We, the team of Dr. Jai Dev Memorial Rotary Ambala Hospital (DJMRH), wish to place on record the terrific contribution of the cardiology team, gastroenterology and hepatology team, anesthesiology team, and critical care team in salvaging a near-fatal 56-year-old male patient post-heart stenting. A few years ago, he discontinued drugs, went for a run, and collapsed. The patient was found to have ventricular tachycardia, which was managed successfully, and an acute anterior myocardial infarction, which is a massive heart attack. He refused invasive procedures. The patient was thrombosed with tenecteplase, which helped in his partial recovery.

The patient was admitted again with a recurrence of chest pain. The patient’s ECG showed a fresh heart attack. This time the patient agreed to an angiography and was found to have a completely blocked main vessel, viz., LAD. The patient was successfully stented by Dr. Rahul Trehan, an interventional cardiologist, along with his team and under the watchful eyes of Dr. Sonali Chawla, an anesthesiologist and critical care specialist. The same evening, the patient developed massive upper-gastrointestinal bleeding. He did not respond to a stomach wash, an infusion of proton pump blockers, or blood replacement. The middle of the night endoscopic clipping of a big gastric ulcer was performed by Dr. Hardeep Singh, a gastroenterologist and hepatologist, for this critical case, along with Dr. Sonali, an anesthesiologist, and other team members who, with their efforts, saved the day. The patient was discharged without any complaints. This was a truly remarkable achievement by the cardiology team, gastroenterology and hepatology team, and anesthesiology and critical care team.

Therefore, teamwork makes great work!!