Journal of Indian College of Cardiology最新文献

{"title":"Transplant Renal Artery Stenosis with Varied Clinical Presentations","authors":"Sravani Muske, Kishan Aralapuram, S. Jayaprakash, Sreedhara C. Gurusiddaiah, CM Nagesh, Mythri Shankar","doi":"10.4103/jicc.jicc_6_24","DOIUrl":"https://doi.org/10.4103/jicc.jicc_6_24","url":null,"abstract":"\u0000 Renal vascular complications constitute a clinically significant cause of morbidity following renal transplantation. Transplant renal artery stenosis (TRAS) is a well-recognized complication accounting for ∼75% of posttransplant vascular complications. Early recognition and prompt correction of TRAS can prevent adverse outcomes, including graft loss. This series is a summary of four renal transplant recipients who developed TRAS at varied time periods and with varied clinical presentations. A 23-year-old male who presented after 1½ months of renal transplantation with accelerated hypertension was diagnosed with TRAS and was treated successfully with percutaneous transluminal angioplasty with stenting. A 26-year-old male with acute allograft dysfunction after 1 month of transplantation without worsening hypertension was diagnosed with TRAS, which was treated successfully with angioplasty and stenting. A 49-year-old male who presented to the emergency with pulmonary edema secondary to accelerated hypertension (Pickering syndrome) after 2 months of transplantation was diagnosed to have TRAS, which was treated successfully with angioplasty with stenting. A 44-year-old male with an incidentally detected TRAS-like clinical picture secondary to kinking in the transplant renal artery in the immediate posttransplant period was successfully treated with re-exploration and repair. All the patients were screened with Doppler ultrasonogram and computed tomogram-angiography supported the diagnosis in three of the cases. None of the cases developed procedure-related complications including contrast-associated nephropathy. All the patients on follow-up after 6 months of the intervention are normotensive with normal renal function. A high index of suspicion is required in the early identification of TRAS, which is a reversible cause of hypertension and graft dysfunction. The risk of contrast-associated nephropathy cannot hinder or delay the diagnosis especially, in emerging transplant centers. The endovascular procedures used today for the treatment of TRAS are safe with high technical success rates.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141106643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zilebesiran: A Breakthrough in Hypertension Management with Biannual Dosing and Favorable Safety Profile","authors":"Maisam Ali Rajput, Muhammad Momin Khan, Kiran Niaz Hussain, Kundan Kumar Maheshwari","doi":"10.4103/jicc.jicc_12_24","DOIUrl":"https://doi.org/10.4103/jicc.jicc_12_24","url":null,"abstract":"","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Cardiac Catheterization in an Upcoming Hospital without Onsite Surgical Support","authors":"R. Barik, Smarak Ranjan Rout, Prafulla Kumar Swain","doi":"10.4103/jicc.jicc_49_21","DOIUrl":"https://doi.org/10.4103/jicc.jicc_49_21","url":null,"abstract":"\u0000 The study aimed to investigate the feasibility of catheter-based cardiac intervention in an upcoming cardiology center without onsite surgical support. This prospective, cross-sectional study was done from July 2016 to September 2018 in intervention in an upcoming cardiology center without the onsite surgical support. The institutional ethical committee had approved the study. A total of 2000 patients were studied. The age of the study population was above 10 years. The male population constituted 70.1%. A total of 1862 (91.1%) had coronary artery disease. The procedural detail included percutaneous transluminal coronary angioplasty: 269; percutaneous transluminal angioplasty: 22, percutaneous transluminal renal angioplasty: 5; valvuloplasty: 5; pericardiocentesis: 102 and permanent pacemaker implantation (PPI): 39. The access sites were femoral-3 (0.15%), radial-1972 (98.6%), ulnar-1, d-TRA-12, brachial- 4, and switch from radial to other sites was 8 (0.4%). Same-day discharge was possible in 1302 (65.1%). The complications observed were minor bleeding – 23 (1.15%), inhospital death-0, pericardial tamponade-1, and contrast-induced nephropathy-5 (0.25%).","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"177 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140723836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spiked-helmet Sign: A Rare but Alarming Sign on Electrocardiogram","authors":"Nithin V. Adithiyaa, M. C. Yeriswamy","doi":"10.4103/jicc.jicc_41_23","DOIUrl":"https://doi.org/10.4103/jicc.jicc_41_23","url":null,"abstract":"\u0000 Spiked Helmet Sign was first described by Littman and Munroe in 2011 in a case series of 8 patients. This novel ECG sign is a predictor of death in critically ill patients. It resembles the German military helmet of the Prussian empire. 27-year-old male came with chief complaints of upper epigastric pain and chest pain for 2 hours. ECG showed ST elevation in the anterior and inferior leads, patient was diagnosed as STEMI and lysed with streptokinase, on further interrogation patient had binge of alcohol last night and had sudden onset of upper abdominal pain and Serum amylase and lipase was elevated and USG abdomen showed acute pancreatitis. SHS is associated with critical non cardiac illness and the association with pancreatitis is very rare.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"30 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Did I Manage a Case of Pulseless Electrical Activity During Transcatheter Aortic Valve Implantation in a Patient with Severe Aortic Valve Stenosis with Left Ventricular Dysfunction?","authors":"Abhisekh Mohanty","doi":"10.4103/jicc.jicc_1_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_1_22","url":null,"abstract":"\u0000 Cardiac arrest during transcatheter aortic valve implantation (TAVI) is rare but is generally associated with dramatic consequences including mortality and severe neurological damage. Our patient is an 89-year-old male with symptomatic severe aortic valve stenosis and left ventricular dysfunction. He had a prolonged cardiac arrest in the form of pulseless electrical activity (PEA) during TAVI. After ruling out cardiac tamponade and bleeding, we decided to do the TAVI while doing cardiopulmonary resuscitation. The hemodynamics of the patient improved immediately after TAVI and we could avoid the use of a mechanical circulatory support. We have also discussed in detail the cause, diagnosis, and management of PEA during TAVI.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139837570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Did I Manage a Case of Pulseless Electrical Activity During Transcatheter Aortic Valve Implantation in a Patient with Severe Aortic Valve Stenosis with Left Ventricular Dysfunction?","authors":"Abhisekh Mohanty","doi":"10.4103/jicc.jicc_1_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_1_22","url":null,"abstract":"\u0000 Cardiac arrest during transcatheter aortic valve implantation (TAVI) is rare but is generally associated with dramatic consequences including mortality and severe neurological damage. Our patient is an 89-year-old male with symptomatic severe aortic valve stenosis and left ventricular dysfunction. He had a prolonged cardiac arrest in the form of pulseless electrical activity (PEA) during TAVI. After ruling out cardiac tamponade and bleeding, we decided to do the TAVI while doing cardiopulmonary resuscitation. The hemodynamics of the patient improved immediately after TAVI and we could avoid the use of a mechanical circulatory support. We have also discussed in detail the cause, diagnosis, and management of PEA during TAVI.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"54 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139777971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Insight on Prehospital Delay and Ambulance Usage in Acute Myocardial Infarction","authors":"Raghunatha Reddy Bana, Manabendra Nayak, Kranthi Chaitanya","doi":"10.4103/jicc.jicc_26_23","DOIUrl":"https://doi.org/10.4103/jicc.jicc_26_23","url":null,"abstract":"\u0000 In acute myocardial infarction (AMI), the time elapsed between the onset of symptoms and definitive care plays a crucial role in the mortality and morbidity of a victim. The symptom onset to reperfusion therapy comprises prehospital time and hospital time. There are evidence-based international guidelines to minimize hospital time. However, reducing prehospital time and developing strategies to prevent the delay necessitate a thorough understanding of the underlying causes. In the event of an emergency, calling an ambulance can assist cut down on transportation delays, which cuts down on prehospital time and its effects. Aim of this review is to analyze the relationship between ambulance service utilization and prehospital delay in AMI patients. Studies that reported prehospital delay and ambulance usage were collected with a search on the expression “prehospital delay in AMI” in combination with “ambulance usage.” These studies were from around 15 countries on six continents and were analyzed and summarized in this review. The extracted data expressed under six headings: emergency medical service (EMS) as a first medical contact, ambulance disuse, shorter prehospital delay, no or poor EMS system, predictors of ambulance use in AMI, and efforts to reduce prehospital delay. In AMI, using an ambulance is advisable for early diagnosis and swift transport to a definitive care center. However, ambulance services are frequently unavailable or underutilized.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Insight on Prehospital Delay and Ambulance Usage in Acute Myocardial Infarction","authors":"Raghunatha Reddy Bana, Manabendra Nayak, Kranthi Chaitanya","doi":"10.4103/jicc.jicc_26_23","DOIUrl":"https://doi.org/10.4103/jicc.jicc_26_23","url":null,"abstract":"\u0000 In acute myocardial infarction (AMI), the time elapsed between the onset of symptoms and definitive care plays a crucial role in the mortality and morbidity of a victim. The symptom onset to reperfusion therapy comprises prehospital time and hospital time. There are evidence-based international guidelines to minimize hospital time. However, reducing prehospital time and developing strategies to prevent the delay necessitate a thorough understanding of the underlying causes. In the event of an emergency, calling an ambulance can assist cut down on transportation delays, which cuts down on prehospital time and its effects. Aim of this review is to analyze the relationship between ambulance service utilization and prehospital delay in AMI patients. Studies that reported prehospital delay and ambulance usage were collected with a search on the expression “prehospital delay in AMI” in combination with “ambulance usage.” These studies were from around 15 countries on six continents and were analyzed and summarized in this review. The extracted data expressed under six headings: emergency medical service (EMS) as a first medical contact, ambulance disuse, shorter prehospital delay, no or poor EMS system, predictors of ambulance use in AMI, and efforts to reduce prehospital delay. In AMI, using an ambulance is advisable for early diagnosis and swift transport to a definitive care center. However, ambulance services are frequently unavailable or underutilized.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"72 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pacemaker Implantation in a Patient with a Persistent Left Superior Vena Cava","authors":"Dibyasundar Mahanta, R. C. Barik, Debasish Das, D. Acharya","doi":"10.4103/jicc.jicc_28_23","DOIUrl":"https://doi.org/10.4103/jicc.jicc_28_23","url":null,"abstract":"\u0000 Persistent left-sided superior vena cava (PLSVC) is rare and is the most common systemic vein anomaly. It is mostly asymptomatic and often an incidental finding. It may pose a challenge in performing intervention through it due to its complex anatomy. We report a case of degenerative symptomatic complete atrioventricular node block in whom PLSVC was found incidentally during permanent pacemaker implantation. We also discussed the technical challenges and how to overcome these difficulties.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"35 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139859027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pacemaker Implantation in a Patient with a Persistent Left Superior Vena Cava","authors":"Dibyasundar Mahanta, R. C. Barik, Debasish Das, D. Acharya","doi":"10.4103/jicc.jicc_28_23","DOIUrl":"https://doi.org/10.4103/jicc.jicc_28_23","url":null,"abstract":"\u0000 Persistent left-sided superior vena cava (PLSVC) is rare and is the most common systemic vein anomaly. It is mostly asymptomatic and often an incidental finding. It may pose a challenge in performing intervention through it due to its complex anatomy. We report a case of degenerative symptomatic complete atrioventricular node block in whom PLSVC was found incidentally during permanent pacemaker implantation. We also discussed the technical challenges and how to overcome these difficulties.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"321 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139799142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}