Browsing by Author "Bohora, S"
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Item Current perspective on endomyocardial fibrosis(CURRENT SCIENCE, 2009) Tharakan, J; Bohora, SEndomyocardial fibrosis (EMF) is an obliterative cardiomyopathy of uncertain etiology, with fibrotic deposits on the endocardial surface of the apices and inflow of either or both ventricles. The clinical presentation depends largely on the extent of diastolic ventricular filling abnormality and atrio-ventricular valve incompetence, subsequent to involvement of chordo-papillary mechanism by the fibrotic process. Its prevalence is typically seen in the tropical regions and clinical diagnosis is facilitated by the availability of 2D echo Doppler evaluation. Over the past three decades, there has been a significant down trend in both the prevalence and severity in the presentation of EMF. It is postulated that the less severely involved cases are presenting later in the course of natural history of the disease, as evidenced by the higher age group and the less severe clinical symptomatology of patients. Surgical intervention is limited to severely symptomatic patients, as the fibrotic process rarely progresses over time, though the resultant hemodynamic alteration can progress over time, resulting in clinical deterioration.Item Images in cardiology. Clenched fist appearance in endomyocardial fibrosis.(Heart (British Cardiac Society), 2006)Item Iodide mumps(INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008) Bohora, S; Harikrishnan, S; Tharakan, JAcute sialadenitis following contrast administration is characterized by rapid, painless, bilateral enlargement of salivary glands, and is due to a rare adverse reaction to the administration of iodine containing contrast material. It is usually a benign, self-limiting condition and may recur with further exposure to iodinated contrast. (C) 2007 Elsevier Ireland Ltd. All rights reserved.Item Left hemothorax: A presentation of a late ventricular perforation caused by an active fixation pacing lead(INTERNATIONAL JOURNAL OF CARDIOLOGY, 2010) Bohora, S; Unnikrishnan, M; Kumar, VKA; Nayyar, S; Tharakan, JVentricular perforation, late after ventricular lead placement at the right ventricular apex is rare, and though, commonly presents with chest pain, loss of pacing and/or sensing, and hemodynamic instability caused by cardiac tamponade, it can rarely cause left sided hemothorax needing surgical exploration. (c) 2008 Elsevier Ireland Ltd. All rights reserved.