Dr Saicharan Kulkarni MD

  Introduction Secondary mitral regurgitation is a frequent consequence of ischemic cardiomyopathy and adverse left ventricular remodeling. Progressive mitral regurgitation increases left ventricular volume overload, worsens heart failure symptoms, and contributes to recurrent hospitalizations. Patients with prior coronary artery bypass grafting (CABG), advanced left ventricular dysfunction, chronic kidney disease, and multiple comorbidities often carry prohibitive surgical risk, making transcatheter edge-to-edge repair (MitraClip) an attractive therapeutic option. Case Presentation A 75-year-old male, known case of coronary artery disease status post CABG, hypertension, type 2 diabetes mellitus, hypothyroidism, chronic kidney disease, and ischemic cardiomyopathy, presented with worsening shortness of breath corresponding to NYHA Class IV functional status. He had experienced multiple recent admissions for decompensated heart failure. Prior to the current hospitalization, he ha...

A 56-year-old male, working as a Yoga Instructor for the last 22 years , physically active, non-diabetic, non-hypertensive, occasional alcohol consumer, with no prior documented cardiovascular illness, presented with recurrent symptomatic tachyarrhythmia. Prior to October 2025 The patient was apparently healthy and leading an active lifestyle as a professional yoga instructor. He denied: Hypertension Diabetes mellitus Coronary artery disease Heart failure Syncope Previous palpitations Previous hospitalization for cardiac illness There was no history of chronic medication use. First Cardiac Event 08 October 2025 Symptom Onset At approximately 1 PM, the patient developed sudden onset: Chest discomfort Profuse sweating Giddiness Palpitations This was the first episode of such symptoms in his lifetime . Because of persistence of symptoms, he attended a nearby local hospital. Initial Evaluation at Local Hospital An ECG performed at the local hospital reportedl...