- Coronary Interventions and Diagnostics
- Acute Myocardial Infarction Research
- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Vascular Procedures and Complications
- Lipoproteins and Cardiovascular Health
- Mechanical Circulatory Support Devices
- Cardiac Valve Diseases and Treatments
- Diabetes Treatment and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Neurological Complications and Syndromes
- Cardiovascular Disease and Adiposity
- Takotsubo Cardiomyopathy and Associated Phenomena
- Cardiovascular Health and Risk Factors
- Systemic Lupus Erythematosus Research
- Long-Term Effects of COVID-19
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Potassium and Related Disorders
- Diet and metabolism studies
- Hormonal Regulation and Hypertension
- Rheumatoid Arthritis Research and Therapies
- COVID-19 Clinical Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
Aga Khan University
2019-2025
Aga Khan University Hospital
2018-2023
Aga Khan Hospital, Mombasa
2020
Sodium-glucose cotransporter 2 (SGLT2) inhibitors have been shown to reduce cardiovascular death and heart failure (HF) hospitalizations in patients with reduced mildly or preserved ejection fraction. This study assesses the effectiveness of SGLT2 reducing HF readmission rates examines prescription patterns hospitalized patients. single-center retrospective cross-sectional evaluated impact on when initiated during index hospitalization within 14 days discharge. Patients were divided into an...
Introduction Epidemic of cardiovascular disease (CVD) is widely projected in South Asian population and estimated to get double two decades. Ischemic heart (IHD) one the spectrums CVD acute myocardial infarction (AMI) being common manifestations IHD. National Cardiovascular Data Registry (NCDR) a registry data that measure their practices improve quality care. In this project we aim see our performance trends care IHD including AMI patients over year’s period. Material & methods A cross...
ST elevation myocardial infarction (STEMI) is an acute cardiac manifestation that requires immediate revascularization preferably through primary percutaneous coronary intervention (PCI). This study aims to describe gender stratified outcomes and epidemiological profile of STEMI patients undergoing treatment at a tertiary care hospital in Karachi, Pakistan.A 5-year, retrospective analysis records was undertaken on confirmed admitted between 2010 2014, PCI. Information retrieved demographic...
Transvenous pacemakers are used to temporarily pace heart in emergent situations. This study was conducted analyze the current success rate of temporary pacemaker insertion our institution and discover causes for failure improve technique.A retrospective cohort 263 patients from 2006 2016 who underwent TPM at Aga Khan University Hospital, Karachi.The procedure 97.7%, with one mortality caused by pacemaker. No significant risk factor found TPM.There no effect anatomical site or technique on...
Background Radial artery occlusion is a common complication of coronary angiography via radial artery, attributed to the prolonged use trans-radial band post procedure. Literature suggests there no standard protocol for deflation, and it varies across institutions. However, suggested by Cohen Alfonso widely used globally. This study aims test whether our hospital’s deflation non-inferior Alfonso, which affirms lesser complications. Methods an outcome assessor blinded, non-inferiority trial...
Introduction: Acute myocardial infarction (AMI) patients present with variable clinical manifestations such as shortness of breath, nausea, etc. among which chest pain is the most common. Previous studies have reported that presentation AMI branch vessel disease indistinguishable from epicardial coronary disease. However, our experience suggests severe pain, especially those a diagonal branch. Therefore, we aim to study association severity isolated culprit in patients. Methods: It...
Background The care of patients presenting with chest pain to multidisciplinary services hospital gets compromised due the busy triage system. A separate and specialized equipped cardiac emergency unit (CAR-ERU) can improve patient’s outcomes. Objectives To enhance early recognition treatment acute myocardial infarction (AMI) patients. sustain key performance quality indicators (KPIs) for AMI. Methods In October 2016, a CAR-ERU was established inside department (MED). dedicated heart-lung...
Suboptimal Cortisol Response (SCR) is an inadequate cortisol response in relation to the severity of illness.Also known as critical illness induced corticosteroid insufficiency, it frequently observed patients with septic shock.We describe two presented us sign and symptoms heart failure.Up titration diuretics dose was a big challenge due concomitant severe electrolyte imbalance likely altered hypothalamic pituitary axis leading relative adrenal insufficiency.Random serum level checked which...
We are presenting a case of 65 years old lady who presented in clinic with shortness breath, pedal and periorbital swelling lethargy for 1 month. Her initial electrocardiogram (ECG) raised the suspicious missed myocardial infarction but detailed workup confirm diagnosis multiple myeloma cardiac amyloidosis. The highlight importance considering differentials various ECG pattern mimicking infarcts correlating them clinically other diagnostic modalities.
A 50-year-old man presented to the emergency department with interscapular pain, diaphoresis and restlessness. Initial examination raised possibility of aortic dissection; however, CT scan did not concur diagnosis. An ECG showed ST segment elevation in leads V1–V6 echocardiography severe left ventricular systolic dysfunction. Coronary angiography through right femoral artery was attempted but diagnostic catheter could be advanced ascending aorta. Radiocontrast injection complete obstruction...