Publications by authors named "Prachi Agarwal"

Article Synopsis
  • - Of the 5 randomized controlled trials (RCTs) analyzed, 20% of participants had chronic thromboembolic pulmonary hypertension (CTEPH), but none specifically studied the impacts of exercise training in these patients.
  • - The study suggests that exercise training can enhance exercise capacity in pulmonary hypertension (PH) patients, specifically indicated by improvements in 6-minute walk distance.
  • - It also highlights that exercise training appears to be safe for patients with CTEPH and pulmonary arterial hypertension (PAH), challenging the common belief that exercise is risky for these individuals.
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The rapid development and advancements in field of shape memory alloys (SMAA) has tremendously increased the progress in four-dimensional (4D) printing. The conventional 4D printing will require skilled manpower but utilization of reversibility aspect achieved using self adjusting external stimuli will eliminate the necessity of sophisticated devices and human intervention in 4D printing. The components created using reversible 4D printing can be reused after each recovery cycle that suits the current industry requirements.

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  • The study investigates how autonomic responses during the recovery from cardiac arrest (CA) are influenced by orexin, specifically examining whether the endogenous orexin promotes rapid cardiovascular sympathetic activity after resuscitation and how this is affected by the drug suvorexant, which blocks orexin receptors.
  • Using a rat model, the researchers monitored heart rate and blood pressure changes following CA, measuring the balance between sympathetic and parasympathetic activities through heart rate variability, while also assessing the levels of plasma orexin-A and neurological outcomes.
  • Findings showed that heart rate significantly increased shortly after resuscitation, correlating with better neurological outcomes, and this response was reduced when the rats were treated with suvore
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3D bioprinting has shown great promise in tissue engineering and regenerative medicine for creating patient-specific tissue scaffolds and medicinal devices. The quickness, accurate imaging, and design targeting of this emerging technology have excited biomedical engineers and translational medicine researchers. Recently, scaffolds made from 3D bioprinted tissue have become more clinically effective due to nanomaterials and nanotechnology.

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  • Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension (CTEPH) faces challenges due to the need for safe devices to cross vascular lesions, prompting a study on the piercing properties of artery walls and CTEPH lesions.
  • In a lab experiment using specimens from nine patients, researchers measured the force required to penetrate artery walls and CTEPH lesions, finding that less force was needed for lesions compared to the arterial wall.
  • The study concluded that the arterial wall is delicate and can be damaged easily, but the lower force needed to cross CTEPH lesions suggests a potential safety margin for improving balloon pulmonary angioplasty procedures.
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  • Catheter-based treatments are becoming important for both acute and chronic pulmonary blood clots, making it essential to understand the anatomy of pulmonary arterial branches.* -
  • A study of 179 patients undergoing angiography showed a variety of branching patterns in the pulmonary arteries, with a total of 7 patterns in the right upper lobe, 3 in the right middle lobe, and so on across the left lobes.* -
  • Notably, only 2-3 branching patterns per lobe were responsible for over 90% of the observed variations, offering valuable insights for medical professionals and future research in pulmonary interventions.*
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This document summarizes the relevant literature for the selection of preprocedural imaging in three clinical scenarios in patients needing endovascular treatment or cardioversion of atrial fibrillation. These clinical scenarios include preprocedural imaging prior to radiofrequency ablation; prior to left atrial appendage occlusion; and prior to cardioversion. The appropriateness of imaging modalities as they apply to each clinical scenario is rated as usually appropriate, may be appropriate, and usually not appropriate to assist the selection of the most appropriate imaging modality in the corresponding clinical scenarios.

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Unroofed sinus is categorized into four subtypes. Types I and II represent complete unroofing with or without an LSVC, respectively [1]. Types III and IV are partial unroofing involving the mid-CS (type III) or near the LA appendage and left superior pulmonary vein (type IV) [1].

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In this review, the authors summarize the role of coronary computed tomography angiography and coronary artery calcium scoring in different clinical presentations of chest pain and preventative care and discuss future directions and new technologies such as pericoronary fat inflammation and the growing footprint of artificial intelligence in cardiovascular medicine.

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  • * While initially thought to primarily affect the right ventricle, ACM can also impact the left ventricle or both ventricles, leading to changes in diagnostic criteria due to evolving understanding of the disease.
  • * The updated Padua criteria enhance diagnosis by including modern imaging techniques like cardiac MRI and recognizing features such as ventricular dilation and tissue characterization, while considering other conditions that could mimic ACM, especially in right-dominant and left-dominant phenotypes.
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  • Three-dimensional bioprinting is a promising technology for tissue engineering and regenerative medicine, using decellularized extracellular matrix (dECM) as a key material.
  • The decellularization process removes cellular components while preserving the ECM, which is crucial for providing structural and biochemical support for tissue regeneration.
  • The review addresses various decellularization methods, their benefits and limitations, and the development of dECM-derived bioinks for creating tissue-specific products.
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Tuberculosis (TB) afflicted 10.6 million people in 2021, and its global burden is increasing due to multidrug-resistant TB (MDR-TB) and extensively resistant TB (XDR-TB). Here, we analyze multi-domain information from 5,060 TB patients spanning 10 countries with high burden of MDR-TB from the NIAID TB Portals database to determine predictors of TB treatment outcome.

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  • Accurately diagnosing severe COVID-19 lung infections is critical for timely oxygen treatment and hospitalization, as severe cases pose higher health risks and may lead to lasting lung damage requiring follow-up imaging.
  • Researchers developed deep learning neural network models using chest radiographs (CXR) to differentiate between severe and non-severe COVID-19 lung infections, utilizing a dataset of 5748 cases and 6193 images from various countries and institutions.
  • The performance of the models was assessed using an area under the receiver operating characteristic curve (AUC), with the Inception-v4 models achieving higher accuracy (AUC of 0.85-0.89) compared to the Inception-v1 models (AUC of 0.
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The outer mycomembrane of and related pathogens is a robust permeability barrier that protects against antibiotic treatment. Here, we demonstrate that synthetic analogues of the mycomembrane biosynthetic precursor trehalose monomycolate bearing truncated lipid chains increase permeability of cells and sensitize them to treatment with the first-line anti-tubercular drug rifampicin. The reported strategy may be useful for enhancing entry of drugs and other molecules to mycobacterial cells, and represents a new way to study mycomembrane structure and function.

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A three-dimensional (3D) printing is a robotically controlled state-of-the-art technology that is promising for all branches of engineering with a meritorious emphasis to biomedical engineering. The purpose of 3D printing (3DP) is to create exact superstructures without any framework in a brief period with high reproducibility to create intricate and complex patient-tailored structures for organ regeneration, drug delivery, imaging processes, designing personalized dose-specific tablets, developing 3D models of organs to plan surgery and to understand the pathology of disease, manufacturing cost-effective surgical tools, and fabricating implants and organ substitute devices for prolonging the lives of patients, etc. The formulation of bioinks and programmed G codes help to obtain precise 3D structures, which determines the stability and functioning of the 3D-printed structures.

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Objective: There is a complex interaction between nervous and cardiovascular systems, but sparse data exist on brain-heart electrophysiological responses to cardiac arrest resuscitation. Our aim was to investigate dynamic changes in autonomic and cortical function during hyperacute stage post-resuscitation.

Methods: Ten rats were resuscitated from 7-min cardiac arrest, as indicators of autonomic response, heart rate (HR), and its variability (HRV) were measured.

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The International Society for the Study of Vascular Anomalies (ISSVA) classification is a comprehensive histology-based scheme that was updated in 2018. It is important for cardiothoracic imagers to understand this classification to ensure that accurate terminology is used and that archaic terms are avoided when vascular lesions are described. Knowledge of the various malformations (including common conditions, such as venous malformation, arteriovenous fistula, and arteriovenous malformation) and vascular tumors allows for timely diagnosis and appropriate management.

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Background: Tetralogy of Fallot (ToF) is the most common form of cyanotic congenital heart disease, where right ventricular (RV) function is an important determinant of subsequent intervention.

Objective: In this study, we evaluate the feasibility of fast strain-encoding (fastSENC; a one-heartbeat sequence) magnetic resonance imaging (MRI) for assessing regional cardiac function in ToF.

Method: FastSENC was implemented to characterize regional circumferential (Ecc) and longitudinal (Ell) strains in the left ventricle (LV) and RV in post-repair ToF.

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