Browsing by Author "Gupta, P R"
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Item Adverse effects of oral amiodarone therapy.(1992-04-01) Sinha, P R; Dube, S; Sujata,; Gupta, P R; Avasthey, P; Somani, P NOral amiodarone was administered to 38 patients (25 males, 13 females) with mean age of 43.6 years. Ventricular and supraventricular arrhythmias were present in 30 and 8 patients respectively. Amiodarone was given as 400-1200 mg/day for 1-2 weeks as loading dose and then it was maintained as 100-600 mg/day. The mean duration of therapy was 12.4 months. Adverse effects were noted in 21 (55.3%) cases. The commonest adverse effects observed were asymptomatic corneal microdeposits followed by gastrointestinal, cardiac, neurological and cutaneous disturbances. The drug was withdrawn in 2 (5.3%) patients because of nausea and vomiting. One patient died of pulmonary infiltrations. It is concluded that adverse effects are common with amiodarone but are tolerated well, making this drug an excellent choice for treatment of cardiac arrhythmias.Item Adverse reactions to rifampicin given in daily regimens: a review.(1990-09-01) Gupta, P RItem Alternating tachycardia in a case of broncho pneumonia with myocarditis.(1990-10-01) Sinha, P R; Gupta, P R; Avasthy, P; Somani, P NItem Aspergilloma with ABPA due to Aspergillus niger.(1985-11-01) Sharma, T N; Gupta, P R; Mehrotra, A K; Purohit, S D; Mangal, H NItem Asymptomatic lymphangitis carcinomatosis due to squamous cell lung carcinoma.(2005-04-19) Gupta, P R; Joshi, Narayani; Meena, R C; Ali, MLymphangitis carcinomatosa most commonly due to primary malignancy originating in the breast, stomach, pleura and prostate but may also originate from the lung itself. It is clinically characterised by progressing dyspnoea with or without cough even at an early stage. We report the case of a patient with squamous cell lung cancer presenting with asymptomatic lymphangitis carcinomatosa.Item BOOP presenting as pseudo-lymphadenopathy.(1999-10-08) Gupta, P R; Joshi, N; Khangarot, SA case of BOOP presenting with hilar pseudo-lymphadenopathy is reported. Atypical radiology should not preclude diagnosis of BOOP.Item Calcium channel blockers and terbutaline--a positive interaction.(1990-10-01) Sharma, T N; Gulati, R; Gupta, P R; Goyal, R L; Gupta, S D; Bhatnagar, MThe role of two calcium channel blockers, nifedipine and verapamil was investigated in patients of bronchial asthma. Both the drugs given orally produced an insignificant rise in PEFR, FEF25-75% and FEV1. Given along with terbutaline, however, these drugs produced significantly greater increase in PEFR, FEF25-75% and FEV1 as compared to patients receiving terbutaline alone. The two calcium channel blockers also inhibited the terbutaline induced tremors and palpitation.Item Case report. Tropical pulmonary eosinophilia: an unusual presentation.(1978-07-01) Chaudhry, B S; Gupta, P K; Gupta, P RItem Chronic atrial fibrillation reverting to sinus rhythm following thumpversion in a case of rheumatic heart disease.(1990-05-01) Gupta, P R; Sinha, P R; Somani, P NItem Chylothorax in a patient with ovarian tumour.(2005-01-12) Gupta, P R; Taly, Anju; Joshi, Narayani; Gupta, Shashi; Meena, R C; Jain, SA rare case of chylothorax complicating sex cord tumour of ovary in a young girl is being reported here. It was successfully managed by using a multipronged strategy consisting of chemotherapy, total parentral nutrition and bleomycin pleurodesis.Item A clinical and bacteriological study of tuberculous meningitis.(1980-11-01) Singh, R G; Somani, P N; Sharma, B M; Mishra, S; Usha,; Gupta, P RItem Comparison of intravenous aminophylline, salbutamol and terbutaline in acute asthma.(1984-07-01) Sharma, T N; Gupta, R B; Gupta, P R; Purohit, S DItem Comparison of subcutaneous salbutamol and terbutaline with adrenaline.(1985-01-01) Sharma, T N; Kala, D; Gupta, P R; Purohit, S D; Gupta, R B; Sisodia, R SItem Cor-triatriatum with atrial septal defect and bicuspid aortic valve diagnosed by cross-sectional echocardiography.(1990-11-01) Gupta, P R; Sinha, P R; Avasthey, PWe report a rare case with a combination of cor-triatriatum, large secundum atrial septal defect and bicuspid aortic valve. The diagnosis was made by cross-sectional echocardiography. A defect was present between proximal (accessory) left atrial chamber and right atrium decompressing the accessory left atrial chamber. The large left to right shunt resulted in severe pulmonary arterial hypertension.Item Corrected QT interval (QTc) and its relationship with fatal ventricular tachyarrhythmias and sudden death in acute myocardial infarction.(1984-05-01) Gupta, P R; Kumar, A; Singh, V P; Agrawal, B V; Awasthey, P; Somani, P NItem Diastolic collapse of both atria in patients of cardiac tamponade: report of two cases.(1992-03-01) Sinha, P R; Gupta, P R; Avasthey, PItem Evaluation of oral dipyridamole electrocardiography test in ischaemic heart disease.(1997-11-07) Gupta, P R; Avashty, P; Garg, A K; Prasad, P VForty-three cases of ischaemic heart disease of the age group 35-72 yrs with positive treadmill test (TMT) results were administered dipyridamole in the morning on empty stomach. Heart rate, BP and ECG were recorded before and every 15 mins after oral dipyridamole upto 2 hrs. ECG was repeated every 5 mins when patients developed angina or ischaemic ECG changes. Oral dipyridamole electrocardiography test (ODET) was found to be positive in 21 (48.83%) cases and majority of them developed ST depression in 25-40 mins and persisted for less than 30 mins. While compared with TMT results patients having chest pain, lower target heart rate (< 75%), shorter time to onset (< 2 mins) of ST depression and longer duration (> 8 mins) of ST depression had significantly higher rates of positivity on ODET than those without these manifestations. There were minor changes in hemodynamic parameter (heart rate, systolic and diastolic blood pressure) and other minor side effects encountered include mild headache and benign unifocal VPCs. Oral dipyridamole is viewed as a safe drug and may be used as a substitute for TMT specially in economically poor and physically disabled patients with significant coronary artery disease.Item External jugular, internal jugular and subclavian venous thrombosis with pulmonary thromboembolism and myocardial infarction.(1989-07-01) Gupta, P R; Gambhir, I SItem Flexible fiberoptic bronchoscopy in the diagnosis of pulmonary pathology.(1983-07-01) Sarkar, S K; Sharma, T N; Kumar, P; Gupta, P R; Jain, N K; Mathur, B BItem Further experience on glucose tolerance test during rifampicin therapy.(1986-02-01) Sharma, T N; Agarwal, K C; Gupta, P R; Purohit, S D; Sharma, V K; Mathur, B B
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