Indian Journal of Cardiovascular Disease in Women最新文献

{"title":"Selected Women Cardiac Care (WCC) Abstracts","authors":"","doi":"10.25259/ijcdw_9-1-43","DOIUrl":"https://doi.org/10.25259/ijcdw_9-1-43","url":null,"abstract":"","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140218333","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 Unusual Presentation of Primary Anti-phospholipid Antibody Syndrome as Acute Coronary Syndrome in Young – A Case Report","authors":"N. Mohanty, Bijaykumar Dash, S. Routray, Siddhartha Pandey","doi":"10.25259/ijcdw_54_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_54_2023","url":null,"abstract":"A case report of a 32-year-old female patient without any traditional risk factors presented with angina to our hospital within 6 h. Her electrocardiogram (ECG) showed extensive anterior wall -ST elevation myocardial infarction (MI). She was treated with thrombolytic therapy in the form of tenecteplase and was given standard treatment for acute coronary syndrome (ACS). Her history revealed three recurrent pregnancy losses and a history of preeclampsia. Echocardiography showed regional wall motion abnormalities of the mid, distal, apex, and anterior wall with severe left ventricular systolic dysfunction. Routine blood investigations showed elevated total leukocyte count with neutrophilic predominance. With a history of recurrent pregnancy loss, she was investigated for anti-phospholipid anti-phospholipid antibody syndrome (APS) and was found to have positive lupus anticoagulant 1. She underwent coronary angiography (CAG) which showed a left main shaft 40% stenosis with an ulcerative lesion containing thrombus in the ostioproximal to mid-left anterior descending artery (LAD), other coronary arteries were normal. She was managed conservatively with glycoprotein IIb/IIIa inhibitor (Tirofiban) and switched to oral anticoagulation with Vitamin K antagonist (VKA-Acenocoumarin) along with dual-antiplatelet therapy.","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211917","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":"Unraveling the Spectrum of Hypertension among Adult Women in an Urban Area of North India through Level of Prevention-based Color-coded Stratification","authors":"Priyanka Kumar, Ravi Kumar, Nipun Agrawal, Anas Ahmad Khan, Ruchi Arun, Amarjeet Singh","doi":"10.25259/ijcdw_57_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_57_2023","url":null,"abstract":"\u0000\u0000The objective of this study was to investigate the prevalence of hypertension (HTN) in adult females at the Urban Health Training Center (UHTC) of a private medical college using a color-coded stratification based on levels of prevention.\u0000\u0000\u0000\u0000This cross-sectional study was conducted during June–July 2023 at UHTC, a private medical college. The sample size was calculated as 256. First, a basic health assessment of the study population was done. This focused on basic socio-demographic data of the adult women, their health status and blood pressure reading, risk profile, treatment-seeking behavior, etc. A proforma was developed to record the data. The principal investigator did a level of prevention-based color-coded stratification for HTN patient segmentation.\u0000\u0000\u0000\u0000The majority of respondents were married (75.4%). Their literacy rate was 72%. The majority of the respondents were homemakers (58.2%). The mean age of the respondents was 38.23 years (range 18–75 years). Monthly household income ranged from Rs. 1,000 to 60,000, with a mean of Rs. 10,611.72. The average family size was 4.61 members. Some (22%) of the respondents fell into the “Health promotion” category (Green), indicating that they were free of HTN. About 39% of respondents were categorized under “Specific protection” (Blue), signifying that they were at risk of developing HTN; 14% were diagnosed with HTN cases without apparent complications, classified as “Early Diagnosis/Treatment” (Yellow). About 21% of respondents were placed in the “Disability Limitation” (Orange) category, indicating some complications, while 4.3% were identified as HTN patients needing “Rehabilitation” (Red) due to serious complications.\u0000\u0000\u0000\u0000This approach of the color-coded stratification based on levels of prevention among adult females of UHTC revealed the spectrum of HTN in the general community. Overall, 39% of the respondents had HTN. About two-fifths of respondents were at risk of developing HTN. This method has the potential to enhance the individualized management of HTN.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140215074","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":"2023: The Year in Review from a Women in Cardiology and Related Sciences Perspective","authors":"S. Chhabra, Abhishek Garg","doi":"10.25259/ijcdw_8_2024","DOIUrl":"https://doi.org/10.25259/ijcdw_8_2024","url":null,"abstract":"","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140213658","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":"Navigating the Risk: “Unraveling the Relationship between Thrombolysis in Myocardial Infarction (“TIMI” Risk Score) and Coronary Vessel Involvement in Non-ST-Elevated acute Coronary Syndrome with Respect to “Syntax” Score – A Cross-sectional Study”","authors":"I. Tammiraju, Bhuvaneswari Ramisetty, Alekhya Jasmine Gujjarlapudi","doi":"10.25259/ijcdw_51_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_51_2023","url":null,"abstract":"\u0000\u0000Patients with unstable angina and non-ST-elevated myocardial infarction (NSTEMI) present with a spectrum of cardiac events and death. Hence, early accurate management should be initiated. This can be achieved by risk stratifying the patients as early as possible on hospital admission. Thrombolysis in myocardial infarction (TIMI) risk score assessment is used widely for this purpose. It helps to standardize the approach of management and compare the extent and number of vessels involved in the coronary angiogram. This research aims to assess coronary artery disease (CAD) in individuals with NSTEMI by examining the extent of vessel involvement and the complexity of coronary artery blockages, using the SYNTAX score about the TIMI risk score.\u0000\u0000\u0000\u0000This cross-sectional observational study involved 60 participants who were selected based on specific inclusion and exclusion criteria. The TIMI risk score was computed for each individual, categorized as either <4 or ≥4, and the results of their coronary angiogram were analyzed to assess the degree of vessel involvement, categorizing it as either single-vessel disease (SVD) or multi-vessel disease (MVD). The Syntax score was computed for all angiograms and divided into two groups based on whether it was ≤22 or >22.\u0000\u0000\u0000\u0000The average age of the participants in our study was 56 ± 10.64, with an age range of 34. Gender distribution revealed a higher proportion of males, constituting 68.3% (41 individuals), while females accounted for 31.7% (19 individuals). The angiogram results demonstrated that among the patients with TIMI score <4, 70% (14 individuals) had SVD, 30% (6 individuals) had MVD, and among those with score ≥4, 15% (6 individuals) had SVD while 75% (34 individuals) had MVD. In the subgroup analysis of TIMI <4, a Syntax score <22 was observed in 15 cases of SVD and a score >22 was observed in cases of MVD. Likewise, in the TIMI >4 group, a Syntax score <22 was observed in 12 cases of SVD and a score >22 was observed in 28 cases of MVD.\u0000\u0000\u0000\u0000This study noted that patients with non-ST-segment elevation acute coronary syndrome who underwent coronary angiogram and had a TIMI score of ≥4 were observed to have a 13-fold increased likelihood of having multi-vessel Coronary artery disease (CAD) compared to those with a TIMI score of <4. TIMI score of ≥4 had a 7 times higher chance of getting a SYNTAX score >22.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140215618","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":"Association between Migraine and Cardiovascular Diseases among Women of a Tertiary Care Hospital, Hyderabad – A Case–Control Study","authors":"Yadu Krishnan, Sudha Bala, Guru Vijay Kumar Pasam, Alphin Andoor Francis, Paulson Vallamalla","doi":"10.25259/ijcdw_70_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_70_2023","url":null,"abstract":"\u0000\u0000Women tend to have a higher risk of migraine compared to men. Apart from the conventional risk factors, this study aims to provide insight into the association between migraine and cardiovascular diseases (CVDs). The aim of this study was to assess the association between CVDs and migraine along with other conventional factors among migraineurs with and without aura.\u0000\u0000\u0000\u0000A case–control study was done among the women attending outpatient of a tertiary care hospital those having hypertension, coronary artery disease, and stroke at the age of >30–60 years, and those who do not have any of the CVDs. Conventional risk factors such as age, body mass index (BMI), physical activity, frequent junk food intake, BMI, and presence of diabetes were assessed along with migraine status adhering to the International Classification of Headache Disorders-3. Comparison of risk factors among cases and controls was done using the Chi-square test and independent t-test whichever was appropriate.\u0000\u0000\u0000\u0000Our study included 191 cases and 191 controls; among the cases, hypertensives were predominant. There was a statistically significant association between migraine and any CVD with an increased risk of 12.35 times (confidence interval 7.12–21.4). The only statistically significant risk factor among the cases was the frequent intake of junk food and uncontrolled status was more among those migraineurs having an aura.\u0000\u0000\u0000\u0000The importance of migraine as one of the risk factors should be kept in mind among CVDs to implement prevention strategies at the earliest.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140215509","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":"The Uncrossable STEMI – Calcific Eruptive Nodule in Elder ly Women","authors":"Stalin Roy, Prathap Kumar, B. Kidambi, S. Srikumar, S. Veeraraghavan","doi":"10.25259/ijcdw_62_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_62_2023","url":null,"abstract":"","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140216022","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":"New Indices to Detect Acute Kidney Injury in Coronary Artery Disease Patients","authors":"Abdul Samad Shaik, V. Lakshmi","doi":"10.25259/ijcdw_15_2023","DOIUrl":"https://doi.org/10.25259/ijcdw_15_2023","url":null,"abstract":"\u0000\u0000Pre-procedure liver impairment has been revealed as a poor prognostic factor post-percutaneous coronary intervention (PCI). Recent investigations discovered that the aspartate aminotransferase-to-alanine aminotransferase ratio (De-Ritis ratio) indicates the severity of liver impairment and was related to adverse outcomes. We aimed to evaluate the predictive value of the De-Ritis ratio for contrast-associated acute kidney injury (CA-AKI).\u0000\u0000\u0000\u0000We prospectively enrolled 150 patients undergoing elective PCI between June 2022 and August 2022. Contrast-induced AKI: It is defined as an acute decline in renal function, defined as an increase in creatinine of ≥0.5 mg/dL or ≥25% compared to baseline. It usually develops 24–72 h post administration of an IV contrast agent in the absence of other identifiable causes.\u0000\u0000\u0000\u0000The incidence of CA-AKI was 8% (n = 12). The De-Ritis ratio >1.30 was identified as the best cutoff value for CA-AKI prediction.\u0000\u0000\u0000\u0000The De-Ritis ratio was an independent risk factor for CA-AKI in patients undergoing elective PCI.\u0000","PeriodicalId":515188,"journal":{"name":"Indian Journal of Cardiovascular Disease in Women","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140215605","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}