Publications by authors named "Jibran Ikram"

This review investigates the therapeutic potential of vagal nerve stimulation (VNS) in managing long COVID, a condition marked by persistent symptoms following acute SARS-CoV-2 infection. Long COVID manifests as ongoing fatigue, cognitive impairment, and autonomic dysfunction, hypothesized to arise from sustained inflammatory and neurological dysregulation. The vagus nerve, central to modulating systemic inflammation and autonomic homeostasis, represents a promising therapeutic target for symptom alleviation through VNS.

View Article and Find Full Text PDF

Introduction Aortic valve replacement (AVR) for severe symptomatic aortic stenosis is a commonly performed procedure, yielding excellent long-term outcomes. Comparing a mini sternotomy with a conventional sternotomy is essential to evaluate less invasive options that can improve patient recovery and reduce postoperative complications. This insight supports surgical decision-making for better AVR patient outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • Placenta previa is a serious condition where the placenta partially or completely covers the cervix, increasing the risk of postpartum hemorrhage (PPH) and complications for both mother and baby.* -
  • A 36-year-old woman with a complicated medical history, including chronic hypertension and prior cesarean sections, experienced massive PPH during a scheduled cesarean due to complete placenta previa.* -
  • Due to the patient's refusal of blood transfusions as a Jehovah's Witness, her treatment for PPH involved urgent interventions, including uterine artery embolization and ultimately a hysterectomy after other methods failed.*
View Article and Find Full Text PDF

Cold agglutinin disease (CAD), a rare autoimmune hemolytic anemia (AIHA), is characterized by hemolysis triggered by activation of the classical complement pathway. AIHA is estimated to affect one in 100,000 people in the general population; however, its incidence in pregnant women is unclear due to the scarcity of published studies. Here, we present the case of a 37-year-old female (G2P1102) who presented for a repeat Cesarean section.

View Article and Find Full Text PDF

Complete heart block in women of childbearing age is rare, and incidental diagnosis during pregnancy is more uncommon. Hence, there remain no well-established guidelines on the management of patients with complete heart block presenting in labor. Here, we present a 26-year-old full-term primigravida, with no known previous cardiac history, in active labor with asymptomatic bradycardia in the 30-40s unresponsive to atropine augmentation.

View Article and Find Full Text PDF

Introduction And Importance: This case report details a rare instance of a renal jejunal fistula accompanied by tuberculosis (TB) and parasitic infestation in a pediatric patient. It adds to the limited literature on renal fistulas involving the jejunum, particularly those compounded by infectious diseases, highlighting the diagnostic and therapeutic challenges in managing such complex cases.

Case Presentation: The patient initially presented with flank pain, a discharging sinus in the left flank region, cough, and general malaise, alongside symptoms of anemia.

View Article and Find Full Text PDF

The efficacy and safety profile of mavacamten, a cardiac myosin inhibitor for the treatment of hypertrophic cardiomyopathy (HCM) is not well-established, prompting the need for an updated meta-analysis. The authors conducted an extensive search across multiple electronic databases, including Embase, MEDLINE (via Pubmed), and CENTRAL, to identify randomized controlled trials (RCTs) assessing the efficacy and safety of mavacamten in HCM. Review Manager 5.

View Article and Find Full Text PDF

Background:  Diabetic wound infections are susceptible to various pathogens, particularly bacteria, due to the immunocompromised state of diabetic patients. is frequently implicated in diabetic wounds. To ascertain the presence of multiple antibiotic resistance in bacterial pathogens derived from diabetic wound infections, a comprehensive analysis is required.

View Article and Find Full Text PDF

Immunotherapy has emerged as a pioneering therapeutic approach that harnesses the immune system's abilities to combat diseases, particularly in the field of oncology where it has led to significant advancements. However, despite its significant impact in the field of oncology, the potential of immunotherapy in the context of cardiovascular disease (CVD) has not been thoroughly investigated. The purpose of this narrative review is to address the existing knowledge and potential uses of immunotherapy in the field of cardiovascular disease (CVD), with the intention of filling the existing gap in understanding.

View Article and Find Full Text PDF