120 results match your criteria: "U N Mehta Institute of Cardiology and Research Centre[Affiliation]"

Background: Cardiovascular diseases (CVDs) are one of the most prevalent causes of mortality worldwide, especially significant in low- and middle-income countries. Kyrgyzstan and India represent such nations that face a huge burden of CVD-related deaths globally. Understanding the prevalence of traditional cardiovascular risk factors (CVRFs) in these populations is critical for effective prevention and management strategies.

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Atrial septal defects are among the most prevalent congenital anomalies necessitating surgical intervention. Thrombus formation is a recognized complication that is typically characterized by an embolic event following patch-based repair. However, thromboembolic complications following primary repair of atrial septal defects are exceedingly uncommon.

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NSTEMI and Ischemic Mitral Regurgitation: Incidence and Long-Term Clinical Outcomes with Respect to Management Strategy.

Arq Bras Cardiol

November 2024

Department of Research, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Gujarat - Índia.

Background: The optimal treatment for ischemic mitral regurgitation (IMR) in patients of non-ST elevation myocardial infarction (NSTEMI) is a debated topic.

Objective: To evaluate the long term outcome on patients with NSTEMI and IMR, particularly emphasizing the comparison of treatments in those with moderate to severe MR.

Methods: We enrolled patients with NSTEMI and classified non/trivial to mild regurgitation as insignificant IMR and moderate to severe regurgitation as significant IMR.

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Anatomical variations in cardiac venous anatomy can occur. This case highlights an extremely rare anomaly of the great cardiac vein draining into the superior vena cava (SVC) depicted by computed tomography coronary angiography.

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Paroxysmal Hypertension: A Grave Cause.

J Assoc Physicians India

December 2024

Associate Professor, U N Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

A 62-year-old lady was referred with the diagnosis of hypertensive encephalopathy. She had episodes of paroxysms of hypertension while on the ventilator with normal saturations. She underwent a battery of tests to identify the cause of the paroxysms.

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Aims And Objectives: The incidence of postoperative liver dysfunction is high in patients undergoing double-valve replacement - mitral and aortic valve replacement (DVR). This study aims to evaluate N-acetylcysteine's free radical scavenging property (NAC) to prevent postoperative liver dysfunction in these patients, thus affecting overall clinical outcomes.

Methods: A single-center, prospective, randomized, double-blinded interventional study of 60 patients divided into two groups of 30 each.

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Article Synopsis
  • Acute kidney injury (AKI) is common in patients with ST-elevation myocardial infarction and cardiogenic shock, particularly in low- and middle-income countries, showing a higher incidence compared to developed nations.
  • A study conducted in North India from 2016 to 2022 revealed that 45.5% of patients with this condition developed AKI, with several clinical factors (like heart failure and non-revascularization) identified as predictors.
  • AKI was found to significantly increase the risk of in-hospital mortality, indicating a need for further research on prevention and management strategies in resource-limited settings.
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Dissecting aneurysm of sinus of Valsalva into interventricular septum and rupturing into left ventricle through multiple sinuses: a rare case report.

Eur Heart J Case Rep

August 2024

Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat, India.

Article Synopsis
  • Ruptured sinus of Valsalva (RSOV) is a rare heart condition mainly affecting the right coronary sinus or the non-coronary sinus, typically resulting in ruptures into right-sided heart chambers.
  • A 24-year-old male patient exhibited symptoms like fatigue and chest pain, with diagnostic imaging revealing multiple sinus of Valsalva aneurysms affecting both the right and left coronary sinuses, necessitating successful surgical repair.
  • The involvement of multiple sinuses and ruptures into the interventricular septum are very rare, with significant risks like complete heart block and sudden death, highlighting the importance of thorough diagnostic methods and timely treatment.
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Surgical outcomes of right atrial mass: 5 years of experience.

Indian J Thorac Cardiovasc Surg

September 2024

Department of Cardiothoracic and Vascular Surgery, U.N Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat India.

Cardiac masses are relatively rare, with a right atrial mass being even more rare. Right atrial masses pose a diagnostic dilemma owing to the diverse range of potential diagnoses, even when the clinical context and initial imaging modalities are thoroughly evaluated. A right atrial mass can have a varied etiology as it can be a physiological variant, or a neoplastic or a non-neoplastic mass with each having a separate line of management.

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To Evaluate Efficiency of Various Coronary Artery Disease Risk Scores With Traditional Risk Factors in Patients Undergoing Coronary Angiography.

J Saudi Heart Assoc

July 2024

Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, 380016, Gujarat, India.

Objective: To analyze and compare various cardiovascular disease risk scores in Western Indian patients undergoing Coronary angiogram (CAG).

Methods: In this prospective cross-sectional study, 1213 patients who underwent conventional coronary angiography; clinical risk profile and biochemical investigations were evaluated prior to undergoing CAG. Apart from the demographic information, 10-year absolute risk of having a major cardiovascular event (cardiovascular death, myocardial infarction or stroke) was calculated for each patient using various available Traditional Risk Scores (TRS).

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Analysis of ST segment depression in supraventricular tachycardia and its relationship with underlying mechanism.

Indian Pacing Electrophysiol J

July 2024

Department of Research, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, 380016, Gujarat, India. Electronic address:

Background: Electrocardiographic diagnosis of causes of supraventricular tachycardia (SVT) is sometimes difficult and application of routine algorithms can lead to misdiagnosis in as many as 37 % of patients. ST segment depression may be useful in diagnosing the nature of SVT.

Methods: We reviewed surface electrocardiogram (ECG) characteristics of 300 patients having SVT with 1:1 AV relationship and correlated findings with electrophysiology study (EPS) findings.

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A case of contained rupture of the superior mesenteric artery with no distal flow causing mesenteric ischemia following double heart valve replacement surgery.

Indian J Thorac Cardiovasc Surg

July 2024

Department of Pathology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat 380016 India.

A visceral artery aneurysm (VAA) is a very rare and lethal vascular anomaly with dramatic consequences. The overall incidence of VAA is 5% of all abdominal artery aneurysms. The involvement of the superior mesenteric artery is even rare (incidence of 3.

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Left pulmonary artery sling with right upper lobe pulmonary artery arising from left pulmonary artery with tetralogy of Fallot.

Indian J Thorac Cardiovasc Surg

July 2024

Department of Pediatric Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre (Affiliated to B. J. Medical College), New Civil Hospital Campus, AsarwaAhmedabad, 380016 Gujarat India.

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Unveiling the complexity: coexistence of rheumatic heart disease and pulmonary arteriovenous malformation-a unique case report.

Eur Heart J Case Rep

June 2024

Department of cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat, India.

Article Synopsis
  • The case report discusses a rare coexistence of rheumatic heart disease (RHD) and pulmonary arteriovenous malformation (PAVM) in a 47-year-old female patient, presenting unique diagnostic and treatment challenges.
  • The patient exhibited symptoms like difficulty breathing and cyanosis, and imaging confirmed both RHD and multiple PAVMs in her left lung, leading to a customized treatment plan.
  • The report emphasizes the need for a multidisciplinary approach in managing patients with overlapping cardiac and pulmonary conditions, highlighting the importance of individualized care for better patient outcomes.
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The Gender Spectrum of In-hospital Survival Post Primary Percutaneous Coronary Intervention for ST Elevation Myocardial Infarction: Exploring Age-driven Trends.

J Saudi Heart Assoc

May 2024

Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre (UNMICRC), Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India.

Background: The study was aimed to evaluate gender difference and age & gender specific interaction of in-hospital outcomes of patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI).

Methods: This was a prospective cohort study of 1748 patients with STEMI undergoing primary PCI. The study was dichotomised according to gender to evaluate the difference in the outcome.

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A 6-month-old infant was operated on for supracardiac total anomalous pulmonary venous connection (TAPVC) with usual anatomy. The vertical vein was ligated. Weaning from bypass was attempted twice but was unsuccessful.

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: Acute myocardial infarction (AMI) stands as one of the most catastrophic occurrences in the progression of coronary artery disease. Measuring QT dispersion (QTd) is a fairly straightforward and noninvasive technique for predicting mortality in patients at high risk following a myocardial infarction (MI). : To measure the QT, corrected QT interval (QTc), QTd, and corrected QT dispersion (QTcd) intervals before and after thrombolysis in patients with AMI and to determine prognostic implications of QTd in AMI.

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An Unusual Presentation of Takotsubo Cardiomyopathy: A Case Report.

J Tehran Heart Cent

October 2023

Department of Cardiology, U. N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Gujarat, India.

Tachyarrhythmias have been well-defined in patients with Takotsubo cardiomyopathy (TTCM) and are estimated to occur in almost 13.5% of patients. However, limited data are available on bradyarrhythmias in patients with TTCM.

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