Krishnananda Nayak

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BACKGROUND It is increasingly evident that visceral adipose tissue plays a leading role in the pathogenesis of the metabolic syndrome. Unfortunately, accurate quantification of intra-abdominal visceral fat is cumbersome and expensive. Epicardial fat represents the component of visceral fat distributed around the heart, and is readily and non-invasively(More)
OBJECTIVE The purpose of this study was to examine the safety and efficacy of the Frontrunner XP CTO (chronic total occlusion) catheter (Cordis Corporation) for recanalization of CTO of femoropopliteal arteries. METHODS A retrospective analysis of consecutive patients with critical limb ischemia (CLI) who underwent femoropopliteal angioplasty for(More)
BACKGROUND Fetal echocardiography plays a pivotal role in identifying the congenital heart defects (CHDs) in utero. Though foetal echocardiography is mostly reserved for high risk pregnant women, its role as a routine prenatal screening tool still needs to be defined. Performing foetal echocardiography based on only these indications can lead to a(More)
DESCRIPTION A 54-year-old asymptomatic man was detected to have a prominent left heart border on a routine chest x-ray done during his annual health check (figure 1, arrows). Echocardiogram revealed a cystic lesion occupying the space antero-lateral to the right ventricular outflow tract (RVOT; figure 2). The cystic cavity did not produce any compression of(More)
To cite: Kareem H, Devasia T, Nayak K, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-204070 DESCRIPTION A 23-year-old woman, who had been diagnosed recently with hypothyroidism, was referred to us for an echocardiogram. She was apparently asymptomatic when she developed fatigue and mild generalised oedema. She(More)
BACKGROUND Atrial fibrillation (AF) is one of the most common arrhythmias accounting for significant mortality and morbidity, especially in elderly. Though oral anticoagulation (OAC) is an effective mode of prevention of stroke in patients of AF, bleeding complication remains a major concern. Because of these issues, a significant proportion of patients(More)
We report the case of a 24-year-old man, presenting with fever, headache, vomiting and seizures, subsequently diagnosed with cyanotic congenital heart disease. Evaluation revealed non-obstructive supracardiac total anomalous pulmonary venous connection (TAPVC) as the underlying disorder. Surprisingly, the patient denied any past cardiac symptoms.(More)
We describe a 34-year-old man with an ostium secundum atrial septal defect, Ebstein's anomaly of the tricuspid valve with severe tricuspid regurgitation, congenital valvular pulmonary stenosis, rheumatic mitral stenosis and regurgitation with aortic regurgitation, who presented with decompensated heart failure after developing atrial fibrillation. The(More)
Gerbode defects are rare Ventricular Septal Defects (VSD) constituting approximately one percent cases of congenital heart diseases. The genetic predispositions towards the Gerbode Defect (GD) have remained an unexplored area of study till date. We investigated the genotype-phenotype correlation in patients with Gerbode VSD. Molecular genetic study on(More)
1 of 2 DESCRIPTION A 40-year-old lady was admitted with a week’s history of fever and dyspnoea. Transthoracic echocardiography revealed 0.5 × 0.5 cm vegetation on the posterior mitral leafl et with a severe eccentric mitral regurgitation (MR) hugging the left atrial aspect of anterior mitral leafl et and the interatrial septum (IAS) which was confi rmed by(More)