Publications by authors named "Sunil Srinivas"

Article Synopsis
  • The study focuses on isolated left main coronary artery (LMCA) ostial disease, a rare condition, analyzing its incidence, risk factors, and long-term outcomes.
  • Out of over 15,000 patients, only 28 had isolated LMCA ostial disease, revealing that these patients are generally younger and predominantly female with fewer coronary risk factors.
  • Results showed that although these patients have stable angina and better heart function, there is no significant difference in mortality compared to those with non-ostial LMCA disease over one year.
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Article Synopsis
  • The study aimed to explore how thrombolytic therapy affects the occurrence of ventricular septal rupture (VSR) in patients after a heart attack (myocardial infarction, MI).
  • It involved 30 patients with acute MI who developed VSR, finding that those receiving thrombolytic treatment had a significantly shorter time to VSR formation compared to those who did not.
  • Despite this earlier presentation, there was no significant difference in overall mortality between patients who received thrombolytic therapy and those who did not, although surgical intervention was associated with lower mortality rates.
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Coronary artery perforation is a rare but catastrophic complication of percutaneous coronary intervention (PCI). Grade III coronary perforation and rupture invariably results in pericardial effusion and tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the opportunity to treat coronary artery perforation.

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A 4-month-old male infant presented with recurrent cough for 2 months. He had a shortened right upper limb with absent right thumb and continuous murmur in the left parasternal area. The X-ray showed an absent radius and the first metacarpal and phalyngeal bones on the right side.

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Thrombus formation in left ventricular outflow tract (LVOT) of a normal heart is a very rare occurrence. A 23-year-old male who presented with syncope, on evaluation found to have obstructing mass in the LVOT. His heart was otherwise normal.

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Achondroplastic individuals are associated with increased cardiac risk when compared to the general population. Coronary interventions in patients with achondroplasia have not been studied previously. We report the case of a 32-year-old male smoker with achondroplasia who presented with acute chest pain of 3 hours duration.

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A 56-year-old man with multiple risk factors undergoing evaluation for chest pain developed ST elevations in multiple leads during exercise stress test. These ST elevations were not classical of ischaemic pattern. The coronary angiogram showed normal coronaries.

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A 78-year-old man admitted with complaints of breathlessness of 1 year and typical chest pain of 2 months duration. He had a blunt chest trauma 7 years back. Transthoracic echocardiography revealed severe tricuspid regurgitation due to a flail anterior leaflet of the tricuspid valve.

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