Indian heart journal
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Indian heart journal · Mar 2009
Case ReportsLife threatening protamine reaction during bypass surgery--a case report.
An anaphylactic reaction to protamine sulphate during cardiac surgery is a rare but known entity. Preoperative prediction and outcome of such a reaction is still unclear. We report a case of severe anaphylactic reaction to protamine sulphate in a diabetic while performing beating heart bypass surgery. We also reviewed the literature and discussed the management of such cases.
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Indian heart journal · Mar 2009
EditorialDiastolic heart failure: a clinical challenge early recognition & timely intervention is the need of the hour.
Diastolic Heart failure (DHF) is the major cause of morbidity and mortality all over the world. It is responsible for more than 50% of the heart failure cases. New onset of symptomatic DHF is a lethal disease with a 5-yr mortality of approximately 50%. ⋯ Therefore early recognition of DHF in relatively asymptomatic or less symptomatic patients with occult LV diastolic dysfunction is a real challenge. Recently it has been shown that reduction in left atrial strain and strain rate and increase in left atrial (LA) stiffness index has a high predictive value for detection of occult LV diastolic dysfunction. Thus early recognition of occult DHF and timely therapeutic intervention may help in prognostic stratification in DHF.
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Paced rhythms can mask ECG changes of several conditions. ECG changes due to hyperkalemia during paced rhythm have not been well described. We report a patient with isolated noncompaction of left ventricle with left ventricular dysfunction and complete heart block on a permanent pacemaker who developed hyperkalemia. Typical ECG changes of hyperkalemia including widening of QRS complex and sine waves were seen even during paced rhythm that reverted with correction of hyperkalemia.
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Indian heart journal · Jan 2009
Extracorporeal membrane oxygenation in postoperative pediatric cardiac surgical cases.
We prospectively analyzed the results of extracorporeal membrane oxygenation (ECMO) done in our Pediatric Cardiac Unit from January to December 2007. We present a series of nine patients who required ECMO after open heart surgery for congenital heart disease (CHD). ⋯ The survival rate was 100% in patients who were electively put on ECMO after intracardiac repair for tetralogy of fallot, 50% in patients who were put on ECMO following the arterial switch operation and 50% in patients who were put on ECMO after VSD closure. Our results seem to suggest that patients placed on ECMO electively rather than after a cardiac arrest posts congenital cardiac surgeries have a better outcome.
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Indian heart journal · Nov 2008
ReviewCatheter interventions in miscellaneous lesions in CHD: ruptured sinus of Valsalva, coronary arteriovenous fistulas, and pulmonary arteriovenous fistulas.
This article reviews the transcatheter interventions for ruptured sinus of Valsalva, coronary arteriovenous fistulas, and pulmonary arteriovenous fistulas. The current day indications, the required hardware, and divergent techniques are described at length. ⋯ We shall review in this article the catheter interventions for these rare miscellaneous lesions in congenital heart disease (CHD)-rupture of sinus of Valsalva, coronary arteriovenous (AV) fistulas, and pulmonary AV fistulas. The indication and recommendation for the transcatheter intervention, the necessary hardware and technique, and the review of published data in this regard will be dealt in details.