Browsing by Author "Vijayvergiya, Rajesh"
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Item Acquired atrioventricular block in a patient with sinus node disease on single-chamber atrial pacing.(2002-07-05) Vijayvergiya, Rajesh; Grover, AnilSingle-chamber atrial pacing is the most physiological and yet economical modality of treatment in patients with symptomatic sinus node disease with normal atrioventricular conduction. However, because of the possibility of future development of a high-degree atrioventricular block and atrial fibrillation, most patients are implanted either dual- or single-chamber right ventricular pacemakers. We report a patient with symptomatic sinus node disease on single-chamber atrial pacing for the past 7 years who developed a progressive increase in the PR interval and ultimately presented with symptomatic high-degree atrioventricular block requiring pacemaker upgradation. The pacemaker was upgraded to the single-chamber ventricular mode with one additional ventricular lead introduced from the same side percutaneously.Item Association of infection with coronary artery disease.(2007-02-14) Vijayvergiya, RajeshItem Burden of rheumatic and congenital heart disease in India: lowest estimate based on the 2001 census.(2002-01-10) Grover, Anil; Vijayvergiya, Rajesh; Thingam, Shyam TItem Development of an interview-based warfarin nomogram predicting the time spent in the therapeutic INR range: A cost-effective, and non-invasive strategy building from a cross sectional study in a low resource setting(Cardiological Society of India, 2022-06) Anand, Aishwarya; Kumar, Rupesh; Gupta, Ankur; Vijayvergiya, Rajesh; Mehrotra, Saurabh; Lad, Deepesh; Barwad, Parag; Sharma, Swati; Patil, Amol N.A cross-sectional study was conducted to predict time in therapeutic range (TTR) using clinical history, examination, and socioeconomic data. Study included warfarin-receiving patients from outpatient-clinic. In 203 patients studied, mean warfarin start-dose was 2.55 mg/day and maintenance-dose/week was 30.79 mg. Body mass index (BMI) (p ¼ 0.03), warfarin maintenance dose/day (p ¼ 0.02), and comorbidity presence (p ¼ 0.04) were significantly associated with TTR. Occupation (p ¼ 0.53), income (p ¼ 0.83), education (p ¼ 0.55), and socioeconomic score (p ¼ 0.73) showed non-significant association with TTR. A TTR predicting nomogram was built from clinical history and examination findings.Item IVC filter: Review.(2010-09) Yadav, Mukesh; Talwar, Vaibhav; Vijayvergiya, RajeshThrombo-embolic disease continues to be the paramount cause of morbidity as well as mortality in those afflicted despite amelioration in diagnostic imaging and anticoagulation regimens. Sometimes, standard medical therapy for thrombo-embolism is contraindicated, for it results in complications, or fails to adequately protect patients from pulmonary embolism (PE). These patients are treated by insertion of inferior vena cava (IVC) filters. Although IVC filters diminish long-term risk of pulmonary embolism (PE), they are associated with increased risk of IVC thrombosis and lower-extremity deep venous thrombosis (DVT) as compared to anticoagulation alone. Despite their prolonged use for more than 40 years, there are limited randomized clinical trials, comparing oral anticoagulation with IVC filters. Also, data on long term use of IVC filter is scarce. This article will address traits of an ideal IVC filter, different types of filters available and complications involved in the use of the diffrent IVC filter.Item Prenatal management with digoxin and sotalol combination for fetal supraventricular tachycardia : Case report and review of literature.(2009-09) Suri, Vanita; Keepanaseril, Anish; Aggarwal, Neelam; Vijayvergiya, RajeshSustained fetal supraventricular tachycardia (SVT) with a heart rate of approximately 210 bpm may lead to increased atrial and venous pressures and congestive heart failure. There is no clear consensus regarding the best drug-treatment regimens for fetal SVT. However, considerable nonrandomized experience in the transmaternal treatment of fetal SVT is available with a number of antiarrhythmic agents. We report a case of fetal supraventricular tachyarrhythmia with hydrops detected at 32 weeks that was managed with combination of oral digoxin and sotalol and review management guidelines available in the literature.Item Role of optical coherence tomography guided percutaneous coronary intervention to assess stent malapposition in de-novo coronary lesions(Cardiological Society of India, 2018-03) Ratheesh, Kumar J.; Jaitly, Shivendra; Vijayvergiya, RajeshItem Role of salivary cardiac troponin I in acute myocardial infarction.(2013-12) Vijayvergiya, RajeshItem Utilization of Telefax System for Early Detection, Interpretation and Management of Acute ST-Elevation Myocardial Infarction: An Initial Experience from Rural Punjab Telecardiology Rapid Access Project.(2006-11-06) Chongtham, Dhanaraj Singh; Sg, Vivekananda; Grover, Anil; Oberoi, Harijeet S; Vijayvergiya, Rajesh; Manoj, Rohit; Sharma, NavneetOBJECTIVES: The aim of this study was to assess the feasibility, safety and efficacy of telecardiology-guided initiation of therapy and management of acute coronary syndrome at primary care hospitals before the transfer of the patient to a tertiary care center. METHODS: This study covered 25 of 41 patients diagnosed with acute coronary syndrome at the Kharar Civil Hospital over a period of 15 months. These 25 patients (group A) had ST-elevation myocardial infarction. The remaining 16, with non- ST-elevation acute coronary syndrome, were excluded from the study. The group A patients were thrombolyzed at the Kharar Civil Hospital under telecardiology guidance (transmission of the electrocardiograms by fax to the coronary care unit of the PGIMER, where they were analyzed by a cardiologist). The patients were later sent to the PGIMER for further treatment. The group A patients were compared with two control groups (B and C) of 25 patients each with similar problems. The group B patients were referred for thrombolysis to the emergency ward of the PGIMER from local hospitals (situated at a distance of about 15 km), after acute myocardial infarction had been confirmed by electrocardiograms. The group C patients had come directly to the PGIMER emergency ward for thrombolysis. The patients in all groups were evaluated in terms of door-to-needle time saved, improvement in left ventricular systolic function and adverse events during hospitalization, as well as at three months' follow-up. RESULTS: For patients in group A, the mean door-to-needle time was 67.08 +/- 18.21 minutes. It was 121.8 +/- 48.71 minutes for those in group B and 22.68 +/- 9.24 minutes for those in group C. Thus, the differences among the groups were significant (p < 0.0001). Complications were rare and none occurred during transfer from the Kharar Civil Hospital to the PGIMER. The ejection fraction of all the patients showed an improvement between the time of admission and at three months' follow-up (p < 0.0001). CONCLUSIONS: Utilizing telecardiology advances, district hospital physicians, in collaboration with cardiologists at the tertiary center, can provide adequate standard diagnosis at the pre-coronary care unit level and also provide adequate therapy for acute myocardial infarction. Early administration of streptokinase in the civil hospital brought about a significant reduction in door-to-needle time and considerable improvement in left ventricular function.