18 results on '"Kewal C. Goswami"'
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2. Cardiological society of India document on safety measure during echo evaluation of cardiovascular disease in the time of COVID-19
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Rakesh Gupta, Mrinal Kanti Das, P.P. Mohanan, Pradip K. Deb, S.K. Parashar, H.K. Chopra, Sameer Shrivastava, Santanu Guha, Kewal C. Goswami, Rakesh Yadav, R. Alagesan, V. Amuthan, M. Bansal, R.N. Chakraborty, N. Chakraborti, S. Chandra, A. Chatterjee, D. Chatterjee, S.S. Chatterjee, A.L. Dutta, A. De, A. Garg, V.K. Garg, A. Goyal, N.K. Goyal, S.C. Govind, V.K. Gupta, Pradeep K. Hasija, A. Jabir, P. Jain, V. Jain, P.B. Jayagopal, R.R. Kasliwal, V.K. Katyal, P.G. Kerkar, Amal Kumar Khan, N.N. Khanna, M. Mandal, B. Majumder, S.S. Mishra, C.B. Meena, N. Naik, V.S. Narain, A.K. Pancholia, L.A. Pathak, C.K. Ponde, K. Raghu, S. Ray, D. Roy, D. Sarma, S. Shanmugasundarum, B.P. Singh, S. Tyagi, G. Vijayaraghavan, G.S. Wander, Harsh Wardhan, and N.C. Nanda
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COVID -19 ,Cardiovascular evaluation ,Safety measures ,Echocardiography ,Cardiological Society of India ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
An echocardiographic investigation is one of the key modalities of diagnosis in cardiology. There has been a rising presence of cardiological comorbidities in patients positive for COVID-19. Hence, it is becoming extremely essential to look into the correct safety precautions, healthcare professionals must take while conducting an echo investigation. The decision matrix formulated for conducting an echocardiographic evaluation is based on presence or absence of cardiological comorbidity vis-à-vis positive, suspected or negative for COVID-19. The safety measures have been constructed keeping in mind the current safety precautions by WHO, CDC and MoHFW, India.
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- 2020
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- View/download PDF
3. Digital healthcare: The only solution for better healthcare during COVID-19 pandemic?
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Aditya Kapoor, Santanu Guha, Mrinal Kanti Das, Kewal C. Goswami, and Rakesh Yadav
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Digital healthcare ,COVID-19 pandemic ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
The huge impact of the COVID-19 pandemic on global healthcare systems has prompted search for novel tools to stem the tide. Attention has turned to the digital health community to provide possible health solutions in this time of unprecedented medical crisis to mitigate the impact of this pandemic. The paper shall focus on how digital solutions can impact healthcare during this pandemic.
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- 2020
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- View/download PDF
4. Prognostic significance of fragmented QRS in patients with ST-elevation myocardial infarction undergoing revascularization
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Sridharan Umapathy, Rakesh Yadav, Kewal C. Goswami, Ganesan Karthikeyan, Neeraj Parakh, and Vinay K. Bahl
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Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background & Objectives: This longitudinal study was carried out to evaluate the prognostic significance of fragmented QRS (fQRS) in patients with acute ST elevation myocardial infarction (STEMI) undergoing revascularization. Methods: This study included 103 STEMI patients belonging to Killip class I and II who underwent primary revascularization. All patients underwent twelve lead ECG at admission before PCI. Serial ECG were done after PCI at 3 hours, 6 hours, 24 hours, 48 hours and at discharge for detection of fQRS and echocardiography on day 3 post revascularization. Patients developing fQRS within 48 hours and with persistence of fQRS till discharge were included in “persistent fQRS” group. They were followed up after 30 days for major adverse cardiac events (MACE) and assessment of LV function by echocardiography. Results: fQRS was present in 64 patients (61.5%) of study population with 37 patients (57.8%) having persistent fQRS. MACE rates were low (4.8%) and did not differ with respect to fQRS. fQRS significantly correlated with LV dysfunction at 30 days on univariate analysis (p-0.003) but not on multivariate analysis (p -0.10). fQRS was significantly related to impaired myocardial reperfusion as assessed by ΣSTR (percent of total ST segment resolution) (adjusted odds ratio, 95% CI [4.265 (1.034 – 17.58)], p = 0.04). Conclusion: In our study, fQRS did not predict MACE and LV dysfunction in acute STEMI patients belonging to Killip class I and II on short term follow-up of 30 days. But, fQRS independently predicted impaired microvascular myocardial reperfusion as assessed by ΣSTR.
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- 2018
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5. Cardiological Society of India
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Santanu Guha, Rishi Sethi, Saumitra Ray, Vinay K. Bahl, S. Shanmugasundaram, Prafula Kerkar, Sivasubramanian Ramakrishnan, Rakesh Yadav, Gaurav Chaudhary, Aditya Kapoor, Ajay Mahajan, Ajay Kumar Sinha, Ajit Mullasari, Akshyaya Pradhan, Amal Kumar Banerjee, B.P. Singh, J. Balachander, Brian Pinto, C.N. Manjunath, Chandrashekhar Makhale, Debabrata Roy, Dhiman Kahali, Geevar Zachariah, G.S. Wander, H.C. Kalita, H.K. Chopra, A. Jabir, JagMohan Tharakan, Justin Paul, K. Venogopal, K.B. Baksi, Kajal Ganguly, Kewal C. Goswami, M. Somasundaram, M.K. Chhetri, M.S. Hiremath, M.S. Ravi, Mrinal Kanti Das, N.N. Khanna, P.B. Jayagopal, P.K. Asokan, P.K. Deb, P.P. Mohanan, Praveen Chandra, (Col.) R. Girish, O. Rabindra Nath, Rakesh Gupta, C. Raghu, Sameer Dani, Sandeep Bansal, Sanjay Tyagi, Satyanarayan Routray, Satyendra Tewari, Sarat Chandra, Shishu Shankar Mishra, Sibananda Datta, S.S. Chaterjee, Soumitra Kumar, Soura Mookerjee, Suma M. Victor, Sundeep Mishra, Thomas Alexander, Umesh Chandra Samal, and Vijay Trehan
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Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2017
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6. Cardio-embolic stroke due to valve tissue embolization during Percutaneous Transseptal Mitral Commissurotomy (PTMC)
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Sudhir S. Shetkar, Neeraj Parakh, Birdevender Singh, N.K. Mishra, Ruma Ray, Ganesan Karthikeyan, Rakesh Yadav, and Kewal C. Goswami
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Mitral stenosis ,Valve tissue ,Embolization ,Stroke ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Percutaneous Transseptal Mitral Commissurotomy (PTMC) has replaced surgical commissurotomy as a treatment of choice in selected patients of rheumatic mitral stenosis. Various randomized trials have shown PTMC to be equal or superior to surgical commissurotomy in terms of hemodynamic improvement as well as long term survival. Systemic embolism is one of the dreaded complications of PTMC, which is reported in 0.5–5% of cases and involves cerebral circulation in 1% of cases. Most of the time, periprocedural embolism during PTMC is caused by the mobilization of preexisting thrombus in the left atrial appendage. We report an unusual case of acute stroke due embolization of mitral valve tissue during PTMC.
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- 2014
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7. Changing pattern of admissions for acute myocardial infarction in India during the COVID-19 pandemic
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Tom Devasia, Katyal Virender Kumar, Mrinal Kanti Das, Sreekanth Yerram, Narendranath Khanna, Nitish Naik, Geevar Zachariah, Swaminathan Nagarajan, Amal Kumar Khan, Neil Bardoloi, Pushkraj Gadkari, Gurpreet Singh Wander, Debabrata Roy, Kewal C. Goswami, Anshul Gupta, Bishav Mohan, Lekha Pathak, Cibu Mathew, Nitin Modi, Dipak Ranjan Das, Krishna Kishore Goyal, Bivin Wilson, Satyanarayan Routray, Venugopal Krishnan Nair, Shashi Bhushan Gupta, Chakkalakkal Prabhakaran Karunadas, Biswajit Majumder, Satyendra Tiwari, Sivabalan Maduramuthu, Rakesh Gupta, P.P. Mohanan, Kalaivani Mani, J. Ezhilan, Rahul Patil, K.R. Subramanyam, Santanu Guha, Saumitra Ray, Dinesh Choudhary, Rathinavel Sivakumar, Rituparna Baruah, Bishwa Bhushan Bharti, Santhosh Krishnappa, Manish Bansal, Rambhatla Suryanarayana Murty, Uday Jadhav, Prafulla Kerker, Siddiqui Kkh, Bateshwar Prasad Singh, Pradeep K. Hasija, Cholenahally Nanjappa Manjunath, Seemala Saikrishna Reddy, Karthik Tummala, Ashok Goyal, Natesh Bangalore Hanumanthappa, Sudeep Kumar, Ramakrishnan Sivasubramanian, Shashi Shekhar Chatterjee, Varun Shankar Narain, Diapk Sarma, Vitull K. Gupta, Sharad Chandra, Harsh Wardhan, Jayagopal Pathiyil Balagopalan, Rakesh Yadav, Girish Meennahalli Palleda, Vijay Kumar Garg, Pradip Kumar Deb, Sanjay Tyagi, C. B. Meena, Amit Malviya, Rishi Sethi, Ranjit Kumar Nath, Dorairaj Prabhakaran, Rabindra Nath Chakraborthy, A. Jabir, Pranab Jyoti Bhattacharyya, Manoranjan Mandal, Satish Kumar, Kumar Kenchappa, and Mohit Gupta
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Male ,medicine.medical_treatment ,Myocardial Infarction ,030204 cardiovascular system & hematology ,Logistic regression ,Ventricular Function, Left ,0302 clinical medicine ,Pandemic ,030212 general & internal medicine ,Myocardial infarction ,Non-ST Elevated Myocardial Infarction ,Mortality rate ,Middle Aged ,Low-and middle-income country ,Acute myocardial infarction (AMI) ,Patient volume ,Non ST elevation Myocardial infarction (NSTEMI) and outcome ,Female ,Original Article ,Acute coronary syndrome ,Cardiology and Cardiovascular Medicine ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,RD1-811 ,India ,COVID-19 pandemic ,03 medical and health sciences ,LMIC ,Percutaneous Coronary Intervention ,medicine ,Humans ,Diseases of the circulatory (Cardiovascular) system ,Pandemics ,Management practices ,Aged ,business.industry ,COVID-19 ,Percutaneous coronary intervention ,Stroke Volume ,medicine.disease ,Cross-Sectional Studies ,RC666-701 ,Communicable Disease Control ,Time course ,Emergency medicine ,ST Elevation Myocardial Infarction ,Surgery ,business ,ST elevation Myocardial infarction (STEMI) ,Demography - Abstract
Background: Admissions for acute myocardial infarction (MI) have declined significantly during the COVID-19 pandemic. The changes in the presentation, management, and outcomes of MI during the pandemic period are not well recognized, and data from low- and middle-income countries are limited. Methods: In this two-timepoint cross-sectional study involving 187 hospitals across India, patients admitted with MI between 15th March to 15th June in 2020 were compared with those admitted during the corresponding period of 2019. We sought to determine the changes in the number of admissions, management practices, and outcomes. Findings: We included 41,832 consecutive adults with MI. Admissions during the pandemic period (n = 16414) decreased by 35·4% as compared to the corresponding period in 2019 (n = 25418). We observed significant heterogeneity in this decline across India with the North zone reporting greater decline (-44·8%) than the South zone (-27·7%). The weekly average decrease in MI admissions in 2020 which peaked around the mid- study period, correlated negatively with the number of COVID cases (r = -0·48; r 2 = 0·2), but strongly correlated with the stringency of lockdown index (r = 0·95; r 2 = 0·90). On a multi-level logistic regression, admissions were lower in 2020 with older age categories, tier 1 cities, and centers with high patient volume, and teaching programs. Adjusted utilization rate of coronary angiography, and percutaneous coronary intervention decreased by 11·3%, and 5·9% respectively. However, the in-hospital mortality rates did not differ. Interpretation: The magnitude of reduction in MI admissions across India was not uniform. The nature, time course, and the patient demographics were different compared to reports from other countries, suggesting a significant impact due to the lockdown. These findings have important implications in managing MI admissions during the pandemic. Funding Statement: The study is funded by cardiological society of India. Declaration of Interests: Nothing to declare for all the authors. Ethics Approval Statement: Individual participating centres either obtained an ethical approval from respective Institutional ethics committees or a no objection certificate from the administration.
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- 2021
8. Myocardial preservation during primary percutaneous intervention: It's time to rethink?
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Kewal C. Goswami, Satyavir Yadav, Geetika Yadav, and Rakesh Yadav
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medicine.medical_specialty ,Percutaneous ,RD1-811 ,business.industry ,Myocardial Infarction ,Editorial ,Percutaneous Coronary Intervention ,Treatment Outcome ,Intervention (counseling) ,RC666-701 ,medicine ,Myocardial preservation ,Humans ,Diseases of the circulatory (Cardiovascular) system ,Surgery ,Cardiology and Cardiovascular Medicine ,Intensive care medicine ,business ,Primary PCI - Published
- 2021
9. Cardiological society of India position statement on COVID-19 and heart failure
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Vitull K. Gupta, Satyanarayan Routray, Kewal C. Goswami, Harsh Wardhan, Manoranjan Mandal, H K Chopra, D. D. Sarma, Aakash Goyal, Narendra N. Khanna, G. Sanjay, Sachin Tyagi, P.B. Jayagopal, Pradip Kumar Deb, Debabrata Roy, Somdattaa Ray, Pradeep K. Hasija, A. Jabir, Roy Ambuj, C. B. Meena, Nitish Naik, S. Shanmugasundaram, S. S. Chattarjee, Cibu Mathew, Biswajit Majumder, L. A. Pathak, V.K. Katyal, R. K. Gupta, Manish Bansal, V. K. Narain, Prafulla Kerkar, Rakesh Yadav, G.S. Wander, R. N. Chakraborty, Dhiman Kahali, Bhupender Singh, P.P. Mohanan, Santanu Guha, Sivadasanpillai Harikrishnan, Sharad Chandra, Das Mk, V. K. Chopra, and K. Venugopal
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medicine.medical_specialty ,RD1-811 ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,Cardiology ,MEDLINE ,India ,Comorbidity ,Disease ,030204 cardiovascular system & hematology ,Article ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Pharmacotherapy ,CSI ,Health care ,Pandemic ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,030212 general & internal medicine ,Mortality ,Intensive care medicine ,Pandemics ,Societies, Medical ,Heart Failure ,SARS-CoV-2 ,business.industry ,COVID-19 ,Guideline ,Cardiovascular disease ,medicine.disease ,Cardiac injury ,Coronavirus ,RC666-701 ,Heart failure ,Surgery ,Coronavirus Infections ,Cardiology and Cardiovascular Medicine ,business ,corona - Abstract
The COVID 19 global pandemic has engulfed humanity with a huge impact on health systems across the world. Many patients develop myocardial injury which can lead to significant cardiovascular complications including HF. This will require aggressive management strategies which are evolving. Guideline directed drug therapy including ACEI/ARB/ARNI is to be continued in patients with pre-existing HF. Long-term cardiovascular effects of COVID-19 are yet to be ascertained. Protection of health care personnel from contracting the disease should be given high priority.
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- 2020
10. Digital healthcare: The only solution for better healthcare during COVID-19 pandemic?
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Mrinal Kanti Das, Aditya Kapoor, Kewal C. Goswami, Rakesh Yadav, and Santanu Guha
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Program evaluation ,Male ,Coronavirus disease 2019 (COVID-19) ,RD1-811 ,Internet privacy ,Pneumonia, Viral ,COVID-19 pandemic ,030204 cardiovascular system & hematology ,Digital healthcare ,03 medical and health sciences ,0302 clinical medicine ,Pandemic ,Health care ,Outcome Assessment, Health Care ,Medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,030212 general & internal medicine ,Program Development ,Pandemics ,business.industry ,pandemic ,COVID-19 ,Digital health ,Telemedicine ,RC666-701 ,Communicable Disease Control ,Program development ,Surgery ,Female ,Public Health ,business ,Cardiology and Cardiovascular Medicine ,Coronavirus Infections ,Healthcare system ,Program Evaluation - Abstract
The huge impact of the COVID-19 pandemic on global healthcare systems has prompted search for novel tools to stem the tide. Attention has turned to the digital health community to provide possible health solutions in this time of unprecedented medical crisis to mitigate the impact of this pandemic. The paper shall focus on how digital solutions can impact healthcare during this pandemic.
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- 2020
11. Cardiological Society of India: Document on Acute MI care during COVID-19☆
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Vitull K. Gupta, Sundeep Mishra, HK Chopra, Satyavan Sharma, K. Venugopal, P.P. Mohanan, Nitish Naik, S D Mehta, Dhiman Kahali, V.K. Katyal, Prabal Deb, Rajni Yadav, Santanu Guha, Debabrata Roy, Sameer Dani, Das Mk, Kewal C. Goswami, Somdattaa Ray, A.K. Pancholia, P.B. Jayagopal, G.S. Wander, S.S. Chatterjee, R. N. Chakraborty, Vinay K. Bahl, Narendra N. Khanna, A. Mullasari, Prafulla Kerkar, Sachin Tyagi, S. Shanmugasundarm, G. Justin Paul, Rajeev Kumar Gupta, Thomas Alexander, Satyendra Tewari, Pradeep K. Hasija, B.P. Singh, and Manoranjan Mandal
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Male ,RD1-811 ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,Cardiology ,Myocardial Infarction ,India ,030204 cardiovascular system & hematology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Outcome Assessment, Health Care ,Pandemic ,medicine ,Diseases of the circulatory (Cardiovascular) system ,Humans ,030212 general & internal medicine ,Myocardial infarction ,ST-elevation MI ,Acute mi ,Pandemics ,Societies, Medical ,Corona Virus ,business.industry ,Patient Selection ,COVID-19 ,Disease Management ,medicine.disease ,Public health care ,Treatment Outcome ,Coronary thrombosis ,RC666-701 ,Communicable Disease Control ,Practice Guidelines as Topic ,Surgery ,Female ,Medical emergency ,Acute coronary syndrome ,Coronavirus Infections ,Cardiology and Cardiovascular Medicine ,business - Abstract
The unprecedented and rapidly spreading Coronavirus Disease-19 (COVID-19) pandemic has challenged public health care systems globally. Based on worldwide experience, India has initiated a nationwide lockdown to prevent the exponential surge of cases. During COVID-19, management of cardiovascular emergencies like acute Myocardial Infarction (MI) may be compromised. Cardiological Society of India (CSI) has ventured in this moment of crisis to evolve a consensus document for care of acute MI. However, this care should be individualized, based on local expertise and governmental advisories.
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- 2020
12. Cardiological Society of India Document on Safety Measure During Echo Evaluation of Cardiovascular Disease in the Time of COVID-19
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Ravi R Kasliwal, Prafulla Kerkar, Narendra N. Khanna, P.P. Mohanan, P.B. Jayagopal, A.L. Dutta, Bateshwar Prasad Singh, V. Jain, Sachin Tyagi, K. Raghu, Santanu Guha, V.K. Katyal, Mrinal Kanti Das, Gurpreet Singh Wander, Manoranjan Mandal, H K Chopra, Nandita Chakraborti, Rakesh K. Gupta, Ashok Garg, Debabrata Roy, Pradeep K. Hasija, A.K. Pancholia, Rakesh Yadav, D. Chatterjee, Pradip K. Deb, Nitish Naik, S.C. Govind, Varun Shankar Narain, Saumitra Ray, Lekha Pathak, P. Jain, G. Vijayaraghavan, S K Parashar, C. B. Meena, N.K. Goyal, C.K. Ponde, Amal Kumar Khan, R.N. Chakraborty, Biswajit Majumder, R. Alagesan, Navin C. Nanda, Sharad Chandra, Manish Bansal, A. Chatterjee, Sameer Shrivastava, Ashok Goyal, Kewal C. Goswami, V. Amuthan, Vijay Kumar Garg, Vitull K. Gupta, Sundeep Mishra, S. Shanmugasundarum, A. Jabir, Harsh Wardhan, A. De, D. D. Sarma, and Shelly Chatterjee
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Male ,MERS, Middle East Respiratory Syndrome ,AP2C view, Apical 2 chamber view ,Disease ,030204 cardiovascular system & hematology ,Severe Acute Respiratory Syndrome ,ICMR, Indian Council of Medical Research ,0302 clinical medicine ,Echo, Echocardiography ,CVD, Cardiovascular disease ,IVC Dynamic view, Inferior Vena Cava dynamic view ,SARS, Severe Acute Respiratory Syndrome ,ACE2, Angiotensin Converting Enzyme 2 ,Cardiological Society of India ,CFM, Color Flow Mapping ,030212 general & internal medicine ,PSAX view, parasternal short axis view ,Societies, Medical ,Cross Infection ,PAT, Pulmonary artery acceleration time ,ECG, Electrocardiogram ,Echo (computing) ,CT, Computed Tomography ,ICU, Intensive care unit ,Cardiovascular Diseases ,Echocardiography ,PPE, Personal Protection Equipment ,Practice Guidelines as Topic ,Female ,Medical emergency ,Patient Safety ,Cardiology and Cardiovascular Medicine ,Coronavirus Infections ,GSM, Gram per square meter ,COVID -19 ,Coronavirus disease 2019 (COVID-19) ,RD1-811 ,HCQS, Hydroxychloroqine sulfate ,Pneumonia, Viral ,Cardiology ,India ,Safety measures ,Article ,03 medical and health sciences ,Patient safety ,PLAX view, Parasternal long axis view ,LVOT CW trace, Left ventricular outflow tract Continuous Wave trace ,AP4C view, Apical 4 Chamber view ,medicine ,Humans ,Diseases of the circulatory (Cardiovascular) system ,In patient ,Pandemics ,Infection Control ,Modalities ,Health professionals ,business.industry ,Cardiovascular evaluation ,COVID-19 ,DM, Diabetes mellitus ,medicine.disease ,Comorbidity ,TEE, Transesophageal Echo ,HCW, Health Care Workers ,CI, Confidence Interval ,RV Focussed view, Right ventricle Focussed view ,COVID-19, Coronavirus disease -19 ,HTN, hypertension ,RC666-701 ,Surgery ,business ,NHC, National Health Commission ,TR jet velocity, Tricuspid regurgitation jet velocity - Abstract
An echocardiographic investigation is one of the key modalities of diagnosis in cardiology. There has been a rising presence of cardiological comorbidities in patients positive for COVID-19. Hence, it is becoming extremely essential to look into the correct safety precautions, healthcare professionals must take while conducting an echo investigation. The decision matrix formulated for conducting an echocardiographic evaluation is based on presence or absence of cardiological comorbidity vis-a-vis positive, suspected or negative for COVID-19. The safety measures have been constructed keeping in mind the current safety precautions by WHO, CDC and MoHFW, India.
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- 2020
13. CSI position statement on management of heart failure in India
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Soura Mookerjee, U C Samal, G. Sanjay, G. Justin Paul, Johann Christopher, Ambuj Roy, Rakesh K. Gupta, Upkar A. Kaul, B.P. Chattopadhyay, K. Sarat Chandra, R Alagesan, M.S. Hiremath, B.C. Srinivas, Brian Pinto, Kewal C. Goswami, Neil Bardolui, Rishi Sethi, Arup Dasbiswas, Vijay K. Chopra, Cholenahalli Nanjappa Manjunath, Amit N. Vora, Saumitra Ray, Rakesh Yadav, Calambur Narasimhan, S. Somasundaram, Suvro Banerjee, Sundeep Mishra, K.R. Balakrishnan, J.J. Dalal, Yash Lokhandwala, K. Venugopal, Milind Hot, Anita Saxena, Sivadasanpillai Harikrishnan, Rajeeve Kumar Rajput, Trinath Kumar Mishra, Vinay K. Bahl, Varun Shankar Narain, Dharmendra Jain, Prashant Bhardwaj, Prafulla Kerkar, Akshyaya Pradhan, Ajay Kumar Sinha, Soumitra Kumar, N. V. Deshpande, J.P.S. Sawhney, G. Sengottuvelu, D. D. Sarma, S Ramakrishnan, Bhupender Singh, J. Balachandar, Satyendra Tewari, Jayanta Saha, Mrinal Kanti Das, Satyanarayan Routray, Kajal Ganguly, Om Prakash Yadava, Aditya Kapoor, H.K. Chopra, Jaganmohan Tharakan, P.K. Deb, S. Shanmugasundaram, Geevar A. Zachariah, Charan P. Lanjewar, P.P. Mohanan, Santanu Guha, Amal Kumar Banerjee, A.K. Pancholia, Sandeep Seth, A.U. Mahajan, Pravesh Vishwakarma, Vimal Raj, Kewal K. Talwar, I.B. Vijayalakshmi, Tiny Nair, and S.S. Iyengar
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Position statement ,CSI Guideline ,medicine.medical_specialty ,business.industry ,Management of heart failure ,MEDLINE ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Disease management (health) ,Cardiology and Cardiovascular Medicine ,Intensive care medicine ,business - Published
- 2018
14. Cardiological Society of India: Position statement for the management of ST elevation myocardial infarction in India
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Justin Paul, Amal Kumar Banerjee, M.S. Ravi, Santanu Guha, Ajay Mahajan, Gaurav Chaudhary, Mrinal Kanti Das, Sibananda Datta, H.C. Kalita, Aditya Kapoor, Narendra N. Khanna, Debabrata Roy, Akshyaya Pradhan, C.N. Manjunath, P.K. Asokan, C.N. Makhale, C. Raghu, Brian Pinto, B.P. Singh, Sandeep Bansal, Sivasubramanian Ramakrishnan, G.S. Wander, Sarat Chandra, Rakesh Yadav, JagMohan Tharakan, Vijay Trehan, Rishi Sethi, Vinay K. Bahl, K.B. Baksi, Ajit S. Mullasari, Ajay Kumar Sinha, P.K. Deb, S. Shanmugasundaram, Soumitra Kumar, Kajal Ganguly, Geevar A. Zachariah, M.S. Hiremath, Praveen Chandra, K. Venogopal, M. Somasundaram, Soura Mookerjee, Dhiman Kahali, Satyendra Tewari, M.K. Chhetri, O. Rabindra Nath, Col R. Girish, H.K. Chopra, Kewal C. Goswami, P.P. Mohanan, Saumitra Ray, P.B. Jayagopal, Sundeep Mishra, Shishu Shankar Mishra, S.S. Chaterjee, Prafula Kerkar, A. Jabir, Rakesh K. Gupta, Sanjay Tyagi, Suma M. Victor, Sameer Dani, Thomas Alexander, Satyanarayan Routray, Umesh Chandra Samal, and Jayaraman Balachander
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Position statement ,medicine.medical_specialty ,Myocardial reperfusion ,business.industry ,Cardiology ,MEDLINE ,Disease Management ,India ,Myocardial Reperfusion ,030204 cardiovascular system & hematology ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,St elevation myocardial infarction ,Emergency medicine ,Humans ,ST Elevation Myocardial Infarction ,Medicine ,Original Article ,030212 general & internal medicine ,Medical emergency ,Disease management (health) ,Cardiology and Cardiovascular Medicine ,business ,Societies, Medical - Published
- 2017
15. Prognostic significance of fragmented QRS in patients with ST-elevation myocardial infarction undergoing revascularization
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Ganesan Karthikeyan, Kewal C. Goswami, Sridharan Umapathy, Neeraj Parakh, Rakesh Yadav, and Vinay K. Bahl
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Male ,medicine.medical_specialty ,RD1-811 ,medicine.medical_treatment ,Heart Ventricles ,030204 cardiovascular system & hematology ,Revascularization ,Coronary Angiography ,Ventricular Function, Left ,03 medical and health sciences ,Electrocardiography ,0302 clinical medicine ,Percutaneous Coronary Intervention ,Risk Factors ,Internal medicine ,medicine ,ST segment ,Humans ,Diseases of the circulatory (Cardiovascular) system ,030212 general & internal medicine ,Prospective Studies ,cardiovascular diseases ,Prospective cohort study ,Killip class ,Univariate analysis ,business.industry ,Odds ratio ,Middle Aged ,Prognosis ,Echocardiography ,RC666-701 ,Conventional PCI ,Cardiology ,ST Elevation Myocardial Infarction ,Female ,Surgery ,Clinical and Preventive Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Mace ,Follow-Up Studies - Abstract
Background & Objectives This longitudinal study was carried out to evaluate the prognostic significance of fragmented QRS (fQRS) in patients with acute ST elevation myocardial infarction (STEMI) undergoing revascularization. Methods This study included 103 STEMI patients belonging to Killip class I and II who underwent primary revascularization. All patients underwent twelve lead ECG at admission before PCI. Serial ECG were done after PCI at 3 hours, 6 hours, 24 hours, 48 hours and at discharge for detection of fQRS and echocardiography on day 3 post revascularization. Patients developing fQRS within 48 hours and with persistence of fQRS till discharge were included in “persistent fQRS” group. They were followed up after 30 days for major adverse cardiac events (MACE) and assessment of LV function by echocardiography. Results fQRS was present in 64 patients (61.5%) of study population with 37 patients (57.8%) having persistent fQRS. MACE rates were low (4.8%) and did not differ with respect to fQRS. fQRS significantly correlated with LV dysfunction at 30 days on univariate analysis (p-0.003) but not on multivariate analysis (p -0.10). fQRS was significantly related to impaired myocardial reperfusion as assessed by ΣSTR (percent of total ST segment resolution) (adjusted odds ratio, 95% CI [4.265 (1.034 – 17.58)], p = 0.04). Conclusion In our study, fQRS did not predict MACE and LV dysfunction in acute STEMI patients belonging to Killip class I and II on short term follow-up of 30 days. But, fQRS independently predicted impaired microvascular myocardial reperfusion as assessed by ΣSTR.
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- 2018
16. Corrigendum to 'Cardiological Society of India position statement on management of heart failure in India' [Indian Heart J 70 (S1) (2018) S1–S72]
- Author
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Sundeep Mishra, Mrinal Kanti Das, P.P. Mohanan, Soura Mookerjee, M.S. Hiremath, Aditya Kapoor, Prashant Bhardwaj, B.C. Srinivas, Milind Hot, K. Sarat Chandra, Rishi Sethi, Prafulla Kerkar, Akshyaya Pradhan, Jaganmohan Tharakan, Amit N. Vora, Ajay K Sinha, Vijay K. Chopra, Santanu Guha, D. D. Sarma, Tiny Nair, S.S. Iyengar, Amal Kumar Banerjee, A.K. Pancholia, P.K. Deb, Arup Dasbiswas, S. Shanmugasundaram, G. Sengottuvelu, Rajeeve Kumar Rajput, S. Somasundaram, Sandeep Seth, Vimal Raj, Johann Christopher, Kewal K. Talwar, Jayanta K. Saha, A.U. Mahajan, Yash Lokhandwala, Anita Saxena, U C Samal, S Ramakrishnan, I.B. Vijayalakshmi, Dharmendra Jain, J.P.S. Sawhney, Varun Shankar Narain, Bhupender Singh, Niteen V Deshpande, Soumitra Kumar, K. Venugopal, C.N. Manjunath, K.R. Balakrishnan, Brian Pinto, H.K. Chopra, Kewal C. Goswami, Charan P. Lanjewar, Calambur Narasimhan, R Alagesan, Suvro Banerjee, Rakesh Kumar Gupta, J. Balachandar, Satyendra Tewari, Neil Bardolui, Pravesh Vishwakarma, J.J. Dalal, Saumitra Ray, Trinath Kumar Mishra, G. Justin Paul, Rakesh Yadav, Sivadasanpillai Harikrishnan, Kajal Ganguly, Om Prakash Yadava, Vinay K. Bahl, Geevar Zachariah, B.P. Chattopadhyay, G. Sanjay, Satyanarayan Routray, Ambuj Roy, and Upkar A. Kaul
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Position statement ,business.industry ,Published Erratum ,Management of heart failure ,MEDLINE ,Medicine ,Medical emergency ,Corrigendum ,Cardiology and Cardiovascular Medicine ,business ,medicine.disease - Published
- 2018
17. Predictors of left atrial appendage clot: a transesophageal echocardiographic study of left atrial appendage function in patients with severe mitral stenosis
- Author
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Kewal C, Goswami, Rakesh, Yadav, and Vinay K, Bahl
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Adult ,Male ,Coronary Thrombosis ,Severity of Illness Index ,Predictive Value of Tests ,Pulsatile Flow ,Humans ,Mitral Valve Stenosis ,Atrial Appendage ,Atrial Function, Left ,Female ,Prospective Studies ,Blood Flow Velocity ,Echocardiography, Transesophageal - Abstract
The purpose of this study was to prospectively evaluate a large group of consecutive, non-anticoagulated patients with severe rheumatic mitral stenosis and to analyze the left atrial appendage function in relation to left atrial appendage clot and spontaneous echo contrast formation.We prospectively studied left atrial appendage function in 200 consecutive patients with severe mitral stenosis who underwent transesophageal echocardiography and correlated it with spontaneous echo contrast and left atrial appendage clot. The mean age was 30.2 +/- 9.4 years. Fifty-five (27.5%) patients were in atrial fibrillation. Left atrial appendage clot was present in 50 (25%) patients and 113 (56.5%) had spontaneous echo contrast. The older age, increased duration of symptoms, atrial fibrillation, spontaneous echo contrast, larger left atrium, depressed left atrial appendage function and type II and III left atrial appendage flow patterns correlated significantly (p0.05) with the left atrial appendage clot. Left atrial appendage ejection fraction was significantly less in patients with clot (21.8 +/- 12.8% v. 39.1 +/- 13.2%, p0.0001) and in those with spontaneous echo contrast (30.3 +/- 16.2 % v. 40.3 +/- 11.8%, p0.001). Left atrial appendage filling (18.0 +/- 11.7 v. 27.6 +/- 11.8 cm/s, p0.0001) and emptying velocities (15.4 +/- 7.0 v. 21.5 +/- 9.6 cm/s, p0.001) and filling (1.4 +/- 1.0 v. 2.5 +/- 1.4 cm, p0.0001) and emptying (1.5 +/- 1.2 v. 2.1 +/- 1.2 cm, p0.05) velocity time integrals were also significantly lower in patients with clot as compared to those without clot. On multivariate regression analysis, atrial fibrillation (odds ratio 6.68, 95% CI 1.85-24.19, p=0.003) and left atrial appendage ejection fraction (odds ratio 1.06, 95% CI 1.00 - 1.11, p=0.04) were the only two independent predictors of clot formation. Incidence of clot was 62.59% in patients with left atrial appendage ejection fractionor = 25% as compared to 10.4% in those having left atrial appendage ejection fraction25%. Similarly patients with spontaneous echo contrasthadlower filling (21.7 +/- 11.5 v. 29.4 +/- 12.7 cm/s, p0.0001) and emptying (17.0 +/- 8.1 v. 23.9 +/- 10.9 cm/s, p0.0001) velocities, as well as filling (1.9 +/- 1.3 v. 2.7 +/- 1.3 cm, p0.01) and emptying (1.7 +/- 1.0 v. 2.3 +/- 1.4 cm, p0.01) velocity time integrals as compared to patients without spontaneous echo contrast. In a subgroup of the patients with normal sinus rhythm, the left atrial appendage ejection fraction was significantly less in patients with clot compared to those without clot (31.2 +/- 13.2 v. 41.3 +/- 11.5 %, p0.01).In the patients with severe mitral stenosis, besides atrial fibrillation, a subgroup of patients in normal sinus rhythm with depressed left atrial appendage function (left atrial appendage ejection fractionor = 25%) had a higher risk of clot formation in left atrial appendage and these patients should be routinely anticoagulated for prevention of clot formation.
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- 2005
18. Cardio-embolic stroke due to valve tissue embolization during Percutaneous Transseptal Mitral Commissurotomy (PTMC)
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Birdevender Singh, Sudhir S. Shetkar, Kewal C. Goswami, N. K. Mishra, Neeraj Parakh, Ruma Ray, Rakesh Yadav, and Ganesan Karthikeyan
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Adult ,Male ,medicine.medical_specialty ,Percutaneous ,RD1-811 ,medicine.medical_treatment ,Embolism ,Hemodynamics ,Case Report ,Embolization ,Internal medicine ,Mitral valve ,Diseases of the circulatory (Cardiovascular) system ,Humans ,Mitral Valve Stenosis ,Medicine ,cardiovascular diseases ,Cardiac Surgical Procedures ,Thrombus ,Stroke ,Mitral stenosis ,Valve tissue ,business.industry ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Echocardiography ,RC666-701 ,Cardiology ,cardiovascular system ,Tomography, X-Ray Computed ,business ,Commissurotomy ,Cardiology and Cardiovascular Medicine - Abstract
Percutaneous Transseptal Mitral Commissurotomy (PTMC) has replaced surgical commissurotomy as a treatment of choice in selected patients of rheumatic mitral stenosis. Various randomized trials have shown PTMC to be equal or superior to surgical commissurotomy in terms of hemodynamic improvement as well as long term survival. Systemic embolism is one of the dreaded complications of PTMC, which is reported in 0.5–5% of cases and involves cerebral circulation in 1% of cases. Most of the time, periprocedural embolism during PTMC is caused by the mobilization of preexisting thrombus in the left atrial appendage. We report an unusual case of acute stroke due embolization of mitral valve tissue during PTMC.
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