Monthly Archives: November 2013

Evaluation of transmitral pressure gradients in the intraoperative echocardiographic diagnosis of mitral stenosis after mitral valve repair

Mitral valve repair has become the procedure of choice for patients with significant MV dysfunction of most etiologies [1], [2]. Repair of the MV is reportedly superior to replacement since it is associated with better preservation of valve tissue, subvalvular apparatus and left ventricular function, as well as improved long-term survival.

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Prognostic utility of biomarkers in predicting of one-year outcomes in patients with aortic stenosis treated with transcatheter or surgical aortic valve implantation

Transcatheter aortic valve implantation (TAVI) is a treatment option for patients with severe aortic stenosis (AS), who are considered poor candidates for surgical aortic valve replacement (SAVR) primarily due to comorbidities. According to a previous study, 30-day and 6-month survival rates following TAVI and SAVR were comparable, but…

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High Prevalence of Cardio-Metabolic Risk Factors in a Young Urban Sri-Lankan Population

Type 2 Diabetes Mellitus (T2DM) and associated cardiovascular complications pose a major health care burden worldwide. Recent data indicates that South Asia is one of the major sites of this epidemic of T2DM with a projected 72% increase in the number of subjects with T2DM in the next 20 years [1]. In parallel there is an epidemic of pre-diabetes [impaired glucose tolerance (IGT) and impaired fasting glycaemia (IFG)] with prevalence rates between 10–15% reported in South Asian adult populations.

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Preliminary study of prospective ECG-gated 320-detector CT coronary angiography in patients with ventricular premature beats

Coronary CTA is currently the first choice for non-invasive diagnosis of coronary artery disease (CAD). This method has high diagnostic accuracy [1], [2], but its accuracy is influenced by heart rate, rhythm, and other factors. The width coverage of 320-detector CT is 16cm, so a single CT snapshot can cover the whole heart.

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Clinical outcome of high-risk patients with severe aortic stenosis and reduced left ventricular ejection fraction undergoing medical treatment or TAVI

Reduced left ventricular ejection fraction (LVEF) among patients with severe aortic stenosis importantly impacts prognosis in patients treated conservatively, and increases peri-operative risk in patients undergoing surgical aortic valve replacement (SAVR) [1]–[4]. Although mechanical relief of aortic outflow obstruction as accomplished by SAVR has been shown to…

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Diagnosis of visceral leishmaniasis in Bihar India

Visceral leishmaniasis (VL), also known as Kala-azar in the Indian subcontinent is a neglected tropical disease caused by Leishmania donovani (L. donovani) that is transmitted by the bite of an infected sandfly [1]. VL is highly endemic in the Indian subcontinent and in East Africa. Since VL is a fatal disease, it is essential that the diagnosis be as sensitive as possible.

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Adverse respiratory health and hematological alterations among agricultural workers occupationally exposed to organophosphate pesticides

In developing countries including India, agricultural workers who are engaged in the occupation of spraying pesticides in crops get the direct exposure of pesticides due to unsafe and non-preventive work practices.

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Posted in Primary Care, Respiratory | Tagged , | Leave a comment
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