Publications by authors named "F N U Shailesh"

Article Synopsis
  • The study analyzed 238 patients with gray-zone fractional flow reserve (FFR) values between 0.75 and 0.80 to compare outcomes of revascularization versus just medical therapy.
  • Results showed that patients who underwent percutaneous coronary intervention (PCI) had significantly lower rates of major adverse cardiovascular events (MACE) compared to those who deferred treatment.
  • The findings suggest that revascularization (PCI) significantly lowers the risk of severe outcomes, such as heart attack and death, when compared to only medical management in patients with gray-zone FFR.
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Article Synopsis
  • Uninterrupted vitamin K antagonists (VKAs) during atrial fibrillation ablation show better outcomes than bridging with heparin, while studies on uninterrupted new oral anticoagulants (NOACs) are limited and small-scale.
  • A meta-analysis of 3544 patients from 8 studies found that the rates of stroke, transient ischemic attacks, and major bleeding were similar between patients using uninterrupted NOACs and those using VKAs during the procedure.
  • The research indicates that uninterrupted NOACs are as safe and effective as VKAs for patients undergoing ablation for atrial fibrillation.
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Slow pathway modification has become the mainstay for the treatment of atrio-ventricular nodal re-entrant tachycardia (AVNRT) ablation because of high success rate and low incidence of complications. Our patient had a rare complication of slow pathway modification by radiofrequency ablation (RFA) in form of delayed complete heart block, occurring 10 days after the procedure and resolving in 6 weeks to normal conduction. Complete AV block is a rare immediate complication of RFA but can present weeks later.

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