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Thangamuthukumar KG, Karthikeyan S, Gnanavelu G, Swaminathan N, Venkatesan S. An unusual case of right atrial mass. JOURNAL OF THE INDIAN ACADEMY OF ECHOCARDIOGRAPHY & CARDIOVASCULAR IMAGING 2018. [DOI: 10.4103/jiae.jiae_50_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Kongunattan KV, Swaminathan N, Venkatesan S. An unusual complication of perimembranous ventricular septal defect with infective endocarditis: Vegetations obstructing right ventricular outflow tract and pulmonary valve. JOURNAL OF THE INDIAN ACADEMY OF ECHOCARDIOGRAPHY & CARDIOVASCULAR IMAGING 2018. [DOI: 10.4103/jiae.jiae_48_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Kathirvel D, Justin Paul G, Prathap Kumar G, Palanisamy G, Gnanavelu G, Ravishankar G, Swaminathan N, Venkatesan S. Tenecteplase versus streptokinase thrombolytic therapy in patients with mitral prosthetic valve thrombosis. Indian Heart J 2017; 70:506-510. [PMID: 30170645 PMCID: PMC6116712 DOI: 10.1016/j.ihj.2017.10.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 10/19/2017] [Accepted: 10/26/2017] [Indexed: 11/30/2022] Open
Abstract
Objective Prosthetic valve thrombosis (PVT) is a dreadful complication of mechanical prosthetic valves. Thrombolytic therapy (TT) for PVT is an alternative to surgery and currently making a leading role. This study compares TT with tenecteplase (TNK) and streptokinase (SK) head to head in patients with mitral PVT. Methods In this single center, observational study, patients with mitral PVT diagnosed by clinical data, transthoracic echocardiography, transesophageal echocardiography, and fluoroscopy were included. After excluding patients with contraindications for thrombolysis, they were randomly assigned to receive either SK or TNK regimen. Patients were monitored for success or failure of TT and for any complications. Results Among 52 episodes (47 patients with 5 recurrences) of mechanical mitral PVT, 40 patients were thrombolyzed with SK and 12 patients were thrombolyzed with TNK. Baseline characteristics including demographic profile, clinical and echocardiographic features, and valve types were not statistically significant between the groups. Complete success rate was 77.5% in SK group and 75% in TNK group (p = 0.88). Partial success rate, failure rate, and major complications were not statistically significant between the two groups. Within 12 h of therapy, TNK showed complete success in 33.3% of patients compared to 15% in SK group (p-value <0.02). Minor bleeding was more common in TNK group. Conclusion Slow infusion of TNK is equally efficacious but more effective than SK in the management of mitral mechanical PVT. 75% to 77.5% of PVT patients completely recovered from TT and it should be the first line therapy where the immediate surgical options were remote.
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Karthik N, Gnanavelu G, Swaminathan N, Venkatesan S. Mitral annular plane excursion (MAPSE) correlation with ejection fraction in cardiovascular disease. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Nachiappan K, Swaminathan N, Venkatesan S. A study on the left atrial volume and its correlation with left ventricular diastolic dysfunction in normal Indian population. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Kumar BM, Paul GJ, Swaminathan N, Gnanavelu G, Ravishankar G, Kumar N, Venkatesan S. Assessment of hemodynamic and clinical response in thrombolytic therapy for prosthetic valve thrombosis. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.215] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Kumaran S, Tamil Selvan K, Justin Paul G, Swaminathan N. Temporal profile of AV nodal conduction block recovery pattern in acute inferior wall myocardial infarction following thrombolysis. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Zakir Hussain G, Cecily Mary Majella J, Swaminathan N, Gnanavelu G, Ravishanker G, Justin Paul G, Kumaran N, Venkatesan S. An echocardiographic correlation of pulmonary artery size in pulmonary hypertension. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Narendran M, Gnanavelu G, Venkatesan S, Swaminathan N, Justinpaul G. Clinical profile of spontaneous coronary dissection: A single center study. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Blessvin Jino V, Tamilselvan K, Justin Paul G, Palanisamy G, Gnanavelu G, Ravishankar G, Nanda Kumaran M, Swaminathan N, Venkatesan S. Clinical and angiographic profile of STEMI patients with or without terminal QRS distortion – A single centre study. Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Swaminathan N, Mansur A. P130 Prevalence and clinical outcomes of fungal sensitive asthma in a severe asthma population. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Nainamohamed M, Ravi MS, Swaminathan N, Elangovan. Anomalous twin circumflex artery in a 47-year-old Indian female. Indian Heart J 2016; 67 Suppl 3:S24-5. [PMID: 26995423 PMCID: PMC4799015 DOI: 10.1016/j.ihj.2015.09.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Revised: 09/16/2015] [Accepted: 09/29/2015] [Indexed: 11/30/2022] Open
Abstract
Anomalous origin of circumflex coronary is not an uncommon finding. However, dual origin of circumflex artery is a rare anomaly. An extensive literature search indicates that there have been only three such prior reports. We report the first such case from the Indian subcontinent. This was diagnosed by conventional angiography and CT angiography.
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Venkatesan K, Ravi M, Palanisamy G, Swaminathan N, Ravishankar G, Justin Paul G, Venkatesan S. Ventricular dyssynchrony with VVI pacemakers – Does complete heart block patients differs from sinus node dysfunction? Indian Heart J 2015. [DOI: 10.1016/j.ihj.2015.10.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Krishnappa Ramamoorthy R, Swaminathan N, Harvey L. Passive movements for treatment and prevention of contractures—what is the evidence? A cochrane systematic review. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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40
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Swaminathan N, Niranjan G, D'Souza V. Entry level physiotherapy curriculum in Indian subcontinent—an analysis and feed forward. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Krishnappa Ramamoorthy R, Swaminathan N, Dsa J, Joan V. A survey on the use of standardized outcome measures among physiotherapists in India. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Kumaran S, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Manohar G, Murugan S. Pattern of arrhythmias following PTMC – An insight into patient and procedure related factors. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Ashok M, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Venkatesan S. Hemodynamic issues after PTMC: Poor correlation between gain in MVO area and fall in mean gradient. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Gomathi T, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Venkatesan S. Does the atria contract during atrial flutter? Newer insights from the Doppler echocardiogram. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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45
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Nagasundar G, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Arumugam, Venkatesan S. Anatomical relationship of femoral artery to femoral vein in normal Indian population. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Ganesh T, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Moorthy C, Prathap Kumar G, Venkatesan S. Relationship between Diabetes and Syndrome X in women with stable angina. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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47
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Kumaran S, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justin Paul G, Manohar G, Murugan S, Vengatesan S. Differential pattern of commissural split and it's impact on mitral valve orifice following PTMC. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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48
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Mohamed Rafic A, Babu, Ravi M, Meenakshi K, Muthukumaran D, Swaminathan N, Ravishankar G, Justin Paul G, Venkatesan S. Impact of delayed right coronary artery stenting on recovery of right ventricle function in patients with acute rightventricular myocardial infarction. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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49
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Meenakshi M, Manohar G, Ravi M, Meenakshi K, Muthukumar D, Swaminathan N, Ravishankar G, Justinpaul G, Murugan S, Venkatesan S. Left main coronary artery dimensions in normal adult Indian population it’s implications in PCI. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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50
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Senthil A, Ravishankar G, Ravi M, Meenakshi K, Muthu Kumar D, Swaminathan N, Paul J, Venkatesan S. Pattern of coronary artery disease in symptomatic Type 2 diabetic subjects in the contemporary era and the difference from past studies. Indian Heart J 2014. [DOI: 10.1016/j.ihj.2014.10.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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