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The early detection and prevention of contrast induced nephropathy post coronary intervention in catheterization unit
ConclusionA reduction in the contrast media volume to a V/CrCl ratio < 2.85 is a new predictors for early diagnosis and prevention of CIN post cardiac catheterization in patients with relatively normal renal function. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - November 3, 2018 Category: Cardiology Source Type: research

A rare case of papillary fibroelastoma presenting as a left ventricular mass
We present a case of a 59 year old female, symptomatic of atypical chest pain, whom was found to have a left ventricular mass, later confirmed to be a papillary fibroelastoma on histology following surgical excision.Cardiac papillary fibroelastomas are an infrequent finding within cardiac tumours, and more commonly involve cardiac valves. Symptoms are often related to their mass effect, and vary with regards to their position in the heart. CPFEs are benign in nature, however pose a cardio-embolic risk, and often require surgical excisionThis paper presents a summary of the 39 cases of CPFEs involving the left ventricle p...
Source: Journal of Indian College of Cardiology - August 23, 2018 Category: Cardiology Source Type: research

Ulembe study: Unprotected left main PCI study at 3 years follow up
ConclusionuLMPCI is safe and effective treatment alternative to CABG in non diabetic patients with selected LM alone, single vessel and single stent patients with low and intermediate syntax score(≤32)at 3 years. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 14, 2018 Category: Cardiology Source Type: research

Revascularization of a post ICD implanted patient – Closing the stable after the horse has bolted
Publication date: March 2018Source: Journal of Indian College of Cardiology, Volume 8, Issue 1Author(s): Pankaj JariwalaAbstractPatients with significant coronary artery disease with severe left ventricular dysfunction are at risk of sudden cardiac death secondary to ventricular arrhythmias. Whether complete revascularization or implantation of implantable cardioverter-defibrillator (ICD) first is always clinical dilemma. The revascularization strategy in the presence of multivessel disease is not always without risk and not cost effective. We have discussed one such clinical scenario where patient underwent ICD implantati...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

An unusual presentation of asymptomatic Type 2 Brugada pattern
We present the case of a 56 year old male whom was brought following a witnessed out of hospital cardiac arrest. His background included a drug-induced type 1 Brugada pattern following a flecanide challenge. He has been asymptomatic until this event. In the absence of other causes for a cardiac arrest, he received an implantable cardiac defibrillator.This case highlights an uncommon presentation of a patient with a Drug Induced Type 1 Brugada pattern. These situations pose challenges to clinicians in surveillance of patients, and highlights the need for further research into predictive markers for sudden cardiac death...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Pacemaker implantation in persistent left superior venacava with absent right superior venacava: Lessons learnt
Publication date: March 2018Source: Journal of Indian College of Cardiology, Volume 8, Issue 1Author(s): Shreetal Rajan Nair, C.G. SajeevAbstractA 55 year old male presented to us with history of recurrent episodes of syncope following which he was detected to have sick sinus syndrome and was planned for a permanent pacemaker implantation. During the procedure he was incidentally detected to have a persistent left superior venacava with absent right superior venacava as probably his initial echocardiogram was overlooked and the procedure was replanned to a later date. A 64 slice MDCT scan was done to delineate the ven...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

An unusual presentation of Iatrogenic Cushing's syndrome
Publication date: March 2018Source: Journal of Indian College of Cardiology, Volume 8, Issue 1Author(s): Uday Kiran Anne, Praveen Nagula, Praneeth Polamuri, Anuj Kapadiya, Vijaya Lakshmi Nuthakki, Kiranmayi K. AnjaniAbstractCushing's syndrome (CS) constitutes a constellation of clinical features that result from chronic exposure to excess glucocorticoids of any etiology. Endogenous excess of glucocorticoids secondary to pituitary or adrenal tumors is rare, while the exogenous use of glucocorticoids leading to the CS is common. The latter is termed as Iatrogenic Cushing's syndrome (ICS). The patients with ICS usually presen...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Assesment of Right Ventricular Function by Echocardiography in Patients with Ischemic Cardiomyopathy and Non-ischemic Cardiomyopathy
Publication date: March 2018Source: Journal of Indian College of Cardiology, Volume 8, Issue 1Author(s): Ümran Özdamar, Emine Bilen, Ahmet Akdi, Ali Erayman, Göktürk İpek (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Clinical outcomes of acute coronary syndrome patients with new onset diabetes
ConclusionThe study highlights two important things, first incidence of new onset diabetes in acute coronary syndrome patients is High, Second new onset diabetes has a significant impact on the clinical outcome of ACS patients. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Framingham risk score and extent of atherosclerosis in non-diabetic patients with suspected coronary artery disease
ConclusionFrom our results, we concluded that FRS is a good predictor of Total Plaque Score and volume, but it cannot be used as a tool for the assessment of plaque vulnerability as it lacks any correlation with the plaque composition and distribution. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Relationship between impaired forearm endothelial function and osteoporosis in Tunisian postmenopausal women: Serum lipids or others factors?
Conclusionour study supports the hypothesis that postmenopausal women with osteoporosis have a weak forearm endothelial function. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Heart failure specialist nurse “need of time” for developing countries: An old concept but a newer initiative—A review article
Publication date: March 2018Source: Journal of Indian College of Cardiology, Volume 8, Issue 1Author(s): UrvashiAbstractHeart failure is the end result of many cardiac problems in which heart is unable to pump sufficient blood to meet the requirement of the body. The concept of heart failure nurse specialist is a decade old in developed countries but in developing nations the need of same can be felt by health care professionals when dealing with the burden of the disease alone. The heart failure nurse specialized clinics has almost every time demonstrated the valuable results in terms of event free survival, reduction in ...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Natural progression of non-surgically managed infective endocarditis
We present various echocardiograms which closely follow the progression the infective endocarditis in a patient with previous cardiac surgery and prosthetic material in situ.A 51 year old gentleman presented presented with complaints of fevers and gastrointestinal infective symptoms in the context of previously having undergone an aortic root replacement and metallic aortic valve implantation several years prior for a previous episode of aortic dissection whilst utilising illicit intravenous drug use.Echocardiography noted an aortic valve vegetation and blood cultures grew non typhoidal Salmonella Typhimurium. A surgi...
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Successful treatment of budd-chiari syndrome with percutaneous transluminal balloon angioplasty
ConclusionPTA is an effective treatment for BCS caused by short-length obstruction of the hepatic portion of the IVC or hepatic veins. However, considering the occurrence of restenosis, regular clinical and ultrasound assessments are necessary after angioplasty. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research

Primary upper extremity DVT involving non-dominant limb in an uncommon profession of occurrence
ConclusionAs primary UEDVT occurs in young, functional adults early recognition and treatment requires high index of suspicion to prevent complications and morbidity of disease. (Source: Journal of Indian College of Cardiology)
Source: Journal of Indian College of Cardiology - July 10, 2018 Category: Cardiology Source Type: research