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  • 1
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    Outcome in Cardiac Electrophysiology and Radiofrequency Ablation of Atrioventricular Reciprocating Tachycardia - A Single Center Experience
    Bangladesh Academy of Sciences ; 2022
    In:  Cardiovascular Journal Vol. 15, No. 1 ( 2022-10-10), p. 20-25
    Details
    In: Cardiovascular Journal, Bangladesh Academy of Sciences, Vol. 15, No. 1 ( 2022-10-10), p. 20-25
    Abstract: Background: Radiofrequency catheter ablation is a curative modality of treatment for paroxysmal supraventricular tachycardia. The aim of our study was to evaluate our experience of electrophysiology procedures and radiofrequency ablation in atrioventricular reciprocating tachycardia (AVRT). Methods: All patients undergoing cardiac electrophysiology and radiofrequency ablation procedures during the period from July, 2019 to July, 2021 at Department of Cardiology, Evercare Hospital, Dhaka were included in this study. The study analyzed 141 patients of among them 75(53.2%) patients were male and 66(46.8%) were female. Results: Patients who came with AVRT, 91 (65%) had concealed and 50 (35%) had manifested. The overall short term success rate was 99 %. There was no difference in the success rates between the younger and older patients. Complication rate is lower side of the spectrum, which is 1.4% (four patients). Conclusion: Radiofrequency ablation is a safe and successful treatment modality for patients with atrioventricular reciprocating tachycardia in this real - world study. Cardiovasc j 2022; 15(1): 20-25
    Type of Medium: Online Resource
    ISSN: 2309-6357 , 2071-0917
    URL: Article
    DOI: 10.3329/cardio.v15i1.61906
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2022
    detail.hit.zdb_id: 2586638-2
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  • 2
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    Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy: A case Report
    Bangladesh Academy of Sciences ; 2022
    In:  Cardiovascular Journal Vol. 15, No. 1 ( 2022-10-10), p. 95-99
    Details
    In: Cardiovascular Journal, Bangladesh Academy of Sciences, Vol. 15, No. 1 ( 2022-10-10), p. 95-99
    Abstract: Alcohol septal ablation (ASA) has shown to be a safe and effective procedure for treatment of symptomatic hypertrophic obstructive cardiomyopathy (HOCM) for more than 20 years with results similar to those of surgical myectomy. The first septal branch of the left anterior descending artery (LAD) is located and 96% alcohol is instilled to induce an artificial myocardial infarction and necrosis at the base of the hypertrophied septum. Now we present our first experience of a patient with HOCM with a very high left ventricular outflow tract gradient who had successful alcohol septal ablation. Cardiovasc j 2022; 15(1): 95-99
    Type of Medium: Online Resource
    ISSN: 2309-6357 , 2071-0917
    URL: Article
    DOI: 10.3329/cardio.v15i1.61918
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2022
    detail.hit.zdb_id: 2586638-2
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  • 3
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    Pharmacoinvasive Therapy in Treating Acute STEMI Patients in Covid-19 Era
    Bangladesh Academy of Sciences ; 2023
    In:  Cardiovascular Journal Vol. 15, No. 2 ( 2023-04-26), p. 136-143
    Details
    In: Cardiovascular Journal, Bangladesh Academy of Sciences, Vol. 15, No. 2 ( 2023-04-26), p. 136-143
    Abstract: Background: Treating acute ST segment elevated myocardial infarction (STEMI) patients by primary PCI (pPCI) has dramatically fallen globally in covid era as there is chances of potential threat of spreading COVID among the non-COVID patients. Thereby, thrombolysis of acute STEMI patient in grey zone till COVID RT PCR report to come, was the mode of treatment of acute myocardial infarction patient in our hospital. We have carried out this prospective observational study to see the outcomes of thrombolysis and subsequent intervention. Methods: STEMI patient who presented to our emergency department with chest pain and ECG and hs-Troponin-I evidenced acute STEMI, were enrolled in the study. Total 139 patients enrolled (Male:120, Female :54); average age for Male: 54 yrs., female was: 56yrs. All patients were admitted in the grey zone of CCU where thrombolysis was done.  COVID-19 patients were excluded from intervention and managed conservatively. Covid Negative patients were kept transferred to CCU green zone. On average 2.1 days after Fibrinolysis, elective PCI carried out. Data analysis from 48 patients who underwent pharmacoinvasive therapy was done. Results: Among the study population, Covid-19 positive was in 11 (7.9%) patients and Covid-19 was negative in 128 (92.1%) patients. Primary PCI was performed in 7 (5.03%) patients. Rest of the patients were managed by Pharmacoinvasive therapy. Thrombolysis by Tenecteplase (TNK) was done in 89 (64%) patients, and by Streptokinase in 25 (17.9%) patients, 18 (12.9%) patients did not receive any thrombolysis due to late presentation. Chest pain to needle time was 7.2 ±12.7hrs., thrombolysis to balloon time was 117.5 ±314.8hrs. More than 50% stenosis resolution observed in 20 (41.6%) patients, chest pain resolution within one hour of thrombolysis observed in 21 (43.8%) patients. Ten (20.8%) patients developed. Door to needle time was 30 mins. Total, 88 stents were deployed in 83 territories. CABG was recommended for 7 (5.03%) patients. Stented territory was LAD 37 (45.7%) and RCA 32 (39.5%) and LCX 12 (14.8%). Conclusion: In the era of COVID-19, in this prospective cohort study, on acute STEMI patient management, we found that Pharmacoinvasive therapy, reduced patients’ symptoms and ST resolution occurred partially. Cardiovasc j 2023; 15(2): 136-143
    Type of Medium: Online Resource
    ISSN: 2309-6357 , 2071-0917
    URL: Article
    DOI: 10.3329/cardio.v15i2.65628
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2023
    detail.hit.zdb_id: 2586638-2
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  • 4
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    A Case Report on Chronic Digoxin Toxicity
    Bangladesh Academy of Sciences ; 2021
    In:  Bangladesh Heart Journal Vol. 36, No. 2 ( 2021-10-31), p. 139-144
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 36, No. 2 ( 2021-10-31), p. 139-144
    Abstract: Digitalis glycosides are among the oldest drugs used in cardiology. Nowadays, due to the limited indications for their use (advanced heart failure, usually concomitant with atrial fibrillation), cases of toxicity induced by this class of drugs are rarely observed. Digoxin produces a positive inotropic and bathmotropic effect on the heart, but has a negative chronotropic and dromotropic effect. Cardiac glycosides have a narrow therapeutic window, so digitalis treatment can easily lead to symptoms of overdose. In patients taking digoxin, the drug therapeutic level should be maintained at 1-2 ng/ml; the toxic effects occur at concentrations 〉 2.8 ng/ml and are mainly related to disturbances of cardiac function and of the circulatory system, as well as gastrointestinal symptoms and CNS disturbances. Here, a 65-years-old patient who was hospitalized following chronic ingestion with acute renal impairment. In spite of rapidly applied gastric irrigation and administration of activated charcoal, the drug level in the patient’s blood was estimated at 8.5 ng/ml. During her stay on the ward, typical symptoms of severe toxicity were observed: from gastric symptoms (severe nausea, vomiting) to conduction disturbances. Type I, moitz type 1 and 2 AV blocks were detected, as well as some supraventricular extrasystoles. These conduction disorders required the use of temporary endocardial pacing. Due to the unavailability of specific antidotes (antidigitalis antibodies) and lack of efficient methods of extracorporeal elimination of the drug, symptomatic treatment comprising the correction of electrolyte disturbances and heart rate control remains the most effective. Bangladesh Heart Journal 2021; 36(2): 139-144
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v36i2.56040
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2021
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  • 5
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    Safety of Longer Size Stent in Treating De-Novo Long Coronary Lesion: Outcome at 1.5 Years Follow-Up, A Single Center Experience
    Bangladesh Academy of Sciences ; 2018
    In:  Bangladesh Heart Journal Vol. 33, No. 2 ( 2018-12-28), p. 106-111
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 33, No. 2 ( 2018-12-28), p. 106-111
    Abstract: Background: Percutaneous coronary intervention (PCI) of long lesions by long single stent or overlapping multiple stent might have higher incidences of ISR due to increased metal burden as well as coronary intervention increase cost of hospital stay. Therefore, our primary aim of our study was to evaluate the longterm safety of treating long lesion by a single longer size stent and its follow-up by coronary angiogram and or clinical evaluation at our OPD. Methods: patient who had gone through PCI from the year 2014 to mid Oct 2017 at our center, had longer lesion and were treated by more than 38mmstent were selected and analyzed. Total 255(Male 213: Female 42) patients were enrolled in this study, underwent elective PCI and follow up CAG at on average 1.5 yrs. Total 267 stents were deployed in 255 patients, in some of the patient had double vessel disease to treat. Mean age for both male: female was(55 :56) yrs. Associated Coronary artery disease (CAD) risk factors were Dyslipidemia, Hypertension, Diabetes Mellitus, Positive FH for CAD and Smoking (all male), CKD, Hypothyroidism. Results: Among the study group; 192 (75.3 %) were hypertensive; 189(74.1%) were Dyslipidemic, 126(49.4%) patients were Diabetic, positive FH 74(29.4 %), CKD 8 (3.1%), Hypothyroidism 2 (0.8%) and 104(40.8%) were all male smoker. Common stented territory was, LAD 126(49.4%), RCA 115(45.1%), and LCX 24(9.4%).Among the total patient population, Single vessel stented were 236 (92.5%) and DVD 19 (7.5%). Total 267 stents were deployed, among them 48mm were in total 159 (59.6%); among 40 mm were stented in 61(22.8%) and 38 mm in 47(17.6%) vessels. At an average follow-up period of 1.5 years, all stented territory remain patent without any residual stenosis. Conclusion: We conclude that treating de-novo coronary long lesion by a single longer size stent is safe without any residual stenosis at an average followup period of 1.5 yrs. Thus, to reduce chances of recurrent ISR, hospital re-admission and reduce hospital cost as well. Bangladesh Heart Journal 2018; 33(2) : 106-111
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v33i2.39306
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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  • 6
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    High Bleeding Risk (HBR) patients Percutaneous Coronary Intervention-a Challenge to Deal with
    Bangladesh Academy of Sciences ; 2021
    In:  Bangladesh Heart Journal Vol. 36, No. 2 ( 2021-10-31), p. 133-138
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 36, No. 2 ( 2021-10-31), p. 133-138
    Abstract: Coronary artery disease (CAD) is one of the leading causes of death in our patient population. In the era of cardiovascular intervention, Percutaneous coronary intervention (PCI) is one of the most important modalities in treating these group of patients. Several CAD risks factors and co-morbid conditions are key responsible factor of procedural success. High bleeding risk (HBR) patients undergoing PCI is not an uncommon phenomenon. Incidences and prevalence of HBR patients with CAD and their management by PCI is not well addressed in our literature. PCI in HBR patients carries potential risk of intracranial hemorrhage (ICH) and lifethreatening bleeding. Therefore, careful pre-PCI assessment of possible risk or threats of post-PCI complications in patients with HBR are deem necessitate to understand. We recommend forming multicenter common consensus and to form a guideline in treating HBR patient by PCI. Thus, to reduce post procedural complication and subsequent improvement of mortality and morbidity in HBR patients undergoing PCI in both ST segment elevated myocardial infarction (STEMI) and as well as non-STEMI. Bangladesh Heart Journal 2021; 36(2): 133-138
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v36i2.56039
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2021
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  • 7
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    Raised Plasma Homocysteine: An Emerging Risk Factor for Ischaemic Heart Disease
    Bangladesh Academy of Sciences ; 1970
    In:  TAJ: Journal of Teachers Association Vol. 19, No. 2 ( 1970-01-01), p. 87-93
    Details
    In: TAJ: Journal of Teachers Association, Bangladesh Academy of Sciences, Vol. 19, No. 2 ( 1970-01-01), p. 87-93
    Abstract: Only one half to two thirds of atherosclerotic vascular diseases can be explained by classical risk factors like smoking, diabetes mellitus, hypertension, dyslipidaemia, family history of premature atherosclerotic vascular diseases, physical inactivity, obesity etc. Some other variables appear to contribute to the development of atherosclerotic vascular diseases which include estrogen deficiency, lipoprotein (a), plasma fibrinogen, plasminogen-activator inhibitor type I, endogenous tissue plasminogen activator (tPA), C-reactive protein and homocysteine. Over the last several years, investigators undertook extensive research work, in home and abroad, to determine the contribution of plasma homocysteine in the pathogenesis of atherosclerotic vascular diseases. So far the research work indicates, raised plasma homocysteine appears to be a potential risk factor for ischaemic heart disease.   doi: 10.3329/taj.v19i2.3158 TAJ 2006; 19(2): 87-93
    Type of Medium: Online Resource
    ISSN: 2408-8854 , 1019-8555
    URL: Article
    DOI: 10.3329/taj.v19i2.3158
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 1970
    detail.hit.zdb_id: 2754944-6
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  • 8
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    Study on 100 cases of coronary artery disease underwent percutaneous coronary interventions
    Bangladesh Academy of Sciences ; 2009
    In:  University Heart Journal Vol. 5, No. 1 ( 2009-08-18), p. 13-16
    Details
    In: University Heart Journal, Bangladesh Academy of Sciences, Vol. 5, No. 1 ( 2009-08-18), p. 13-16
    Abstract: This prospective study was done in National Institute of Cardiovascular Diseases, Dhaka, Bangladesh during the period of January 2004 to January2005 to see the effectiveness and safety profile of percutaneous coronary interventions in patients with coronary artery disease. 100 patients with male 90 percent and female 10 percent undergo percutaneous coronary intervention in our unit during this period. Indication of percutaneous coronary interventions were chronic stable angina with stress test positive in 20 percent cases, unstable angina with prior myocardial infarction in 30 percent cases, unstable angina without prior myocardial infarction in 20percent cases, acute inferior myocardial infarction with post myocardial infarction angina in 20 percent cases and acute anterior myocardial infarction with post myocardial infarction angina in 10 percent cases. Angiographic diagnosis of the patients were single vessel disease in 70 percent cases , double vessel disease in 24 percent cases and triple vessel disease in 11 percent cases. Total number of disease coronary arteries was 146 and 125 lesions were treated. Out of 125, 120 lesions were treated with percuteneous transluminal coronary angioplasty with stenting and 5 lesions with plain percuteneous transluminal coronary angioplasty .Total occlusion was treated in 7 cases. Mean diameter of stent used was 3.02 ± 0.42 mm. Patients were discharged by three to four days of the procedure with improved clinical conditions. Residual stenosis after deploying of stent was less than l 0 percent. Our angiographic success rate was 98 percent, procedural success 96 percent and clinical success 95 percent. Failed percuteneous transluminal coronary angioplasty in 2 cases all of them were chronic total occlusion. One patient died on third day of the procedure due to ventricular asystole, he was a patient of triple vessel disease. Following procedure, course of the patients were uneventful. In the field of maagement of coronary artery disease percutaneous coronary intervention is the internationally recognized standard treatment worldwide for more than last 2 decades. From our result it is found that in most of the indicated cases of PCI can be done efficiently with very minimum rate of failure & complication. Key word: Percutaneous coronary interventions, coronary artery disease.   doi: 10.3329/uhj.v5i1.3434 University Heart Journal Vol. 5, No. 1, January 2009 13-16
    Type of Medium: Online Resource
    ISSN: 1998-927X , 1998-9261
    URL: Article
    DOI: 10.3329/uhj.v5i1.3434
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2009
    detail.hit.zdb_id: 2493547-5
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  • 9
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    Prevalence and Echocardiographic Predictors of Left Atrial Appendage Inactivity in Patients of Mitral Stenosis
    Scholars Publisher ; 2022
    In:  Annals of International Medical and Dental Research Vol. 8, No. 3 ( 2022-05-15), p. 40-47
    Details
    In: Annals of International Medical and Dental Research, Scholars Publisher, Vol. 8, No. 3 ( 2022-05-15), p. 40-47
    Abstract: Background: Mitral stenosis (MS) is a common valvular heart disease. Thromboembolism is one of the most serious consequences of mitral stenosis, particularly when it is accompanied with atrial fibrillation (AF). When linked with Left atrial appendage inactivity (LAAI), patients with sinus rhythm (SR) are also at risk for this condition. In mitral stenosis, LAA inactivity determined by S-wave is an independent predictor of thromboembolism. The aim of the study was to evaluate the Prevalence and Echocardiographic Predictors of Left Atrial Appendage inactivity in patients of Mitral Stenosis.Material & Methods:Sixty MS patients were evaluated by transthoracic echocardiography (TTE) and all patients underwent transesophageal echocardiography (TEE). The annular systolic (S-wave) and diastolic (Em- and Am-waves) velocities were recorded by tissue Doppler imaging (TDI). LAA inactivity was defined as LAA emptying velocity 〈 25 cm/second determined by pulse wave Doppler at the junction of LA & LAA (TEE). Patients were divided into three groups; group A I (n = 18). Sinus rhythm (SR) and LAA emptying velocity ≥25 cm/sec, group A II (n -22): SR and LAA emptying velocity 〈 25cm/sec and group B (n = 20): atrial fibrillation.Results:Thrombus was detected in 14 patients and spontaneous echo contrast (SEC) was detected in 43 patients. Both S-wave and peak LAA emptying velocities were decreasing, while SEC frequency and density were increasing from group A to group B. There was a positive correlation between LAA emptying vs. S-wave and LAA emptying vs. Am velocities (p 〈 0.001, r= 0.708 and p 〈 0.001, r=0.495). Multivariate regression analysis showed that only S-wave is the independent predictor of inactive LAA (p = 0.001, odds ratio = 0.133, 95% Cl =0.032-0.556). In patients with SR, the cutoff value of S-wave was 10 cm/sec for the prediction of the presence of inactive LAA (sensitivity: 92.3%, specificity: 95.3%).Conclusions:In individuals with severe mitral stenosis in sinus rhythm, there is a significant prevalence of left atrial appendage inactivity. The mean pressure gradient across the mitral valve, as well as S-wave are independent predictors of left atrial appendage inactivity. Inactivity of the left atrial appendage is an independent predictor of left atrial/left atrial appendage smoke and associated thrombus.
    Type of Medium: Online Resource
    ISSN: 2395-2814 , 2395-2822
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.53339/aimdr.2022.8.3
    DOI: 10.53339/aimdr
    DOI: 10.53339/aimdr.2022.8.3.6
    Language: Unknown
    Publisher: Scholars Publisher
    Publication Date: 2022
    detail.hit.zdb_id: 2829270-4
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  • 10
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    Percutaneous Coronary Intervention (PCI) of Chronic Total Occlusion (CTO) lesion in Bangladeshi patient population: a single center experience- In hospital and 90 days outcome
    Bangladesh Academy of Sciences ; 2014
    In:  Pulse Vol. 5, No. 1 ( 2014-08-27), p. 19-26
    Details
    In: Pulse, Bangladesh Academy of Sciences, Vol. 5, No. 1 ( 2014-08-27), p. 19-26
    Abstract: Objectives Aim of the study was to evaluate the primary in-hospital success and 90 days outcome of PCI in patients with CTO lesions, using either Bare-metal stents (BMS) or Drug Eluting Stent (DES) like Sirolimus-eluting or Paclitaxel-eluting stent. Methods Total 71 patients were included in this non-randomized prospective cohort as per the definition of CTO, from a total of 875 patients who had PCI at our center in the quantifying period. Total 92 stents were deployed in 71 patients. After the guide wire crossing and the balloon dilation, measurement of the culprit lesion were done by using Siemens QCA measuring system. Among the patients, Male: 59 and Female: 12. Mean age were for Male: 53yrs, for Female: 65yrs. Associated CAD risk factors were Dyslipidemia, High Blood pressure, Diabetes Mellitus, Positive FH for CAD and Smoking (all male). Results Our study shows 71 patients (8.1%) had CTO lesion out of total 875 PCI procedures. Among the study group; 56 (79%) were Dyslipidemic, 50 (70%) were hypertensive: 40 (56%) patients were Diabetic, 25 (42%) were all male smoker. Female patients were more obese (BMI M 26: F 27) and developed CAD in advance age. We found that the incidences of CTO lesions were more in LAD territory 27 (38%) followed by RCA 26 (37%) and LCX 18 (25%). Average length and diameter of stented vessel was greater in RCA than LAD and LCX. Stents used: BMS 34 (36.9%), Sirolimus 25 (27.2%), Paclitaxel 18 (19.6%), Biolimus 10 (10.8%) and Everolimus 5 (5.4%). Post procedural, in-hospital and 90 days out come was 100% in our present study. Conclusion Our study has revealed that PCI in patients with CTO lesion has shown good success rate in our hospital with no procedural complication both in-hospital and 90 days after, either treated with BMS or DES. DOI: http://dx.doi.org/10.3329/pulse.v5i1.20185 Pulse Vol.5 January 2011 p.19-26
    Type of Medium: Online Resource
    ISSN: 2408-8765 , 2074-1855
    URL: Article
    DOI: 10.3329/pulse.v5i1.20185
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
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