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  • 1
    Online Resource
    Online Resource
    Sarcoptes scabiei (Acari: Sarcoptidae) infestation in rabbits (Oryctolagus cuniculus): A case study
    Universidad del Valle ; 2017
    In:  Revista Colombiana de Entomología Vol. 43, No. 1 ( 2017-07-30), p. 51-54
    Details
    In: Revista Colombiana de Entomología, Universidad del Valle, Vol. 43, No. 1 ( 2017-07-30), p. 51-54
    Abstract: Sarcoptic mange was suspected in three of five European albino rabbits (Oryctolagus cuniculus) kept for experimental purposes. Gross examination revealed multifocal areas of alopecia around the eyes, nostrils and lips. Skin snips were processed using PCR for the molecular identification of the suspected mites. Histopathology of the skin snips showed erupted epidermis and stratum corneum with an infiltration of inflammatory cells. Skin scraping examination revealed the presence of adult mites as well as eggs. Microscopic taxonomy identified the adult mites as Sarcoptes (S.) scabiei (Acari: Sarcoptidae). The results of PCR indicated a 311 bp band from all the three cases, which confirmed the S. scabiei infestation in rabbits. Sarcoptes scabiei may be a public health concernthrough direct transmission from rabbits infested with S. scabiei through handling. To the best of our knowledge, this is the first report of S. scabiei infection in rabbits from Pakistan.
    Type of Medium: Online Resource
    ISSN: 2665-4385 , 0120-0488
    URL: Issue
    URL: Article
    DOI: 10.25100/socolen.v43i1
    DOI: 10.25100/socolen.v43i1.6649
    Language: Unknown
    Publisher: Universidad del Valle
    Publication Date: 2017
    detail.hit.zdb_id: 2518443-X
    SSG: 12
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  • 2
    Online Resource
    Online Resource
    PROLONGED QRS DURATION〉140 MILLISECONDS AS A PREDICTOR OF LEFT VENTRICULAR SYSTOLIC DYSFUNCTION IN PATIENTS WITH LEFT BUNDLE BRANCH BLOCK
    Pakistan Cardiac Society ; 2020
    In:  Pakistan Heart Journal Vol. 53, No. 3 ( 2020-11-07)
    Details
    In: Pakistan Heart Journal, Pakistan Cardiac Society, Vol. 53, No. 3 ( 2020-11-07)
    Abstract: Objective: To determine the diagnostic accuracy of prolonged QRS duration 〉 140 milliseconds (ms) on electrocardiography (ECG) for diagnosing left ventricular systolic dysfunction (LVSD) in patients of left bundle branch block (LBBB). Methodology: This cross-sectional study included 128 patients with LBBB. QRS duration was calculated in every patient and duration 〉 140ms was considered as positive criterion for predicting LVSD. Echocardiography was done in all patients to diagnose LVSD. Specificity, sensitivity, negative predictive value (NPV) and positive predictive value (PPV) of QRS duration 〉 140 ms on ECG in predicting LVSD taking echocardiography as a standard were calculated by using 2x2 contingency table. Results: An ECG QRS duration 〉 140 ms criterion was 76.3% sensitive and 75.4% specific in diagnosing LVSD while PPV was 72.6% and the NPV of 78.8% in diagnosing LVSD. Conclusion: An ECG QRS duration 〉 140 ms is reasonable in predicting LVSD.
    Type of Medium: Online Resource
    ISSN: 2227-9199 , 0048-2706
    URL: Article
    DOI: 10.47144/phj.v53i3.1914
    Language: Unknown
    Publisher: Pakistan Cardiac Society
    Publication Date: 2020
    detail.hit.zdb_id: 2696529-X
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  • 3
    Online Resource
    Online Resource
    PAROXYSMAL ATRIAL FIBRILLATION OBSERVED ON 48 HOURS HOLTER MONITORING IN PATIENTS WITH SINUS RHYTHM ON ELECTROCARDIOGRAM
    Pakistan Cardiac Society ; 2021
    In:  Pakistan Heart Journal Vol. 54, No. 2 ( 2021-06-24), p. 148-152
    Details
    In: Pakistan Heart Journal, Pakistan Cardiac Society, Vol. 54, No. 2 ( 2021-06-24), p. 148-152
    Abstract: Objectives: To find out the prevalence of undiagnosed atrial fibrillation and the risk factors associated with atrial fibrillation in patients with complaints of palpitations having normal sinus rhythm on electrocardiogram. Methodology: The descriptive cross-sectional study was carried out from 1st of January 2017 to 31st of December 2020 at Department of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan. All the patients presented with the complaints of palpitations for six months with normal sinus rhythm on standard 12 lead electrocardiogram were included in the study. After written informed consent, a Holter monitor was applied for 48 h. Data regarding gender, age, diabetes mellitus, hypertension, smoking, obesity, stable ischemic heart disease, valvular or nonvalvular structural heart defect and hyperthyroidism was collected on a preformed Performa for each patient. Presence of atrial fibrillation was noted on Holter monitoring. Results: Total 1891 patients were studied over the period of 4 years. The mean age of the studied population was 55.99 ±16.28 years. There was male dominance with 70.3% (n=1329) males and 29.7% (n=562) females. 12.50% (n=236) patients had been diagnosed with atrial fibrillation on Holter monitoring. Age group of patients with age more than 75 years has high burden of atrial fibrillation (31.34%). Conclusion: A large number of studied population has been diagnosed with atrial fibrillation on Holter monitoring who presented with palpitation and have normal sinus rhythm on electrocardiogram.
    Type of Medium: Online Resource
    ISSN: 2227-9199 , 0048-2706
    URL: Article
    DOI: 10.47144/phj.v54i2.2090
    Language: Unknown
    Publisher: Pakistan Cardiac Society
    Publication Date: 2021
    detail.hit.zdb_id: 2696529-X
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  • 4
    Online Resource
    Online Resource
    Predictive value of pre procedural mitral valve commissural score in in patients undergoing balloon mitral valvotomy.
    Independent Medical Trust ; 2023
    In:  The Professional Medical Journal Vol. 30, No. 09 ( 2023-08-31), p. 1147-1151
    Details
    In: The Professional Medical Journal, Independent Medical Trust, Vol. 30, No. 09 ( 2023-08-31), p. 1147-1151
    Abstract: Objective: To evaluate accuracy of commissural score in patients with mitral stenosis through Transesophageal Echocardiography (TOE) and correlate it with outcomes of BMV. Study Design: Prospective study. Setting: Chaudhry Pervez Elahi Institute of Cardiology, Multan. Period: June 2022 to November 2022. Material & Methods: Study was conducted on total 171 patients. Transesophageal echocardiography was performed before BMV by consultant cardiologist. The subvalvar apparatus and mitral valve leaflets were examined at transgastric and mid esophageal levels. Morphology of mitral valve was assessed on the basis of mitral valve commissural score. Graded ballooning was performed stepwise in increments of 1 to 2 mm for reducing the transmitral gradient to satisfactory level. If satisfactory hemodynamic result were not achieved even at maximum, process was stopped. Pre and post procedural echocardiographic measurements were recorded. Results: Mean age of the participants was 42.2±14.0 years. Mitral valve commissural score of ≥2 was noted in 151 (88.30%) patients. After BMV, good outcome was achieved in 150 (87.72%) patients, and in remaining 21 (12.28%) patients outcome was poor. The mitral valve commissural score had a PPV of 96.7% and NPV of 80.0%. Stratification was performed on the basis of age, gender, rheumatic heart disease, obesity and NYHA class. No association was found between these variable and mitral valve commissural score with good outcome. Conclusion: In patients undergoing BMV, high commissural score (3-4) is predictor of good outcome, while low commissural score is associated with unfavorable outcome.
    Type of Medium: Online Resource
    ISSN: 2071-7733 , 1024-8919
    URL: Article
    DOI: 10.29309/TPMJ/2023.30.09.7629
    Language: Unknown
    Publisher: Independent Medical Trust
    Publication Date: 2023
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  • 5
    Online Resource
    Online Resource
    INCIDENCE AND RISK FACTORS OF FOREARM HEMATOMA AFTER TRANSRADIAL PERCUTANEOUS CORONARY INTERVENTION
    Pakistan Cardiac Society ; 2020
    In:  Pakistan Heart Journal Vol. 53, No. 3 ( 2020-11-07)
    Details
    In: Pakistan Heart Journal, Pakistan Cardiac Society, Vol. 53, No. 3 ( 2020-11-07)
    Abstract: Objective: To determine the incidence and risk factors of forearm hematoma after trans-radial percutaneous coronary intervention (TRA-PCI). Methodology: In this observational study we included 450 consecutive patients who were referred to catheterization unit of Ch. Pervaiz Elahi Institute of cardiology between February 2019 and September 2019 were included. Patients planned for TRA were only included in analysis. We recorded demographic details, previous and presenting medical and clinical history, and renal parameters for each patient. Allen’s test was performed in each patient to determine the eligibility TRA. Incidence of forearm hematoma was noted immediately after the procedure. Results: Out of 450 subjects enrolled in this study included, 324 (72%) were men and 126 (28.0%) were women, the mean age of the patients was 54±10 years. Forearm hematoma was diagnosed in only 51 (11.3%) patients. out of 51, 24 (47.0%) had grade I, 17 (33.3%) had grade II and 9 (17.6%) had grade III and 1 (1.96%) patients had grade IV hematoma. On univariate analysis, being women [odds ratio 2.2 (1.2-4.0), p-value=0.01], obesity [odds ratio 2.8 (1.54-5.76), p-value=0.001] , and 〉 1 puncture attempt [odds ratio 4.5 (2.36-8.51), p 〈 0.001], were independent risk factors of forearm hematoma. Conclusion: Incidence of hematoma after trans-radial percutaneous coronary intervention is 11.3%. Female gender, obesity and higher number of puncture attempts are independent risk factors of hematoma. Hematoma is mostly grade I-II in nature and can be managed easily only through conservative management. 
    Type of Medium: Online Resource
    ISSN: 2227-9199 , 0048-2706
    URL: Article
    DOI: 10.47144/phj.v53i3.1935
    Language: Unknown
    Publisher: Pakistan Cardiac Society
    Publication Date: 2020
    detail.hit.zdb_id: 2696529-X
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  • 6
    Online Resource
    Online Resource
    Permanent pacemaker implantation associated tricuspid regurgitation
    SAGE Publications ; 2021
    In:  Asian Cardiovascular and Thoracic Annals Vol. 29, No. 3 ( 2021-03), p. 191-194
    Details
    In: Asian Cardiovascular and Thoracic Annals, SAGE Publications, Vol. 29, No. 3 ( 2021-03), p. 191-194
    Abstract: To determine the prevalence of tricuspid regurgitation in patients with dual-chamber permanent pacemaker implantation. Methods This study included 153 patients undergoing permanent pacemaker implantation. All eligible candidates had baseline transthoracic echocardiography to rule out preexisting tricuspid regurgitation. Echocardiography across the tricuspid valve was repeated one month after permanent pacemaker implantation, and the frequency of significant tricuspid regurgitation was determined. The associations of potential effect modifiers (age, sex, height, body mass index categories, diabetes, and hypertension) with tricuspid regurgitation were assessed individually using simple and multivariable logistic regression models. Results After dual-chamber permanent pacemaker implantation, significant tricuspid regurgitation was present in 22 (15.8%) patients. Tricuspid regurgitation was significantly associated with body mass index 〉 30 kg·m −2 (odds ratio = 32.84, 95% confidence interval: 1.26–853.82, p = 0.04). Conclusion Significant tricuspid regurgitation was present in substantial number of patients after dual-chamber pacemaker implantation and was independently associated with body mass index 〉 30 kg·m −2 .
    Type of Medium: Online Resource
    ISSN: 0218-4923 , 1816-5370
    URL: Article
    DOI: 10.1177/0218492320971114
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2044527-1
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  • 7
    Online Resource
    Online Resource
    DIABETIC JEOPARDIZE OF ACUTE MYOCARDIAL INFARCTION CHEST PAIN
    Pakistan Cardiac Society ; 2021
    In:  Pakistan Heart Journal Vol. 53, No. 4 ( 2021-01-19)
    Details
    In: Pakistan Heart Journal, Pakistan Cardiac Society, Vol. 53, No. 4 ( 2021-01-19)
    Abstract: Objective: Diabetic neuropathy may mask the typical ischemic chest pain and diabetics may carry longer presentation times in cases of acute STEMI. Diabetics may complain of chest pain less frequently, while atypical clinical presentations of STEMI could be more common compared to non-diabetics. Aim of this study was to assess the potential impact of diabetes on STEMI related chest pain, its severity, characteristics and non-specific clinical features. Methodology: The descriptive, cross-sectional study included 254 patients with first episode of STEMI. Data was acquired regarding feeling of chest pain, its severity, different characters, sites of radiation, and occurrence of associated clinical features. These variables were compared among diabetic and non-diabetic groups by Pearson’s Chi-square test. Results: Diabetics were more likely ‘not to feel’ any STEMI related chest pain compared to non-diabetics (22.2% vs. 2.4% p 〈 0.001), severe chest pain was a less frequent complaint in diabetics compared to non-diabetics (21.1% vs. 89% p 〈 0.001). The characters of “chest tightness”, “strangulating pain” and “squeezing chest pain” were less frequent in diabetics (45.6% vs. 68.3% p 〈 0.001, 8.9% vs. 56.7% p 〈 0.001 and 1.1% vs. 18.3% p 〈 0.001 respectively). Syncope and shortness of breath were observed more frequently in diabetics (37.8% vs. 20.7% p=0.003 and 23.3% vs. 17.1% p=0.001 respectively). Conclusion: Diabetics can frequently present without pain or with less severe chest pain and infrequent typical characters compared to non-diabetics and may have atypical symptoms like syncope and shortness of breath more commonly than non-diabetics.
    Type of Medium: Online Resource
    ISSN: 2227-9199 , 0048-2706
    URL: Article
    DOI: 10.47144/phj.v53i4.1983
    Language: Unknown
    Publisher: Pakistan Cardiac Society
    Publication Date: 2021
    detail.hit.zdb_id: 2696529-X
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  • 8
    Online Resource
    Online Resource
    ASSOCIATION OF HYPERURICEMIA WITH CRITICAL CORONARY ARTERY DISEASE
    Pakistan Cardiac Society ; 2020
    In:  Pakistan Heart Journal Vol. 53, No. 2 ( 2020-07-17)
    Details
    In: Pakistan Heart Journal, Pakistan Cardiac Society, Vol. 53, No. 2 ( 2020-07-17)
    Abstract: Objective: The study was conducted to determine the association of increased serum Uric acid level (SUA) with critical coronary artery disease (CAD) in patients subjected to coronary angiography. Methodology: 360 patients (180 cases with critical CAD and 180 controls without critical CAD) were enrolled in the study after taking informed consent. Demographic data like age, gender, diabetes mellitus, hypertension, family history of CAD, dyslipidemia, smoking and BMI was collected. Serum uric acid was advised and recorded in the questionnaire. Results: 360 patients with mean age 51.37 ± 6.5 years were included. 262 patients (72.8%) were male. 54 patients (20.8%) had hyperuricemia.  26.6% cases and 15.0% controls had hyperuricemia. Hyperuricemia was significantly associated with critical CAD (OR=2.06, CI 1.22-3.49, p=0.007). The association persisted after stratification according to age, gender, diabetes, hypertension, dyslipidemia, smoking, family history of IHD and BMI. Conclusion: There is a positive association between critical CAD and hyperuricemia. Keywords: Coronary artery disease, Hyperuricemia, IHD
    Type of Medium: Online Resource
    ISSN: 2227-9199 , 0048-2706
    URL: Article
    DOI: 10.47144/phj.v53i2.1813
    Language: Unknown
    Publisher: Pakistan Cardiac Society
    Publication Date: 2020
    detail.hit.zdb_id: 2696529-X
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  • 9
    Online Resource
    Online Resource
    Severe Coronary Artery Disease and Metabolic Syndrome in Patients with Acute Coronary Syndrome
    Healthcare Bulletin ; 2020
    In:  EUROPEAN JOURNAL OF CARDIOVASCULAR MEDICINE
    Details
    In: EUROPEAN JOURNAL OF CARDIOVASCULAR MEDICINE, Healthcare Bulletin
    Abstract: ABSTRACT Background: Hypertension, dyslipidemia, and disturbed glucose metabolism associated with central obesity are often referred to as Metabolic Syndrome (MetS) and patients of MetS have a two- to three-fold increased risk for the development of cardiovascular diseases. Objective: Objectives were to determine the frequency of MetS in patients presenting with acute coronary syndromes and to compare the frequencies of severe coronary artery disease in patients with and without MetS. Methods: This descriptive cross-sectional study included 200 patients with acute coronary syndromes over a period of six months. Frequency of MetS was calculated. The frequencies of severe coronary artery disease were compared between patients having MetS and not having MetS using chi-square chart. Results: Total 200 patients with the mean age of 54.24 ± 9.41 years were included. 131 (65.5%) patients with acute coronary syndrome had MetS. Total 112 patients (56%) had severe coronary artery disease. 63.35% with MetS and 42.03% without MetS had severe coronary artery disease (p=0.003). Conclusion: The frequency of metabolic syndrome was high (65.5%) in patients with acute coronary syndromes and severe coronary artery disease was found to be associated with the presence of metabolic syndrome in these patients
    Type of Medium: Online Resource
    URL: Journal
    URL: Article
    DOI: 10.5083/ejcm20424884
    DOI: 10.5083/ejcm20424884.17
    Language: English
    Publisher: Healthcare Bulletin
    Publication Date: 2020
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  • 10
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    Online Resource
    Orientation dependent electronic and optical properties of ZnS nanowires and ZnS—Si core shell nanowires
    Elsevier BV ; 2019
    In:  Applied Surface Science Vol. 486 ( 2019-08), p. 539-545
    Details
    In: Applied Surface Science, Elsevier BV, Vol. 486 ( 2019-08), p. 539-545
    Type of Medium: Online Resource
    ISSN: 0169-4332
    URL: Article
    DOI: 10.1016/j.apsusc.2019.04.251
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 2002520-8
    detail.hit.zdb_id: 52886-9
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