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Iqbal K, Ali SM, Tramboo NA, Lone AA, Kaul S, Kaul N, Hafiz I. Patent ductus arteriosus device embolization. Images Paediatr Cardiol 2011; 13:1-5. [PMID: 22368567 PMCID: PMC3232595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Nonsurgical closure of patent ductus arteriosus (PDA) using a duct occluder placed percutaneously is currently the first line of therapy and the success rate is quite high. Several devices are currently available. An eight year child underwent device closure of the ductus. However after deployment of the device it, became dislodged into the left pulmonary artery. Several attempts at catheter retrieval failed. The child underwent successful surgical removal of the device without cardiopulmonary bypass.
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Affiliation(s)
- K Iqbal
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
| | - SM Ali
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India,Contact information: Syed Manzoor Ali, 53 Balgarden, Karan Nagar, Srinagar, J&K, India Tel 0194-2479712, Fax: 0194-2406782
| | - NA Tramboo
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
| | - AA Lone
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
| | - S Kaul
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
| | - N Kaul
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
| | - I Hafiz
- Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India
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Abstract
Noonan's syndrome is a relatively common, multiple congenital anomaly syndrome, genetically inherited as an autosomal dominant disorder with variable penetrance. It is defined by a characteristic phenotype, congenital heart disease, ocular defects and mild mental retardation. Molecular studies have confirmed that it is a heterogeneous disorder and there may be evidence for an autosomal recessive mode of inheritance.1 The gene responsible for Noonan' syndrome has been mapped to the long arm of chromosome 12.2,3 The human deltex gene (DLT x 1), mapping to chromosomal region 12q24 in the vicinity of the Noonan's syndrome critical region is being evaluated as a candidate gene for this disorder.4 Various types of musculoskeletal abnormalities have been reported, including short stature, craniofacial dysmorphism, short or webbed neck and fetal pads in fingers and toes.5 We report five cases with the unusual physical features of overriding toes and simian creases. Such abnormalities can be considered among the minor manifestations of the syndrome.
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Affiliation(s)
- N A Tramboo
- Department of Cardiology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India
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Abstract
We assessed the reliability of early (first day) plasma lipid measurements in patients admitted with acute myocardial infarction or unstable angina pectoris. In 55 such patients, plasma levels of cholesterol and triglycerides measured within the first 24 hours after admission were significantly lower than the corresponding values at 6 weeks, which means that even very early in-hospital lipid measurements could lead to potentially serious underestimation of the lipid risk in these patients ad defined by the current criteria.
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Affiliation(s)
- M A Rauoof
- Department of Cardiology (Division II) Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
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Tramboo NA, Iqbal K, Malik AR, Naikoo BA, Dar MA. Acute rheumatic fever in Noonan syndrome. Indian J Pediatr 2000; 67:605-7. [PMID: 10985006 DOI: 10.1007/bf02758497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Khan KA, Jalal S, Jan VM, Lone GM, Jan R, Alai MS, Iqbal K, Tramboo NA, Lone NA, Rather HA, Dar MA. Pulmonary function profile in chronic congestive heart failure and the effect of ipratropium bromide. Indian Heart J 2000; 52:297-300. [PMID: 10976150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Twenty-five symptomatic patients of chronic heart failure were subjected to spirometry to detect abnormalities of pulmonary function and to assess the effect of ipratropium bromide in reversing or minimising these abnormalities. All the patients exhibited abnormal pulmonary function manifesting as obstructive (15/25) or restrictive (10/25) ventilatory defect. There was overall improvement in lung functions with ipratropium bromide especially in those with obstructive ventilatory defects and mostly comprised of smokers. Forced expiratory volume in one second increased by 47.7 percent (p < 0.02), forced expiratory volume in one second/forced vital capacity ratio by 14.1 percent (p < 0.001) and maximal voluntary ventilation by 40.6 percent (p < 0.05) in these patients. It is concluded that ipratropium bromide can prove as a promising adjunctive therapeutic intervention in improving quality of life in patients of chronic congestive heart failure who are incapacitated by dyspnoea and have clearly documented ventilatory defects.
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Affiliation(s)
- K A Khan
- Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar
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Jan V, Jalal S, Aslam K, Iqbal K, Tramboo N, Alai MS, Rather H, Lone N. Immune response in acute coronary syndromes. Indian Heart J 1999; 51:515-20. [PMID: 10721642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
Inflammatory response in the atherosclerotic lesions of coronary artery disease, mediated by cellular immune mechanisms is well appreciated. The significance of the immuno-inflammatory processes for the development of acute ischaemic sequelae of these lesions remains unsettled. Fifty patients of acute coronary syndromes were studied for complement components and immunoglobin levels by single radial immunodiffusion method. Twenty-eight patients of acute myocardial infarction showed significantly lower levels of complement components C3 and C4 at admission (C3--69.19 +/- 12.91 mg% compared to 82.40 +/- 9.26 mg% in controls, p < 0.01; C4--14.56 +/- 2.46 mg% compared to 18.53 +/- 2.69 mg% in controls, p < 0.01). Twenty-two patients of unstable angina did not show any significant change (C3--83.14 +/- 8.01 mg% and C4--19.07 +/- 4.47 mg%). Sixteen patients of acute myocardial infarction who were thrombolysed with streptokinase showed a steep rise in the levels of complement components immediately after thrombolysis (C3--69.19 +/- 12.91 mg% before and 100.56 +/- 17.09 mg% after thrombolysis, p < 0.001; C4--14.56 +/- 2.46 mg% before and 21.48 +/- 4.78 mg% after thrombolysis, p < 0.001). Plasma C3 and C4 levels in acute myocardial infarction showed no relationship with peak CPK levels. Plasma immunoglobulins remained unchanged in patients of acute coronary syndromes.
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Affiliation(s)
- V Jan
- Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar
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Zargar AH, Laway BA, Masoodi SR, Wani AI, Bashir MI, Tramboo NA, Khan FA. Paget's disease of the bone. Saudi Med J 1999; 20:629-632. [PMID: 27645185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Full text is available as a scanned copy of the original print version.
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Affiliation(s)
- A H Zargar
- Sher-i-Kashmir, Institute of Medical Sciences, Srinagar, Kashmir, India
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Jalal S, Rather HA, Khan KA, Jan VM, Alai MS, Lone NA, Dar MA, Iqbal K, Tramboo NA. The role of myoglobin in early detection of acute myocardial infarction. J Assoc Physicians India 1999; 47:846. [PMID: 10778646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
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Jalal S, Alai MS, Khan KA, Jan VM, Rather HA, Iqbal K, Tramboo NA, Lone NA, Dar MA, Hayat A, Abbas SM. Silent myocardial ischemia and cardiac autonomic neuropathy in diabetics. J Assoc Physicians India 1999; 47:767-9. [PMID: 10778618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
OBJECTIVE To evaluate the association of silent myocardial ischemia (SMI) with cardiac autonomic neuropathy in asymptomatic diabetic patients. MATERIAL AND METHODS Two hundred asymptomatic patients of diabetes mellitus were assessed for evidence of cardiac autonomic neuropathy. Of these, 30 (15 males, 15 females; mean age 44.7 +/- 8.8 years) were found to have cardiac autonomic neuropathy. Thirty (30) age and sex matched diabetic patients (mean age 42.4 +/- 7.6 years) who had no evidence autonomic neuropathy were included in the study as control group. Both the groups of patients were evaluated for SMI by 24 hour ambulatory electrocardiographic (ECG) monitoring. RESULTS Incidence of SMI was significantly higher in patients with autonomic neuropathy 12/30 (40%) compared to those without 3/30 (10%) p < 0.001. Duration of diabetes was more (13 +/- 1.59 years) in patients with autonomic neuropathy compared to the control group (8.66 +/- 1.55 years) p < 0.001. Serum cholesterol and triglyceride levels were significantly higher in patients with autonomic neuropathy in comparison to control group < 0.05 and < 0.01, respectively. There was no difference in the pattern of SMI in the two groups (p = N.S). CONCLUSION Cardiac autonomic neuropathy predisposes patients with diabetes mellitus to SMI. Twenty four hour ambulatory ECG monitoring provides useful diagnostic information in early detection and evaluation of SMI in asymptomatic diabetic patients.
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Affiliation(s)
- S Jalal
- Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar
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Abstract
5-Fluorouracil is an S-phase-specific, synthetic pyrimidine antimetabolite, which is used as a cytostatic agent for a variety of malignant lesions, either singly or in multidrug regimens. Gastrointestinal toxicity and myelosuppression are the most common adverse reactions, but, of late, clinical cardiotoxicity has been reported in both prospective and retrospective studies. We present our experience of clinical cardiotoxicity in five patients.
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Affiliation(s)
- S A Aziz
- Sheri Kashmir Institute of Medical Sciences, Srinagar, India
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Jalal S, Khan KA, Alai MS, Jan V, Iqbal K, Tramboo NA, Rather HA, Lone NA, Dar MA. Clinical spectrum of infective endocarditis: 15 years experience. Indian Heart J 1998; 50:516-9. [PMID: 10052275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023] Open
Abstract
Four hundred and sixty-six patients (277 males, 189 females; mean age 23.2 years) diagnosed as cases of infective endocarditis during the past 15 years were retrospectively analysed. Two-thirds of patients belonged to the 15 to 35 years age group. The most common predisposing cardiac lesion was rheumatic heart disease seen in 73.4 percent patients. Mitral valve prolapse and right-sided endocarditis were infrequent, seen in four patients each. Blood culture positivity was 28.7 percent in adults and 61 percent in children. Commonest organism isolated was staphylococcus aureus in adults (39.3%) and streptococcus viridans in children (48%). Salmonella typhi was detected in 17 patients and showed excellent response to ciprofloxacin and gentamycin. Overall mortality was 13.9 percent and resistant heart failure was the leading cause of death. Our study presents the clinical spectrum of infective endocarditis and highlights the comparison with western studies.
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Affiliation(s)
- S Jalal
- Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar
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