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Phalnikar K, Srividya M, Mythri SV, Vasavi NS, Ganguly A, Kumar A, S P, Kalia K, Mishra SS, Dhanya SK, Paul P, Holla B, Ganesh S, Reddy PC, Sud R, Viswanath B, Muralidharan B. Altered neuroepithelial morphogenesis and migration defects in iPSC-derived cerebral organoids and 2D neural stem cells in familial bipolar disorder. Oxf Open Neurosci 2024; 3:kvae007. [PMID: 38638145 PMCID: PMC11024480 DOI: 10.1093/oons/kvae007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 01/26/2024] [Accepted: 02/26/2024] [Indexed: 04/20/2024]
Abstract
Bipolar disorder (BD) is a severe mental illness that can result from neurodevelopmental aberrations, particularly in familial BD, which may include causative genetic variants. In the present study, we derived cortical organoids from BD patients and healthy (control) individuals from a clinically dense family in the Indian population. Our data reveal that the patient organoids show neurodevelopmental anomalies, including organisational, proliferation and migration defects. The BD organoids show a reduction in both the number of neuroepithelial buds/cortical rosettes and the ventricular zone size. Additionally, patient organoids show a lower number of SOX2-positive and EdU-positive cycling progenitors, suggesting a progenitor proliferation defect. Further, the patient neurons show abnormal positioning in the ventricular/intermediate zone of the neuroepithelial bud. Transcriptomic analysis of control and patient organoids supports our cellular topology data and reveals dysregulation of genes crucial for progenitor proliferation and neuronal migration. Lastly, time-lapse imaging of neural stem cells in 2D in vitro cultures reveals abnormal cellular migration in BD samples. Overall, our study pinpoints a cellular and molecular deficit in BD patient-derived organoids and neural stem cell cultures.
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Affiliation(s)
- Kruttika Phalnikar
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - M Srividya
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - S V Mythri
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - N S Vasavi
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Archisha Ganguly
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Aparajita Kumar
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Padmaja S
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Kishan Kalia
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Srishti S Mishra
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Sreeja Kumari Dhanya
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
| | - Pradip Paul
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Bharath Holla
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Suhas Ganesh
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Puli Chandramouli Reddy
- Centre of Excellence in Epigenetics, Department of Life Sciences, Shiv Nadar Institution of Eminence, Delhi-NCR, India-201314
| | - Reeteka Sud
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Biju Viswanath
- National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road Bengaluru, Karnataka, India-560029
| | - Bhavana Muralidharan
- Institute for Stem Cell Science and Regenerative Medicine (inStem), GKVK - Post, Bellary Road, Bengaluru, Karnataka, India-560065
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Chopra HK, Nair T, Wander GS, Ponde CK, Ray S, Khullar D, Nanda NC, Narula J, Kasliwal RR, Rana DS, Kirpalani A, Sawhney JPS, Chandra P, Mehta Y, Kumar V, Tewari S, Pancholia AK, Kher V, Bansal S, Mittal S, Kerkar P, Sahoo PK, Hotchandani R, Prakash S, Chauhan N, Rastogi V, Jabir A, Shanmugasundaram S, Tiwaskar M, Sinha A, Gupta V, Mishra SS, Routray SN, Omar AK, Swami OC, Jaswal A, Alam S, Passey R, Rajput R, Paul J, Kapoor A, Prabhakar D, Chandra S, Malhotra P, Singh VP, Bansal M, Shah P, Jain S, Bhargava M, Vijayalakshmi IB, Varghaese K, Jain D, Goel A, Mehmood K, Gaur N, Tandon R, Moorthy A, George S, Katyal VK, Mantri RR, Mehrotra R, Bhalla D, Mittal V, Rao S, Jagia M, Singh H, Awasthi S, Sattur A, Mishra R, Pandey A, Chawla R, Jaggi S, Sehgal B, Sehgal A, Goel N, Gupta R, Kubba S, Chhabra A, Bagga S, Shastry NR. Current Place of SGLT2i in the Management of Heart Failure: An Expert Opinion from India. J Assoc Physicians India 2024; 72:63-73. [PMID: 38736076 DOI: 10.59556/japi.71.0440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
Heart failure (HF) is a global health concern that is prevalent in India as well. HF is reported at a younger age in Indian patients with comorbidity of type 2 diabetes (T2DM) in approximately 50% of patients. Sodium-glucose cotransporter-2 inhibitors (SGLT2i), originally approved for T2DM, are new guideline-recommended and approved treatment strategies for HF. Extensive evidence highlights that SGLT2i exhibits profound cardiovascular (CV) benefits beyond glycemic control. SGLT2i, in conjunction with other guideline-directed medical therapies (GMDT), has additive effects in improving heart function and reducing adverse HF outcomes. The benefits of SGLT2i are across a spectrum of patients, with and without diabetes, suggesting their potential place in broader HF populations irrespective of ejection fraction (EF). This consensus builds on the updated evidence of the efficacy and safety of SGLT2i in HF and recommends its place in therapy with a focus on Indian patients with HF.
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Affiliation(s)
- H K Chopra
- Senior Consultant, Department of Cardiology, Medanta Moolchand Heart Center, Delhi, India
| | - Tiny Nair
- Head, Department of Cardiology, PRS Hospital, Trivandrum, Kerala, India
| | - G S Wander
- Professor, Department of Cardiology, Dayanand Medical College & Hospital (DMCH); Hero DMC Heart Institute, Ludhiana, Punjab, India, Corresponding Author
| | - C K Ponde
- Consultant Cardiologist and Head, Department of Cardiology, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospital, Kolkata, West Bengal, India
| | - Dinesh Khullar
- Chairman-Nephrology and Renal Transplant Medicine, Department of Nephrology and Renal Transplant Medicine, Max Super Speciality Hospital, Delhi, India
| | - Navin C Nanda
- Distinguished Professor, Department of Medicine and Cardiovascular Disease, Division of Cardiology, University of Alabama at Birmingham, Birmingham, Alabama USA
| | - Jagat Narula
- Executive Vice President & Chief Academic Officer, University of Texas, Houston K. Lance Gould, Distinguished University Chair for Coronary Pathophysiology, Distinguished Professor of Medicine & Cardiology McGovern Medical School, Houston Texas, USA
| | - Ravi R Kasliwal
- Chairman, Department of Clinical and Preventive Cardiology, Medanta-The Medicity, Gurugram, Haryana, India
| | - D S Rana
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi, India
| | - Ashok Kirpalani
- Consultant Nephrologist, Bombay Hospital, Mumbai, Maharashtra, India
| | - J P S Sawhney
- Chief of Clinical and Preventive Cardiology, Chairman, Department of Cardiology, Sir Gangaram Hospital, Delhi, India
| | - Praveen Chandra
- Chairman, Department of Interventional and Structural Heart Cardiology, Medanta-The Medicity, Gurugram, Haryana, India
| | - Yatin Mehta
- Director, Department of Critical Care Medicine, Medanta Institute of Critical Care Anaesthesiology, Medanta, The Medicity, Gurugram, Haryana, India
| | - Viveka Kumar
- Principal Director and Chief of Cath Labs (Pan Max), Department of Cardiac Sciences, Max Hospital, Delhi, India
| | - S Tewari
- Professor, Department of Cardiology at SGPGIMS, Lucknow, Uttar Pradesh, India
| | - A K Pancholia
- Head of Department, Department of Clinical and Preventive Cardiology, Arihant Hospital and Research Centre, Indore, Madhya Pradesh, India
| | - Vijay Kher
- Chairman, Department of Nephrology; Department of Kidney Transplant, Epitome Kidney Urology Institute and Lions Hospital, Delhi, India
| | - Sandeep Bansal
- Consultant in Cardiology, Professor and Head, Department of Cardiology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - Sanjay Mittal
- Senior Cardiologist, Medanta-The Medicity, Gurugram, Haryana, India
| | - Praful Kerkar
- Senior Consultant Interventional Cardiologist, Asian Heart Institute, Mumbai, Maharashtra, India
| | - P K Sahoo
- Interventional Cardiology, Department of Cardiology, Apollo Hospital, Bhubaneshwar, Odisha, India
| | - Ramesh Hotchandani
- Consultant, Head, Department of Nephrology, Moolchand Centre for Renal Care and Dialysis, Moolchand Hospital, Delhi, India
| | - Sunil Prakash
- Senior Director and Head, Department of Nephrology and Renal Transplantation, BLK-Max Super Speciality Hospital, Delhi, India
| | - Nagendra Chauhan
- Senior Cardiologist, Medanta-The Medicity, Gurugram, Haryana, India
| | - Vishal Rastogi
- Director, Department of Interventional Cardiology, Head of Advanced Heart Failure Program, Fortis Escort Heart Institute, Delhi, India
| | - A Jabir
- Senior Cardiologist and Assistant Professor, Lisie Hospital, Cochin, Kerala, India
| | | | - Mangesh Tiwaskar
- Consultant Physician and Diabetologist, Shilpa Medical Research Centre, Mumbai, Maharashtra, India
| | - Ajay Sinha
- Senior Consultant, Department of Cardiology, Medanta Heart Institute, Patna, Bihar, India
| | - Vittul Gupta
- Consulting Physician, Department of Internal Medicine, Kishori Ram Hospital and Diabetes Care Centre, Bhatinda, Punjab, India
| | - S S Mishra
- Director and Senior Consultant Cardiologist, Med N Heart Clinic, Cuttack, Odisha, India
| | - S N Routray
- Professor and Head, Department of Cardiology, SCB Medical College, Cuttack, Odisha, India
| | - A K Omar
- Director, Fortis Escorts Heart Institute, Department of Non-invasive Cardiology, Delhi, India
| | - Onkar C Swami
- Senior Vice President, Medical Services, Alembic Pharmaceuticals Ltd., Mumbai, Maharashtra, India
| | - Aparna Jaswal
- Director, Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute, Delhi, India
| | - Shamsad Alam
- Consultant Interventional Cardiologist, Jayprabha Medanta Super Speciality Hospital, Patna, Bihar, India
| | - Rajeev Passey
- Consultant Cardiologist, Sir Ganga Ram Hospital, Delhi, India
| | - Rajeeve Rajput
- Senior Consultant Cardiologist, Apollo Hospitals, Delhi, India
| | - Justin Paul
- Professor of Cardiology, Madras Medical College, Chennai, Tamil Nadu, India
| | - Aditya Kapoor
- Head, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Prabhakar
- Consultant Interventional Cardiologist, Ashwin Clinic, Chennai, Tamil Nadu, India
| | - Subhash Chandra
- Chairman and Head, Department of Cardiology and Structural Heart Disease, BLK Max Super Speciality Hospital, Delhi, India
| | - Poonam Malhotra
- Senior Professor, Department of Cardiac Anaesthesia, All India Institute of Medical Sciences, Delhi, India
| | - Vivudh Pratap Singh
- Senior Consultant, Interventional Cardiologist, Fortis Escort Heart Institute, Delhi, India
| | - Manish Bansal
- Senior Cardiologist, Medanta-The Medicity, Gurugram, Haryana, India
| | - Priyank Shah
- Assistant General Manager, Medical Services, Alembic Pharmaceuticals Ltd., Mumbai, Maharashtra, India
| | - Sanjay Jain
- Associate Vice President, Medical Services, Alembic Pharmaceuticals Ltd., Mumbai, Maharashtra, India
| | - Mohan Bhargava
- Director of Cardiology and Interventional Cardiologist, Max Hospital, Delhi, India
| | - I B Vijayalakshmi
- Professor Emeritus, Former Head Cardiology, Shri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Kiron Varghaese
- Professor and Former Head, Department of Cardiology, St. John's Medical College, Bengaluru, Karnataka, India
| | - Dharmender Jain
- Professor and Former Head, Department of Cardiology, IMS, BHU, Varanasi, Uttar Pradesh, India
| | - Anupam Goel
- Director, Interventional Cardiology, Max Super-speciality hospital, Delhi, India, India
| | - Kiran Mehmood
- Assistant Professor, Department of Medicine and Cardiology, Icahn School of Medicine at Mount Sinai; Director, Heart Failure Program, Mount Sinai Morningside Hospital, New York, USA
| | - Namrata Gaur
- CVTS, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
| | - Rohit Tandon
- Consultant, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Asha Moorthy
- Senior Consultant Cardiologist, SIMS Hospital, Chennai, Tamil Nadu, India
| | - Sheeba George
- Senior Interventional Cardiologist & Head of Cardiology, Department of Interventional Cardiology, Jubilee Memorial Hospital, Trivandrum, Kerala, India
| | - V K Katyal
- Head of Department, Department of General Medicine, Positron Hospital; Formerly Senior Professor, Department of Medicine, Pt BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - R R Mantri
- Director, Department of Cardiology, Sir Ganga Ram Hospital, Delhi, India
| | - Rahul Mehrotra
- Director and Head, Department of Non-invasive Cardiology, Max Super Speciality Hospital, Delhi, India
| | - Dilip Bhalla
- Senior Director, Department of Nephrology and Renal Transplant, Max Super Speciality Hospital, Delhi, India
| | - Vinod Mittal
- Senior Consultant Diabetologist and Head, Centre for Diabetes and Metabolic Diseases, Heart and Lung Institute, Delhi, India
| | - Sarita Rao
- Senior Interventional Cardiologist, Director Cath Lab, Apollo Hospital, Indore, Madhya Pradesh, India
| | - Manish Jagia
- Director, Department of Anaesthesia and Critical care, Moolchand Hospital, Delhi, India
| | - Harmeet Singh
- Consultant, Critical Care Specialist, Max Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India
| | - Surabhi Awasthi
- Consultant, Critical Care Specialist, Moolchand Hospital, Delhi, India
| | - Ameet Sattur
- Director of Cath Lab HCG, Suchiraya Hospital, Hubli, Karnataka, India
| | - Rekha Mishra
- Consultant Cardiologist, Indraprastha, Apollo Hospital, Delhi, India
| | - Anand Pandey
- Senior Consultant Cardiologist, Department of Cardiology, Kailash Deepak Hospital, Delhi, India
| | - Rajeev Chawla
- Senior Consultant Diabetologist and Director of North Delhi Diabetes and Cardiac Centre, Delhi, India
| | - Shalini Jaggi
- Consultant Diabetologist and Head, Dr Mohan Diabetes Specialities Centre, Delhi, India
| | - Blessy Sehgal
- Senior Consultant, Nephrology, Shree Balaji Action Medical Institute, Delhi, India
| | - Alok Sehgal
- Head of Department and Chief Interventional Cardiologist, Yeshoda Super Speciality Hospital, Ghaziabad, Uttar Pradesh, India
| | - Naresh Goel
- Director and HOD, Department of Cardiology and HF, Fortis Shalimar Bagh Hospital, Delhi, India
| | - Ripen Gupta
- Interventional Cardiologist, Max Super Speciality Hospital, Delhi, India
| | - Samir Kubba
- Director and Unit Head, Department of Cardiology, Dharmshila Narayana Superspeciality Hospital, Delhi, India
| | | | - Saurabh Bagga
- Senior Cardiologist, Medanta-The Medicity, Gurugram, Haryana, India
| | - N R Shastry
- Consultant Cardiologist, Medanta Moolchand Heart Center, Delhi, India
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3
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Chopra HK, Wander GS, Ponde CK, Nanda NC, Khullar D, Venugopal K, Ray S, Nair T, Rana DS, Kher V, Sawhney J, Kasliwal RR, Abdullakutty J, Chakraborty R, Chandra P, Bansal S, Kumar V, Pancholia AK, Kapoor A, Prakash S, Saxena A, Rastogi V, Sharma V, Arora YK, Dasbiswas A, Bhargava M, Jaswal A, Bhargava K, Bhatia M, Omar AK, Khanna NN, Passey R, Bhalla D, Vijayalakshmi IB, Bhalla AK, Moorthy A, Isser HS, Mishra SS, Routray S, Tandon V, Sinha A, Bansal M, Jain P, Hotchandani R, Jain D, Katyal VK, Gulati S, Tandon R, Jaggi S, Sehgal B, Gupta V, Mehrotra R, Krishnamani NC, Pathak SN, Yadav MS, Chawla R, Shastry NR, Chatterjee N, Samajdar SS, Pal J, Tiwaskar M. The Promise of Cilnidipine in Hypertension with Comorbidities: National Consensus Statement: National Consensus Group Comprises Cardiologists, Nephrologists, and Diabetologists from India in a National Meet at New Delhi held on 22 nd May 2022. J Assoc Physicians India 2024; 72:88-95. [PMID: 38736080 DOI: 10.59556/japi.71.0400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
The rapidly increasing burden of hypertension is responsible for premature deaths from cardiovascular disease (CVD), renal disease, and stroke, with a tremendous public health and financial burden. Hypertension detection, treatment, and control vary worldwide; it is still low, particularly in low- and middle-income countries (LMICs). High blood pressure (BP) and CVD risk have a strong, linear, and independent association. They contribute to alarming numbers of all-cause and CVD deaths. A major culprit for increased hypertension is sympathetic activity, and further complications of hypertension are heart failure, ischemic heart disease (IHD), stroke, and renal failure. Now, antihypertensive interventions have emerged as a global public health priority to reduce BP-related morbidity and mortality. Calcium channel blockers (CCB) are highly effective vasodilators. and the most common drugs used for managing hypertension and CVD. Cilnidipine, with both L- and N-type calcium channel blocking activity, is a promising 4th generation CCB. It causes vasodilation via L-type calcium channel blockade and inhibits the sympathetic nervous system (SNS) via N-type calcium channel blockade. Cilnidipine, which acts as a dual L/N-type CCB, is linked to a reduced occurrence of pedal edema compared to amlodipine, which solely blocks L-type calcium channels. The antihypertensive properties of cilnidipine are very substantial, with low BP variability and long-acting properties. It is beneficial for hypertensive patients to deal with morning hypertension and for patients with abnormal nocturnal BP due to exaggerated sympathetic nerve activation. Besides its BP-lowering effect, it also exhibits organ protection via sympathetic nerve inhibition and renin-angiotensin-aldosterone system inhibition; it controls heart rate and proteinuria. Reno-protective, neuroprotective, and cardioprotective effects of cilnidipine have been well-documented and demonstrated.
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Affiliation(s)
- Hirday Kumar Chopra
- Senior Consultant Cardiologist, Department of Cardiology, Medanta-Moolchand Heart Centre; Chairman CME, Moolchand Medcity, Delhi, India; Country Head, American Heart Association; Chairman, World Wellness Foundation and World Heart Academy, Ludhiana, Punjab, India
| | - Gurpreet S Wander
- Professor and Head of Cardiology, Department of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India
| | - Chandrashekhar K Ponde
- Consultant Cardiologist and Head of Department, Department of Cardiology in PD Hinduja Hospital & Medical Research Centre, Mumbai, Maharashtra, India
| | - Navin C Nanda
- Professor of Medicine and Cardiovascular Disease, Department of Medicine, UAB Heersink School of Medicine, University of Alabama at Birmingham (UAB), Birmingham, Alabama, United States of America
| | - Dinesh Khullar
- Chairman, Department of Nephrology and Renal Transplant Medicine, Max Super Speciality Hospital, Delhi, India
| | - K Venugopal
- Emeritus Professor, Department of Cardiology, Pushpagiri Institute of Medical Sciences, Thiruvalla, Kerala, India
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospitals, Kolkata, West Bengal, India
| | - Tiny Nair
- Head, Department of Cardiology, PRS Hospital, Trivandrum, Kerala, India
| | - D S Rana
- Emeritus Consultant Nephrologist, Department of Nephrology, Sir Ganga Ram Hospital, Delhi, India
| | - Vijay Kher
- Chairman, Department of Nephrology and Kidney Transplant, Epitome Kidney Urology Institute & Lions Hospital, Delhi, India
| | - Jps Sawhney
- Chairman, Department of Cardiology, Sir Ganga Ram Hospital, Delhi, India
| | - R R Kasliwal
- Adjunct Professor Cardiology (NBE), Chairman, Department of Clinical and Preventive Cardiology, Medanta Heart Institute, Medanta - The Medicity, Gurugram, Haryana, India
| | - Jabir Abdullakutty
- Senior Consultant Cardiologist, Department of Cardiology, Lisie Hospital, Kochi, Kerala, India
| | - Rabin Chakraborty
- Senior Vice Chairman and Head of Cardiology, Department of Cardiology, Medica Super Specialty Hospitals, Kolkata, West Bengal, India
| | - Praveen Chandra
- Chairman, Department of Interventional Cardiology, Medanta Heart Institute, Medanta - The Medicity, Delhi, India
| | - Sandeep Bansal
- Professor and HOD, Department of Cardiology, Safdarjung Hospital, Delhi, India
| | - Viveka Kumar
- Principal Director and Chief of Cath Lab, Department of Cardiac Sciences, Max Super Speciality Hospital, Delhi, India
| | - Arvind K Pancholia
- HOD, Department of Medicine and Preventive Cardiology, Arihant Hospital, Indore, Madhya Pradesh, India
| | - Aditya Kapoor
- Professor and Head, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Sunil Prakash
- Director and Head, Department of Nephrology and Transplant Service, BLK-Max Super Speciality Hospital, Delhi; Max Hospital, Gurugram, Haryana, India
| | - Anil Saxena
- Executive Director, Department of Cardiac Pacing and Electrophysiology, National Heart Institute of All India Heart Foundation, Delhi, India
| | - Vishal Rastogi
- Director, Department of Cardiology, Fortis Escorts Heart Institute, National Heart Institute of All India Heart Foundation, Delhi, India
| | - Vinod Sharma
- Vice CEO and Head, Department of Cardiology Services, National Heart Institute of All India Heart Foundation, Delhi, India
| | - Y K Arora
- Cardiologist, Department of Cardiology, National Heart Institute, Delhi, India
| | - Arup Dasbiswas
- Ex-Director, Department of ICVS (Cardioogy), Institute of Post Graduate Medical Education & Research (IPGMER); Chief Cardiologist, Department of Cardiology, Dasbiswas Clinic, Kolkata, West Bengal, India
| | - Mohan Bhargava
- Director, Department of Interventional Cardiology, Max Super Speciality Hospital, Delhi, India
| | - Aparna Jaswal
- Member, Board of Directors, The International Board of Heart Rhythm Examiners (IBHRE); Director, Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute, Delhi, India
| | - Kartikeya Bhargava
- Senior Director, Department of Cardiac Electrophysiology and Pacing, Medanta-The Medicity, Gurugram, Haryana, India
| | - Mona Bhatia
- Principal Director and Head, Department of Imaging, Fortis Escorts Heart Institute; Delhi, India
| | - Ashok K Omar
- Director and Head, Department of Noninvasive Cardiology and Heart Command Centre, Fortis Escorts Heart Institute; Delhi, India
| | - Narendra Nath Khanna
- Advisor, Apollo Group of Hospitals; Senior Consultant and Coordinator, Department of Cardiology and Vascular Services, Indraprastha Apollo Hospital; Delhi, India
| | - Rajiv Passey
- Consultant Cardiologist, Department of Cardiology, Sir Ganga Ram Hospital; Delhi, India
| | - Dilip Bhalla
- Senior Director, Department of Nephrology and Renal Transplant, Max Super Specialty Hospital; Delhi, India
| | - I B Vijayalakshmi
- Professor Emeritus, Former HOD, Department of Pediatric Cardiology, Shri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India
| | - Anil Kumar Bhalla
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi, India
| | - Asha Moorthy
- Senior Consultant Cardiologist, Department of Cardiology, Shrikrishna Institute of Management and Science, Chennai, Tamil Nadu, India
| | - Harmohander S Isser
- Department of Cardiology, Vardhman Mahavir Medical College & Safdarjung Hospital, Delhi, India
| | - S S Mishra
- Cardiologist, Department of Cardiology, Med N Heart Clinic, Cuttack, Odisha, India
| | - Satyanarayan Routray
- Professor, Department of Cardiology, Srirama Chandra Bhanj Medical College & Hospital (SCB Medical College), Cuttack, Odisha, India
| | - Vivek Tandon
- Associate Director, In-charge, Department of Cardiology, Noninvasive Cardiac Laboratory, Max Smart Super Speciality Hospital, Delhi, India
| | - Ajay Sinha
- Senior Consultant Cardiologist, Department of Cardiology, Jay Prabha Medanta Super Speciality Hospital, Patna, Bihar, India
| | - Manish Bansal
- Senior Director, Department of Clinical and Preventive Cardiology, Medanta-The Medicity, Gurugram, Haryana, India
| | - Praveen Jain
- Executive Director and Chief Cardiologist, Department of Cardiology, Lifeline Superspeciality Hospital & Heart Centre, Jhansi, Uttar Pradesh, India
| | - Ramesh Hotchandani
- Consultant and Head, Department of Nephrology and Transplant, Moolchand Hospital, Delhi, India
| | - Dharmendra Jain
- Professor, Department of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - V K Katyal
- HOD, Department of Medicine, Positron Multi-speciality Hospital; Formerly Senior Professor and HOD, Department of Medicine, Pt BD Sharma Postgraduate Medical Institute of Medical Science, Rohtak, Haryana, India
| | - Sanjiv Gulati
- Principal Director, Department of Nephrology and Kidney Transplant, Fortis Healthcare, Delhi, India
| | - Rohit Tandon
- Senior Consultant Physician, Department of Cardiology, Hero DMC Heart Institute, Ludhiana, Punjab, India
| | - Shalini Jaggi
- Director and Consultant Diabetologist, Lifecare Diabetes Centre, Delhi, India
| | - Blessy Sehgal
- Consultant Nephrologist, Department of Nephrology, Sri Balaji Action Medical Institute, Delhi, India
| | - Vitull Gupta
- Honorary Teaching Faculty, All India Institute of Medical Sciences; Consultant Physician, Kishori Ram Hospital, Bathinda, Punjab, India
| | - Rahul Mehrotra
- Director and Head, Department of Noninvasive Cardiology, Max Super Speciality Hospital, Delhi, India
| | - N C Krishnamani
- Cardiologist, Department of Cardiac Sciences, Fortis Healthcare, Delhi, India
| | - S N Pathak
- Senior Consultant, Department of Interventional Cardiology, Indraprastha Apollo Hospital, Delhi, India
| | - M S Yadav
- Senior Consultant, Department of Interventional Cardiology, Max Super Speciality Hospital, Delhi, India
| | - Rajeev Chawla
- Senior Consultant Diabetologist, Director, North Delhi Diabetes Centre, Delhi, India
| | - N R Shastry
- Consultant, Department of Noninvasive Cardiology, Medanta Moolchand Heart Centre, Delhi, India
| | - Nandini Chatterjee
- Professor, Department of Internal Medicine, Institute of Post Graduate Medical Education & Research (IPGMER), Kolkata, West Bengal, India
| | - Shambo Samrat Samajdar
- Clinical Pharmacologist and Consultant Physician, Department of Pharmacology, Diabetes and Allergy-Asthma Therapeutics Specialty Clinic; Independent Clinical Pharmacologist, Kolkata, West Bengal, India, Corresponding Author
| | - Jyotirmoy Pal
- Professor, Department of Medicine, R G Kar Medical College & Hospital, SDMC; Dean, Indian College of Physicians, Kolkata, West Bengal, India
| | - Mangesh Tiwaskar
- Consultant Physician and Diabetologist, Shilpa Medical Research Centre, Mumbai, Maharashtra; Editor-in-Chief, Journal of the Association of Physicians of India
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4
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Chopra HK, Nair T, Wander GS, Ponde CK, Ray S, Khullar D, Nanda NC, Kasliwal RR, Rana DS, Kirpalani A, Sawhney JPS, Chandra P, Mehta Y, Kumar V, Tewari S, Pancholia AK, Kher V, Bansal S, Mittal S, Kerkar P, Sahoo PK, Hotchandani R, Prakash S, Chauhan N, Rastogi V, Jabir A, Shanmugasundaram S, Tiwaskar M, Sinha A, Gupta V, Mishra SS, Routray SN, Omar AK, Swami OC, Jaswal A, Alam S, Passey R, Rajput R, Paul J, Kapoor A, Prabhakar D, Chandra S, Malhotra P, Singh VP, Bansal M, Shah P, Jain S, Bhargava M, Vijayalakshmi IB, Varghaese K, Jain D, Goel A, Gaur N, Tandon R, Moorthy A, George S, Katyal VK, Mantri RR, Mehrotra R, Bhalla D, Mittal V, Rao S, Jagia M, Singh H, Awasthi S, Sattur A, Mishra R, Pandey A, Chawla R, Jaggi S, Sehgal B, Sehgal A, Goel N, Gupta R, Kubba S, Chhabra A, Bagga S, Shastry NR. Role of Bisoprolol in Heart Failure Management: A Consensus Statement from India. J Assoc Physicians India 2023; 71:77-88. [PMID: 38736057 DOI: 10.59556/japi.71.0426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
In India, heart failure (HF) is an important health concern affecting younger age groups than the western population. A limited number of Indian patients receive guideline-directed medical therapy (GDMT). Selective β-1 blockers (BB) are one of the GDMTs in HF and play an important role by decreasing the sympathetic overdrive. The BB reduces heart rate (HR) reverse the adverse cardiac (both ventricular and atrial), vascular, and renovascular remodeling seen in HF. Bisoprolol, a β-1 blocker, has several advantages and can be used across a wide spectrum of HF presentations and in patients with HF and comorbid conditions such as coronary artery disease (CAD), atrial fibrillation (AF), post-myocardial infarction (MI), uncontrolled diabetes, uncontrolled hypertension, and renal impairment. Despite its advantages, bisoprolol is not optimally utilized for managing HF in India. This consensus builds on updated evidence on the efficacy and safety of bisoprolol in HF and recommends its place in therapy with a focus on Indian patients with HF.
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Affiliation(s)
- H K Chopra
- Senior Consultant, Department of Cardiology, Medanta Moolchand Heart Center, Delhi, India
| | - Tiny Nair
- Head, Department of Cardiology, PRS Hospital, Trivandrum, Kerala, India
| | - G S Wander
- Professor, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India, Corresponding Author
| | - C K Ponde
- Consultant Cardiologist and Head, Department of Cardiology, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospital, Kolkata, West Bengal, India
| | - Dinesh Khullar
- Chairman, Nephrology and Renal transplant Medicine, Dept. of Nephrology and Renal transplant medicine, Max Super-speciality Hospital, Delhi, India
| | - Navin C Nanda
- Distinguished Professor of Medicine and Cardiovascular Disease, Division of Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Ravi R Kasliwal
- Chairman, Department of Clinical and Preventive Cardiology, Medanta-The Medicity, Gurgaon, Haryana, India
| | - D S Rana
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi, India
| | - Ashok Kirpalani
- Consultant Nephrologist, Bombay Hospital, Mumbai, Maharashtra, India
| | - J P S Sawhney
- Chief of Clinical and Preventive Cardiology, Chairman, Department of Cardiology, Sir Gangaram Hospital, Delhi, India
| | - Praveen Chandra
- Chairman, Department of Interventional and Structural Heart Cardiology, Medanta - The Medicity, Gurgaon, Haryana, India
| | - Yatin Mehta
- Director, Dept of Critical care medicine, Medanta Institute of Critical care Anaesthesiology, Medanta, The Medicity, Gurgaon, Haryana, India
| | - Viveka Kumar
- Principal Director and Chief of Cath Labs (Pan Max), Department of Cardiac Sciences, Max Hospital, Delhi, India
| | - S Tewari
- Professor of Cardiology at SGPGIMS, Lucknow, Uttar Pradesh, India
| | - A K Pancholia
- Head of Department, Department of Clinical and Preventive Cardiology, Arihant Hospital and Research Centre, Indore, Madhya Pradesh, India
| | - Vijay Kher
- Chairman, Department of Nephrology, Department of Kidney Transplant, Epitome Kidney Urology Institute and Lions Hospital, Delhi, India
| | - Sandeep Bansal
- Consultant in Cardiology, Professor and Head, Department of Cardiology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - Sanjay Mittal
- Senior Cardiologist, Medanta-The Medicity ,Gurgaon, Haryana, India
| | - Praful Kerkar
- Senior Consultant Interventional Cardiologist, Asian Heart Institute, Mumbai, Maharashtra, India
| | - P K Sahoo
- Interventional Cardiology, Department of Cardiology, Apollo Hospital, Bhubaneshwar, Odisha, India
| | - Ramesh Hotchandani
- Consultant, Head, Department of Nephrology, Moolchand Centre for Renal Care and Dialysis, Moolchand Hospital, Delhi, India
| | - Sunil Prakash
- Senior Director and Head, Department of Nephrology and Renal Transplantation, BLK-Max Super Speciality Hospital, Delhi, India
| | - Nagendra Chauhan
- Senior Cardiologist, Medanta-The Medicity ,Gurgaon, Haryana, India
| | - Vishal Rastogi
- Director, Department of Interventional Cardiology, Head of Advanced Heart Failure Program, Fortis Escort Heart Institute, Delhi, India
| | - A Jabir
- Senior Cardiologist and Assistant Professor, Lisie Hospital, Cochin, Kerala, India
| | | | - Mangesh Tiwaskar
- Consultant Physician and Diabetologist, Shilpa Medical Research Centre, Mumbai, Maharashtra, India
| | - Ajay Sinha
- Senior Consultant, Department of Cardiology, Medanta Heart Institute, Patna, Bihar, India
| | - Vittul Gupta
- Consulting Physician, Department of Internal Medicine, Kishori Ram Hospital and Diabetes Care Centre, Bhatinda, Punjab, India
| | - S S Mishra
- Director and Senior Consultant Cardiologist, Med N Heart Clinic, Cuttack, Odisha, India
| | - S N Routray
- Professor and Head, Department of Cardiology, SCB Medical College, Cuttack, Odisha, India
| | - A K Omar
- Director, Fortis Escorts Heart Institute, Department of Non-invasive Cardiology, Delhi, India
| | - Onkar C Swami
- Sr. Vice President, Medical Services, Alembic Pharmaceuticals Ltd, Mumbai, Maharashtra, India
| | - Aparna Jaswal
- Director, Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute, Delhi, India
| | - Shamsad Alam
- Consultant Interventional Cardiologist, Jayprabha Medanta Super Speciality Hospital, Patna, Bihar, India
| | - Rajeev Passey
- Consultant Cardiologist, Sir Ganga Ram Hospital, Delhi, India
| | - Rajeeve Rajput
- Senior Consultant Cardiologist, Apollo Hospitals, Delhi, India
| | - Justin Paul
- Professor of Cardiology, Madras Medical College, Chennai, Tamil Nadu, India
| | - Aditya Kapoor
- Head, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Prabhakar
- Consultant Interventional Cardiologist, Ashwin Clinic, Chennai, Tamil Nadu, India
| | - Subhash Chandra
- Chairman and Head, Dept. of Cardiology and Structural Heart Disease, BLK Max Superspeciality Hospital, Delhi, India
| | - Poonam Malhotra
- Senior Professor, Cardiac Anaesthesia, All India Institute of Medical Sciences, Delhi, India
| | - Vivudh Pratap Singh
- Sr. Consultant, Interventional Cardiologist, Fortis Escort Heart Institute, Delhi, India
| | - Manish Bansal
- Senior Cardiologist, Medanta-The Medicity ,Gurgaon, Haryana, India
| | - Priyank Shah
- Assistant General Manager, Medical Services, Alembic Pharmaceuticals Ltd., Mumbai, Maharashtra, India
| | - Sanjay Jain
- Associate Vice President, Medical Services, Alembic Pharmaceuticals Ltd., Mumbai, Maharashtra, India
| | - Mohan Bhargava
- Director of Cardiology and Interventional Cardiologist, Max Hospital, Delhi, India
| | - I B Vijayalakshmi
- Professor Emeritus, Former Head Pediatric Cardiology, Shri Jayadeva Institute of Cardiovascular sciences and Research, Bengaluru, Karnataka, India
| | - Kiron Varghaese
- Professor and Former Head, Department of Cardiology, St. John's Medical College, Bangalore, India
| | - Dharmender Jain
- Professor and Former head, Department of Cardiology, IMS, BHU, Varanasi, Uttar Pradesh, India
| | - Anupam Goel
- Director, Interventional Cardiology, Max Super-speciality hospital, Delhi, India
| | - Namrata Gaur
- CVTS, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
| | - Rohit Tandon
- Consultant, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Asha Moorthy
- Senior Consultant Cardiologist, SIMS Hospital, Chennai, Tamil Nadu, India
| | - Sheeba George
- Sree Mookambika Institute of Medical Sciences, Thiruvananthapuram, Kerala, India
| | - V K Katyal
- Head of Dept. Department of General Medicine, Positron Hospital; Formerly Senior Professor, Department of Medicine, Pt. B.D.Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - R R Mantri
- Director, Department of Cardiology, Sir Ganga Ram Hospital, Delhi, India
| | - Rahul Mehrotra
- Director and Head, Department of Non-Invasive Cardiology, Max Super Speciality Hospital, Delhi, India
| | - Dilip Bhalla
- Senior Director, Department of Nephrology and Renal Transplant, Max Super Speciality Hospital, Delhi, India
| | - Vinod Mittal
- Senior Consultant Diabetologist and Head, Centre for Diabetes and Metabolic Diseases, Heart and Lung Institute, Delhi, India
| | - Sarita Rao
- Sr. Interventional Cardiologist, Director Cath Lab, Apollo Hospital, Indore, Madhya Pradesh, India
| | - Manish Jagia
- Director, Department of Anaesthesia and Critical care, Moolchand Hospital, Delhi, India
| | - Harmeet Singh
- Consultant, Critical Care Specialist, Max Super-speciality hospital, Ghaziabad, Uttar Pradesh, India
| | - Surabhi Awasthi
- Consultant, Critical Care Specialist, Moolchand Hospital, Delhi, India
| | - Ameet Sattur
- Director of Cath Lab HCG, Suchiraya Hospital, Hubli, Karnataka, India
| | - Rekha Mishra
- Consultant Cardiologist, Indraprastha, Apollo Hospital, Delhi, India
| | | | - Rajeev Chawla
- Sr. Consultant Diabetologist and Director of North Delhi Diabetes and Cardiac Centre, Delhi, India
| | - Shalini Jaggi
- Consultant Diabetologist and Head at Dr. Mohans Diabetes Specialities Centre, Delhi, India
| | - Blessy Sehgal
- Sr. Consultant Nephrology, Shree Balaji Action Medical Institute, Delhi, India
| | - Alok Sehgal
- Head of Dept. and Chief Interventional Cardiologist, Yeshoda Superspeciality Hospital, Ghaziabad, Uttar Pradesh, India
| | - Naresh Goel
- Sr. cardiologist, Department of Cardiology BLK Super-speciality Hospital, Delhi, India
| | - Ripen Gupta
- Interventional Cardiologist, Max Super Speciality hospital, Delhi, India
| | - Samir Kubba
- Director and Unit Head, Cardiology Department Dharmshila Narayana Superspeciality Hospital, Delhi, India
| | | | - Saurabh Bagga
- Senior Cardiologist, Medanta-The Medicity ,Gurgaon, Haryana, India
| | - N R Shastry
- Consultant Cardiologist, Medanta Moolchand Heart Center, Delhi, India
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5
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Chopra HK, Wander GS, Nair T, Ponde CK, Nanda NC, Narula J, Ray S, Venugopal K, Iyengar SS, Kasliwal RR, Chandra P, Prakash S, Bansal S, Rana DS, Kerkar P, Dasbiswas A, Sawhney J, Shanmungasundram S, Kumar V, Vijayalakshmi IB, Pancholia AK, Sharma V, Kapoor A, Swami OC, Isser HS, Rastogi V, Arora YK, Omar AK, Sathe S, Rajput R, Prabhakar D, Paul GJ, Jagia P, Malhotra P, Suryaprakash G, Mittal V, Jagia M, Jabir A, Mishra SS, Routray SN, Sinha AK, Bhargava M, Mahmood K, Lal S, Dabhade D, Bhatia M, Kalra P, Katyal VK, Tandon R, Grover R, Chhabra A, Shastry NR. Angiotensin Receptor-Neprilysin Inhibitor Therapy and Cardiac Remodeling in Heart Failure: Consensus Statement from India. J Assoc Physicians India 2023; 71:11-12. [PMID: 37355795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
Adverse cardiac remodeling refers to progressive structural and functional modifications in the heart because of increased wall stress in the myocardium, loss of viable myocardium, and neurohormonal stimulation. The guideline-directed medical therapy for Heart failure (HF) includes Angiotensin receptor-neprilysin inhibitor (ARNI) (sacubitril/valsartan), β-blockers, sodium-glucose co-transporter 2 (SGLT2) inhibitors, and mineralocorticoid receptor antagonists (MRA). ARNI is under-prescribed in India despite its attractive safety and efficacy profile. Therefore, the consensus discusses objectives and topics related to ARNI in the management of cardiac remodeling, and experts shared their views on the early timely intervention of effective dosage of ARNI to improve the diagnosis and enhance mortality and morbidity benefits in cardiac reverse remodeling (CRR).
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Affiliation(s)
- H K Chopra
- Senior Consultant, Department of Cardiology, Medanta Moolchand Heart Center, Delhi
| | - G S Wander
- Professor and Head, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab;Corresponding Author
| | - Tiny Nair
- Head, Department of Cardiology, PRS Hospital, Trivandrum, Kerala
| | - C K Ponde
- Consultant Cardiologist and Head, Department of Cardiology, PD Hinduja National Hospital & Medical Research Centre, Mumbai, Maharashtra, India
| | - Navin C Nanda
- Department of Cardiology Division, University of Alabama at Birmingham (UAB), Birmingham, Alabama
| | - Jagat Narula
- Associate Dean, Chief, Icahn School of Medicine at Mount Sinai (ISMMS); Division of Cardiology, Mount Sinai Hospital, New York, United States of America
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospital, Kolkata, West Bengal
| | - K Venugopal
- Senior Consultant Cardiologist, KVM Hospital Cherthala and SP Fort Hospital, Thiruvananthapuram, Kerala
| | - S S Iyengar
- Consultant Emeritus and Academic Head, Department of Cardiology, Manipal Hospital, Bengaluru, Karnataka
| | - R R Kasliwal
- Chairman, Department of Clinical and Preventive Cardiology, Medanta The Medicity, Gurugram, Haryana
| | - Praveen Chandra
- Chairman, Department of Interventional and Structural Heart Cardiology, Medanta The Medicity, Gurugram, Haryana
| | - Sunil Prakash
- Senior Director and Head, Department of Nephrology and Renal Transplantation, BLK-Max Super Speciality Hospital, Delhi
| | - Sandeep Bansal
- Consultant in Cardiology, Professor and Head, Department of Cardiology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi
| | - D S Rana
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi
| | - Prafulla Kerkar
- Senior Consultant Interventional Cardiologist, Asian Heart Institute, Mumbai, Maharashtra
| | - Arup Dasbiswas
- Ex Director ICVS, Professor and Head of Department, Department of Cardiology, ICVS; Institute of Postgraduate Medical Education & Research, Kolkata, West Bengal
| | - Jps Sawhney
- Chief of Clinical and Preventive Cardiology, Chairman, Department of Cardiology, Sir Gangaram Hospital, Delhi
| | | | - Viveka Kumar
- Principal Director and Chief of Cath Labs (Pan Max), Department of Cardiac Sciences, Max Hospital, Delhi
| | - I B Vijayalakshmi
- Professor Emeritus, Former Head Pediatric Cardiology, Shri Jayadeva Institute of Cardiovascular sciences and Research, Bengaluru, Karnataka
| | - A K Pancholia
- Head of Department, Department of Clinical and Preventive Cardiology, Arihant Hospital and Research Centre, Indore, Madhya Pradesh
| | - Vinod Sharma
- Head of Cardiology and Vice Chief Executive Officer, National Heart Institute, Delhi
| | - Aditya Kapoor
- Head, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
| | - Onkar C Swami
- Director, Department of Medical Services, Emcure Pharmaceuticals Ltd., Pune, Maharashtra
| | - H S Isser
- Professor and Consultant, Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital
| | - Vishal Rastogi
- Director, Department of Interventional Cardiology, Head of Advanced Heart Failure Program, Fortis Escort Heart Institute
| | - Y K Arora
- Consultant Cardiologist, National Heart Institute
| | - Ashok K Omar
- Director, Noninvasive Cardiology and Head Heart Command Centres, Fortis Escorts Heart Institute, Delhi
| | - Sunil Sathe
- Interventional Cardiologist, Ruby Hall Clinic, Pune, Maharashtra
| | | | - D Prabhakar
- Consultant Interventional Cardiologist, Ashwin Clinic, Chennai, Tamil Nadu
| | - G Justin Paul
- Professor of Cardiology, Madras Medical College, Chennai, Tamil Nadu
| | - Priya Jagia
- Professor and Head, Department of Cardiovascular Imaging and Endovascular Interventions, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Delhi
| | - Poonam Malhotra
- Senior Professor, Cardiac Anaesthesia, All India Institute of Medical Sciences, Delhi
| | - G Suryaprakash
- Senior Consultant Cardiologist and Clinical Director, Care Hospitals, Hyderabad, Telangana
| | - Vinod Mittal
- Senior Consultant Diabetologist and Head, Centre for Diabetes and Metabolic Diseases, Delhi Heart and Lung Institute
| | - Manish Jagia
- Director, Department of Anaesthesia and Critical care, Moolchand Hospital, Delhi
| | - A Jabir
- Senior Cardiologist and Assistant Professor, Lisie Hospital, Cochin, Kerala
| | - S S Mishra
- Director and Senior Consultant Cardiologist, Med N Heart Clinic, Cuttack, Odisha
| | - S N Routray
- Professor and Head, Department of Cardiology, SCB Medical College, Cuttack, Odisha
| | - Ajay Kumar Sinha
- Senior Consultant, Department of Cardiology, Medanta Heart Institute, Patna, Bihar
| | - Mohan Bhargava
- Director of Cardiology and Interventional Cardiologist, Max hospital, Delhi, India
| | - Kiran Mahmood
- Assistant Professor of Medicine (Cardiology), Icahn School of Medicine at Mount Sinai (ISMMS); Director of Heart Failure Program, Mount Sinai Morningside Hospital, New York, United States of America
| | | | - Dhammdeep Dabhade
- Senior Manager, Department of Medical Services, Emcure Pharmaceuticals Ltd., Pune, Maharashtra
| | - Mona Bhatia
- Principal Director and Head, Department of Radiology and Imaging, Fortis Escorts Heart Institute, Delhi
| | - Pramila Kalra
- Professor and Head, Department of Endocrinology, Ramaiah Medical College and Hospitals, Bengaluru, Karnataka
| | - V K Katyal
- Head of Department, Department of Medicine, Positron Multispecialty and Cancer Hospital, Rohtak, Haryana
| | - Rohit Tandon
- Consultant, Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab
| | - Rahul Grover
- Associate Director, Department of Nephrology, Max Hospital, Delhi
| | - Abhinav Chhabra
- Consultant Interventional Cardiologist, Medanta Hospital, Gurugram, Haryana
| | - N R Shastry
- Consultant Cardiologist, Medanta Moolchand Heart Center, Delhi, India
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6
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Chopra HK, Wander GS, Nair T, Ponde CK, Nanda NC, Narula J, Ray S, Venugopal K, Iyengar SS, Kasliwal RR, Chandra P, Prakash S, Bansal S, Rana DS, Kerkar P, Dasbiswas A, Sawhney J, Shanmungasundram S, Kumar V, Vijayalakshmi IB, Pancholia AK, Sharma V, Kapoor A, Swami OC, Isser HS, Rastogi V, Arora YK, Omar AK, Sathe S, Rajput R, Prabhakar D, Paul GJ, Jagia P, Malhotra P, Suryaprakash G, Mittal V, Jagia M, Jabir A, Mishra SS, Routray SN, Sinha AK, Bhargava M, Mahmood K, Bhatia M, Kalra P, Katyal VK, Tandon R, Grover R, Chhabra A, Shastry NR. Role of Iron Therapy in Heart Failure: A Consensus Statement from India. J Assoc Physicians India 2023; 71:11-12. [PMID: 37354511 DOI: 10.5005/japi-11001-0214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
Iron deficiency (ID) with or without anemia is frequently observed in patients with heart failure (HF). Uncorrected ID is associated with higher hospitalization and mortality in patients with acute HF (AHF) and chronic HF (CHF). Hence, in addition to chronic renal insufficiency, anemia, and diabetes, ID appears as a novel comorbidity and a treatment target of CHF. Intravenous (IV) ferric carboxymaltose (FCM) reduces the hospitalization risk due to HF worsening and improves functional capacity and quality of life (QOL) in HF patients. The current consensus document provides criteria, an expert opinion on the diagnosis of ID in HF, patient profiles for IV FCM, and correct administration and monitoring of such patients.
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Affiliation(s)
- H K Chopra
- Senior Consultant, Department of Cardiology, Medanta Moolchand Heart Institute, Delhi
| | - G S Wander
- Professor and Head, Department of Cardiology, Dayanand Medical College & Hospital (DMCH), Ludhiana, Punjab; Corresponding Author
| | - Tiny Nair
- Head, Department of Cardiology, PRS Hospital, Trivandrum, Kerala
| | - C K Ponde
- Consultant Cardiologist and Head, Department of Cardiology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra
| | - Navin C Nanda
- Department of Cardiology Division, University of Alabama at Birmingham (UAB), Birmingham, Alabama
| | - Jagat Narula
- Associate Dean and Chief, Department of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai, New York
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospitals, Kolkata, West Bengal
| | - K Venugopal
- Senior Consultant Cardiologist, KVM Hospital Cherthala and SP Fort Hospital, Trivandrum, Kerala
| | - S S Iyengar
- Consultant Emeritus and Academic Head, Department of Cardiology, Manipal Hospital, Bengaluru, Karnataka
| | - R R Kasliwal
- Chairman, Department of Clinical and Preventive Cardiology, Heart Institute at Medanta, Gurgaon, Haryana
| | - Praveen Chandra
- Chairman, Department of Interventional and Structural Heart Cardiology, Medanta Moolchand Heart Institute, Gurgaon, Haryana
| | - Sunil Prakash
- Senior Director and Head, Department of Nephrology and Renal Transplantation, BLK-Max Super Speciality Hospital, Delhi
| | - Sandeep Bansal
- Consultant in Cardiology, Professor and Head, Department of Cardiology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi
| | - D S Rana
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi
| | - Prafulla Kerkar
- Senior Consultant Interventional Cardiologist, Asian Heart Institute, Mumbai, Maharashtra
| | - Arup Dasbiswas
- Ex Director ICVS, Professor and Head of Department, Department of Cardiology, ICVS, Institute of Postgraduate Medical Education & Research (IPGMER), Kolkata, West Bengal
| | - Jps Sawhney
- Chief Clinical and Preventive Cardiology and Chairman, Department of Cardiology, Sir Ganga Ram Hospital, Delhi
| | | | - Viveka Kumar
- Principal Director and Chief of Cath Labs (Pan Max), Department of Cardiac Sciences, Max Super Speciality Hospital, Delhi
| | - I B Vijayalakshmi
- Emeritus Professor and Former Head Pediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka
| | - A K Pancholia
- Head of the Department and Clinical and Preventive Cardiology, Arihant Hospital & Research Centre, Indore, Madhya Pradesh
| | - Vinod Sharma
- Head of Cardiology and Vice Chief Executive Officer, National Heart Institute, Delhi
| | - Aditya Kapoor
- Head, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
| | - Onkar C Swami
- Director, Department of Medical Services, Emcure Pharmaceuticals Ltd., Pune, Maharashtra
| | - H S Isser
- Professor and Consultant, Department of Cardiology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi
| | - Vishal Rastogi
- Director, Head of Advanced Heart Failure Program, Department of Interventional Cardiology, Fortis Escorts Heart Institute, Delhi
| | - Y K Arora
- Consultant Cardiologist, National Heart Institute, Delhi
| | - Ashok K Omar
- Director of Noninvasive Cardiology and Head Heart Command Centers, Fortis Escorts Heart Institute, Delhi
| | - Sunil Sathe
- Interventional Cardiologist, Ruby Hall Clinic, Pune, Maharashtra
| | | | - D Prabhakar
- Consultant Interventional Cardiologist, Ashwin Clinic, Chennai, Tamil Nadu
| | - G J Paul
- Professor of Cardiology, Madras Medical College, Chennai, Tamil Nadu
| | - Priya Jagia
- Professor and Head, Department of Cardiovascular Imaging and Endovascular Interventions, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Delhi
| | - Poonam Malhotra
- Senior Professor, Cardiac Anaesthesia, All India Institute of Medical Sciences, Delhi
| | - G Suryaprakash
- Senior Consultant Cardiologist and Clinical Director, Care Hospitals, Hyderabad, Telangana
| | - Vinod Mittal
- Senior Consultant Diabetologist and Head, Centre for Diabetes and Metabolic Diseases, Delhi Heart and Lung Institute, Delhi
| | - Manish Jagia
- Director, Department of Anaesthesia and Critical care, Moolchand Hospital, Delhi
| | - A Jabir
- Senior Cardiologist and Assistant Professor, Lisie Hospital, Kochi, Kerala
| | - S S Mishra
- Director and Senior Consultant Cardiologist, Med N Heart Clinic, Cuttack, Odisha
| | - S N Routray
- Professor and Head, Department of Cardiology, Srirama Chandra Bhanj Medical College & Hospital (S.C.B Medical College), Cuttack, Odisha
| | - Ajay K Sinha
- Senior Consultant, Department of Cardiology, Medanta Heart Institute, Patna, Bihar
| | - Mohan Bhargava
- Director Cardiology and Interventional Cardiologist, Max Super Speciality Hospital, Delhi
| | - Kiran Mahmood
- Assistant Professor of Medicine (Cardiology), Icahn School of Medicine, Mount Sinai; Director of Heart Failure Program, Mount Sinai Morningside Hospital, New York
| | - Mona Bhatia
- Principal Director and Head, Department of Radiology and Imaging, Fortis Escorts Heart Institute, Delhi
| | - Pramila Kalra
- Professor and Head, Department of Endocrinology, Ramaiah Medical College and Hospitals, Bengaluru, Karnataka
| | - V K Katyal
- Head, Department of Medicine, Positron Multispecialty and Cancer Hospital, Rohtak, Haryana
| | - Rohit Tandon
- Consultant, Department of Cardiology, Dayanand Medical College & Hospital (DMCH), Ludhiana, Punjab
| | - Rahul Grover
- Associate Director, Department of Nephrology, Max Super Speciality Hospital, Delhi
| | - Abhinav Chhabra
- Consultant Interventional Cardiologist, Medanta Moolchand Heart Institute, Gurgaon, Haryana
| | - N R Shastry
- Consultant Cardiologist, Medanta Moolchand Heart Institute, Delhi
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7
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Behera PK, Kaur P, Mishra SS, Mishra SK. Mapping and visualizing the research contribution of India on telemedicine: A scientometric study. J Postgrad Med 2023:370400. [PMID: 36861544 PMCID: PMC10394533 DOI: 10.4103/jpgm.jpgm_107_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Background The term "Telemedicine" is being used in the medical and health sector to treat patients and to provide medical guidance remotely. The intellectual output from India in terms of publications was harvested from Scopus® with the keyword "Telemedicine" and analyzed by using bibliometric techniques. Methods The source data was downloaded from the Scopus® database. All the publications on telemedicine and indexed in the database up to the year 2021 were considered for scientometric analysis. The software tools VOSviewer® version 1.6.18 to visualize bibliometric networks, statistical software R Studio® version 3.6.1 with the Bibliometrix package Biblioshiny® were used for analysis and data visualization, and EdrawMind® was used for mind mapping. Result India contributed 2,391 (4.32%) publications on telemedicine to a total of 55,304 publications worldwide until 2021. There were 886 (37.05%) papers that appeared in open access mode. The analysis revealed that the first paper was published in the year 1995 from India. Steep growth in the number of publications was observed in 2020 with 458 publications. The highest, 54 research publications, appeared in the "Journal of Medical Systems." The All India Institute of Medical Sciences (AIIMS), New Delhi, contributed the highest number of publications (n = 134). A considerable overseas collaboration was observed (USA: 11%; UK: 5.85%). Conclusions This is the first such attempt to address the intellectual output of India in the emerging medical discipline of telemedicine and has yielded useful information such as leading authors, institutions, their impact, and year-wise topic trends.
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Affiliation(s)
- P K Behera
- PK Kelkar Library, Indian Institute of Technology, Kanpur, Uttar Pradesh, India
| | - P Kaur
- Central Library, Chandigarh University, Gharuan, Mohali, Punjab, India
| | - S S Mishra
- Centre for Development of Advanced Computing (CDAC), Mohali, Punjab, India
| | - S K Mishra
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology, Kanpur, Uttar Pradesh, India
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8
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Chopra HK, Wander GS, Ponde CK, Nanda NC, Khullar D, Venugopal K, Ray S, Nair T, Rana DS, Kher V, S Sawhney JP, Kasliwa RR, Jabir A, Chakraborty R, Chandra P, Bansal S, Kumar V, Pancholia AK, Kapoor A, Prakash S, Saxena A, Rastogi V, Sharma V, Arora YK, Dasbiswas A, Bhargava M, Jaswal A, Bhargava K, Bhatia M, Omar AK, Khanna NN, Passey R, Bhalla D, Vijayalakshmi IB, Bhalla AK, Moorthy A, Isser HS, Mishra SS, Routray SN, Tandon V, Sinha A, Bansal M, Jain P, Hotchandani R, Jain D, Katyal VK, Gulati S, Tandon R, Jaggi S, Sehgal B, Gupta V, Mehrotra R, Krishnamani NC, Pathak SN, Yadav MS, Chawla R, Pal J, Chatterjee N, Samajdar SS, Shastry NR. The Power and Promise of Angiotensin Receptor Neprilysin Inhibitor (ARNI) in Heart Failure Management: National Consensus Statement. J Assoc Physicians India 2023; 71:11-12. [PMID: 37354473 DOI: 10.5005/japi-11001-0209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
;Heart failure (HF) is a huge global public health task due to morbidity, mortality, disturbed quality of life, and major economic burden. It is an area of active research and newer treatment strategies are evolving. Recently angiotensin receptor-neprilysin inhibitor (ARNI), a class of drugs (the first agent in this class, Sacubitril-Valsartan), reduces cardiovascular mortality and morbidity in chronic HF patients with reduced left ventricular ejection fraction (LVEF). Positive therapeutic effects have led to a decrease in cardiovascular mortality and HF hospitalizations (HFH), with a favorable safety profile, and have been documented in several clinical studies with an unquestionable survival benefit with ARNI, Sacubitril-Valsartan. This consensus statement of the Indian group of experts in cardiology, nephrology, and diabetes provides a comprehensive review of the power and promise of ARNI in HF management and an evidence-based appraisal of the use of ARNI as an essential treatment strategy for HF patients in clinical practice. Consensus in this review favors an early utility of Sacubitril-Valsartan in patients with HF with reduced EF (HFrEF), regardless of the previous therapy being given. A lower rate of hospitalizations for HF with Sacubitril-Valsartan in HF patients with preserved EF who are phenotypically heterogeneous suggests possible benefits of ARNI in patients having 40-50% of LVEF, frequent subtle systolic dysfunction, and higher hospitalization risk.
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Affiliation(s)
- H K Chopra
- Senior Consultant Cardiologist, Medanta Moolchand Heart Institute, Delhi
| | - G S Wander
- Professor & Head of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital (DMCH), Ludhiana, Punjab
| | - C K Ponde
- Consultant Cardiologist and Head of Department, Department of Cardiology, P. D. Hinduja Hospital & Medical Research Centre, Mumbai, Maharashtra, India
| | - Navin C Nanda
- Professor of Medicine and Cardiovascular Disease, Heersink School of Medicine, University of Alabama at Birmingham (UAB), Birmingham, United Kingdom
| | - Dinesh Khullar
- Chairman, Department of Nephrology; Department of Kidney Transplant, Max Super Speciality Hospital, Delhi
| | - K Venugopal
- Professor Emeritus, Department of Cardiology, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala
| | - Saumitra Ray
- Director, Department of Invasive Cardiology, AMRI Hospitals, Kolkata, West Bengal
| | - Tiny Nair
- Head, Department of Cardiology & Interventional Cardiology, PRS Hospital, Trivandrum, Kerala
| | - D S Rana
- Emeritus Consultant Nephrologist, Department of Nephrology, Sir Ganga Ram Hospital
| | - Vijay Kher
- Chairman; Department of Nephrology; Department of Kidney Transplant, Epitome Kidney Urology Institute & Lions Hospital
| | - J P S Sawhney
- Chairman, Department of Cardiology, Sir Ganga Ram Hospital, New Delhi, Delhi
| | - R R Kasliwa
- Adjunct Professor, Department of Cardiology; Chairman, Department of Clinical and Preventive Cardiology, Medanta Moolchand Heart Institute, Gurugram, Haryana
| | - A Jabir
- Senior Consultant Cardiologist, Lisie Hospital, Kochi, Kerala
| | - Rabin Chakraborty
- Senior Vice Chairman and Head of Cardiology, Medica Superspecialty Hospital (MSH), Kolkata, West Bengal
| | - Praveen Chandra
- Chairman, Department of Interventional Cardiology, Medanta Moolchand Heart Institute
| | - Sandeep Bansal
- Professor and HOD, Department of Cardiology, Safdarjung Hospital
| | - Viveka Kumar
- Principal Director and Chief of Cath Lab, Department of Cardiac Sciences, Max Super Speciality Hospital, Delhi
| | - A K Pancholia
- HOD, Department of Medicine and Preventive Cardiology, Arihant Hospital & Research Centre, Indore, Madhya Pradesh
| | - Aditya Kapoor
- Professor and Head of the Department, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences
| | - Sunil Prakash
- Director and Head, Department of Nephrology; Department of Transplant service BLK, Max Super Speciality Hospital
| | - Anil Saxena
- Executive Director, Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute
| | - Vishal Rastogi
- Director of Cardiology, Department of Cardiology, Fortis Escorts Heart Institute
| | - Vinod Sharma
- Vice CEO and Head, Department of Cardiology, National Heart Institute
| | - Y K Arora
- Cardiologist, National Heart Institute, Delhi
| | - Arup Dasbiswas
- Ex-Director, ICVS, Institute of Post Graduate Medical Education and Research (IPGME&R); Chief Cardiologist, Das Biswas Clinic, Kolkata, West Bengal
| | - Mohan Bhargava
- Director, Department of Interventional Cardiology, Max Super Speciality Hospital, Delhi, India
| | - Aparna Jaswal
- Member, Board of Directors, International Board of Heart Rhythm Examiners, Columbia, Washington, United States of America; Director, Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute
| | - K Bhargava
- Senior Director, Department of Cardiac Electrophysiology and Pacing, Medanta Moolchand Heart Institute
| | - Mona Bhatia
- Principal, Director, Head, Department of Imaging, Fortis Escorts Heart Institute
| | - A K Omar
- Director, Head, Department of Non-Invasive Cardiology, Fortis Escorts Heart Institute
| | - N N Khanna
- Advisor, Senior Consultant, Department of Cardiology, Indraprastha Apollo Hospitals
| | | | - Dilip Bhalla
- Senior Director, Department of Nephrology and Renal Transplant, Max Super Speciality Hospital, Delhi
| | - I B Vijayalakshmi
- Professor Emeritus, Former HOD, Department of Paediatric Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka
| | - A K Bhalla
- Chairman, Department of Nephrology, Sir Ganga Ram Hospital, Delhi
| | - Asha Moorthy
- Senior Consultant Cardiologist, SIMS Hospital, Chennai, Tamil Nadu
| | - H S Isser
- Department of Cardiology, VMMC & Safdarjung Hospital
| | | | - S N Routray
- Professor, Department of Cardiology, Srirama Chandra Bhanj Medical College & Hospital (S.C.B Medical College), Cuttack, Odisha
| | - Vivek Tandon
- Associate Director, In charge, Non-Invasive Cardiac Laboratory, Max Smart Super Speciality Hospital, Delhi
| | - Ajay Sinha
- Senior Consultant, Cardiologist, Jay Prabha Medanta Super Specialty Hospital, Patna, Bihar
| | - Manish Bansal
- Senior Director, Department Clinical and Preventive Cardiology, Medanta - The Medicity Multi-Speciality Hospital, Gurugram, Haryana
| | - Praveen Jain
- Executive Director, Chief Cardiologist, Lifeline Superspeciality Hospital and Heart Center, Jhansi, Uttar Pradesh
| | - Ramesh Hotchandani
- Consultant, Head, Department of Nephrology, Moolchand Centre for Renal Care and Dialysis, Moolchand Hospital, Delhi
| | - Dharmendra Jain
- Professor, Department of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh
| | - V K Katyal
- HOD, Department of General Medicine, Positron Hospital; Formerly Senior Professor, HOD, Department of Medicine, Pt. B.D.Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana
| | - Sanjiv Gulati
- Principal Director, Department of Nephrology, Fortis Hospital, Delhi
| | - Rohit Tandon
- Senior Consultant Physician, Department of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital (DMCH), Ludhiana, Punjab
| | - Shalini Jaggi
- Director, Consultant Diabetologist, Lifecare Diabetes Centre
| | - Blessy Sehgal
- Consultant Nephrologist, Department of Nephrology, Sri Balaji Action Medical Institute, Delhi
| | - Vitull Gupta
- Honorary Teaching Faculty, All India Institute of Medical Sciences; Consultant Physician, Kishori Ram Hospital, Bathinda, Punjab
| | - Rahul Mehrotra
- Director and Head, Department of Non-Invasive Cardiology, Max Super Speciality Hospital
| | | | - S N Pathak
- Senior Consultant Interventional Cardiologist, Indraprastha Apollo Hospital
| | - M S Yadav
- Senior Consultant, Department of Interventional Cardiology, Max Super Speciality Hospital
| | - Rajeev Chawla
- Senior Consultant Diabetologist, Director, North Delhi Diabetes Centre, Delhi
| | - Jyotirmoy Pal
- Professor, Department of General Medicine, R.G. Kar Medical College & Hospital
| | - Nandini Chatterjee
- Clinical Pharmacologist, Diabetes & Allergy-Asthma Therapeutics Specialty Clinic
| | - Shambo S Samajdar
- Professor, Department of Medicine, Institute of Post Graduate Medical Education and Research (IPGME&R) - SSKM Hospital
| | - N R Shastry
- Cardiologist, Department of Clinical Cardiology, Medanta-Moolchand Heart Centre, Delhi, India
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9
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Gupta K, Ramakrishnan S, Zachariah G, Rao JS, Mohanan PP, Venugopal K, Sateesh S, Sethi R, Jain D, Bardolei N, Mani K, Kakar TS, Jain V, Gupta P, Gupta R, Bansal S, Nath RK, Tyagi S, Wander GS, Gupta S, Mandal S, Senguttuvan NB, Subramanyam G, Roy D, Datta S, Ganguly K, Routray SN, Mishra SS, Singh BP, Bharti BB, Das MK, Deb PK, Deedwania P, Seth A. Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey. Int J Cardiol Hypertens 2021; 7:100055. [PMID: 33465185 PMCID: PMC7803035 DOI: 10.1016/j.ijchy.2020.100055] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 09/27/2020] [Accepted: 09/30/2020] [Indexed: 01/19/2023] Open
Abstract
Background The impact of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for diagnosis and management of hypertension on the prevalence of hypertension in India is unknown. Methods We analyzed data from the Cardiac Prevent 2015 survey to estimate the change in the prevalence of hypertension. The JNC8 guidelines defined hypertension as a systolic blood pressure of ≥140 mmHg or diastolic blood pressure of ≥90 mmHg. The 2017 ACC/AHA guidelines define hypertension as a systolic blood pressure of ≥130 mmHg or diastolic blood pressure of ≥80 mmHg. We standardized the prevalence as per the 2011 census population of India. We also calculated the prevalence as per the World Health Organization (WHO) World Standard Population (2000–2025). Results Among 180,335 participants (33.2% women), the mean age was 40.6 ± 14.9 years (41.1 ± 15.0 and 39.7 ± 14.7 years in men and women, respectively). Among them, 8,898 (4.9%), 99,791 (55.3%), 35,694 (11.9%), 23,084 (12.8%), 9,989 (5.5%) and 2,878 (1.6%) participants belonged to age group 18–19, 20–44, 45–54, 55–64, 65–74 and ≥ 75 years respectively. The prevalence of hypertension according to the JNC8 and 2017 ACC/AHA guidelines was 29.7% and 63.8%, respectively- an increase of 115%. With the 2011 census population of India, this suggests that currently, 486 million Indian adults have hypertension according to the 2017 ACC/AHA guidelines, an addition of 260 million as compared to the JNC8 guidelines. Conclusion According to the 2017 ACC/AHA guidelines, 3 in every 5 Indian adults have hypertension.
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Affiliation(s)
- Kartik Gupta
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.,Department of Medicine, Henry Ford Hospital, Detroit, MI, USA
| | - Sivasubramanian Ramakrishnan
- Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.,Cardiology Society of India, India
| | | | | | | | | | | | | | | | | | - Kalaivani Mani
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
| | | | - Vardhmaan Jain
- Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Prakash Gupta
- Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - P K Deb
- Cardiology Society of India, India
| | - Prakash Deedwania
- School of Medicine, University of California, San Francisco Fresno, CA, USA
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10
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Gupta R, Das MK, Mohanan PP, Deb PK, Parashar SK, Chopra HK, Shrivastava S, Guha S, Goswami KC, Yadav R, Alagesan R, Amuthan V, Bansal M, Chakraborty RN, Chakraborti N, Chandra S, Chatterjee A, Chatterjee D, Chatterjee SS, Dutta AL, De A, Garg A, Garg VK, Goyal A, Goyal NK, Govind SC, Gupta VK, Hasija PK, Jabir A, Jain P, Jain V, Jayagopal PB, Kasliwal RR, Katyal VK, Kerkar PG, Khan AK, Khanna NN, Mandal M, Majumder B, Mishra SS, Meena CB, Naik N, Narain VS, Pancholia AK, Pathak LA, Ponde CK, Raghu K, Ray S, Roy D, Sarma D, Shanmugasundarum S, Singh BP, Tyagi S, Vijayaraghavan G, Wander GS, Wardhan H, Nanda NC. Cardiological society of India document on safety measure during echo evaluation of cardiovascular disease in the time of COVID-19. Indian Heart J 2020; 72:145-150. [PMID: 32768012 PMCID: PMC7250084 DOI: 10.1016/j.ihj.2020.05.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 05/15/2020] [Accepted: 05/19/2020] [Indexed: 01/08/2023] Open
Abstract
An echocardiographic investigation is one of the key modalities of diagnosis in cardiology. There has been a rising presence of cardiological comorbidities in patients positive for COVID-19. Hence, it is becoming extremely essential to look into the correct safety precautions, healthcare professionals must take while conducting an echo investigation. The decision matrix formulated for conducting an echocardiographic evaluation is based on presence or absence of cardiological comorbidity vis-à-vis positive, suspected or negative for COVID-19. The safety measures have been constructed keeping in mind the current safety precautions by WHO, CDC and MoHFW, India.
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Affiliation(s)
- Rakesh Gupta
- JROP Institute of Echocardiography, Ultrasound & Vascular Doppler, JROP Healthcare Pvt. Ltd., C-1/16, Ashok Vihar-II, Delhi, 110052, India; JROP Charak Heart City, MD City Hospital, Model Town Northex, Delhi, 110009, India.
| | - Mrinal Kanti Das
- C K Birla Group of Hospitals (BMB and CMRI), Kolkata, West Bengal, India
| | - P P Mohanan
- Westfort Hi-Tech Hospital, Thrissur, Kerala, India
| | | | - S K Parashar
- Metro Heart Hospital, Lajpat Nagar, New Delhi, India
| | | | | | - Santanu Guha
- Calcutta Medical College Hospital, Kolkata, West Bengal, India
| | | | - Rakesh Yadav
- All India Institute of Medical Sciences, New Delhi, India
| | | | - V Amuthan
- Jeyalakshmi Heart Center, Madurai, Tamilnadu, India
| | - M Bansal
- Medanta, The Medicity, New Delhi, India
| | - R N Chakraborty
- Medica Group of Superspeciality Hospitals, Kolkata, West Bengal, India
| | - N Chakraborti
- Medica Group of Superspeciality Hospitals, Kolkata, West Bengal, India
| | - S Chandra
- King George's Medical University, Lucknow, India
| | | | - D Chatterjee
- Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
| | | | | | - A De
- Apollo Gleneagles Hospital, Kolkata, India
| | - A Garg
- Jaipur Heart Institute, Jaipur, India
| | - V K Garg
- R D Gardi Medical College, Ujjain, India
| | - A Goyal
- Bani Park Hospital, Jaipur, India
| | - N K Goyal
- BLK Superspeciality Hospital, New Delhi, India
| | | | - V K Gupta
- Kishori Ram Hospital & Diabetes Care Centre, Bhatinda, India
| | | | - A Jabir
- Lisie Hospital Kochi, Kerala, India
| | - P Jain
- Lifeline Superspeciality Hospital, Jhansi, India
| | - V Jain
- Choithram Hospital &R.C., Indore, India
| | | | | | | | | | | | | | - M Mandal
- NRS Medical College, Kolkata, India
| | - B Majumder
- R.G. Kar Medical College & Hospital, Kolkata, India
| | - S S Mishra
- Hi-Tech Medical College and Hospital, Bhubaneshwar, India
| | - C B Meena
- SMS Medical College, Jaipur, Rajasthan
| | | | - V S Narain
- King George's Medical University, Lucknow, India
| | | | - L A Pathak
- Nanavati Heart Institute, Nanavati Superspeciality Hospital, Mumbai, India
| | - C K Ponde
- PD Hinduja National Hospital & RC, Mumbai, India
| | - K Raghu
- Care Hospital, Hyderabad, India
| | - S Ray
- Vivekananda Institute of Medical Sciences, Kolkata, India
| | - D Roy
- Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
| | - D Sarma
- Jorhat Christian Medical Centre Hospital, Jorhat, Assam, India
| | | | | | - S Tyagi
- GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India
| | | | - G S Wander
- Hero DMC Heart Institute, Ludhiana, India
| | - Harsh Wardhan
- Mahatma Gandhi Medical College and Hospital, Jaipur, India
| | - N C Nanda
- University of Alabama at Birmingham, Birmingham, AL, USA
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11
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Kerkar PG, Naik N, Alexander T, Bahl VK, Chakraborty RN, Chatterjee SS, Chopra HK, Dani SI, Deb PK, Goswami KC, Guha S, Gupta R, Gupta V, Hasija PK, Jayagopal PB, Justin Paul G, Kahali D, Katyal VK, Khanna NN, Mandal M, Mishra SS, Mohanan PP, Mullasari A, Mehta S, Pancholia AK, Ray S, Roy D, Shanmugasundarm S, Sharma S, Singh BP, Tewari S, Tyagi SK, Venugopal KN, Wander GS, Yadav R, Das MK. Cardiological Society of India: Document on acute MI care during COVID-19. Indian Heart J 2020; 72:70-74. [PMID: 32534693 PMCID: PMC7201231 DOI: 10.1016/j.ihj.2020.04.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 04/29/2020] [Indexed: 12/20/2022] Open
Abstract
The unprecedented and rapidly spreading Coronavirus Disease-19 (COVID-19) pandemic has challenged public health care systems globally. Based on worldwide experience, India has initiated a nationwide lockdown to prevent the exponential surge of cases. During COVID-19, management of cardiovascular emergencies like acute Myocardial Infarction (MI) may be compromised. Cardiological Society of India (CSI) has ventured in this moment of crisis to evolve a consensus document for care of acute MI. However, this care should be individualized, based on local expertise and governmental advisories.
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Affiliation(s)
- P G Kerkar
- Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - N Naik
- All India Institute of Medical Sciences, New Delhi, India
| | - T Alexander
- Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
| | - V K Bahl
- All India Institute of Medical Sciences, New Delhi, India
| | - R N Chakraborty
- Medica Group of Superspeciality Hospitals, Kolkata, West Bengal, India
| | - S S Chatterjee
- Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | | | - S I Dani
- Apollo Hospital, Ahmedabad, Gujarat, India
| | - P K Deb
- Daffodil Hospital, Kolkata, West Bengal, India
| | - K C Goswami
- All India Institute of Medical Sciences, New Delhi, India
| | - S Guha
- Calcutta Medical College Hospital, Kolkata, West Bengal, India
| | - R Gupta
- JROP Healthcare, New Delhi, India
| | - V Gupta
- Kishori Ram Hospital & Diabetes Care Centre, India
| | - P K Hasija
- Armed Forces Medical College, Pune, Maharashtra, India
| | | | | | - D Kahali
- BM Birla Heart Research Center, Kolkata, West Bengal, India
| | - V K Katyal
- Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - N N Khanna
- Indraprastha Apollo Hospital, New Delhi, India
| | - M Mandal
- NRS Medical College and Hospital, Kolkata, West Bengal, India
| | - S S Mishra
- Hi-Tech Medical College and Hospital, Bhubaneshwar, Odisha, India
| | - P P Mohanan
- Westfort Hi-Tech Hospital, Thrissur, Kerala, India
| | - A Mullasari
- Madras Medical Mission Hospital, Chennai, Tamil Nadu, India
| | - S Mehta
- University of Miami, Florida, USA
| | | | - S Ray
- Vivekanand Institute of Medical Sciences, Kolkata, West Bengal, India
| | - D Roy
- Rabindranath Tagore International Institute of Medical Sciences, Kolkata, West Bengal, India
| | | | | | - B P Singh
- Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | - S Tewari
- Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | | | - K N Venugopal
- Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India
| | - G S Wander
- Dayanand Medical College, Ludhiana, Punjab, India
| | - R Yadav
- All India Institute of Medical Sciences, New Delhi, India
| | - M K Das
- C K Birla Group of Hospitals (BMB and CMRI), Kolkata, West Bengal, India.
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12
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Biswas S, Hussain KJ, Das NPI, Russell BC, Satpathy KK, Mishra SS. Imprint of monsoonal patterns on the fish assemblage in coastal waters of south-east India: a case study. J Fish Biol 2014; 85:773-799. [PMID: 25053000 DOI: 10.1111/jfb.12461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2013] [Accepted: 05/27/2014] [Indexed: 06/03/2023]
Abstract
The composition, species richness and diversity of a coastal fish assemblage from the Kalpakkam coast of south-east India are described along with temporal distribution patterns related to seasonal fluctuations in dissolved oxygen, salinity, pH, chlorophyll-a, phytoplankton and zooplankton species richness and density. A total of 244 fish species belonging to 21 orders, 87 families and 163 genera were recorded. The fish assemblage was dominated by reef-associated species, followed by demersal species. The majority of the species (63%) are widely distributed in the western Indo-Pacific as well as in the central Indo-Pacific. Jaccard's coefficient analysis showed three distinct seasonal patterns of fish occurrence: pre-monsoon (PrM), monsoon (M) and post-monsoon (PoM). The maximum number of species was during the PrM period, followed by the PoM and M periods. Species occurrence analysis showed Sardinella longiceps to be dominant during PrM and M periods, Leiognathus dussumieri during the M period and Secutor insidiator and Secutor ruconius during the M and PoM periods. Canonical correspondence analysis indicated that salinity and rainfall were the two most influential environmental factors strongly correlated with temporal variation in the fish assemblage. The physico-chemical conditions, in combination with factors such as greater food availability and shelter, might control the seasonal local distribution of the ichthyofauna in these Indian coastal waters.
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Affiliation(s)
- S Biswas
- Environment & Safety Division, Radiological Safety & Environmental Group, Electronics Instrumentation & Radiological Safety Group, Indira Gandhi Centre for Atomic Research, Kalpakkam, Tamil Nadu 603102, India
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13
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Swain P, Nayak SK, Sasmal A, Behera T, Barik SK, Swain SK, Mishra SS, Sen AK, Das JK, Jayasankar P. Antimicrobial activity of metal based nanoparticles against microbes associated with diseases in aquaculture. World J Microbiol Biotechnol 2014; 30:2491-502. [PMID: 24888333 DOI: 10.1007/s11274-014-1674-4] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2013] [Accepted: 05/20/2014] [Indexed: 12/18/2022]
Abstract
The emergence of diseases and mortalities in aquaculture and development of antibiotics resistance in aquatic microbes, has renewed a great interest towards alternative methods of prevention and control of diseases. Nanoparticles have enormous potential in controlling human and animal pathogens and have scope of application in aquaculture. The present investigation was carried out to find out suitable nanoparticles having antimicrobial effect against aquatic microbes. Different commercial as well as laboratory synthesized metal and metal oxide nanoparticles were screened for their antimicrobial activities against a wide range of bacterial and fungal agents including certain freshwater cyanobacteria. Among different nanoparticles, synthesized copper oxide (CuO), zinc oxide (ZnO), silver (Ag) and silver doped titanium dioxide (Ag-TiO2) showed broad spectrum antibacterial activity. On the contrary, nanoparticles like Zn and ZnO showed antifungal activity against fungi like Penicillium and Mucor species. Since CuO, ZnO and Ag nanoparticles showed higher antimicrobial activity, they may be explored for aquaculture use.
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Affiliation(s)
- P Swain
- Fish Health Management Division, Central Institute of Freshwater Aquaculture, Kausalyaganga, Bhubaneswar, 751002, India,
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14
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SM S, I S, Mishra SS, Y VR. Evaluation of hypoglycemic effect ofLagerstroemia speciosa(Banaba) Leaf extract in Alloxan induced diabetic rabbits. ACTA ACUST UNITED AC 2013. [DOI: 10.5958/j.2319-5886.2.2.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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15
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Arulprakash S, Verma SP, Bhardwaj VK, Mishra SS, Chansoria M. Brain stem auditory evoked responses and visual evoked responses in children with tubercular meningitis. Indian Pediatr 2006; 43:631-4. [PMID: 16891684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Thirty two patients between 6 months and 14 years of age with tubercular meningitis were evaluated for brain stem auditory evoked response (BAER) and Visual evoked responses (VER), within 7 days of admission. Absolute latencies and interpeak latencies were compared with values obtained from normal children. BAER abnormality was found in 56.25% and VER in 28%children, respectively. BAER abnormality correlated with Glasgow Coma Scale at admission and discharge, stage of meningitis, raised intracranial pressure, seizure activity, and poor outcome. VER abnormality correlated with abnormal fundus findings only.
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Affiliation(s)
- S Arulprakash
- Department of Pediatrics and Physiology, NSCB Medical College, Jabalpur, Madhya Pradesh 482 003, India
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16
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Mishra SS, Shekhar MS. White spot syndrome virus isolates of tiger shrimp Penaeus monodon (Fabricious) in India are similar to exotic isolates as revealed by polymerase chain reaction and electron microscopy. Indian J Exp Biol 2005; 43:654-61. [PMID: 16053274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Microbiological analysis of samples collected from cases of white spot disease outbreaks in cultured shrimp in different farms located in three regions along East Coast of India viz. Chidambram (Tamil Nadu), Nellore (Andhra Pradesh) and Balasore (Orissa), revealed presence of Vibrio alginolyticus, Vibrio parahaemolyticus, and Aeromonas spp. but experimental infection trials in Penaeus monodon with these isolates did not induce any acute mortality or formation of white spots on carapace. Infection trials using filtered tissue extracts by oral and injection method induced mortality in healthy P. monodon with all samples and 100% mortality was noted by the end of 7 day post-inoculation. Histopathological analysis demonstrated degenerated cells characterized by hypertrophied nuclei in gills, hepatopancreas and lymphoid organ with presence of intranuclear basophilic or eosino-basophilic bodies in tubular cells and intercellular spaces. Analysis of samples using 3 different primer sets as used by other for detection of white spot syndrome virus (WSSV) generated 643, 1447 and 520bp amplified DNA products in all samples except in one instance. Variable size virions with mean size in the range of 110 x 320 +/- 20 nm were observed under electron microscope. It could be concluded that the viral isolates in India involved with white spot syndrome in cultured shrimp are similar to RV-PJ and SEMBV in Japan, WSBV in Taiwan and WSSV in Malaysia, Indonesia, Thailand, China and Japan.
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Affiliation(s)
- S S Mishra
- Central Institute of Brackishwater Aquaculture, 75, Santhome High Road, R.A.Puram, Chennai 600 028, India.
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17
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Singh N, Valecha N, Nagpal AC, Mishra SS, Varma HS, Subbarao SK. The hospital- and field-based performances of the OptiMAL test, for malaria diagnosis and treatment monitoring in central India. Ann Trop Med Parasitol 2003; 97:5-13. [PMID: 12662417 DOI: 10.1179/000349803125002544] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The performance of the OptiMAL test, to detect and differentiate Plasmodium falciparum and P. vivax, was evaluated in central India. The subjects were either symptomatic patients, who presented at a referral hospital in urban Jabalpur, or the inhabitants of remote, tribal, forested villages where malaria is a major public-health problem. In each setting, the results of conventional microscopy were used as the 'gold standard'. Under hospital conditions, the test had excellent sensitivity (100%), good specificity (97%), a high positive predictive value (98%) and a high negative predictive value (100%). The corresponding values in the field-based study in the tribal villages (100%, 67%, 84% and 100%, respectively) were almost as good. The results of OptiMAL testing reveal the decline in parasitaemias (of P. falciparum or P. vivax) after drug administration. For monitoring the effectiveness of treatment, the test could therefore be a useful alternative to microscopy, particularly (1) in places where the facilities for microscopy are poor or non-existent and (2) among hospitalized patients with severe, complicated malaria (in whom parasitaemia and drug response need to be followed very carefully). Follow-up (within 28 days of diagnosis) of the 58 malaria cases detected in the field revealed that the OptiMAL test can be used to detect re-infection with a different Plasmodium sp. (sensitivity = 100%; specificity = 100%; J-index = 1) or recrudescence/re-infection with the same Plasmodium sp. (sensitivity = 83%; specificity = 100%; J-index = 0.83) accurately. The ability to use the test to distinguish P. falciparum from P. vivax, and to identify mixed infections of these two species, is of great significance in areas where the preferred and effective therapy for P. falciparum malaria differs from that for P. vivax.
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Affiliation(s)
- N Singh
- Malaria Research Centre (Field Station), NSCB Medical College Building, Jabalpur-482003, India.
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18
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Jena S, Mishra SS. Lupus vulgaris on keloid. Indian J Dermatol Venereol Leprol 2002; 68:147-8. [PMID: 17656915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
A 28-year-old man presented with multicentric lupus vulgaris on keloids over chest, axilla, neck and back for last 6 months. He had pulmonary tuberculosis. All the laboratory investigations were in favour of clinical diagnosis. The patient responded to antituberculosis therapy.
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Affiliation(s)
- S Jena
- Department of Dermatology and Venereology, VSS Medical College, Burla, Sambalpur-768 017, Orrisa, India
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19
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Abstract
Indian Armed Forces are constrained to deploy a large number of troops in the western Himalayas in the interest of national security and territorial integrity. The region represents extremely rugged, arid and cold climatic conditions. The altitude ranges from 8000 to 23000 feet with winter temperatures ranging from -35°C to - 55°C in some regions. Low environmental humidity, hypo-baric hypoxia and high solar ultra-violet radiation with its attendant problems further compound the hardships faced by the troops in these climatic conditions. The role of the Armed Forces medical personnel is extremely challenging, as they have to ensure maintenance of health and physical fitness of the troops to ensure optimal performance during peace and during operations. These considerations include nutrition, physical fitness programmes suitable for the terrain and climatic conditions, protection against cold and hypoxia induced health problems, clothing and shelter taking into consideration the ergonomic factors, human waste disposal and prompt medical attention and evacuation in case of illness. An overview of the effects of cold hypoxic environment on health and performance of Indian troops, measures employed by the Armed Forces to maintain health of troops including psychological factors and the incidence of various cold induced health problems during peace time compared to operational period over the last 10 years is presented in this paper.
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Affiliation(s)
- R Jayaswal
- Ex Director General, Armed Forces Medical Services, Colaba, Mumbai - 400 005
| | - P Sivadas
- Director Institute of Naval Medicine, Colaba, Mumbai - 400 005
| | - S S Mishra
- Professor and Head, Department of Physiology, Institute of Aerospace Medicine, Vimanpura, Bangalore - 560 017
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20
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Singh N, Mishra SS, Singh MP, Sharma VP. Seasonality of Plasmodium vivax and P. falciparum in tribal villages in central India (1987-1995). Ann Trop Med Parasitol 2000; 94:101-12. [PMID: 10827865 DOI: 10.1080/00034980057446] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Microscopical examination of blood films produced from samples collected, over a 9-year period (1987-1995), from the inhabitants of four tribal villages of Mandla district, Madhya Pradesh (central India) revealed that malaria was highly endemic and probably transmitted perennially. Both Plasmodium vivax and P. falciparum were prevalent in all age-groups but their prevalence was highly seasonal: longitudinal studies showed an autumn (October-November) peak for P. falciparum and a summer (April-May) peak for P. vivax. However, both the incidence and prevalence of infection with each Plasmodium species showed inter-village variations. Analysis of the malariometric parameters investigated revealed that there had been no improvement in the malaria situation over the study period, and that, since 1992, there had been a shift in the predominant parasite, from P. vivax to P. falciparum, in each village.
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Affiliation(s)
- N Singh
- Malaria Research Centre, Field Station (ICMR), Jabalpur, India
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21
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Swain TR, Das M, Kanungo S, Mukherji D, Mishra SS, Das MC. A comparative study on the effect of felodipine and propranolol on serum lipid profile of rabbits. Indian J Physiol Pharmacol 1997; 41:269-74. [PMID: 10232772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
Effect of felodipine on serum lipids of rabbits was studied and was compared with that of propranolol. Lipid parameters were estimated at basal (0 wk), end of 4th and 16th week of diet/drug administration by using standard kits for analysis. There was a significant increase in mean serum cholesterol, TG, VLDLc, LDLC and decrease in HDLc, (P<0.05) in the group of rabbits receiving Atherogenic diet (AD)/Propranolol. This effect was maximally observed in rabbits receiving both AD and propranolol. This change was satisfactorily prevented when felodipine was administered from very beginning (P<0.001). In addition, there was a significant increase in HDLc (28.89%) of rabbits receiving felodipine from beginning. Thus both AD and propranolol have dyslipidemic effect and early administration of felodipine favorably changes all lipid parameters.
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Affiliation(s)
- T R Swain
- P.G. Department of Pharmacology, S.C.B. Medical College, Cuttack
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22
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Mishra SS, Mallick BB. Restriction fragment analysis of fowlpox virus using Bgl I, Bam HI, Hha I and Sma I restriction endonucleases. Indian J Exp Biol 1996; 34:959-63. [PMID: 9055646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Fowlpox virus vaccine strain and two field isolates collected from out breaks of disease were purified from cell culture using sucrose gradient ultracentrifugation. The viral DNAs were digested with Bgl I, Bam HI, Hha I and Sma I restriction endonucleases and the fragment pattern was analysed on 0.7% agarose gel. Bgl I digestion produced 54 fragments of size ranging from 31.50 to 0.60 kb, having similar electrophoretic mobilities in both the vaccine strain and two field isolates. Only 9 well resolved and one unresolved or partially digested fragment were obtained after Bam HI digestion. A total number of 29 and 41 fragments were obtained with Hha I and Sma I respectively. Almost similar restriction fragment pattern was observed in vaccine strain and the field isolates. The total genomic size was calculated to be between 265.00 and 302.91 kb. The three viruses were found to be genetically similar.
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Affiliation(s)
- S S Mishra
- Indian Veterinary Research Institute, Izatnagar, India
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23
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Mishra SS, Mallick BB. Fowlpox virus structural protein immunogens and characterization of single band polypeptide. Indian J Exp Biol 1996; 34:311-6. [PMID: 8698419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A fowlpox virus isolate obtained from an outbreak of disease in a vaccinated poultry flock was propagated in chicken embryo fibroblast cell culture. Analysis of purified virus polypeptide on 7.5-15% gradient polyacrylamide gel revealed 45 structural polypeptides after Coomassie blue staining. The mol.wt. of polypeptides ranged between 225.53 and 10.50 kDa with total mol.wt. of 2650 kDa. Variable numbers of immunogenic virion polypeptides were detected in immunoblot with fowlpox virus infected chicken sera collected at different time intervals. A total of 29 polypeptides reacted with sera collected at 1st week post-infection and the number gradually declined to 27, 26, 20, 17 and 15 when reacted with 2nd, 3rd, 4th, 5th and 6th week post-infection sera, respectively. Reaction with fowlpox virus hyperimmune sera revealed 35 immunogenic polypeptides. A number of major and minor immunogens were detected. Antisera against seven major single band polypeptides including one double band polypeptide showed very low reactivity both in ELISA and serum neutralization test. Involvement of multigenic components in virus neutralization is indicated.
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Affiliation(s)
- S S Mishra
- Indian Veterinary Research Institute, Izatnagar, India
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24
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Mishra SS, Mallick BB. Comparative immunological and genomic characterization of fowlpox virus isolates. Indian J Exp Biol 1996; 34:11-7. [PMID: 8698401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Chickens infected with fowlpox virus (FPV) IVRI vaccine strain and two field isolates collected from clinical cases of disease (Bareilly isolate and Panchmahal isolate) produced humoral antibody response after 2nd week post-infection, with a noticeable variation in degree of immune response. Serum antibody titre peaked at 4th week post-infection with a titre of 25,600, 25,600 and 51,200 being detected in ELISA and neutralization index of 2.75, 2.43 and 3.12 in serum neutralization test (SNT) with IVRI vaccine strain, Panchmahal isolate and Bareilly isolate, respectively. Cellular immune response was detected as early as 1st week post-infection by leukocyte migration inhibition test (LMIT). Per cent migration inhibition too peaked at 4th week with a value of 40.30 +/- 3.45, 36.93 +/- 4.11 and 45.45 +/- 3.66 being detected with the three viruses respectively. The Hind III and Hae III restriction fragment profile of viral DNA showed almost similar pattern both in vaccine strain and two field isolates. Hind III digestion produced 47 well resolved fragments of sizes between 24.30 and 1.20 kb and the total genomic size was estimated to be between 305.81 and 306.06 kb. Hae III digestion revealed 34 well resolved fragments of sizes between 27.55 and 1.32 kb. The three viruses could not be differentiated on the basis of their genomic restriction pattern. However immunogenic and antigenic differences were noticed by ELISA and SNT tests.
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Affiliation(s)
- S S Mishra
- Indian Veterinary Research Institute, Bareilly, India
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25
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Mishra SS, Mallick BB. Structural proteins of fowlpox virus vaccine strain and field isolates. Indian J Exp Biol 1994; 32:826-31. [PMID: 7896313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Structural polypeptides of IVRI vaccine strain and two field isoaltes of Fowlpox virus (Bareilly isolate and Panchmahal isolate) were analysed on SDS-PAGE and by immunoblotting technique. In 5%-20% gradient acrylamide gel 31, 29 and 31 polypeptide bands and in 7.5%-15% gradient gel 45, 37 and 39 polypeptide bands were detected after Coomassie blue staining respectively for Bareilly isolate, Panchmahal isolate and IVRI vaccine strain. The molecular weight (MW) of the polypeptides ranged from 226.10 to 10.30 kDa with total MW of 2650.12, 2259.50, and 2378.68 kDa respectively for the three viruses. The immunoblot revealed 35, 29 and 30 immunogenic polypeptides indicating most virion polypeptides to be immunogenic in nature. Although most polypeptides had similar electrophoretic pattern both in SDS-PAGE and immunoblotting, still the three viruses could be differentiated. The viruses were found to be antigenically different with Panchmahal isolate lacking the polypeptides 81.15, 76.33, 39.30, 37.50 and 29.35 kDa and the vaccine strain lacking 76.33, 37.50 and 29.35 kDa polypeptides as were present in Bareilly isolate.
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Affiliation(s)
- S S Mishra
- Indian Veterinary Research Institute, Izatnagar
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26
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Gupta PP, Pandey DN, Pandey DJ, Sharma AL, Srivastava RK, Mishra SS. Aspirin in experimental cataractogenesis. Indian J Med Res 1984; 80:703-7. [PMID: 6532973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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27
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Gupta PP, Pandey DJ, Sharma AL, Srivastava RK, Mishra SS. Prevention of experimental cataract by alpha-tocopherol. Indian J Exp Biol 1984; 22:620-2. [PMID: 6534851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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28
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Dash R, Panda R, Mishra SS, Das PC, Mishra KC. Levamisole in recurrent aphthous stomatitis. J Indian Med Assoc 1983; 80:140-1. [PMID: 6644050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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29
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Dhir GG, Mohan G, Verma RB, Mishra SS. Studies on the Antifungal Activity of Pterocarpus Marsupium: a Clinical Evaluation. Indian J Dermatol Venereol Leprol 1982; 48:154-156. [PMID: 28193944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Pmarsupium (Hindi Bijasar) is a powerful astringent and is used chiefly in diarrhoeas. It is also an useful remedy for diabetes mellitus and various skin diseases as mentioned in literature. In a blind clinical trial, the usefulness of this drug as a topical agent against T.cruris and T. corporis was elevated. The drug yielded good response within 3 days of the first application.
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Gupta RP, Mishra SS, Sinha BK, Sinha VK. Studies on experimental infection of "Escherichia coli" in chicks. Ann Sclavo 1980; 22:363-9. [PMID: 7018416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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31
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Mishra SS, Dwivedi MP. An epidemiological study of filariasis in Rewa town (M.P.). Indian J Public Health 1979; 23:7-16. [PMID: 468368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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32
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Sinha VK, Mishra SS, Sinha BK, Sinha AK, Verma SP. Efficacy of "Vetalog" against non-specific canine dermatoses. Indian Vet J 1978; 55:1014-5. [PMID: 751965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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33
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Talwar P, Mishra SS, Dash RJ. Case report: Disseminated histoplasmosis. INDIAN J PATHOL MICR 1978; 21:357-60. [PMID: 750473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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34
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Singh RP, Mishra SS. Studies on the preparation of rinderpest antigen for use in conglutinating complement absorption test. Indian Vet J 1978; 55:643-7. [PMID: 738787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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35
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Kishore S, Sharma AL, Mishra SS. Effect of glucagon on some isolated venous preparations. Indian J Med Res 1977; 66:692-5. [PMID: 608736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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36
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Ansari KU, Mishra SS, Chandra V. Modification of vascular response to synthetic oxytocin by oestrogen in rabbit. Indian J Physiol Pharmacol 1977; 21:195-8. [PMID: 612602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Intravenously administered oxytocin caused a dose-related fall in blood pressure of the rabbit. When oxytocin was administered in oestrogen-primed animals, the depressor response was converted to a pressor one "Oxytocin reversal". The "oxytocin reversal." was abolished after treatment with dihydroergotamine, hexamethonium or adrenalectomy. The "oxytocin reversal" did not appear in reserpinized animals.
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37
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Mathur U, Sharma AL, Mishra SS, Mathur SK. Effect of rifampicin on serum cholesterol levels in rabbits after experimental hypercholesterolaemia. J Indian Med Assoc 1977; 68:203-5. [PMID: 903620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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38
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Mishra KC, Mishra SS. A study of the effects of corticosteroids on blood coagulation in rabbits. Indian J Med Sci 1971; 25:154-157. [PMID: 5576738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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39
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Bapat SK, Jauhari AC, Mishra SS, Ansari KU, Chandra V. Antipermeability effects of some corticosteroids. Indian J Med Sci 1970; 24:737-41. [PMID: 5490365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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40
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Verma BB, Mishra SS, Das UL. Renal diabetes like syndrome in a bullock. Indian Vet J 1970; 47:84-5. [PMID: 5462216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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41
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Mishra KC, Mishra SS. Effect of oral contraceptives on the blood coagulation in experimental animals. Indian J Med Res 1969; 57:1734-7. [PMID: 5369795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
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42
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Sharma M, Mishra SS. A pharmacological study of some abortifacient plants. Indian J Physiol Pharmacol 1969; 13:139-41. [PMID: 5391431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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43
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Misra MB, Dikshit BB, Mishra SS, Misra RK. A preliminary pharmacology of Paeonia emodi Wall. Indian J Med Sci 1968; 22:463-5. [PMID: 5751539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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44
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Misra MB, Singh SW, Misra RK, Mishra SS. A preliminary pharmacological screening of Artemisia vulgaris Linn. Indian J Med Sci 1968; 22:141-3. [PMID: 5658501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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45
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Rallan RC, Mishra SS, Gupta AK. Experimental study on the effect of hydrocortisone on synovial permeability of normal and inflamed joints. Indian J Med Sci 1967; 21:511-7. [PMID: 5595755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Sikka KK, Prasad J, Chandera T, Mishra SS, Dalmia SS, Sardana N. Electrocardiographic changes under experimental hypothermia in dogs. Indian Heart J 1967; 19:184-92. [PMID: 5582252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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Srivastava MC, Tewari JP, Mishra KC, Sikka KK, Mishra SS. Raudixin in experimental and clinical hypertension. Indian Pract 1967; 20:279-84. [PMID: 5342648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Tewari JP, Mishra SS. Preliminary pharmacodynamic studies of ketolactone isolated from Feronia elephantum Corr. J Exp Med Sci 1965; 9:36-8. [PMID: 5886393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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