Journal of Indian College of Cardiology最新文献_第4页

Feasibility and Safety of Optical Coherence Tomography-Guided Percutaneous Coronary Intervention in Technically Challenging Lesions: A Case Series 光学相干层析引导下经皮冠状动脉介入治疗具有技术挑战性病变的可行性和安全性:一个病例系列

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_67_21

Rajesh Pandey

引用次数: 0

Multistaged closure of bilateral multiple pulmonary arteriovenous fistula 双侧多发性肺动静脉瘘多阶段闭合术

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_57_21

M. Panja, M. Panja, A. Singhi

引用次数: 0

Autonomic functions in hypothyroidism 甲状腺功能减退的自主神经功能

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_15_22

A. Jose, Roshan Maroli, P. George

{"title":"Autonomic functions in hypothyroidism","authors":"A. Jose, Roshan Maroli, P. George","doi":"10.4103/jicc.jicc_15_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_15_22","url":null,"abstract":"Background: Hypothyroidism is a common endocrine disorder in the general population. Most of the cardiovascular and neurological manifestations of hypothyroidism are due to autonomic dysfunction. The American Academy of Neurology has recommended simple bedside autonomic function tests for the diagnosis and follow-up of autonomic functions. Recognition of autonomic dysfunction and treatment of hypothyroidism may improve cardiovascular outcomes. This study aims to assess autonomic dysfunction in hypothyroidism and correlate it with serum thyroid-stimulating hormone (TSH) levels. Materials and Methods: This cross-sectional study was conducted on 60 patients diagnosed with hypothyroidism for 12 months at a tertiary care center in Southern India. Patients with a Zulewski clinical score over 5 and fulfilling the selection criteria were included in the study after obtaining written informed consent. Details of history, treatment, examination, and thyroid function tests data were collected and bedside tests for autonomic functions were performed. Results: Ninety percent of individuals were female, and the average age of the included study population was 40.38 ± 11.78 years. Based on TSH and FT4 values, the patients were subgrouped into currently euthyroid and overt hypothyroid individuals. The majority of the individuals (81.67%) included in the study had autonomic dysfunction. Based on the autonomic dysfunction score, there was a significantly higher proportion of overt hypothyroid individuals (n = 18) with severe autonomic dysfunction compared to euthyroid individuals (n = 4). About 75% of the study individuals had sympathetic dysfunction and 66.7% of individuals had parasympathetic dysfunction. There was no statistically significant association between autonomic dysfunction and the duration of hypothyroidism. Conclusion: Autonomic dysfunction in hypothyroidism is common; sympathetic dysfunction was observed more as compared to parasympathetic dysfunction.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"136 1","pages":"23 - 28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86311544","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}

引用次数: 0

Frequency of supraventricular arrhythmias in COVID-19 patients: A single-center study COVID-19患者室上性心律失常频率:一项单中心研究

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_13_22

M. Al-Daydamony, M. El-Shaer, Hany Abdel‐Latif, Moataz El-Sanan

{"title":"Frequency of supraventricular arrhythmias in COVID-19 patients: A single-center study","authors":"M. Al-Daydamony, M. El-Shaer, Hany Abdel‐Latif, Moataz El-Sanan","doi":"10.4103/jicc.jicc_13_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_13_22","url":null,"abstract":"Background: Cardiac arrhythmias had a significant association with the increased mortality rate in COVID-19 patients in hospitals. The present study aimed to evaluate the frequency of supraventricular arrhythmias in COVID-19 patients and to assess the echocardiographic parameters and inflammatory biomarkers in COVID-19 patients who developed supraventricular arrhythmias. Methods: This cross-sectional study enrolled 196 patients, 33 of them developed supraventricular arrhythmias during hospitalization in Zagazig University isolation hospital. Results: There was a statistically significant association between the occurrence of atrial fibrillation (AF) and both oxygen saturation and lymphocyte percentage, which was significantly lower in those with AF. There was a statistically significant association between the occurrence of AF and CORADS, C-reactive protein (CRP), and interleukin-6, which were significantly higher in those with AF. Younger age and higher oxygen saturation decreased the risk of supraventricular tachycardia among the studied patients. Increasing oxygen saturation decreased the risk of AF among the studied patients, while higher CRP significantly increased risk by 1.045 folds. Conclusions: Atrial arrhythmias, especially with AF considered prevalent in cases with COVID-19. The atrial arrhythmias were correlated with higher cardiac injury and inflammatory markers and elevated severe COVID-19 clinical manifestations. Regarding mortality in-hospital, the association between COVID-19 and atrial arrhythmias was independent.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"25 11","pages":"16 - 22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91437435","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}

引用次数: 0

Four-dimensional XStrain echocardiography: Correlation of aortic stiffness with left ventricular diastolic, systolic, and strain parameters in healthy adults – A single-center Indian perspective 四维XStrain超声心动图:健康成人主动脉硬度与左室舒张、收缩和应变参数的相关性——单中心印度视角

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_30_22

Akhil Mehrotra, Ajay Sharma, M. Shadab, O. Prakash, Shubham Kacker

{"title":"Four-dimensional XStrain echocardiography: Correlation of aortic stiffness with left ventricular diastolic, systolic, and strain parameters in healthy adults – A single-center Indian perspective","authors":"Akhil Mehrotra, Ajay Sharma, M. Shadab, O. Prakash, Shubham Kacker","doi":"10.4103/jicc.jicc_30_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_30_22","url":null,"abstract":"Background: Interrelationship of arterial stiffness with diastolic impairments of left ventricle (LV) in healthy population has been reported in several studies; however, to the best of our knowledge, no study till date has evaluated the relationship of aortic stiffness, with LV diastolic, systolic, and strain components, in healthy adults, by conventional, tissue Doppler imaging, and speckle-tracking echocardiography. Materials and Methods: Fifty-eight healthy participants were recruited (38 males and 20 females), and their mean age was 30.53 ± 12.22 years and 35.25 ± 10.61 years, respectively. A detailed assessment of aortic stiffness and elasticity, LV systolic, diastolic, and strain parameters was performed by the ingenious technology of four-dimensional XStrain echocardiography. Moreover, Pearson's correlation coefficient was employed to investigate the association of aortic stiffness with LV diastolic, systolic, and strain functions. Results: A significant relationship was documented between aortic stiffness and a number of parameters of LV diastolic and systolic functions. On the contrary, there was an insignificant trend of positive or negative correlation of aortic stiffness with LV strain. Conclusion: This is the first study to document the correlation between aortic stiffness and various LV functions in healthy adults.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"68 1","pages":"29 - 39"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83124609","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}

引用次数: 0

Coronary Dominance Pattern: An Angiography-based Preliminary Report from Eastern India 冠状动脉优势模式:一份来自印度东部的基于血管造影的初步报告

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_14_23

Avishek Bagchi

引用次数: 0

Impact of percutaneous coronary intervention in the right coronary artery on right ventricular function in patients with acute myocardial infarction 经皮冠状动脉介入治疗对急性心肌梗死患者右心室功能的影响

Journal of Indian College of Cardiology Pub Date : 2023-01-01 DOI: 10.4103/jicc.jicc_16_22

GanthalaPaul Kiran, T. Santosh, Grace John, MSrinivasa Rao

{"title":"Impact of percutaneous coronary intervention in the right coronary artery on right ventricular function in patients with acute myocardial infarction","authors":"GanthalaPaul Kiran, T. Santosh, Grace John, MSrinivasa Rao","doi":"10.4103/jicc.jicc_16_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_16_22","url":null,"abstract":"Background: Right ventricular (RV) dysfunction is a potent predictor of mortality and morbidity after acute myocardial infarction (MI). Even though elective percutaneous coronary intervention (PCI) has significantly decreased myocardial damage of the left ventricle; in literature, there has been a lack of information regarding the effect of PCI on RV function. Objective: The objective of this study is to examine the effect of the right coronary artery (RCA) revascularization on systolic and diastolic functions of the right ventricle following acute inferior wall MI (IWMI). Subjects and Methods: Fifty-nine patients diagnosed with acute IWMI following RCA revascularization were prospectively investigated between April 2018 and January 2020. Patients were subjected to two-dimensional echocardiography. RV systolic and diastolic functions were reported before and after the PCI procedure and compared using different echocardiographic RV systolic and diastolic parameters. Results: After PCI, echocardiographic RV systolic and diastolic functions were significantly improved in proximal and mid RCA in terms of tricuspid annular plane systolic excursion (TAPSE), RV fractional area change (RVFAC), and early RV filling velocity/late RV filling velocity (E/A). Significant improvement was found in mid RCA in terms of peak systolic (S') velocity (P = 0.008) and proximal RCA in terms of early RV filling velocity/early diastolic tricuspid annulus velocity (E/e') (P = 0.021). Overall echocardiographic systolic and diastolic parameters in patients with RV dysfunction following PCI were improved (TAPSE [37.29% vs. 81.82%], S' velocity [37.29% vs. 68.18%], RVFAC [33.90% vs. 90.00%], and E/A [33.90% vs. 75.00%]). Conclusions: Patients with RV dysfunction were remarkably improved after RCA revascularization. Hence, RCA revascularization can become an appropriate treatment alternative for the recovery of patients who suffer from RV dysfunction.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"29 1","pages":"11 - 15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74389827","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}

引用次数: 0

Challenges in the implementation of telemedicine 远程医疗实施中的挑战

Journal of Indian College of Cardiology Pub Date : 2022-10-01 DOI: 10.4103/jicc.jicc_22_21

P. Raju, Prasad Sistla

{"title":"Challenges in the implementation of telemedicine","authors":"P. Raju, Prasad Sistla","doi":"10.4103/jicc.jicc_22_21","DOIUrl":"https://doi.org/10.4103/jicc.jicc_22_21","url":null,"abstract":"Background: There is a constant search across the globe for optimal healthcare solutions with affordability, accessibility, availability, and quality of healthcare services being the burning issue for mankind. The pandemic has further necessitated the need of use of the Telemedicine platform to address healthcare issues which are also non Covid related. Though Telemedicine has been in use for over two decades in India, there have been various challenges and adoption issues which have not yet made the technology an effective solution to address the current healthcare issues. There has been phenomenal growth in the Information and Communication Technology (ICT) over the last decade and its utilization in the healthcare field. Methods: Internet research on the various adoption strategies by healthcare providers coupled with our own experience for using this technology along with guidelines provided by the information and communication technology providers. The Telemedicine Guidelines of 2020 released by the Ministry of Health and Family welfare, India, provides a framework for the implementation of healthcare delivery through this technology. Results: This paper mentions our telemedicine experience in governmental and private institutes and highlights the implementation challenges of this technology and some solutions that made a difference in the execution. However, we discuss to a larger extent the possible challenges and barriers in the implementation of this technology in India. Conclusion: Despite successful work in the field of telemedicine, it is yet to become an integral part of healthcare system because challenges related to adaptability of healthcare users and lack of proper training to fast growing technologies. The future is going to compel the usage of this kind of technology and it is essential for setting up infrastructure and having trained personnel to man these departments to encash the full potential of the telemedicine technology.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"9 1","pages":"178 - 183"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86568909","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}

引用次数: 0

Prevalence of metabolic syndrome and its clinical and angiographic profile in patients with naive acute coronary syndrome 原发性急性冠脉综合征患者代谢综合征的患病率及其临床和血管造影特征

Journal of Indian College of Cardiology Pub Date : 2022-10-01 DOI: 10.4103/jicc.jicc_64_21

Anil Kumar, P. Surhonne, R. Reddy, M. Nanjappa

{"title":"Prevalence of metabolic syndrome and its clinical and angiographic profile in patients with naive acute coronary syndrome","authors":"Anil Kumar, P. Surhonne, R. Reddy, M. Nanjappa","doi":"10.4103/jicc.jicc_64_21","DOIUrl":"https://doi.org/10.4103/jicc.jicc_64_21","url":null,"abstract":"Objective: The objective of the study is to evaluate the prevalence of metabolic syndrome (MS) and its clinical and angiographic profile in patients with naive acute coronary syndrome (ACS). Furthermore, this study tried to evaluate the severity of coronary artery disease in patients with and without MS. Methods: This was a single-center, cross-sectional study which prospectively enrolled 500 patients with naive ACS during the period from January 2017 to December 2018 at a tertiary care center in India. They were divided into two groups according to the presence and absence of MS based on revised NCEP ATP III guidelines. The ACS was defined based on the Joint Committee of the American College of Cardiology. After clinical evaluation and investigations, the prevalence of MS in ACS patients was calculated. Results: Prevalence of MS in this study was 46.2% and was more frequent in males (81%) compared to females (19%). Maximum number of patients with MS were between the age group of 40–59 years (55%). Prevalence of diabetes (56.7%), hypertension (58.0%), and smoking (45.88%) were significantly higher in patients with MS (P < 0.001). Most prevalent components of MS were low high-density lipoprotein (HDL) levels, increased blood pressure, fasting blood sugar, and triglyceride levels (P < 0.001). Conclusion: Prevalence of MS was high in patients with ACS and was more often after the age of 40 years and most commonly seen in males. Low HDL levels, increased blood pressure, and blood sugar were most prevalent components in the criteria for MS. Patients with MS tend to have more complex coronary lesions.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"1 1","pages":"162 - 167"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86458525","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}

引用次数: 2

Outcomes of Percutaneous Coronary Intervention in the Young 青年人经皮冠状动脉介入治疗的结果

Journal of Indian College of Cardiology Pub Date : 2022-10-01 DOI: 10.4103/jicc.jicc_8_22

Satya Lakshmi Vanaparty, Lalita Nemani, Jahangir Sheik

{"title":"Outcomes of Percutaneous Coronary Intervention in the Young","authors":"Satya Lakshmi Vanaparty, Lalita Nemani, Jahangir Sheik","doi":"10.4103/jicc.jicc_8_22","DOIUrl":"https://doi.org/10.4103/jicc.jicc_8_22","url":null,"abstract":"Background: The incidence of coronary artery disease in the young is constantly rising. Understanding the outcomes of percutaneous coronary intervention (PCI) in young adults is necessary. This study aims to assess the procedural outcomes, inhospital and 1 year clinical outcomes of PCI in the young (<40-year-old). Methods: This is a prospective, observational study carried out in the Department of Cardiology at Nizam's Institute of Medical Sciences. The study included all subjects ≤40 years of age and has undergone PCI from January 1, 2019 to December 31, 2019 in our institute. Results: The study included 207 patients with a mean age of 36.01 ± 3.72 years and 72.46% males. Acute coronary syndrome was seen in 79.2% patients with ST elevation myocardial infarction (STEMI) being the most common. The median time interval of presentation in STEMI was 12–48 h (73%). Major adverse cardiac events (MACE) over 1-year were seen in 3.8% patients. Severe left ventricular (LV) dysfunction at presentation was an independent factor for acute (P = 0.04) and 1-year mortality (P = 0.0058). It was also associated with angina and chronic heart failure (CHF). Slow flow was significantly associated with mortality (P = 0.0254) and adverse 1 year outcomes. It was significantly associated with persistent LV dysfunction and recurrent CHF. Conclusion: Success rate after PCI is high in the young. 1 year outcome is very good with low mortality and MACE events. Severe LV dysfunction and slow flow are independent predictors of poor prognosis at 1 year.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"29 1","pages":"173 - 177"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73899578","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}

引用次数: 0