Indian Journal of Cardiovascular Disease in Women最新文献

{"title":"Association of Obstructive Sleep Apnea and Coronary Artery Diseases in Women of a Tertiary Care Hospital","authors":"T. P. Malavika, Mood Narayan, Bindiya C. Gowda","doi":"10.25259/ijcdw_14_2024","DOIUrl":"https://doi.org/10.25259/ijcdw_14_2024","url":null,"abstract":"\u0000\u0000Obstructive sleep apnea (OSA) exhibits a high prevalence, particularly among individuals possessing established risk factors and concurrent medical conditions. This study aims to elucidate the link between sleep apnea and coronary artery disease (CAD).\u0000\u0000\u0000\u0000The objectives of this study were as follows: To assess the effect of OSA in women with CAD and also to have a comparison with that of men with CAD.\u0000\u0000\u0000\u0000It is a case–control study done in 122 patients with OSA. Factors such as age, body mass index, physical activity, frequent junk food intake, and presence of diabetes were assessed.\u0000\u0000\u0000\u0000Sixty-one cases having CAD and 61 controls not having CAD were taken. With 95% confidence interval (with an upper level of 6.906 and lower level of 1.550), the odds ratio obtained is 3.272. Hence, there is a statistically significant association between OSA and CAD. At the same time, the study proves that the coexistence of OSA with CAD exacerbates CAD. The study also shows that women with OSA are having increased risk of CAD compared to that of men.\u0000\u0000\u0000\u0000There is statistical association between OSA and CADs where OSA has a significant effect on the severity of CAD and vice versa. Women having OSA are at a higher risk of developing CAD than that of men.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"64 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819030","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":"Iatrogenic Pseudoaneurysm of Intervalvular Fibrosa – A Case Report","authors":"Rajivkumar Gupta, D. Dhindsa, R. Sindwani, Samir Kapoor","doi":"10.25259/ijcdw_49_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_49_2023","url":null,"abstract":"Pseudoaneurysm of aorto-mitral intervalvular fibrosa (P-AMIVF) is a rare fatal complication of endocarditis; however, balloon aortic valvuloplasty has been associated with this condition. In the absence of complications, this entity is usually asymptomatic. Trans-thoracic and trans-esophageal echocardiography are the mainstay to assess the severity of valve lesion and myocardial abscess in this hidden region. The 38-year-old patient diagnosed with critical calcified bicuspid aortic valve stenosis; dilatation of aortic root and aneurysmal aorto-mitral curtain with moderate mitral regurgitation was treated successfully. We share our views and challenges related to mural endocarditis, myocardial abscesses, and P-AMIVF.","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826802","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":"Role of Echocardiographic Aortic Propagation Velocity in Predicting Obstructive Coronary Artery Disease – A Prospective Observational Study","authors":"Rajendra Betham, Srikanth Nathani, A. A. Baig","doi":"10.25259/ijcdw_63_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_63_2023","url":null,"abstract":"\u0000\u0000The aim of this study was to assess the relationship between APV and CAD and to compare AS and AD in patients with and without CAD.\u0000\u0000\u0000\u0000A total of 100 subjects presenting to Government General Hospital, Guntur, with chest pain and undergoing coronary angiogram were selected for the study. Patients were divided into two groups, the study group comprises patients with >50% stenosis in at least one of the coronary artery on coronary angiogram, and control group comprises patients with normal coronaries on angiography. Two-dimensional echocardiography (Philips Affinity 70) was performed with the recording of data. AS and AD were calculated and APV was determined.\u0000\u0000\u0000\u0000In the present study, it was observed that there was a statistically significant increased incidence of deranged lipid profile, diabetes, hypertension, alcohol consumption, and a positive family history of CAD in the study group. Mean APV, mean AD, and mean AS was significantly low in the study group as compared to the control group (P < 0.001).\u0000\u0000\u0000\u0000APV, AS, and AD can be used as surrogate marker to predict the presence of significant CAD and, hence, can be safely recommended as a simple, economical, and non-invasive means to screen CAD.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830852","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":"Prevalence of Metabolic Syndrome in Female Patients with Psoriasis","authors":"Deepthi Konda, Gopikrishna Mathurthi, Madhuri Taranikanti","doi":"10.25259/ijcdw_65_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_65_2023","url":null,"abstract":"\u0000\u0000Psoriasis is a complex, immune mediated chronic inflammatory disorder that mainly affects the skin, joints, scalp and nails and also various systems of the body. Of the various systems involved, cardiovascular diseases and metabolic syndrome are of major concern due to their increased risk of morbidity and mortality.\u0000\u0000\u0000\u0000To estimate the prevalence of Metabolic syndrome in female patients with psoriasis.\u0000\u0000\u0000\u000052 female psoriatic patients were recruited in the study and various components of metabolic syndrome i.e waist circumference, blood pressure. Serum triglycerides, high density lipoproteins, glucose levels were assessed.\u0000\u0000\u0000\u0000In our study on 52 female psoriatic patients, 12 patients (23.07%) had metabolic syndrome.\u0000\u0000\u0000\u0000Psoriatic patients are at an increased risk of cardiovascular diseases which should be taken into account while treating psoriasis\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"37 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644926","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":"Cardiovascular Risk Assessment in Women with Psoriasis","authors":"Kalpana Medala, Madhuri Taranikanti, Madhusudhan Umesh, Archana Gaur, G. Vidya, N. John","doi":"10.25259/ijcdw_67_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_67_2023","url":null,"abstract":"\u0000\u0000Psoriasis is a chronic inflammatory skin disease. The exact cause of psoriasis is unclear; nevertheless, it is thought to be complex including several key components such as genetic predisposition, triggers from the environment, skin barrier disruption, and immunological dysfunction. About 85–90% of all psoriatic patients present with plaque type of psoriasis. The systemic nature of psoriasis makes an independent risk factor for cardiac disease. The main objective is to find the association between lipid profile, arterial stiffness, and psoriasis among female patients.\u0000\u0000\u0000\u0000Female patients with psoriasis in the age group of 20–50 years were selected. The duration of the study was 1 year. For lipid profile, after 12 h of fasting, 5 mL of blood was taken and analyzed by kit method using Transasia RX 1000. Low-density lipoprotein (LDL) cholesterol concentrations were estimated using the Friedewald formula. Arterial stiffness was measured using an oscillometric noninvasive arteriography. Right brachial ankle pulse wave velocity (RbaPWV), left brachial ankle pulse wave velocity (LbaPWV), and carotid femoral pulse wave velocity were measured in cm/s.\u0000\u0000\u0000\u0000In the present study, 28% of the females were <38 years and 44% of females were in the range of 39–46 years. The mean value of cholesterol was (263.66 ± 47.74), Triglyceride (188.38 ± 27.56), high-density lipoprotein (HDL) (50.06 ± 18.05) LDL (171.60 ± 33.98), and very LDL (89.74 ± 13.361) mg/dL, respectively. Significant correlation was found between LbaPWV and Psoriasis (0.03), HDL and psoriasis (0.04), and psoriasis and RbaPWV (0.01).\u0000\u0000\u0000\u0000We conclude that psoriasis patients have hyperlipidemia, which will increase arterial stiffness and may lead to cardiovascular disorders (CVDs). Variables such as lipid profiles and arterial stiffness may be used as screening tools for the early detection of CVDs.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"33 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648197","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":"Substrate Modification of Ischemic Scar in the Left Ventricle","authors":"A. Kaushik, A. Jaswal","doi":"10.25259/ijcdw_25_2024","DOIUrl":"https://doi.org/10.25259/ijcdw_25_2024","url":null,"abstract":"","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"37 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663755","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":"Correlation of Global Longitudinal Strain with Functional Status of Patients with Left Ventricular Systolic Dysfunction: Does Gender Difference Exist?","authors":"Biraja Prasad Beura, Subhasish Singh","doi":"10.25259/ijcdw_66_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_66_2023","url":null,"abstract":"\u0000\u0000Two-dimensional (2D) echocardiographic (echo) assessment of the left ventricular ejection fraction (LVEF) by Simpson’s biplane method is routinely used in clinical practice for patient management. The measurement of global longitudinal strain (GLS) using speckle tracking echocardiography is a new method for assessing left ventricular (LV) systolic function with several advantages. There are very few observations regarding the correlation of 2D GLS with the functional status of patients with the LV systolic dysfunction (LVSD). Therefore, we aimed to evaluate the superiority of GLS over Simpson’s method of LVEF in predicting the functional status of the patients with moderate-to-severe LVSD (ejection fraction <40%) and to find out if any difference exists between male and female patients.\u0000\u0000\u0000\u0000Fifty patients aged 18–80 years satisfying the inclusion and exclusion criteria were studied over a period of 2 months. Simpson’s method was used to calculate 2D LVEF. 2D GLS was assessed using an automated function imaging technique. The Minnesota living with heart failure questionnaire was used to assess the functional status of patients.\u0000\u0000\u0000\u0000Correlation of functional status of patients was better with 2D GLS than 2D LVEF, although both were found to be statistically significant and no statistically significant difference was found in observations between both genders.\u0000\u0000\u0000\u0000The correlation of functional status of patients with moderate-to-severe LVSD was better with 2D GLS than 2D LVEF. Further studies are needed to identify the gender differences in 2D GLS correlation with the functional status of patients with LVSD.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382404","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":"COVID-19 Impact on Female Patients at Tertiary Care Hospital – A Retrospective Study","authors":"Preeti Gupta, Navnita Kisku, Tushar Agarwal, Dikshant Jain","doi":"10.25259/ijcdw_50_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_50_2023","url":null,"abstract":"\u0000\u0000Corona virus disease-19 (COVID-19) has impacted worldwide leading to a high mortality rate. It has been observed that male mortality rate is higher than females due to which it is crucial to systematically study gender differences in disease manifestations. Our study evaluated the association between mortality in COVID-19-positive cases and gender.\u0000\u0000\u0000\u0000This retrospective study was conducted in the cardiology department at a tertiary care hospital which included 699 patients with a confirmed positive diagnosis of COVID-19 by reverse transcription polymerase chain reaction and >18 years of age. Data from the medical records of the department were collected during an 8-month period (July 2020–February 2021).\u0000\u0000\u0000\u0000Of the 699 patients enrolled in the study within 8 months, 232 (33.1%) were female and 467 (66.7%) were male. Female mortality accounted for 18.99% and male mortality 14.56%. Comparing the severity of the disease, 36% of females showed more severe disease presentation. In the course of the disease with treatment, 51.29% of females required oxygen support.\u0000\u0000\u0000\u0000This study showed differences in the mortality rate, ventilation support requirement, and severity of disease in COVID-19 affected males and females.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"34 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141107657","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":"Prognostic Impact of Iron Metabolism Changes in Patients with Acute Coronary Syndrome and its Correlation with TIMI Risk Score and 6-month Left Ventricular Performance","authors":"N. Mohanty, Bijaykumar Dash, C. Satpathy, Moumita Banerjee, S. Routray","doi":"10.25259/ijcdw_61_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_61_2023","url":null,"abstract":"\u0000\u0000Iron is vital for human metabolism and function. One major cause of anemia is a shortage of iron. On the other hand, a low blood iron level does not always indica te an abnormal hemoglobin concentration. Left ventricular function, ferritin, and blood iron levels were investigated 6 months following the acute coronary syndrome (ACS) index event. In addition, we searched for correlations between thrombolysis in myocardial infarction (TIMI) risk score, cytokines such as C-reactive protein (CRP), and serum iron content.\u0000\u0000\u0000\u0000From August 2021 to July 2022, 100 consecutive patients with ACS who were requesting admission to the critical care unit of the Cardiology Department at SCB Medical College in Cuttack, Odisha, were the subject of this study. Participants in our research with ST-elevation or non-ST-elevation myocardial infarction (ST elevation myocardial infarction [STEMI] or Non ST elevation myocardial infarction [NSTEMI]) ranged in age from 18 to 70 years. We measured CRP, transferrin saturation, total iron binding capacity, ferritin, and blood iron at baseline. The left ventricular ejection fraction (LVEF %) difference was assessed 6 months after baseline echocardiography and follow-up. Various factors were considered while calculating the short- and long-term prognoses, including the patient’s heart failure at admission and any deaths that took place in hospitals within 6 months after the index event.\u0000\u0000\u0000\u0000There was no improvement in LVEF for 56.25% of patients (36 out of 66) 6 months after the index event; however, for 43.75% (28 patients) of the 66 STEMI patients, LVEF improved. Out of 34 NSTEMI patients, 14 (42.42%) improved their LVEF 6 months after ACS, whereas 19 (57.58%) did not. Serum iron levels and LVEF at 6 months were shown to be significantly correlated in all patients (overall P < 0.001, STEMI P < 0.001, and NSTEMI P = 0.001). Serum iron levels are positively correlated with improvements in LVEF after 6 months in both patients with STEMI; P < 0.001, and NSTEMI P = 0.006. Serum iron levels and hospitalized STEMI patients’ TIMI risk scores showed a significant connection (P < 0.001).\u0000\u0000\u0000\u0000Regardless of hemoglobin content, patients with <10% improvement in LVEF from baseline had considerably lower blood iron levels. Six months after their initial ACS incident, patients with ACS who had lower blood iron concentrations at baseline recovered less well in terms of left ventricular systolic function. In our study, 48% of men and 68% of women were found to be iron deficient. In addition to being an indicator of inflammation, hypoferremia may be the target of a novel biomarker with potential applications in medicine in the near future. It could be useful in predicting left ventricular function following ACS.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":"119 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125201","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":"Impact of the Use of Street Play Mode of Education on the Self-care Capacity of Village Women for Lifestyle Modification for Prevention of Hypertension","authors":"Ruchi Arun, Priyanka Kumar, K. Pradhan, Amarjeet Singh","doi":"10.25259/ijcdw_64_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_64_2023","url":null,"abstract":"\u0000\u0000The objectives of this study were as follows: (1) To ascertain the prevalence of hypertension (HTN) among village women. (2) To determine the impact of an intervention strategy of Behavior Change Communication utilizing a camp approach supplemented with nukkad natak on the self-care capacity of village women for lifestyle modification for prevention of HTN.\u0000\u0000\u0000\u0000The study was conducted during June–July 2023 in the field practice area of Community Medicine of a medical college. Sample size was arbitrary (n = 200) out of all willing women attending outpatient departments during the study period. First, a baseline assessment of the study population was done. Street plays were held for the study population on HTN-related healthy lifestyle. Changes in their knowledge were documented. Appropriate statistical analysis was done using Excel sheets.\u0000\u0000\u0000\u0000Most (79%) of the women in the village had normal blood pressure, with 19% of them having mild and 2% had moderate HTN. Most hypertensive women (72%) were not taking medications. Out of 12 hypertensive women who were taking antihypertensive medications, half of them were regular. There was a significant improvement in the score of self-care capacity, treatment HTN diet-related knowledge of the women after the intervention. Respondents liked the idea of organizing drama to propagate health-related messages.\u0000\u0000\u0000\u0000One in every five persons in the study population of rural health training centre (RHTC) had HTN. Most hypertensive women (72%) were not taking medications. Those who were taking antihypertensive medications, only half were regular in it. After Nukkad Natak based intervention, there was a significant improvement in the scores of HTN diet and treatment-related knowledge and self-care capacity of the respondents for prevention of HTN. Our respondents liked the idea of organizing drama to propagate health-related messages.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000812","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}