Daily Archive: November 5, 2011

Nov 05

Dyslipidemia Management Issues

By Dr. Peeyush Jain  The threshold for initiation for drug treatment of dyslipidemia should be based on absolute risk rather than the baseline lipid levels, age, or gender. The present LDL-C goal for high-risk cases is <100 mg/dl. A desirable LDL-C goal in very high-risk patients is <70 mg/dl. Statin therapy should be instituted in …

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Nov 05

Exercise and Heart Failure – A Fact Or Fiction

By Dr Saroj Mandal, Dr Madhumanti Panja, Dr Manotosh Panja Previously exercise training was thought to be harmful in CHF and it was thought that bed rest might minimize symptom whereas physical activity might accelerate the progression of LV dysfunction.  Today, several studies have shown that programmes of different of exercise induce improved exercise capacity …

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Nov 05

Rotational Angiography (DynaCT) And Its Use In Guiding Ablation Procedures in Chambers Other than Left Atrium

By Dr Vikas Kataria, Dr Amitabh Yaduvanshi, Dr Manoj Kumar and Dr Mohan Nair Use of DynaCT to create real-time 3D images of any chamber of the heart is feasible. It improves accuracy of structural anatomy and allows catheter manipulation using real-time road-maps. It is an important aid in ablation procedures even in cases where …

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Nov 05

Ablation of Ventricular Tachycardia in Patients with Ischemic Heart Disease Using Rotational Angiography (DynaCT) guided Substrate Mapping as the sole strategy: Intermediate Term Results

By Dr Amitabh Yaduvanshi, Dr Manoj Kumar, Dr Vikas Kataria and Dr Mohan Nair  Substrate mapping can be used to identify the arrhythmogenic tissue and guide the ablation VTs using non-irrigated RF ablation catheter. This therapeutic strategy may be considered routinely/increasingly in the management of patients with multiple hemodynamically unstable VTs. The use of Rotational …

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Nov 05

Right Ventricular Outflow Tract Ventricular Ectopic: Yet another Tachycardia with involvement of Autonomic Plexus

By Dr Amitabh Yaduvanshi, Dr Manoj Kumar, Dr Vikas Kataria and Dr Mohan Nair The response of the heart rate during ablation at the successful site in this case clearly points to a direct anatomical relationship to parasympathetic enervation and warrants further investigation, just as in the case of atrial fibrillation.

Nov 05

Effect of rheumatic mitral regurgitation on systemic coagulation activity

J Yusuf, A Goyal, S Mukhopadhay, V Mehta, V Gupta, V Trehan and S Tyagi Since Patients with MR subgroups have lower D-dimer levels, presence of concomitant moderate to severe MR in patients of rheumatic mitral valve disease decreases the risk of LA clot formation. Present guidelines advocate use of anticoagulation in all patients of …

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Nov 05

Atherosclerosis: What is latest?

By P C Manoria, Pankaj Manoria, Piyush Manoria and S K Parashar Atherosclerosis is the leading cause of morbidity and mortality throughout the globe. Imaging of atherosclerosis and its modulation has become a reality. The different components of atherosclerosis, i.e., lumen of the vessel (coronary angiography and CT angiography, angioscopy), plaque morphology (vascular MRI, IVUS, …

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Nov 05

What to do – in a lady with chest pain during labour

By Dr. Chaitali Roy, Dr. Debabrata Roy and  Dr. Arup Dasbiswas Causes of chest pain in a lady in labour range from trivial to life-threatening – varying from simple costochondritis to acute myocardial infarction. Chest discomfort or pain during pregnancy is mostly caused by abdominal distension or gastroesophageal reflux. Incidence of ischemic heart disease in …

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