‘Yellow spot’ in Mukhtar Ansari’s heart; expert says pathological changes alters colour after cardiac arrest

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New Delhi: Mukhtar Ansari, a gangster-turned-politician from Uttar Pradesh died at the age of 60 after suffering a heart attack on Thursday night March 28. The post-mortem report of Ansari confirmed that he died due to cardiac arrest, as per PTI. In the latest development, it was revealed that a five-doctor panel that conducted the post-mortem detected a ‘yellow area or spot’ in the heart which possibly suggests clotting.

According to reports of Hindustan Times, there were clear signs of blood clotting in the heart, the area measuring 1.9 x1.5 cm was yellow in colour. Reports also note that the entire autopsy procedure was videographed properly. According to a jail document, Ansari had been suffering from a heart disease for a long time as well as he was suffering from other health conditions such as depression, skin allergies and diabetes.

Dr Mukesh Goel, a senior cardiac surgeon at Delhi’s Apollo Hospital told News9, “Blood clot occurs in the coronary artery (blood vessel supplying blood to the heart muscle). When it gets blocked with a blood clot, it leads to the death of the corresponding area of the heart ( called a heart attack or myocardial infarction). The area of the dead heart muscle changes colour from dark pink to yellow due to pathological changes.”

Why does the blood clot change colour over time?

Blood clots typically occur inside larger blood vessels such as an artery or a vein. According to Dr Goel, “Blood clots don’t occur in the heart, they occur in the arteries. The changes in colour in the heart is a natural pathological condition which can be caused after a heart attack. It takes around 48 hours to change the colour in the heart area, after suffering a heart attack. This is commonly seen in people who are diabetic.”

“There are also cases when people get a silent heart attack and they do not know about it. In such cases too, later the doctors can detect that a person had a heart attack due to the discolouration in that area.”

Difference between blood clots, bruises and infection

Clots can occur in the veins or arteries which are vessels that are a part of the body’s circulatory system. These both types of vessels help transport the blood throughout the body and each of them works differently. In the case of a heart attack, the blood clot blocks the arteries leading to part of the heart muscle and eventually causes a heart attack. Dr Goel explained, “Blood clots can happen in the arteries, not the heart which blocks the flow of blood and also a bruise cannot occur in the heart.”

Both bruises and blood clots stem from problems with blood vessels and both can cause skin discolouration. Bruises commonly happen due to physical trauma or blood leaks into the surrounding tissues during an injury. A blood clot is a collection of blood within a vessel. A bruise is more likely to show signs that are visible as compared to a blood clot.

On the other hand, if you have an infection, it can cause inflammation in the body and this makes the blood more likely to form clots.

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