Journal of Indian College of Cardiology最新文献_第9页

Giant right ventricular clot: Smoking is injurious to veins! 巨大的右心室血栓:吸烟对静脉有害!

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/jicc.jicc_86_20

P. Jariwala, K. Jadhav, H. Boorugu, Arshad Punjani, K. Mishra

引用次数: 0

Cyanotic congenital heart disease_effects of iron supplementation on hematological indices in iron-sufficient and iron-deficient children 青紫型先天性心脏病:补铁对缺铁与缺铁儿童血液学指标的影响

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/jicc.jicc_35_21

R. Sharma, Devendra Meena, D. Bagri

{"title":"Cyanotic congenital heart disease_effects of iron supplementation on hematological indices in iron-sufficient and iron-deficient children","authors":"R. Sharma, Devendra Meena, D. Bagri","doi":"10.4103/jicc.jicc_35_21","DOIUrl":"https://doi.org/10.4103/jicc.jicc_35_21","url":null,"abstract":"Background: Cyanotic congenital heart disease (CCHD) children often have malnutrition and iron-deficiency anemia along with poor weight gain. Low arterial oxygen saturation due to CCHD affects hematological indices. Objective: The objective of the study is to find iron status and hematological indices in children having CCHD and to study the impact of iron therapy in the sample population under study. Materials and Methods: This hospital-based, prospective, cross-sectional, observational type of study evaluated 50 CCHD children aged more than 1 year with informed written consent from the parents. Sample size is calculated at 95% confidence level and alpha error 4.005 assuming 52.2% iron deficiency in patient with CCHD with hematocrit value <60%. Results: Tetralogy of Fallot was the most common CCHD followed by transposition of great arteries and tricuspid atresia. Most common age of presentation is <50 months with cyanosis (50%) and congestive cardiac failure (16%) with male preponderance (M:F = 3:1). 60% CCHD patients were iron deficient. Iron-deficient group shows significant improvement in all hematological parameters after iron supplementation compared with iron-sufficient group. Results and Discussions: Serum iron levels, serum ferritin levels, mean hemoglobin levels, total red blood cell count, hematocrit, and red cell distribution width along with red cell indices (mean corpuscular volume, mean corpuscular hemoglobin, and MCHC) should be used as diagnostic tool for the evaluation of iron status in patients as well as for monitoring improvement. This emphasizes that iron therapy iron must be supplemented with special focus on iron status of children.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"295 1","pages":"193 - 197"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88202663","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

Post Myocardial Infarction sudden cardiac death within 90 days after coronary revascularization – therapeutically, a no-man's land 心肌梗死后冠状动脉血运重建术后90天内的心脏性猝死——在治疗上，是一个无人区

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/JICC.JICC_69_20

H. Bhatia, P. Jariwala

引用次数: 0

Transcatheter aortic valve replacement for bicuspid aortic valve 经导管主动脉瓣置换术治疗双尖瓣主动脉瓣

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/jicc.jicc_41_21

I. Sathyamurthy, S. Satish

引用次数: 1

Rheumatic heart disease: Is it reversible? 风湿性心脏病:是否可逆?

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/jicc.jicc_36_21

K. Narayanan

引用次数: 0

Impact of low early high-density lipoprotein cholesterol on inhospital outcome and short-term prognosis in patients with acute coronary syndrome 早期低高密度脂蛋白胆固醇对急性冠状动脉综合征患者住院结局和短期预后的影响

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/jicc.jicc_79_20

Tarek Elkholy, E. Saeed, M. Abo Omar, Yasser El-barbary

{"title":"Impact of low early high-density lipoprotein cholesterol on inhospital outcome and short-term prognosis in patients with acute coronary syndrome","authors":"Tarek Elkholy, E. Saeed, M. Abo Omar, Yasser El-barbary","doi":"10.4103/jicc.jicc_79_20","DOIUrl":"https://doi.org/10.4103/jicc.jicc_79_20","url":null,"abstract":"Background: Acute coronary syndrome (ACS) is a cardiac emergency and constitutes a major burden globally. Association between serum lipid and ACS is established many years ago. Our study tried to have more information about the impact of high-density lipoprotein cholesterol (HDL-C) on inhospital outcome and short-term prognosis of patients with ACS. Materials and Methods: The study was a prospective comparative study. Clinical and chemical and interventional evaluation was done in hospital settings. A total number of 50 patients were included in the study and divided into two groups. Patients with low HDL-C level were in Group I and patients with normal HDL-C were in Group II. Results: Group I populations had more inhospital complications than Group II represented in acute heart failure (48% vs. 13%), cardiogenic shock (40% vs. 6%), complex coronary lesions (57% vs. 20%), and prolonged hospital stay (54% vs. 20%). A statistical significance was found regarding these variables (P < 0.05). Regarding the outcome after 1 month, it is observed that patients of Group I significantly experienced heart failure (59.38% vs. 21.43%) and worsening angina (62.5% vs. 28.57%) with a statistically significant difference. In contrast, there is no statistically significant difference regarding myocardial infarction, new cerebrovascular events, shock, and mortality. Conclusion: The study showed a strong association of HDL-C level with inhospital adverse events of ACS patients in addition to short-term adverse events. Complications of ACS were more in patients with low HDL-C level.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"45 1","pages":"186 - 192"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85020370","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

Simultaneous presence of atrial arrhythmia and hypocalcemia in dilated cardiomyopathy: A series of two cases 扩张型心肌病同时存在心房心律失常和低钙血症:一系列两例

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/JICC.JICC_70_20

A. Singhi, Sanjeev S Mukherjee, K. Shine Kumar, R. Kumar

{"title":"Simultaneous presence of atrial arrhythmia and hypocalcemia in dilated cardiomyopathy: A series of two cases","authors":"A. Singhi, Sanjeev S Mukherjee, K. Shine Kumar, R. Kumar","doi":"10.4103/JICC.JICC_70_20","DOIUrl":"https://doi.org/10.4103/JICC.JICC_70_20","url":null,"abstract":"Dilated cardiomyopathy in young children has varied etiological factors. Some cases have correctable causes such as incessant arrhythmia, correctable metabolic abnormality, and left ventricular obstructive lesions. Two 4-month-old infants presented with severe left ventricular dysfunction and ectopic atrial tachycardia. Biochemical profile of the infants showed low ionic and total calcium, elevated serum phosphate, elevated alkaline phosphatase, and elevated serum lactate. The parathyroid hormone was elevated and 25-hydroxyvitamin D3 was reduced. The patients were treated with beta-blocker, calcium, and Vitamin D supplementation, along with antifailure therapy. The tachycardia resolved over a 12-h period and calcium normalized in the next few days. The left ventricular function returned to normal over a 5–16-month period. In 6–8 years of follow-up, patients were in sinus rhythm doing very well with normal cardiac function with normal calcium-related biochemical parameters. The presence of incessant atrial arrhythmia in a case of hypocalcemic cardiomyopathy is rare and can have link with hypocalcemia-induced electrical changes in the cardiomyocyte in selected cases. Thorough and protocol-based treatment approach helps in correct diagnosis and treatment. Further study and molecular research can shed more light on the complex interaction of hypocalcemia and arrhythmia.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"8 1","pages":"201 - 204"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72998081","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: 1

Perforation of Coronary Artery Side Branch: A Lesson for Novice Interventionist during Angiography 冠状动脉侧支穿孔:介入造影新手的一个教训

Journal of Indian College of Cardiology Pub Date : 2021-10-01 DOI: 10.4103/JICC.JICC_67_20

R. Ola, Manish Ruhela

引用次数: 0

Prevention of thromboembolism in elderly 老年人血栓栓塞的预防

Journal of Indian College of Cardiology Pub Date : 2021-07-01 DOI: 10.4103/jicc.jicc_18_21

Panchanan Sahoo, B. Padhee, Anupam Jena, H. Mishra

{"title":"Prevention of thromboembolism in elderly","authors":"Panchanan Sahoo, B. Padhee, Anupam Jena, H. Mishra","doi":"10.4103/jicc.jicc_18_21","DOIUrl":"https://doi.org/10.4103/jicc.jicc_18_21","url":null,"abstract":"Venous and arterial thrombosis and thromboembolism are a leading cause of suffering in elderly population. The prevalence of venous and arterial thrombosis (formation of blood clot) and thromboembolism (breakage of thrombus to travel somewhere in circulation) is high in elderly population those above 60 years and poses important cause of morbidity and mortality. Annual incidence of venous thrombosis is 1 in 1000 which rises after age of 45 years and arterial thrombosis as high as 20% as per pooled MPN. Spectrum of thromboembolism (TE) is diverse and etiology, and pathogenesis is varied ranging from atrial fibrillation, hypertension, diabetes mellitus (DM), dilated cardiomyopathy and ischemic cardiomyopathy (ICM), congestive heart failure, acute coronary syndrome, and cases of fracture immobilization leading to deep venous thrombosis and pulmonary embolism or else arterial occlusion leading to cardiac or cerebral strokes Aim of the update is to bring a broad overview of the problem to prevent late disastrous outcomes, putting forth two exemplary case studies of imminent TE risk. Case 1 – elderly hypertensive presenting with paroxysmal AF with high CHA2DS visual analog scale score needing anticoagulation and Case 2 – case of DM, post- percutaneous transluminal coronary angioplasty (PTCA), ICM, severe left ventricular (LV) dysfunction with LV thrombus in sinus rhythm needing anticoagulation. Elderly population suffer from diseases of diverse etiology exposing to high risk of TE and at the same time high bleeding risk of the anticoagulants. Elderly population with diverse disease ailments exposed to high risk of TE and bleeding complications and hence should be dealt with utmost care and sympathy to avoid TE and bleeding complications.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"29 1","pages":"93 - 97"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84503817","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

Scoring balloon versus drug-eluting balloon in coronary intervention for very small coronary vessels 记分球囊与药物洗脱球囊在小冠状动脉介入治疗中的应用

Journal of Indian College of Cardiology Pub Date : 2021-07-01 DOI: 10.4103/jicc.jicc_59_20

Y. Metwally, K. Elnady

{"title":"Scoring balloon versus drug-eluting balloon in coronary intervention for very small coronary vessels","authors":"Y. Metwally, K. Elnady","doi":"10.4103/jicc.jicc_59_20","DOIUrl":"https://doi.org/10.4103/jicc.jicc_59_20","url":null,"abstract":"Background: The optimal therapeutic strategy for coronary intervention in very small coronary vessels (<2.5 mm.) remains controversial and challenging. Objective: The aim of this study is to assess the 12 months outcome of scoring balloon (SB) versus drug-eluting balloon (DEB) in very small (<2.5 mm) coronary interventions. Patients and Methods: Seventy-seven patients referred for coronary intervention with reference vessel diameter <2.5 mm were assigned to either SB or DEB. The primary endpoint was target vessel revascularization (TVR) at 12 months follow-up. Results: Out of 77 patients enrolled, 37.7% were assigned to SB, while 62.3% were assigned to DEB. Sever dissection rate was significantly higher among the DEB group (0% vs. 12.5%, P = 0.048); while TVR rate was significantly lower among the SB group (0% vs. 12.5%, P = 0.048). Similarly, the target vessel-related myocardial infarction rate was significantly lower among the SB group (0% vs. 12.5%, P = 0.048). On the other hand, there were no significant differences in the rates of deaths or restenosis between the two groups. Conclusion and Recommendations: SB is superior to the DEB with better both safety and efficacy for coronary intervention in very small coronary vessels (<2.5 mm). Larger scaled prospective multicenter randomized trials are needed for confirming our favorable results of using SB for coronary intervention in very small coronary vessels <2.5 mm.","PeriodicalId":100789,"journal":{"name":"Journal of Indian College of Cardiology","volume":"200 1","pages":"127 - 132"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76963419","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