- Cardiac Arrhythmias and Treatments
- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- Coronary Interventions and Diagnostics
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac electrophysiology and arrhythmias
- Cardiovascular Disease and Adiposity
- Cardiac Valve Diseases and Treatments
- Cardiovascular Function and Risk Factors
- Cardiac Structural Anomalies and Repair
- Cardiovascular Effects of Exercise
- Mechanical Circulatory Support Devices
- Cardiac tumors and thrombi
- Radiation Dose and Imaging
- Liver Disease Diagnosis and Treatment
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cancer, Hypoxia, and Metabolism
- Management of metastatic bone disease
- Diabetes Management and Research
- Lipid metabolism and disorders
- Food Security and Health in Diverse Populations
- Cardiovascular Health and Disease Prevention
- Entomopathogenic Microorganisms in Pest Control
Sher-i-Kashmir Institute of Medical Sciences
2015-2022
University of Padua
2022
Sri Jayadeva Institute of Cardiovascular Sciences and Research
2019-2021
Jinnah Postgraduate Medical Center
2020-2021
Mayo Hospital
2021
Norman Regional Hospital
2021
McLaren Greater Lansing
2021
Michigan State University
2021
Allama Iqbal Medical College
2020
Manipal Hospital
2020
The interaction between common cardiovascular risk factors (CVRF) and hypertrophic cardiomyopathy (HCM) is poorly studied. We sought to explore the relation CVRF clinical characteristics of patients with HCM enrolled in EURObservational Research Programme (EORP) Cardiomyopathy registry.1739 were hypertension (HT), diabetes (DM), body mass index (BMI), traits was analysed. Analyses stratified according presence or absence a pathogenic variant sarcomere gene. prevalence HT, DM, obesity (Ob)...
Incessant focal atrial tachycardia (FAT), if untreated, can lead to ventricular dysfunction and heart failure (tachycardia-induced cardiomyopathy). Drug therapy of FAT is often difficult ineffective. The efficacy ivabradine has not been systematically evaluated in the treatment FAT.The study group consisted patients with incessant (lasting >24 hours) structurally normal hearts. Patients as a consequence were excluded. All antiarrhythmic drugs discontinued at least 5 half-lives before...
Acute coronary syndrome (ACS) indicates the serious clinical manifestation of artery disease (CAD) and is closely associated with cardiovascular prognosis in patients ACS. This study was aimed to prevalence type 2 diabetes mellitus (T2DM) relation HbA1c severity CAD presenting as non-diabetic Diabetic status assessed fasting blood sugar (FBS) levels, burden by angiography.Out 208 patients, 85.1% were males, 14.9% females; 73.56% cases hypertensive. 80.77% had STEMI, 17.79% NSTEMI, 1.44%...
Chronic kidney disease (CKD) and end-stage renal are considered independent risk factors for developing atrial fibrillation (AF). Percutaneous occlusion of left appendage (LAAC) using WATCHMAN device is a widely accepted alternative to anticoagulation therapy prevent ischemic stroke in AF patients who not candidates anticoagulation. There limited data regarding the utilization periprocedural safety this intervention with CKD/ESRD.We retrospectively reviewed all hospitalizations from 2016...
Mitral stenosis (MS) is associated with prolonged inter- and intra-atrial electromechanical delays increased P-wave dispersion, which are markers of atrial fibrillation (AF) risk. This study was conducted to assess the immediate effect successful percutaneous transvenous mitral commissurotomy (PTMC) on these parameters. single center observational included 25 patients severe MS (aged 34.1 ± 7.1 years, mean valve area (MVA) 0.74 0.13 cm2), in sinus rhythm, who underwent PTMC at our hospital....
Abstract Background Fluoroscopic imaging involves exposure of the patients and laboratory staff to ionizing radiation. One strategies that reduce such in an electrophysiology is using a three‐dimensional electroanatomic mapping (3D EAM) system for performing these procedures. In this analysis, we have analyzed effect fluoroscopy frame rate on radiation in‐hospital outcomes ablation procedures performed under 3D EAM guidance. Methods We retrospectively all guidance at our institute from...
To determine the frequency of metabolic syndrome in patients with Ischemic Heart Disease (IHD).Cross-sectional, descriptive study.Cardiology Department Punjab Institute Cardiology, Lahore, from June 2006 to 2007.A total 100 subjects ischemic heart disease, fulfilling inclusion criteria, were enrolled study. Demographic data (age and gender) 5 component conditions noted. Subjects physically assessed for abdominal obesity, based on waist circumference. Fasting blood samples glucose lipid...
Patients of acute inferior wall MI with concomitant right ventricular infarction is considered as high risk patients because associated morbidity and mortality. Total 50 were enrolled for seven days hospital stay. They divided into two groups; one only the other involvemen. The fatality rate was 33.3% ventricle involvement compared 2.6% without involvement. (p=0.003).The major cause death cardiogenic shock. Complications follow; shock (p=0.012), Tricuspid regurgitation (p=0.04), AV Block...
Objectives: To evaluate the immediate outcomes of PTMC for severe mitral valvestenosis. Methodology: This cross sectional study was conducted from January 2015 toDecember at Cardiology Department Jinnah hospital Lahore. Patients withsevere valve stenosis having Mitral area (MVA) 1.0 cm whounderwent with suitable morphology. All patients underwent PTMCusing transseptal antegrade technique, after informed consent obtained.Echocardiography performed in all before and to assessthe severity...
Results: Two hundred and fifty consecutive patients having tight rheumatic mitral stenosis were studied. The mean age of the study population was 26.9 ± 7.5 years. There more female 128 (51.2%) than males 122 (48.8%). Atrial fibrillation (AF) present less frequently in as 33 (13.2%) had AF compared to 217 (86.8%) sinus rhythm. significantly associated with thrombus formation 23 (60.5%) 15 (39.5%) rhythm p < 0.0001. Thrombus LA commonly visualized on TEE TTE (X 2 =242.3, p=0.0001) mostly...
Background: Hepatocellular carcinoma (HCC) is one the most common primary malignancy of liver and represents third leading cause cancer-related deaths worldwide. Incidence rates are highest in East Asia Sub-Saharan Africa. A number evidence suggests a possible role interleukin-6 (IL-6), ?-Fetoprotein (AFP) Des-?-carboxyprothrombin (DCP) pathogenesis hepatocellular (HCC). The high DCP may be related to increase tumour behaviour, such as presence vascular invasion intrahepatic metastasis HCC...
Background: Left ventricular hypertrophy (LVH) is associated with intra-ventricular dyssynchrony at systolic phase during exercise in hypertensive patients. However, dypsnea on exertion much more correlated diastolic phase. We investigated whether LVH patients hypertension. Methods: Ninety exertional dyspnea and 30 control individuals were enrolled. Exercise stress echocardiography was performed using a symptom limited, multistage supine bicycle test. To evaluate the of LV, we calculated...
Low Back Pain (LBP) or Lumbago is a leading cause of disability in the United States.There are several etiologies including but not limited to muscle strains, discherniation, vertebral instability and fractures.Most serious however metastatic neoplastic processes, which invade spine, spinal cord, nerve roots potentially causing significant neurologic functional compromise.Primary tumors spine extremely rare, even rarer primary melanomas [1].We present rare case 55-year-old male that was...
To assess the radiation exposure in cardiovascular implantable electronic device(CIED) implantation procedures, effect of fluoroscopy frame rate on various indices, and in-hospital outcomes. Data CIED procedures from September 2015 to December 2019 all performed at our institute were retrospectively analyzed. The procedural data divided into two groups: a) pre-group: that under 7.5 frames per second(fps); b) post-group: 3.75 fps. We compared procedure time, Kerma air product, effective dose,...
Objectives: To assess the frequency of radial artery occlusion (RAO) in patients undergoing percutaneous cardiac catheterization. Methodology: A descriptive cross sectional study was carried out at cardiology department Jinnah hospital, Lahore from April – October 2018. One hundred thirty one consecutive who had undergone catheterization via trans-radial approach were enrolled study. Post procedure followed ward and after 24 hours, Allen’s test used for checking patency artery. Color Doppler...
Objective: To determine the correlation of TIMI risk score with severity ofcoronary artery disease by coronary angiogram in patients non-ST–elevation myocardial infarction (NSTEMI). Methodology: This cross-sectional study was conducted at Department ofCardiology, Jinnah Hospital, Lahore from 1st April 2016 to 30th September 2016.Patients presenting (NSTEMI) wereenrolled and received standard medical therapy. Patients were stratified withTIMI scores as low, intermediate high. evaluated...
For more than 50 years, warfarin has single-handedly ruled the world of anti-coagulation without any competition, whatsoever! The anticoagulant was made available in 1940 and since then no other anti-coagulant ever been able to match it clinical arena. But looks like that advances field anti-coagulation, for first time, have seriously started erode its base. This review takes a look at rivaroxaban, direct factor Xa inhibitor one most foremost competitors warfarin.
Cardiovascular disease is the leading cause of death in patients receiving chronic renal replacement therapy, Arteriovenous fistulas [AVFs] have superior longevity, lower infection and mortality rates are associated with cost, hence become vascular access choice for needing dialysis.The aim this study to assess effect AVF on cardiac function fair systolic ESRD .This a prospective ,non-controlled , observational that will include 20 who been admitted Heliopolis Hospital treated hemodialysis...
Abstract Background Reflex syncope (RS), the most common cause of is usually recurrent, associated with decreased quality life, and frustrates both clinicians patients a paucity effective treatment options. Purpose To assess effectiveness yoga therapy on recurrence reflex syncope. Methods Subjects recurrent RS (>3 episodes) positive head-up tilt test were enrolled prospectively, randomized to conventional physical maneuvres (Group 1) 2). Group 1 taught counter-pressure maneuvers as per...