- Climate Change and Health Impacts
- Vascular anomalies and interventions
- ECG Monitoring and Analysis
- Cardiovascular Disease and Adiposity
- Blood Pressure and Hypertension Studies
- Cardiac Arrhythmias and Treatments
- Central Venous Catheters and Hemodialysis
- Vascular Malformations and Hemangiomas
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Systemic Sclerosis and Related Diseases
- Atrial Fibrillation Management and Outcomes
- Artificial Intelligence in Healthcare
- Vitamin D Research Studies
- Health, Environment, Cognitive Aging
- Lipoproteins and Cardiovascular Health
- Inflammatory Biomarkers in Disease Prognosis
- Cardiac Health and Mental Health
- Congenital Heart Disease Studies
- Phonocardiography and Auscultation Techniques
- Cardiovascular Health and Disease Prevention
- Acute Myocardial Infarction Research
- Erythropoietin and Anemia Treatment
- Coronary Artery Anomalies
- Iron Metabolism and Disorders
- Cardiovascular Function and Risk Factors
B.P. Koirala Institute of Health Sciences
2019-2025
Implantable subcutaneous chemoports are routinely employed for delivering chemotherapy in oncology. Spontaneous catheter dislodgement and embolization of the catheters rare complications procedure. Herein, we report our experience with a patient presenting spontaneous migration to pulmonary artery. The having familial adenomatous polyposis adenocarcinoma right colon underwent total proctocolectomy had placement chemoport through internal jugular vein adjuvant FOLFOX chemotherapy. entrapped...
Background and Objectives: Iron Deficiency is the commonest nutritional deficiency worldwide, affecting more than one-third of population, its association with Heart Failure or without anemia growing interest. As iron supplementation improves prognosis in patients Failure, an attractive therapeutic target – a hypothesis that has recently been tested clinical studies. This study designed to estimate prevalence pattern (ID) heart failure (HF) reduced ejection fraction anemia.
 Material...
BACKGROUND Serum albumin, because of its anti-inflammatory, antioxidant, anticoagulant and anti-platelet aggregation action has been linked with onset, progression severity appears to influence clinical outcomes among Acute Coronary Syndrome (ACS) Patients. AIMS This study aimed describe the association serum albumin levels characteristics, ACS patients in a tertiary tropical hospital Nepal. METHODS was descriptive cross-sectional where angiographic profile presenting ACS, admitted BPKIHS...
BACKGROUND Diagnosis of Coronary artery disease by angiography is limited its availability, cost and as an invasive procedure. Treadmill test a noninvasive easily available for diagnosing well prognosis coronary most commonly performed stress diagnosis disease. Women tend to have greater release catecholamines during exercise, which could potentiate vasospasm augment the incidence abnormal exercise results. TMT in women relatively low diagnostic yield CAD compared men, especially when...
BACKGROUND The 24hr ECG Holter monitoring system is helpful in assessing cardiac arrhythmias patients presenting with palpitation, dizziness, presyncope and syncope, which are not detected by standard office electrocardiogram.
 METHODS This was a single center prospective observational study conducted to assess the prevalence of among 78 consisting 41 males 37 females referred for 24 hr BPKIHS, Dharan, Nepal, between October 2021 December 2021.
 RESULTS most common indication these...
Background and Aims: Diabetes mellitus is a well recognized risk factor for cardiovascular disease acute coronary syndrome. It becoming increasingly clear that pre-diabetic state also associated with adverse clinical outcomes. However, evidence limited regarding the prognostic value of 'prediabetes' on outcome So, we aimed to assess prevalence prediabetes in syndrome patients its outcome
 Methods: This was single center descriptive cross-sectional study know 115 consisting 71 males 44...
Background: There is unequivocal evidence showing that at hospital environment BP levels are usually different from measures found other settings. Therefore, ambulatory expected to be more dependable, as well allow the identification of a relevant subgroup white-coat hypertension patient. Methods: This was single center descriptive cross-sectional study conducted assess prevalence among 50 participants consisting 31 males and 19 females referred for 24 hour Ambulatory monitoring in B .P....
Hyper-dominant left anterior descending artery is rarely seen in the coronary distribution. Its involvement ACS can often be detrimental as it supplies most of and inferior part right ventricles compared to other variants LAD artery. It required recognized earlier management strategies should ascertained. Our report here describes such a case anomalous which less commonly encountered during Coronary Angiography. This was 60 year old hypertensive male who presented with atypical chest pain...
BACKGROUND Palpitation is one of the most common indications for Holter study. 24- hour monitoring helps to detect abnormal cardiac rhythm which can be managed earlier if picked up sooner. Spot ECG has less sensitivity pick episodic so longer time essential. Various treatment modalities thus planned non-benign and relatively benign arrhythmias like VT PSVT respectively.
 METHODS This was a single center prospective observational cross-sectional study conducted at BPKIHS, Dharan three...
Background and Aims: Inflammation plays important role in atherosclerosis. Recently, neutrophil-to-lymphocyte ratio(NLR) has emerged as new inflammatory marker identification of coronary artery disease(CAD). We aimed to evaluate correlation NLR with CAD severity propose suitable cut-off for predicting CAD.
 Methods: This cross-sectional study included 147 patients undergoing angiography angina ischemic ECG changes. was assessed by SYNTAX score categorized into low, intermediate high...
BACKGROUND: There is unequivocal evidence showing that at hospital environment BP levels are usually different from measures found other settings. Therefore, ambulatory expected to be more dependable, as well allow the identification of a relevant subgroup white-coat hypertension patient.
 METHODS: This was single center descriptive cross-sectional study conducted assess prevalence among 50 participants consisting 31 males and 19 females referred for 24 hour Ambulatory monitoring in...
BACKGROUND: Lead avR is a valuable but mostly ignored lead in clinical electrocardiography. Recently, ST-segment depression aVR during an inferior wall myocardial infarction has been suggested as predictor of LCX artery involvement.
 METHODS: This study was single centre cross sectional observational done BPKIHS, Dharan from February 2018 to January 2020. Patients presenting the OPD or emergency room BPKIHS diagnosed acute based on symptoms, ECG and/or Cardiac tropinin I levels, and...
Background: Vitamin D deficiency may be a risk factor for coronary artery disease (CAD). We aimed to measure the prevalence of vitamin in CAD and its association with severity angiographic proven CAD.
 Methods: This prospective, cross-sectional study included 106 consecutive patients who were admitted typical angina had signs myocardial injury (ECG findings and/ or elevated troponin I CK-MB) underwent angiography at university hospital BPKIHS from August 2020 April 2021. Patients...