Whistling Woodzs

Alleviation for heart failure patients by Belgaum docs


With Heart Failure been identified as one of the major cardiac disorders with increasing prevalence in India and globally. As an effort to curb the disease in the city, Dr. Prabhu Halkatti, Head, Department of Cardiology and Senior Intervention Cardiologist, KLES Hospital and Dr. Suresh Patted, Senior Intervention Cardiologist, KLES hospital recently conducted a breakthrough surgery with the implant of a technologically advanced defibrillator medically known as “PROTECTA” an Implantable Cardioverter Defibrillator for the management of irregular heartbeats. Dr. Prabhu Halkatti is the first intervention cardiologist to implant this new technology in Karnataka.

Sagar(Name Changed) aged 57 was suffering from hypertension and Heart Failure (restricted blood flow to the heart muscle) for the past three years. Due to this he was under a constant risk of falling prey to an episode of Sudden Cardiac Arrest. He was undergoing treatment for the past two years leading to frequent hospitalization to monitor and manage the fluid accumulation in his heart.


Doctors at KLES hospital who advised Sagar to undergo an ICD implant and is now leading a stress-free life post surgery.

Heart failure is a disease in which the heart pumping capacity reduces significantly due to either progressive fluid accumulation/congestion in the heart or inadequate blood flow to tissues. An implantable-cardioverter defibrillator (ICD) is commonly recommended for the management of heart failure that uses electrical impulses to stop fatal heart rhythms complemented by a fluid monitoring system.

While an ICD detects an irregular rhythm and sends low-energy electrical pulses to normalize the heartbeat, a Fluid monitoring system monitors the Fluid volume overload (congestion) in patients with moderate-to-severe Heart Failure leading to frequent hospital readmissions.

Majority of the shocks delivered by an ICD are necessary to treat potentially fatal arrhythmias (irregular heart beat). Contrary to the traditional ICD devices, Medtronic’s PROTECTA device is designed to recognize heart arrhythmias and noise through its “SmartShock™ Technology” to deliver therapeutic shocks only when required. This “SmartShock™ Technology” includes six Medtronic-exclusive algorithms backed by extensive clinical research.

“With these new devices, I can provide my patients with lifesaving technology that provides them peace of mind that they can maintain an active lifestyle since their severe heart condition is under control and they will receive life-saving therapy only when needed. This device is a boon to heart failure patients and has made a remarkable improvement in the quality of life of Mr. Sagar,” said Dr. Prabhu Halkatti of KLES Heart Foundation.

“The Protecta family of devices addresses one of the most critical unmet physician needs also reduces the economic burden of the patient and their family while also reducing the mental trauma of undergoing regular hospital visits.” said Dr. Prabhu Halkatti.

Dr. Prabhakar Kore, Chairmen of KLES hospital and MRC, Medical director Dr. M.R. Jali and Dr. D.M. Dixit, Director of heart foundation have appreciated and congratulated Dr. Prabhu Halkatti and Dr. Suresh Patted for changing life of the patients by implanting such world class devices in Belgaum.



  1. I would also like to say that technology has also saved many lives & has got its own benefits. But then if a gun is given in the hands of a monkey you really don’t know what he will do with that. But if a gun is given to a commando he will protect you, because he knows the correct use of the gun. The idea of sharing this experience is that for any crucial operation one has to take 2nd opinion & if one cannot afford second opinion then he should check that there exists a system to really take care of the life involved. This way may be more lives & mothers would be saved. If the system (restrictions on heavy vehicles /police alertness) would have been in place Mr. Bagewadi would not have died after being trapped under an overloaded truck with paints at Bogarves.
    Well I have basically explained the happenings in very brief & I can certainly justify about my claim in detail if required.

  2. This all has happened in a hospital of Belgaum itself (hope you understand it & I should not name the doctors involved) & I really keep on questioning myself as why the simple problem of acidity could not have been identified. Is it the money involved in implanting a stent which did drive for this decision, then the attitude of the doctor matters. If there had been a default system that any decision of stent implantation has to be reviewed by a panel of doctors & then only it can be cleared for operation then may be sometimes my mother would have been saved, if & if lots of if because here life is involved which is very precious.

  3. 5) System should have been better so that before taking this kind of decision a panel of doctors review the case by default. I remember one of my relative’s case where he was admitted to Army Hospital Pune & he too had heart problem, but for the decision of his operation a panel of 5 doctors has discussed the whole diagnosis in detail & then only he was operated. He is doing well & is quite healthy.
    6) In medicine what really matters is diagnosis & the emphasis should be 70 % on diagnosis & 30 % on treatment.
    7) What I was observing during the daily visits of specialist to the patient that the doctor used to say a lot & the juniors used to always say yes sir. Somehow we do not have that culture (Indian) of disagreeing with our seniors & we do not promote the same. Good that after the MNC’S have come in India the way we work is much different & the juniors are being heard.
    8) I am just imagining may be one of the Junior Doctors would have said the pinch is very minor & is the real cause something else. Why all the time she had attack after having food etc etc.

  4. How I am sure that it was acidity :
    1) Well it was Acid Reflux disease & not the pinch in vein which cost the life.
    2) All the 3 times she had attack after 1 hrs after having her dinner, a very uniform pattern.
    3) Why I am so confident because I am from the same tree & I have been able to manage my acidity.
    Where was the lacking :
    1) Basic diagnosis was not done correctly & by use of technology it was directly concluded that the pinch is the cause. Then I would say If the pinch problem was fixed they why the attack.
    2) The fees involved may have lured the doctors to make a business decision. Well I feel doctors need to have good attitude (Niyat) first so that they would not have overlooked the simple problem of acidity.
    3) On my part it was a very wrong decision that I did not take 2nd independent opinion before saying yes for the operation.
    4) My mother was not capable enough to explain as what exactly is happening to her or one can say she did not communicate well.

  5. How Technology can mislead sometimes.
    I would like to share one of my personal experience as how technology can sometimes mislead. Well the intension is that may be others could be benefitted by this.
    This is about 5 years back, my mother had heart attack & in this she passed away. To explain in very brief she had 1st attack in the month of May which she could sustain. On admission to hospital it was suggested to us that angiography is to be done. Since she was not prepared for this it was delayed. Then in November she had 2nd attack & this also she could luckily survive. She had to go through angiography & in the same sitting it was decided to put a stent as there was a minor pinch in one of the veins supplying blood to heart.
    After implanting the stent she could survive only for 10 days & she passed away. Well I had gone through very bad time after this incident & was trying to find out as what went wrong. Though I am not qualified to conclude that my observations are correct but my common sense & logic says that the diagnosis was not done correctly.

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