Publications by authors named "Digvijay Nalawade"

Article Synopsis
  • Lipid control is vital for reducing cardiovascular risk in patients with coronary artery disease (CAD), and this study assessed how well statin therapy works in achieving target lipid levels.
  • Conducted at a medical college in India, the study reviewed data from 72 adult patients with various types of coronary syndromes, measuring their low-density lipoprotein cholesterol (LDL-C) levels against established guidelines.
  • Results indicated that many patients still had high LDL-C levels despite being on statin therapy, pointing to the need for improved treatment strategies for better lipid management in CAD patients.
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Article Synopsis
  • Crista terminalis is a fibromuscular ridge in the right atrium that separates smooth and muscular regions, and when prominent, it can be mistaken for thrombus or tumors.
  • Accurate differentiation between crista terminalis and other masses is essential to avoid misdiagnosis and unnecessary anxiety for patients.
  • The case highlights the use of two-dimensional and three-dimensional transesophageal echocardiography to identify the unique features of a prominent crista terminalis.
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A young female patient presented with complaints of breathlessness and palpitations since 2 years. On clinical examination, there was a loud continuous murmur at the right sternal border.Transthoracic echocardiography and colour Doppler showed a tunnel-like structure originating from the aneurysmal right coronary sinus and opening into the right atrium with left to right shunt.

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Peripartum cardiomyopathy (PPCM) poses diagnostic and management challenges, while left ventricular global longitudinal strain (LV GLS) provides crucial insights into myocardial function. This case series explores the significance of LV GLS imaging in diagnosing and managing PPCM. Three distinct cases of varying severity highlight the significance of LV-GLS in assessing myocardial function during the peripartum period.

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Double chambered left ventricle (DCLV) is an uncommon congenital heart condition typically identified incidentally, with the majority of patients showing no symptoms and experiencing a benign course. It is crucial to differentiate DCLV from other abnormalities like diverticulum or aneurysm, which can have significant clinical implications. Due to the limited available data, our understanding of the natural progression, prognosis, complications, and treatment options for this rare condition is poorly defined.

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Double orifice mitral valve (DOMV) is an extremely rare congenital anomaly of the mitral valve (MV) wherein the MV orifice divides into two separate orifices by an accessory fibrous band.Isolated DOMV is a rarity and is often discovered incidentally. It may be associated with other congenital conditions wherein it is identified in early childhood.

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A 26-year-old young male patient presented with progressive dyspnea over the previous 2 years. The patient also had pulmonary hypertension. Computed tomography (CT) pulmonary angiography showed absence of the left pulmonary artery, and conventional pulmonary and aortic root angiograms showed ipsilateral lung receiving collaterals from the left internal mammary artery and thyrocervical trunk.

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Context: Coronary artery perforation is a rare but potentially catastrophic complication of percutaneous coronary intervention (PCI). It is infrequent complication of PCI.

Aims: The objective of the study is to report the 7-year experience of coronary artery perforation with respect to incidence, clinical and angiographic characteristics, management and outcomes.

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"Acute take off" of the left circumflex artery (LCX) is a rare coronary artery variant. Development of coronary artery disease in such a vessel increases technical difficulty and failure rate for percutaneous coronary intervention. We report a rare case of "acute take off" of the LCX with proximal critical stenosis successfully intervened using dual-lumen microcatheter.

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Congenital coronary anomalies are rare and reported to occur in 0.64-1.3% of patients undergoing coronary angiography.

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Implantation of temporary pacemaker lead is commonly performed procedure and is usually safe, but can sometimes develop rare and serious complication like intracardiac lead knotting which may require challenging retrieval techniques. We report a case of successful percutaneous retrieval of unusually knotted right internal jugular venous temporary pacing lead via left femoral transvenous approach using snare over a long sheath after cutting the electrode proximally and thus avoiding any surgical intervention.

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