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  • 1
    Online Resource
    Online Resource
    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
    Online Resource
    Online Resource
    Association of Ankle-Brachial Index with the Angiographic Severity of Patient with Coronary Artery Disease
    Bangladesh Academy of Sciences ; 2018
    In:  Cardiovascular Journal Vol. 10, No. 2 ( 2018-04-06), p. 201-205
    Details
    In: Cardiovascular Journal, Bangladesh Academy of Sciences, Vol. 10, No. 2 ( 2018-04-06), p. 201-205
    Abstract: Background: The Ankle-Brachial Index has been shown to be a good marker of systemic atherosclerosis and a powerful indicator of cardiovascular morbidity and mortality This study evaluated the relation of ABI with the angiographic severity of patient with coronary artery disease.Methods: This is a hospital based cross-sectional analytical study. 100 adult Bangladeshi patients who were admitted and underwent coronary angiography according to inclusion and exclusion criteria were the study population. All patient’s ABI were measured and coronary angiography were done. Patients were divided into two groups according to ABI. Group I with ABI 〉 0.90 and group II with ABI 〈 0.90.Results: In group I 65(82.2%) were men and 16(19.8%) were women. In group II 18(94.7%) patients were men and 1(5.3%) was women. Significant co-relation was found between low ABI and severity of CAD. Low ABI group showed more severe form of CAD with higher prevalence of triple vessel diseases, significant stenosis and more involvement of left main (LM) and left anterior descending(LAD)artery. Single vessel disease was found more with normal ABI. Hypertension, diabetes mellitus and Low ABI showed predictors of significant severe stenosis of coronary arteries.Conclusion: Low ankle brachial index is a predictor of the severity of coronary artery disease. So it could be incorporated in our day to day clinical cardiology practice as non-invasive, bedside test to assess and predict the severity of coronary artery disease.Cardiovasc. j. 2018; 10(2): 201-205
    Type of Medium: Online Resource
    ISSN: 2309-6357 , 2071-0917
    URL: Article
    DOI: 10.3329/cardio.v10i2.36293
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
    detail.hit.zdb_id: 2586638-2
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  • 3
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    Online Resource
    SYNTAX Score on Procedural Outcome among Patient Undergoing Primary Percutaneous Coronary Intervention
    Bangladesh Academy of Sciences ; 2019
    In:  Bangladesh Heart Journal Vol. 34, No. 1 ( 2019-06-25), p. 5-10
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 34, No. 1 ( 2019-06-25), p. 5-10
    Abstract: Background: Limited contemporary data exist regarding the impact of SYNTAX score on procedural outcomes undergoing primary percutaneous coronary intervention(PCI) in acute STEMI patients. Objectives: To evaluate the significance of the SYNTAX score for predicting procedural outcome after primary PCI in patient with acute STEMI. Methods: This perspective observational study was conducted in the department of cardiology, National Institute of Cardiovascular Diseases, Dhaka, Bangladesh from September, 2015 to September, 2016. 42 patients with acute STEMI who underwent primary PCI were considered for the study. But 2 patients were excluded from the study due to failure of primary PCI. The patients were divided into two groups: Group I (low Syntax score d”22) and Group II (high Syntax score 〉 22). The Syntax score of all patients were calculated from an initial coronary angiogram before primary PCI. Procedural outcome was observed in between two groups. Results: Among study patients 57.5% were in SYNTAX score d”22 (Group I) and 42.5% were in SYNTAX score 〉 22 (Group II). Among traditional cardiovascular risk factors diabetes was significantly more prevalent in the Group II than Group I ( 82.4% vs 34.8%, p  0.003). Angiographic profile revealed maximum (69.6% vs 17.6%) culprit lesion in LAD artery in Group I and maximum culprit lesion (64.7% vs 21.7%) in RCA in Group II, these were the statistically significant between Group I and Group II (P 〈 0.05). The high SYNTAX score group had lower ejection fraction (47.8±5.1 vs. 54.4±4.3, p= 0.04), lower TIMI flow 3 rate (76.47% vs 91.3%, p= 0.03 ) greater rate of MACE (29.4% vs. 4.3%, p=0.041), lower procedural success rate ( 76.47 vs. 91.3%, p= 0.046) compared to the low SYNTAX score group. ROC curve showed 77% sensitivity and 32% specificity for SYNTAX score when cut off value was 22 Performance test of SYNTEX score in the setting of Primary PCI outcome showed positive predictive value 83%. Conclusions: SYNTAX score was an independent variable that can predict procedural outcomes Bangladesh Heart Journal 2019; 34(1) : 5-10
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v34i1.41902
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 4
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    Comparison of Long-term Outcome between Diabetic and Non-Diabetic Patients with Ischemic Heart Disease following Percutaneous Coronary Intervention: A Prospective Study
    Bangladesh Academy of Sciences ; 2022
    In:  Cardiovascular Journal Vol. 15, No. 1 ( 2022-10-10), p. 5-12
    Details
    In: Cardiovascular Journal, Bangladesh Academy of Sciences, Vol. 15, No. 1 ( 2022-10-10), p. 5-12
    Abstract: Background: Diabetes Mellitus (DM) is an established independent predictor of adverse prognosis in patients undergoing percutaneous coronary intervention (PCI) even with improvements in diabetes treatment and interventional techniques. The aim of this study was to compare long term post PCI outcome between diabetic and non-diabetic patients with ischemic heart disease (IHD). Method: The data was derived from a prospective observational study to evaluate the outcome after PCI in DM patients for 2 years. A total of 305 patients with IHD & DM were randomly selected and enrolled who underwent PCI from 2010 to 2013 in an urban cardiac hospital of Bangladesh. The study population were divided into two groups with group 1 consisting of patients with DM (n=108) and group 2 of patients without DM (n=197). After the PCI, all patients were followed up for 2 years. The incidences of bleeding, stent thrombosis, myocardial infarction (MI), stroke and repeat revascularization were compared. Results: Diabetic patients had significant adverse outcomes having MI, stroke & MACCE respectively following 1 year (p= 0.018, 0.036 & 0.017) and MI following 2 years (p= 0.013) compared to non-diabetic patients. However, in multivariate analysis, diabetes mellitus was not found to be an independent predictor for 1-year & 2-year adverse events following PCI [OR 1.016 (0.317-3.259) & p 0.979, after 1 year and 1.554 (0.087 – 27.902) & p 0.765, after 2 years]. Conclusions: The outcome of PCI after 1 year and 2 years among diabetic and non-diabetic subjects with IHD differed significantly in respect of MI, stroke & MACCE. But this study failed to identify diabetes mellitus as an independent risk factor for 1-year and 2-year adverse outcomes. Cardiovasc j 2022; 15(1): 5-12
    Type of Medium: Online Resource
    ISSN: 2309-6357 , 2071-0917
    URL: Article
    DOI: 10.3329/cardio.v15i1.61904
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2022
    detail.hit.zdb_id: 2586638-2
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  • 5
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    Online Resource
    Association of Increased Tpeak-to-end/QT ratio with Malignant Ventricular Arrhythmias in Acute Anterior ST-Segment Elevation Myocardial Infarction
    Bangladesh Academy of Sciences ; 2017
    In:  Bangladesh Heart Journal Vol. 32, No. 1 ( 2017-10-10), p. 10-17
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 32, No. 1 ( 2017-10-10), p. 10-17
    Abstract: Background: Increased Tpeak-to-end/QT ratio on 12 lead surface electrocardiogram (ECG) has been shown to be the predictor of arrhythmogenesis in various cardiac disorders. There is limited data regarding association of these two parameters with malignant ventricular arrhythmias (MVA) in acute ST-segment elevation myocardial infarction (STEMI) patients. Objectives: This study was conducted to evaluate association of increased Tpeak-to-end/QT ratio with MVAs in acute anterior STEMI. Methods: 178 patients with acute anterior STEMI admitted within 12 hours of onset of chest pain into the Coronary Care Unit, Department of Cardiology, National Institute of Cardiovascular Diseases, Dhaka, were enrolled from November 2015 to October 2016. Tpeak-to-end/QT ratio was calculated from surface ECG at the time of admission. The patients were divided into two groups, group I and II according to normal (?0.25) and increased Tpeak-to-end/QT ratio ( 〉 0.25). Each group was monitored for development of MVAs for the first 48 hours of myocardial infarction. Results: MVAs were significantly higher in group II than group I (19.5% vs 3.1%, p 〈 0.001). Multivariate regression analysis showed significant association (p=0.002) of increased Tpeak-to-end/QT ratio with MVAs (Odds Ratio, 3.845).Receiver operating characteristic (ROC) curve analysis showed that Tpeak-to-end/QT ratio 〈 0.25 had a negative predictive value of 96.88% for the prediction of MVAs. Conclusion: The study demonstrated that there was significant association of increased Tpeak-to-end/QT ratio with malignant ventricular arrhythmias in acute anterior STEMI patients. Thus analysis of 12 lead surface ECG on admission may help predict malignant ventricular arrhythmias in the first 48 hours of acute anterior myocardial infarction and close monitoring with prompt management may be ensured in high risk patients.Bangladesh Heart Journal 2017; 32(1) : 10-17
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v32i1.34164
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
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  • 6
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    Frequency and Predictors of Radial Artery Occlusion after Coronary Procedure through Transradial Approach: A Vascular Doppler-guided Study
    Bangladesh Academy of Sciences ; 2019
    In:  Bangladesh Heart Journal Vol. 34, No. 2 ( 2019-12-12), p. 111-117
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 34, No. 2 ( 2019-12-12), p. 111-117
    Abstract: Background: Although transradial approach (TRA) has better outcome and reduced vascular complications, radial artery occlusion (RAO) is now a major concern as it limits future radial artery use for further TRA, for use as a conduit during CABG, for invasive hemodynamic monitoring and for creation of arteriovenous fistula for hemodialysis in CKD patients. Vascular doppler study is the most accurate method for evaluation of RAO and yet this is not practiced in our population. Objectives: To detect the frequency and identify the predictors of RAO after coronary procedure through TRA. Methods: This cross-sectional analytical study was done in the department of cardiology, NICVD from July-2015 to June- 2016 by including a total 125 patients undergoing coronary procedures (CAG and/or PCI) through TRA. Vascular doppler study of the radial artery were performed before and one day after the procedure. RAO was defined as an absence of antegrade flow and monophasic flow on doppler study. Univariate and multivariate logistic regression analysis were done to evaluate the predictors of RAO. Results: On the day after the procedure, radial artery vascular doppler examination revealed RAO in 12 (09.6%) patients. On univariate analysis female gender (p= 0.038), diabetes mellitus (p= 0.024), prolonged hemostatic compression for more than 02 hours after sheath removal (p= 0.003) were identified as predictors of RAO. Interestingly hypertension, low BMI, smaller radial artery diameter and use of reprocessed sheath were not identified as predictors of RAO. On multivariate analysis diabetes mellitus (p= 0.016), prolonged hemostatic compression for more than 02 hours after sheath removal (p= 0.004) were found as independent predictors for RAO. Conclusion: Frequency of RAO was 09.6% after coronary procedure through TRA. Diabetes mellitus and hemostatic compression after sheath removal for more than two hours were identified as independent predictors of RAO. Strategies should be taken from patient selection for TRA to end of hemostatic compression removal to prevent RAO. Bangladesh Heart Journal 2019; 34(2) : 111-117
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v34i2.44441
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 7
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    Online Resource
    Comparison of Short-term Outcomes of Percutaneous Coronary Intervention between Young Male and Female Patients with Acute Coronary Syndrome
    Bangladesh Academy of Sciences ; 2018
    In:  Bangladesh Heart Journal Vol. 33, No. 1 ( 2018-07-03), p. 1-9
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 33, No. 1 ( 2018-07-03), p. 1-9
    Abstract: Background:Young women undergoing percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) experience greater short-term adverse events than young men. There is a scarcity of data on the short-term adverse outcomes between young Bangladeshi males and females with ACS undergoing PCI.Objectives: This study was conducted to compare the short-term outcomes of PCI between young males and females presenting with ACS.Methods: This prospective observational study was done in the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD) fromApril 2016 to March 2017. 190 young patients with ACS and undergoing PCI were enrolled. They were equally divided into two groups, group I (young females 〈 55 years) and group II (young males 〈 45 years).Results: The mean age of young females and males was 43.8±6.9 years and 40.1±4.3 years respectively. Young women had significantly higher risk factors of hypertension (62.1% vs 33.7%, p 〈 0.0010) and diabetes (57.9% vs 31.6%, p 〈 0.001) in comparison to young men. Overall, young women experienced significantly greater incidence of short-term adverse events in comparison to young men (14.7% vs. 6.3%, p=0.04) and had significantly higher rates of severe bleeding (6.3% vs 1.1%, p=0.04), vascular access site complications (8.4% vs 2.1%, p=0.04) and recurrent ischaemia at 30 days (7.4% vs. 2.1%, p=0.04). Major adverse cardiac events (MACE) were higher among young females, in comparison to young males (4.1% vs 2.1%, p=0.4). Young females experienced significantly higher rates of short-term net adverse clinical events (NACE) than young males (10.5% vs 3.2%, p=0.04). Female gender (odds ratio [OR] 11.7), diabetes (OR 2.5), hypertension (OR 1.78), decreased ejection fraction (OR 1.41) and smaller stent diameter (OR 1.15) were identified as independent predictors of adverse short-term outcomes among young ACS patients undergoing PCI.Conclusion: Young women experienced significantly more adverse short-term outcomes after PCI. They had significantly greater NACE, largely driven by increased rates of major bleeding. Female gender was an independent predictor of adverse short-term outcomes among young ACS patients undergoing PCI.Bangladesh Heart Journal 2018; 33(1) : 1-9
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v33i1.37015
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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