Dr. Bhaskar Semitha
Cardiac Surgeon
18 years of experience
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About Dr.Bhaskar
Dr.Bhaskar Specializations
- Cardiac Surgeon
- Cardiologist
- Cardiothoracic Surgeon
Dr.Bhaskar Education
- MS - General Surgery - Nizam Institute of Medical Sciences, Hyderabad
- MBBS - University Of Mysore, India
- MCh - Cardio Thoracic Surgery - Nizam Institute of Medical Sciences, Hyderabad
- Fellowship in Heart & Lung Transplant - St Vincent’s Hospital, Sydney
Dr.Bhaskar Experience
Dr.Bhaskar Registration
- 82850 Andhra Pradesh Medical Council 2013
Memberships
- Indian Medical Association (IMA)
Services
- Peripheral Angioplasty
- Coronary Angiogram
- Balloon Mitral Valvuloplasty
- Minimally Invasive Cardiac Surgery
- Radial Approach Angiography
- Ct Angiogram
- Acute Aortic Dissection
- Cardioversion
- Carotid Angioplasty And Stenting
- Pacemaker Implantation
- Cardiac Ablation
- Patent Foramen Ovale
- Congenital Birth Defects In The Heart Correction
- Cardiac Catheterisation
- Cardiac Pacing
- Patent Ductus Artriosus Device Closure
- Cardiac Procedure
- Treadmill Test Tmt
- Coronary Angioplasty Bypass Surgery
- Electrocardiography Ecg
- Asd Vsd Device Closure
- Pulmonary Function Test Pft
- Mitral Heart Valve Replacement
- Ultrasound Ultrasonography
- 2D Echocardiography 2D Echo
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Questions answered By Dr. Bhaskar Semitha (10)
OUR HEARTS AND STENT PATIENT EJECTION FRACTION IS 32 AND LV APICAL LARGE CLOT . Treatment By medicine Loprin bywas fortius tissara rivoxarban 20mg are good or no and ef was improve or no
Answered on 31st Dec '25
Having an ejection fraction of 32 and an LV apical large clot can be concerning, but there are options. The medications you mentioned, Loprin, Fortius, Tissara, and Rivaroxaban, can be beneficial in certain cases. They can help prevent further clot formation and improve blood flow. However, the effectiveness can vary from person to person. It's essential to follow advice of your cardiologist closely and attend regular follow-ups. They will monitor your progress and adjust the treatment as needed.
Patient Medical Summary Patient Profile: Age: 21 years old. Initial Presentation: Diagnosed with hypertension with a blood pressure (BP) reading of 153/110 mmHg. Diagnostic Tests Conducted: Thyroid Function Test: Normal. Ultrasound of Renal Arteries: Normal. Ecg .showed posdible ventricular hypertrophy Normal fbp. Urinalysis: Normal. Lipid Profile: Serum Cholesterol was elevated at 5.49 mmol/L. All other parameters were within normal limits. Current Treatment & Progress: I have been on anti-hypertensive medication [ Amlodipine. Telmisartan and hydrochlorothaizide in combination and artovastatin. for one month. My current BP readings have improved to an average of 133/88 mmHg. Current Concerns: Still my local doctor do not understand what is the cause of hypertension Tachycardia: Despite the decrease in blood pressure, my heart rate has increased significantly, averaging 110 bpm even at rest. Chest Discomfort: I am experiencing mild chest pains/discomfort associated with this high heart rate. Clinical Query: I am concerned about why my heart rate remains so high (compensating) when my blood pressure is stabilizing. My local doctors have yet to identify the specific cause for this persistent high heart rate and the initial hypertension at my young age.
Answered on 31st Dec '25
Regarding your elevated heart rate, there could be a few reasons for this. Sometimes, when the body is adjusting to new blood pressure levels, the heart rate can take some time to catch up. In fact, factors like stress, anxiety, caffeine intake, or even thyroid issues can also play a role. I recommend discussing these possibilities with your cardiologist. They might want to do further tests or adjust your current medications to help regulate your heart rate better. Also, in the meantime, try to practice some relaxation techniques to help manage your heart rate and chest discomfort. It's important to keep an open line of communication with your cardiologist to address all your concerns thoroughly.
Primary PCI to LAD performed on 03 August 2025 Urgent PTCA to LAD done Patient developed ventricular tachycardia (VT) → DC cardioversion performed Became hemodynamically stable Discharged on 11 August 2025 in improved condition Echocardiography Progression 11 Aug 2025 (Discharge): EF ≈ 52% 26 Sep 2025: EF 42% Big apical LV clot RWMA present 07 Nov 2025: EF 40% Small LV clot 26 Dec 2025 (Latest): EF 32% Large apical LV clot RWMA Mild mitral regurgitation Mild aortic regurgitation Current Medications Rivaroxaban (XCEPT) 20 mg once daily (evening) Aspirin (Loprin) 75 mg once daily Ticagrelor (Tissara) 90 mg twice daily Nebivolol (Bywas) 2.5 mg once daily Sacubitril/Valsartan (Sucavia) 50 mg – half tablet twice daily High-intensity statin ✔ Medication compliance: 100% (no missed doses) Key Concerns Gradual decline in EF (52% → 32%) Persistent LV apical thrombus with variable size reporting Need to assess whether clot is chronic/stable or active Prognosis and potential for EF recovery Appropriateness of Rivaroxaban vs Warfarin for LV clot Purpose of Consultation Seeking expert opinion on: Management of persistent LV apical thrombus Optimization of heart failure therapy Likelihood of EF improvement
Answered on 31st Dec '25
It's important to know that after a heart attack and with heart failure, the heart's pumping ability can weaken over time, leading to a decrease in EF. The LV clots could be due to blood pooling in the heart chambers, especially if the heart isn't pumping effectively. To address this, it's crucial to continue your medications diligently, as you've been doing. I would recommend further evaluation with your cardiologist to assess the stability of the clots and discuss the option of transitioning to Warfarin for better management. With ongoing treatment and close monitoring, there is still a good chance for your EF to improve.
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