 I am Dr. Ranjan Shetty. I head the cardiology department at Manipal Hospital, Bangalore, Old Airport Road. As you know, cardiology as a specialty we deal with lots of emergency and lots of elective procedures. In this hospital we do lots, both simple as well as complex procedure. Procedure includes angiogram, angioplasty, most of which is done by the radial route here. We also do image guided coronary angioplasty using Ivers or OCT. We believe most of the time we use some physiological measures like IFR and FFR to decide whether stunting is needed for any patient. Also as non coronary we do pacemakers, we do ICDs, we also do cardiac resynchronization therapy. We do lots of pediatric procedure which includes ASD, VSG device closure, CAT procedure. We are also one of the centers who are leading center for structural intervention which includes a left atrial appendage closure, TAVI. We are also a recognized center for many other procedures. Nowadays heart attack has become very common. No age is barred because of current lifetime stress, smoking. Most N people also present with the heart attack. So there was a N guy who had a pain since last two hours. He went to a nearby hospital from where he was referred directly to us. This patient had an ECG which was evolving. The changes were still not fully formed but he had very severe symptoms and we could see that ECG was heading towards a major heart attack. So we immediately shifted him to cardiac cath lab from emergency. It must have taken just five to seven minutes for us to shift to cath lab. Then using his right radial artery we passed a catheter went to near the heart which is near the major artery. Found out that he had one block in a major artery which is called left anterior descending artery which was 100% blocked. We passed a wire then removed the clot using a thrombus aspiration. We also gave further medicine. Once the clot was removed we found that there was some residual plaque which we stented with the coronary stent. So heart attacks kill a lot of patients. You know one third of the heart attack patients don't even reach hospital. So it is very important for people to recognize the symptom. Any chest pain, any discomfort especially with sweating whatever age it's important that they seek a medical attention. Find out that there is a whether there is a heart attack and if it's a heart attack it's very important that we treat it immediately. To do this most hospitals including ours we have 24-7 cath lab facilities. Most of the time when patients reach our hospital we are able to do angioplasty in 20 to 25 minutes. That's what is needed to prevent damage and recover as much heart muscle as possible.