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  • Sheri-i-Kashmir Institute of Medical Sciences  (2)
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  • Sheri-i-Kashmir Institute of Medical Sciences  (2)
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  • 1
    Online Resource
    Online Resource
    Sheri-i-Kashmir Institute of Medical Sciences ; 2011
    In:  JMS SKIMS Vol. 14, No. 2 ( 2011-12-20), p. 46-51
    In: JMS SKIMS, Sheri-i-Kashmir Institute of Medical Sciences, Vol. 14, No. 2 ( 2011-12-20), p. 46-51
    Abstract: BACKGROUND: Cardiac syndrome X is a subject with yet unsettled etiology and management. Conventional investigations have not been able to establish that chest pain is due to myocardial ischemia. Magnetic resonance imaging has higher resolution and is more accurate for detecting ischemia. AIMS AND OBJECTIVES: To establish subendocardial ischemia as the cause of chest pain in cardiac syndrome X by virtue of stress perfusion cardiac MRI. METHODS: Contrast enhanced cardiac MRI was performed in 15 cases and 7 matched controls both at rest and during a six minute infusion of adenosine. Both visual and quantitive analysis were performed. In quantitative analysis both myocardial perfusion index and myocardial perfusion reserve index was measured. RESULTS: There was a significant increase in myocardial perfusion in both subendocardium as well as in subepicardium in both cases as well as in controls upon stress with adenosine. In controls the subendocardial perfusion index rose from 0.13 0.3 to 0.18 .03 and in the subepicardium from 0.12 .02 to 0.18 .03. In patients with cardiac syndrome X subendocardial perfusion index rose from 0.14 .03 to 0.19 .03 and subepicardial perfusion index rose from 0.13+.03 to 0.19 .03. Visual analysis showed short lasting subendocardial dark rim artificats in both cases and controls which lasted for only 3 to 5 beats. CONCLUSION: Our cardiovascular MR study of patients with cardiac syndrome X demonstrated significant and almost similar magnitude adenosine induced increase in both subendocardial and subepicardial myocardial perfusion indices in both study as well as control group. We found no evidence of subendocardial ischemia in patients with cardiac syndrome X. JMS 2011;14(2):46-51
    Type of Medium: Online Resource
    ISSN: 0972-110X , 0972-110X
    Language: Unknown
    Publisher: Sheri-i-Kashmir Institute of Medical Sciences
    Publication Date: 2011
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  • 2
    Online Resource
    Online Resource
    Sheri-i-Kashmir Institute of Medical Sciences ; 2009
    In:  JMS SKIMS Vol. 12, No. 2 ( 2009-12-13), p. 58-60
    In: JMS SKIMS, Sheri-i-Kashmir Institute of Medical Sciences, Vol. 12, No. 2 ( 2009-12-13), p. 58-60
    Abstract: Background & Objectives: Lifestyle diseases emerged as an important public health problem during the past few decades due to unhealthy practices adopted by the people and a definite increase in life expectancy as a result of improved living standards and control over most of the infectious diseases. These diseases account for a very major chunk of morbidity and mortality at the global level. However, they can be prevented if healthy lifestyles are adopted in early life. With this objective in mind, we started a program under the name of AASH at SKIMS. Material & Methods: One thousand three hundred and sixty nine college students were selected from different colleges of Srinagar and they were given a pretested close-ended proforma to assess the level of their knowledge about some of the lifestyle diseases. Then a series of lectures were given and their knowledge was again checked at the end by using the same proforma. Results: It was found that there was a 12,16, 65 and 12 percent increase in the level of awareness about the basic knowledge about Hypertension, Obesity, CAD and Diabetes respectively. Break up wise the impact level was also significant. Conclusion: The results showed that the level of knowledge before and after the intervention had increased very significantly. Hence such awareness programmes are needed more and more.J Med Sci.2009;12(2):58-60.
    Type of Medium: Online Resource
    ISSN: 0972-110X , 0972-110X
    Language: Unknown
    Publisher: Sheri-i-Kashmir Institute of Medical Sciences
    Publication Date: 2009
    Location Call Number Limitation Availability
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