This study compared levels of cardiac biomarkers in patients undergoing percutaneous coronary intervention (PCI) who received either Bivalirudin or Abciximab anticoagulation. Ninety-three patients were included in the study. Troponin I and CK-MB levels were measured before, immediately after, and at 8, 16, and 24 hours after PCI to assess evidence of myocardial necrosis. While Troponin I levels were slightly higher in the Abciximab group at all time points, the differences were not statistically significant. CK-MB levels were much higher in the Abciximab group but also did not reveal any statistically significant differences. The study concluded that in this small sample size
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V07 no1 2dec2017
1.
2. BANGLADESH
JOURNAL OF CARDIOLOGY
EDITORIALBOARD
CHIEF PATRON
Dr. A. M. Shamim
CHAIRMAN, EDITORIAL COMMITTEE
Dr. Abduz Zaher, FRCP
EDITORIAL BOARD
Dr. A. K. Miah, PhD
Dr. A. P. M. Sohrabuzzaman, FCPS
Dr. Reyan Anis, FRCP
Dr. Arun Kumar Sharma, FACC
Dr. Md. Elias Ali, MD
Dr. Lutfor Rahman, MS
Dr. Md. Lokman Hossain, MS
Dr. Mahbubul Islam, DA
Dr. A. H. M. Abul Monsur, D Card
EDITOR
Dr. Baren Chakraborty, FRCP
ASSISTANT EDITOR
Dr. Mahbubor Rahman, FRCP
Dr. Fahmida Zaman, FACC
CHIEF EXECUTIVE
Dr. (Brig Gen) Manzoor A. Mollah (Retd.)
SECRETARY, PUBLICATION COMMITTEE
Al-Emran Chowdhury
EDITORIAL STAFF
Kuddus Hawladar Nipun
Md. Mizanur Rahman
ADDRESS OF CORRESPONDENCE
Editor, Bangladesh Journal of Cardiology, Labaid Cardiac Hospital, House 1, Road 4, Dhanmondi, Dhaka 1205, Bangladesh
Tel : 88-02-8610793-8, 9670210-3, Fax : 880-02-9615497, Mobile : 01819425302, E-mail : baren_chakraborty@yahoo.com
21. Dominant R wave in infe-
rior leads indicate RVOT po-
sition of the lead.
Early precordial transition
and lack of notching in the
inferior leads confirm septal
location of the lead.
Morphology in lead I sug-
gest location of the RV lead
in the anterior part of the in-
terventricular septum.
Figure-8
46. Figure-6 Figure-9
Figure-7
Figure-8
Figure-10
Figure-11
Stress Echo and Mitral Regurgitation
Known Severe MR
1. Look for Exercise Capacity
2. Pulmonary HTN new/Worse
3. LV response
Mild or No MR and
Unexplained Dyspnea,
Pulmonary HTN
1. Exercise capacity
2. New or worsening MR
3. Worsening Pul HTN
4. LV response
47. Figure-12
Figure-13
Figure-14
Table-2
Class of
Recommendation
Class I
Class II
Class IIa
Class IIb
Class III
Evidence and/or general
agreement that a given
treatment or procdure
is beneficial, useful,
effective
Conflicting evidance
and/or a divergence
of opinion about the
usefulness/efficacy of
the given treatment or
Procedure
Weight of evidence/
opinion is in favour of
usefulness/efficacy.
Usefulness/efficacy is
less well established by
evidence/opinion
Evidence or general
agreement that the given
treatment or procedure is
not useful/effective, and
in some cases may be
harmful.
Is recommendied/
is indicated
Should be
considered
May be
considered
Is not
recommended
Definition Suggested
wording to use
Table-3
48.
49. Patient A after treatment CXR of Patient A, CXR showing cardiomegalyFigure-1 Figure-2
55. ECG on the day of admission showing widespread ST segment depression in both inferior and anterior leads (arrows).Figure-1
56. Coronary angiogram, anterior posterior (AP) view
showing 80-90% stenosis of left main (LM) coronary
artery involving ostium and mid part (arrow).
Coronary angiogram, LAO caudal view showing
critical ostial stenosis of LM coronary artery
(arrow).
Coronary angiogram, left anterior oblique
(LAO) cranial view showing critical LM coronary
stenosis with 30-40% stenosis at mid part of left
anterior descending artery (LAD), (arrows).
Coronary angiogram, LAO view showing
normal non dominant right coronary artery
(RCA) (arrow)..
Figure-2 Figure-4
Figure-3 Figure-5
57. ECG 2 years after CABG, appears normal.Figure-6
58.
59.
60.
61. x-ray chest-huge cardiomegally
Non coronary sinus is hugely dilated with a
perforation in apex
Right atrium was opened ,about 4cm long
vegetation was found, was attached to the
connecting site of Non coronary aneurysmal sinus
Huge right atrial and right ventricular enlargement
Double ended pledgeted horizontal mattress suture was
applied to aneurysmal area around the perforation
excised vegetation
Figure-1
Figure-3
Figure-5
Figure-2
Figure-4
Figure-6
62. Double ended pledgeted horizontal mattress
suture was applied around the perforation site
in Right atrium
PTFE patch closure of aneurismal part of
Non coronary sinus
PTFE patch closure of aneurismal part of Non
coronary sinus
Figure-7
Figure-8
Figure-9
63.
64. Angiographic view showing normal LM, about 70 to
75% narrowing of mLAD, 95% stenosis of d LCxFigure-1
65. Stent in m LAD before inflation
LM stenting covering dissection
Deployment of stent in mLADFigure-2
Figure 4 & 5
Figure-3
66. Expanded deployed stent in LM
Longitudinal stent collapse
After stenting flap seen in LM
Collapse stent in LM and deployed stent in mLAD
Figure-6
Figure-8
Figure-7
Figure-9
67.
68.
69. Almost normal RCA with TPM
Run of suction catheter
Antegrate flow after suction
Total Occlusion of mid left main
Figure-1
Figure-3
Figure-4
Figure-2
70. POBA done IABP for cardiogenic shock
POBA and dottering Slow flow
Figure-5 Figure-7
Figure-6 Figure-8
74. After left subclavian puncture wire failed to advanced into right atrium due to PLSVC
PPI lead into right ventricle making a circular loop
into right atrium (AP view)
PPI lead into right ventricle (LAO view)
Figure-1 & 2
Figure-3 Figure-4