Indian heart journal
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Indian heart journal · Nov 2001
Case ReportsTreatment of recurrent attacks of supraventricular tachycardia during pregnancy causing complications in both mother and fetus.
Cardiac arrhythmias including supraventricular tachycardia are commonly encountered during pregnancy. The case of a young Indian woman with recurrent attacks of supraventricular tachycardia during pregnancy which was managed with adenosine and verapamil is reported. The possible mechanisms of maternal and fetal complications are discussed.
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Indian heart journal · Nov 2001
Case ReportsEmergency transcatheter balloon recanalization of acutely thrombosed modified Blalock-Taussig shunts.
Modified Blalock-Taussig shunts are used to palliate a variety of cyanotic heart diseases associated with reduced pulmonary blood flow. Acute shunt thrombosis in patients with shunt-dependent pulmonary blood flow can result in life-threatening hypoxia. We describe our experience of emergency transcatheter recanalization in 5 severely hypoxic children with acute shunt occlusion. ⋯ Transcatheter recanalization of an acutely thrombosed Blalock-Taussig shunt is feasible. It can offer satisfactory short-term palliation in selected patients. Stents may play a role in patients with residual narrowing after dilatation. The procedure can be expeditiously accomplished in an emergency situation in a severely hypoxic child and may be a realistic alternative to surgery or thrombolysis.
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Indian heart journal · May 2001
Clinical TrialIs off-pump coronary artery bypass surgery safe for left main coronary artery stenosis?
The feasibility of off-pump coronary artery bypass surgery has been well demonstrated. The purpose of the present study was to assess the safety and efficacy of off-pump coronary artery surgery in patients with left main coronary artery disease. ⋯ Off-pump coronary artery bypass surgery is safe and effective for patients with left main coronary artery disease.
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Indian heart journal · May 2001
Prescribing patterns and cost of antihypertensive drugs in an internal medicine clinic.
Antihypertensive agents are selected primarily for their ability to prevent morbidity and mortality related to hypertension. ⋯ The results of our study emphasize the need to encourage frequent use of diuretics. Since the costs of different antihypertensives vary considerably, newer and relatively expensive antihypertensives should be prescribed only when clearly indicated.