Combined resection of coronary and innominate artery aneurysms.

Coexistent aneurysms of the coronary and inominate arteries are extremely rare. We present the case of a 28-year-old male with an aneurysm of the left anterior descending coronary artery and an aneurysm of the inominate artery presenting with hoarseness and severely depressed left ventricular function (ejection fraction of 25%). He underwent successful surgical resection of both aneurysms.

Plasma homocysteine in obese, overweight and normal weight hypertensives and normotensives.

Aim: The aim of the present study was to assess the interrelationship of obesity with plasma homocysteine levels as well as vitamin B12 and folic acid levels in hypertensive and normotensive subjects.

Methods: Sixty-five hypertensive and sixty-five normotensive patients were studied. Plasma homocysteine, vitamin B12 and folic acid, lipid parameters, blood pressure, pulse pressure levels, body mass index were estimated in all the subjects.

Interrelationships of Factor VII activity and plasma leptin with insulin resistance in coronary heart disease.

Objective: An increase of FVII activity (FVIIc) has been proposed to be an independent cardiovascular risk factor. Whether FVII is associated with insulin resistance in coronary heart disease (CHD) is still unknown. We tested the hypothesis that plasma FVII activity and leptin are associated with insulin resistance independently.

Combined off-pump coronary artery bypass grafting and thyroidectomy.

A 70-year-old Indian woman presented with an acute anterior wall myocardial infarction and a large multinodular goiter causing tracheal compression and dyspnea. Coronary artery angiography revealed severe triple-vessel disease, with an 80% occlusion of the left main stem, necessitating early coronary artery bypass grafting combined with total thyroidectomy. The procedure was performed successfully.

Plasma leptin in insulin-resistant and insulin-nonresistant coronary artery disease and its association with cardio-metabolic risk factors among Asian Indians.

Background: The relationship between plasma leptin and insulin resistance among coronary artery disease (CAD) subjects remains poorly understood. We determined plasma leptin levels in insulin-resistant and insulin-nonresistant CAD patients. We also examined the association of plasma leptin with several cardiometabolic risk factors in all of the study group subjects from an Asian Indian population.

Interrelationship between coagulation factor VII and obesity in diabetes mellitus (type 2).

We explored the interrelationships of coagulation FVII activity levels with obesity, leptin and insulin resistance in diabetes mellitus (DM Type 2) and in non-diabetic control subjects. We found FVII hypercoagulant activity levels in DM not associated with obesity, leptin levels or insulin resistance. It was found independently associated with hypertriglyceridemia.

Prognosis in patients with left ventricular apical aneurysm diagnosed by thallium-201 or Tc-99m sestamibi SPECT images.

The prognosis of patients with left ventricular (LV) aneurysm diagnosed by thallium single-photon emission computed tomography (Tl-SPECT) or technetium-99m sestamibi SPECT (MIBI) has not previously been defined. Of 9,505 Tl or MIBI patients, 139 with apical infarct and probable LV aneurysm on tomographic images were identified. Patients were grouped by the presence of divergent versus parallel LV walls.