mastering retrograde coronary chronic total occlusion intervention

mastering retrograde coronary chronic total occlusion intervention

Platypnea-Orthodeoxia Syndrome

Platypnea-Orthodeoxia Syndrome

Evaluating the Evidence for Coronary Computed Tomography Angiography as the Noninvasive Test of Choice for Patients With Stable Chest Pain

n conclusion, the totality of the evidence does not support endorsing CCTA as the noninvasive test of choice in evaluating patients with stable chest pain. Arguably, there is only 1 trial with favorable, albeit not robust, outcome data8; however, the quality and the quantity of evidence is not sufficient to justify the imprimatur of Class I recommendation of the ACC/AHA guidelines. At best, CCTA can be deemed an alternative to standard care (including conventional stress testing) in these patients. Any claim to the contrary is perhaps a case of enthusiasm exceeding the evidence.

Follow the link

Biatrial myxoma and human immunodeficiency virus infection: An association not to be missed

Biatrial myxoma and human immunodeficiency virus infection: An association not to be missed

Put into a cage if can’t be killed

Put into a cage if can’t be killed

Current Concepts in Bifurcation Stenting

Current Concepts in Bifurcation Stenting

Bacterial Endocarditis of Double-Chamber Right Ventricle

Bacterial Endocarditis of Double-Chamber Right Ventricle

Dr Ramachandra Barik appointed as the editorial board member of Cardiology and Cardiovascular Research

 Dr Ramachandra Barik appointed as the editorial board member of Cardiology and Cardiovascular Research

The art of observation

The art of observation

“Art and science, as rigorous observations and representations of nature, are fundamentally
complementary; at times, they seem inextricable.”

Clinical applications of feature-tracking cardiac magnetic resonance imaging

Clinical applications of feature-tracking cardiac magnetic resonance imaging: Clinical applications of feature-tracking cardiac magnetic resonance imaging

First reported case of an intact atrial septum with a large ventricular septal defect in presence of cardiac TAPVC with survival into late infancy.

First reported case of an intact atrial septum with a large ventricular septal defect in presence
of cardiac TAPVC with survival into late infancy.

First case of open heart heart surgery at AIIMS BHUBANESWAR, INDIA on 26-11-2018:A 50Yrs old man having large secendum atrial septal defect of size 4.5 including floppy rims

Abstracts of the 10th Indonesian Society of Interventional Cardiology Annual Meeting Jakarta, 23-25 November 2018 Case Reports

Abstracts of the 10th Indonesian Society of Interventional Cardiology Annual Meeting
Jakarta, 23-25 November 2018 Case Reports 

But occasionally this option remains void due to patients’ or parents’ choice

But  occasionally this option remains void due to patients’ or parents’ choice

Dr Prabhat Kumar Dash,HOD,Department of Cardiology ,SSSIHMS ,Bangalore ,India

Dr Prabhat Kumar Dash,HOD,Department of Cardiology ,SSSIHMS ,Bangalore ,India 

Dr Prabhat Kumar Dash,HOD,Department of Cardiology ,SSSIHMS ,Bangalore ,India

Dr Prabhat Kumar Dash,HOD,Department of Cardiology ,SSSIHMS ,Bangalore ,India

Bacterial Endocarditis of Double-Chamber Right Ventricle

A 13-yrs-old girl had fever for last 4 months. She had significant weight loss during this period. Echocardiography revealed she was having double chamber right ventricle (DCRV). There were large number of vegetations attached right ventricular outflow tract (RVOT) and tricuspid valve. A plain computed tomography chest revealed consolidation of lower lobe of the right lung. Blood culture yielded Staphylococcus aureus which was sensitive to ceftazidime and gentamicin. She was treated adequately for infective endocarditis (IE) for four weeks and was sent for cardiac surgery. This is an extremely rare case report of DCRV associated bacterial endocarditis with evidence of vegetations in the RVOT, over the TV and embolization into lung.

Bacterial Endocarditis of Double-Chamber Right Ventricle

“A Study on the Magnitude and the Patten of Causes of Heart Failure- a feasibility study” under Dr Rama Chandra Barik,

“A Study on the Magnitude andthe Patten of Causes of Heart Failure- a feasibility study” under Dr RamaChandra Barik, 

Vaccine for tumor cell

Vaccine for tumor cell

Dr Ramachandra Barik AIIMS Bhubaneswar

Dr Ramachandra Barik AIIMS Bhubaneswar 

Smoking is a killer

Tobacco is a killer
Whether chew or inhale
Odds may  vary
Either damage without fail

Type V dual LAD

Type V dual LAD

Google Scholar Profile of Dr Ramachandra Barik

Google Scholar of Dr Ramachandra Barik

Dr Ramachandra Barik outstanding reviewer

DNB is equal to DM ,MD,MS

Medical postgraduate degrees from top non-teaching hospitals like Sir Gangaram, Sitaram Bhartia and others will now be equal to MD/MS degrees from teaching institutions and hospitals like PGI, AIIMS and other state medical colleges.

The Health Ministry on Tuesday approved the long-standing demand of the Diplomate of National Board PG holders for equivalence with MS and MS counterparts.

The new Board of Governors of MCI recently approved this equivalence. Health Minister JP Nadda has now cleared its notification. DNB is a degree awarded by the National Board of Examinations. DNB courses allow postgraduate education outside medical colleges and in non-teaching hospitals

Due to the shortage of medical faculty in medical colleges, the government had earlier decided to equate DNB with other MD/MS, DM/M.Ch qualifications. However MCI’s June 5, 2017 notification on minimum qualifications for teachers in medical institutions regulations stood in the way as it prescribed one-year senior residency and three-year experience as a resident in a medical college for teaching positions.

A ministry source said MCI interpreted rules to say that DNB holders must undergo three years’ junior residency in an MCI-recognised medical college to be able to teach. “MCI refused to count DNB course duration as work experience for teaching jobs,” an official said.

As per the revised criteria, candidates who have undergone DNB training in an institution that runs MCI-recognised postgraduate degree courses or have undergone DNB training in a multispecialty teaching hospital with at least 500 beds, their DNB qualifications will be on a par with MCI-recognised qualifications in a given subject. 

https://news.careers360.com/mci-bog-approves-dnb-be-par-mdms-and-dmmch?utm_source=NL80

Candidates passing from 100 or more bed hospitals will need to work for one additional year as senior resident in a MCI-recognised or permitted institution for equivalence with MD/MS/DM or M.Ch. In all other cases, candidates will have to work two additional years as senior resident or research associates at CSIR or MCI recognised medical colleges for equivalence.

Boost to faculty in medical colleges   

• The move will bring relief to Diplomate in National Board (DNB) graduates and boost faculty in medical colleges
• Of 40,000 medical PG seats in India, 6,500 are DNB. The government plans to increase DNB seats to 22,000 by 2022

Tips & Tricks for Aorto-ostial Coronary Lesions

Tips & Tricks for Aorto-ostial Coronary Lesions

Drinkaware: unequivocally committed to reducing alcohol harm

Drinkaware:unequivocallycommitted to reducingalcohol harm

Angioplasty of a Chronic Total Occlusion Using Bilateral Snuffboxes: The Far is Beautiful

Angioplasty of a Chronic Total Occlusion Using Bilateral Snuffboxes: TheFar is Beautiful 

Mechanical Versus Bioprosthetic Aortic Valve Replacement in Patients Aged 50 Years and Younger

Incidental congenital coronary artery vascular fistulas in adults: Evaluation with adenosine-13N-ammonia PET-CT

Incidental congenital coronary artery vascular fistulas in adults: Evaluation with adenosine-13N-ammonia PET-CT

Transposition of the great arteries: A laterality defect in the group of heterotaxy syndromes or an outflow tract malformation?

An illustration showing the 4 different variations of bodily organs in the lateralized (left-hand two columns) and isomeric (right-hand two columns) arrangements, including atrial appendages. The upper panels show the atrial appendages morphology, the second upper panel the bronchial morphology, and the relations of the bronchuses to the pulmonary artery feeding the lower lobes of the lungs, the third upper panel shows the pulmonary morphology, and the last lower panel shows the arrangement of the liver, stomach, and spleen. Adopted from: Anderson et al. (J Cardiovasc Dev Dis. 2018;5:11)

Biomedical and Pharmacology Journal awarded to Ramachadra Barik for excellent review

Biosciences Biotechnology Research Asia Reviewer Award To Ramachandra Barik

Septal Collateralization to Right Coronary Artery in Alcohol Septal Ablation

Septal Collateralization to Right Coronary Artery in Alcohol Septal Ablation

James Allison and Tasuku Honjo pioneered treatments that unleash the body’s own immune system to attack cancer cells

Releasing the Brakes on Cancer Immunotherapy

NBCe1 Na+-HCO3- cotransporter ablation causes reduced apoptosis following cardiac ischemia-reperfusion injury in vivo

The NBCe1 Na+-HCO3- cotransporter and NHE1 Na+/H+ exchanger both mediate Na+-loading and intracellular pH regulation in cardiomyocytes. Inhibition of NHE1 protects against ischemia-reperfusion (IR) injury, and evidence suggests that loss of NBCe1 activity could also be cardioprotective. We have developed a conditional NBCe1 knockout mouse model and have used it to determine the effects of NBCe1 ablation in cardiac muscle. These studies demonstrate that loss of NBCe1 does not impair cardiac performance. However, cardiomyocyte apoptosis following IR injury in vivo is much lower in hearts that lack NBCe1, thus indicating that loss of NBCe1 is cardioprotective.

Antegrade femoral artery puncture

To determine the optimal site for antegrade puncture of the femoral artery, the authors evaluated three
cadaver specimens and computed tomographic (CT) scans of 50 patients.The relationships among the
common femoral artery, the femoral artery bifurcation, the center of the femoral head, and the inguinal ligament were evaluated. CT showed that the center of the femoral head was always located caudal to the level of the inguinal ligament but cranial to the bifurcation of the common femoral artery. Therefore,the femoral head seems to provide a reliable landmark for entering the
common femoral artery.

How to write a research protocol

How to write a research protocol

resistant hypertension

 The European Society of Cardiology (ESC) guidelines defined resistant hypertension as the failure to achieve BP ‘control’ to levels below 140/90mm Hg despite treatment with three antihypertensive medications with complementary mechanisms of action (with at least one diuretic).


 The American Heart Association (AHA) guidelines adopted an extended definition to also include patients with four or more antihypertensive medications, even when BP was controlled.

the physiological effects of PCI on stable single vessel coronary artery disease

https://t.co/mriyWOinLz

CHA2DS2-VASc

CHA2DS2-VASc (Congestive heart failure, Hypertension, Age ≥75 years, Diabetes, Stroke/transient ischemic attack, Vascular disease, Age 65 to 74 years, Sex category) score by comparing the score at 2 or more different time points in patients with atrial fibrillation (AF) is an indication of OAC

Imaging before cardiac resynchronisation therapy implantation—luxury or necessity?

Lessons Learned From the Discontinuation of a Disappearing Stent

Lessons Learned From the Discontinuation of a Disappearing Stent

What Happens in Each Clinical Trial Phase

What Happens in Each Clinical Trial Phase

RETROGRADE POPLITEAL ARTERY ACCESS FOR ANGIOPLASTY OF CHRONIC TOTAL OCCLUSION OF THE ILIOFEMORAL ARTERY

RETROGRADE POPLITEAL ARTERY ACCESS FOR ANGIOPLASTY OF CHRONIC TOTAL OCCLUSION OF THE ILIOFEMORAL ARTERY

Top 1% of the peer review in the world

Top 1% of the peer review in the world 

Palliating Premature Infants With Obstructed Total Anomalous Pulmonary Venous Connection via Catheterization

Palliating Premature Infants With Obstructed Total Anomalous Pulmonary Venous Connection via Catheterization

Ankle brachial index

UTILIZATION OF POPLITEAL ARTERY ACCESS FOR OCCLUDED ARTERIES

First DM Cardiology student Dr Dibyasundar at AIIMS Bhubaneswar

Clinical role of serum Copeptin in acute coronary syndrome

In conclusion, our study revealed that Copeptin concentration is significantly higher in patients with AMI compared to patients with UA. Moreover, Copeptin rises at a time when other biomarkers namely the routinely used markers; cTns and CKMB are still undetectable

ADVANTAGES OF THE RETROGRADE APPROACH IN TREATING PROXIMAL OCCLUSIVE DISEASE

The safest level of drinking is none

Alcohol use is a leading risk factor for disease burden worldwide, accounting for nearly 10% of global deaths among populations aged 15–49 years, and poses dire ramifications for future population health in the absence of policy action today. The widely held view of the health benefits of alcohol needs revising, particularly as improved methods and analyses continue to show how much alcohol use contributes to global death and disability. Our results show that the safest level of drinking is none. This level is in conflict with most health guidelines, which espouse health benefits associated with consuming up to two drinks per day. Alcohol use contributes to health loss from many causes and exacts its toll across the lifespan, particularly among men. Policies that focus on reducing population-level consumption will be most effective in reducing the health loss from alcohol use.

Percutaneous closure of patent ductus arteriosus via internal jugular vein

Percutaneous closure of patent ductus arteriosus via internal jugular vein 

DAPT score

Yeh RW, Secemsky EA, Kereiakes DJ, Normand SL, Gershlick AH, Cohen DJ, et al.; DAPT Study Investigators. Development and validation of a prediction rule for benefit and harm of dual antiplatelet therapy beyond 1 year after percutaneous coronary intervention. JAMA 2016;1:1735-49


PRECISE-DAPT score: This score gives baseline bleeding risk and shall be calculated at the time of stenting. It is calculated from five variables (age, creatinine clearance, hemoglobin, white blood cell count, and prior spontaneous bleeding), and the score ranges from 0 to 100. Patients with a score ≥25 are deemed to be at high-bleeding risk and shall be considered for short-term DAPT.

Costa F, van Klaveren D, James S, Heg D, Räber L, Feres F, et al. Derivation and validation of the predicting bleeding complications in patients undergoing stent implantation and subsequent dual antiplatelet therapy (PRECISE-DAPT) score: A pooled analysis of individual-patient datasets from clinical trials. Lancet 2017;1:1025-34. 

Revascularization in ST-segment elevation myocardial infarction

Revascularization in ST-segmentelevation myocardial infarction

Transcatheter Autologous Transfusion to Maintain Pulmonary Circulation During Balloon Pulmonary Angioplasty

Transcatheter Autologous Transfusion to Maintain Pulmonary Circulation During Balloon Pulmonary Angioplasty

Teach the tangent method

The inset shows the ‘teach the tangent’ method where a tangent line is drawn on the downslope of the T-wave to the intersection of the isoelectric line. This is the end of the QT interval. The
average heart rate is 59 beats/min, giving a QTc of 506 ms using Bazett’s formula. This is a markedly prolonged QT interval.

The Kingfisher and the famous Gandamunda nala

If you zoom a little ,you can see the kingfisher is waiting to catch a fish .I have watched her from dawn to darkness ,it never even once dived into the famous Gandamunda nala !The poor little is blind or there are no fishes in the nala?What a tragedy !We use so much pesticides ,so much soaps ,polythene and toxic exhausts from malls , shops , hotels and industrial exhausts have poisoned the water completely,who will thrive at this level of intense water pollution .You can just forget the survival of tiny fishes which can be swallowed by kingfisher .Even crow,being a clever bird does not drink this water .The crows drink water from small bucket which I keep for them in small garden on my terrace.Currently ,the human race is so busy ,neither understand its protection nor the protection of any other species on earth.What a pity!

Protected PCI Algorithm to guide decision-making for appropriate use of the Impella 2.5 and Impella CP heart pump for Protected PCI

Protected PCI Algorithm to guide decision-making for appropriate use of the Impella 2.5 and Impella CP heart pump for Protected PCI

Re-expansion pulmonary oedema

Re-expansion pulmonary oedema

Ultrasound-guided direct needle engagement for flush-occluded superficial femoral artery

Ultrasound-guided direct needle engagement for flush-occluded superficial femoral
artery

Is Sacubitril/Valsartan (Also) an Antiarrhythmic Drug?

Clinical outcomes of combined flow-pressure drop measurements using newly developed diagnostic endpoint: Pressure drop coefficient in patients with coronary artery dysfunction

Clinical outcomes of combined flow-pressure drop measurements using newly developed diagnostic endpoint: Pressure drop coefficient in patients with coronary artery dysfunction

Pulmonary hypertension (PH) is defined by

Pulmonary hypertension (PH) is defined by a mean pulmonary arterial pressure (PAP) >25 mmHg, wedge pressure of <15mmHg and pulmonary vascular resistance (PVR) >240 dyn.sec.cm-5

Highlights of particle embolization

Highlights of particle embolization

A Father of Paediatric Cardiac Surgery in India:Ivatury Mrityunjaya Rao

A Father of Paediatric Cardiac Surgery in India:Ivatury Mrityunjaya Rao

Bendopnea

Bendopnea

An waiting couple

A couple was waiting on the road side for auto rickshaw or bus to go their job .What a good luck! A DTS-423 bus and an auto rickshaw appeared at the same time .The auto made it's speed faster and approached to the couple.As usual ,the male part of the couple stretched his hand to the maximum height ,you imagine as if his fingers were touching the sky and to the out most in the horizon from his body in the hope that the couple is preferring to travel by bus . The bus driver knew but went away because the couple were close to the auto .They had no option left but sat in the auto even without asking the hiring cost .After the auto crawled a few meters,the rickshaw puller asked the male why he was looking at the bus and the auto at the same time .The male told ,'we were wishing to go buy bus' .The puller became angry ,stopped pulling the rickshaw and pulled out the couple physically from rickshaw in place of pulling the rickshaw .The innocent couple stood beside the road .The injustice to the common man passed 70 years after India became Independent .Laws made ,laws broken .None cared and none dared to execute the amendment . Now I am 45+ and still found that the couple is waiving there hands sky high to reach to the comfort .It is a real story.The readers are requested not to ask who were the characters in the script if enjoyed it . .

There happened a competition

It is true and novel.There happened a competition.The conspirators slept happily before night because they could convinced the jury.The jury was bribed so much ,in the dark of night ,neither he/she could see nor could carry all .The Jury also found both his/her below knees were soiled with saliva because of multiple licks. Everything became visible day light .The exhibition ground roared .The competition took place.The true runner-up was awarded. The result shocked the public . The medal was quite large and disproportionate to the body size of runner-up.Along with medal ,a certificate was also given .The claps were from the jury and conspirators .Exhibition ground was locked by security after ensuring that everyone including the winner and the looser were out.Public found the pseudo winner was not able to carry the medal because of it's Himalayan size and was also struggling to carry the certificate at the same time .The murmur from the public whispered to the jury by the conspirators that the elected winner of the day was incapable able to carry the the huge medal and the certificate .The jury ordered the looser to carry the medal to the house of winner .This happened recently and the true story is shared in the cause of public interest.

The two left out

Two people shared the left out inches on either side of a auto driver from Alu Gadi .Auto's small small wheels rolled on the smooth NH-5.The 5yrs-old Bajaj auto crawled like a snake toy for a distance of 4 and 1/2 a kilometers.Red light stopped the auto at Khandagiri Traffic.Both the passengers by the side of auto driver got down.Each extended 10 rupees after a lot of struggle to find change .Green Traffic light signaled. Auto driver only took 10 rupees from one person and requested the both the passengers to equally share the other new 10 rupees by PM Modi .Traffic light went on repeating cycles of red and green ,Both the passengers had no change .They were stuck up on side of the road because they could not decide who would be happy to sacrifice five rupees or who would be happy with extra five rupees along with.I was enjoying this at close distance :The conflict between science(What is practically feasible ) and conscience(what is worth doing as a true human ) was like 4D movie clip .Mobile ring from my house disrupted my attention. I left for lunch .I could not see the verdict .Please answer quickly what you could have done because it was lunch time ,raining slightly and either had no change .

Google Scholar Profile of Dr Ramachandra Barik

Google Scholar Profile of Dr Ramachandra Barik

EDITORIAL BOARD CERTIFICATE -The World Journal of Cardiology -Ramachandra Barik

EDITORIAL BOARD CERTIFICATE

Dear Dr. Barik,

First of all, I would like to congratulate you on becoming a member of the new Editorial Board for the World Journal of Cardiology. I particularly hope that under your guidance the World Journal of Cardiology will experience stable growth over the next four years.

Number ID: 03722832

Publication Name: World Journal of Cardiology

Personal Information: Ramachandra Barik, DNB, MD, Reader (Associate Professor), Cardiology, All India Institute of Medical Sciences, (AIIMS) Bhubaneswar, Bhubaneswar 751019, Odisha, India

Position: Editorial Board

Submission Date: 2018-04-07

Start Date – End Date: 2018-01-01 - 2021-12-31

The objective of the World Journal of Cardiology is to disseminate academic research findings and innovative ideas, in order to promote constructive academic exchanges, lead academic development, and cultivate academic teams throughout the field.

Your mission as a World Journal of Cardiology Editorial Board member is to conduct peer review of manuscripts and track the quality of published articles. More importantly, as a World Journal of Cardiology Editorial Board member you should contribute different types of high-quality articles to the journal, including original articles, reviews, minireviews and editorials, or invite high-quality articles through your own academic influence.

If you have any questions, please feel free to contact us via e-mail at: bpgoffice@wjgnet.com.

Best regards,

Lian-Sheng Ma, Founder and Chief Executive Officer

Baishideng Publishing Group Inc

7901 Stoneridge Drive, Suite 501, Pleasanton, CA 94588, USA

Telephone: +1-925-223-8242

Fax: +1-925-223-8243

E-mail: l.s.ma@wjgnet.com

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Online Submission: https://www.f6publishing.com/

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Consanguineous marriage makes congenital heart diseases more complex

Consanguineous marriage makes congenital heart diseases more complex

Maternal Sirolimus Therapy for Fetal Cardiac Rhabdomyomas

Maternal Sirolimus Therapy for Fetal Cardiac Rhabdomyomas

An Endurant II stent graft (Medtronic, Santa Rosa, California)

An Endurant II stent graft (Medtronic, Santa Rosa, California)

Maslanka biopsy forceps

Maslanka biopsy forceps

A Novel Imaging Finding in Williams Syndrome: The Coral Sign

A Novel Imaging Finding in Williams Syndrome: The Coral Sign

Nine pitfalls of research misconduct

Nine pitfalls of research misconduct

Horseshoe kidney in a deceased organ donor: a rare glimpse at an uncommon finding

Horseshoe kidney in a deceased organ donor: a rare glimpse at an uncommon finding

Management of percutaneous coronary intervention complications

Management of percutaneous coronary interventioncomplications

Successful transcarotid transcatheter aortic valve replacement in a 34-kg patient with Schimke immuno-osseous dysplasia and severe biscuspid aortic stenosis

Successful transcarotid transcatheter aortic valve replacement in a 34-kg patient with chimke immuno-osseous dysplasia and severe biscuspid aortic stenosis

Slow, But Dangerous

Slow, But Dangerous

Heart glows when a Cook needle enters the pericardium

Heart glows when a Cook needle enters the pericardium

Editor Dr Ramachandra Barik

Editor Dr Ramachandra Barik