Tarun Kumar

• MD,DM(Cardiology)
• Professor at Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital

Background: Pathological effects of dysglycemia and insulin resistance on atherosclerosis and cardiac remodeling starts as early as in the prediabetic state before the onset of overt diabetes. Activin A is a molecule with multiple functions, including an important part in glucose homeostatic mechanisms as well as inflammatory processes and is there...

Background: A substantial proportion of health burden in diabetic individuals can be attributed to cardiovascular complications. The increasing risk of cardiovascular complications along the spectrum of dysglycemia warrants the need to devise novel markers for early assessment and management. Activin A is a multifunctional cytokine with an importa...

Introduction Submitral aneurysm is a rare cardiac entity with outpouching in relation to the posterior annulus of the mitral valve. Multiple etiology have been described with the role of infection and inflammation with varied clinical presentation in different case reports. However, the literature on clinical outcome and follow‐up is lacking. Mate...

OBJECTIVES This prospective, randomized study assessed short-term outcomes and safety of ultra-low contrast percutaneous coronary intervention(ULC-PCI) vs conventional PCI in high risk for contrast induced acute kidney injury(CI-AKI) patients presenting with acute coronary syndrome(ACS). BACKGROUND Patients at an increased risk of developing CI-AK...

Background Acute ST-elevation myocardial infarction (STEMI) is the most devastating form of coronary artery disease (CAD). The aim of the present study was to assess the risk factors, clinical presentation, angiographic profile and 30-day outcomes of young patients (aged ≤35 years) with STEMI. Materials and Methods Between 1 March, 2019 and 29 Feb...

Objective: The objective was to study the role of 12-lead electrocardiogram (ECG) changes in predicting the association of severe stenosis of other coronary arteries along with infarct-related artery in patients who presented with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Materials and M...

Large intracoronary thrombus has been reported in significant number of patients with STEMI. Primary PCI is the current standard of care in patients of STEMI. Despite the availability of dual antiplatelets, GP IIb/IIIa inhibitor and effective anticoagulation regimens, large intracoronary thrombus remains one of the biggest challenge to intervention...

Non-alcoholic fatty liver disease (NAFLD) has become the most common liver disease worldwide. Patients with NAFLD remain at a higher risk of extrahepatic co-morbidities including cardiovascular disease (CVD). Several long term follow up studies have shown that CVD related mortality is the most common cause of mortality in patients with NAFLD withou...

Background: Endomyocardial fibrosis has varied presentatation and difficult to diagnose. Aim to elucidate the role of Cardiac Magnetic Resonance (CMR) imaging in the evaluation of Endomyocardial Fibrosis (EMF) and to devise diagnostic criteria for the disease.Methods: Retrospective analysis of cases of restrictive cardiomyopathy referred for Magnet...

BACKGROUND The treatment of acute myocardial infarction (AMI) is thought to restore antegrade blood flow in the infarct-related artery with percutaneous coronary interventions (PCI). The present study was undertaken to identify the clinical factors, biochemical markers, angiographic findings and procedural features which predict the coronary slow f...

Aortic dissection usually presents as an acute emergency and less commonly presents as chronic dissection. Two-dimensional and transoesophageal echocardiographic features of aortic dissection generally show dissection flap, dilated aorta and aortic regurgitation. We report a very unusual and extremely rare case of a 40-year-old female patient with...

Sinus of Valsalva aneurysm (SVA) is rare, and aneurysm of the left sinus of Valsalva is extremely rare cardiovascular disease. Clinical presentation can vary from mostly asymptomatic to catastrophic life-threatening emergency. We report four extremely rare cases of SVA with different manifestations of which one case involved left aortic sinus with...

Large intracavitary masses such as those occupying most of a cardiac chamber and obstructing blood flow are not routinely encountered in clinical practice. The differential diagnosis includes neoplastic as well as nonneoplastic causes. Primary cardiac tumors by themselves are uncommon. We hereby report a rare case of a middle-aged female presenting...

Large pectoral haematoma is an extremely rare complication of transradial catheterisation. Branch or main vessel injury due to luminal passage of guidewires and catheters may lead to bleeding and haematoma formation at adjacent sites along the vessel track. We present a 53-year-old post-transradial catheterisation patient, who complained of chest p...

Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically...

Background: Prevalence of acute coronary syndrome in young individuals is increasing progressively. Previous studies have focused on the analysis of risk factors and to some extent coronary angiographic profile in young vs. old patients with acute coronary syndrome, but no study compared the angiographic profile in young patients based on the type...

A dual left anterior descending artery (LAD) is a rare congenital coronary anomaly and is classified into six types based on the origin and course of the long LAD. In type VI dual LAD, the short LAD arises from the left main coronary artery, and the long anomalous LAD, from the proximal right coronary artery (RCA), coursing between the right ventri...

A prospective, multicenter, post marketing surveillance study to evaluate the safety and effectiveness of the Superia-Sirolimus Eluting Coronary Stent System (SSECSS) implanted during routine clinical practice in India. Primary objective: 1. To study the MACE and in stent and In-segment Loss at Six Months (in a pre selected group of 50 patients). S...

Anomalous pulmonary venous return is an uncommon congenital malformation which can be broadly categorized into partial or total, of which the former is more common. The anomaly is considered to be partial if some of the pulmonary veins drain into the systemic circulation and total if all the pulmonary veins drain into systemic circulation. Isolated...

We report a case of acute left main coronary artery occlusion treated with stenting of the left main coronary artery. The patient had a thrombotic distal left main stenosis and after diagnostic coronary angiography developed a total occlusion of the left main artery. Stenting of the unprotected left main coronary artery was successfully performed a...

Viper venom toxicities comprise mainly bleeding disorders and nephrotoxicity. Cardiotoxicity is a rare manifestation of viper bite. We describe the case of a previously healthy 35-year-old man who developed coagulopathy and sinus node dysfunction following a viper bite. Electrocardiography showed sinus arrest and junctional escape rhythm. This is t...

The present report describes a case of sinus node arrest in a patient of manic-depressive illness being treated with lithium carbonate with a therapeutic serum level of lithium. The patient responded to symptomatic treatment and lithium was withdrawn in consultation with psychiatrist. A review of literature revealed case reports in which both thera...

Mini‐Abstract Massive right atrium ( RA ) enlargement is certainly more common in children than in adults, owing to rare congenital anomalies. RA could be enlarged in a case of rheumatic heart disease especially when associated with severe mitral valve disease or pulmonary hypertension. We are presenting a case of 25‐year‐old female patient who pre...

Myocardial infarction is associated with mechanical and non-mechanical complications. Here we are reporting a case presenting with evolved posterolateral wall myocardial infarction with free wall rupture and pericardial effusion with layered clot and its spontaneous resolution without any intervention.

Complications related to hardware malfunction during balloon mitral valvuloplasty (BMV) are rarely met in catheterization laboratory. However, the consequences can be grave including death. We report an extremely rare complication of fracture of BMV coiled tip guidewire, which was successfully retrieved percutaneously with a relatively simple techn...

The present report describes a case of sinus node arrest in a patient of manic-depressive illness being treated with lithium carbonate with a therapeutic serum level of lithium. The patient responded to symptomatic treatment and lithium was withdrawn in consultation with psychiatrist. A review of literature revealed case reports in which both thera...

We present a case report of a 26-year-old male from Bulandsahar, India. The patient presented with right heart failure. Evaluation revealed peripheral eosinophilia. An echocardiogram and MRI showed biventricular hypertrophy with obliteration of the ventricular apices, typical of endomyocardial fibrosis. This condition is rare in Bulandsahar, India.

We present a case report of a 26-year-old male from Bulandsahar, India. The patient presented with right heart failure. Evaluation revealed peripheral eosinophilia. An echocardiogram and MRI showed biventricular hypertrophy with obliteration of the ventricular apices, typical of endomyocardial fibrosis. This condition is rare in Bulandsahar, India.