In cases of coronary spasms, traditional Beta-blockers can actually worsen the condition.

* The Solution:
Management requires vasodilators like Calcium Channel Blockers (Diltiazem or Amlodipine) and high-dose Nitrates to prevent further angina episodes.

Understanding these rare physiological responses is key to providing precise, life-saving cardiac care.

Expert Care by:
👨‍⚕️ Dr. Sanjay Tarlekar
MBBS, MD, DM (Cardiology)
Interventional Cardiologist
📍 Shushrusha Heart Care Centre and Speciality Hospital, Nerul
📍 Shushrusha Super Speciality Hospital, Panvel

27/02/2026

❤️ २१ दिवसांत हृदय आरोग्य सुधारू शकतं का?

डॉ. संजय आर. तारळेकर सर सांगतात – “योग्य जीवनशैली हीच सर्वात मोठी औषध आहे”

— **डॉ. संजय आर. तारळेकर**
DM (Cardiology), MD (Medicine)
36+ वर्षांचा अनुभव | 10,000+ यशस्वी हृदय उपचार
Shushrusha Heart Care Center and Speciality Hospital, Nerul
Shushrusha Superspeciality Hospital, Panvel

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आज जगभरात हृदयविकार हे मृत्यूचे प्रमुख कारण आहे. परंतु एक अत्यंत महत्त्वाची गोष्ट म्हणजे – **योग्य जीवनशैली स्वीकारल्यास हृदयाचे आरोग्य लक्षणीयरीत्या सुधारू शकते.**

डॉ. संजय तारळेकर सर यांच्या मते,

> “हृदयविकार टाळण्यासाठी केवळ औषधे किंवा शस्त्रक्रिया पुरेशी नसतात. योग्य आहार, नियमित व्यायाम, ताण नियंत्रण आणि चांगली झोप यामुळे हृदयाचे आरोग्य नैसर्गिकरित्या सुधारू शकते.”

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🥗 १. योग्य आहार – हृदयासाठी सर्वात महत्त्वाचा घटक

हृदय निरोगी ठेवण्यासाठी खालील आहार पद्धत अत्यंत उपयुक्त आहे:

✔️ जास्त प्रमाणात:

* ताज्या भाज्या
* ड्रायफ्रूट (बदाम, अक्रोड)
* बिया (Seeds)
* ऑलिव्ह ऑइल
* प्रथिनेयुक्त आहार

❌ टाळा:

* साखर
* मैद्याचे पदार्थ
* पॅकेज्ड फूड
* जंक फूड
* सॉफ्ट ड्रिंक्स

👉 यामुळे:

* सूज (Inflammation) कमी होते
* कोलेस्ट्रॉल नियंत्रणात राहते
* ब्लॉकेजचा धोका कमी होतो

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🚶 २. रोज ३० मिनिटे चालणे – सर्वात सोपा उपाय

डॉ. तारळेकर सर सांगतात:

> “दररोज ३० मिनिटे वेगाने चालणे हे हृदयासाठी सर्वोत्तम व्यायाम आहे.”

यामुळे:

* रक्ताभिसरण सुधारते
* वजन नियंत्रणात राहते
* हृदय मजबूत होते

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🧘 ३. ताण नियंत्रण – हार्ट अटॅक टाळण्यासाठी अत्यावश्यक

अति ताणामुळे:

* BP वाढतो
* ब्लॉकेजचा धोका वाढतो
* हार्ट अटॅकचा धोका वाढतो

✔️ उपाय:

* मेडिटेशन
* योग
* प्राणायाम

👉 दररोज 20–30 मिनिटे मेडिटेशन अत्यंत उपयुक्त आहे.

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😴 ४. पुरेशी झोप – हृदयासाठी आवश्यक

दररोज:

✔️ 7–8 तास झोप आवश्यक

यामुळे:

* BP नियंत्रणात राहतो
* हार्मोन्स संतुलित राहतात
* हृदयावरचा ताण कमी होतो

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⚠️ डॉ. संजय तारळेकर सरांचा महत्त्वाचा संदेश

> “आज अनेक तरुणांमध्ये हार्ट अटॅक वाढण्याचे मुख्य कारण म्हणजे
> जंक फूड, ताण, झोपेचा अभाव आणि व्यायामाचा अभाव.”

> “जीवनशैलीत बदल केल्यास अनेक वेळा हृदयविकाराचा धोका मोठ्या प्रमाणात कमी करता येतो.”

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🏥 हृदय तपासणी सुविधा उपलब्ध

📍 Shushrusha Heart Care Center and Speciality Hospital, Nerul
📍 Shushrusha Superspeciality Hospital, Panvel

उपलब्ध सुविधा:

✔️ ECG
✔️ 2D Echo
✔️ Stress Test
✔️ Angiography / Angioplasty

👉 सरकारी योजनांतर्गत पात्र रुग्णांसाठी **मोफत Angiography व Angioplasty उपलब्ध**

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# # ❤️ अंतिम संदेश

**हृदय निरोगी ठेवण्यासाठी:**

✔️ योग्य आहार
✔️ रोज चालणे
✔️ ताण कमी करणे
✔️ पुरेशी झोप
✔️ नियमित तपासणी

हे ५ नियम पाळा.

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📢 डॉ. संजय तारळेकर सर सांगतात:

> “हृदयविकार टाळणे हे शक्य आहे – योग्य जीवनशैली हीच खरी उपचार पद्धती आहे.”