Publications by authors named "George Kalapurakal"
Article Synopsis
- The study aimed to evaluate short-term hemodynamic changes in heart failure patients with cardiogenic shock after the use of intra-aortic balloon pump (IABP), focusing on the role of pulmonary artery pulsatility index (PAPi) in assessing right ventricular performance.
- Conducted at a single center with 67 patients, the research highlighted significant changes in central venous pressure and mean pulmonary artery pressure in patients with low PAPi (<2.0) after 72 hours of IABP support, while patients with higher PAPi showed improved cardiac index.
- Results indicated the necessity for increased diuretic and inotropic support in patients with low PAPi, reflecting their more severe condition compared to those with higher PAPi levels.
An adult with unrepaired tetralogy of Fallot presented with frequent tet spells. Her course was complicated by severe cyanotic spells and tachycardia-bradycardia syndrome that limited beta blocker use to stabilize her spells. She markedly improved after disopyramide initiation and underwent successful tetralogy of Fallot repair with excellent functional outcome.
View Article and Find Full Text PDFPurpose: Gonadotropin analogs like leuprolide play an important role in the management of prostate cancer. Pituitary apoplexy has been reported after leuprolide therapy. This report examines whether the presence of a pituitary tumor is a contraindication for leuprolide therapy in patients with prostate cancer.
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