29 results on '"Bali HK"'
Search Results
2. A novel malignant anomaly of the coronary arteries (Bali’s girdle)
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Amreen Dhindsa, Bali Hk, Kapil K. Chattree, and Surinder Kumar Bali
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Coronary arteries ,medicine.medical_specialty ,medicine.anatomical_structure ,Images in Cardiology ,business.industry ,Internal medicine ,medicine ,Cardiology ,AcademicSubjects/MED00200 ,Anomaly (physics) ,Cardiology and Cardiovascular Medicine ,business - Published
- 2021
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3. An Anomalous Story Of A Rare Percutaneous Intervention To Left Anterior Descending / Right Coronary Artery Bifurcation
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Sankalp Bharti, Bali Hk, and Amreen Dhindsa
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medicine.medical_specialty ,Percutaneous ,business.industry ,surgical procedures, operative ,Internal medicine ,Right coronary artery ,medicine.artery ,cardiovascular system ,medicine ,Cardiology ,cardiovascular diseases ,business ,Bifurcation lesion ,Bifurcation ,circulatory and respiratory physiology - Abstract
We report a rare percutaneous intervention to the Left Anterior Descending (LAD) and Right Coronary Artery (RCA) bifurcation in a 77 year old with anomalous origin of the RCA from mid LAD and Medina 1,1,1 bifurcation disease. The LAD/RCA bifurcation lesion was successfully treated using Mini crush technique.
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- 2020
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4. TCTAP A-054 Percutaneous Coronary Intervention in Nonagenarians: A Single Operator Experience
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Hiteshi K.C. Chauhan, Kapil K. Chattree, Gagandip Singh, Bali Hk, Amreen Dhindsa, Fazal Karim, Surinder Kumar Bali, and Navdeep Singh Sidhu
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medicine.medical_specialty ,Operator (computer programming) ,business.industry ,Internal medicine ,medicine.medical_treatment ,Cardiology ,Medicine ,Percutaneous coronary intervention ,Cardiology and Cardiovascular Medicine ,business - Published
- 2021
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5. Coronary Interventions in Cardiodiabetes Prognostication
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Hiteshi K.C. Chauhan and Bali Hk
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medicine.medical_specialty ,business.industry ,Psychological intervention ,Medicine ,business ,Intensive care medicine - Published
- 2018
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6. Profile of patients presenting with cardioembolic stroke in a tertiary care hospital: A retrospective study
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Harpreet Singh Mann, Amreen Dhindsa, Sankalp Bharti, Hiteshi K.C. Chauhan, Bali Hk, and Rajat Sharma
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Cardioembolic stroke ,medicine.medical_specialty ,business.industry ,Emergency medicine ,medicine ,Retrospective cohort study ,Tertiary care hospital ,Cardiology and Cardiovascular Medicine ,business - Published
- 2018
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7. TCTAP A-065 Novel Technique: Use of 'Mother in Child' Guideliner® Catheter as a Conduit for Optimal Visualization and Deployment of Stents in Coronary Ostial Lesions
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Hiteshi K.C. Chauhan, Navdeep Singh Sidhu, and Bali Hk
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Novel technique ,Catheter ,medicine.medical_specialty ,Electrical conduit ,business.industry ,Software deployment ,medicine ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Visualization - Published
- 2018
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8. Multiple bailout interventions in a case of Takayasu's arteritis
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Anil Grover, Rajat Sharma, Ashish Jha, Rajesh Vijayvergiya, Bali Hk, and Saroj K. Sinha
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medicine.medical_specialty ,business.industry ,Fulminant ,medicine.medical_treatment ,Takayasu's arteritis ,medicine.disease ,Revascularization ,Surgery ,Angina ,Coronary artery disease ,medicine.anatomical_structure ,Mesenteric ischemia ,Internal medicine ,medicine ,Cardiology ,Arteritis ,Cardiology and Cardiovascular Medicine ,business ,Mesenteric arteries - Abstract
Purpose Takayasu's arteritis (TA) is a non-specific, chronic, inflammatory panarteritis, affecting the aorta, its major branches and pulmonary arteries. The percutaneous or surgical revascularization in these patients is often difficult and challenging because of diffuse and multi-vessel involvement, difficulty in management of disease activity, and high rate of restenosis and re-intervention. Case report We report a 33-year-old man, a case of TA with fulminant active disease and multi-vessel involvement. His disease activity could not be suppressed with steroid treatment. He had multiple sequential bailout interventions of carotid, left main coronary and mesenteric arteries secondary to cerebro-vascular event, angina and mesenteric ischemia, respectively. Conclusion Despite comprehensive multi-specialty approach in management and also the global revascularization, he ultimately died of acute mesenteric ischemia. To our knowledge, there is no similar type of case being published in world literature till date.
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- 2009
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9. Chapter-072 Hybrid Coronary Revascularization: An Integrated 'Best of Both Worlds' Approach to Revascularization
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Bali Hk and Hiteshi K.C. Chauhan
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medicine.medical_specialty ,Hybrid coronary revascularization ,business.industry ,medicine.medical_treatment ,Internal medicine ,Cardiology ,Medicine ,business ,Revascularization - Published
- 2015
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10. Cardiovascular effects of corticosteroid pulse therapy: a prospective controlled study on pemphigus patients
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Rajesh Jain, Bali Hk, Vindod Kumar Sharma, and Bhushan Kumar
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Adult ,Male ,medicine.medical_specialty ,medicine.drug_class ,medicine.medical_treatment ,Pulse therapy ,Dermatology ,Dexamethasone ,Electrocardiography ,Adrenal Cortex Hormones ,Immunopathology ,Humans ,Medicine ,Prospective Studies ,Cyclophosphamide ,Autoimmune disease ,Chemotherapy ,business.industry ,Middle Aged ,medicine.disease ,Pemphigus ,Pulse Therapy, Drug ,Corticosteroid ,Female ,business - Published
- 2005
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11. Silent Myocardial Ischemia and High-Grade Ventricular Arrhythmias in Patients on Maintenance Hemodialysis
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Sunip Banerjee, Bali Hk, Vinay Sakhuja, Vivekanand Jha, and Khalid Mohi-ud-din
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Adult ,Male ,Nephrology ,medicine.medical_specialty ,Resuscitation ,medicine.medical_treatment ,education ,Myocardial Ischemia ,Coronary Artery Disease ,Disease ,Coronary Angiography ,Critical Care and Intensive Care Medicine ,Renal Dialysis ,Internal medicine ,mental disorders ,medicine ,Humans ,Prospective Studies ,cardiovascular diseases ,Prospective cohort study ,Dialysis ,Silent myocardial ischemia ,Vascular disease ,business.industry ,Incidence ,fungi ,Arrhythmias, Cardiac ,General Medicine ,Middle Aged ,medicine.disease ,Electrocardiography, Ambulatory ,cardiovascular system ,Cardiology ,Kidney Failure, Chronic ,Hemodialysis ,business - Abstract
The occurrence of silent myocardial ischemia (SMI) and serious arrhythmias during hemodialysis (HD) has been well documented. However, it is unclear whether these changes are due to epicardial coronary artery disease (CAD). We conducted a prospective study to assess whether SMI and arrhythmias during HD correlated with angiographically demonstrable CAD. Twenty-three patients with end-stage renal disease on maintenance HD underwent 48-hour Holter monitoring, beginning 24 hours prior to a HD session. All patients underwent biochemical evaluation, coronary angiography, and echocardiography. Holter monitoring showed SMI during HD in 22% cases. A significant increase in the frequency of ventricular ectopics (VEs) was noted during and after HD. Patients who showed SMI during HD and VEs prior to initiation of dialysis were more likely to develop significant ventricular arrhythmias during and after HD. Epicardial CAD was documented in four patients, and it did not correlate with SMI. To conclude, HD is an arrhythmogenic process. SMI during dialysis is probably not due to epicardial CAD but predisposes to clinically significant ventricular arrhythmias during and after HD. The cause of SMI during HD in patients without demonstrable CAD needs further investigation.
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- 2005
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12. An endoscopic study of upper-GI mucosal changes in patients with congestive heart failure
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Usha Dutta, Bali Hk, Jagmohan S. Varma, Pradeepta Kumar Sethy, Kaiser Raja, and Rakesh Kochhar
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Heart disease ,Statistics as Topic ,Stomach Diseases ,Hyperemia ,Vena Cava, Inferior ,Hepatic Veins ,Inferior vena cava ,Gastroenterology ,Cohort Studies ,Risk Factors ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Endoscopy, Digestive System ,Prospective Studies ,Telangiectasis ,Duodenal Diseases ,Intestinal Mucosa ,Esophagus ,Telangiectasia ,Heart Failure ,Ejection fraction ,Portal Vein ,business.industry ,Stomach ,medicine.disease ,Tricuspid Valve Insufficiency ,Surgery ,medicine.anatomical_structure ,medicine.vein ,Gastric Mucosa ,Heart failure ,Duodenum ,Female ,medicine.symptom ,business ,Gastric Antral Vascular Ectasia ,Dilatation, Pathologic - Abstract
Congestive heart failure results in an increase in systemic venous pressure that is transmitted to the inferior vena cava and to the hepatic veins. This can cause GI vascular and mucosal congestion. The aim of this study was to define upper-GI mucosal changes in patients with congestive heart failure.A total of 57 patients with congestive heart failure presenting with GI symptoms underwent upper endoscopy. Echocardiography was performed in all patients to determine the ejection fraction and the degree of tricuspid regurgitation. Transabdominal US was performed to measure the diameters of the hepatic veins, the inferior vena cava, and the portal vein. The presence and the severity of gastropathy and duodenopathy were compared with the parameters relating to severity of cardiac failure.Of the 57 patients studied, gastric mucosal changes were observed in 50 (88%), duodenal mucosal changes in 31 (54%), and esophageal mucosal changes in none. Gastric mucosal changes were the following: mosaic-like pattern (n = 50), punctate spots (n = 34), thickened folds (n = 5), watermelon stomach (n = 3), and telangiectasia (n = 10). Duodenal mucosal changes were the following: mosaic-like pattern (n = 29), thickened folds (n = 8), and telangiectasia (n = 2). Upper-GI symptoms were associated with gastropathy ( p = 0.027) and duodenopathy ( p = 0.003). The presence and the severity of duodenopathy showed a high degree of positive correlation with the presence and the severity of gastropathy (gamma value 0.690; p value0.001). Patients with gastropathy and duodenopathy had higher mean inferior vena cava and hepatic vein diameters than those without gastropathy and duodenopathy. The severity of duodenopathy but not that of gastropathy was significantly associated with increasing severity of tricuspid regurgitation ( p = 0.001), larger portal vein diameter ( p = 0.02), and lower ejection fraction ( p = 0.008).Among patients with congestive cardiac failure with GI symptoms, changes of congestive gastropathy are evident in 88% and duodenopathy in 54%. The presence and the severity of duodenopathy was significantly associated with increasing severity of features of congestive heart failure.
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- 2004
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13. A follow-up study of balloon angioplasty and de-novo stenting in Takayasu arteritis
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Bal Krishan Sharma, Savita Kumari, Sanjay Jain, Bali Hk, and A. K. Jain
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Adult ,Carotid Artery Diseases ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Takayasu's arteritis ,Aortic Diseases ,Subclavian Artery ,Renal Artery Obstruction ,Balloon ,Restenosis ,Recurrence ,Angioplasty ,medicine.artery ,medicine ,Humans ,cardiovascular diseases ,Arteritis ,Subclavian artery ,business.industry ,Stent ,equipment and supplies ,medicine.disease ,Takayasu Arteritis ,Surgery ,Stenosis ,surgical procedures, operative ,cardiovascular system ,Female ,Stents ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Angioplasty, Balloon ,Follow-Up Studies - Abstract
Percutaneous balloon angioplasty (PTBA) is a universally accepted mode of therapy for stenotic coronary and peripheral arterial lesions. To establish the role of PTBA and stent placement in patients with Takayasu's arteritis (TA), these procedures were performed in 20 patients with TA. All patients received steroids, aspirin and ticlodipine (for stent placement) prior to procedure. Angioplasty was carried in patients with symptomatic stenotic vessel of more than 70% of normal diameter or a peak systolic gradient of more than 50 mm across stenotic aortic lesion. Stenting was performed for ostial lesion, long segment lesion or incomplete relief of stenosis and dissection following angioplasty. Carotid angioplasty and stenting was performed in five patients, aortic angioplasty in nine patients, aortic angioplasty and stenting in four patients, renal angioplasty in three patients, renal angioplasty and stenting in two patients and subclavian angioplasty in two patients, subclavian, angioplasty and stenting in three patients and coronary angioplasty and stent placement in one patient. The procedure was successful in all but one patient. On following up, two patients with carotid stent placement had restenosis. A saccular aneurysm developed at the lower end of stent in one patient with aortic stent placement. The PTBA with or without stent placement is a safe and effective method for relief of stenotic lesion in patients with TA.
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- 2000
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14. Further observations and characterization of monoclonal antibodies reacting with B cell alloantigens associated with rheumatic fever and rheumatic heart disease
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Edwin L. Kaplan, Anil Grover, D. Kumar, Ernest D. Gray, Bali Hk, K.L. Khanduja, Nirmal Kumar Ganguly, and Sukhbir Kaur
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Adult ,Male ,Isoantigens ,Heart disease ,medicine.drug_class ,Population ,India ,Monoclonal antibody ,Epitope ,Pathology and Forensic Medicine ,Mice ,Antigen ,Antibody Specificity ,Risk Factors ,Group A streptococcal infection ,Animals ,Humans ,Medicine ,education ,B cell ,B-Lymphocytes ,education.field_of_study ,business.industry ,Age Factors ,Rheumatic Heart Disease ,Antibodies, Monoclonal ,General Medicine ,medicine.disease ,medicine.anatomical_structure ,Case-Control Studies ,Antigens, Surface ,Immunology ,Rheumatic fever ,Female ,Public Health ,Rheumatic Fever ,business - Abstract
Elevated levels of B lymphocytes with a unique surface alloantigen have been reported to be characteristic of patients with acute rheumatic fever or rheumatic heart disease. Mouse monoclonal antibodies (mAbs) to this alloantigen have been proposed as being useful in identifying individuals at risk for the development of these sequelae of group A streptococcal infection. However, previous studies have suggested that the discriminating ability of the mAbs was highest when the mAbs were made by using lymphocytes from the same ethnic population. To confirm and extend this observation, additional mouse mAbs were developed and their properties defined. These three mAbs—PG-12A, PG-13A, and PG-20A—reacted with B cells from more than 90% of North Indian patients with acute rheumatic fever or rheumatic heart disease. Each of these three new mAbs identified the highest levels of reactive B cells in patients with active acute rheumatic fever. Lower levels of positive reacting lymphocytes were found in individuals with quiescent chronic rheumatic heart disease, and markedly reduced percentages of reactive cells were observed in normal control subjects. The proportion of reactive lymphocytes in individual patients varied according to which of the three was tested, suggesting the possibility of a spectrum of “rheumatic” epitopes in susceptible individuals. The data further suggested that enhanced discriminatory ability for identifying “at-risk” susceptible patients could be obtained by testing with a combination of mAbs. If reduction in the incidence of acute rheumatic fever can be facilitated by early identification of susceptible individuals, accurate and sensitive detection of a marker antigen would result in more cost-effective public health measures. Additional population studies are required to more precisely define and confirm these detection techniques. (J Lab Clin Med 2000;135:287-93)
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- 2000
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15. CARDIAC ARRHYTHMIAS AND SILENT MYOCARDIAL ISCHEMIA DURING HEMODIALYSIS
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Vivekanand Jha, Bali Hk, Rajinder Prashad Sapru, Ajit S. Narula, and Vinay Sakhuja
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Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Group ii ,Myocardial Ischemia ,Critical Care and Intensive Care Medicine ,Electrocardiography ,Renal Dialysis ,Risk Factors ,Internal medicine ,medicine ,Humans ,Prospective Studies ,cardiovascular diseases ,Dialysis ,Depression (differential diagnoses) ,Aged ,Probability ,Silent myocardial ischemia ,Cardiovascular mortality ,Chi-Square Distribution ,business.industry ,Incidence ,General Medicine ,Middle Aged ,Blood pressure ,Echocardiography ,Nephrology ,Electrocardiography, Ambulatory ,Tachycardia, Ventricular ,cardiovascular system ,Cardiology ,Kidney Failure, Chronic ,Chronic renal failure ,Female ,Hemodialysis ,business - Abstract
Cardiac arrhythmias are noted in a significant proportion of chronic renal failure (CRF) patients on hemodialysis (HD), and may contribute to cardiovascular mortality. A number of factors have been implicated in the genesis of these arrhythmias. The role of silent myocardial ischemia (SMI), however, has not been evaluated systematically. We prospectively studied 38 unselected CRF patients on regular HD by continuous Holter monitoring starting 24 hours before HD, lasting through the dialysis session and continued for 20 hours thereafter. The recordings were analyzed for frequency, timing and severity of supraventricular and ventricular arrhythmias and SMI as identified by ST-segment depression. Ventricular arrhythmias during HD were noted in 11 (29%) patients (group I), and were potentially life-threatening (Lown Class III and IVa) in 13%. The remaining 27 patients (group II) had no ventricular arrhythmias during HD. There was no difference in the age, sex ratio, duration of HD, blood pressure, fluctuations in weight, hematocrit, predialysis creatinine, sodium, potassium, calcium or inorganic phosphate levels between patients in the two groups. The number of patients with clinical ischemic heart disease was significantly greater in group I. SMI was noted in 72% and 33% of group I and II patients respectively (p = 0.026). 46% of those with and 25% of those without ST changes during HD developed ventricular arrhythmias during HD. Both SMI and ventricular arrhythmias were noted most frequently during the last hour of dialysis. Hypertension, diabetes mellitus and ischemic heart disease were observed more frequently amongst patients with SMI. Ventricular arrhythmias are detected in a significant proportion of CRF patients on HD. These are probably related to coronary artery disease since silent myocardial ischemia is also noted more frequently during HD in these patients. Further studies incorporating coronary angiography are needed in a larger number of patients to establish a definite causal relationship.
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- 2000
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16. Takayasu's Arteritis: Current Status of Angioplasty and Stenting
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Anshul Jain and Bali Hk
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,medicine.medical_treatment ,Takayasu's arteritis ,030204 cardiovascular system & hematology ,Chronic inflammatory disease ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,High morbidity ,0302 clinical medicine ,Restenosis ,Angioplasty ,medicine.artery ,Medicine ,cardiovascular diseases ,Arteritis ,Surgical treatment ,Aorta ,business.industry ,General Medicine ,medicine.disease ,Surgery ,Radiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Takayasu's arteritis is a chronic inflammatory disease characterized by stenotic occlusive lesions of the aorta and its major branches. The medical management of such lesions is far from satisfactory and surgical treatment is associated with high morbidity and mortality. Angioplasty with or without stenting has emerged as the treatment of choice for such lesions. Angioplasty and stenting of various vessels in Takayasu's arteritis are reviewed, highlighting the advantage of stents in reducing the rate of restenosis in chronically occluded or diffusely diseased vessels.
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- 1999
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17. Looking beyond the obvious--a young woman with septic abortion and acute renal failure
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Harbir Singh Kohli, Vinay Sakhuja, Krishan Lal Gupta, Bali Hk, Zulfikar Jabbar, and Vivekanand Jha
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Adult ,medicine.medical_specialty ,Pediatrics ,medicine.medical_treatment ,Secondary hypertension ,Blood Pressure ,Fibromuscular dysplasia ,Abortion, Septic ,Abortion ,Renal Artery Obstruction ,Renal artery stenosis ,Renovascular hypertension ,Diagnosis, Differential ,Pregnancy ,Renal Dialysis ,medicine ,Humans ,Septic abortion ,Transplantation ,business.industry ,Angiography ,Ultrasonography, Doppler ,Acute Kidney Injury ,medicine.disease ,Surgery ,Nephrology ,Hypertension ,Female ,Hemodialysis ,Tomography, X-Ray Computed ,business ,Vascular Surgical Procedures ,Follow-Up Studies ,Kidney disease - Abstract
Renal artery stenosis (RAS) is a well-recognized cause of secondary hypertension. Acute renal failure and recurrent flash pulmonary oedema are some of its less frequent presenting features. A high index of suspicion is necessary to make this diagnosis, as the treatment is distinct from other causes. We report a young female who presented with severe hypertension and renal failure following abortion, that was diagnosed as being due to RAS. Successful revascularization led to resolution of all features. The case highlights the need to consider RAS, a reversible cause of severe hypertension and renal dysfunction in an appropriate clinical setting.
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- 2007
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18. Autonomic functions in restrictive cardiomyopathy and constrictive pericarditis: A comparison
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Rajnish Juneja, Mandeep Singh, Jagmohan S. Varma, and Bali Hk
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Adult ,Cardiomyopathy, Dilated ,Male ,Constrictive pericarditis ,medicine.medical_specialty ,Baroreceptor ,Adolescent ,Heart disease ,business.industry ,Pericarditis, Constrictive ,Restrictive cardiomyopathy ,Hemodynamics ,Middle Aged ,Autonomic Nervous System ,medicine.disease ,Autonomic nervous system ,Blood pressure ,Internal medicine ,medicine ,Cardiology ,Humans ,Female ,Expiration ,Cardiology and Cardiovascular Medicine ,business - Abstract
This study was undertaken to analyze autonomic functions in restrictive cardiomyopathies. Restrictive cardiomyopathies have clinical and hemodynamic similarity with chronic constrictive pericarditis. Autonomic dysfunction has been described in the latter.Autonomic function analysis has not been reported in restrictive cardiomyopathy. Six consecutive patients with restrictive cardiomyopathy were included in this study (5 men, 1 woman, mean age 35+/-5.4 years). The tests performed were designed to test the sympathetic efferent pathway, that is, by cold hand immersion and loud noise tests, parasympathetic efferent pathway by Valsalva ratio and expiration/inspiration ratio and the baroreceptor function by testing their sensitivity slope. The results were compared with 20 patients with chronic constrictive pericarditis and with 10 healthy age- and sex-matched control subjects previously studied. The rise of systolic blood pressure after cold hand immersion and sudden loud noise was not significantly different compared with control subjects. The expiration/inspiration ratio was 1.1+/-0.01 compared with 1.57+/-0.1 in the control group (p0.01). The Valsalva ratio was significantly lower (1.1+/-0.04) compared with control subjects (1.83+/-0.1, p0.01). The baroreceptor sensitivity was not reduced compared with that in control subjects. In comparison to constrictive pericarditis, sympathetic efferent pathway is preserved in restrictive cardiomyopathy (p0.0001). The parasympathetic efferent pathway is borderline abnormal in restrictive cardiomyopathy but not significantly as compared with constrictive pericarditis (p=not significant). The baroreceptor sensitivity slope is normal in patients with restrictive cardiomyopathy as compared with significant depression seen in constrictive pericarditis (p0.05). Autonomic functions are better preserved in patients with restrictive cardiomyopathies compared with chronic constrictive pericarditis.Autonomic dysfunction is localized to parasympathetic efferent pathway. This is in comparison to constrictive pericarditis, in which severe autonomic dysfunction is a universal feature and includes all segments of autonomic nervous system.
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- 1998
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19. Investigation of persistent hypochromic microcytosis unmasks hemoglobin Evanston [α 14 (A12) Try → Arg] in a patient of cyclic thrombocytopenia preceding Takayasu's disease
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R.V. Shaji, Reena Das, Subhash Varma, Gurjeewan Garewal, Jasmina Ahluwalia, and Bali Hk
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Adult ,Pediatrics ,medicine.medical_specialty ,Anemia ,Hemoglobins, Abnormal ,Thalassemia ,Population ,Alpha (ethology) ,Disease ,medicine ,Humans ,Point Mutation ,Alpha globulin ,education ,Autoimmune disease ,Anemia, Hypochromic ,education.field_of_study ,business.industry ,Microcytosis ,Hematology ,medicine.disease ,Takayasu Arteritis ,Thrombocytopenia ,Immunology ,Female ,Stents ,business - Abstract
We report an unusual north Indian patient with Hemoglobin Evanston [alpha 14 (A12) Try --> Arg] who had acquired cyclic thrombocytopenia (10-1230 x 10(9)/l periodic oscillation of four week duration) which recovered without any specific therapy. She later developed Takayasu's disease and underwent three corrective stents. She is presently in clinical remission and is on regular follow up. To the best of our knowledge our patient is the first report of Hb Evanston from the indigenous population of India and highlights the need to look for point mutations in the alpha globin gene, which may interact with thalassemia or other hemoglobinopathies, in atypical cases. The association of these three disorders in our patient is possibly unrelated though an immune basis for the cyclic thrombocytopenia and Takayasu's disease is likely as seen in this report.
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- 2005
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20. Unusual Left Ventricular Function and Survival in Peripartum Cardiomyopathy
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Bali Hk, Pujar Venkateshacharya Suresh, Mandeep Bhargava, Rajneesh Juneja, Mandeep Singh, and Jagmohan S. Varma
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Ventricular function ,Peripartum cardiomyopathy ,Digoxin ,business.industry ,General Medicine ,Class iii ,medicine.disease ,New york heart association ,Internal medicine ,Heart failure ,Third pregnancy ,Cardiology ,Medicine ,Surgery ,Abnormality ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug - Abstract
A 34-year-old woman presented with congestive heart failure 3 months after her third pregnancy. She was stabilized in New York Heart Association functional class II with digoxin and diuretics for 21 years. She was readmitted with worsening symptoms and found to have a regional contraction abnormality. With the addition of angiotensin-converting enzyme inhibitors to her medication, she has been maintained in functional class III for a further 4 years.
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- 2000
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21. High prevalence of hyperhomocysteinemia in young population of North India - a potential risk factor for coronary artery disease?
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Gurjeevan Garewal, Reena Das, Bali Hk, and Yashwant Kumar
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Adult ,Male ,medicine.medical_specialty ,Hyperhomocysteinemia ,India ,Coronary Artery Disease ,North india ,Coronary artery disease ,Risk Factors ,Internal medicine ,medicine ,Prevalence ,Humans ,Methylenetetrahydrofolate Reductase (NADPH2) ,High prevalence ,Framingham Risk Score ,Potential risk ,business.industry ,Hematology ,Vitamins ,medicine.disease ,Young population ,Mutation ,Cardiology ,Female ,business - Published
- 2008
22. Large Congenital Ventricular Septal Defect: Surgical Closure at Sixty Years
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Bali Hk, Mandeep Singh, Rajnish Juneja, R. K. Suri, Neerod Kumar Jha, and Goverdhan Dutt Puri
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,General Medicine ,Shunt (medical) ,Surgery ,Natural history ,Internal medicine ,medicine ,Cardiology ,cardiovascular diseases ,Cardiology and Cardiovascular Medicine ,business - Abstract
Large congenital ventricular septal defects have an unfavorable natural history and survival to 60 years of age with a large left-to-right shunt is very uncommon; surgical closure of such a defect in the elderly is even rarer. We report the case of a 60-year-old female who presented with a large left-to-right shunt across a congenital subaortic ventricular septal defect and underwent successful surgical closure.
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- 1997
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23. Takayasu arteritis in children and young indians
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Bal Krishan Sharma, Bali Hk, Sanjay Jain, Surjit Singh, N. Sharma, and Lata Kumar
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Male ,medicine.medical_specialty ,Heart disease ,Adolescent ,medicine.medical_treatment ,India ,Left ventricular hypertrophy ,medicine.artery ,Angioplasty ,medicine ,Humans ,Renal artery ,Heart Failure ,Vascular disease ,business.industry ,Abdominal aorta ,Angiography ,medicine.disease ,Takayasu Arteritis ,Surgery ,Heart failure ,Female ,Hypertrophy, Left Ventricular ,Cardiology and Cardiovascular Medicine ,Vasculitis ,business - Abstract
Twenty four patients of Takayasu arteritis (TA) aged less than 18 years were studied over a period of 20 years (1978-98). There were 4 males and 20 females with a male:female ratio of 1:5. The mean age of presentation was 14 years and the disease had a mean onset of time 4+/-1.5 months prior to admission to the hospital. Hypertension was the commonest mode of presentation seen in 83% of patients. 16% patients had congestive heart failure. Left ventricular hypertrophy was present in 54% patients. Angiographic findings showed that abdominal aorta was the commonest segment of aorta that was involved (71% cases). Renal artery was involved in 75% cases. Treatment modalities included antihypertensive drugs in 19 patients, antitubercular drugs in 7 patients and steroids in 7 patients. Renal angioplasty was performed in 2 patients with excellent results. On follow up 2 patients died. The causes of mortality were renal failure and heart failure in one patient each. The clinical profile of young patients with TA is similar to that of adults with this disease.
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- 2000
24. Increased plasma nitrite level in cardiac failure
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Nirmal Kumar Ganguly, Jagmohan S. Varma, Mandeep Singh, G. Ramesh, Veena Dhawan, and Bali Hk
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Male ,medicine.medical_specialty ,Ventricular Ejection Fraction ,Heart disease ,Nitric Oxide ,Nitric oxide ,Pathogenesis ,chemistry.chemical_compound ,Internal medicine ,medicine ,Humans ,Nitrite ,Molecular Biology ,End-systolic volume ,Nitrites ,Body surface area ,business.industry ,valvular heart disease ,Rheumatic Heart Disease ,medicine.disease ,Myocardial Contraction ,chemistry ,cardiovascular system ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Increased Plasma Nitrite Level in Cardiac Failure. Nitric oxide is implicated in the pathogenesis of cardiac failure. Plasma nitrite level (an end product of nitric oxide metabolism) is studied in 15 patients of chronic rheumatic valvular heart disease with myocardial contractile dysfunction and cardiac failure (Group I), 15 patients of chronic rheumatic valvular heart disease with similar valvular lesions, normal myocardial contractile function and without cardiac failure (Group II) and 15 healthy controls (Group III). Patients in Group I had higher nitrite level (242.2+/-31.7 n m) compared to Group II (142.6+/-24.4 n m) and Group III (102.7+/-15.9 n m). Among the patients with rheumatic heart disease, increasing nitrite level correlated significantly with worsening of contractile function [Nitrite v End systolic volume/Body surface area (T(xy.z)=0.23), Nitrite v End systolic dimension/Body surface area (T(xy.z)=0.32), Nitrite v left ventricular ejection fraction (T(xy.z)=-0.24), Nitrite v tricuspid annular plane systolic excursion (T(xy.z)=-0. 29)] and worsening New York Heart Association (NYHA) functional class (r(s)=0.5). We conclude that plasma nitrite, a stable end product of nitric oxide metabolism is increased in patients of rheumatic valvular heart disease with cardiac failure, suggesting increased nitric oxide production. Increased level of nitric oxide might be playing a significant role in myocardial contractile dysfunction and alteration of vascular response in cardiac failure.
- Published
- 1999
25. Stent supported angioplasty in Takayasu arteritis
- Author
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Bal Krishan Sharma, Sanjay Jain, Bali Hk, and A. K. Jain
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Subclavian Artery ,Arterial Occlusive Diseases ,Blood Pressure ,Dissection (medical) ,Renal Artery ,Internal medicine ,medicine.artery ,Angioplasty ,medicine ,Humans ,cardiovascular diseases ,Aorta, Abdominal ,Renal artery ,Stroke ,Aorta ,business.industry ,Angiography ,Stent ,Middle Aged ,equipment and supplies ,medicine.disease ,Coronary Vessels ,Takayasu Arteritis ,Surgery ,Coronary arteries ,surgical procedures, operative ,medicine.anatomical_structure ,Carotid Arteries ,Treatment Outcome ,Right coronary artery ,cardiovascular system ,Cardiology ,Female ,Stents ,Cardiology and Cardiovascular Medicine ,business ,Angioplasty, Balloon ,Follow-Up Studies - Abstract
Eleven patients with Takayasu Arteritis (TA) underwent angioplasty and stent placement in aorta, renal, carotid, subclavian and coronary arteries. Five wall stents were deployed in aorta in four patients. Indications for angioplasty and stent placement in aorta included hypertension in four patients and claudication and erectile impotence in one patient each. Post-procedure the peak systolic pressure gradient across the stenotic segment in the aorta disappeared. Six patients underwent angioplasty and stent placement in carotid arteries. Indications were syncope in 6 patients, loss of vision, stroke, transient ischaemic attack and seizures in one patients each. There was a marked improvement in symptoms in the patients following the procedure. For chronic total occlusion of subclavian arteries, two stents were deployed in two patients. Following the stent placement pulses in upper limb reappeared. Stents were also deployed to treat near total occlusion of right coronary artery and flow limited dissection of renal artery in one patient each. Complications of the procedure included pain in the back, mild hypertension, transient bradycardia and conduction block in one patient each. In conclusion, the stenotic and obliterative vascular lesions in TA can be managed successfully with angioplasty and stent placement. A long term follow up is required to determine the re-stenosis rate.
- Published
- 1999
26. Concertina effect during carotid artery stenting: Report of a rare phenomenon and its management issues in this vascular territory
- Author
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Ramalingam Vadivelu, Bali Hk, and Shiv Bagga
- Subjects
medicine.medical_specialty ,Neurology ,business.industry ,Carotid arteries ,Internal medicine ,medicine ,Cardiology ,Neurology (clinical) ,Radiology ,business - Published
- 2012
- Full Text
- View/download PDF
27. Preoperative vena caval interruption for venous thrombosis associated with ovarian malignancy
- Author
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Jaswinder Kalra, Sarala Gopalan, Mandeep Bhargava, Subhas Chandra Saha, Bali Hk, and Vanita Jain
- Subjects
medicine.medical_specialty ,Vascular disease ,business.industry ,Obstetrics and Gynecology ,General Medicine ,medicine.disease ,Thrombosis ,Preoperative care ,Surgery ,Pulmonary embolism ,Venous thrombosis ,medicine.anatomical_structure ,Ovarian carcinoma ,medicine ,Complication ,business ,Vein - Published
- 2002
- Full Text
- View/download PDF
28. Myocardial tuberculosis presenting as restrictive cardiomyopathy
- Author
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Bali Hk, B.N. Datta, Inder S. Anand, Purshotam L. Wahi, Sudhir Wahi, and Bal Krishan Sharma
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cardiomyopathy, Restrictive ,Tuberculosis ,business.industry ,Biopsy ,Myocardium ,Restrictive cardiomyopathy ,Angiography ,medicine.disease ,Diagnosis, Differential ,Echocardiography ,Internal medicine ,Cardiology ,medicine ,Humans ,Cardiology and Cardiovascular Medicine ,business ,Cardiomyopathies ,Tuberculosis, Cardiovascular - Published
- 1990
29. Cost of antihypertensive treatment: A point of view from India
- Author
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Bali Hk and Inder S. Anand
- Subjects
Pharmacology ,medicine.medical_specialty ,business.industry ,Cost effectiveness ,Cost-Benefit Analysis ,Alternative medicine ,India ,General Medicine ,Discount points ,Hypertension ,Physical therapy ,Humans ,Medicine ,Pharmacology (medical) ,Cardiology and Cardiovascular Medicine ,business ,Intensive care medicine ,health care economics and organizations - Abstract
In India, expenditure on the treatment of all patients with mild hypertension is not cost effective. Nonpharmacologic treatment is encouraged.
- Published
- 1989
- Full Text
- View/download PDF
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