Publications by authors named "N M Momenuzzaman"

Article Synopsis
  • - A 70-year-old man with a history of heart issues, diabetes, and hypertension was admitted for chest pain and shortness of breath, and diagnosed with NSTEMI following a recent Covid-19 infection.
  • - He underwent successful coronary angioplasty two years prior and was on multiple medications, with normal physical and lab findings except for elevated Troponin I levels.
  • - Following the angioplasty procedure, he developed bilateral parotitis, likely linked to the iodine-based contrast material, which resolved with conservative treatment.
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Article Synopsis
  • Antithrombotic agents like aspirin and clopidogrel are essential for patients with arterial thrombosis, especially after procedures like percutaneous coronary intervention (PCI), prevalent in Bangladesh.
  • The study aimed to evaluate genetic variations (polymorphisms) in the CYP2C19 and ITGB3 genes among 1,000 patients with cardiovascular disease who were treated with these medications.
  • Results showed significant prevalence of CYP2C19 polymorphisms (64.1% for CYP2C19*2 and 22.7% for CYP2C19*17) in clopidogrel-treated patients and high rates of ITGB3 polymorphisms in those taking aspirin, suggesting the importance of genetic testing for
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Since the first recorded case of SARS-CoV-2 in Bangladesh on 8th March 2020, COVID-19 has spread widely through different regions of the country, resulting in a necessity to re-evaluate the delivery of cardiovascular services, particularly procedures pertaining to interventional cardiology in resource-limited settings. Given its robust capacity for human-to-human transmission and potential of being a nosocomial source of infection, the disease has specific implications on healthcare systems and health care professionals faced with performing essential cardiac procedures in patients with a suspected or confirmed diagnosis of COVID-19. The limited resources in terms of cardiac catheterization laboratories that can be designated to treat only COVID positive patients are further compounded by the additional challenges of unavailability of widespread rapid testing on-site at tertiary cardiac hospitals in Bangladesh.

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Noninvasive CT coronary angiography is a promising coronary imaging technique. In spite of the unprecedented temporal and spatial resolution and the inability to perform therapeutic interventions in the same session multi-detector computed tomography (MDCT) has been considering a promising alternative, non invasive tool for coronary artery imaging due to its high sensitivity and specificity for the detection of significant coronary artery stenosis. To evaluate the diagnostic accuracy of 64-slice MDCT for assessing haemodynamically significant stenoses of the coronary arteries in comparison with the conventional standard cardiac angiography.

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