Publications by authors named "Hilal Rather"

Background: The global burden of cardiovascular diseases is increasing rapidly, and changing trends in epidemiological risk factors are identified among diverse Indian population. There has been a significant increase in heart attack deaths over the past 3 years after the COVID-19 pandemic. Are we missing a link? There is an urgent need for studies to confirm any epidemiological shift in coronary artery disease (CAD) risk factors.

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Introduction: Although myocardial injury is common after blunt chest trauma, tricuspid valve injury associated with traumatic atrial septal defect resulting in acute hypoxia is an infrequent event. We report an unusual case of blunt chest trauma referred to us for unexplained hypoxemia, emphasizing the unusual nature of injury and the importance of comprehensive cardiac evaluation in such cases.

Case Report: A 35-year-old male presented to the emergency department after falling from a tree from an approximate height of 15 feet.

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Article Synopsis
  • There was a specific issue encountered while trying to remove an atrial septal defect device during a medical procedure.
  • The problem arose because the delivery cable got stuck in a prominent Chiari network, making it difficult to unscrew and release the device.
  • The authors recommend using careful imaging techniques, like transesophageal guidance, before and during the procedure to help identify and handle this rare challenge.
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Introduction: Because of wide heterogeneity in the epidemiology of heart failure among different populations, it is imperative to establish population-specific databases.

Aims And Objectives: To describe the clinical profile, treatment patterns, and outcomes of heart failure patients admitted to our tertiary care hospital.

Material And Methods: The study was a prospective observational study conducted over two years at our tertiary care hospital.

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Introduction: The challenges posed by high altitude are particularly significant in terms of cardiovascular health. There are currently no data available on acute coronary syndrome (ACS) among Amarnath pilgrims. The objective of this study was to investigate the clinical and angiographic profiles of ACS among Amarnath pilgrims, focusing on demographic characteristics, risk factors, types of ACS, clinical presentation, angiographic findings, and in-hospital outcomes.

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Background: Left ventricular ejection fraction falls when the myocardium has already lost a significant portion of its functional capacity. There are conflicting data on whether diastolic dysfunction precedes systolic dysfunction after cardiotoxic chemotherapy. We aimed to study systolic and diastolic dysfunction after cardiotoxic chemotherapy and whether diastolic dysfunction can predict subsequent risk of systolic dysfunction.

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Introduction: Identifying an Infarct-related artery (IRA)in Non-STEMI is sometimes tricky. Besides, myocardial infarction with non-obstructive coronary arteries (MINOCA) mimickers are often labeled as myocardial infarction. Late Gadolinium enhancement (LGE) on cardiac MRI can help in identifying IRA besides MINOCA mimickers.

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  • - Recent studies link BACE1 activity, along with APP and Aβ, to cancer development, highlighting BACE1's potential as a target for prostate cancer (PCa) treatment.
  • - The study used various techniques to confirm BACE1 expression in human PCa tissues and cell lines and showed that BACE1 activity leads to the production of Aβ1-42, which was also detected in both tissue samples and through imaging methods.
  • - Inhibition of BACE1 with MK-8931 significantly reduced PCa cell growth in laboratory models and inhibited tumor growth in mice, suggesting BACE1 has potential as a novel therapeutic target for advanced PCa.
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Objectives: Very few studies have been done on Venous stenosis following the first transvenous cardiac device implantation. We aimed to assess the prevalence and predictors of Venous stenosis/Occlusion following the first transvenous cardiac device implantation with venous angiography at one year of follow-up.

Methods: This study was a single-center prospective, observational study.

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Background And Aim:  Interpretation of imaging modalities depends on robust normal reference limits. Ethnicity is an essential determinant of cardiac chamber sizes. Though few studies from India have focused on this research, it has yet to include the Kashmiri population.

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  • Extracellular vesicles (EVs) are tiny vesicles released by nearly all cell types, playing a crucial role in cell communication and maintenance, and are being explored as 'liquid biopsies' and cell-free therapeutics for various diseases.
  • Stem cell-derived EVs (SC-EVs) have shown potential as a treatment for aging-related issues and disorders, enhancing tissue regeneration and reversing functions associated with aging, such as cognitive decline and reproductive dysfunctions.
  • Research highlights the benefits of SC-EVs specifically for Alzheimer's disease, demonstrating their effectiveness in combating key disease features like amyloid plaques and neuroinflammation, along with improved cognitive performance in models studied.
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  • Cardiovascular disease significantly impacts elderly patients, with systemic inflammation linked to higher risks of atherosclerosis and age-related changes in bone marrow.
  • A study of 601 older adults with acute coronary syndrome found that certain hematological biomarkers, specifically the neutrophil-lymphocyte ratio (NLR), can help predict 30-day mortality.
  • The results showed NLR as a more accurate predictor of mortality than total white blood cell count, making it a recommended tool for assessing risk in elderly patients.
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  • * Researchers are exploring extracellular vesicles (EVs) as promising biomarkers for various conditions, which can provide crucial information about hard-to-reach tissues in a less invasive way, akin to "liquid biopsies".
  • * This study identified specific proteins in small EVs from the adipose tissue of lean and obese mice, suggesting that these EVs can help predict disease and indicate significant changes related to inflammation and amino acid metabolism associated with obesity.
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Background: Hemolysis after Patent ductus arteriosus (PDA) device closure is rare. Although in most cases, hemolysis settles on its own; however, in some cases it may not settle spontaneously and may require additional procedures like putting additional coils, gel foam or thrombin instillation, balloon occlusion, or removing it surgically. We report a case of adult PDA device closure who persisted with hemolysis and was managed by transcatheter retrieval.

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  • - Physiological inflammation is beneficial for bone regeneration in moderation, but excessive inflammation hinders bone repair; this study focuses on creating a nanofibrous scaffold to enhance bone healing by managing inflammation and promoting the differentiation of mesenchymal stromal cells (MSCs).
  • - The custom scaffold, made of polycaprolactone (PCL) and collagen, incorporates the drugs dexamethasone and simvastatin, and its effectiveness is confirmed through tests showing immunocompatibility and anti-inflammatory responses in human monocytes.
  • - After 17 days of culture, the scaffolds significantly boosted the osteogenic differentiation of MSCs, as evidenced by increased alkaline phosphatase activity and mineral deposition, indicating strong potential for application in
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  • The study investigates the effectiveness of office versus ambulatory blood pressure monitoring in managing treated hypertensive patients.
  • A total of 561 patients were analyzed, revealing that 16.2% had white coat hypertension and 17.4% had masked uncontrolled hypertension despite appearing controlled in the office.
  • The findings suggest that ambulatory BP monitoring is crucial for better management and control of blood pressure in treated hypertensive patients, as office readings may not be reliable.
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Cocaine use disorder has been reported to cause transgenerational effects. However, due to the lack of standardized biomarkers, the effects of cocaine use during pregnancy on postnatal development and long-term neurobiological and behavioral outcomes have not been investigated thoroughly. Therefore, in this study, we examined extracellular vesicles (EVs) in adult (~12 years old) female and male rhesus monkeys prenatally exposed to cocaine (n = 11) and controls (n = 9).

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Background: Acute coronary syndrome (ACS) indicates the serious clinical manifestation of coronary artery disease (CAD) and is closely associated with cardiovascular prognosis in patients with ACS. This study was aimed to study the prevalence of type 2 diabetes mellitus (T2DM) and the relation of HbA1c with the severity of CAD in patients presenting as non-diabetic ACS. Diabetic status of the patients was assessed with fasting blood sugar (FBS) and HbA1c levels, and coronary artery disease burden was assessed by coronary angiography.

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Background: Although rare, the possibility of encountering an anomalous coronary artery is a reality. The outcome of such a procedure is greatly influenced by the awareness of the operator about the anatomical variations and the technique required.

Case Presentation: A 50-year-old female patient presented with chest pain.

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  • Bone regeneration involves both angiogenesis (formation of blood vessels) and osteogenesis (bone formation), making it a complex process that faces challenges, particularly in creating functional blood vessels during healing.
  • This study introduced a dual drug-delivering scaffold made of polycaprolactone-collagen, which releases simvastatin (to promote blood vessel formation) and dexamethasone (to induce bone growth) over 28 days, enhancing cell growth and bone development.
  • Results showed that the dual drug fibers significantly increased osteogenic markers and angiogenic activity, suggesting that combining these drugs in a scaffold can effectively kickstart the bone healing process.
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  • The demand for mesenchymal stem cells (MSCs) in clinical applications is rising, but maintaining their stemness during laboratory expansion is a significant challenge due to limitations of traditional culture methods.
  • This study introduces glucosaminoglycan (GAG) mimicking ultrafine nanofibers as a promising substrate that enhances MSC expansion by providing necessary biochemical cues, improving cell interactions, and promoting spheroid formation.
  • The findings also reveal that these nanofibers facilitate long-distance communication between MSCs, fostering a better understanding of their behavior in niche formation and indicating they could be a superior alternative to conventional cell culture techniques.
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  • Researchers developed nanofiber scaffolds made of cellulose combined with titanium dioxide (TiO) and silver (Ag) nanoparticles for potential medical applications.
  • These scaffolds were created through electrospinning and treated to remove acetyl groups to ensure they consisted of pure cellulose along with the nanoparticles.
  • The final product exhibited antibacterial properties and biocompatibility, making it suitable for wound healing and possible future use in tissue integration.
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  • Bone fracture healing is a complex process that involves inflammation, the formation of new blood vessels (angiogenesis), and the creation of bone (osteogenesis), starting with inflammation.
  • Recent studies leverage this process for bone tissue engineering, focusing on scaffolds that support both blood vessel and bone formation.
  • The article categorizes these scaffolds into four types based on their components and discusses the combined delivery systems that enhance both angiogenesis and osteogenesis, including the role of cartilage in bridging these two processes.
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Biomimetic cell culture substrates are developed as an alternative to the conventional substrates. They provide necessary biochemical and biophysical cues to the cells from their surrounding environment for their optimal growth, behaviour and physiology. Changes in physiology of cells growing on biomimetic substrate can essentially affect results of biological experiments such as drug cytotoxicity, nanoparticle internalization or signalling pathways.

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Background And Aim: Ventricular tachycardia (VT) represents the most frequent cause of sudden cardiac death. Information on clinical characteristics, acute management and outcome of patients with sustained VT is limited in our part of world. The aim of this study was to analyze the demography, hemodynamics, ECG features, underlying disease, mode of termination and outcome of patients presenting with VT.

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