Treatement for Ischemia iduced Acute LVF, Elevated LBBB

My uncle from Kerala (India) aged 64 is now admitted with ischemia induced acute lvf and elevated LBBB in AIMS, Cochin
Where will we get right treatment in India or abroad?
We are ready to treat him anywhere in the world.
Is any surgery will solve the problem.
Every suggestions will be helpful to us. Looking forward..


This discussion is related to Left Ventricular Failure - Please advise for available treatment.

[kenkeith]

I'm not familiar with AIMS, Cochin, but ischemia induced acute lvf indicates there is/are blocked coronary arteries that impede adequate blood flow to heart cells.  Ischemia can/will damage heart cells and the consequence of that is left ventricle heart failure (LVF).  
Treatment is to open the coronary arteries.  The therapy can be medication to dilate vessels, reduce the heart's workload, maintain stable heartbeats, etc.  There is a procedure that opens the vessels and implants a stent (a device that holds the vessel open).  And sometimes surgery is required to bypass the blocked atrteries with vessels harvested from the leg or mammary vessel.

LBBB (left bundle branch block) is related to the electrical impulses that have pathways (become blocked) through the heart walls that cause the heart to contract and relax.  Guidelines for medical treatment of LVF  in patients with LBBB, such as aspirin, beta-blockers and ACE inhibitors, and  consideration of urgent reperfusion in LBBB patients with symptoms consistent with heart attck (chest pains).

Bundle branch block is a condition in which there's a delay or obstruction along the pathway that electrical impulses travel to make your heart beat. Bundle branch block can occur in people who appear healthy, and it's often a sign of another underlying heart problem.

Injury or damage to the heart muscle or blockage of a blood vessel in your heart can slow or block the electrical impulses that make your heart beat. Even though interference with the impulses may last for only a fraction of a second, that may be enough to cause bundle branch block. Bundle branch block sometimes makes it harder for your heart to pump blood forcefully and efficiently through your circulatory system.

Although bundle branch block itself often requires no direct treatment, you'll need treatment of any underlying health condition that could cause bundle branch block, such as coronary heart disease.

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