The Cardiac Surgeon

13/12/2025

Consultant Cardiothoracic Surgeon – Dr. Muhammad Tariq Khan at AMI

Ali Medical Institute (AMI) proudly provides advanced Heart & Chest Surgery services under the expert care of Dr. Muhammad Tariq Khan, a highly skilled Cardiothoracic Surgeon dedicated to surgical excellence, patient-centered outcomes, and evidence-based practice.

Services Offered:
• Heart Bypass Surgery – Improves blood flow to the heart
• Heart Valve Repair & Replacement – Restores healthy heart function
• Video-Assisted Thoracic Surgery (VATS) – Minimally invasive keyhole procedures with quicker recovery
• Lung & Pleural Surgery – For infections, tumors, and fluid around the lungs
• Thoracotomies – Complex open-chest surgeries when required

OPD Days & Timings:
Wednesday & Thursday — 11:00 AM to 4:00 PM

At AMI, patients receive top-quality surgical and cardiac care with modern facilities and compassionate treatment.

📍 Address: AMI Cardiac & General Hospital, Muzaffarabad
📞 Contact: 0316-9229661 | 05822-532514 | 05822-532512

05/12/2025

Coronary Artery Dominance: A Key Concept in Angiography

Dominance is defined by which artery gives rise to the posterior descending artery (PDA):

• Right dominance – PDA from RCA
• Left dominance – PDA from LCx
• Balanced – PDA from both RCA & LCx

Prevalence:
• Right dominant – ~85%
• Left dominant – ~8%
• Balanced – ~7%

Understanding dominance is crucial in assessing myocardial perfusion, planning revascularization, and anticipating outcomes in coronary artery disease.

Image:
Top – Right dominance
Middle – Left dominance
Bottom – Balanced dominance

Ref: Braunwald’s Heart Disease, 12th Ed.

02/12/2025

Rec­om­men­da­tions for shunt clo­sure in pa­tients with pul­monary-​sys­temic flow ra­tio >1.5 : 1 based on cal­cu­lat­ed pul­monary vas­cu­lar re­sis­tance

Guidelines

02/12/2025

Reduced Cardioprotection ( Antiplatelet ) effect of Aspirin if taken with Ibuprofen!!

( Aspirin-NSAID Interaction )

■ Aspirin's antiplatelet effect can be reduced or blocked by some NSAIDs (nonsteroidal anti-inflammatory drugs), especially ibuprofen, due to competition at the COX-1 enzyme binding site in platelets.

》Here's how it works:

■ Aspirin irreversibly inhibits COX-1, preventing thromboxane A2 formation, which reduces platelet aggregation.

■ NSAIDs like ibuprofen reversibly bind to the same site on COX-1. If ibuprofen is taken before aspirin, it can block aspirin from binding, reducing its cardioprotective effect.

》 Key clinical points:

■ Timing matters: Aspirin should be taken at least 30 minutes before or 8 hours after ibuprofen to avoid interference.

■ Not all NSAIDs have the same interaction. Naproxen may also interfere, but diclofenac seems less problematic.

■ COX-2 selective inhibitors (e.g., celecoxib) generally don't interfere with aspirin’s antiplatelet effect.

》Bottom line:

■ If someone is taking aspirin for cardiovascular protection, NSAID use should be minimized or timed carefully. Acetaminophen is often a safer alternative for pain.

24/10/2025

🩺 FREE CARDIAC CHECK-UP CAMP 🫀

Ali Medical Institute, Muzaffarabad, is organizing a Free Cardiac Clinic with
Dr. Muhammad Tariq Khan (Cardiothoracic Surgeon) on Wednesday, 29th October 2025.

This special clinic is for patients with:
*Chest pain or shortness of breath
*High blood pressure or diabetes
*Known heart disease or post-surgery follow-up
*Family history of heart problems

📍 Venue: Ali Medical Institute, Srinagar Road, Dhanni Syedan, Muzaffarabad, AJK
📞 Contact: 0316-9229661

فری کارڈیک چیک اپ کیمپ
علی میڈیکل انسٹیٹیوٹ مظفرآباد میں
ڈاکٹر محمد طارق خان (Cardiothoracic Surgeon)
کی زیر نگرانی دل کے مریضوں کے لیے فری کارڈیک کلینک
بروز بدھ 29 اکتوبر 2025 کو منعقد کیا جا رہا ہے۔

یہ کیمپ ان مریضوں کے لیے ہے جنہیں:
❤️ سینے میں درد یا سانس لینے میں دشواری ہو
❤️ بلڈ پریشر یا شوگر ہو
❤️ دل کی بیماری یا دل کی سرجری ہو چکی ہو
❤️ خاندان میں دل کے مرض کی ہسٹری ہو

📍 مقام: علی میڈیکل انسٹیٹیوٹ، سرنگر روڈ، دھنی سیداں، مظفرآباد
📞 رابطہ نمبر: 9229661-0316

دل کی بیماری کا بروقت علاج آپ کی زندگی بچا سکتا ہے!

25/09/2025

Dr. Tariq Khan
Consultant Cardiothoracic Surgeon
AMI Cardiac & General Hospital, Muzaffarabad

🫀 Advanced Heart & Chest Surgeries with Care and Expertise

Services Offered

✅ Heart Bypass Surgery – Improves blood flow to the heart
✅ Heart Valve Repair / Replacement – Restores healthy heart function
✅ Video-Assisted Thoracic Surgery (VATS) – Keyhole surgery with quicker recovery
✅ Lung & Pleural Surgery – For infections, tumors, and fluid around lungs
✅ Thoracotomies – Complex open-chest surgeries when needed

Focused on:
• Surgical excellence
• Evidence-based practice
• Patient-centered outcomes

✨ Your heart and health are in safe hands.

📍 AMI Cardiac & General Hospital, Muzaffarabad
📞 +92 336 2911911 | +92 316 9229661

31/03/2025

Exciting News!

We are proud to announce that AMI Foundation is now officially registered with the relevant authorities in Muzaffarabad, Azad Jammu & Kashmir!

With this milestone, we are gearing up to launch a life-saving campaign to provide free pediatric heart surgeries for children suffering from heart diseases—especially those who cannot afford treatment or are not covered by the state of AJK/Pakistan.

“وَمَنْ أَحْيَاهَا فَكَأَنَّمَا أَحْيَا النَّاسَ جَمِيعًا”

“And whoever saves a life, it will be as if they saved all of humanity.” (Surah Al-Ma’idah 5:32)

Every child deserves a healthy heart and a bright future. Stay tuned for updates on how you can support this mission and help us save lives!

17/06/2024

11/05/2024

🔴 Coronary Artery Anatomy

✅Two main coronary arteries emanate from the aortic bulb :
• Right coronary artery (RCA)
originates on the right aspect of the aortic bulb.
• Left main coronary artery (LMCA) originates from eft anterior aspect of aortic bulb.

✅LMCA is short and branches into the two arteries supplying the anterior and left side of the heart, as follows:
• The left anterior descending coronary artery
(LAD).
• The left circumflex coronary artery (LCX).

✅Coronary artery dominance: The coronary artery that supplies the PDA (posterior descending coronary artery), which supplies the inferior wall of the left ventricle, determines the coronary artery dominance

👉A right-dominant system implies that the PDA is supplied by the right coronary artery (RCA).
👉A left-dominant system implies that the PDA is supplied by the left circumflex coronary artery (LCX).
👉Right-dominant system is by far the most common anatomy, occurring in 90% of all individuals.